+------------+---------+--------+-----------+--------+---+----------+
| United     |         |        | FORM      |        |   |          |
| States     |         |        | APPROVED  |        |   |          |
| Department |         |        | OMB NO.   |        |   |          |
| of         |         |        | 0580-0013 |        |   |          |
| A          |         |        |           |        |   |          |
| griculture |         |        | According |        |   |          |
|            |         |        | to the    |        |   |          |
| Federal    |         |        | Paperwork |        |   |          |
| Grain      |         |        | Reduction |        |   |          |
| Inspection |         |        | Act of    |        |   |          |
| Service    |         |        | 1995, no  |        |   |          |
|            |         |        | persons   |        |   |          |
|            |         |        | are       |        |   |          |
|            |         |        | required  |        |   |          |
|            |         |        | to        |        |   |          |
|            |         |        | respond   |        |   |          |
|            |         |        | to a      |        |   |          |
|            |         |        | c         |        |   |          |
|            |         |        | ollection |        |   |          |
|            |         |        | of        |        |   |          |
|            |         |        | in        |        |   |          |
|            |         |        | formation |        |   |          |
|            |         |        | unless it |        |   |          |
|            |         |        | displays  |        |   |          |
|            |         |        | a valid   |        |   |          |
|            |         |        | OMB       |        |   |          |
|            |         |        | control   |        |   |          |
|            |         |        | number.   |        |   |          |
|            |         |        | The valid |        |   |          |
|            |         |        | OMB       |        |   |          |
|            |         |        | control   |        |   |          |
|            |         |        | number    |        |   |          |
|            |         |        | for this  |        |   |          |
|            |         |        | in        |        |   |          |
|            |         |        | formation |        |   |          |
|            |         |        | c         |        |   |          |
|            |         |        | ollection |        |   |          |
|            |         |        | is        |        |   |          |
|            |         |        | 0         |        |   |          |
|            |         |        | 580-0013. |        |   |          |
|            |         |        | The time  |        |   |          |
|            |         |        | required  |        |   |          |
|            |         |        | to        |        |   |          |
|            |         |        | complete  |        |   |          |
|            |         |        | this      |        |   |          |
|            |         |        | in        |        |   |          |
|            |         |        | formation |        |   |          |
|            |         |        | c         |        |   |          |
|            |         |        | ollection |        |   |          |
|            |         |        | is        |        |   |          |
|            |         |        | estimated |        |   |          |
|            |         |        | to        |        |   |          |
|            |         |        | average 5 |        |   |          |
|            |         |        | minutes   |        |   |          |
|            |         |        | per       |        |   |          |
|            |         |        | response, |        |   |          |
|            |         |        | including |        |   |          |
|            |         |        | the time  |        |   |          |
|            |         |        | for       |        |   |          |
|            |         |        | reviewing |        |   |          |
|            |         |        | inst      |        |   |          |
|            |         |        | ructions, |        |   |          |
|            |         |        | searching |        |   |          |
|            |         |        | existing  |        |   |          |
|            |         |        | data      |        |   |          |
|            |         |        | sources,  |        |   |          |
|            |         |        | gathering |        |   |          |
|            |         |        | and       |        |   |          |
|            |         |        | ma        |        |   |          |
|            |         |        | intaining |        |   |          |
|            |         |        | the data  |        |   |          |
|            |         |        | needed,   |        |   |          |
|            |         |        | and       |        |   |          |
|            |         |        | c         |        |   |          |
|            |         |        | ompleting |        |   |          |
|            |         |        | and       |        |   |          |
|            |         |        | reviewing |        |   |          |
|            |         |        | the       |        |   |          |
|            |         |        | c         |        |   |          |
|            |         |        | ollection |        |   |          |
|            |         |        | of        |        |   |          |
|            |         |        | inf       |        |   |          |
|            |         |        | ormation. |        |   |          |
+------------+---------+--------+-----------+--------+---+----------+
| **AUT      |         |        |           |        |   |          |
| HORIZATION |         |        |           |        |   |          |
| TO USE**   |         |        |           |        |   |          |
|            |         |        |           |        |   |          |
| **         |         |        |           |        |   |          |
| MECHANICAL |         |        |           |        |   |          |
| SAMPLER    |         |        |           |        |   |          |
| FOR        |         |        |           |        |   |          |
| SAMPLING** |         |        |           |        |   |          |
+------------+---------+--------+-----------+--------+---+----------+
| Installed  |         |        | M         |        | S |          |
| in: (Name  |         |        | echanical |        | e |          |
| of         |         |        | Sampler   |        | r |          |
| facility)  |         |        | Make &    |        | i |          |
|            |         |        | Model:    |        | a |          |
|            |         |        |           |        | l |          |
|            |         |        |           |        | N |          |
|            |         |        |           |        | u |          |
|            |         |        |           |        | m |          |
|            |         |        |           |        | b |          |
|            |         |        |           |        | e |          |
|            |         |        |           |        | r |          |
+------------+---------+--------+-----------+--------+---+----------+
|            |         |        |           |        |   |          |
+------------+---------+--------+-----------+--------+---+----------+
| City and   |         |        | Secondary |        | S |          |
| State      |         |        | Sampler   |        | e |          |
|            |         |        | (Divider) |        | r |          |
|            |         |        | Make &    |        | i |          |
|            |         |        | Model:    |        | a |          |
|            |         |        |           |        | l |          |
|            |         |        |           |        | N |          |
|            |         |        |           |        | u |          |
|            |         |        |           |        | m |          |
|            |         |        |           |        | b |          |
|            |         |        |           |        | e |          |
|            |         |        |           |        | r |          |
+------------+---------+--------+-----------+--------+---+----------+
|            |         |        |           |        |   |          |
+------------+---------+--------+-----------+--------+---+----------+
| Commodity  | All     | Coarse | Small     | P      |   |          |
| to be      | Grains  | Grains | Grains    | owders |   |          |
| sampled:   |         |        |           |        |   |          |
|            | (Groups | (      | (Group 1) | (Group |   |          |
|            | 1 & 2)  | Except |           | 3)     |   |          |
|            |         | Corn)  |           |        |   |          |
+------------+---------+--------+-----------+--------+---+----------+

Subject to the conditions listed below, authorization is issued to
official inspection personnel to use the mechanical sampler for the
official sampling of the commodities as indicated above. All interested
parties shall be notified by FGIS when the authorization

has been suspended of cancelled.

1.  Facility management shall service and maintain the mechanical
    samplers in accordance with existing regulations and

instructions under the U.S. Grain Standards Act and the Agricultural
Marketing Act of 1946.

2.  Official personnel shall make daily or more frequent spot checks,
    when the samplers are in use for official sampling, to

determine that the mechanical samplers are being serviced, operated, and
maintained in an approved manner.

3.  The mechanical samplers shall be secured or constantly manned by
    official personnel when they are used for official sampling.

4.  All quantities in excess of the amounts required for the official
    inspection shall be returned to the carrier or the stream of gain

or other commodity being sampled.

5.  No changes in structure, accessories, location or operation of the
    mechanical samplers shall be made without specific written
    authorization from the FGIS Field Office Manager.

6.  No manipulation of the commodities to be sampled or other efforts
    shall be made which would result in the above mechanical samplers
    failing to obtain and deliver a correct and representative sample.

7.  The elevator manager acknowledges personal responsibility for the
    correct installation of the mechanical samplers.

8.  This shall be signed by the manager or superintendent of the
    facility on behalf of the company that operates the elevator or

plant in which the mechanical samplers are installed, and by the Agency
or Field Office Manager whose personnel will attend

the sampler.

9.  The authorization shall be automatically suspended for noncompliance
    with any of the above conditions; but may be reinstated when
    corrective action has been taken and approved by the Field Office
    Manager.

  -------------- -- -------------- --------- -- --------------- --------------
                                                                

  Date              Location                    Facility        
                                                Manager         
                                                Signature       

                                                                

  Official                                      Agency Manager  
  Agency                                        Signature       

                                                                

  Date              Location                    Authorization   
                                                Approved --     
                                                USDA            

                                                                

  Date              Field Office                Field Office    
                    Location                    Manager         
                                                Signature       

  Form FGIS-980                                 Authorization   
  (7/04)                                        Code:           
  (Previous                                                     
  edition may be                                                
  used)                                                         
  -------------- -- -------------- --------- -- --------------- --------------

INSTRUCTIONS

a\. Granting of Authorization. Upon notification of a successful test,
the FGIS field

office shall prepare and issue (or finalize) the Form FGIS-980,
\"Authorization to

Use Mechanical Sampler for Sampling\".

Fill in the header information:

The name of the facility, city and state where the facility is located.

The name of the sampler manufacturer, model name or number and the
serial number.

The name of the secondary sampler (divider) manufacturer, model name or
number and the serial number.

Insert a check mark on the appropriate commodity to be sampled.

The agreement shall be signed by the parties indicated for each
signature line.

\(1\) The authorization is an agreement among representatives of the
facility

where the sampling system is installed, the testing office, the FGIS
field

office and any other persons or firms that may be directly involved.

\(2\) The agreement says that the sampler shall be installed, serviced,
operated,

and maintained following existing regulations.

b\. Distribution of Form FGIS-980.

\(1\) The FGIS field office will distribute copies of the Form FGIS-980
to each

person who has signed the authorization. A certificate is not issued for
the

authorization of a sampling system.