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GAC Moisture Meter Test Form
ICR 201103-0580-001 · OMB 0580-0013 · Object 25011801.
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| File Type | application/vnd.ms-excel |
|---|---|
| File Title | GAC Moisture Meter Test Form |
| Subject | electronic forms |
| Author | ph |
| Last Modified By | Calc |
| File Modified | 2011-04-22 |
| File Created | 2026-10-15 |
| Conversion State | complete |
Extracted Text
. FORM APPROVED OMB NO. 0580-0013 U.S. DEPARTMENT OF AGRICULTURE Grain Inspection, Packers & Stockyards Administration File Name: Moisture Meter Test Field Office Agency INITIAL Location RETEST Phone REPAIR Fax 2ND SAMPLE PARTS A. AND B. CALIBRATION CONSTANTS & DIAGNOSTIC VALUES VERIFICATION VERIFIED K1 THRU K9 : Initials METER S/N SCD1 SCD2 PART C. WEIGHING ACCURACY TEST DROP 1 DROP 2 DROP 3 DROP 4 DROP 5 D3 VALUE 0.0 0.0 0.0 0.0 0.0 GAC WT - SCALE WEIGHT 0.0 0.0 0.0 0.0 0.0 AVG OF DIFFERENCES 0.0 D3 / 10 ROUND TO 0.1 SCALE WEIGHT (g) RANGE OF DIFFERENCES 0.0 PART D. GRAIN MOISTURE SAMPLE TEST METER CAC SAMPLE I.D. DROP 1 DROP 2 DROP 3 DROP 4 DROP 5 DROP 6 DISPLAY MOISTURE D1 D2 D3 D4 CALC. MOISTURE AVG MOISTURE #DIV/0! STD. AVG.MOISTURE DEVIATION TOLERANCE RECOMMENDED ACTION: #DIV/0! 0.15 APPROVED OPERATOR (FIELD): REVIEWER (HQ): RETEST DATE TESTED: DATE REVIEWED: REPAIR COMMENTS 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 20 minutes per response and 1 minute of recordkeeping, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Form FGIS 923 (7-04) Previous editions may be used. Expires January 2015 U.S. DEPARTMENT OF AGRICULTURE FORM APPROVED OMB NO. 0580-0013 Grain Inspection, Packers & Stockyards Administration File Name: Moisture Meter Test Field Office Agency INITIAL Location RETEST Phone REPAIR Fax 2ND SAMPLE PARTS A. AND B. CALIBRATION CONSTANTS & DIAGNOSTIC VALUES VERIFICATION VERIFIED K1 THRU K9 : Initials METER S/N SCD1 SCD2 PART C. WEIGHING ACCURACY TEST DROP 1 DROP 2 DROP 3 DROP 4 DROP 5 D3 VALUE 0.0 D3 / 10 ROUND TO 0.1 0.0 0.0 0.0 0.0 SCALE WEIGHT (g) GAC WT - SCALE WEIGHT AVG OF DIFFERENCES RANGE OF DIFFERENCES PART D. GRAIN MOISTURE SAMPLE TEST METER CAC SAMPLE I.D. DROP 1 DROP 2 DROP 3 DROP 4 DROP 5 DROP 6 DISPLAY MOISTURE D1 D2 D3 D4 CALC. MOISTURE AVG MOISTURE STD. AVG.MOISTURE DEVIATION TOLERANCE 0.15 RECOMMENDED ACTION: APPROVED OPERATOR (FIELD): DATE TESTED: REVIEWER (HQ): DATE REVIEWED: RETEST REPAIR COMMENTS Public reporting burden for this collection of information is estimated to average 0.083 hours per response and 0.001 hours of record keeping, including the time for review ing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and review ing the collection of information. Send Comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Agriculture, OIRM, AG Box 7630, Washington, D.C. 20250; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, D.C. Form FGIS 923 (9-98) Public reporting burden for this collection of information is estimated to average 0.083 hours per response and 0.001 hours of record keeping, including the time for review ing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and review ing the collection of information. Send Comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Agriculture, OIRM, AG Box 7630, Washington, D.C. 20250; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, D.C. Form FGIS 923 (9-98) FORM APPROVED OMB NO. 0580-0013 File Name: Instructions for Completing Form FGIS-923, “Moisture Meter Test” Fill in any missing or incorrect information in the Identification Block. INITIAL RETEST Part A. REPAIR 2ND SAMPLE ON Verify all official calibration constants. Update all obsolete calibrations. Initial to indicate Part B. Enter meter serial number. Enter SCD1 and SCD2 values. Part C. DROP 5 0.0 0.0 DROP 6 E TESTED: EVIEWED: REPAIR d 0.001 hours of record keeping, ata needed, and completing and this collection of information, n, D.C. 20250; and to the Office 1 2 3 4 5 6 7 Enter the result of the first drop (the D3 value). Divide the D3 reading by 10. Record the result to 0.1 Enter the weight reading from the lab scale. Enter the difference (Item 2 minus Item 3). Repeat Item 1 through Item 4 for a total of five drops. Enter the average difference (average of five differences from Item 4). Enter the range of differences (total spread of the differences). 1 2 3 4 5 6 7 8 9 Enter the CAC from the meter display (not from records). Enter the grain sample identification. Enter the moisture display for the first drop. Enter the values D1, D2, D3, and D4 for the first drop. Repeat Items 3 and 4 for a total of six drops. Enter the name of the field test meter operator. Enter the date. Check the box whether the meter is approved for use, needs testing again Any additional comments necessary concerning the test or information ab Part D. d 0.001 hours of record keeping, ata needed, and completing and this collection of information, n, D.C. 20250; and to the Office alibrations. Initial to indicate that all calibrations are correct. esult to 0.1 five drops. ve differences from Item 4). of the differences). from records). he first drop. ved for use, needs testing again, or repairing. rning the test or information about the meter.