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[{"$nulls":39},"OMB No.:  0580-0013"]
["USDA-FGIS"]
["DOCKAGE CHECKTEST"]
[]
["NOTE:  TEST UNIT OPERATOR - FILL IN SHADED AREAS ONLY"]
[]
["DATE",{"$nulls":6},"FIELD OFFICE",{"$nulls":12},"AGENCY",{"$nulls":12},"LOCATION"]
[]
["MACHINE \nSET UP",{"$nulls":5},"AIR NO.",{"$nulls":5},"FEED NO.",{"$nulls":5},"RIDDLE NO.",{"$nulls":5},"SIEVES",{"$nulls":5},"TOP NO.",{"$nulls":4},"MIDDLE NO.",{"$nulls":4},"BOTTOM NO."]
[]
["TEST UNIT"]
["MAKE",{"$nulls":10},"MODEL",{"$nulls":10},"SERIAL NO.",{"$nulls":11},"REMARKS"]
[]
["SAMPLE\n    NO.",null,null,"CLEARED",{"$nulls":5},"RIDDLE\nSEPARATION\n(Grams)",{"$nulls":4},"AIR\nSEPARATION\n(Grams)",{"$nulls":4},"THROUGH\nBOTTOM\nSIEVE\n(Grams)",{"$nulls":4},"TOTAL\nDOCKAGE\n(Grams)",{"$nulls":4},"OVER\nBOTTOM\nSIEVE\n(Grams)"]
[null,null,null,"HOPPER\n(Secs.)",null,null,"SIEVE\n(Secs.)"]
[1,{"$nulls":23},""]
[2,{"$nulls":23},""]
[3,{"$nulls":23},""]
["AVG.",null,null,"",null,null,"",null,null,"",{"$nulls":4},"",{"$nulls":4},"",{"$nulls":4},"",{"$nulls":4},""]
["TEST UNIT AVERAGE",{"$nulls":8},"",null,null,null,"%","",null,null,null,"%","",null,null,null,"%","",null,null,null,"%","",null,null,null,"%"]
["RESULTS BY:",{"$nulls":23},"DATE"]
[]
["STANDARD UNIT"]
["MAKE",{"$nulls":10},"MODEL",{"$nulls":10},"SERIAL NO.",{"$nulls":11},"REMARKS"]
[]
["SAMPLE\n    NO.",null,null,"CLEARED",{"$nulls":5},"RIDDLE\nSEPARATION\n(Grams)",{"$nulls":4},"AIR\nSEPARATION\n(Grams)",{"$nulls":4},"THROUGH\nBOTTOM\nSIEVE\n(Grams)",{"$nulls":4},"TOTAL\nDOCKAGE\n(Grams)",{"$nulls":4},"OVER\nBOTTOM\nSIEVE\n(Grams)"]
[null,null,null,"HOPPER\n(Secs.)",null,null,"SIEVE\n(Secs.)"]
[1,{"$nulls":23},""]
[2,{"$nulls":23},""]
[3,{"$nulls":23},""]
["AVG.",null,null,"",null,null,"",null,null,"",{"$nulls":4},"",{"$nulls":4},"",{"$nulls":4},"",{"$nulls":4},""]
["STANDARD UNIT\nAVERAGE",{"$nulls":8},"",null,null,null,"%","",null,null,null,"%","",null,null,null,"%","",null,null,null,"%","",null,null,null,"%"]
["RESULTS BY:",{"$nulls":23},"DATE"]
[]
["DOCKAGE TESTER SUMMARY"]
[{"$nulls":14},"CLEARED",{"$nulls":5},"RIDDLE\nSEPARATION\n(%)",{"$nulls":4},"AIR\nSEPARATION\n(%)",{"$nulls":4},"THROUGH\nBOTTOM\nSIEVE\n(%)",{"$nulls":4},"TOTAL\nDOCKAGE\n(%)",{"$nulls":4},"OVER\nBOTTOM\nSIEVE\n(%)"]
[{"$nulls":14},"HOPPER\n(Secs.)",null,null,"SIEVE\n(Secs.)"]
[" TEST UNIT (Enter average results of test unit)",{"$nulls":13},"",null,null,"",null,null,"",{"$nulls":4},"",{"$nulls":4},"",{"$nulls":4},"",{"$nulls":4},""]
[" STANDARD (Enter average results of standard unit)",{"$nulls":13},"",null,null,"",null,null,"",{"$nulls":4},"",{"$nulls":4},"",{"$nulls":4},"",{"$nulls":4},""]
[" DEVIATION",{"$nulls":13},{"$error":"#VALUE!"},null,null,{"$error":"#VALUE!"},null,null,{"$error":"#VALUE!"},{"$nulls":4},{"$error":"#VALUE!"},{"$nulls":4},{"$error":"#VALUE!"},{"$nulls":4},{"$error":"#VALUE!"},{"$nulls":4},{"$error":"#VALUE!"}]
[" ALLOWABLE DEVIATION",{"$nulls":19},0.1,null,null,null,"%",0.1,null,null,null,"%",0.1,null,null,null,"%",0.15,null,null,null,"%"]
[" RESULTS",{"$nulls":19},{"$error":"#VALUE!"},{"$nulls":4},{"$error":"#VALUE!"},{"$nulls":4},{"$error":"#VALUE!"},{"$nulls":4},{"$error":"#VALUE!"}]
["  REMARKS"]
[]
[]
[]
["SUMMARY BY:",{"$nulls":34},"DATE"]
[]
["FORM FGIS-928  (7/04)   Previous edition may be used.  Expires January 2015"]

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[]
[{"$nulls":12},"INSTRUCTIONS FOR COMPLETING"]
[{"$nulls":12},"FORM FGIS-928, “DOCKAGE CHECKTEST”"]
[]
[{"$nulls":11},1,"Date mailed."]
[{"$nulls":11},2,"Field office that performed the test, when applicable."]
[{"$nulls":11},3,"Agency that performed the test, when applicable."]
[{"$nulls":11},4,"Location of test unit dockage tester."]
[{"$nulls":11},5,"For tests using wheat, show: air - 4, feed - 6, riddle - 2."]
[{"$nulls":12},"For tests using corn, show: air - 1, feed - 10, riddle - n/a."]
[{"$nulls":11},6,"For tests using wheat, show: top - n/a, middle - 2 & I.D. No., bottom - 2 & I.D. No."]
[{"$nulls":12},"For tests using corn, show: top - 3, middle - n/a, bottom - n/a."]
[{"$nulls":11},7,"Make of the test unit dockage tester."]
[{"$nulls":11},8,"Model of the test unit dockage tester."]
[{"$nulls":11},9,"Serial number of the test unit dockage tester."]
[{"$nulls":11},10,"Time elapsed for each sample to clear the hopper, shown in whole seconds."]
[{"$nulls":11},11,"Time elapsed for each sample to clear the middle sieve, shown in whole seconds."]
[{"$nulls":11},12,"Weight of the separation that passes over the riddle, shown to 0.01 g."]
[{"$nulls":11},13,"Weight of the separation that is removed by air, shown to 0.01 g."]
[{"$nulls":11},14,"Weight of the separation that passes through the bottom sieve, shown to 0.01 g."]
[{"$nulls":11},15,"Total dockage (riddle, air, and through-the-bottom), shown to 0.01 g."]
[{"$nulls":11},16,"Weight of the separation that passes over the bottom sieve, shown to 0.01 g."]
[{"$nulls":11},17,"Averages of the test unit’s hopper and sieve clearance times, shown in whole seconds."]
[{"$nulls":11},18,"Averages of the test unit’s test results, shown to 0.01 g."]
[{"$nulls":11},19,"Convert the average separation weights to a percentage of the total sample weight, shown to 0.001 %."]
[{"$nulls":11},20,"Name of the person who tested the unit."]
[{"$nulls":11},21,"Date that testing of the test unit was completed."]
[{"$nulls":11},22,"Test unit operator’s remarks and RPM information."]
[{"$nulls":11},23,"Standard unit’s information and test results."]
[{"$nulls":11},24,"Test unit’s average test results, shown to 0.01 %."]
[{"$nulls":11},25,"Standard unit’s average test results, shown to 0.01 %."]
[{"$nulls":11},26,"Difference ( 24 minus 25).  Show the plus or minus deviation."]
[{"$nulls":11},27,"Allowable deviations."]
[{"$nulls":11},28,"Indicate IN or OUT of tolerance for each type of separation."]
[{"$nulls":11},29,"Remarks"]
[{"$nulls":11},30,null,"Name of person who completed the Summary section."]
[{"$nulls":11},31,null,"Date the summary was completed."]