·.:..

CONG HOA xA HOI CHU NGHIA VI1~TNAM

DOC LAp - TljDO - ~NH PHUC

*********

BAN TITCONG BO SAN PHAM.sf,: 32/TRUNGNGUYENLEGEND/20 18

I. THONG TIN ve TO CHUC, cA NHAN TV CONG BO SAN PHAM:

Doanh nghi~p: CONG TY CO PHAN cA PHE TRUNG NGUYEN

TAngGhim Bac: DANG LE NGUYEN vnDla chi 268 Nguyen Tfit Thanh, Tp Buon Ma Thuot, Tinh D~kL~k.

Bi~n thoai 0262 3865116 - 02623855570

Fax 0262 3811766

E.mail office@trungnguyenlegend.com

Mi sa thu~ doanh nghiep: 6000429946

sa giiy clnmg nh~n HACCP: FS-VNM-18-22IHACCP, Ngay cip: 27/3/2018;

sa giiy clnrng nh~n FSSC 22000: 38161405003, Ngay cip: 23/8/2016 ;

Noi cip: Intertek Viet Nam.

II. THONG TIN VE SAN PHAM:

1. Ten san phim:

2. Thanh ph§n:

2.1 Nguyen Ii?u chinh : Ca phe (Arabica, Robusta, Catimor)

Ca phe rang xay - WEASEL

2.2 Ph(l gia th~c pho'm: Khong co

3. Thiri han sfr dung: 12 thang k~ til ngay san xuat.

NSX va HSD duoc in tren bao bi san pham,

4. Quy each dong goi va chit li~u bao bi:

4.1 Chat Ii?u hao hi

San pham duoc chua tnrc ti8p trong bao bi mang phirc hop, dam bao an toan v~ sinh thuc

pham chua dung tnrc ti8p san pham.

4.2 Quy each dong goi

San,pham duoc dong g~i' kin, khong ti8p xuc voi khong khi ben ngoai, ~

Khoi hrong cua san pham: 250 g

5. Ten va dja chi coosO'san xuftt san ph§m:

San xuftt tai: NHA.MAY cA PH£' TRUNG NGUYEN - CTY CP cA PH£' TRUNG NGUYEN

Dja chi san xuftt: Cum Cong Nghiep Tan An, phuong Tan An, Tp Buon Ma Thuot, Tinh D~kL~k

III. MAu NHAN SAN PHAM:

Nhan san pham co n('>idung phil hop voi Nghi dinh 43/2017/NI)-CP ngay 14/4/2017 v€ nhan hang hoa

(lJinh kern rndu nhdn scmphdrn)

VI. YEU cAu VE AN ToAN THT/C PHAM:

Phil hop voi quy dinh an toan thuc pham:

- QCVN 8-1 :2011IBYT: QCKTQG gioi han 6 nhiern, d('>ct6c, vi nam trong thirc pham;

- QCVN 8-2:20111BYT: QCKTQG gioi han 6 nhiem kim loai nang trong thirc pham;

- TCVN 5251:2015: Tieu chuan Viet Nam v€ ca phe bot.

- TT 50/20 16/TT-BYT: Quy dinh gioi han t6i da du IUQ1lgthuoc bao v~ thirc v~t trong thirc pham,

1.Yeu ciu v~ cam quan:

- Trang thai: Dang b('>t,min, khong von C\lC

- Mau s~c: Mau nau d~c trung cua san pham

- Mui: Thom d~c trung cua ca phe, khong co mui la,

- Vi: Co vi rfrt d~c trung cua ca phe b('>t

- Ca phe pha: Co mau d~c trung cua san phAm

~,\).\299"~-......___'NG T~

\PHE. ,;G NGUY

2. Chi tieu chftt lU'Q'ngtheo yeu ciu ky thu~t

STT Ten chi tieu DO'nvi tinh Mfrc cong bA chftt lU'Q'ng

01 D(,>Am % ::;5

02 Ham lUQ1lgcaffeine % ~1

3. Chi tieu dQc tA vi nftm

STT Ten chi tieu DO'nvi tinh Mfrc tAi da

01 Ham IUQ1lgOcharatoxin A f.lg/kg ::; 5 0'//~

4. Chi tieu hoa ly,

STT Ten chi tieu Don vi tinh Mrrc tAi eta

01 D(>min tinh theo % khoi hrong

- Diroi ray if> 0,56 mm % 2: 30

- Tren ray if> 0,25 mm % ::; 15

02 D(>Am % ::;5

03 Ham hrong caffeine % 2: 1

04 Ham hrong tro khong tan trong HCl % ::;0,2

05 Ham hrong ch~t tan trong mroc % 2: 25

5. Ham hrong kim loai n~ng

STT Ten chi tieu Don vi tinh Mrrc tAi eta

01 Ham hrong Asen (As) mg/kg ::;1,

02 Ham'hrong chi (Pb) mg/kg ::;2

03 Ham hrong d6ng (Cu) mg/kg ::;30

04 Ham hrong thuy ngan (Hg) mg/kg ::;0,05

05 Ham hrong Cadimi (Cd) mg/kg ::;1

-.~6. Ham hrong hoa chit khong mong muen: Du hrong thuoc bao v~ thirc v~t, cac h6a ch~t khOng»~

mong muon khac phil hQ'Pvoi TT 50/2016/TT-BYT: Quy dinh gioi han t6i da dir hrong thuoc ba? -;

v~ tlnrc v~t trong thuc pham. ,;~~::f

Chung toi cam k~t tlnrc hien dfry du cac quy dinh cua phap lu~t v~ an toan thuc pham va hoan to~m

chiu trach nhiem v~ tinh phap ly cua h6 sa cong b6 va ch~t lugng, an toan thlJc phAm d6i v6i san

phAm da:cong b6.

,~_---tt-"""'.f--- c6p~

cApl:-0 TRUNG N(~

~

KlcH THUOC THANH PHAM:THEOHOPMAu THI,ICT~ DO TRUNGNGUY~NCUNG CAPvA KYDUYeT IN NHO ANG

Thanh phin /Ingredlents:Robusta, Arabica, Catimor

san ph~m cua;CONG TY c6 PHJ\N cA PH~ TRUNG NGlmNProduct of:TRUNG NGUYEN COFFEE CORPORATION Chi tleu chat h.1Q11gchu yeu /

Typical specifications:£>(> ~m / Moisture :!OHam luong caffeine / Caffeine ""

COFFEE ®

san xuat~i:NHA MAy cA PH~TRUNG NG~ -CONG TY c6 PHANcA PH~ TRUNG NGUY~NCl,lmc6ng ngh~ Tan An, PhuOng tan An,TP BuOn MaThu¢t. Tinh £>akl.Ak, V~ Nam.san xuat theo ban quyen SLr dl,lngdc5itllQl'lgSHCNcua CTCP Diu tuTrung Nguyen.Manufactured by:TRUNG NGUYEN COFFEE FACTORY -TRUNG NGUYEN COFFEE CORPORATIONTan An Industrial Zone, Tan An Ward, Buon MaThuoc City, Daklak Province, Vietnam.

5%1%

Thong tin canh bao an toan / Safety alerts:Khong de san ph~m gin noi c6 nhlet d¢ cao.Don't place the product near high temperatures.

Huong d~n bao quan / Preservation:Bao quan noi khe rao va thoang mat.Keep in a dry and cool place.

TCCS s6 / REG No.32ITRUNGNGUYENLEGEND/20 18Lien h~:

cONGTYc6PHANT~ooAN lRUNGNGJYEN82 - 84 Bul Thi Xuan, PhuOng Un Thanh,Qu~n I, TP.HCM, VI~t Nam.Di~n thoat (028) 3925 1845Fax: (028) 3925 1847www.trungnguyenlegend.com

Ngay san xuat va han SLr dung:Xem tren bao bl.Manufacturing date & Expire date:Printed on the package.

WEAfELHu6ng d~n Slr dl,lng / Preparation Instructions:

ContactTRUNG NGUYEN GROUP CORPORATION82 - 84 BUiThi Xuan Street, Ben Thanh Ward,Dist.I, Ho Chi Minh City, Vietnam.Tel: (028) 3925 1845 - (028)3925 1847www.trungnguyenlegend.com

CHON Product of Vietnam.

GROUND COFFEENet Weight:

250 g / S.S oz

cA PHt RANG XAYKhoi lu<;mg Tinh250 g / S.S oz

JLJJ.1J1J~Q

I.Cho vao phin 03 mu6ng (khoang 20gr)ca phe bQt. L~cdl!u va ep nhe nip gaiben trong.

Put 03 spoons (20g) of ground coffeeinto the filter. Gently shake and pressthe cap inside.

2. Dung khoang 20ml nuec tinh khil!t ~96°C-100°C, cham vao phin, che ca " 'y"IS'ophe ngam dl!u. Sau d6 cham them .. ....-1khoang 4Sml nuac soi. <N·oPour 20ml of boilingwater (about ;.:: ~96°C - IOOOC)into the filter. Wait .'-, *until coffee has fullyabsorbed water JYEN ::1:then add 4Sml of boilingwater into ~ <;)~hthe fillter. 1"~

3. Thuong thuc Iyca phe chlSnn6ng dl!cam nh~n huang vi tuyet voi cua caphe dl!n tu thien nhien.

Enjoyweasel coffee to feel the originalcoffee come from nature.

CHAN NAMTSS

CONGTYCPDVKHOAHQCCONGNGH~CHANNAMVP: 80-82-84 Thdng Long, P. 4, Q. Tan Blnh,Tp. HeM

PNM& TN: 176/9A Le Van 5y, P. 10,Q. Phu NhuQn, Tp. HCMDi~n thool: 028.39911131 - 028.39911132 - Hotline: 0901372755

Email: info@channam.com.vn - Website: www.channam.com.vn

s61No: 18111275-1IKQKET QuA THU NGHI:E:M

TEST REPORTMa sa (lD.): 18110753/1811299

A ~ 1. , A A

Ten khach hang: CONG TY CO PHAN CA PHE TRUNG NGUYENClient TRUNG NGUYEN COFFEE CORPORATIONDja chi: 268Nguyen TAtThanh,Phuong Tan L~p,TP.BuonMaThu9t,Tinh DiikHikAddress 268 Nguyen Tat Thanh Street, Tan Lap Ward, Buon Ma Thuot City.Dakl.ak ProvinceNgay nh~n m§u: 19/11/2018 Tho; gian thfr nghi~m: 19-29/11/2018Date of receiving Testing duration:Ngay tra k~t qua: 29/11/2018Date ofreturning:Lo~i m§u:Kind of sampleTen m§u:Name of SampleTinh trang m§u: Dang b9t trong bao bi kin.State of Sample: Powder in bag.

cs phe sA IU'Q'ng:Coffee Quantity:cA PHE RANG XAY WEASEL

01

TT CHiTIEU KET QuA lRESULTPHUONGpHAPmU'

No. SPECIFICATION METHOD- Trang thai: dang b9t min, khong von cue-11au s~e: MEmnau dac trung cua sanpham- Mui : Thom d~e trung cua san pham,khong co mui la-Vi: Co vi dac trung cua san pham.- Ca p~e sau pha: Co mau d~e trung cua

Cam quan/ san pham Cam quan 101 -Status: Powdered, non-lump powdervisual observation - Color: Brown charateristic of the

visual observation

product.-Odor: Characteristic aroma of theproduct, no strange smell.- Taste: Characteristic of the product- Coffee after brewing: the color of theproduct.

Ph\l trach PTN

1. Kif qua naY,chl c61!~~rI~MYt~1'MI'}}stlp,.~s9It is only valid on tested sample2. T:ong ,1m,mau do khach h~ng cu~g cap / Sample information wasprovided by the customer3. ( ) Chi tieu duac VILAS cong nhdn./ Item was accredited by VILAS4. (i) C~l tie~ duac p,!c,An Toan Thuc Phdm (EI}Y Tt) chl dinh / Item was assigned by Vietnam Food Administration (Ministry of Health)

KPH. Khong phat hien / ND: Not detected, LOD: GUYIhan phat hirn / Limit of detection.BM 7.8/1 (01/07/2018) Believe in CHANNAM

CCNG TV CP DV KHOA HQC CCNG NGH~ CHAN NAMVP: 80-82-84 Thdng Long, P. 4, Q. TOnBinh.Tp. HeM

PNM & TN: 176/9A Le Van Sy, P. 10, Q. Phu NhuQn, Tp. HeMDi~n thoql; 028.39911131 - 028.39911132 - Hotline: 0901372755

Email: info@channam.com.vn - Website: www.channam.com.vnCHAN NAMTSS

s6/ No: 18111275-2KQKET QuA THU NGHI~M

TEST REPORTMil sa (ID.): 18110753/1811299

A ;:, 1 ," "-

Ten khach hang: CONG TY CO PHAN CA PHE TRUNG NGUYENClient TRUNG NGUYEN COFFEE CORPORATIONDja chi: 268 Nguy~n TAtThanh, Phuong Tan L~p, TP. BuonMa Thu(,>t,Tinh DaklakAddress 268 Nguyen Tat Thanh Street, Tan Lap Ward, Buon Ma Thuot City,DakLak Province

Ngay nh~n m§u: 1911112018 Tho; gian thfr nghiem: 19-29/11/2018

Date of receiving

Ngay tra k~t qua: 29111/2018

Date ofreturning:Loai m§u:Kind of sampleTen m§u:Name of SampleTinh trang m§u:State of Sample:

Testing duration

Cit phe S6 hreng:Coffee Quantity:cA PHE RANG XAY WEASEL

01

Dang b('>ttrong bao bi kin.Powder in bag.

TT CHiTIEU KETQuA OON", PHUONG pHAP rmrNo. SPECIFICATION RESULT UNIT MEmOD

DQmin dum ray a 0,56 mmI01 Particlespassing throught sieve 56,3 % TCVN 10821:2015

gO,56mm

02 DQmin tren ray'" 0,25 mmI 14,2 % TCVN 10821 :2015Particles on sieve e 0,25mm

03 DQfun!Moisture(*) 1,83 % TCVN 7035 :2002

04 Tro khong tan trong HCL KPHIND TCVN 5253:1990Insolubleash inHCl (LOD=0,02) %

05 Ham luong chAttan trong mroco 27,7 % TCVN 5252:1990Solublematterinwater

06 Caffeine (*) 2,07 % TCVN 9723 :20 13

Ph\l trach PTN TONG GIAM DOC'J~~Q,.LJ'fRECTOR

Trin Thuy Thanh Thao

I. Ke! qua nay~chl co g!d tri,tren mdu t~ii / This testing result is only valid on tested sample2. T:ong»:mau do khach h~ng cu~g cap / Sample information was provided by the customer3. ( ) Chi tieu duac VILAS cong nhdn / Item was accredited by VILAS4. (i) Chi tie;:duac ,Cl,lc,AnToiin Th(lcPhdm (Ei} Y Tt) ,chi dinh.~/te"!. wasassigned by Vietnam Food Administration (Ministry of Health)

KPH. Khong phat hien / ND: Not detected, LOD: Gun h(lnphat htfn / Llmtt of detection.BM 7 8/1 (01/07/2018) Believe in CHAN NAM

CCNG TV CP DV KHOA HQC CCNG NGH~ CHAN NAMVP: 80-82-84 Thong Long, P. 4, Q. Tan Blnh,Tp. HeM

PNM & TN: 176/9A Le Van 59, P. 10,Q. Phu NhuQn, Tp. HeMDi~n thoct: 028.39911131 - 028.39911132 - Hotline: 0901372755

Email: info@channam.com.vn - Website: www.channam.com.vn

s6/ No: 18111275-5/KQKET QuA THU NGHI:t::M

TEST REPORTMit sa (ID.): 18110753/1811299

" ~ ~ ,A "

Ten khach hang: CONG TY CO PHAN CA PHE TRUNG NGUYENClient TRUNGNGUYEN COFFEE CORPORATIONDja chi: 268Nguy~n TfrtThanh, Phuong Tan L~p,TP.Buon Ma ThuQt,Tinh DaklakAddress 268 Nguyen Tat ThanhStreet, TanLap Ward,BuonMa ThuotCity,DakLakProvince

Ngay nh~n miu: 19111/2018 ThOigian thir nghi~m: 19-29/11/2018

Date of receivingNgay tra k~tqua: 29/11/2018

Date of returning:Loai miu:Kind of sampleTen miu:Name of sampleTinh trang miu:State of Sample'

Testing duration

Cit phe s6 hrong:Coffee Quantity:cA PHE RANG XAY WEASEL

01

TT CHiTIEU KETQuA OONVJ POOONGplIAPTHtJNo. SPECIFICATION RESULT UNIT MEfflOD

01T6ng s6vikhufuJ.hi~ukhi Khong phat hien CFU/g

TCVN 4884-1 : 2015TotalPlateCOW'lt(*)(i) Not detected (ISO 4833-1 : 2013)

02 ColifonnsKhong phat hi~n MPN/g

TCVN 4882 : 2007Not detected (ISO 4831 : 2006)

03 EscherichiaColiKhong phat hien MPN/g

TCVN 7924-3 : 2008Not detected (ISO 16649-3:2001)

04T6ng s6 nfun nero,nfunm& Khong phat hien CFU/g

TCVN 8275-2:2010Yeast and Mould (*)(i) Not detected (ISO 21527-2:2008)

Dang bQttrong bao bi kin.Powder in bag

Ghz chu: Chi tieu s6 01,04 eo nguiing phat hien =10CFUlgChitieu s6 02,03 eo nguiing phat hien =0,3MPN/g

Note: Items number 01,04 limit of dectection =1OCFUlgItems number 02,03 limit of dectection =0,3MPNlg

Ph\l trach PTN T = G GIAM DOCE

Believe in CHAN NAM

CONGTYCPDVKHOAHOCCONGNGH~CHANNAM. .VP: 80-82-84 Thdng Long, P. 4, Q. Tan Blnh,Tp. HeM

PNM& TN: 176/9A La Van 59, P. 10,Q. Phu NhuQn, Tp. HeMDi~n thocl: 028.39911131 - 028.39911132 - Hotline: 0901372755

Email: info@channam.com.vn - Website: www.channam.com.vn

S6/ No: 18111275-4/KQKET QuA THU NGHIlj:M

TEST REPORTMa sa (ID.): 18110753/1811299

A. ~ ~ ,A. A

CONG TY CO PHAN CAPHE TRUNG NGUYENTRUNG NGUYEN COFFEE CORPORATION268Nguy~nTat Thanh,Phuong Tan L~p,IT. BuonMa Thu(l~TinhDiikHik

Ten khach hang:

ClientDja chi:Address 268 Nguyen Tat Thanh Street, Tan Lap Ward, Buon Ma Thuot City,DakLak Province

Ngay nh~n miu: 19/1112018 Tho; gian thfr nghiem: 19-2911112018

Date of receiving

Ngay tra k~t qua: 29/11/2018

Date of returning:Loai miu:Kind o£sampleTen mau:Name of sampleTinh trang miu:State of Sample:

Testing duration

Cit phe sA 1U'Q'ng:Coffee Quantity:cA PHE RANG XAY WEASEL

Dang b(lt trong bao bi kin.Powder in bag

01

TT CHITIEUNo. SPECIFICATION

KETQuARESULT

OONVJUNIT

PHUONG pJIApTH(fMETHOD

01 Arsen 1Arsenic (As) AOAC 986.15KPHlND(LOD=O,OI) mg/kg

02 Cadimi 1Cadmium (Cd) (*)(i) AOAC 999.110,022 mg/kg

03 Chi 1Lead (Pb) (*)(i) AOAC 999.l10,037 mg/kg

04 Thuy ngan 1Mercury (Hg)KPHlND

( LOD=O,OI) mg/kg AOAC 974.l4

05 D6ng 1Copper (Cu) (*)(i) AOAC 999.11

Phu trach PTN

1,20

Trin Thuy Thanh Thao

mg/lOOg

1. Kef qua nay,chl co gia tri fren m3.ut~il / This testing result is only valid on tested sample2. T~lOng,tin,mau do khdch h~ng cu~g cap / Sample information was provided by the customer3. ( ) Chi tieu duac VILAS cong nhdn / Item was accredited by VILAS4. (i) ChI tieI;!duac C{tc,AnToan Thuc Phiim (B(i Y Te) chl dinh / Item was assigned by Vietnam FoodAdministration (Ministry of Health)

KPH. Khong phat hien / ND: Not detected, LOD: Giai han phat hien / Limit of detection.BM 7.8/1 (01/07/2018) Believe in CHAN NAM

CHAN NAMTSS

CONG TV CP DV KHOA HOC CONG NGHE CHAN NAM. .VP: 80-82-84 Thong Long, P. 4, Q. Tan Blnh, Tp. HeM

PNM & TN: 176/9A le Van Sy, P. 10,Q. Phu Nhu¢n. Tp. HCMDi(!n thoQi: 028.39911131 - 028.39911132 - Hotline: 0901372755

Email: info@chonnom.com.vn - Website: www.chonnom.com.vn

s6/ No: 18111275-3KQKET QuA THU NGHI:E:M

TEST REPORTMil sa (ID.): 18110753/1811299

A ~ ~ ,A. I'\.

Ten khach hang: CONG TY CO PHAN CA PRE TRUNG NGUYENClient TRUNG NGUYEN COFFEE CORPORATIONDja chi: 268NguySn TAtThanh, Phuong Tan L~p,TP. BuonMa Thu9t, Tinh BiiklakAddress 268 Nguyen Tat Thanh Street, Tan Lap Ward, Buon Ma Thuot City,DakLak Province

Ngay nh~n mau: 1911112018 ThOi gian thfr nghi~m: 19-29/1112018

Date of receivingNgay tra k~t qua: 2911112018

Date of returning:Loai mau:Kind of sampleTen mau:Name of SampleTinh trang mau:State of Sample:

Testing duration

ca phe S6 lU'Q1lg:Coffee Quantity:cA PHE RANG XAY WEASEL

01

Dang b9t trong bao bi kin.Powder in bag

TCVN 9724 : 2013

TTNo.

01

KET QUA.RESULT

OONVlUNIT

PHUONG pHAPTIIlYMETHOD

ug/kg

CHiTIEUSPECIFICATION

Khong phat hien /Not detected(LOD=l,O)

Ochratoxin A

Ph1,J.trach PTNLaboratory Manager

TONG GIAM DOCDIRECTOR

Tr§n Th1,J.yThanh Thao

~. Kef qua nay"chi co g!a tri_rrenmdu t~U/ This testing result is only valid on tested sample3' (T:)ocngh/lnAmadudo khach hc:ngcu~g dip / Sample information was provided by the customer'. !tl;U uac VILAS cong nhdn / Item was accredited by VILAS

4. (i) Chi tieu duac Cue An Toan Thuc Phdm.(Bo Y T'"') hl di h /1 . .KPH: KhOngpluu hien / ND: Not detected, LOD: ~i~ ~t;l~~hd/~~n7L:i~l~7fet~~t~~tnam FoodAdministration (Ministry of Health)

BM7.8/1 (01/07/2018) Believe in CHANNAM