| Yes | No | |
| ______ | ______ | Does it Leak? |
| ______ | ______ | Top ______ Full/Plastic ______Glass |
| ______ | ______ | Lights ______ Incandescent ______ Fluorescent ______ Metal Halide |
| ______ | ______ | Stand ______Wood ______ Wrought Iron |
| ______ | ______ | Heater ______ Submersible ______ Hang On |
| ______ | ______ | Air Pumps (Please Describe) ________________________ |
| ______ | ______ | Filters (Please Describe) __________________________ |
| ______ | ______ | Gravel |
| ______ | ______ | Other (Please Describe) ____________________________ |
| ______ | ______ | Used for other than fish |