QID 120034Q-3 Form Q-3 - Laboratory Scale Check

Objective Yield Surveys

0088 - Objective Yield - Lab Scale Check Form Q-3

OMB: 0535-0088

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Project Code 101, 102 QID 120034Q-3

OMB No. 0535-0088: Approval Expires xx/xx/20xx

FORM Q-3

LABORATORY SCALE CHECK

20xx

NATIONAL

AGRICULTURAL STATISTICS

SERVICE


Year, Form, Month. . . . . . . . . . . . . . . . . . . . . .

1 – 5

__ 0 3 __ __


Region, State, District. . . . . . . . . . . . . . . . . . . .

6 – 9

1 __ __ 1


Scale Serial No. Scale ID

10 – 13

3 __ __ __


Date:

14 - 17

__ __ __ __

Complete one form per scale each day that the scale is used for Objective Yield Laboratory measurements. Test code shows which tests should be completed for which crops.

Code 1 – Complete for all crops except potatoes.

Code 2 – Complete for Corn only.




Test

Code

Test

Weight

Scale

Reading

Reading

Minus

Actual

Scales

Accepted

1 – Yes 2 - No

Tolerance




1

50.0

315

329

343

± 1 g




1

197.5

316

330

344

± 1 g




1

492.5

317

331

345

± 1 g




2

1399.7

318

332

346

± 1 g



Beginning

of

Lab

Work

3

2268.0

319

333

347

± 1 g


Lab Tech

Number

3

4535.9

320

334

348

± 1 g


3

6803.9

321

335

349

± 1 g


380



Test

Code

Test

Weight

Scale

Reading

Reading

Minus

Actual

Scales

Accepted

1 – Yes 2 - No

Tolerance




1

50.0

322

336

350

± 1 g




1

197.5

323

337

351

± 1 g




1

492.5

324

338

352

± 1 g




2

1399.7

325

339

353

± 1 g



End

of

Lab

Work

3

2268.0

326

340

354

± 1 g


Lab Tech

Number

3

4535.9

327

341

355

± 1 g


3

6803.9

328

342

356

± 1 g


381

Enter Code for each crop processed: 1 – Wheat, 2 – Soybeans, 3 – Cotton, 4 – Corn


373

374

375

376

377





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