shannon’s imperial brandshannonsimperial.com/pdf/sb-730 51% whole wheat bread...2019/05/09 ·...

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-730 51% Whole Wheat Bread Stick with Honey 1oz Packed 18/10’s = 180 I certify that each Shannon’s 51% Whole Wheat Bread Stick contains no less than 16 creditable grains, with no less than 8 grams of whole grain, which equals 1 grain serving. 16 grams / 8 grams = 1 e.g. Lynn Jensen Office Manager Ingredient Statement Water, Whole Wheat, Enriched Flour (Wheat Flour, Malted Barley Flour, Niacin, Reduced Iron, Thiamin Mononitrate, Riboflavin, Folic Acid), Sugar, Soybean Oil, Contains 2% or less of: Honey, Yeast, Vital Wheat Gluten, Salt, Calcium Propionate (Preservative), Monoglycerides, Tocopherols, Ascorbic Acid, Citric Acid. Contains: Soy and Wheat.

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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

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