Coat of Arms
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
WMA Logo
Examination Form For Fuel Dispensing Pumps
Weights and Measures Act Cap 340 Liquid (Liquid Measuring Pumps General Regulation)
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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{{-- Row 1: Headers --}} {{-- Row 2: Sub-headers for trials --}} {{-- Row 3: Brand Name & First Trials --}} {{-- Trials Column Fast --}} {{-- Trials Column Slow --}} {{-- Meter Reading Data --}} {{-- Decision --}} {{-- Row 4: Serial Number --}} {{-- Row 5: Product Type --}} {{-- Row 6: Sticker No & Labels --}} {{-- Row 7: Date & Inspector --}}
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 }} {{ $hasIndividualityFeatures }} @if($hasIndividualityFeatures === 'Yes' && !empty($individualityFeaturesDetails))
Details: {{ $individualityFeaturesDetails }}
@endif
No. Error
No. Error
Brand Name: {{ $brandName }}   @php $fIdx = 0; @endphp @foreach($fastTrials as $trial) @if(!empty($trial['error'])) @php $fIdx++; @endphp @endif @endforeach @if(!empty($reFastTrials)) @foreach($reFastTrials as $trial) @if(!empty($trial['error'])) @php $fIdx++; @endphp @endif @endforeach @endif {{-- Fill empty rows up to 3 --}} @for($i = $fIdx; $i < 3; $i++) @endfor
{{ $fIdx }}. {{ (float)$trial['error'] + 0 }} ml
{{ $fIdx }}. {{ (float)$trial['error'] + 0 }} ml
{{ $i+1 }}.
@php $sIdx = 0; @endphp @foreach($slowTrials as $trial) @if(!empty($trial['error'])) @php $sIdx++; @endphp @endif @endforeach @if(!empty($reSlowTrials)) @foreach($reSlowTrials as $trial) @if(!empty($trial['error'])) @php $sIdx++; @endphp @endif @endforeach @endif {{-- Fill empty rows up to 3 --}} @for($i = $sIdx; $i < 3; $i++) @endfor
{{ $sIdx }}. {{ (float)$trial['error'] + 0 }} ml
{{ $sIdx }}. {{ (float)$trial['error'] + 0 }} ml
{{ $i+1 }}.
{{ number_format($initialReading, 2) }} {{ number_format($finalReading, 2) }} {{ number_format($totalLitres, 2) }} @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).
Inspector: {{ $inspectorName }} {{ $isSealingMechanismProvided }}
LIMIT OF ERROR:
(a). On Verification (When new or after repair) the maximum limit of error in bracket: 5 L (+25 ml), 10 L (+50 ml) and 20 L (+100 ml)
(b). On Reverification or Inspection, the maximum limit of error in bracket: 5 L (±50 ml), 10 L (±50 ml) and 20 L (±100 ml)
Signature of Owner / User
@if(isset($inspectorSignature) && $inspectorSignature) Signature @endif
Inspector of Weights & Measures
Weights and Measures Agency - Official Seal
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