Page 1 of 1

Product Assembly Form

Name of Product

Product Purpose

Product Purpose

Type of Product

Type of Product

Product Location

Product Location

Batch Number

Entity/Person Created For

Formulator

Brand

Net Weight of Product Leaving Facility (g)

Formulation Notes

Total Weight of Product Saved (g)

Process Notes

Ingredient Name #01

Ingredient Name #02

Quantity Used (g) #01

Quantity Used (g) #02

Ingredient Name #03

Quantity Used (g) #03

Ingredient Name #04

Quantity Used (g) #04

Ingredient Name #05

Quantity Used (g) #05

Ingredient Name #06

Quantity Used (g) #06

Ingredient Name #07

Quantity Used (g) #07

Ingredient Name #08

Quantity Used (g) #08

Ingredient Name #09

Quantity Used (g) #09

Ingredient Name #10

Quantity Used (g) #10

Ingredient Name #11

Quantity Used (g) #11

Ingredient Name #12

Quantity Used (g) #12