FOOD INDUSTRY - PRODUCT INFORMATION FORM

VERSION 5.0- released 01 February 2012

Copyright 2012 Australian Food and Grocery Council. You may download, display, print and reproduce this content for your
personal or non-commercial use but only in an unaltered form and with the copyright acknowledged.

WARRANTY: This document is intended as a guide only: legal requirements are contained in the Food Standards Code and relevant
food legislation and other applicable laws. The information in this document should not be relied upon as legal advice or used as a
substitute for legal advice. You should exercise your own skill, care and judgement before relying on this information in any important
matter.

1 CONTACT DETAILS & DECLARATION

SUPPLIER'S PRODUCT MasterFoods BBQ Sauce Squeeze On 100 SPECIFY COUNTRY
NAME x 14g IMPORTED INTO
SUPPLIER’S PRODUCT SPECIFY COUNTRY
156726 (1229727)
CODE EXPORTED FROM
BARCODE- SPECIFY IMPORT TARIFF
UNIT GTIN CODE
1.1 SUPPLIER INFORMATION
COMPANY NAME Mars Australia Pty Ltd
BUSINESS NUMBER (ABN) 48 008 454 313
TRADING NAME Mars Food Australia
BUSINESS ADDRESS NUMBER/ STREET/ SUBURB 4 CORELLA CLOSE WYONG
STATE/ COUNTRY/ POST CODE NSW Australia 2259
POSTAL ADDRESS/ SUBURB PO BOX 397 WYONG NSW 2259
POSTAL
ADDRESS CITY/ COUNTRY/POST CODE NSW Australia 2259
NAME Consumer Services
KEY CONTACT
FOR QUERIES POSITION TITLE Consumer Services
EMAIL ADDRESS [email protected]
PHONE 1800 816 016 FAX 02 4389 6799
DATE FORM COMPLETED 11/06/2015 ISSUE DATE 11/06/2015
DOCUMENT NO: ISSUE NUMBER

1.2 MANUFACTURER/S INFORMATION

Provide details where the manufacturer or site location differ to above:
COMPANY NAME

SITE: #1 NUMBER/ STREET/ SUBURB

STATE/ COUNTRY/ POST CODE

COMPANY NAME

SITE: #2 NUMBER/ STREET/ SUBURB

STATE/ COUNTRY/ POST CODE

COMPANY NAME

SITE: #3 NUMBER/ STREET/ SUBURB

STATE/ COUNTRY/ POST CODE

If more than three manufacturing sites, provide additional site information in Section 8.2
1.3 CONTACT DETAILS FOR TECHNICAL & ALLERGEN INFORMATION
Please specifiy the contact details if further information related to technical or allergen information is needed:
NAME
JOB TITLE
EMAIL [email protected]
TELEPHONE- WORK 1800 816 016 TELEPHONE - MOBILE
1.4 SUPPLIER DECLARATION AND WARRANTY
The Supplier -
1) certifies that this product complies with the Australia New Zealand Food Standards Code; and, in addition to the information
provided specifically in this form, and without limitation to compliance with any other part of the Code, that the product
complies with:
(a) Standard 1.3.4 - Identity and Purity
(b) Standard 1.4.1 - Contaminants & Natural Toxicants
(c) Standard 1.4.2 - Maximum Residue Limits in Food (in Australia), or
(d) Maximum Residue Limits of Agricultural Compounds, Mandatory Food Standard 1999 (and subsequent amendments)
issued under sections 11C and 11Z of the Food Act 1981 in New Zealand
(e) Standard 1.4.3 - Articles & Material in Contact with Food
(f) Standard 1.4.4 - Prohibited & Resstructed Plants & Fungi
where applicable, and that where such certification relies on third party audit, analysis, industry codes, or equivalence of
international standard to demonstrate compliance, that certificates are current and available;
2) acknowledges that the Customer, and Supply Chain Customers of the Customer, will rely on the accuracy of the Product
Information for food quality, safety and labelling purposes;
3) certifies that the accuracy of the Product Information is limited to the following degree:-
(a) that the Product Information in relation to ingredients obtained from a third party relies in good faith on Product
Information provided by that third party:
(b) that the information is, to the best of the supplier's knowledge (having undertaken all reasonable verification
procedures), true and accurate in relation to all other substances and processes;
4) agrees that all Product it supplies to the Customer will conform with the Product Information unless otherwise agreed to in
writing and in advance by the Customer;
5) will immediately inform the Customer (and confirm in writing as soon as possible) if the supplier becomes aware of any error or
omission in the Product Information;
6) will inform the Customer in writing and in advance of any change to the Product Infromation provided herein (including any
changes that result from new or modified processes) if and when the supplier becomes aware of such changes; and
7) acknowledges that the Customer may provide the Production Information to -
(a) regulatory agencies in relation to any matter raised by such agencies;
(b) courts and other legal tribunals for the purposes of any proceedings; and
(c) to its related businesses and partners who are involved in the acquisition, use, sale or compliance of the Product,
under this same restriction as to disclosure.
(d) to its own customers, under this same restriction as to disclosure;
but will otherwise NOT disclose the Production Information.
8 acknowledges that, subject to the prior written agreement of the supplier and any restructions nominated by the supplier in
regard to disclosure of confidential information, the Customer may provide the Product Information to its own customers
subject to those customers ensuring the information is not further disclosed.

COMPANY NAME
Signed for and on behalf of Mars Food Australia
NAME (Please print) Adam Cheney
JOB TITLE (Please print) Product Development Technologist
AUTHORISED SIGNATURE

DATE OF AUTHORISATION 11/06/2015

1.5 CUSTOMER DETAILS (WHERE KNOWN)
COMPANY NAME
NUMBER/ STREET/ SUBURB
CITY/ COUNTRY/ POST CODE
CUSTOMER CONTACT NAME
CUSTOMERS PRODUCT NAME
CUSTOMER PRODUCT CODE

Customer Internal Use Only

Internal Product Code/Description
Version No.
Reason for Update
Received and Reviewed By
Approved [Yes / No] Date:
Signature:

1.6 DEFINITIONS/ REFERENCES

References to the “Code” or specific “Standards” throughout this document refer to the standards outlined in the Australia New
Zealand Food Standards Code. The Australia New Zealand Food Standards Code can be viewed at
http://www.foodstandards.gov.au/foodstandardscode/

The AFGC provides some industry guides, specifically on how to apply date marking, and the AFGC Allergen Management and
Labelling Guide which are available from the AFGC website: http://www.afgc.org.au

Additional related documents including the AFGC Allergen Management Guide and VITAL (Voluntary Incidental Trace Allergen
Labelling) documents can be viewed at http://www.allergenbureau.net/vital/

1.7 CHECKLIST AND ATTACHMENTS

Page 2 has been signed and dated (Section 1.4)
Current Certificates attached- if applicable (Section 3.2.3 and Section 5.2)
Supplier C of C, or C of A for analysis- if applicable (Section 7)
Other associated documents attached as requested by the customer
(eg MSDS, HACCP certification, product specification, and related documents)
2 PRODUCT INFORMATION & INGREDIENTS
2.1 PRODUCT DESCRIPTION (Physical and technological description)
MasterFoods Squeeze On BBQ Sauce 14g
2.2 LEGAL DESCRIPTION / SUGGESTED LABELLING DESCRIPTION

2.3 PRODUCT APPLICATION AND INTENDED USE

2.3.1 Specify the intended use of the product

2.3.2 Specify which best describes the product

2.4 COUNTRY OF ORIGIN

2.4.1 Specify the most appropriate overarching country of origin declaration which applies to this product:
Declaration Country:
Made in (with local and imported ingredients) Australia or

2.4.2 Indicate if the local content of ingredients/ components originating from country where origin claimed
on average exceeds 95%
on average exceeds 50% Yes
2.4.3 Are the primary components, from which this product is made or derived, sourced from more than one country?
Yes
IF YES, nominate the countries the primary components used to make the product come from:
USA
2.4.4 Indicate if the following apply in determining country of origin declaration in 2.4.1:
The IMPORTED COMPONENTS have undergone substantial transformation No
The PRODUCT has undergone substantial transformation No
50% or more of total product costs are incurred in the country stated Yes
Essential characteristic of the product is the result of local processing conditions Yes

2.5 COMPONENT TYPE

Specify the type of the components present in product (Tick ONLY ONE check box below)
product is a single component substance
_ product contains ingredients, which may include compound substances
X product consists of various ingredients which are NOT compound substances

2.6 INGREDIENT DECLARATION

Specify all ingredients including food additives in descending order, including percentage labelling of characterising components or ingredients. Compound substances
must specify all ingredients and additives present and the characterising ingredient or component. Food additives must specify a functional class name and the food
additive name or code number [e.g. antioxidants (304, 306), or food acid (citric)]
How many components are in this product? 6

COMPOUND SUBSTANCE INGREDIENTS

PERCENT OF Full breakdown list of components in compound ingredient including additive Characterising
COMPONENT NAME TOTAL % code numbers component %
Tomatoes (from Paste)
Sugar
Water
Cornflour (from Wheat)
Food Acids Acetic, Citric
Salt
Glucose Syrup (from Wheat)
Colour Caramel 150C
Vegetable Gum Pectin
Tamarind Paste
Yeast Extract
Spices Clove, Nutmeg, Pepper
Onion
2.7 PROCESSING AIDS
Specify all processing aids used in the manufacture of this product not otherwise declared in the ingredient list
FSC ADDITIVE NUMBER OR EC (as
NAME OF PROCESSING AID applicable) PERMITTED USE AND CLASS NAME

3 COMPOSITIONAL INFORMATION
3.1 MANDATORY ADVISORY OR WARNING STATEMENTS & DECLARATIONS
(“ Yes” response triggers a mandatory advisory or warning statement. Refer Standard 1.2.3 of the Code)

PRESENT
FOOD / COMPONENT
YES / NO
Bee pollen presented as a food or ingredient No
Propolis presented as a food or ingredient No
Unpasteurised milk and unpasteurised liquid milk products No
Aspartame or aspartame-acesulphame salt (or phenylalanine) No
Unpasteurised egg products No
Quinine No
Kola beverages containing added caffeine No
Guarana or extracts of guarana No
Phytosterol esters No
Tall oil phytosterols. No
Cereal-based beverages, where these foods contain no more than 2.5% m/m fat and less than 3% m/m
protein, or less than 3% m/m protein only. No
Evaporated and dried products made from cereals, where these foods contain no more than 2.5% m/m fat and
less than 3% m/m protein, or less than 3% m/m protein only, as reconstituted according to directions for direct
consumption. No

Milk, and beverages made from soy or cereals, where these foods contain no more than 2.5% m/m fat. No

Evaporated milks, dried milks and equivalent products made from soy or cereals, where these foods contain
no more than 2.5% m/m fat as reconstituted according to directions for direct consumption. No
Royal jelly presented as a food or ingredient No
Polyols, Isomalts, Polydextrose (Lactitol, Maltitol, Maltitol syrup, Mannitol, Xylitol, Erythritol, Isomalt,
Polydextrose, Sorbitol)
If “yes” specify type/s and levels No
Type of polyol, isomalt, polydextrose Level (g/100g)

3.2 ALLERGEN MANAGEMENT & CONTROL Yes/No

3.2.1 Does the facility have a Food Safety Program? Yes
3.2.2 Does the facility have a documentred allergen management plan? Yes
IF YES, does this include the management of cross contact allergens? Yes
3.2.3 Has the Food Safety Program been independently audited and certified? Yes
If Yes provide name of Certifying Body LRQA
Date of most recent audit/ inspection 1-Apr-12 Provide copy of certificate
3.2.4 Indicate if any of the following is applied in order to manage allergens and minimise allergen cross contact within the
manufacturing facility: (Select all appropriate checkboxes)
X validated cleaning procedures X production scheduling
control of personnel movement in factory X staff training
X documented procedures and controls isolated storage of allergens
X raw material sourcing & tracing dedicated equipment
other
3.3 INGREDIENTS TO BE DECLARED AS ALLERGENS OR SULPHITE
Please insert YES or NO to indicate if the product contains, or was manufactured using, any ingredient, additive or processing aid which has been derived from the
following food sources. Highly processed derivatives must always be declared. Carefully assess compound ingrediednts for hidden allergens. [** Lupin included as a
possible future addition to the Food Standards Code.]
Yes/No
Yes Cereals containing gluten & their products [wheat, rye, barley, oats, spelt ]
No Crustacea & crustacea products
No Egg & egg products
No Fish & fish products including mollusc with or without shells and filsh oils)
No Lupin & lupin products [** not a mandatory labelling allergen at this time]
No Milk & millk products
No Peanut & peanut products
No Sesame seed & sesame seed products
No Soybean & soybean products
No Tree nuts & tree nut products
Reserved for future allergen - left blank intentionally
IF YES for cereals containing gluten and their products:
Has processing rendered this GLUTEN FREE (no detectable gluten)? No
Has processing rendered this FREE OF WHEAT PROTEINS? No
Yes Sulphites, present in ingredients, additives or processing aids
IF YES, specify the amount of sulphite: naturally occurring in ingredients mg/kg
residual from process aid, or carry-over in ingredient mg/kg
added as an ingredient mg/kg
Total Sulphite <10ppm mg/kg
Specify type of added sulphite/s and additive number/s

3.3.1 Complete all coloured rows corresponding with "YES" declaration provided above.
SOURCE NAME DERIVATIVE NAME PROPORTION (%) PROCESS
ALLERGENIC SUBSTANCE Allergenic
The allergenic food from which Ingredient, additive or processing Derivative in
Protein in derivative protein is
ingredient is derived (e.g. wheat) aid (e.g. maltodextrin) product
removed?

Cornflour
Glucose Syrup
Cereals containing gluten and
their products [wheat, rye, barley,
oats, spelt & derived product e.g.
wheat maltodextrin]

Crustacea & crustacea products

Egg & egg products

Fish & fish products (including

mollusc extract and fish oils)

Lupin & lupin products

Milk & milk products

 Peanut & peanut products
(including peanut oil)

Sesame Seed & sesame seed

products including seasme oils)

Soybean & soybean products

(including soybean oils)

Tree nuts & tree nut products

Reserved for future allergen

3.4 ALLERGEN CROSS CONTACT Yes/No

3.4.1 Except for any allergens listed in Section 3.3, does your company have on site and handle ANY OTHER Yes
allergenic substances listed below?

** Refer to VITAL procedure and decision tree. http://www.allergenbureau.net/vital/

3.4.2 All columns must be comleted WHERE HIGHLIGHTED
PRESENT IN SOURCE FOOD DERIVATIVE NAME TOTAL PROTEIN**
PRESENT ON
ALLERGENIC SAME protein level by VITAL, or
SAME LINE The allergenic food from
FACILITY Ingredient, additive or processing specify "particulate"
SUBSTANCE which ingredient is derived
aid (e.g. maltodextrin)
(e.g. wheat)
Yes/No Yes/No mg/kg
Wheat and Gluten Many Derivatives
Cereals containing gluten
Yes Yes
& their products

Crustacea Products Belachan Powder

Crustacea & crustacea
Yes Yes
products

Egg products Egg powder

Egg & egg products Yes Yes Salted Egg yolk

Fish products Fish sauce

Fish & fish products (inc
Yes Yes
mollusc & oils)

Lupin & lupin products No

Milk & milk products Many Derivatives

Milk & milk products Yes Yes

Peanut products Peanut paste

Peanuts & peanut
Yes Yes
products (inc peanut oil)

Sesame products Sesame oil & seeds

Sesame seed & sesame
Yes Yes
products

Soybeans & soybean Soy products Many Derivatives

products (inc soybean Yes Yes
oil)

Tree nuts & tree nut

No
products

Reserved for future

allergen
3.4.3 Is cross contract allergen present in particulate form in the facility or on same lines? Yes Yes/No
3.4.4 Does the possibility remain that after undertaking control action specified in 3.2.4 above that particulate No Yes/No
cross contact allergenic material will still be present in product?

3.4.5 Have cross contact allergen levels been assessed using the VITAL procedure? No Yes/No
IF NO, provide appropriate precautionary statement for this product in box below:

Manufactured on equipment that processes peanuts

3.5 INTERNATIONAL ALLERGEN, LABELLING & INFORMATION REQUIREMENTS

FOOD/ COMPONENT PRESENT NAME OF FOOD DERIVATIVE NAME

(Yes/No) (e.g. apple) (e.g. cider vinegar)
beef - collagen No
Gelatine
other source No
Algae/carrageenean No
Seafood products
Shellfish (Mollusc) No
Matsutake mushroom No
Fungi
Other mushroom No
Avocado No
Banana No
Pome fruit- No
apples, pears
Stone fruit -
cherry, peach, plum, No
Fruits apricot.
Berry Fruits-
blueberry, kiwifruit, No
strawberry
Citrus Fruits-
grapefuit, lemon, lime, No
orange
Buckwheat No
Grains, Seeds, Coconut, poppy, No
Nuts & Spices sunflower, etc
Mustard No
Tomato Yes Tomato
Yam No

Allium genus- Onion

chive, leek, onion, Yes
garlic, spring onion

Vegetables Legumes-
other than peanut No
soybeans & lupins
Umbelliferae-
aniseed, carrot, celery,
celeriac, chervil, cumin, No
dill, coriander, fennel,
parsley, parsnip
Yeast Extract Hydrolysed Autolysed X
Yeast & Yeast Products
Hydrolysed Autolysed
(including yeast extracts) Yes
Tick box if hydrolysed or autolysed Hydrolysed Autolysed
Hydrolysed Autolysed
Herbs Herb Herb Extract
No Herb Herb Extract
Tick box if herb/ herb extract Herb Herb Extract
Clove Spice X Spice Extract _
Spice Nutmeg Spice X Spice Extract
Yes
(excluding mustard) Pepper Spice X Spice Extract
Tick box if spice/ spice extract Tamarind Spice Spice Extract X
3.6 ADDITIONAL LABELLING & INFORMATION REQUIREMENTS

FOOD/ COMPONENT PRESENT ADDITIONAL INFORMATION TO BE PROVIDED WHERE

(Yes/No) PROMPTED
Butylated hydroxyanisole BHA is added to Canola Oil at
No
(BHA) amount added (milligram/kilogram) point of production
Butylated hydroxytoluene
Antioxidants No
(BHT) amount added (milligram/kilogram)
Specify type:
Other antioxidants
amount added (milligram/kilogram)
Added Caffeine No
(exclude naturally occurring) amount added (milligram/kilogram)
level % v/v: 0.24
Alcohol (Residual) No
specific gravity if product is alcohol: n/a
Specify types of fats
and oils:
Animal No Has fatty acid composition been altered?
Specify the process used to alter composition:

Added Fats & Oils Specify types of fats

and oils:
If Palm oil is present, is this RSPO certified?
Vegetable No
Has fatty acid composition been altered?
Specify the process used to alter composition:

Specify type of vegetable protein:

Acid Hydrolysed No
Hydrolysed 100% hydrolysis
Vegetable Proteins Specify type of vegetable protein:
Enzyme Hydrolysed No
100% hydrolysis
Name of sweetener Number Amount (mg/kg)

Intense sweetener No

Name of preservative Number Amount (mg/kg)

Preservatives No

Name of flavour enhancer Additive number

Flavour enhancers No

Specify type/s Specify additive number/s

Natural
Added Colours
Artificial
Yes Not Defined X Caramel 150C
Specify overall Flavouring
status Natural Flavouring
Flavouring precursors
Synthetic flavouring substances
Natural flavouring substances
Added Flavours No
Composition Natural flavouring complexes/ preparations
Thermal process flavourings
Smoke flavourings
Other flavouring
Specify if contains Diacetyl as flavour:
Added Salt Yes amount added (milligram/100g)
Added Sugar Yes amount added (gram/ 100g)
List specific component: Provide relevant dcetails necessary for consumer advice:
COMPONENT
ANY OTHER
3.7 QUARANTINE & IMPORT/EXPORT INFORMATION REQUIREMENTS
PRESENT ADDITIONAL INFORMATION
FOOD/ COMPONENT
(Yes/ No) TO BE PROVIDED WHERE PROMPTED
Specify type of animals

Animal & Animal products Specify type of animal derivatives

(e.g. animal flesh, organs, stock, gelatine, Specify country/ies of origin

No
animal fat, tallow, milk, collagen from skin Describe any heat processing used tin
and / or hides etc) the manufacture of this product
(temperature/time):

Specify type of animals

(tick appropriate box)

Specify type of meat derivatives

Specify source of meat products

(i.e. Country and city):
Meat & Meat products
(e.g. animal flesh, animal organs, meat No Describe any heat processing used tin
extracts) the manufacture of this product
(temperature/time):

How do you ensure products are drived

from animals free of bovine spongiform
encephalopathy (BSE)?

Specify type of birds

(tick appropriate box)

Specify type of bird derivatives

Bird & Bird products
Specify source of bird products (i.e.
(e.g. meat, fat, eggs, extracts, feather, feet, No Country and city):
etc.)
Describe any heat processing used in
the manfuacture of this product
(temperature/ time):

Specify type of fish:

Specify type of fish derivaties
Specify source of fish products (i.e.
Fish & Fish products (e.g. smoked Country and city):
No
salmon, pilchards, shark fin, fish roe, etc)
Describe any heat processing used in
the manfuacture of this product
(temperature/ time):

Specify type of honey or honey

derivatives

Specify source of honey products (i.e.

Honey & Honey products Country and State):

Describe any heat processing used in

the manfuacture of this product
No (temperature/ time):

4 FOODS REQUIRING PRE-MARKET CLEARANCE

4.1 NOVEL FOODS (Refer Standard 1.5.1 of the Code)
4.1.1 Is this product (or any of its components) listed as a novel food in the standard? No

4.2 QUARANTINE TREATMENTS

Specify if this product (or an of its components) has been treated with the following:

TREATMENT METHOD USED ON ANY SPECIFY TREATED INGREDIENT

COMPONENT
Steam sterilisation Yes Onion, Clove, Nutmeg, Pepper
Ionising (gamma) irradiation No
Ethylene oxide No
Other fumigants or sterilants No

4.2 FOOD PRODUCED USING GENE TECHNOLOGY (Standard 1.5.2)

4.3.1 Are there any ingredients (including food additives, processing aids and enzymes) in this product that
come from genetically modified (GM) plants or animals, or are the result of synthesis by GM micro-
organisms, but with the exemption of use of GM feedstock? No
IF NO, specify which of the following are applicable:
No GM varieties of this food/ ingredient available Analytical testing confirms absence
X Non GM variety is used Verifiable documentation of status
Identity preseravtion program in place X Other - specify GM Policy, Vendor
Go to Question 4.3.7 and continue Assurance Program
GM CROSS CONTAMINATION IN FOODS AND INGREDIENTS Yes/No
4.3.7 Is this a raw/bulk commodity which is transported by freight/ tanker AND where the freight/tanker could No
have previously been used to transport other GM product?
4.3.8 Is this product manufactured or stored at a production site where genetically modified protein or DNA is No
used for the manufacture of other products?
4.3.9 Is there an identity preservation system separating non GM and GM components to ensure the absence of No
genetically modified material in this product?
Specify details:

4.3.10 Has Polymerase Chain Reaction (PCR) testing for GM materials been carried out? No

4.3.11 Is an GM food or GM ingredient unintentionally present at MORE THAN 10g/kg No

4.3.12 (OPTIONAL) Are any ingredients derived from an animal which has been fed with feedstock containing
GM ingredients derived from GM micro-organisms?
Specify details:

5 NUTRIENTS & CONSUMER INFORMATION CLAIMS

5.1 NUTRITION INFORMATION
Please refer tp the appropriate classification fro the product below:
IF Liquid, single strength or concentrate
Provide the specific gravity: temperature: C
IF Liquid, concentrate
Specify reconstitution rate:
To 100mL concentreate add mL of water to give mL of product
IF Solid, dehydrated substance
Provide the rehydration rate based on:
To 100g of product add mL of water to give g of rehydrated product
IF Solid substance, suspended in liquid
Specify if the product drained before use?
IF Raw material chemical, OR food additive OR processing aid used in food manufacturing
* Go to table below and complete collumn 2 "Avg quantity per 100 unit" only.
5.1.1 Is the product a finished good, or a retail ready good? Yes
IF YES, please specify the serve size: 14 X grams millilitre
5.1.2 For nutrition information below, please specify the UNITS of measure: grams millilitre
Complete nutrient table below. Mandatory nutrients highlighted in blue and bolded, others optional.
AVG QUANTITY AVG QUANTITY per
NUTRIENT % DI per serve
per serve 100
Energy 122kJ 868kJ
Protein, total <0.1g 0.5g Nutrient infromation is
relevant to product AS
- Gluten
SUPPLIED
Fat, total <0.1g <0.1g
- saturated <0.1g <0.1g
- polyunsaturated DO NOT leave bolded NIP
- monounsaturated fields blank. Use number,
or text "less than" with
Cholesterol
value; or "unavailable" or
Carbohydrate 7.0g 50.1g "not detected" for gluten.
- sugars 6.0g 42.9g
Dietary fibre, total
Sodium 121mg 866mg
Potassium

5.1.3 Additional nutrients- vitamins, minerals and other nutritive substance

Specify only one target population for product (selection ONLY ONE check box):
X Adults _ Young Children _ Infants
VITAMINS AVG QUANTITY MINERALS AVG QUANTITY
specify which vitamin per 100 specify which minerals per 100

NOTE: there is no permission to FORTIFY foods with this substance indicated with **
Insert any other nutrient or biologically active substance
NAME OF SUBSTANCE AVG QUANTITY per 100 % RDI / serve
5.1.4 Please provide the following analytical data:
% Ash Estimation content
0.00
% Moisture accounted for per 100

5.1.5 Please specify how the carbohydrate value has been determined:
_ X Available Carbohydrate as defined _ Other - specify: _ Unknown
Difference as defined in Standard 1.2.8 in Standard 1.2.8

5.1.6 Please nominate the source used to provide nutrition data in the tables above
Analytical - e.g. Laboratory Tested _ Theorectical - e.g. by calculation X
Please specify the source of data used for the theorectical calculations (e.g. Nuttab, AusNut, NZ food tables, etc)
Hamilton Grant
5.2 SUITABILITY TO MAKE CERTAIN CLAIMS
Specify if the product is suitable for use in product intended for the following consumer uses.
SPECIFY IF SUITABLE FOR… CERTIFICATE AVAILABLE
HOW HAS THIS BEEN VALIDATED?
Yes/ No (Yes/No)
Halal Yes No
Kosher Yes No
Organic No No
Biodynamic
Ovo-lacto-vegetarian Yes No
Lacto-vegetarian Yes No
Vegan Yes No

PRODUCT SUITABILITY FOR…..

SPECIFY PARTICULAR CLAIMS HOW IS CLAIM VALIDATED?
Yes/ No

"Free" claims

Sustainability claims

Humane treatment

Any other claims

6 DURABILITY, PACKAGING AND SUPPLY CHAIN

6.1 SHELF LIFE
6.1.1 Please complete the following details:
PRODUCT AS SUPPLIED PRODUCT - ONCE IN USE
unopened pack or bulk container resealable pack or bulk container
Specify shelf life 9 months
Temperature control during Is required? No Is required? No
storage Specify range: Specify range:
Temperature control during Is required? No
transport Specify range:
Specify any OTHER
storage requirements:
6.1.2 Specify the type of date mark to be used: Best Before

6.2 POTENTIAL HAZARDS

6.2.1 Are there any potential hazards associated with the product? No Yes/No

6.3 TRANSPORT
How is product transported and packaged? Packaged in retail-ready packs

6.4 TRADE MEASUREMENT

6.4.1 Specify which method of trade measurement is used: Net quantity
6.4.2 What is the package size 14 g (specify unit of measure)
6.4.3 Target Fill (if applicable) (specify unit of measure)
6.4.4 Drained Weight (if applicable) (specify unit of measure)
6.4.5 If AQS is used, what is the statistical variance in the fill measurement?
6.5 TRACEABILITY
Please provide any general comments about the traceability coding used on the product:

Best before and julian code

Please specify the following where applicable:

TRACKING CODE UNIT SHIPPER (if applicable)
Type of Primary Coding _ Date code Batch number X Date code Batch number
(Please TICK as appropriate) Product code Lot number Product code Lot number
Method of coding N/A Inkjet
Location of code N/A Side of carton
Number of characters in code N/A 9
BEST BEFORE: DD/MMM/YYYY
Example of coding format N/A
MC ID DDD TTTT
Coding translation N/A

6.6 PRODUCT PACKAGING

6.6.1 Are tamper evident controls included in the packaging design? Yes
6.6.2 Has unit packaging been assessed for migration of substances into food? Yes
6.6.3 Are engineered nanoparticules present in unit packging? No
6.6.4 Are you a signatory to relevant packaging stewardship in Australia or NZ? Yes
IF YES, have you met Sustainable Packaging Guidelines reporting requirements? Yes
6.6.5 Provide a general description of unit packaging (including tamper evident seals if present ):

Single use plastic portion with pyramid splits

6.6.6 Complete the following table for questions related to packaging of unit package and/or shipper
PACKAGING UNIT SHIPPER
Type Packaging format Multilayer Laminate Corrugate Carton
Ceramic No No
Glass No No
Metal No No
Specify components /
Paper / cardboard No Yes
material used in
packaging Packing materials No No
Plastics Yes No
Specify plastic coding symbol number 5
% of total using recycled component
Seal What is the seal method? Heat Seal Plastic Tape
Height (mm) 57 293
Dimensions Width (mm) 38 197
Depth (mm) 15 117

6.7 PALLET CONFIGURATION

6.7.1 Gross weight of loaded pallet 462.8 kg
6.7.2 Stack height of loaded pallet 132 cm
6.7.3 Stack height of loaded pallet X Wooden Plastic Other
6.7.4 Stack height of loaded pallet Column stack X Interlocking
6.7.5 Number of: units per shipper 100 shippers per pallet 24
layers per pallet 10
7 SPECIFICATIONS FOR COMPLIANCE
Test methods are mandatory and must quote AOAC methods or recognised independent Australian or International standards. Where
a suppliers unternal test method is quoted a copy must be attached. Also state if Certificate of Analysis (C of A) or Certificate of
Conformance (C of C) can be provided.

7.1 ORGANOLEPTIC SPECIFICATIONS

(Examples may include flavour, colour, aroma, texture etc)
AVAILABILITY
TEST / PARAMETER SPECIFICATION TEST METHOD C of A C of C
Sweet, typical BBQ flavour with acidic
Flavour
backnotes. Organoleptic No
7.2 PHYSICAL SPECIFICATIONS
(Examples may include particle size, shape, specific gravity, metal detection, foreign matter tolerances, physical defect tolerances
etc as appropriate for the product)
AVAILABILITY
TEST / PARAMETER SPECIFICATION TEST METHOD C of A C of C
Consistency 7 - 10 cm Bostwick (25°C, 5 sec) No

7.3 MICROBIOLOGICAL SPECIFICATIONS

(Examples may include standard plate count, yeasts & moulds, coliforms, salmonella, listeria etc
AVAILABILITY
TEST / PARAMETER SPECIFICATION TEST METHOD C of A C of C
SPC <1000/g No
Y&M <100/g No
E.COLI ND in 10g No
SALMONELLA ND in 25g No

7.4 CHEMICAL SPECIFICATIONS

(Examples may include pesticide residue screen, antibiotic residue screen, heavy metal screen, aflatoxins screen, salt, acid, pH,
moisture, brix, Aw, Nutrition Information Test, etc)
AVAILABILITY
TEST / PARAMETER SPECIFICATION TEST METHOD C of A C of C
Acetic Acid 1.8 - 2.0% Titration No
Salt 2.0 - 2.6% Titration No
pH 3.1 - 3.4 Ph Meter No
Soluble Solids 50 - 56 Brix Refractometer No

8 COMMENTS/ ADDITIONAL INFORMATION

8.1 Do you have any comments or additional information? No Yes/No
Question Number Line Number Comments

8.2 ADDITIONAL MANUFACTURING SITE INFORMATION (if required)

When nominating product is supplied from more than one manufacturing site, the details provided must be applicable to
product coming from any of the sites. For example, if particular allergens occur at only one site then the information provided in
the form should identify that the allergens are present even though batches of product made at other sites may be allergen free.
COMPANY NAME
SITE: #4 NUMBER/ STREET/ SUBURB
STATE/ COUNTRY/ POST CODE
COMPANY NAME
SITE: #5 NUMBER/ STREET/ SUBURB
STATE/ COUNTRY/ POST CODE
COMPANY NAME
SITE: #6 NUMBER/ STREET/ SUBURB
STATE/ COUNTRY/ POST CODE