The United Republic of Tanzania
Ministry of Industry and Trade
Weights and Measures Agency
Misugusugu Wakala Wa Vipimo
Mob: 0784 729 365 · P.O Box 30386, Kibaha · misugusugu@wma.go.tz
Examination Form For Fuel Dispensing Pumps
Weights and Measures Act Cap 340 Liquid (Liquid Measuring Pumps General Regulation)
Customer Information
Customer Name:
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Region:
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District:
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Ward:
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Phone:
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Where situated:
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Postal Address:
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Examination Details
| Fuel Detail Pump | Compliance Checks | Speed of Delivery (ml) | Meter Reading | Decision | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Activity: {{ $activity }} | Are there any features of non-compliance with the provision of Act or Regulations? | Fast | Slow | Initial | Final | Diff | Sealed | Rejected | ||||||||||||
| Category: {{ $verificationCategory }} |
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Details: {{ $individualityFeaturesDetails }}
@endif
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| Brand Name: {{ $brandName }} | {{-- Trials Column Fast --}} |
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{{-- Trials Column Slow --}}
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{{-- Meter Reading Data --}}
{{ number_format($initialReading, 2) }} | {{ number_format($finalReading, 2) }} | {{ number_format($totalLitres, 2) }} | {{-- Decision --}}@if(strtoupper($decision) == 'PASS') ✔ @endif | @if(strtoupper($decision) == 'FAIL') ✘ @endif | ||||||||||||
| Serial Number: {{ $serialNumber }} | ||||||||||||||||||||
| Product Type: {{ $productType }} | ||||||||||||||||||||
| Sticker No: {{ $stickerNumber }} | Total Litres | |||||||||||||||||||
| Date: {{ $verificationDate }} | Is sealing mechanism provided? |
NOTE: (1) Fuel pumps may be Re-checked at least ONCE within a period of three months. (2) Adjusting fees shall be charged (i.e. 100% of prescribed stamping fees) (3) Any Tempering of fuel pump is a criminal Offence(s). |
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| Inspector: {{ $inspectorName }} | {{ $isSealingMechanismProvided }} | |||||||||||||||||||
LIMIT OF ERROR:
(a). On Verification (When new or after repair) the maximum limit of error in bracket: 5 L (+25 ml), 10 L (+50 ml) and 20 L (+100 ml)
(b). On Reverification or Inspection, the maximum limit of error in bracket: 5 L (±50 ml), 10 L (±50 ml) and 20 L (±100 ml)
(a). On Verification (When new or after repair) the maximum limit of error in bracket: 5 L (+25 ml), 10 L (+50 ml) and 20 L (+100 ml)
(b). On Reverification or Inspection, the maximum limit of error in bracket: 5 L (±50 ml), 10 L (±50 ml) and 20 L (±100 ml)
Signature of Owner / User
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@endif
Inspector of Weights & Measures
Weights and Measures Agency - Official Seal
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