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ALLERGEN/INGREDIENT INFORMATION FORM 2012-13 Revised Aug. 12<br />
SOY PEANUT TREE<br />
NUTS<br />
EGG<br />
DAIRY<br />
HIGH<br />
FRUTOSE<br />
CORN<br />
SYRUP<br />
RED,<br />
YELLOW,<br />
ORANGE<br />
OR BLUE<br />
DYE<br />
TRANS FAT<br />
GLUTEN<br />
WHEAT/RYE<br />
BARLEY<br />
Carb<br />
Grams/<br />
Serving<br />
# Description<br />
CANNED, DRY<br />
1 Apples, Sliced 14<br />
2 Applesauce, 4 oz. cup 12<br />
3 Applesauce 13<br />
4 BBQ Sauce x x x 6.5/T.<br />
5 Bacon Bits 0<br />
6 Beef Base-LS x x x 3<br />
7 Chicken Base-LS x 3<br />
8 Ham Base- LS x 1<br />
9 Vegetable Base 1<br />
10 Beans, Black 16<br />
11 Beans, Green 4<br />
12 Beans, Kidney 17<br />
13 Beans, Refried 20<br />
14 Beans, Vegetarian 26<br />
15 Beets, Sliced 8<br />
16 Biscuit Mix x x x x 23<br />
17 Butter Buds, Dry x 1/t.<br />
18 Butter Flavor Spray x -i<br />
19 Cake Mix, Yellow x x x x x 32w/Icing<br />
20 Cereal Bar,CocoaPuf x x 28<br />
21 Cereal Bar,CinToast x x 27<br />
22 Cereal Bar,HNChero. x x x x x x 28<br />
23 Cereal,Bowl,Apple x 24<br />
24 Cereal,Bowl,PlChero x 14<br />
25 Cereal,Bowl,Cinna x x 22<br />
26 Cereal Bowl,CornFlks x 16<br />
27 Cereal,Bowl,FrstFlks x 25<br />
28 Cereal,Bowl,WheatSq x x 23<br />
29 Cereal,Bowl,HNChero x x 22<br />
30 Cereal,Bowl,HNKix 16<br />
31 Cereal, Kashi Honey x x 24<br />
32 Cereal Bowl,Kix 15<br />
33 Cereal,Bowl,RiceChex 16<br />
34 Cereal,Bowl,RiceKrs 16<br />
35 Cereal Bwl,Raisin Brn x x x 25<br />
36 Cereal,Bulk,RiceKrs 16<br />
37 Cherries, Marashino x x 1=2<br />
38 Chips, Chocolate 1oz. x x x(.13) 20<br />
39 Chips, Tortilla Scoop x 19<br />
40 Cocoa, 1 oz. 15<br />
41 Cookies, Plain x x x 18<br />
42 Cookies, Chocolate x x 19.4<br />
43 Cookies, Shaped x x x 22<br />
44 Corn 17<br />
45 Cornstarch, 1 T. 7<br />
46 Crackers,Fish, Chees x x x 19<br />
47 Crackers, Club x x x<br />
48 Crackers, Graham x x x 12<br />
49 Crackers, Graham x x x 18<br />
50 Crackers, Saltine x x 9<br />
51 Crackers, Saltine,Wht x 5<br />
52 Dressing, Caesar x x x 2<br />
53 Dressing, French x 5
ALLERGEN/INGREDIENT INFORMATION FORM 2012-13 Revised Aug. 12<br />
SOY PEANUT TREE<br />
NUTS<br />
EGG<br />
DAIRY<br />
HIGH<br />
FRUTOSE<br />
CORN<br />
SYRUP<br />
RED,<br />
YELLOW,<br />
ORANGE<br />
OR BLUE<br />
DYE<br />
TRANS FAT<br />
GLUTEN<br />
WHEAT/RYE<br />
BARLEY<br />
54 Dressing, Italian x 2<br />
55 Dressing,Dry,Ranch 0<br />
56 Dressing, Ranch RC x x x 1<br />
57 Dressing, Mayo RC x x x 1<br />
58 Dressing, Salad RC x x x 3<br />
59 Flour, Bread x 23<br />
60 Flour, All Purpose x 23<br />
61 Flour, Whole Wheat x 21<br />
62 Fruit Cocktail x 19<br />
63 Gelatin x 18<br />
64 Gravy Mix, White x x x (1.5g) x 5<br />
65 Gravy Mix, Brown x x x 4<br />
66 Gravy Mix, Chicken x x x x 5<br />
67 Icing Mix, White x x 26<br />
68 Jelly, Grape, 1T. x 13<br />
69 Juice Bxd,F/V Blnd 15<br />
70 Marshmallows, Mini 20<br />
71 Milk, Dry x 21<br />
72 Muffin Mix, Cornml x x x x 26<br />
73 Mustard 0<br />
74 Oatmeal, Quick Cook x 29<br />
75 Oil, Canola 0<br />
76 Onions, dehydr 0<br />
77 Oranges, Mandarin 17<br />
78 Pan coating, Spray x 0<br />
79 Pasta, Lasagna x x 41<br />
80 Pasta, Macaroni x x 41<br />
81 Pasta, Noodles, Egg x x 41<br />
82 Pasta, Spaghetti x x 41<br />
83 Peaches, Diced 17<br />
84 Peaches, Sliced 17<br />
85 Peanut Butter x x 6<br />
86 Pears, Diced 19<br />
87 Pickle Chips, Dill x 0<br />
88 Pickle Chips, Sweet x 8<br />
89 Pickle Relish, Sweet x 4<br />
90 Pineapple Tidbits 18<br />
91 Potato, Augratin x x x 24<br />
92 Potatoes, Dhy,Butter x x 17<br />
93 Potatoes, Canned 14<br />
94 Pudding, Chocolate x x x 11.5<br />
95 Pudding, Vanilla x x x 12.5<br />
96 Rice,Brown<br />
97 Rice, Chicken Pilaf 11.5<br />
98 Salsa 2<br />
99 Salt<br />
100 Sauce, Cheese, Nacho x x x 8<br />
101 Sauce, Pizza 5<br />
102 Sauce, Spaghetti x x 10<br />
103 Sauce, Taco 4<br />
104 Soup, ChcknNoodle x x x x x 7<br />
105 Soup, Tomato x x x x<br />
108 Sugar, Confect 10X/oz 30<br />
109 Sugar, Confect 6X 28<br />
Carb<br />
Grams/<br />
Serving
ALLERGEN/INGREDIENT INFORMATION FORM 2012-13 Revised Aug. 12<br />
SOY<br />
PEANUT<br />
TREE<br />
NUTS EGG DAIRY<br />
HIGH<br />
FRUTOSE<br />
CORN<br />
SYRUP<br />
RED,<br />
YELLOW,<br />
ORANGE<br />
OR BLUE<br />
DYE<br />
TRANS FAT<br />
GLUTEN<br />
WHEAT/RYE<br />
BARLEY<br />
Carbs<br />
Grams/<br />
Serving<br />
110 Sugar, Granulated, 1 t. 4<br />
111 Sugar, Lt Brown, 1 t. 4<br />
112 Syrup, Pancake, 1 oz. 25.5<br />
113 Taco Season Mix, 2 t. x 5<br />
114 Taco Shells, 6” 23<br />
115 Taco “Tub or Boat” x x 14<br />
116 Tea Bags<br />
117 Tomato Catsup, 1 T. x 4<br />
118 Tomatoes, Crushed 4<br />
119 Tomato Paste, 2 T. 6<br />
120 Tomato Sauce, 1/4C . 4<br />
121 Tuna, Chunk Light x 0<br />
122 Vinegar, Cider<br />
123 Vinegar, White<br />
124 Water, Pure Spring<br />
125 Water, Juice Blend<br />
Apple Berry<br />
Fruit Punch<br />
Kiwi Strawberry<br />
Orange Tangerine<br />
126 Yeast, Dry<br />
127 Barbecue Sauce 4<br />
128 Catsup, Tomato 5<br />
129 Dressing, Hon.Mus.In. x x x x 7<br />
130 Dressing, French, Ind x 2.4<br />
131 Dressing, Ranch, Ind x x x .7<br />
132 Dressing, Thous, Ind x x x 2.2<br />
133 Honey, Ind 7.4<br />
134 Jelly, Grape, Ind x 8.9<br />
135 Mayo, Ind, Red. Cal x x x 1.8<br />
136 Mustard, Ind .5<br />
137 Sauce, Hot Ind 0<br />
138 Sauce, Taco Ind 1<br />
139 Sauce, Tartar, Invd x x x 1.7<br />
140 Salt, Ind<br />
141 Syrup, Pancake, Ind x 31<br />
146 Baking Powder<br />
147 Basil Leaves<br />
148 Chili Powder<br />
149 Cinnamon, ground<br />
150 Cumin, ground<br />
151 Garlic Powder<br />
152 Garlic Salt<br />
153 Mrs. Dash<br />
154 Mustard, ground<br />
155 Onion Powder<br />
156 Oregano Leaves<br />
157 Paprika<br />
158 Parsley Flakes<br />
159 Pepper, Black<br />
160 Seasoning, Italian<br />
161 Vanilla Flavoring<br />
24<br />
24<br />
24<br />
23
ALLERGEN/INGREDIENT INFORMATION FORM 2012-13 Revised Aug. 12<br />
SOY PEANUT TREE<br />
NUTS<br />
EGG<br />
DAIRY<br />
HIGH<br />
FRUTOSE<br />
CORN<br />
SYRUP<br />
RED,<br />
YELLOW,<br />
ORANGE<br />
OR BLUE<br />
DYE<br />
TRANS FAT<br />
GLUTEN<br />
WHEAT/RYE<br />
BARLEY<br />
Carb<br />
Grams/<br />
Serving<br />
FROZEN FOODS<br />
162 Apple Roll, wh grain x x x x 32<br />
163 Bacon, precooked 0<br />
164 Bagels, plain, Half x 17<br />
165 Bagels, cinn raisin,half x x x 18<br />
166 Beans, Baby Limas 25<br />
168 Beef, Ground, 85/15 0<br />
169 Beef Patty, pre-cook 0<br />
170 Beef, Meatballs x .7<br />
171 Beef, Salisbury Steak x x x 3<br />
172 Beef, Teriyaki, Bites x x 6<br />
173 Beef Wafer Steak x .7<br />
174 Biscuits, PreBaked x x 28<br />
175 Biscuit,Mini x x 12<br />
176 Bologna 3<br />
177 Sandwch Thin,Arnold x x 22<br />
178 Bread, Ulta Loco,Rd x x 21<br />
179 Bread, Ultra Loco Sq x x 22<br />
180 Bread Stick, WhiteWh x x 21<br />
181 Bread, Cheese Filled,1 x x x x 15<br />
182 Broccoli Florets 5<br />
183 Breakfast Round Rich x x x x x x 44<br />
185 Buns,Hambrger,WG x x 26<br />
186 BunHmbgrWG SwlTp x x 30<br />
188 Buns,HotDog, WG x x 21<br />
189 Burritos,Bean&Beef x x 51.5<br />
190 Burritos, Ches.& Bean x x 53.5<br />
191 Carrots, WholeBaby 8<br />
192 Cheese,Am.LF, slcd x x 3<br />
193 Cheese,Cheddar,Shrd x X(.3) 3.3<br />
194 Cheese,Cream,Indv RF x 2<br />
195 Cheese, Mozz,Shrd x .5<br />
196 Cheese,Mozz,Indv x X(.7) 3.1<br />
197 Chs, Parm,grated, .5oz x X(.1) 2.3<br />
199 Cheese Stick,Brd,3stks x x x x 19<br />
200 Chick Brst,Raw, Bnls 0<br />
201 Chic,Brd, AsianChunk x x x 22<br />
204 Chicken,Tangerine x x x 20<br />
205 Chicken,Diced 0<br />
206 Chicken,Pc,Mesquite x x 2<br />
207 Chicken Nuggets,Brd x x x 14<br />
208 CknNugtsBd,GlutFr x 10<br />
209 ChknNug,WMuscle x 13<br />
210 ChicNug,Unbreaded 3<br />
211 ChicPatty,Breaded x x x 15<br />
212 CknPatty,WMuscle x x x x 18<br />
213 Chkn Patty Brd Spic x x x x 19<br />
214 Chicken Patty, Unbrd x 0<br />
215 Chicken, popcorn x x x x 13<br />
216 ChknStrips,Unbrd 1<br />
217 Chkn Tenders, Brd x x x x 11<br />
218 Cinn Bun, whole grain x x x x 33<br />
219 CinnBun,Mini x x x 61<br />
220 Cookie Dou,CCh,Rfat x x x x x x (.06 g) x 19<br />
221 Cookie Dou, Oat. RF x x x x x x (.06 g) x 18<br />
222 Cookie Dou, Sug. RF x x x x x x(.08 g) x 18<br />
223 Corn Dog x x x 33
ALLERGEN/INGREDIENT INFORMATION FORM 2012-13 Revised Aug. 12<br />
SOY PEANUT TREE<br />
NUTS<br />
EGG<br />
DAIRY<br />
HIGH<br />
FRUTOSE<br />
CORN<br />
SYRUP<br />
RED,<br />
YELLOW,<br />
ORANGE<br />
OR BLUE<br />
DYE<br />
TRANS FAT<br />
GLUTEN<br />
WHEAT/RYE<br />
BARLEY<br />
224 CornDog Ngets-6svg x x x x 30<br />
225 Corn, Whole Kernel 21<br />
226 Deli Meat, Roast BF 1<br />
227 Deli Meat, Am. Combo 3<br />
228 Deli Meat, It. Combo x 3<br />
229 Eggs, Bkfst Burrito x x x x 29<br />
230 Egg, Diced x 1<br />
231 Eggs, Skillet Frittata x x x 2<br />
232 Eggs, Scrambled x x 2<br />
234 Egg Roll, pork x x x 27<br />
235 Fish Nugget, breaded x x 16<br />
236 Fish Square w/ cheese x x x 15<br />
237 Fish Square, breaded x x x 13<br />
238 Fish Sticks, breaded x x x 19<br />
240 Flour Tortilla 8” x x 22<br />
241 Flour Tortilla 10”, x x 34<br />
242 FrnchTstStks, wheat x x x 9<br />
243 French Toast, Cinn x x x x x 34<br />
244 Frudel, Cherry x x x 36<br />
245 Ham, Buffet, Low fat 2<br />
246 HoneyBun,WG x x x x 23<br />
247 Hot Dog Lite Turkey 1<br />
248 Hummus, Plain, 4 oz 10<br />
249 Juice Sherbet Raspb x x 23<br />
Orange x x 23<br />
Lime x x 23<br />
Grape x x 23<br />
250 Juice, Apple,Ind 14<br />
251 Juice, Grape,Ind 18<br />
252 Juice,Orange,Ind 13<br />
253 Kale,Chopped,Frz 10<br />
254 Mango.Frozen 16<br />
255 Margarine, cups x 0<br />
256 Margarine Solids x 0<br />
257 Muffins,Blueberry x x x x x 25<br />
258 Muffins,blueanabery x x x 29<br />
259 Muffin, Sweetpotato x x x x x 25<br />
260 Muffins, English x x x 13<br />
261 Pancakes,Frz x x x x x 14<br />
262 Pancakes, Sweetpotato x x x x 44<br />
263 Pancakes, Mini, Maple x x x x 30<br />
264 Pancakes,Mini, Blueber x x x x x 34<br />
265 Pancake& Sau. Nugget x x x 24<br />
266 Pasta, Lasagna Roll x x x 21<br />
267 Pasta Raviloi, 5 x x x 29<br />
268 Pasta,Shell,CheeStuf 2 x x x 26<br />
269 P’nut Butter/Jelly Sand x x x x 34<br />
270 Peas, IQF 11<br />
271 Peas & Carrots, IQF 11<br />
272 Pepperoni, sliced 0<br />
Carb<br />
Grams/<br />
Serving
ALLERGEN/INGREDIENT INFORMATION FORM 2012-13 Revised Aug. 12<br />
Soy Peanut Tree Egg Dairy High Red,Yellow Trans Gluten Carb<br />
Fructose Orange,or<br />
Wheat,Rye, Grams/<br />
Nuts<br />
Corn Syrup Blue dye Fat or Barley Serving<br />
273 GPizza,B’Fast Cheese x x x 22<br />
274 Pizza, Bfast Sausage x x x 27<br />
275 Pizza,Chees4X6WW x x x 37<br />
276 Pizza,Cheese,Rd, 5” x x x 43<br />
277 Pizza,Cheese,Wdg x x x 32<br />
278 Pizza,Chees,BigDad x x x 38<br />
279 Pizza,FrBrd,Cheese x x x 33<br />
280 Pizza,FrBrd,Pepperoni x x x 34<br />
281 Pizza,Pepp,Wedge x x x 32<br />
282 Pizza,Peppero,BigDad x x x 35<br />
284 Pizza,Ch,StufCrst,wed x x x 46<br />
285 Pizza Dough, WW x x x 29.5<br />
286 Pork,Rib Pattie x 7<br />
Potatoes<br />
287 Pre-Baked, Fr. 24<br />
288 Diced, seas x 25<br />
289 FF,Crinkle x 25<br />
290 FF Batter x x 15<br />
291 Rounds x 19<br />
292 Wedges/Skin on x x 18<br />
293 Quesadilla, Cheese x x x 42<br />
294 Quesadilla, Chicken x x x 38<br />
295 Sauce, Asian x x 12<br />
296 Sausage Patty, light x 1<br />
297 Soy Burger x x 12<br />
298 Spinach, Cut Leaf 4<br />
299 Strawberries, Frz,Slice 33<br />
300 Sweet Potato Wedges x x 21<br />
301 Topping, Whipped x x 2<br />
302 Turkey Breast,PC 2<br />
303 Veg Mix, Calif 5<br />
304 Veg Mix 7<br />
305 Veg Mix, Japanese 6<br />
306 Waffles, Blueberry x x x x 33<br />
307 Waffles, Mini Maple x x x x 33<br />
308 Waffle Stix x x x x 14<br />
309 Yogurt<br />
Peach x x 22<br />
Cherry - Vanilla x 19<br />
Raspberry x x x 22<br />
Strawberry Banana x 19<br />
Strawberry x x 22<br />
310 Yogurt,Vanilla,Bulk x 19.5<br />
311 Yogurt, Chobani x 15<br />
SNACKS/VENDING<br />
312 Cheetos, Baked x x x 17<br />
313 Cheez-It Scrabble x x x 14<br />
314 Chex Mix, Trad. x x x x x (0g) X 36<br />
315 Chex Mix, Honey Nut x x x x x (0g) X 37<br />
316 Doritos, Nacho cheese x x x 19<br />
317 Doritos,SpicySweet x x 20<br />
319 Granola Bar,Nat.Valle x x x 15<br />
320 Quaker Snack Mix x x x x x 18<br />
321 Pita Chips x 28
ALLERGEN/INGREDIENT INFORMATION FORM 2012-13 Revised Aug. 12<br />
Soy Peanut Tree<br />
Nuts<br />
Egg Dairy HFCS Dyes Trans<br />
Fat<br />
Wheat<br />
Gluten<br />
Carb/<br />
Grams<br />
322 Pretzels x 23<br />
323 Sun Chips, Original x 19<br />
324 Sun Chips, Salsa x x 19<br />
325 Sun Chips, Cheddar x x 19<br />
326 Sunflower Seeds x x x x x x 8<br />
ICE CREAM<br />
Cookies n Cream x x x x x 33<br />
Cone<br />
Van. Ice Cream x x x x 28<br />
Sand.<br />
Choc. Shortcake x x x x x 22<br />
Fudge Frenzy x x 19<br />
Orange Cream Bar x x x 18<br />
Ice Cream Bar x x x x 17<br />
l/f 3 oz. Van. Cup x x 15<br />
3 oz. Choc. Ripple x x 15<br />
3 oz. Straw. Ripple x x x 15<br />
3 oz. Choc./Van. cup x x 14<br />
Cotton Candy Cup x x x 14<br />
BREADS,<br />
FLOWERS<br />
Whole Wheat x x 12<br />
WG Hamburger Bun x x x 23<br />
WG Hot Dog Bun x x x 22
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