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FORM FGIS-968 (JAN 2005) (Previous editions may be used)
U.S. DEPARTMENT OF AGRICULTURE
GRAIN INSPECTION, PACKERS AND STOCKYARDS
ADMINISTRATION
FEDERAL GRAIN INSPECTION SERVICE
WEIGHT LOADING LOG
This log is NOT an officialcertificate of weight.
Instructions on reverse
DATE
______
From
TIME
To
SUBLOT
TAPE
Page __________ of _________
OMB APPROVED NO. 0580-0013 Statement on Reverse
IDENTIFICATION OF CARRIER
LOAD ORDER
LOADING STARTED
DATE
LOCATION (City, State)
STOWAGE OF VESSEL
HOLD NO.:
CONDITION:
DATE/TIME:
TIME
GRAIN
LOADING FINISHED
ACCOUNT OF:
SHIPPING
BINS
STOWAGE
FIELD OFFICE
SCALE
NO.
WEIGHT
DATE
TOTAL POUNDS
TIME
ACCUMULATED POUNDS
Prev. Pg
Weigher
REMARKS
DATE
TIME
GRAIN HANDLING PRACTICES OBSERVATIONS:
DATE
TOTAL WEIGHT LOADED (pounds)
CERTIFIED BY (PRINTED NAME)
WARNING: Any person who shall knowingly falsely make, issue, alter, forge, or counterfeit this log or participate in any such actions or otherwise violate provisions in the U.S.
Grain Standards Act, the U.S. Warehouse Act, or related Federal laws is subject to criminal prosecution and assessment of civil penalties. Expires January 2015.
TIME
BY:
BY:
DEFINITION OF TERMS
IDENTIFICATION OF CARRIER - Name of ship, number, etc.
LOCATION (City and State) - Location of grain facility.
STOWAGE - Record stowage for the sublot or subtotal. This entry is optional when
inspection stowage is identical. If the entry is omitted, write "See Inspection Log" in
the stowage column.
ACCOUNT OF - The name of the grain facility (e.g., Columbia Grain Elevator, T-5). If the
elevator is not the owner of the grain, record the elevator and the owner (e.g., Public
Elevator/Cargill).
SCALE NO. - Number of the scale used for the corresponding entry.
LOAD ORDER - Contract load order number for the lot. Entry optional .
GRAIN - Kind of grain.
TOTAL POUNDS - Record the total amount of grain weighed for the sublot or subtotal.
If the elevator uses more than one scale, add all weights for the scales used and record
that amount in this column.
FIELD OFFICE - The field office that has jurisdiction over the grain facility. This entry
may also include State jurisdiction (e.g., NOFO/State of Alabama).
ACCUMULATED POUNDS - Prev. Pg. - Use this space to record the total accumulated
pounds from the previous page.
LOADING STARTED - Time and date the first grain was loaded aboard the vessel.
Recorded in Military time.
ACCUMULATED POUNDS - Use this column to keep a running total of pounds for the
ship.
LOADING FINISHED - Time and date all the grain was properly stowed aboard the vessel.
Recorded in Military time.
WEIGHER - Initials of the weigher responsible for this line of the log.
STOWAGE OF VESSEL - List the hold into which the grain was loaded and note the type
of ship, e.g., tanker, 'tween decker, etc. When the stowage is identical to inspection, this
entry may be omitted. Write "see Inspection Log" in the stowage space before loading.
PRIOR-TO-LOADING STOWAGE RESULTS - Date, time, inspector of stowage area. This
entry may be omitted. See "STOWAGE OF VESSEL".
DATE - Date of sublot/subtotal cutoff.
TIME - Start and finish time for the sublot or subtotal. This entry may not be on an
individual tape basis. Record in Military time.
WEIGHT - Record the amount of grain weighed on the corresponding scale.
REMARKS - This column will be used to record anything associated with, or unusual
to, the weighing operation and certification of the shiplot. Date and time columns are
provided for recording when these events occur.
GRAIN HANDING PRACTICES OBSERVATIONS - Date, time, inspector, making tours of
facilities following Grain Handling Practices instructions.
TOTAL NET WEIGHT LOADED (Pounds) - The total amount of grain officially weighed.
CERTIFIED BY (PRINTED NAME) - NAME of the weigher who finished the ship, the last
weigher to work the log.
SUBLOT - This entry will correspond to the inspection sublot number. This may not be
applicable at elevators that are using the subtotal method.
TAPE - The number of the tape corresponding to the subtotal or sublot entry.
SCALE - Number of the scale.
SHIPPING BINS - If the elevator has a shipping bin system, record bin numbers here to
ensure grain flow integrity. If the elevator does not use shipping bins, leave this column
blank.
NOTE: Attach scale tickets, weight tickets, or continuous tape to the original (AGENCY) copy. Retention period is 5 years.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0580-0013. The time required to complete this
information collection is estimated to average 4.85 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and main taining the data needed, and completing and reviewing the collection of information.
FORM FGIS-968
(JAN 2005) Reverse
Weight Loading Log Instructions
1
Identification of Carrier - Name of ship, number, etc.
time.
2
Location (City and State) - Location of grain facility.
Sublot - This entry will correspond to the inspection sublot
13
number. This may not be applicable at elevators that are using
the subtotal method.
Account of - The name of the grain facility (e.g., Cargill
3
Irving Elevator). If the elevator is not the owner of the grain,
record the elevator and the owner (e.g., Public Elevator/Concourse Grain Company).
Load Order - Contract load order number for the lot. Entry
4
optional.
5
Remarks – This column will be used to record anything
23
associated with, or unusual to, the weighing operation and certification of the shiplot. Date and time columns are provided for
recording when these events occur.
- results of the preloading survey;
Tape – The number of the scale tape corresponding to the
14
subtotal or sublot entry.
Shipping Bins – If the elevator has a shipping bin system,
15
record bin numbers here to ensure grain flow integrity. If the
elevator does not use shipping bins, leave this column blank.
Grain - Kind of grain.
- notations regarding downtimes in the weighing or loading
operation (e.g., lunch, weather, overnight, etc.);
- notations on scale malfunctions;
- weighback weights and explanations for the weighbacks;
Field Office - The field office that has jurisdiction over the
6
grain facility. This entry may also include State jurisdiction (e.g.,
Mobile FO/State of Alabama).
Stowage – Record stowage for the sublot or subtotal. This
16
entry is optional when inspection stowage is identical. If the
entry is omitted, write “See Inspection Log” in the stowage
column.
Loading Started - Time and date the first grain was loaded
7
aboard the vessel. Record in Military time.
Scale No. - Number of scale used for the corresponding
17
entry.
Loading Finished - Time and date all the grain was prop8
erly stowed aboard the vessel. Record in Military time.
Weight - Record the amount of grain weighed on the
18
corresponding scale.
Stowage of Vessel - List the holds into which the grain
9
was loaded and notation on the type of ship, i.e., tanker, 'tween
decker, etc. When the stowage is identical to inspection, this
entry may be omitted. Write "See Inspection Log" in the stowage space.
Total Pounds - Record the total amount of grain weighed
19
for the sublot or subtotal. If the elevator uses more than one
scale, add all weights for the scales used and record that
amount in this column.
Grain Handling Practices Observations – Date, time, and
24
inspector’s initials making tours of facilities following Grain
Handling Practices instructions. Do not state results.
Accumulated Pounds Prev. Pg. - Use this space to record
20
the total accumulated pounds from the previous page.
Total Net Weight Loaded – The total amount of grain
25
officially weighed.
Accumulated Pounds - Use this column to keep a running
21
total of pounds for the ship.
Certified By (Printed Name) – Name of the weigher who
26
finished the ship, the last weigher to work the log.
Weigher – Initials of the weigher responsible for this line
22
of the log.
Printed Name – The printed name of the individual certify27
ing the log.
- rejected and returned (R&R) explanations;
- notations regarding periodic verification of control board indicators and actual house setting;
- results of the postloading survey;
- cutoff weights and times;
- final corrections for spills.
Hold No. – Condition, date, time, and initials of inspector
10
for PRIOR-TO-LOADING STOWAGE RESULTS. This entry
may be omitted. See “STOWAGE OF VESSEL”.
11
Date - Date of sublot/subtotal cutoff.
Time - Start and finish time for the sublot or subtotal. This
12
entry may not be on an individual tape basis. Record in Military
Questions Concerning This Form?
USDA, GIPSA
Field Management Division
Policy,Procedures and Market Analysis Branch
1400 Independence Ave. Rm. 2409 N
Washington, DC 20250-3630
Telephone: (202) 720-0228
Fax questions: to (202) 720-1015
Email questions: to [email protected]
File Type | application/pdf |
File Title | Form FGIS-968 |
Author | camcduffie |
File Modified | 2011-03-16 |
File Created | 2003-03-14 |