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pdfOMB No. 0580-0013
Statement on Reverse
UNITED STATES DEPARTMENT OF AGRICULTURE
FEDERAL GRAIN INSPECTION SERVICE
FORM FGIS-932 (3/2003)
H-
RICE INSPECTION CERTIFICATE
SUBMITTED SAMPLE INSPECTION
(Previous edition (6-89)
may be used)
Please refer to this certificate by its number,
including the lettered prefix, if any, and date.
(ISSUED AT)
(DATE OF SERVICE)
I certify that I am licensed or authorized under the Agricultural Marketing Act of 1946 to inspect the kind of rice covered by this certificate and that on the
above date the following identified rice was inspected under the Act, with the following results:
ORIGINAL INSPECTION
APPEAL INSPECTION
BOARD APPEAL INSPECTION
PART 1 - IDENTIFICATION OF SAMPLE
IDENTIFICATION OF SAMPLE
QUANTITY OF SAMPLE AND KIND OF CONTAINER
SAMPLE SUBMITTED BY
The sample identification and inspection results shown on this certificate are assigned only to the quantity of rice in the sample indicated and not to any
identified carrier, container, or lot from which the sample of rice may have been taken.
PART II - INSPECTION RESULTS
GRADE DESIGNATION OR CLASS, KIND, AND/OR SPECIAL GRADE
PART III - FACTOR INFORMATION
PART IV- SPECIAL INSPECTION SERVICED, SPECIAL STATEMENTS, OR REMARKS
CALCULATIONS
NAME OR SIGNATURE
FACTOR
GRAMS
Port
Sep.
INSP.
RESULTS
FACTOR
GRAMS
Port
Sep.
INSP
RESULTS
FACTOR
B
OBS(a)
SH
CH
OBS(b)
SK
DK
OT
TBK
FM
P(a)
TP,S
HDP
P(b)
TS, HT
HT(a)
RR
TS(a)
HT(b)
RR&DK
TS(b)
HT, OBS
5P
TW
M
6P
WMK
MD
61/2S
WK
NOBS(a)
30S
TR
NOBS(b)
SC
INSP
RESULTS
GRAMS
Port
Sep.
FORM FGIS -932 REVERSE
PART III - FACTOR INFORMATION CODES
CODE
B
= Percentage of brewers
BDA
BRK
= Badly damaged appearance
= Brown rice kernels
C
= Color
WH
CR
SLG
LIG
CODE
O
= ODOR (Show applicable odor)
Sour
= Sour
Must
COFO
= Musty
= Commercially objectionable
foreign odor
= White
= Creamy
= Slightly gray
OBS(a)
OBS(a)
= Objectionable
= Objectionable seeds (number in 500 grams)
= Light gray
OBS(b)
= Percentage of objectionable seeds
OT
= Percentage of other types
P(a)
P(b)
= Paddy kernels (number in 500 grams)
= Percentage of paddy kernels
RR
= Percentage of red rice
RR&DK
= Percentage of red rice and damaged kernels
= Percentage of broken kernels removed by a 5 plate
= Percentage of broken kernels removed by a 6 plate
G
= Gray
DG
= Dark gray
SLRO = Slightly rosy
RO
= Rosy
CH
VR
= Very rosy
= Percentage of chalky kernels
DK
= Percentage of damaged kernels
5P
5P
DLQ
= Distinctly low quality
2 1/2 S
= Percentage of broken kernels removed by a 2 1/2 sieve
4S
= Percentage of broken kernels removed by a 4 sieve
5 1/2S
6S
= Percentage of broken kernels removed by a 5 1/2 sieve
= Percentage of broken kernels removed by a 6 sieve
6 1/2 S
= Percentage of broken kernels removed by a 6 1/2 sieve
30S
= Percentage of broken kernels removed by a 30 sieve
SC
= Percentage of screening
= Percentage of second head
= Percentage of total broken kernels
ERA
= Extremely red appearance
FM
= Percentage of foreign material
FMR
HDP
= Foreign material related to rice
= Percentage of heat-damaged kernels, kernels
damaged by heat and/or parboiled kernels
HT(a)
nonparboiled rice
= Heat-damaged kernels (number in 500 grams)
SK
TBK
HT(b)
= Percentage of heat-damaged kernels
TP,S(a)
= Total paddy kernels and seeds (number in 500 grams)
HTG
HT,OBS
= Heating
= Heat-damaged kernels and objectionable seeds
TP,S(b)
= Percentage of total paddy kernels and seeds
TR
TS,HT
= Total rice
= Total seeds and head-damaged kernels (number in 500 grams)
TS(a)
= Total seeds (number in 500 grams)
TS(b)
= Percentage of total seeds
(number in 500 grams)
MD
= MILLING DEGREE
LIM
= Lightly milled (US No. 5 and
US No. 6
RWM = Reasonably well milled (US
TS,HT,P(a) = Total seeds, heat-damaged kernels and paddy kernels
(number in 500 grams)
TS,HT,P(b) = Percentage of total seeds,heat-damaged kernels
and paddy kernels
No. 3 and US No. 4)
WM
M
= Well milled (US No.1 and
US No. 2)
= Percentage of moisture
NOBS(a) = Nonobjectionable seeds (number in 500 grams)
NOBS(b) = Percentage of nonobjectionable seeds
NPB
TW
UGK
= Test weight per bushel
= Percentage of ungelatinized kernels
WMK
= Percentage of toal well-milled kernels
WK
= Percentage of whole kernels
= Percentage of nonparboiled rice
The conduct of all services and the licensing of inspection/grading/sampling personnel under the regulations governing such services shall be
accomplished without discrimination as to race, color, religion, sex, or national origin.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control
number for this information is 0580-0013. The time required to disclose this recordkeeping requirement is to average 46.75 hours per recordkeeper annually, including the time to retain such
records, and to notify, disclose, and report to third parties such recordkeeping requirements.
File Type | application/pdf |
File Title | InForms - fgis932.wpf |
Author | camcduffie |
File Modified | 2004-08-25 |
File Created | 2003-03-14 |