FC 100% All Natural*, Low Sodium PulledReverse Blend 65/35 Dark/White Meat

UPC Code: 00023700040107Product Code: 25560 -928

100% All Natural*, low sodium product with no allergens

Consistent product with great texture, moisture and holding — all at a better price

Recipe-ready pulled product is fully cooked and replicates an authentic, hand-pulled

appearance

Versatile use across the menu in a variety of on-trend applications — pasta, soup, chicken

salad, entrée salads, burritos, enchiladas

Available for commodity reprocessing - USDA 100103

Utilizes reverse blend dark and white meat (65/35) to keep commodity pounds in balance and is also available for Independent Drawdown

CN portion is 2.2 oz. = 2 m/ma

Meets "Smart Snacks" regulations for schools as an entree

PREPARATION

Not Currently Available

INGREDIENTS

Boneless, skinless dark and white chicken, water, rice starch, vinegar, seasoning (maltodextrin, yeast

extract, chicken stock, salt and flavors).

CONTAINS NO ALLERGENS

PIECE COUNT

2/5.0000 LB (s) per Case

MASTER CASE

Gross Weight

10.6428 LB Width: 9.1875 IN

Net Weight

10 LB Length: 11.75 IN

Cube: 0.609 FT Height: 9.75 IN

PALLET CONFIGURATION

Ti: 17 Hi: 7

STORAGE

Shelf Life: 365 days

Storage Temp: 0 F

Storage Method: Frozen To obtain a signed copy of the CN statement for

this item, please contact the Tyson Food

Service Concierge via e-mail or call 1 -800 -

248 -9766.

Nutrition Facts Serv ing S ize : 3 oz. (84g)

Serv ings Per Conta iner : Abou t 53

Amount Per Serv ing

Calor ies 130

To ta l Fa t 5g

Satura ted Fat 1 .5g

Trans Fat 0g

Po lyunsatura ted Fat 1g

Monounsatura ted Fat 2g

Cholestero l 60mg

Sod ium 115mg

To ta l Carbohydrate 1g

Dietary F iber 0g

Sugars 0g

Pro te in 20g

V i t am in A 0%

Ca lc ium 0%

* Percent dai ly values are based on a 2,000 calorie diet. Your daily values may be higher or lower depending on your calorie needs.

Iron 4%

Vitamin C 0%

40%

0%

0%

5%

20%

8%

8%

% Daily Value*

Calories from Fat 50

tysonfoodservice.com 1-800-24-TYSON

©2014 Tyson Foods, Inc. Trademarks and registered trademarks are owned by Tyson Foods, Inc. or its subsidiaries. Product information valid as of 7/29/2016.

All Tyson meat and poultry products are manufactured in USDA approved facilities. Federal regulations require that all of our meat and poultry production facilities operate under a Hazard Analysis Critical Control Point system (HACCP). The program requires that we identify all critical control points (CCPs) in the processing system that could result in a food safety concern and monitor and control them to prevent the potential hazard. In addition to us monitoring and verifying that the critical control points are acceptable, full time USDA inspectors are assigned to our facilities to verify that we are meeting the requirements of the program and all relevant federal regulations. Each facility following federal guidelines is allowed to apply the USDA inspection legend on their packaging, indicating the product was manufactured under USDA supervision. Allergens are addressed through a prerequisite program in which we have identified products and ingredients containing the eight (8) major allergens or protein-containing derivatives of these allergens and schedule production so as to prevent cross-contamination of our processing lines and products. In addition to our prerequisite program we have a stringent label verification program to verify all allergens present in the formulation are properly declared. While we are able to assure you the products that we offer are not produced with peanuts or tree nuts ingredients via the label, we are not able to certify that our production facilities are completely “peanut and tree nut free” environments. It is possible that an employee might bring allergens into our production facilities in their lunch, e.g. peanut butter and jelly sandwich, or may have a residual amount on their clothes. We have programs in place to make sure all team members wash and sanitize their hands and cover all street clothing with company provided and laundered protective wear prior to handling food. However, as stated earlier we cannot certify that our production facilities are completely “nut free”.

Effective Date: August 5, 2013

Revision #: 0

Cut: Tomatoes and Jalapeno Peppers= 1/8"x1/8"x1/8"; Onions= 1/4"x1/4"x1/4"

Viscosity: Ambient: 8.00-15.00 cm

Color: Bright green tomatillos with black roasted flecks and white translucent accents.Brix: 6.35-8.85

Acid: 0.10-1.10%

Salt: 1.20-2.20%

Ingredient Statement:Tomatillos, fresh roasted jalapeño peppers, roasted tomato puree, water, fresh onions, salt, distilled vinegar, lime juice, cilantro, garlic, spice (cumin), natural flavor (capsicum).

Serving Size 2 Tbsp (30g)

Servings Per Container 66

Calories 10 Calories from Fat 0

Total Fat 0g 0%

Sodium 200mg 8%

Total Carbohydrate2g 1%

Protein 0g

Gluten Free:

Organic Certification:: Not Organic

GENERAL SPECIFICATIONS

Product Code:

Nutritional Fact

Amount Per Serving

% Daily Value*

(calculated values)

*Percent Daily Values are based on a 2,000 calorie diet.

EQUILIBRATED SPECIFICATIONS

Method

4.20 maxpH:

Fill Weight: 70.00 oz

Drain Weight: 26.00-56.00%

Bostwick

Product Preparation: Ready to eat.

Sensitivities:Corn & Corn Derivatives

Allergens:None

Shelf Life After Opening:7 - 10 Days Under Refrigeration (35-41°F)

Storage:Product should be stored under ambient conditions, free from insect and rodent infestation. Keep from freezing. Refrigerate after opening.

Flavor: A cooked blend of fresh tomatillos and roasted jalapeno peppers in spiced tangy sauce.

Microbial:Total Plate Count: <1000 cfu/g, Yeasts/Molds: <10 cfu/g, Lactobacillus: <100 cfu/g

Shelf Life: 18 Months / 547 Days

Sugars 1g

Manufacturing Controls: Good Manufacturing Procedures (GMP's)CFR Title 21, Part 110

Refractometer

Titration

pH Meter

About

Vitamin A 2% Vitamin C 10%

Cholesterol 0mg 0%

Dietary Fiber less than 1g 2%

Calcium 0% Iron 0%

Saturated Fat 0g 0%

Trans Fat 0g

Seeds & its Derivatives

473 4779Description: Roasted Salsa Verde

Container Type: 70 ounce polypropylene jug with handle

Closure Type: Multi-lead plastic closure

Approved By:

Michelle Wiltzius - Corporate QA Manager

Appr oval Date: August 5, 2013

Net Weight: 70 OZ (4 LB 6 OZ) 1.98 kg

Kosher:

Titratio n

Uncle Ben's® Natural Whole Grain Brown Rice

0 54800 12111 3 In ProductionUPC Code

School Lunch InformationProduct Description

Description1 25 Unit(s) Per Case/

Plant Statuslb

P.O. Box 5059, Rancho Dominguez, CA 90224-5059

WHOLE GRAIN PARBOILED BROWN RICE.

912

INGREDIENT DECLARATION

Rachel GilSystems & Regulatory Affairs Scientist Date Signed:

I certify that the above information is true and correct.

Nutritional InformationAs Packaged

Fat FreeLow Fat

No Saturated Fat

0g Trans FatCholesterol FreeLow Cholesterol

Sodium FreeVery Low Sodium

Low Sodium

XX

XX

X

Low Saturated Fat

Product & Nutrient Content Claims

X

X

ExcltSource

Good Source

FiberVitamin AVitamin C

ThiaminNiacin

FolateIron

Based on FDA Guidelines/Rounding Rules

2/1/2013

Y NMeets Whole Grain Rich Criteria Percent of Whole Grains: 100%

1

Creditable Fruit/Veg Alternative:

Creditable Grain/Bread Ounce Equivalent:

Creditable Meat/Meat Alternative:

Serving Size: 1/2 cup prepared

Comments

Uncle Ben's® Converted® BRAND ORIGINAL Enriched Parboiled Long Grain Rice

0 54800 01101 8 In ProductionUPC Code

P.O. Box 11547, Carson, California 90749-1547School Lunch Information Program

Product Description

Description1 25 Unit(s) Per Case/

Plant Statuslb

ENRICHED LONG GRAIN PARBOILED RICE [LONG GRAIN RICE, IRON (FERRIC ORTHOPHOSPHATE), THIAMIN (THIAMINE MONONITRATE) AND FOLATE (FOLIC ACID)]

910

1

INGREDIENT DECLARATION

Rachel GilSystems & Regulatory Affairs Scientist Date Signed:

Creditable Fruit/Veg Servings:

Creditable Grain/Bread Servings:

Creditable Meat/Meat Alt Servings:

I certify that the above information is true and correct.

School Lunch Program Serving Size:

Nutritional InformationAs Packaged

1/2 cup cooked

Fat FreeLow Fat

No Saturated Fat

0g Trans FatCholesterol FreeLow Cholesterol

Sodium FreeVery Low Sodium

Low Sodium

X

X

XX

X

Low Saturated Fat

Product & Nutrient Content Claims

X

X

X

X

ExcltSource

Good Source

FiberVitamin AVitamin C

ThiaminNiacin

FolateIron

Based on FDA Guidelines/Rounding Rules

8/8/2011