Form for Placed in Service/Inspection Report for Scales and Linear Measures

Agr 1405.32 Form for Placed in Service/Inspection Report for Scales and Linear Measures. (a) In addition to other requirements set by rule, statute, or other law, each registered service technician shall complete and submit “Placed in Service/Inspection Report Form sclm/12-03 (Rev. 04/15)” to the department. (b) A registered service technician shall furnish the following on “Placed in Service/Inspection Report Form sclm/12-03 (Rev. 04/15)”: (1) Name of business; and (2) Full address, including city, state, and zip code; a. The following information about each scale and/or linear measure at the business: b. Whether installed; c. Whether it replaces a prior device, and the device’s serial number (SN#); d. Whether repaired; e. Whether tested and calibrated; f. Whether rejected; g. Whether placed in service; h. Make of scale or linear measure; i. Model number of scale or linear measure; j. Serial number; k. Capacity; and l. Location or lane number. Source. (See Revision Notes #1 and #2 at chapter heading for Agr 1400) #12424, eff 12-1-17