DEPARTMENT OF AGRICULTURE FEDERAL GRAIN INSPECTION SERVICE INSPECTION LOG NAME OF VESSEL LOCATION GRADE TO BE LOADED QUANTITY DESTINATION CERTIFICATION OPTION NAME OF SHIPPER/AGENT/ACCOUNT PAGE LOADING STARTED OF SAMPLING METHOD DATE TIME LOADING FINISHED STOWAGE EXAMINATION DATE TIME SHIPPING BINS SHIP TYPE OF SAMPLE DELIVERY SYSTEMS PASSED PRIOR TO LOADING AT BY ON LOAD ORDER NUMBER Date S/L TIMES BINS STOWAGE Quantity Odor NAME OF / U.S. DEPARTMENT OF AGRICULTURE / DEPARTMENT OF AGRICULTURE FEDERAL GRAIN INSPECTION SERVICE INSPECTION LOG NAME OF VESSEL LOCATION LOADING STARTED GRADE TO BE LOADED QUANTITY DESTINATION CERTIFICATION OPTION NAME OF SHIPPER/AGENT/ACCOUNT PAGE OF NAME OF / Field Office / /
Person
Sampler Sublot / /
Position
General / Notified When Inspector / elevator superintendent / representative / INSPECTOR / /