QID 120032Q-6 Form Q-6 - Field Scale Check

Project Code 104,108, QID 120032Q-6		OMB No. 0535-0088: Approval Expires xx/xx/20xx
	FORM Q-6 FIELD SCALE CHECK 20xx			NATIONAL AGRICULTURAL STATISTICS SERVICE

	Year, Form, Month. . . . . . . . . . . . . . . . . . . . . .	1 – 5 __ 0 6 __ __
	Region, State, District. . . . . . . . . . . . . . . . . . . .	6 – 9 1 __ __ 1
	Scale ID. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	10 – 18 3 __ __ __
	Date:	19 - 22 0 __ __ __
	Scale Assigned to Enumerator:	671
	Scale checked by Supervisor	672
	OFFICE USE	673

INSTRUCTIONS The enumerator will weigh the test weights supplied by the supervisor. The supervisor will record the scale readings and the true weights for each test and compute the difference between them. The supervisor will not disclose the true weights until after the tests are completed and should not help or interfere with the weightings by the enumerator in any manner except to verify that the weights are identified correctly.

SCALE READING

TRUE WEIGHT

DIFFERENCE

TOLERANCE

CORN

COTTON

POTATOES

Test weight # 1. . . . . . . . . . . . .

601

● ___

605

● ___

609

● ___

.25 lb

2 g

10 g

Test weight # 1 and 2. . . . . . . .

602

● ___

606

● ___

610

● ___

.50 lb

3 g

30 g

Test weight #1,2 and 3. . . . .

603

● ___

607

● ___

611

● ___

.75 lb

4 g

Supervisor will remove from service any scale that does not meet tolerances on all tests.

Was scale removed from service?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes No

613

Enter code(s) for all crops for which this scale is used.. . . . . . . . . . . . . . .

Corn = 2 Cotton = 3

Crop Code

614

Crop Code

615