FGIS 998 Questionnaire for Proposed Dioverter Type Mechanical Sam

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Overview

FGIS-998
Instructions

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Sheet 1: FGIS-998

U.S. Department of Agriculture

OMB APPROVED NO. 0580-0013

Grain Inspection, Packers and Stockyards Administration

QUESTIONNAIRE FOR PROPOSED DIVERTER-TYPE

MECHANICAL SAMPLER

Facility Name, City, State

Field Office

Capacity

Kind of Elevator

Authorization Code - Circle Appropriate Numbers

D Diverter N Non-diverter P Probe 0 All Grains 1 Small Grains 2 Coarse Grains - Not Corn

3 In 4 Out 5 Cargo 6 Barges 7 Hopper Cars 8 Carlots 9 Trucks

D/T Make and Model

S/N

Spout / Belt Size

General Location

Spout / Belt Name

Spout / Belt Angle

Belt Speed

Power:

Body Dimensions

Pelican Stroke

Pelican Opening L x W

Grain Drop Before Sampler

Grain Drop After Sampler

Access Safe

Inspection Door OK?

(ft)

(ft)

Verified No Auxilliary Controls

Location of Lockout OK?

Lights OK for Exams?

Is Pelican Movement Steady?

Does Pressure Return Promptly?

Air Pressure at Rest PSI

Timer Make and Model

Grain Flow Rate Past Sampler

Calculated Timer Setting

(s)

Secondary Make and Model

S/N

Delivery System

Grams per Sample

Total No. of Samples

Quantity Adjustment Sealed?

Delivery and Collection Box Secure?

Excess Returned to Lot?

Dust Control Locations

Weights:

NO SCALE

Number of Shipping Bins:

Depth

Graded

Procedures to Stop Breakage:

(ft)

Remarks/special restrictions when used to sample officially:

Signature of Official Personnel:

Date:

FORM FGIS-998 (7/04) Previous edition may be used. Expires January 2015

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Sheet 2: Instructions

DIRECTIONS FOR COMPLETING QUESTIONNAIRE

1. Facility name, city, and state.

2. Name of FGIS field office.

3. Check the box indicating kind of elevator.

4. Storage capacity of elevator.

5. Authorization Code-circle the numbers that apply to the intended sampler use.

6. Sampler Make & Model; e.g., Gamet 6800S.

7. Sampler Serial Number.

8. Is the sampler in a spout or on a belt end? For spout samplers-diameter or length x width

cross sectional measurements or;

9. Belt Size-width and depth of grain carried.

10. General location of sampler; e.g., Headhouse 6th Floor; or Gallery.

11. Spout/belt name; e.g., Scale #1 lower garner.

12. Spout angle-90_ is vertical. Belt Angle-0_ is horizontal. Show normal angle and max/min

limits of travel, if angle can be varied.

13. Belt speed-measure with belt loaded.

14. Check the box showing type of power.

15. Body dimensions for the sampler.

16. Pelican stroke is the distance traveled from one side to the other.

17. Length and width of the pelican opening.

18. Distance in feet from release point.

19. Distance grain falls is used to estimate impact and breakage. For example, measure from

sampler to bin bottom.

20. Is access to the sampler by approved ladder or stairs, and does the platform have an

approved railing?

21. Are the inspection doors properly located on the sampler? Do they have appropriate seal

hasps and hinges?

22. Check verified after you determine that the system controls have no bypasses, dump

counters, timer interrupts, or programmable controllers.

23. Location of lockout ok-does the lockout provided meet FGIS requirements?

24. Light for examinations-can all exterior examination checks be made with lighting supplied?

25. For pneumatic/hydraulic samplers-is pressure sufficient to move the pelican across the

stream of grain evenly, without lagging or slowing down.

26. For pneumatic/hydraulic samplers-pressure returns to maximum before next cut is initiated.

27. For pneumatic samplers-gauge pressure at rest. Maximum reached when no cuts are

initiated.

28. Timer Make & Model; e.g., Eagle HP5 Model 9.

29. Flow past sampler should be figured out by timing a known amount, such as one scale draft,

as it passes the sampler.

30. Calculate the timer setting in seconds based on grain flow rate past sampler. Also show

whether this is based on a 200, 350, or 500 bushel sampling rate.

31. Secondary Sampler (divider) Make & Model; e.g., InterSystems MD300.

32. Secondary Sampler Serial Number.

33. Check box indicating type of sample delivery system.

34. Weight in grams received for the official sample.

35. Total number of samples needed for all interested parties.

36. Are the quantity adjustment features on secondary sampler fixed or sealed in place?

37. Is the sample delivery system secure from the air inlet to the collection box?

38. Is excess grain automatically returned from the secondary to the lot from which the sample

was taken?

39. Location of dust collection ducts-are they located where they can affect the sample

constituents? The measurements will serve as a record of approved duct work.

40. Weights-are weights official; i.e., supervised under the USGSA as Class X or Y-are weights

Certified; i.e., supervised unofficially by a local organization-or are weights unofficial and

not supervised, or not provided?

41. Shipping bins-number used.

42. Shipping bin depth(s).

43. Grading-will bin be held for grade or factor results before being released?

44. Procedures to stop breakage-will the bins require use of cushion level indicators, grain

ladders, or baffles to reduce impact of grain and resulting breakage?

45. Carrier identification or stowage locations.

46. Special restrictions-any special procedural restrictions; e.g., weighback belt must be sealed,

turnhead must be locked in position, cushion must be maintained in shipping bin, etc.

47. Name or signature of the official personnel who filled out the questionnaire.

48. Date information obtained.