Organic Cummin Ground (TVACG)

Allergen-Questionnaire 1.) Allergendeclaration : Allergen/Ingredient absence (0), contains (1, 2, 3) Cereals containing gluten (wheat, rye, barley, oat, spelt, kamut or hybrids) and their products 0 Crustaceans and theirproducts 0 Egg and egg products 0 Fish and fishproducts 0 Peanut and peanutproducts 0 Soya and soyaproducts 0 Milk and dairy products (incl. lactose) 0 Nuts (almonds, hazelnut, walnut, cashew nut, pecan, para nut, pistachio, macadamia nut, queensland nut) and products 0 Celery and celeryproducts 0 Mustard and mustardproducts 0 Sesame and sesameproducts 0 Sulphites and sulfur dioxide in a concentration more than 10 mg/kg or 10 mg/l, as SO2 0 Lupin and lupinproducts 0 Molluscs and molluscsproducts 0 0 = absence of allergen 1 = containsallergen 2 = traces of allergen is possible, because allergen containing product is handled on same site 3 = traces of allergen is possible, due to contamination on the raw material source (e.g. cultivation, harvest collecting) Supplier: Agromisr Country of origin: Egypt Product name All products Productnumber 2.) Further allergy- and ingredient information Allergen/Zutat Abwesenheit (0), Anwesenheit (1, 2, 3) Beef 0 Pork 0 Chicken 0 Corn 0 Cacao 0 Legumes / pulses 0 Glutamat 0 Bell pepper/Capsicum 0 Tomato 0 Chilli 0 Melon 0 Kiwi 0 Mango 0 Banana 0 Apple 0 Pear 0 Cherry 0 Peach 0 Plum 0 Nectarine 0 Apricot 0 Lychee 0 Camomile 0 Cinnamon 0 Pepper 0 Carrageen 0 Guargum 0 Carobgum 0 Poppyseed 0 Perubalsam 0 Beans and peas 0 Millet 0 Umbelliferae (e.g. carrot, aniseed, dill, caraway, fennel, chervil, coriander, lovage, parsley, celery, parsnip) . 0 0 = absence of allergen 1 = contains allergen 2 = traces of allergen is possible, because allergen containing product is handled on same site 3 = traces of allergen is possible, due to contamination on the raw material source (e.g. cultivation, harvest, collecting) Date: _________24/09/2019___________ Signature/Stamp: _Shrouk Abou Elfath________

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