| Field |
Format |
Instructions |
| Date mixed |
dd-mm-yy |
Date that the chemical was mixed; eg 01-09-10 for 1st
Sep 2010. |
| Mixer |
text |
Name of person mixing chemicals |
| Volume mixed |
number |
Enter total volume mixed, whether used or not. |
| Chemicasl |
|
Select active ingredient from drop-down list |
| Amount |
number |
mL for liquids
g for solids |
| Intended user |
text |
Name(s) of people to use the mixed chemical if not the mixer |
| Additional Comments |
text |
Enter any additional information here. |
| Password |
text |
Until further notice, use first name of person entering
information. |
| Submit |
|
This opens up an automatically addressed email "new message" window with the encoded data you have just entered in the body of the message or in an attachment. Just click "Send" to send the data for processing. |
| Reset |
|
Clears all data from form. |
