Seed Monitor Report
Date		DOT Monitor					District No.
Supplier
Project Number/Customer Order
Scale Calibration
Scale			Date Calibrated		Calibrated By
Seed Mixture Monitored
	Check if copy of the Batching Proportions is attached
Seed Testing Compliance
Seed Variety				Date Tested	Purity %	Germination%		PLS%	Complies (Yes or No)

Check Weighing
Seed Variety			Batch Weight Lbs.	Check Weight Lbs.	Difference Lbs.
Bag Weight (Check Up to Three Bags)
Labeled Bag Weight Lbs.	Check Weight Lbs.	Difference Lbs.
Labeling and Certifications
Complies	(Yes or No)
Comments: