Item
AGG Mocha Macchiato Cappuccino-GreatValue (MI) (IG001925A)
Sugar, Creamer (Hydrogenated Coconut Oil, Glucose Syrup, Sodium Caseinate, Salt, Sodium Polyphosphate, Dipotassium Phosphate, Sodium Stearoyl Lactylate, Silicon Dioxide, Natural and Artificial Flavor), Cocoa (processed with alkali), Instant Coffee, Salt, Non-Fat Dry Milk, Natural and Artificial Flavor, Sucralose, Acesulfame Potassium.
Beverage
Locations
| Location name | Address |
|---|---|
| Medford | 335 S. Wisconsin Ave Medford, WI 54451 |
Documents
| Type | Location | File name | Effective | Expiration |
|---|---|---|---|---|
| Ingredient Statement | Medford | 86-253-01 Mocha Macchatto Cappuccino Agglomeration Specification.docx | 11/9/2023 | 11/8/2026 |
| Product Specification Sheet | Medford | 86-253-01 Mocha Macchatto Cappuccino Agglomeration Specification.docx | 11/9/2023 | 11/8/2026 |
| HACCP Process Flow Diagram | Medford | Agg Flow Diagram with verification sign off 2024.pdf | 6/27/2024 | 6/27/2026 |
| Allergens | Medford | Allergens.pdf | 10/1/2024 | 10/1/2026 |
| FSVP Assessment Form | Medford | FSVP Assessment Form.pdf | 10/1/2024 | 10/1/2025 |
| HACCP | Medford | HACCP Summary 082222.pdf | 10/1/2024 | 10/1/2027 |
| Item Questionnaire | Medford | Item Questionnaire.pdf | 10/1/2024 | 10/1/2027 |
| Lot Code | Medford | Lot Code.pdf | 10/2/2024 | 10/2/2027 |
| National Bioengineered Food Disclosure Standard (Simplified) | Medford | National Bioengineered Food Disclosure Standard (Simplified).pdf | 10/1/2024 | 10/1/2027 |
| Heavy Metal | Medford | NotApplicable_HeavyMetal.pdf | 10/22/2024 | 10/22/2026 |
| No Animal Ingredient Statement | Medford | NotApplicable_NoAnimalIngredientStatement.pdf | 10/2/2024 | 10/2/2025 |
| Nutrition | Medford | NotApplicable_Nutrition.pdf | 10/17/2024 | 10/17/2027 |
| Organic | Medford | NotApplicable_Organic.pdf | 10/1/2024 | 10/1/2026 |
| Pesticide | Medford | NotApplicable_Pesticide.pdf | 10/1/2024 | 10/1/2026 |
| Vegan/Vegetarian Statement | Medford | NotApplicable_VeganVegetarianStatement.pdf | 10/1/2024 | 10/1/2026 |
| HARPC Food Safety Plan (Item) | Medford | PC's.pdf | 10/2/2024 | 10/2/2027 |
| California Prop. 65 | Medford | Prop 65 general.pdf | 9/6/2024 | 9/6/2026 |
| Sewage Statement | Medford | radiation and sewage 2024.pdf | 4/29/2024 | 4/29/2026 |
| Irradiation Status Statement | Medford | radiation and sewage 2024.pdf | 4/29/2024 | 4/29/2026 |
| CoA Sample | Medford | TRIL1925A U30M4 Mocha Macchiato Capp.pdf | 10/2/2024 | 10/2/2026 |
| Kosher | Medford | Trilliant Food and Nutrition.pdf | 10/1/2024 | 3/31/2025 |
