shannon’s imperial brandshannonsimperial.com/pdf/sb-730 51% whole wheat bread...2019/05/09 ·...
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Shannon’sImperialBrand7080N.WhitneyAve.#103Fresno,CA93720Phone:925-223-8171Fax:559-324-8477Email:[email protected]:www.shannonsimperial.com
May9,2019
SB-73051%WholeWheatBreadStickwithHoney1ozPacked18/10’s=180IcertifythateachShannon’s51%WholeWheatBreadStickcontainsnolessthan16creditablegrains,withnolessthan8gramsofwholegrain,whichequals1grainserving.16grams/8grams=1e.g.
LynnJensenOfficeManager
IngredientStatementWater,WholeWheat,EnrichedFlour(WheatFlour,MaltedBarleyFlour,Niacin,ReducedIron,ThiaminMononitrate,Riboflavin,FolicAcid),Sugar,SoybeanOil,Contains2%orlessof:Honey,Yeast,VitalWheatGluten,Salt,CalciumPropionate(Preservative),Monoglycerides,Tocopherols,AscorbicAcid,CitricAcid.
Contains:SoyandWheat.
FormulationStatementforDocumentingGrainsinSchoolMeals(CreditingStandardsBasedonGramsofCreditableGrains)
SchoolFoodAuthorities(SFAs)shouldincludeacopyofthelabelfromthepurchasedproductpackageinadditiontothefollowinginformationontheletterheadsignedbyanofficialcompanyrepresentative.SFAshavetheoptiontochoosethecreditingmethodthatbestfitsthespecificneedsofthemenuplanner.ProductName:51%WholeWheatBreadStickwithHoneyCodeNo.:SB-730Manufacturer:Shannon'sImperialBrand ServingSize:__28grams_1oz.
I. DoestheproductmeettheWholeGrains-RichCriteria:Yes__X__No____II. Doestheproductcontainnon-creditablegrains:Yes____No_X__Howmanygrams:_____III. UsePolicyMemorandumSP30-2012GrainRequirementsfortheNationalSchoolLunch
ProgramandSchoolBreakfastProgram:ExhibitAtodetermineiftheproductfitsintoGroupsQ-G(bakedgoods),GroupH(cerealgrains)orGroupI(RTEbreakfastcereals).(Differentmethodologiesareappliedtocalculateservingsofgraincomponentbasedoncreditablegrains.GroupsA-Gusethestandardsof16gramscreditablegrainperozeq;GroupHusesthestandardor28gramscreditablegrainperozeq;andGroupIisreportedbyvolumeorweight.)
IndicatetowhichExhibitAGroup(A-I)theProductBelongs:___B_____
DescriptionofCreditableGrainIngredient
GramsofCreditableGrainIngredientper
PortionA
GramStandardofcreditableGrainperoz
equivalent(16gor28g)BCreditableAmountA/B
WholeWheatFlour 9.29grams 16grams/ozEqgrain .58EqGrainEnrichedFlour 8.92grams 16grams/ozEqgrain .557EqGrain
18.21
1.13
TotalCreditableAmount 1EqGrain
TotalWeight(perportion)ofproductaspurchased___28grams___Totalcontributionofproduct(perportion)__1__ozequivalentIcertifythattheaboveinformationistrueandcorrectandthata28gramportionofthisproduct(readyforserving)provided1equivalentGrains.Ifurthercertifythatnon-creditablegrainsarenotabove0.25ozeq.perportion.Productswithmorethan0.24ozequivalentor3.99gramsforGroupsA-Gor6.99gramsforGroupHofnon-creditablegrainsmaynotcredittowardsthegrainrequirementsforschoolmeals.
OfficeManager Signature Title
LynnJensen5/9/2019925-223-8171,ext.108PrintedName Date PhoneNumber