SusanB.

Anthony Sales
General manager Quality Essentials Foods, Inc.
Phone: +63907-385-1203 Luisa St,Talomo, Davao City
FAX: 615-643-1345 Phone: +63907-472-1414
FAX: 619-538-1823

Student of Primasia
Poblacion Alabel Sarangani Province

SUPPLIER NAME & LOCATION: Student of Primasia, Poblacion Alabel Sarangani Province
BILL OF LOADING #: BOL-445621
ATTENTION: Receiving Department
EMAIL:
INGREDIENTS NAME: Bamboo Shoot
INGREDIENTS NUMBER: CD-15ozMinichoc
PURCHASE ORDER #: As021193
DATE SHIPMENT:NOVEMBER 8, 2022
LOT NUMBER: 05201922-001

CERTIFICATE OF ANALYSIS
Analytical Data For This Shipment

Attribute Method Reference Specification Test Results

% Moisture A.O.A.C.357.3 82% maximum 2.0

Sodium A.O.A.C. 11.02 4% maximum 27.1
%Fat A.O.A.C. 00% maximum 0
Microbiological Data
Test

Standard Plate Count B.A.M. 7thEdition/FDA 10,000 10cfu/g

Coliform B.A.M. 7 thEdition/FDA 3 <3cfu/g
Salmonella B.A.M 7 thEdition/FDA Negative Negative

This Item is regularly tested by the manufacturer and meets all requirements defined by the appropriate
Current ingredients specification, dated (value) (please fill date). This Item is manufactured,packaged,
Stored and shipped in accordance with good manufacturing practices and under modern sanity
condition.

NAME: TITLE: DATE: .

PRINTED NAME: PHONE NUMBER: EMAIL: .