CQNG HOA :xA HQI CHU NGHiA Vl~T NAM

DQc L~p - Tl]' Do - Hanh Phuc*********

BAN TITCONG BO SAN PHAM•

SB: 18/CNTRUNG NGUYENLEGEND/2019

Ten t8 clure: CTY CO PHAN TRUNG NGUYEN FRANCHISING

Dia chi. : 87A Cach Mang Thang 8, Phuong B~n Thanh, Quan 1,

Thanh ph6 H6 Chi Minh, Vi~t Nam

Dien thoai :. . 084 28925 1845

Fax .. 084 28925 1847

E.mail oflice@trungnguyenlegend.com.vn

Ten san phAm cong b6:.. "-

CA PHE H~T RANG-

TRUNG NGUYEN E - COFFEE

NAM2019

lL

CONG HOA xA HOI CHU NGHIA VIET NAM

DOC LAp - TlJ DO - HA-NHPHlJC

*********

BANTVc6NGB6sANPHAMS6: 18/CNTRUNGNGUYENLEGEND/20 19

I. THONG TIN VE TO CHUC, cA NHAN TV CONG BO SAN PHAM:

Doanh nghi~p: CONG TY CO pHAN TRUNG NGUYEN FRANCHISING

TAngGiam DBc: DANG LE NGUYEN vnDia chi 87A Cach Mang Thang 8, Phuong BSn Thanh, Quan 1, Thanh ph6 H6 Chi

Minh, Vi~t Nam.

Di~n thoai

E.mail

084 28925 1845 Fax: 084 28925 1847

office@trungnguyenlegend.com

San xuftt tai Nha may Ca phe Trung Nguyen - Cong ty cA ph§n Ca phe Trung Nguyen

Mil sBthu~ doanh nghi~p: 6000429946

s6 gi§y chung nh~nHACCP: FS-VNM-19-20/HACCP, Ngay dp: 01/02/2019 - Ngay h~than:

19/0112020. NO'icap: Intertek Vi~t Nam.

s6 gi§y clnmg nh~n FSSC 22000: 38161405003, Ngay cap:30108/2019 - Ngay h~than: 29/06/2021.

NO'ic~p: Intertek Vi~t Nam.

Gifty cluing nh~n BRC: 381A1903001, ngay c~p: 20.05.2019 --Ngay hSt han: 02.05.2020.

NO'icftp: Intertek Vi~t Nam

II. THONG TIN VE SAN PHAM:cA PHE H~ TRANG - TRUNG NGUYEN E - COFFEE1.Ten san phim:

2. Thanh ph§n:

2.1 Nguyen /ifu chinh : Ca phe (Arabica, Robusta)

2.2 Phu gia th,!c phiim: Khong co.3. Thiri han sfr dung: 12 thang k~ til ngay san xuat.

NSX va HSD duoc in tren bao bi san pham.

4. Quy each dong goi va chftt li~u bao bi:

4.1 Chat /ifU bao hiSan pham dtroc chua tnrc tiSp trong bao bi mang phirc hop dam bao an toan v~ sinh thlJc

ph~m chua dvng tnJc tiSp san ph~m. ~

4.2 Quy each dong go; ,

San pham duoc dong goi kin, khong d~p xuc veri khong khi ben ngoai.

Kh6i hrong cua san pham: 200g, 250g~ 300g, 340g, 425g, 450g, 500g, lkg, 3kg, 5kg.

5. Ten va dja chi co' sO'san xu§t san pham:

San xu§t tai: NHA MAy cA PHE TRUNG NGUYEN - CTY CP cA PHE TRUNG NGUYEN

Ilia chi san xu§t: Cum Cong Nghiep Tan All, phuong Tan An, Tp Buon Ma Thuot, Tinh UitkLitk.

III. MAu NHAN SAN PHAM:

Nhan san pham co n('>idung phil hQPvoi Nghi dinh 43/2017/NU-CP ngay 14/4/2017 v~ nhan hang hoa

(Dinh kem mdu nhiin scmphdm)

IV. YEU cAu VE AN TOAN THVC PHAiVl:

Phil hop veri quy dinh an toan thirc pham: _)

- QCVN 8-1 :20111BYT: QCKTQG gioi h';lrl{)nhiern, d('>ct6c, vi nam trong thuc pham;

- QCVN 8-2:2011IBYT: QCKTQG gioi han 6 nhiern kim loai nang trong thirc pham;

- TCVN 5250:2015: Tieu chuan Viet Nam v€ ca phe hat rang.

- QU 46/2007/QD-BYT: Quy dinh gioi han 16i da o nhiem sinh hoc va hoa hoc trong thirc pham;

1. Yeu cAu v~ cam quan:

- Man sac: Mau nau d~c trung cua san pham, hat rang chin d~u, khong chay.

- Mili: Tham d~c trung cua san phelm, kh6hg co mili l';l.

- Vi: vi d~c trung cua san phelm.

2. Chi tieu chit lU'Q'ngtheo yeu cAu ky tbu~t,------,-------------------1------------,---------------,

I- l)O'n vi tinh Mfrc cong b6 chit lU'Q'ng1------+-----------------4--------------+----------------1

01 U('>elm I % S; 5L--_ ___L_ L _l_ __J

STT Ten chi tieu

3. Chi tieu dQc t6 vi n§m

t DO'nvi tinhI . Mfrc t6i daSTT Ten chi tieu

s; 3I ~g/kgIL--_ __L L . __l ---'VIIA

01 Ham luqng Ochratoxin A

4. Chi tieu hoa ly

%

STT Ten chi tieu DO'n vi tinh Mire cong b6 chAt luong

01 Hc,!tt6t % ~ 92

02 Manh va % < 3

03 Hc,!tbi 16i % < 5

04 Ham hrong tro t6ng s6 % < 5

05 Ham hrong tap chftt ::; 0,3

5. Ham IU'Q'ngkim loai n~ng

DO'Dvi tinh Mrrc t6i da

mg/kg ::;1

mg/kg ::;2

mg/kg ::;30

mg/kg < 0,05

mg/kg ::;1

STT Ten chi tieu

01 Ham hrong Asen (As)

02 Ham hrong chi (Pb)

03 Ham hrong d6ng (Cu)

04 Ham hrong thuy ngan (Hg)

05 Ham hrong Cadimi (Cd)

6. Ham hrong hoa chAt khong mong muon: Dir hrong thuoc bao v~ thuc vat, cac hoa chftt khong

mong muon khac phu hop voi TT 50/2016/TT-BYT: Quy dinh gioi han t6i da dir hrong thuoc bao

v~ thirc v~t trong thuc pham, . .....\ .\0.!"1)'*Chung toi cam k~t thuc hien dfty du cac quy dinh cua phap luat v~ an toan thirc pham .~~,

. ,/

hoan toan chiu trach nhiem v~ tinh phap ly eua h6 sO'cong b6 va chftt luQ1lg,an toan thlJc pham

d6i vai san ph~m dffcong b6.

TPHCM, ngay 30 thang 11 nam 2019

TL. TONG GIAM DOCGD KHOI NGHIEN CUu & PHAT TRIEN

EEo~ o

WHOLE BEAN COFFEEAMBleA & ROBUSTAStrong body I Original taste

Fnmchroest

-----------------~

H~ Tu6NG CU'AllAHG CHU\1!Nd pu~ NANG U/c;1NG- ex PHI 061 D~I

~------------------------------~

cA PHE HAT RANGARABleA & ROBUSTA

The chAt manh IGu truy2n thang

,,-------------------------------

~ E, EIt)

~

~

.

.IlJJJllllllI11 ------------------------ 1 _

L ~ L_ ~--------------~10110

145mm 105mm105mm

TRUNG NGUYEN E-COFFEE -TiJI 1KGTiJI FLAT BOTTOMKlCH TIIlfOc: 365 x 145 x 105 xl05 mm (Dx R x XH x XB)

145mm

------------------------------1n..nh,u..,Ci.pM(Anlbi<&,KoIImtal­Cl1J~ud"'l_oJulyAu:llOlm~~%Na.iy_xuir.vllhon~"""'Xom"'nboobl,.H~"'$I}dl,mg:X.ycf.pne""",,khiphaohiSlnpi>4mprnlhQptilcicickiAupllil.fI..ma&.bIoquln:llloquln"'"kh&""'.'~m'"'l1'iqjtin_bOo .. to>In:KbI'.!sM_plimg4n","cbohii!dllcao.Xuit:w.V,.'N...TccssII:1IIICNTRUNGNGUYENLEGENDI2019

Sinph6clo.d)NG TYco I'IlilNTRUNGNGUYtNf'RANCIIISlNG!7ACilcll~Thllrv8.l'I\UI!n!aslnTn;.,h.Qutnl,Tp_H/,OUMinh.T.I:(84Jn~l¥4s.f.,.:(l!4p8~V1S1"47www.~""""cifo,.«<11:!ind,,,i:MIA MAyeA PHt: TlWNGNGIJriNCONGTV cO !'HANcA PH1:TRUNCNGUYU;~~L't~~~Ru:6nilTinAn.Tp.BuOnMloThuO!.

S4n"""lh>obbqu~en""<l\lnHSHCNotlocansTydPlibDtuTIrTnll1(!Nguyfr>

~------------------------------~M~TDAY

105mm

EE~_LEEIt)N

San pham cua:CONG TY CO PHAN TRUNG NGUYEN FRANCHISING87A Cach Mang Thang 8, Phuong B~n Thanh,Quan 1, Tp. He, Chi Minh.Tel: (84) 283925 1845 - Fax: (84) 283925 1847www.trungnguyeneeoffee.eomSan xuat tai:NHA MAY cA PHE TRUNG NGUYEN -CONG TY CO PHAN cA PHE TRUNG NGUYENCum cong nghiep Tan An, Phuong Tan An, Tp. Buon Ma Thuot,Tinh Dill<Lak, Vi~t Nam.San xu~t thea ban quyen Slr dung SHCNcua Cong Ty C6 PhAnD§.uTtr Trung Nguyen.

WHOLE BEAN COFFEEARABICA & ROBUSTAStrong body I Original taste

.TRUNG NGUYEN LEGENDTAl' DoAN CHUY~N cA PH~ NANG LUONG - CA PH£ D61 001

cA PHE HAT RANGARABICA & ROBUSTA

Th~ ch.1tmanh I Gu truyen thong

French roast

MQT sAN PRAM CllA~~~

ERNEST 'HEMINGWAY

HE THONG CllA HANG CHUYENCA PH~ NANG U1<;1NG- CA PHE DOl DOl Kh6i hrong tinh: 1kg

CONGTYCPDVKHOAHQCCONGNGH~CH4NNAMVP: 80-82-841hong Long, p, 4, Q, Tan Binh, Tp, HeM

PNM & TN: 156/29_31 T6 Hien Thanh, P. 15, Qu¢n 10, Tp. HCMDi~n thocl: 028,39911131 - 028,39911132 - Hotline: 0901372755

Email: info@channem,com,vn - Website: www.channam.com.vn

State of Sample: Granulated in baKTT CRITIEU KETQUA PmfONG PHAP'I'HlfNo. SPECIFICATION RESULT MEmOD

-Mau sac: Mau nau d~c trung cuasan pham, hat rang chin d€u, khongchay.-Mui: Mui thorn d~c trung cua sanpham, khong co mui la,

Cam quan/ -Vi: Co vi d~c tnrng cua san pham.Cam quan 101 - Color: Brown charateristic of theVisualobservation

product, roasted seeds are ripe, Visual observation

not burning.-Odor: Characteristic aroma of theproduct, no strange smell.- Taste: Characteristic of thep!'oduct

Phy trach PTNLaboratory Manager

1. Ktt qua nay chi co gia tri tren mdu t~iiI This tes~ingresult is only valid on tested sample2. Thong tin mdu do khacn hang cung cdp I Sample mfo~matlOnwas provided by the customer3 (*) ChI tieu duac VILAS cong nhdn I Item was accredited by VILAS .. . .. ifH I h)4: (i) ChI tieu duac C(1C An Toan Tiulc Phdm (Bf;iY Tt) chi dinn ~Iter::.was assigned by Vietnam FoodAdministration (MInistry 0 ea t

KPH: Khong phdt hifn I ND: Not detected, LOD: GiClihgn phat h/~n I Limit of detectIOn.

BM 7,8/1 (01/03/2019)

CHANNAMTSSs6/ l'v'o:19120040-11KQ

Ten khach hang:ClientDja chi:AddressNgay nhin miu:Date of receivingNgay tra k~t qui:Date of returningTen miu:Name of samplesa hr(}'llg:Quantity:TInh trang miu:

VILAS 677

KET QuA THU NGHI~MTEST REPORT

Mi s6 (ID.): 19111151/1911446" %. ~ A

CONG TY CO PHAN TRUNG NGUYEN FRANCHISINGTRUNG NGUYEN FRANCHISING CORPORATION87A Cach Mang Thang 8, Phuong B~n Thanh, Qu~ 1, TP. H6 Chi Minh87A CachMang Thang8, Ben Thanh Ward, District 1,Ho ChiMinh City25/1112019 Thiri gian thii nghi~m: 25/11-02/12/2019

Testing duration:02/12/2019

cA PRE HAT RANG - TRUNG NGUYEN E - COFFEEROASTED COFFEE - TRUNG NGUYEN E - COFFEE01

Dang hat trong bao bi kin.

Believe in CHANNAM,

CONG TV CP DV KHOA HOC CONG NGHE CHAN NAM. .VP: 80-82-84 Thong Long, P. 4, Q. TOnBinh, Tp. HeM

PNM & TN: 156/29_31 T6 Hien Thanh, P. 15, Qu¢n 10, Tp. HeMDi~n thocl: 028.39911131 - 028.39911132 - Hotline: 0901372755

Email: info@channam.com.vn - Website: www.channam.com.vnCHANNAMTSS

86/ No: 19120040-21KQ

VILAS 677

State of Sample: Granulated in barTT CHITIEU KETQUA BON,,! PHUONGPHAPmtrNo. SPECIFICATION RESULT UNIT MEmOD

01 Hat t6t IGood beans 98,7 % TCVN 5250:2015

02 Manh vcr 1Broken pieces 0,25 % TCVN 5250:2015

03 Hat hi 16i 1Defective beans 1,05 % TCVN 5250:2015

04 Tl;lPchAt/Impurities KPHIND% TCVN 5250:2015(LOD=O,I)

05 DQ AmI Moisture (*) 0,46 % TCVN 7035:2002

06 Tro tbng 1Ash (*) 4,91 % TCVN 5253:1990

07 Caffein 1,97 % TCVN 9723 :20 13

Ph, trach PTNLaboratoryManager

1. Kitt qua nay chi c6 gia tri tren mdu thii I This testing result is only valid on tested sample2. Thong tin mdu do khach hang cung dip I Sample info~matwn was provided by the customer3 (*) Chi tieu duac VILAS cong nhiin I Item was accredited by VILAS .. . . . I h4: (i) Chi lieu duac C!,cAn rss« Tlu,tcPhtim (Bq Y Tit) chi dinh ~Ite'!!.was as~igned by Vietnam Food Administration (Ministry of Hea t )

KPH: Khong phat hien I ND: Not detected, LOD: Giai ht;mphat hu:nI LlmUof detectIOn.

Ten khaeh hang:ClientDja chi:AddressNgay nh,n miu:Date of receivingNgay tra kit qua:Date of returningTen miu:Name of samplesa hrQ'Dg:Quantity:TInh trang miu:

BM 7.8/1 (01/03/2019)

KET QuA THU NGHI¥MTEST REPORT

Mi sa (10.):1911115111911446A ::':2. A

CONG TY CO PHAN TRUNG NGUYEN FRANCHISINGTRUNG NGUYEN FRANCHISING CORPORATION87A Cach Mang Thang 8, Phuong B~n Thanh, Quan 1, TP. He, Chi Minh87A CachMang Thang8, Ben Thanh Ward,District 1,Ho ChiMinh City25111/2019 ThOigian thil nghi~m: 25111-02/12/2019

Testing duration:02112/2019

cA PHE ~T RANG - TRUNG NGUYEN E - COFFEEROASTED COFFEE - TRUNG NGUYEN E - COFFEE01

Dang hat trong bao hi kin.

Believe in CHAN NAM

CQNG TV CP DV KHOA HQC CQNG NGHe CHAN NAMVP: 80-82-84 Thong Long, P. 4, Q. Tan Blnh, Tp. HeM

PNM & TN: 156/29_31 To Hien Thcnh, P. 15, Qu¢n 10, Tp. HCME>i~nthoct: 028.39911131 - 028.39911132 - Hotline: 0901372755

Email: info@channam.com.vn - Website: www.channam.com.vnCHANNAMTSS

SblNo: 19120040-51KQ

VILAS 677

State 0LSample: Granulated in bag.TT CHITIEU KETQUA DON", PHUONGPHAPNo. SPECIFICATION RESULT UNIT mUMEfflOD

T6ng s6 vi khuan hieu khi Khong phat hien TCVN 4884-1 :201501 Total Plate Count (*)(i) Not detected CFU/g(ISO 4833-1: 2013)

Khong phat hien TCVN 6848:200702 Colifonns (*)(i)Not detected CFU/g (ISO 4832:2007)

Khong phat hien TCVN 7924-2:200803 Escherichia coli (*)(i)Not detected CFU/g (ISO 16649-2:2001)

04 Clostridiumperfringens Khong phat hienCFU/g TCVN 4991 : 2005

Not detected ( ISO 7937:2004)

05 Tong so bao illnam men - moe Khong phat hienCFU/g TCVN 8275-2:2010

Yeast and Mould (*)(i) Not detected (ISO 21527-2:2008)

06 Salmonella (*) Am tinh125g TCVN 10780-1 : 2017

Negative (ISO 6579 : 2007 )..

Ten khach hang:ClientBja chi:AddressNgay nhin miu:Date of receivingNgay tra kSt qua:Date of returningTen miu:Name of samplesa hnlng:Quantity:Tinh trang miu:

Ghl ehU:Note

KET QuA 'nnr NGHI:f:MTEST REPORT

Mi s6 (lD.): 1911115111911446

CONG TY CO pHAN TRUNG NGUYEN FRANCHISINGTRUNG NGUYEN FRANCHISING CORPORATION87A Cach Mang Thang 8, Phuong B€n Thanh, Qu~ 1, TP. He,Chi Minh87A Cach Mang Thang 8, Ben Thanh Ward, District 1,Ho Chi Minh City25/1112019 ThO;gian thn-nghi~m: 25/11-02/12/2019

Testing duration:02/12/2019

cA PHE ~T RANG - TRUNG NGUYEN E - COFFEEROASTED COFFEE - TRUNG NGUYEN E - COFFEE01

Dang hat trong bao bi kin.

Chi tieu so 01-05 co nguiing phat hl~n = 10 CFUlgItems number 01-05 limit of detection = 10 CFUlg

Phv trach PTNLaboratory Manager

GGrAMBOCDlRE~;

Trin ThVYThanh Thao

1. Ke'tqua nay chi c6 gid tri tren mdu thi]:/ This testing result is only valid on tested sample2. Thong tin mdu do khach hang cung cdp / Sample information was provided by the customer3. (*) Chi tieu duoc VILAS cong nhdn /Ite'!! was accre,ditedby VILAS . ... ..4. (i) Chi tieu duac CI,tCAn Toan Thuc Phdm (Bf;JY Te) chi dinh./ Item was assigned by VzetnamFood Administration (Ministry of Health)

KPH: Khong phdt hien / ND: Not detected. LaD: Gitti h!;Inphdt hifn I Limit of detectzon.BM 7.8/1 (01/03/2019) Believe in CHAN NAM

CONGTYCPDVKHOAHQCCONGNGH~CH'NNAMVP: 80-82-84 Thong Long, P. 4, Q. TOnBlnh, Tp. HeM

PNM & TN: 156/29_31 To Hien Thanh, P. 15,Qu¢n 10, Tp. HCMDi~n tho<;Ii: 028.39911131 - 028.39911132 - Hotline: 0901372755

Email: info@chonnom.com.vn - Website: www.chonnom.com.vnCHANNAMTSS

S6/1'1/o:191200';O-4IKQVILAS 677

Ten khach hang:ClientDia chi:AddressNgay nh,n miu:Date of receivingNgay tra k~t qua:Date of returningTen miu:Name of sampleSa hrQ'llg:Quantity:Tinh trang miu:

tiT QuA THU NGHI¥MTEST REPORT

Mi s6 (ID.): 1911115111911446

" X:2. "CONG TY CO PHAN TRUNG NGUYEN FRANCHISINGTRUNG NGUYEN FRANCHISING CORPORATION87A Cach Mang Thang 8, Phuong B~n Thanh, Quan 1, TP. H6 Chi Minh87A CachMang Thang8, Ben Thanh Ward,District], Ho ChiMinh City25111/2019 Thiri gian thii' nghi~m: 25/11-02/12/2019

Testing duration:02/12/2019

cA PHE ~T RANG - TRUNG NGUYEN E - COFFEEROASTED COFFEE - TRUNG NGUYEN E - COFFEE01

State of Sample: Granulated in bag.Dang hat trong bao bi kin.

02

TT CHiTIEUNo. SPECIFICATION

KETQuARESULT

DONVJUNIT

PmJONGPllAPmirMEmOD

01 AOAC 986.15Arsen 1Arsenic (As) KPHlND(LOD=O,OI)

Cadimi 1 Cadmium (Cd) (*)(i) KPHlND(LOD=O,Ol)

rng/kg

mg/kg AOAC 999.11

03 Chi 1 Lead (Pb) (*)(i) 0,087 mg/kg AOAC 999.11

04 Thuy ngan 1Mercury (Hg) KPHlND(LOD=O,OI)

05 D6ng 1Copper (Cu) (*)(i) 1,06

Ph, trach PTNLaboratory Manager

)t~

mg/kg AOAC 974.14

mg/iOOg AOAC 999.11

1. Kit qua nay chi co gia tri tren mliu thuI This testing result is only valid on tested sample2. Thong tin mliu do khdch.hang cung ctip I Sample information was provided by the customer3. (*) Chi tieu duac VILAS cong nhdn I Item was accredited by VILAS4. (i) Chi tieu duac C!lCAn Toan Thuc Phdm (BI}Y Te) chi dinh r Item was assigned by Vietnam Food Administration (Ministry of Health)

KPH: Khong phdt hien I ND: Not detected, LOD: Gioi han phat hien I Limit of detection.BM 7.8/1 (01/03/2019) Believe in CHAN NAM

CONG TV CP DV KHOA HQC CONG NGH~ CHAN NAMVP: 80-82-84 Thong Long, p, 4, Q, Tan Binh, Tp, HeM

PNM & TN: 156/29_31 T6 Hien Thanh, P. 15, Qu¢n 10, Tp. HCMDi~n thoc;li: 028,39911131 - 028,39911132 - Hotline: 0901372755

Email: info@channam,com,vn - Website: www.channam.com.vnCHANNAMTSS VILAS 677

State of Sample: Granulated in bag.

TT CHiTIEU KETQuA OONVJ PWONG PHAPTHirNo. SPECIFICATION RESULT UNIT METHOD

Khong phat hien 101 Ochratoxin A (*) Not detected ~g/kg TCVN 9724 : 2013

(LOD=1,0)

Ph, trach PTNLaboratoryManager

J. Klt qua nay_chi co gia tri tren miiu thuI This testing result is only valid on tested sample2. Thong tin mdu do khach hang cung cap I Sample information was provided by the customer3. (*) Chi tieu duac VILAS cong nhan ?Item was accredited by VILAS4. (i) Chi tieu duoc C!,cAn Toan Thuc Phdm (EI}Y Tl) chi dinh I Item was assigned by Vietnam Food Administration (Ministry of Health)

KPH: Khong phiit hien I ND: Not detected, LaD: Giai hgn phdt hi~n I Limit of detection.

BM 7.8/1 (01/03/2019) Believe in CHANNAM

86/ No: 19120040-31KQ

Ten khach hang:ClientDia chi:AddressNgay nh,n miu:Date of receivingNgay tra k~t qua:Date of returningTen miu:Name of samplesa hrC}'llg:Quantity:Tinh trang miu:

KET QuA THU NGHI:E:MTEST REPORT

Mi sA (ID.): 19111151/1911446

A % 1 A

CONG TY CO PHAN TRUNG NGUYEN FRANCmSINGTRUNG NGUYEN FRANCHISING CORPORATION87A Cach Mang Thang 8, Phuong B€n Thanh, Qu~n 1, TP. He,Chi Minh87A CachMang Thang 8, Ben Thanh Ward,District 1,Ho ChiMinh City25/11/2019 Thiri gian thir nghi~m: 25/11-02/12/2019

Testing duration:02/12/2019

cA PHE HAT RANG - TRUNG NGUYENE - COFFEEROASTED COFFEE - TRUNGNGUYEN E - COFFEE01

Dang hat trong hao hi kin.