P&SP 4500 Grain Hopper Scale Test - Feed

Instructions to Complete
Hopper Scale Test Report
Form P&SP-4500
Mail the completed form to the appropriate regional office of the Packers and Stockyards
Program as listed below. The states covered by each regional office are listed below its address.
Regional Offices of the Packers and Stockyards Program
Grain Inspection, Packers and Stockyards Administration
Eastern Regional Office
Western Regional Office
Midwestern Regional Office
Suite 230
3950 Lewiston St., Suite 200
Room 317
75 Spring Street
Aurora, CO 80011-1556
210 Walnut Street
Atlanta, GA 30303-3308
Telephone: (303) 375-4240
Des Moines, IA 50309-2110
Telephone: (404) 562-5840
FAX: (303) 371-4609
Telephone: (515) 323-2579
FAX: (404) 562-5848
e-mail:
FAX: (515) 323-2590
e-mail:
[email protected] e-mail:
[email protected]
[email protected]
States Covered
States Covered
States Covered
AL, AR, CT, DC, DE, FL, GA, AK, AZ, CA, CO, HI, ID, KS,
IA, IL, IN, KY, OH, MI, MO,
LA, MA, MD, ME, MS, NC,
MT, NM, NV, OK, OR, TX, UT, MN, ND, NE, SD, WI
NH, NJ, NY, PA, RI, SC, TN,
WA, WY
VA, VT, WV

If you have any questions regarding this form, please contact the regional office of the Packers
and Stockyards Program listed above.
Line
Number
1

2

Subject
Page Number

Testing Agency

3-7

Scale Owner

8-12
13
14
15
16

Scale Location
Verification Date
Scale Test Date
Last Test Date
Scale Availability

17

Scale Capacity

18

Scale Class

P&SP-4500-i

Instruction
The page number is normally 1 of 1. If additional space is
needed or when testing multiple indicator/platform
installations, number pages identifying the current page
number and the total number of pages. For example, page 2
of 3.
Enter the name, address, city, state, zip code, phone number,
and e-mail address of the testing agency.
Enter the name of the scale owner, and the owner’s address,
city, county, and state.
Enter the full address where the scale is located.
Enter the date the test weights were last verified.
Enter the date of the scale test.
Enter the date the scale was last tested.
Enter the days of the week and times during the day when the
scale is available for testing.
Enter the scale capacity (maximum nominal capacity), in
pounds.
Check the appropriate box to indicate the class of scale
(Marked III or Not Marked).

Page 1 of 2

Line
Number
19

Model Number

20
21

Scale Division
Manufacturer

22

Indicator Type

23

Computer

24

Serial Number

25

Sensitivity
Response

26
27
28

Condition
Zero Balance
Corner Test Data

29
a
through
e

30
a
through
f
31

Subject

Increasing Load
Test Data

Accuracy

Repairs

32

Recommendations

33
34

Acknowledgement
Signature

P&SP-4500-i

Instruction
Enter the model number of the indicator found on the I.D.
plate.
Enter the minimum scale division (or graduation), in pounds.
Enter the name of the manufacturer of the beam, dial, or
digital indicator.
Check the appropriate box to indicate if the type of indicator
is: Beam, Dial, Digital, or Printer
Check the appropriate box to indicate if the scale is connected
to a computer.
Enter the serial number of the indicator found on the
manufacturer’s ID plate.
Enter the sensitivity response (SR) on beam scales or the
discrimination on dial and digital scales, in pounds, at zero
and maximum test loads.
Enter the maintenance condition of the scale as found.
Enter the zero balance as found.
For each corner tested, enter, in pounds, the balance weights,
test weight, weight indication, volume in pounds of error
weights removed for the test, and the amount of error.
NOTE: The weight shown on the indicator after removing the
error weights is NOT entered on the form. The amount of the
error will be the difference between column c and the amount
shown on the indicator after removing the error weights.
For the increasing load test, enter, in pounds, the weight of
feed used, balance weights, test weights, weight indication,
error weights, and error.
NOTE: The weight shown on the indicator after removing the
error weights is NOT entered on the form. The amount of the
error will be the difference between column d and the amount
shown on the indicator after removing the error weights.
Check the appropriate box to indicate if errors are or are not
within the accuracy requirements specified in the NIST
Handbook 44.
To be completed by the State or scale testing company. Enter
any repairs, adjustments, or changes made during the scale
test.
To be completed by the State or scale testing company. Enter
your recommendations for repair, replacement, or other action
for the scale.
Sign to acknowledge receipt of the completed test report.
The scale inspector must sign the form.

Page 2 of 2

U.S. DEPARTMENT OF AGRICULTURE
GRAIN INSPECTION, PACKERS AND
HOPPER SCALE TEST REPORT
STOCKYARDS ADMINISTRATION
PACKERS AND STOCKYARDS PROGRAM
2 Testing Agency (Name, address, city, state, zip code, telephone number, and 3 Scale Owner
e-mail address):
4 Address
5 City

OMB Control No. 0580-0015

Expires: xx/xx/20xx

1 Page No.

6 County

7 State

11 County

12 State

8 Scale Location
9 Address
10 City
14 Test Date
(mm/dd/yyyy)

15 Last Test Date
(mm/dd/yyyy)

21 Scale Manufacturer (Indicator)

13 Date Test Weights Were Last Verified

16 List Times and Days When Scale Is Not In Use, and Available For Testing

17 Scale Capacity (lbs.)

18 Class of Scale:
19 Model Number
‰ Marked III
‰ Not Marked
22 Type of Indicator:
23 Is the Scale Connected to a Computer?
‰ Beam ‰ Dial ‰ Digital ‰ Printer
‰ Yes
‰ No

20 Scale Division (lbs.)

TEST RESULTS

26 Scale Condition As Found

25 SR (Sensitivity Response) Or Discrimination Test
Zero Load = ______________ lb. Maximum Load = ______________ lb.

Position

Corner 1

(a)
Balance
Weights

28 CORNER TEST
(b)
(c)
Test
Weight
Weight
Indication

(d) Error
Weights
(lbs.)

(e)
Error

(a) Feed

24 Serial Number

27 Zero Balance As Found

29 INCREASING LOAD TEST (continued)
(b)
(c)
(d)
(e) Error
Balance
Test
Weight
Weights
Weights
Weights
Indication
(lbs.)

(f)
Error

Corner 2
Corner 3
Corner 4
a Feed

29 INCREASING LOAD TEST
b Balance
c Test
d Weight
e Error
Weights
Weights Indication
Weights
(lbs.)

f Error

30 The errors indicated on this test report ‰ ARE ‰ ARE NOT within the accuracy requirements specified in National Institute of Standards and Technology
(NIST) Handbook 44 as required by the regulations (9 CFR 201.71). (For more information, contact the Business Practices Unit of the Packers and Stockyards
Program Regional Office.)
31 Repairs, adjustments, or changes made at this time:

32 Recommendations for repair, replacement, etc. (Continue on reverse side if necessary):

33 Receipt of Report Acknowledged (Signature):

34 Scale Inspector (Signature):

Response is required to assure that tests are made on feed scales, and to show accuracy of scales used to weigh feed when feed weight is a factor in determining payment or
settlement for livestock or live poultry. ( 9 CFR 201.72.) Information held confidential (9 CFR 201.96).

Form P&SP-4500

Page 1 of 2

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 0580-0015. The time required to complete this
information collection is estimated to average 45 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where
applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s
income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for
communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of
discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 7206382 (TDD). USDA is an equal opportunity provider and employer.

Form P&SP-4500

Page 2 of 2