Shasta Beverages, LLC
Carbonated Soft Drinks
La Croix Sparkling Water
Energy Drinks
Catalog
Documents
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Allergens
(visible)
Click to download A -
Country of origin
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Click to download COO -
Product specification
(visible)
Click to download PS -
SDS (Safety Data Sheet)
(visible)
Click to download SDS -
COA template
(not added) COA -
Item questionnaire
(not added) IQ -
Nutrition
(not added) N -
Suitability requirements
(not added) SR
Locations
| Location name | Address |
|---|---|
| Faygo Beverage Inc | C/O: Emerald Performance Materials 3579 Gratiot Ave. Detroit, MI 48207 USA |
| National Beverage Corp | 8100 SW 10th St Plantation, FL 33324 USA |
| Shasta Beverage Gainesville | 1165 Palmour Dr Gainesville, GA 30501 USA |
| Shasta Hayward Concentrate | 26901 Industrial Blvd, Hayward,, CA 94545 USA |
Documents
| Type | Location | File name | Effective | Expiration |
|---|---|---|---|---|
| Supplier Questionnaire | Lenexa | -- | ||
| Supplier Questionnaire | Shasta Hayward Concentrate | -- | ||
| Supplier Questionnaire | Shasta Beverage Gainesville | -- | ||
| URM Certificate of Insurance | Tukwila | 2.14.2025 URM Stores, Inc. COI.pdf | 2/13/2025 | 2/13/2026 |
| 3rd Party Audit Corrective Action Plan | LaMirada | 2023-0427_La Mirada Merieux Audit CAPA.pdf | 4/27/2023 | 7/3/2024 |
| 3rd Party Audit Report | LaMirada | 2023-0427_La Mirada Merieux Audit Report.pdf | 4/27/2023 | 7/3/2024 |
| 3rd Party Audit Certificate | LaMirada | 3rd Party Audit Cert_Shasta Beverages_La Mirada CA.pdf | 12/6/2018 | 12/6/2019 |
| Allergen Control Policy | Lenexa | Allergen Statement 2023.pdf | 11/3/2023 | 11/2/2025 |
| Allergen Control Policy | Shasta Hayward Concentrate | Allergen Statement.docx | 12/7/2023 | 12/6/2025 |
| Food Contact Packaging Cert. of Compliance | Tukwila | Food Contact Packaging Statement_National Beverage Corp 04.15.24.pdf | 4/15/2024 | 4/15/2025 |
| Food Safety Plan (HACCP/HARPC - Product Specific) | National Beverage Corp | FSMA Statement 2024_Edited.pdf | 11/5/2024 | 11/5/2025 |
| HACCP Plan (Facility) | LaMirada | HACCP Statement 10282022.pdf | 10/28/2022 | 10/27/2024 |
| HARPC Food Safety Plan (Facility) | Shasta Hayward Concentrate | HACCP Statement.docx | 12/7/2023 | 12/7/2024 |
| HACCP Plan (Facility) | Lenexa | HACCP Statement.docx | 12/7/2023 | 12/6/2025 |
| Supplier Specifications | LaMirada | La Croix Brand Sparkling Water PTD - Naturally Essenced QAR050823.32.v0 050823.pdf | 5/9/2023 | 2/20/2297 |
| Letter of Guarantee | Shasta Hayward Concentrate | Letter Of Guarantee.docx | 12/7/2023 | 12/6/2025 |
| 3rd Party Audit Certificate | Shasta Hayward Concentrate | MNCert Audit Participation 23Shasta Beverages Hayward Concentrate - Hayward, CA(GMP)(5-8-2023).pdf | 5/8/2023 | 5/8/2024 |
| Environmental Policy | LaMirada | National Beverage Corp. Statement of Environment & Sustainablility QAR.032723.29.V1.pdf | 3/27/2023 | 3/26/2024 |
| FDA Registration | Shasta Hayward Concentrate | National Bevpak Hayward 13728616414.pdf | 12/31/2024 | 12/31/2026 |
| Bioterrorism Letter | Shasta Hayward Concentrate | NBC_Bioterrorism Statement 11.05.2024.pdf | 11/5/2024 | 11/5/2026 |
| Recall/Emergency/Contact List | Tukwila | NBC_Recall Contact List 10.28.2024.pdf | 11/5/2024 | 11/5/2025 |
| 3rd Party Audit Certificate | National Beverage Corp | NotApplicable_3rdPartyAuditCertificate.pdf | 3/10/2025 | 3/10/2026 |
| 3rd Party Audit Certificate | Lenexa | NotApplicable_3rdPartyAuditCertificate.pdf | 3/10/2025 | 3/10/2026 |
| 3rd Party Audit Corrective Action Plan | National Beverage Corp | NotApplicable_3rdPartyAuditCorrectiveActionPlan.pdf | 3/10/2025 | 3/10/2026 |
| 3rd Party Audit Corrective Action Plan | Lenexa | NotApplicable_3rdPartyAuditCorrectiveActionPlan.pdf | 3/10/2025 | 3/10/2026 |
| 3rd Party Audit Report | National Beverage Corp | NotApplicable_3rdPartyAuditReport.pdf | 3/10/2025 | 3/10/2026 |
| 3rd Party Audit Report | Lenexa | NotApplicable_3rdPartyAuditReport.pdf | 3/10/2025 | 3/10/2026 |
| Allergen Control Policy | National Beverage Corp | NotApplicable_AllergenControlPolicy.pdf | 3/10/2025 | 3/10/2027 |
| Ben E. Keith Vendor Verification Questionnaire | National Beverage Corp | NotApplicable_BenEKeithVendorVerificationQuestionnaire.pdf | 3/10/2025 | 9/8/2026 |
| Bioterrorism Letter | Lenexa | NotApplicable_BioterrorismLetter.pdf | 3/10/2025 | 3/10/2027 |
| Food Defense Plan Statement | Lenexa | NotApplicable_FoodDefensePlanStatement.pdf | 3/10/2025 | 3/10/2027 |
| Food Product Assessment | National Beverage Corp | NotApplicable_FoodProductAssessment.pdf | 3/10/2025 | 3/10/2027 |
| GFSI Certificate | Shasta Beverage Gainesville | NotApplicable_GFSICertificate.pdf | 3/10/2025 | 3/10/2026 |
| Insurance | Lenexa | NotApplicable_Insurance.pdf | 3/10/2025 | 3/10/2026 |
| Product Recall Letter/Policies | Lenexa | NotApplicable_ProductRecallLetterPolicies.pdf | 3/10/2025 | 3/10/2026 |
| Questionnaire Upload | Faygo Beverage Inc | NotApplicable_QuestionnaireUpload.pdf | 3/10/2025 | 3/10/2027 |
| Questionnaire Upload | Shasta Hayward Concentrate | NotApplicable_QuestionnaireUpload.pdf | 3/10/2025 | 3/10/2027 |
| Questionnaire Upload | Shasta Beverage Gainesville | NotApplicable_QuestionnaireUpload.pdf | 3/10/2025 | 3/10/2027 |
| Recall/Emergency/Contact List | Shasta Hayward Concentrate | NotApplicable_RecallEmergencyContactList.pdf | 3/10/2025 | 3/10/2026 |
| Recall/Emergency/Contact List | Lenexa | NotApplicable_RecallEmergencyContactList.pdf | 3/10/2025 | 3/10/2026 |
| Recall Plan | Lenexa | NotApplicable_RecallPlan.pdf | 3/10/2025 | 3/10/2026 |
| SGC Confidentiality Agreement | Lenexa | NotApplicable_SGCConfidentialityAgreement.pdf | 3/10/2025 | 3/9/2028 |
| SGC Guaranteed Sale Form | Lenexa | NotApplicable_SGCGuaranteedSaleForm.pdf | 3/10/2025 | 3/10/2026 |
| SGC Vendor Indemnity | Lenexa | NotApplicable_SGCVendorIndemnity.pdf | 3/10/2025 | 3/9/2028 |
| Supplier Contact Information Verification Document | Lenexa | NotApplicable_SupplierContactInformationVerificationDocument.pdf | 3/10/2025 | 3/10/2026 |
| Supplier Questionnaire | Faygo Beverage Inc | NotApplicable_SupplierQuestionnaire.pdf | 3/10/2025 | 3/10/2027 |
| Supplier Questionnaire | Shasta Hayward Concentrate | NotApplicable_SupplierQuestionnaire.pdf | 3/10/2025 | 3/10/2027 |
| Supplier Questionnaire | Shasta Beverage Gainesville | NotApplicable_SupplierQuestionnaire.pdf | 3/10/2025 | 3/10/2027 |
| Supplier Questionnaire | Lenexa | NotApplicable_SupplierQuestionnaire.pdf | 3/10/2025 | 3/10/2027 |
| Letter of Guarantee | Lenexa | QAR.042623.301 Shasta Continuing Guarantee 06.05.23.pdf | 6/5/2023 | 6/4/2025 |
| Recall Plan | LaMirada | QCMR-002 Product Recall Procedure_Rev 25_11-22-22.pdf | 5/1/2023 | 4/30/2024 |
| Contact Information | National Beverage Corp | Schnucks Supplier Contact Form 04182023.docx | 4/18/2023 | 4/17/2024 |
| Health Dept Permit (County & State, if applicable) | LaMirada | Shasta - La Mirada CA PFR License Exp 10-25-24.pdf | 10/26/2023 | 10/25/2024 |
| FDA Registration | Lenexa | Shasta Beverages Lenexa 16245082616.pdf | 12/31/2024 | 12/31/2026 |
| USDA / FDA Registration | Tukwila | Shasta Beverages Tukwila 12232041112.pdf | 12/31/2024 | 12/31/2026 |
| W-9 | Lenexa | Shasta Beverages W9.pdf | 2/20/2024 | 2/19/2027 |
| W-9 | Tukwila | Shasta Beverages W9.pdf | 2/20/2024 | 2/19/2027 |
| W-9 | LaMirada | Shasta Beverages W9.pdf | 3/11/2021 | 3/10/2024 |
| Recall Plan | Shasta Hayward Concentrate | SOP-QFS-005 Recall Program.pdf | 6/5/2024 | 6/5/2025 |
| 3rd Party Audit Certificate | Tukwila | SQF FS CERTIFICATE Shasta Beverages - Tukwila DUE MAR 2025.pdf | 3/27/2024 | 6/10/2025 |
| Supplier Questionnaire | LaMirada | Supplier Questionnaire.pdf | 5/1/2023 | 4/30/2025 |
| Supplier Questionnaire | National Beverage Corp | Supplier Questionnaire.pdf | 5/1/2023 | 4/30/2025 |