Dr. I. Miley Gonzalez, Director/Secretary

New Mexico Department of Agriculture

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2008 Livestock Scale Inspection Request Form

***One Scale Per Request Form***

Denotes a required field

Note: Either the 'Name' field OR the 'Ranch' field is required to process the form.

Contact Information:

Name

Requested By (Required)

Ranch

Address (Required)

City (Required)

State (Required)

Zip Code (Required)

Cell Phone

Business Phone

Home Phone

E-mail

Required for acknowledging receipt of your electronic request

Choose one of the following options: (Required)

Please inspect my scale.
I do not wish to have my livestock scale inspected.

Please give exact scale directions to scale or advise if what we have on file is accurate: (Required)

Is this the first time the New Mexico Department of Agriculture will inspect your scale?

Yes
No

Scale ID Number

County (Required)

Quad Map Number

If gate(s) are locked, please send key to:

New Mexico Department of Agriculture
Standards and Consumer Services
P.O. Box 30005
MSC 3170, Las Cruces, NM 88003

Enter your combination lock number in the space provided below.

Would you like to be notified the evening prior to Livestock Scale Inspection? (Required)

Yes
No

IF YOUR SCALE HAS A ***STATUS OF "TC" *** PLEASE READ AND ACKNOWLEDGE BELOW

I certify the reason for our scale being rejected has been corrected by us or by a scale service agency.

Choose one of the following options:

Corrected by a scale service agency
Corrected by scale owner

Comments:

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2008 Livestock Scale Inspection Request Form

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2008 Livestock Scale Inspection Request Form

© New Mexico Department of AgricultureLast revised: 06/02/2008

© New Mexico Department of Agriculture
Last revised: 06/02/2008