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Revised July 2024FRAGRANCES & TOILETRIES
PRODUCT DETAIL SHEET
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Instructions:
Fill out this sheet for the following types of items:
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Fragrances, perfume, cologne, soap, shampoo, body wash, home fragrances, deodorant, bath salts, lotions, and other cosmetic items.
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Please write or type the information in the areas provided. For "Yes" or "No" answers, please select the appropriate box.
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1. Name of item
7. What is the primary form of the item:
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2. Type of item Photo
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3. Vendor Style Number
SolidLiquid
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4. Purchase Order number
CreamAerosol
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5. Identify the item by the primary use:
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PerfumeBody wash
Shaving preparations
8. Does item contain alcohol?
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CologneDeodorantAftershave Yes No
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Lotion Bath salts
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Soap
Burning incense
9. If perfume or cologne does not have alcohol, does it contain floral or flower water?
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ShampooOther Yes No
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6. please listed the ingredients of the item:
10. What is the country of origin of the item?
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11. Is this Item ingested?
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a. is this ingested?
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Yes No
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If YES, please provide the Manufacturer's Food Facility Registration Number.
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12. Is this part of a set?
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Yes No
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If yes, pleases list out everything includes in the set
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Name Ingredients
Value and Currency
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Item 1
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Item 2
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Item 3
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Item 4
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Item 5
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Item 6
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Item 7
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Item 8
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13. If wood is used as an component of the item, indicate the species information for each type of wood used:
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GenusGenus
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SpeciesSpecies
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Scientific Name
Scientific Name
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Wood origin country
Wood origin country
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GenusGenus
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SpeciesSpecies
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Scientific Name
Scientific Name
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Wood origin country
Wood origin country
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19. Per- and Polyfluorinated Substances (PFAS)Per- and Polyfluorinated Substances (PFAS) Factsheet | National Biomonitoring Program | CDC
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a) Does this merchandise contain any PFAS? no yes --> If yes, provide a narrative answer to d) and e) below
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b) Does any of the packaging for this merchandise contain PFAS? no yes --> If yes, provide a narrative answer to d) and e) below
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c) Were PFAS utilized in the manufacturing process of this merchandise? no yes --> If yes, provide a narrative answer to d) and e) below
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d) Type of PFAS substance:
Quantity of PFAS:
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e) Describe location of PFAS:
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