POG Spec 5152 Made with Whole Grain Tea Biscuit 1-22-2022 Signed.pdf

MADE WITH WHOLE GRAIN TEA BISCUIT 12 CT

UPC Code: N/A Spec # 5152

Spec Date 1/22/2022

INGREDIENTS: WATER, WHOLE WHEAT FLOUR, ENRICHED UNBLEACHED FLOUR (WHEAT

FLOUR, MALTED BARLEY FLOUR, NIACIN, REDUCED IRON, THIAMINE MONONITRATE,

RIBOFLAVIN, FOLIC ACID), SUGAR, WHEAT GLUTEN, YEAST, CONTAINS 2% OR LESS OF

THE FOLLOWING: SOYBEAN OIL, SALT, DOUGH CONDITIONERS (MONOGLYCERIDES,

SODIUM STEAROYL LACTYLATE, ASCORBIC ACID, CALCIUM SULFATE, ENZYMES),

MONOCALCIUM PHOSPHATE, CALCIUM PROPIONATE (PRESERVATIVE), SESAME FLOUR.

CONTAINS: WHEAT AND SESAME

Nutrition Facts

Serving Size: 1 Roll (28g)

Servings per Container: 12

Calories 80

Total Fat 1 g 1%

Saturated Fat 0 g 0%

Trans Fat 0 g

Cholesterol 0 mg 0%

Sodium 130 mg 6%

Total Carbohydrates 14 g 5%

Dietary Fiber 2 g 7%

Total Sugars 3 g

Includes 2g Added Sugars 4%

Protein 3 g

Vitamin D 0 mcg 0%

Calcium 34 mg 2%

Iron 1 mg 6%

Potassium 54 mg 2%

Thiamin 0.2 mg 15%

Riboflavin 0.1 mg 8%

Niacin 0 mg 0%

Folate 18 mcg DFE 4%

Bread Credits per serving (grain ounce equivalency): 1

Grams whole grains per serving: 9g

Grams enriched flour per serving: 8g

UPC Code: N/A

Government Standards: The product shall be manufactured according to Good

Manufacturing Practice, 21 CFR Part 110 and shall comply with all applicable federal, state, and municipal food, drug and health laws.

Product Description: Unsliced Cluster Wheat Dinner Roll

Approved

Manufacturing

Locations: St. Cloud, MN; Fargo, ND; Sun Prairie, WI

Physical Standards:

Net Weight: 12 oz (336g) per dozen

Number of buns: 12

Weight per bun: 1.0 oz (28g) per roll

Style: Individual White Whole Grain Unsliced Dinner Roll

Heel Thickness: N/A

Length of Bun: N/A

Width of Bun: N/A

Diameter of Bun: 3.0” ± 0.25”

Bun Height: 1.75” ± 0.25”

Crust Color: Golden brown

Crust Topping: None

Crumb Color: Off white/tan

Dough Inclusions: None

Flavor: Mild clean taste, no off flavors or odors

Foreign Material: Shall contain no material foreign to the product

Sifting/Filtering: All ingredients used in the manufacturing of this product have been sifted or filtered by either ingredient supplier or Pan-O-Gold Baking Co.

Product Country of Origin: United States

UPC Code: N/A

Allergens:

Component Present in the product

Present in the other products manufactured on the same line

Present in the same manufacturing plant

Crustaceans/Shellfish N N N

Egg Products N N N

Fish Products N N N

Milk and Dairy Products N N N

Peanut Products N N N

Soy Products N N N

Tree Nuts N N N

Wheat Products Y Y Y

Sesame Products Y Y Y

*Soy Oil used is fully refined and deodorized and as such is not considered an allergen

GMO Classification: Classified as non-GMO due to no traces of GMO material present from ingredient processing by ingredient suppliers.

Kosher Certification: Yes

Halal Certification: None

Package: Rolls are packed in a plain poly bag with twist tie re-closable closure

Code: “Best if used by” date

Shelf Life: 13 days fresh

Storage Requirement: Maintain at room temperature, 50° to 90°F or frozen

UPC Code: N/A

Calculation for the percentage of whole grain:

Whole wheat flour per batch = 205 lbs

Enriched white flour per batch = 175 lbs

Total flour per batch = 380 lbs

205 lbs whole wheat flour ÷ 380 lbs total flour = 0.5394 *100

Percentage of whole wheat flour = 53% whole grain

Calculation for Grams of Whole Grain

205 (Whole wheat flour lbs per batch) * 454 (grams per pound) ÷ 10337 (servings per batch) =

9.0003 = 9 grams whole grain per serving

Calculations for Grams of Enriched Flour

175 (Enriched white flour lbs per batch) * 454 (grams per pound) ÷ 10337 (servings per batch) =

7.69 grams = 8 grams enriched flour

Calculation for Bread Credits

205 lbs whole wheat flour + 175 lbs enriched flour = 380 lbs creditable flour per batch

380 (creditable flour lbs per batch) * 454g per lb ÷ 10337 buns per batch = 16.689 ÷ 16 gram equivalency = 1.043 unrounded = 1 bread credit (rounded down to the nearest ¼)

Formulation Statement for Documenting Grains in School Meals Required

Beginning SY 2013-2014

(Crediting Standards Based on Grams of Creditable Grains)

School Food Authorities (SFAs) should include a copy of the label from the purchased product package in addition to the following information on letterhead signed by an official company representative.

Grain products may be credited based on previous standards through SY 2012-2013. The new crediting standards for grains (as outlined in Policy Memorandum SP 30-2012) must be used beginning SY 2013-

2014. SFAs have the option to choose the crediting method that best fits the specific needs of the menu planner.

Product Name: Made with Whole Grain Tea Biscuit Code No.: 5152

Manufacturer: Pan-O-Gold Baking Co. Serving Size 28 gram (raw dough weight may be used to calculate creditable grain amount)

UPC Code: N/A

I. Does the product meet the Whole Grain-Rich Criteria: Yes X No

(Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast

Program.)

II. Does the product contain non- creditable grains: Yes No X How many grams:

(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group

H of non- creditable grains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch

Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-

G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains.

Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of

28grams creditable grain per oz eq; and Group I is reported by volume or weight.)

Indicate to which Exhibit A Group (A-I) the Product Belongs: B

Description of Creditable

Grain Ingredient*

Grams of Creditable Grain

Ingredient per

Portion

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)

B

Creditable

Amount

A ÷ B

Whole wheat flour 9.00 grams 16 g 0.5625 g Unbleached white flour 7.69 grams 16 g 0.480625 g

1.043125 Total Creditable Amount

1.0

*Creditable grains are whole-grain meal/flour and enriched meal/flour.

1 (Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams.

2 Standard grams of creditable grains from the corresponding Group in Exhibit A.

3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 1 oz (28g) Total contribution of product

(per portion) 1oz equivalent

I certify that the above information is true and correct and that a 1 ounce portion of this product (ready for serving) provides 1 oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz

eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

Food Safety-Q/A Manager

Signature Title

Robert Huebner Food Safety-Q/A Manager

Printed Name Title

UPC Code: N/A

Formulation Statement for Documenting Grains in School Meals This Option is Available for SY 2012-2013

School Food Authorities (SFAs) should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative. Grain products may be credited based on previous standards through SY 2012-2013. The new crediting standards for grains (as outlined in Policy

Memorandum SP 30-2012) must be used beginning SY 2013- 2014. SFAs have the option to choose the crediting method that best fits the specific needs of the menu planner.

Product Name: Made with Whole Grain Tea Biscuit Code No.: 5152

Manufacturer: Pan-O-Gold Baking Co. Case/Pack/Count/Portion/Size: 1 dinner roll 28 gram 12 per package

I. Does the product meet the Whole Grain-Rich Criteria: Yes X No

(Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program)

II. Use the Exhibit A chart in the Food Buying Guide (page 3-15 &16) to determine if the product fits into

Groups A-G, Group H or Group I. (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 14.75grams per serving; Group H uses the standard of 25 grams per serving; and Group I is reported by volume or weight, whichever is less). Indicate which Exhibit A Group (A-I) the Product Belongs: B

Description of Product per

Food Buying Guide

Portion Size of Product as Purchased

A

Weight of one portion as listed in Exhibit A of Food Buying

Guide

B

Creditable

Amount1

A ÷ B

1 Dinner Roll 28 grams 28 grams 1.0

A. Total Creditable Amount1 1.0

1 Total Creditable Amount must be rounded down to the nearest quarter (0.25) serving. Do not round up.

Total weight (per portion) of product as purchased 28 grams Total contribution of product (per portion) 1.0 oz

I further certify that the above information is true and correct and that a 1.0 oz ounce portion of this product (ready for serving) provides a serving(s) of Grains/Breads.

UPC Code: N/A

The Richard B. Russell National School Lunch Act provides in Section 12(n) the Buy

American provision which requires that school food authorities (SFAs) operating school meals programs purchase domestically produced (grown) and processed foods, to the maximum extent practicable. The Buy American provision was codified in the National

School Lunch Program regulations at 7 CFR 210.21(d). A “domestic commodity or product” is defined in the Federal regulations as:

(i) an agricultural commodity that is produced in the United States (U.S.); and

(ii) a food product that is processed in the U.S., substantially using agricultural commodities that are produced in the U.S., 7 CFR 210.21(d).

Product Certification

Pan-O-Gold Baking Co. certifies that our product above is __100%______manufactured in the US and has at least ____98%______% U.S. content.