Project PCEMS County Contractor Weigher Signature Gross weight on Gross weight on ** weight on Time of Contractor’s Contractor’s Contractor’s balance for Gross Weight of *.5% of gross Scale with Scale with Scale with Initials Date zero load truck from weight of truck rear wheels rear wheels rear wheels Certified Scale from Certified placed at end of placed at placed at center (m/d/y) Scale scale opposite end of of AM PM scale (Lb) (Lb) (Lb) (Lb) (Lb) * Weight obtained on the platform scale shall be within .5% of the weight obtained from the certified scale. ** Only if the scale is long enough. Balance for Zero Load Test Performed twice daily – Accuracy Test Performed at a minimum once per week –
Project PCEMS County Contractor Weigher Signature Initials Date (m/d/y) Time of balance for zero load Gross Weight of truck from Certified Scale (Lb) *.5% of gross weight of truck from Certified Scale (Lb) Gross weight on Contractor’s Scale with rear wheels placed at end of scale (Lb) Gross weight on Contractor’s Scale with rear wheels placed at opposite end of scale (Lb) ** weight on Contractor’s Scale with rear wheels placed at center of (Lb) AM PM * Weight obtained on the platform scale shall be within .5% of the weight obtained from the certified scale. ** Only if the scale is long enough. Balance for Zero Load Test – Performed twice daily Accuracy Test – Performed at a minimum once per week
DOT280PlatformScale.docx