Record of daily flow scale test

Rev: 05/07/2010

OMB Control No. 0648-0330
Expiration Date: 11/30/2020

INSPECTION REQUEST
At-Sea Scales

NOAA/National Marine Fisheries Service
P.O. Box 21668
Juneau, AK 99802-1668
Telephone: 928-774-4362 or 907-586-7228
FAX: 928-774-4362 or 907-586-7465

GENERAL
Vessel name:

Company name:

Mailing address:

Exact location of vessel:

Contact person on board:

Telephone No. for contact person:

Requested Inspection date:

FAX No. for contact person:

Today’s date:

Please give a telephone number on the vessel
where the inspector may be contacted during the
inspection:
SCALES TO BE INSPECTED
Manufacturer

Model

1
2
Will the repair company be on site at time of inspection? YES [_]
NO [_]
Company name:
Contact person and phone:

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.
For more information contact:
Alan Kinsolving,
At-sea scales program coordinator,
Telephone: 928-774-4362
Email: alan.kinsolving@noaa.gov

Scale Inspection Request
Page 1 of 2

____________________________________________________________________________
PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 6 minutes per
response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing the burden, to Assistant Regional
Administrator, Sustainable Fisheries Division, Alaska Region, NOAA National Marine Fisheries
Service, P.O. Box 21668, Juneau, AK 99802-1668.
ADDITIONAL INFORMATION
Before completing this form please note the following: 1) Notwithstanding any other provision
of law, no person is required to respond to, nor shall any person be subject to a penalty for failure
to comply with, a collection of information subject to the requirements of the Paperwork
Reduction Act, unless that collection of information displays a currently valid OMB Control
Number; 2) This information is mandatory and is required to manage the At-sea Scales Program
for commercial fishing efforts under 50 CFR part 679 and under section 402(a) of the
Magnuson-Stevens Act (16 U.S.C. 1801, et seq.) as amended by Public Law 109-479;
3) Submission of this information is necessary for NMFS to approve scales to weigh catch at sea;
5) Responses to this information request are not confidential.
______________________________________________________________________________

Scale Inspection Request
Page 2 of 2