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National Marine Fisheries Service, Alaska Regional Office

At-Sea Scales Scale Inspection Request Form

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At-Sea Scales Inspection Request Form

Please fill in the following information and include as much detail as possible. Call the At-Sea Scales Office if you have any questions: (928)-774-4362. Thank you.


CONTACT INFORMATION:

Vessel Name

Name of Contact on Board

Email Address

Phone

Phone on Vessel

Fax


MAILING ADDRESS:

Street or PO Box

City      
      

State      
      

Zip Code


INSPECTION REQUEST

Requested Inspection Date (Example: 02/14/2000)

Exact Location of Vessel

Will the repair company be on site at the time of the inspection?
Yes
No

Repair Company Name: 



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Comments

At the time of scale inspection please make sure that:

  1. the scale is installed in a rigid and level manner,
  2. the display and printer are connected and operational
  3. belts leading to the scale are connected and operational (not applicable to platform and hanging scales),
  4. test weights and test weight certification documents are available for inspection (platform scales only),
  5. a crew member will be available to help the inspector transport test materials and conduct the testing.
   

OMB No. 0648-0330, Expiration Date: 2/28/09


For more information contact

Alan Kinsolving Jennifer Watson
At-Sea Scales Program Coordinator Catch Weighing and Monitoring Program Coordinator
2245 CO Bar Trail PO Box 21668
Flagstaff, AZ 86001 Juneau, AK 99802-1668
PH: (928) 774-4362 PH: (907) 586-7537 or (907) 586-7228
FX: (928) 774-4362 FX: (907) 586-7465
Email: alan.kinsolving@noaa.gov Email: jennifer.watson@noaa.gov