CENTELLA FOUR-MARKER MASS WORKSHEET — BLANK TEMPLATE v1 Not a COA, recommended formula or measured result. Material / supplier / lot: ____________________ Physical form / carrier / solvent: ____________________ Assay report / method / date: ____________________ Original reporting basis / units: ____________________ As-supplied basis confirmed by / conversion evidence: ____________________ Final formula mass (g): ____________________ Supplied ingredient mass (g): ____________________ Addition A (% w/w) = supplied ingredient mass / final formula mass × 100: ______ For each component, enter a known as-supplied content in either mg/g or % w/w. Convert % w/w to mg/g before using C in the formula below (multiply by 10). Asiaticoside: C ______ mg/g; or ______ % w/w; theoretical final ______ mg/g Madecassoside: C ______ mg/g; or ______ % w/w; theoretical final ______ mg/g Asiatic acid: C ______ mg/g; or ______ % w/w; theoretical final ______ mg/g Madecassic acid: C ______ mg/g; or ______ % w/w; theoretical final ______ mg/g Other component name (one carrier / preservative): ____________________ C ______ mg/g; or ______ % w/w; theoretical final ______ mg/g Repeat the other-component row separately as needed. Do not count a mixture as a single pure component or infer that unreported components are absent. 1% w/w = 10 mg/g Theoretical final concentration (mg/g) = C × A ÷ 100 Theoretical final % w/w = theoretical final mg/g ÷ 10 C is the component mass in mg per g of the whole supplied material, not per g of its dry extract. A uses final formula mass, not base mass before addition. Unknown is not zero. Retain ND /