Form for Placed in Service/Inspection Report for Precision Scales (Category G)

Agr 1405.33 Form for Placed in Service/Inspection Report for Precision Scales (Category G). (a) In addition to other requirements set by rule, statute, or other law, each registered service technician shall complete and submit “Inspection Report Form for Precision Scales (Category G) 03-17” to the division. (b) A registered service technician shall furnish the following on form “Scale Inspection Report Form for Precision Scales (Category G) 03-17”: (1) Name of business; (2) Full address, including city, state, and zip code; and (3) The following information about each scale at the business: a. Device information including: 1. Certificate of conformance number; 2. Make, model, and serial number; 3. Capacity; 4. Division size; 5. Security seal number; 6. Indicator number; and 7. Whether it replaces a prior device, and, if so, the device’s serial number (SN#); and b. Inspection and testing information “as found” and “as left”, including: 1. Whether the device passes or fails; 2. Certification stamp number; 3. Scale at zero; 4. Level condition; 5. Display and weighing platter visible to the customer; 6. Scale protected from environmental factors; 7. Sufficient scale support; 8. Digital indications working properly; 9. Buttons and computations working properly; 10. Tested at location of scale use; 11. Shift test results; and 12. Load test results. Source. (See Revision Notes #1 and #2 at chapter heading for Agr 1400) #12424, eff 12-1-17