<!DOCTYPE html><html>
<head>
  <title>Bakery Mix Control Sheet</title>

    <title>Premier Site Entry Form</title>
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</style>
</head>
<body>

    <div class="block-outer">
        <!--Header section-->
        <div class="block-header">
			<div class="block-header-1">
				<!--Premier address left-->
				<div>
					<p class="address">Building 5, Maxwell Office Park</p>
					<p class="address">Magwa Cresent West, Waterfall City</p>
				</div>
				<!--Menu Middle-->
				<div>
					<h1>PremierFMCG Pty Ltd</h1>
				</div>
				<!--Premier Logo Right-->
				<div>
					<img src="https://glhcwebcms01.blob.core.windows.net/premier/PremierLogo.png" alt="Premier Logo" class="headlogo" />
				</div>
			</div>
			<div class="block-header-1">
				<!--Date Time Button-->
				<div style="width: 50%;">
					<p class="datetime">2026-04-09 23:39</p>
				</div>
				<!--Date Time Button-->
				<div style="width: 50%;">
					<p class="datetime"></p>
				</div>
			</div>
			<div class="block-header-2">
				<!--Start Button-->
				<div>
					<a href="https://qr.premierfmcg.com/webpage/80000001?textRef=A87E5C26-7921-4B82-9085-C835E9C9826F" class="button">START</a>
				</div>
				<!--Back Button-->
				<div>
					<a href="https://qr.premierfmcg.com/webpage/80000001?textRef=A87E5C26-7921-4B82-9085-C835E9C9826F" class="button">BACK</a>
				</div>
				<!--Next Button-->
				<div>
					
				</div>
				<!--Last Button-->
				<div>
					
				</div>
			</div>
		</div>
			

        <!-- Questionaire -->
        <div class="block-inner-column">
			<div>
				<h2 style="text-align:center">Food Safety Management System</h2>
				<h2 style="text-align:center">Mixing Control Sheet</h2>
			</div>
			<div>
				<p>Please enter these values for the current mix:</p>
			</div>
			<div>
				<form name="thisForm" action="https://qr.premierfmcg.com/webaction/formaction/800000000002" method="post" autocomplete="off"  class="form-all">
					<div class="block-form">
						<div>
							<label for="txtField01">Mixes</label>
						</div>
						<div>
							<input type="number" id="txtField01" name="txtField01">
						</div>
					</div>
					<div class="block-form">
						<div>
							<label for="txtField02">Product</label>
						</div>
						<div>
							<input type="text" id="txtField02" name="txtField02">
						</div>
					</div>
					<div class="block-form">
						<div>
							<label for="txtField03">Silo No</label>
						</div>
						<div>
							<input type="text" id="txtField03" name="txtField03">
						</div>
					</div>
					<div class="block-form">
						<div>
							<label for="txtField04">Flour Batch No</label>
						</div>
						<div>
							<input type="text" id="txtField04" name="txtField04">
						</div>
					</div>
					<div class="block-form">
						<div>
							<label for="txtField05">Flour Kg</label>
						</div>
						<div>
							<input type="number" id="txtField05" name="txtField05" step="0.01">
						</div>
					</div>
					<div class="block-form">
						<div>
							<label for="txtField06">Yeast batch code</label>
						</div>
						<div>
							<input type="text" id="txtField06" name="txtField06">
						</div>
					</div>
					<div class="block-form">
						<div>
							<label for="txtField07">Yeast L/Kg</label>
						</div>
						<div>
							<input type="number" id="txtField07" name="txtField07" step="0.01">
						</div>
					</div>
					<div class="block-form">
						<div>
							<label for="txtField08">Final Premix Batch No</label>
						</div>
						<div>
							<input type="text" id="txtField08" name="txtField08">
						</div>
					</div>
					<div class="block-form">
						<div>
							<label for="txtField09">Water L</label>
						</div>
						<div>
							<input type="number" id="txtField09" name="txtField09" step="0.01">
						</div>
					</div>
					<div class="block-form">
						<div>
							<label for="txtField10">Time Mixed</label>
						</div>
						<div>
							<input type="time" id="txtField10" name="txtField10">
						</div>
					</div>
					<div class="block-form">
						<div>
							<label for="txtField11">Rework KG</label>
						</div>
						<div>
							<input type="number" id="txtField11" name="txtField11" step="0.01">
						</div>
					</div>
					<div class="block-form">
						<div>
							<label for="txtField12">Dough Temp</label>
						</div>
						<div>
							<input type="number" id="txtField12" name="txtField12" step="0.1">
						</div>
					</div>
					<div class="block-form">
						<div>
							<label for="txtField13">Vacuum On/Off</label>
						</div>
						<div>
							<input type="button" id="btnField131" onclick="btnField13('1');" value="On">
							<input type="button" id="btnField130" onclick="btnField13('0');" value="Off">
						</div>
					</div>
					<div class="block-form">
						<div>
							<p class="form-bold"></p>
						</div>
						<div>
							<input type="submit" value="Submit">
						</div>
					</div>
					<div class="block-form" style="display:none">
						<div>
						</div>
						<div>
							<input type="hidden" id="txtSessionID" name="txtSessionID" value="A87E5C26-7921-4B82-9085-C835E9C9826F">
							<input type="hidden" id="txtField13" name="txtField13" value="">
							<input type="hidden" id="txtField14" name="txtField14" value="">
							<input type="hidden" id="txtField15" name="txtField15" value="">
							<input type="hidden" id="txtField16" name="txtField16" value="">
							<input type="hidden" id="txtField17" name="txtField17" value="">
							<input type="hidden" id="txtField18" name="txtField18" value="">
							<input type="hidden" id="txtField19" name="txtField19" value="">
							<input type="hidden" id="txtField20" name="txtField20" value="">
						</div>
					</div>
				</form>
			</div>
        </div>
		

        <!--Footer section-->
        <div class="block-footer">
            <!--IT Logo Left-->
            <div>
                <img src="https://glhcwebcms01.blob.core.windows.net/premierit/PremierITIcon.png" alt="Iwisa Logo" class="footlogo01" />
            </div>
            <!--Menu Middle-->
            <div style="border-left-style:solid; border-left-color:teal; border-left-width:2px">
                <p class="footer-2">Premier IT Help Hesk</p>
                <p class="footer-2">Tel: 0860 000 686</p>
                <p class="footer-2">Email: ithelpdesk@premierfmcg.com</p>
            </div>
            <!--Every1s welcome Logo right-->
            <div style="border-left-style:solid; border-left-color:teal; border-left-width:2px">
                <p class="footer-3">Capital Expenditure Application</p><br>
                <p class="footer-3">Small Projects</p><br>
                <p class="footer-3">Issue Date: 01-07-2020</p><br>
                <p class="footer-3">Rev: 0</p><br>
            </div>
        </div>
    </div>

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</body>
</html>
