Shannon’s Imperial Brandshannonsimperial.com/pdf/SB-210 51% Whole Wheat Aloha...2019/05/09 ·...
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Shannon’s Imperial Brand 7080 N. Whitney Ave., #103 Fresno, CA 93720 Phone: 925-223-8171 Fax: 559-324-8477 Email: [email protected] Web: www.shannonsimperial.com May 9, 2019 SB-210 51% Whole Wheat Aloha Dinner Roll Packed 8/24 = 192 / 1oz I certify that each Shannon’s 51% Whole Wheat Aloha Dinner Roll contains no less than 16 grams of creditable grains with no less than 8 grams of whole grain flour, which equals one grain serving. 16 grams / 8 grams = 1 e.g. Lynn Jensen Office Manager Ingredient Statement Water, Whole Wheat Flour, Enriched Flour (Wheat Flour, Malted Barley Flour, Niacin, Ferrous Sulfate, Thiamin Mononitrate, Riboflavin, Folic Acid), Sugar, Yeast, Contains 2% or less of: Soybean Oil, Vital Wheat Gluten, Salt, Calcium Sulfate, Calcium Propionate (Preservative), Yellow Corn Flour, Mono Diglycerides, Natural and Artificial Flavors, Enzymes and Ascorbic Acid (Dough Conditioners), Color Added. Contains: Wheat and Soy.
Transcript of Shannon’s Imperial Brandshannonsimperial.com/pdf/SB-210 51% Whole Wheat Aloha...2019/05/09 ·...
Shannon’sImperialBrand7080N.WhitneyAve.,#103Fresno,CA93720Phone:925-223-8171Fax:559-324-8477Email:[email protected]:www.shannonsimperial.com
May9,2019
SB-21051%WholeWheatAlohaDinnerRollPacked8/24=192/1ozIcertifythateachShannon’s51%WholeWheatAlohaDinnerRollcontainsnolessthan16gramsofcreditablegrainswithnolessthan8gramsofwholegrainflour,whichequalsonegrainserving.16grams/8grams=1e.g.
LynnJensenOfficeManager
IngredientStatementWater,WholeWheatFlour,EnrichedFlour(WheatFlour,MaltedBarleyFlour,Niacin,FerrousSulfate,ThiaminMononitrate,Riboflavin,FolicAcid),Sugar,Yeast,Contains2%orlessof:SoybeanOil,VitalWheatGluten,Salt,CalciumSulfate,CalciumPropionate(Preservative),YellowCornFlour,MonoDiglycerides,NaturalandArtificialFlavors,EnzymesandAscorbicAcid(DoughConditioners),ColorAdded.
Contains:WheatandSoy.
FormulationStatementforDocumentingGrainsinSchoolMeals(CreditingStandardsBasedonGramsofCreditableGrains)
SchoolFoodAuthorities(SFAs)shouldincludeacopyofthelabelfromthepurchasedproductpackageinadditiontothefollowinginformationontheletterheadsignedbyanofficialcompanyrepresentative.SFAshavetheoptiontochoosethecreditingmethodthatbestfitsthespecificneedsofthemenuplanner.ProductName:51%WholeWheatAlohaDinnerRoll CodeNo.:SB-210Manufacturer:Shannon'sImperialBrand ServingSize:__28.3grams_1oz.
I. DoestheproductmeettheWholeGrains-RichCriteria:Yes__X__No____
II. Doestheproductcontainnon-creditablegrains:Yes____No_X__Howmanygrams:_____
III. UsePolicyMemorandumSP30-2012GrainRequirementsfortheNationalSchoolLunchProgramandSchoolBreakfastProgram: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 8.52grams 16grams/ozEqgrain .531EqGrainEnrichedFlour 8.19grams 16grams/ozEqgrain .512EqGrain
16.71
1.04
TotalCreditableAmount 1EqGrain
TotalWeight(perportion)ofproductaspurchased___28.3grams___Totalcontributionofproduct(perportion)__1__ozequivalentIcertifythattheaboveinformationistrueandcorrectandthata28.3gramportionofthisproduct(readyforserving)provided1equivalentGrains.Ifurthercertifythatnon-creditablegrainsarenotabove0.25ozeq.perportion.Productswithmorethan0.24ozequivalentor3.99gramsforGroupsA-Gor6.99gramsforGroupHofnon-creditablegrainsmaynotcredittowardsthegrainrequirementsforschoolmeals.
OfficeManager Signature Title
LynnJensen5/9/2019925-223-8171,ext.108PrintedName Date PhoneNumber
