CONG HOA xA HOI CHU NGHIA VIET NAMDOC LAp - TV DO - HANH PHUC

*********

BANTtrc6NGB6sANPHAM.S6: 15/TRUNGNGUYEN/2018

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

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

Tang Giam D6c: DANG LE NGuYEN vnDia chi 268 Nguyen Tftt Thanh, Tp Buon Ma Thuot, Tinh'Dill<L~k.

Di~n thoai 0262 3865116 - 02623855570

Fax 0262 3811766

E.mail office@trungnguyen.com.vn

Mit s6 thu~ doanh nghi~p: 6000429946

S6 gi§y chung nh~n HACCP: FS-VNM-18-22IHACCP, Ngay c§p: 27/3/2018;

S6 gi§y chirng nh~n FSSC 22000: 38161405003, Ngay c§p: 23/8/2016 ;

Noi c§p: Intertek Viet Nam.

I

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II.THONG TIN VE SAN PHAM:

1.Ten san ph§m:

2. Thanh phin:

2.1 Nguyen /ifu chinh : Ca phe (Arabica, Robusta).

cA PHE H~T RANG - SUCCESS 3

2.2 Ph{l gia th~c pham: Khong c6.

3. ThOi han Stf dung: 24 thang k~ illngay san xufrt.

NSX va HSD duoc in tren bao bi san pham.

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

4.1 Chat /ifU bao bi

San pham diroc chua tnrc ti~p trong bao bi Ion thiec dam bao an toan v~ sinh thuc pham chua

dung tnrc ti~p san pham.

4.2 Quy cticb dong goi

San pham duoc d6ng g6i kin, khong ti~p xuc voi khong khi ben ngoai,

Kh6i hrong tinh cua san pham: 250 g (250 gl8.8 oz).

- - ----- - - - -- ------ --

5. Ten va dia chi co sO'san xuit san pham:

San xuit tai: NHA MAY cA PHE TRUNG NGUYEN - CTY CP cA PHE TRUNG NGUYEN

Dja chi san xuit: Cum Cong Nghiep Tan An, phirong Tan An, Tp Buon Ma Thuot, Tinh D~kL~k.

III. MAu NHAN SAN PHAM:

Nhan san pham co noi dung phil hop voi Nghi dinh 43/2017/ND-CP ngay 14/4/2017 v~ nhan hang hoa

(Dinh kern rndu nhiin scmphdrn)

VI. YEU cAu vt AN ToAN THTfC PHAM:

Phil hop voi quy dinh an toan thuc pham:

- QCVN 8-1:2011IBYT: QCKTQG gioi han 0 nhiem, d<)ct6c, vi n§.mtrong tlnrc pham;

- QCVN 8-2:2011IBYT: QCKTQG gioi han 0 nhiem kim loai nang trong thuc pham;

- TCVN 5250:2015: Tieu chuan Viet Nam v~ ca phe hat rang.. , . , ,~

- TT 50/2016/TT-BYT: Quy dinh gioi han toi da du lUQTIgthuoc bao v~ thirc v~t trong thuc pham~

1.Yeu ciu v~ cam quan:

- Mau sac: Mau nau d~c trung cua san pham, hat rang chin d~u, khong chay.

- Mui: Thorn d~c trung cua san pham, khong co mui l~.

- Vi: Vi d~c trung cua san phAm.

'J PHAN.\RHE

~~

2. Chi tieu chit ItrO'ng theo yeu ciu ky thuit

3.

. .STT Ten chi tieu flO'O vi tinh Muc cong b8 chit ItrQ1lg

01 D<)Am % ::;5

Chi tieu hoa ly

STT Ten chi tieu flO'O vi tinh Muc cong b8 chit Imlng

01 H~t tot % ~92

02 Manh va % < 3-

03 H~t bi 16i % < 5I

04 Ham lUQTIgtro tong so % < 5I

-

"'""'05 Ham lUQTIgt~p chat % ::; 0,3 yY" I

I

4. Chi tieD dQc tA vi nim

5.

STT Ten chi tieD Don vi tinh Mrrc tAi da

01 Ham hrong Ocharatoxin A ug/kg :s 3

Ham hrong kim loai n~ng

STT Ten chi tieD Don vi tinh Mrrc tAi da

01 Ham hrong Asen (As) mg/kg :S1

02 Ham Iuong chi (Pb) mg/kg :S2

03 Ham hrong dong (Cu) mg/kg :s 3004 Ham hrong thuy ngan (Hg) mg/kg < 0,05

05 Ham hrong Cadimi (Cd) mg/kg :S1

6. Ham hrong hoa chit khong mong mudn: Du hrong thuoc bao v~ thuc v~t, cac hoa chfit khon

mong muon khac phil h9'P voi TT 50/2016/TT-BYT: Quy dinh gioi han t6i da du hrong thuoc ba:bj~~'r.'

v~ thuc v~t trong thirc pham,

Chung toi cam k~t thirc hien d~y du cac quy dinh cua phap luat v~ an toan thirc pham va

hoan toan chiu trach nhiem v~ tinh phap ly cua h6 sa cong b6 va chfit hrong, an tom thirc pham

d6i voi san pham dffcong b6.

---------------------------------------------------------------------------------------------------------------------------------------------i:I I I II I I II I I II I II II II II II II II II Ito ,.~-- ---~--

III

~ --~---- ----- - - --~ --- --- --- ---- - -- ---. -- ------ --_--- - ---'-~ -------- - -- ---- - --- - - ------ ---- ----- -- - - _- - ~ ~ _-_- LI II I

I II II II II II II II II II II II II II II II II II II II II II II I

N(iVYtN lE(iEND"'''I",IU':UU.'V __ l1.'''cu61ltO,

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.~~li'H1~~rw(;jNG ~cAPHE 1>61001

........=I:;UI~.Il·RGy COI'HETIIATCHANGESLIFE

I II II II II II I

284mm

TRUNG NGUYEN LEGEND SUCCESS 3 (250 G)

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·TRUNG NGUytN LEGENDT},.' 00.1.1'1eIlUY!N cA 'H! NANG LUONG· eA 'H! 0011>01

®Q•lILNG_l~nd

San pharo cua: CONG TY co pHAN cA PRE TRUNG NGUYENSan xuAt tai: NHA MAy cA PHE TRUNG NGUYEN -CONG TY CO pHAN cA PHE TRUNG NGUYENCum cong nghi~p Tan An, Plnrong Tan An, Tp. Buon Ma Thuet,Tinh DIDcLAk,Vi~tNam.San xuAt theo ban quyen sir dung ddi nroug SHCNcua CTCP E>aunr Trung Nguyen.Lien h~: CONG TY CO PHAN TAP DoAN TRUNG NGUYEN82-84 Bili Thj Xuan, Phuong B~nthanh, Qu~ 1,TP.HCM.Di~n thoai: (84) 283 925 1845/283 925 1846Hotline: 19006011Fax.:(84) 283925 1847/283925 1848Website:www.trungnguyenlegend.com

Thanh ph~n: Ca phe (Arabica, Robusta).ThOng t~n canh bao an toan: KhOng da san p~Am gAn noi co nhiet do cao. THE SPEC. A • 'TVHuang dan su dung: Xay ell phe troac khi pha che, ~Sanphdmphu hop tdtca cac kiSupha. WHOLE BEAN COFFEEChi tieu chlit hrong chu y8u: Do lims S% ARABICA & ROBUSTAHuang din bao quan: Bao quan noi kho rao vii thoang mat. Balanced tasteNgay san xudt va han su dung: Xem tren bao hi.

TCCS s6: ISfTRUNG NGUYEN/20IS

San xudt tai Vi~tNam,K.b3i hrong tinh;

250 g /8.8 ozCAPHE ~T RANGSUCCESS 3ARABICA & ROBUSTA

Tron vi hai bOa

00

m~

eMedium roast

cAPHENANGu1~NG" cAPHE DOl D(11THE ENERGY COFFEE THAT CHANGES LIFE

TRUNG NGUYEN LEGEND COFFEE IS ON SHELVESIN:NEW YORK ILONDON IPARIS IBERLIN IMOSCOW ITOKYO I SHANGHAI IHONGKONG IDUBAI I SINGAPORE...

- -Buy-it-now-at-i-Gafe.net-Nl1-6

[,,~ CONG ~ ~:8~~~~~~O~~~ ~~~~n ~i~hHT~~~~NNAMr.:-y~ PNM& TN: 176/9A La Van 59, P. 10,Q. Phu NhuQn, Tp. HeM_ _" Di~n thocl: 028.39911131 - 028.39911132 - Hotline: 0901372755

, Email: info@channam.com.vn - Website: www.channam.com.vnCHAN~N~: J80'Pr6HO+J,-T'h+1-=-'5'M'/l-l«\""+Q+------------------ VILAS 677

KET QuAPHAN rtcnTEST REPORT

Mil s6 (ID.): 1805111111805434

Ten khach hang: CONG TY CO PHAN CA PRE TRUNG NGUYENClient TRUNG NGUYEN COFFEE CORPORATIONDja chi: 268 Nguyen TAtThanh, Phuong Tan L?p,TP.BuonMa Thu9t, Tinh DaklakAddress 268 Nguyen Tat Thanh Street, Tan Lap Ward,Buon Ma Thuot City, DakLak ProvinceNgay nh~n m§u: 29/05/2018 Ngay tra k~t qua: 05/0612018Date of receiving Date of returning:Loai m§u: Ca phe hat sA IIf(}11g:Kind of sample Roasted coffee Quantity:Ten m§u: CA PHE H~ TRANG - Success 3Name of SampleTlnh trgng m§u:State of Sample:

Thanh pharnFinished product

01

TT CHiTIEU KET QUA IRESULT OONVJ PmfONG PHAPmUNo. SPECIFICATION UNIT METHOD

-Mau sac: Mau nau dac trung ellasan pham, hat rang chin deu, khongchay.-Mui: Mui thorn d~c trung ella sanpham, khong c6 mui la,

Cam quan/ -Vi: C6 vi dac trung ella san pham.Cam quan/01 - Color: Brown charateristic of thevisual observation product, roasted seeds are ripe, visual observation

not burning.-Odor: Characteristic aroma of theproduct, no strange smell.- Taste: Characteristic of theproduct

Trin

I. Ktt qua nay chi co gia tri tren m3u thuIThis testing result is only valid on tested sample2. Thong tin mdu do khacn hang cung cap I Sample information was provided by the customer3. (*) Chi tieu dude VILAS ciing nhdn I Item was accredited by VILAS

KPH: Khong phat hi?nl ND: Not detected, LOD: Gioi han phdt hi?nl Limit of detection.BM 5.7/1 (24/10/2017) Believe in CHAN NAM

CONG TV CP DV KHOA HQC CONG NGH~ CHAN NAMVP: 80-82-84 Thong 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.vnCHANNAMTSS

56/ No: 18060131-IIKQ

KET QuA PHAN TICHTEST REPORT

Ma s6 (ID.): 1805111111805434

Ten khach hang: CONG TY CO PHAN cA PRE TRUNG NGUYENClient TRUNG NGUYEN COFFEE CORPORATIONDja chi: 268 Nguyen T§.tThanh, Phuong Tan ~p,TP. Bu6nMa Thuot,Tinh :8aklakAddress 268 Nguyen Tat Thanh Street, Tan Lap Ward,Buon Ma Thuot City, DakLak Province.Ngay nh~n miu: 29/05/2018 Ngay tra k~t qua: 05/06/2018Date of receivingLoai miu:Kind of sampleTen miu:Name of SampleTlnh trang miu:State of Sample:

Date of returning:Ca phe hat s6 IU'Q11g:Roasted coffee Quantity:cA PRE ~ TRANG - Success 3

01

Thanh phamFinished product

CHiTIEU KETQuA PHUONG PHAPTII(rI

TT DONVJNo. SPECIFICATION RESULT UNIT METHOD

01 Hat t6t IGood beans 98,2 % TCVN 5250:2015I

02 Minh va 1Broken pieces 0,55 % TCVN 5250:2015

03 HC;l.tbi 16i 1Defective beans 1,25 % TCVN 5250:2015

04 TC;l.pch§.tllmpurities KPHIND% TCVN 5250:2015(LOD=O,l)

05 :8(>Ami Moisture (*) 1,52 % TCVN 7035 : 2002

06 Tro dmg 1Ash (*) 4,10 % TCVN 5253 : 1990

~~oI.1I.G GIAM DOC.::tlCITV1!.~~ DIRECTOR

.~

TrAn Th\lYThanh Thao

i. Ke'lqua nay chi co gia tri tren mdu thil'/ This testing result is only valid on tested sample2. Thong tin mdu do khach hang cung dip / Sample information was provided by the customer3. (*) ChI tieu duoc ViLAS ding nh/in / Item was accredited by VILAS

KPH: Khong phat hi~n / ND: Not detected. LOD: Giai h4mphdl hifn / Limit of detection.

BM 57 (1 (24/ JO/2017) Believe in CHAN NAM

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

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

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

s61No: 18060131-31KQKET QuAPHAN rtcn

TEST REPORTMii s6 (ID.): 1805111111805434

Ten khach hang: CONG TY CO PHAN cA PHE TRUNG NGUYENClient TRUNG NGUYEN COFFEE CORPORATIONIlia chi: 268 Nguyen TfitThanh, Phuong Tan ~p,TP. BuonMa ThuQt,Tinh DaklakAddress 268Nguyen Tat Thanh Street, Tan Lap Ward,BuonMa Thuot City, DakLak ProvinceNgay nh~n m§u: 29/0512018 Ngay tnt k~t qua: 05/0612018Date of receiving Date of returning:Loai m§u: Ca phe hat S61U'Q'llg: 01Kind of sample Roasted coffee Quantity:Ten m§u: CA PHE H~T RANG - Success 3Name of SampleTlnh trang m§u: Thanh phamState of Sample: FinishedproductTT CHiTIEU KETQuA OONVJ PIJ(fONG pHAPmlrNo. SPECIFICATION RESULT UNIT METHOD

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

02 Cadimi 1Cadmium (Cd) (*) KPHlND mg/kg AOAC 999.11(LOD=O,Ol)

03 Chi 1Lead (Pb) (*) 0,012 mg/kg AOAC 999.11

04 Thiry ngan 1Mercury (Hg) KPHlNDmg/kg AOAC 974.14(LOD=O,Ol)

05 Dong 1Copper (Cu) (*) 1,36 mg/lOOg AOAC 999.11

Phu trach kyTechnical Ma ager

1. Ke'tqua nay chi co gia tri tren mdu thit / This testing result is only valid on tested sample2. Thong tin mdu do khach hang cung dip / Sample information was provided by the customer3. (*) Chi tieu duac VILAS cong nhdn / Item was accredited by VILAS .

KPH: Khong phat hien / ND: Not detected, LOD: Giai hr,mphdt hien / Limit of detectIOn.

BM 5.7/1 (24/10/2017) Believe in CHAN NAM

CONGTYCPDVKHOAHQCCONGNGH~CH4NNAMVP: 80-82-84 Thong Long, P. 4, Q. Tan Blnh, Tp. HeM

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

Email: info@channam.com.vn - Website: www.channam.com.vnCHANNAMTSS VILAS 677

SblNo: 18060131-21KQ

KET QuA PHAN TICHTEST REPORT

Ma sB (ID.): 18051111/1805434

Ten khach hang: CONG TY CO PHAN cA PRE TRUNG NGUYENClient TRUNG NGUYEN COFFEE CORPORATIONDja chi:Address

268 Nguyen T~t Thanh, Phuong Tan Up, TP. Buon Ma Thuot, Tinh Daklak268 Nguyen Tat Thanh Street, Tan Lap Ward, Buon Ma Thuot City, DakLak

ProvinceNgay nh~n m§u:Date of receivingLoai m§u:Kind of sampleTen m§u:Name of SampleTinh trang m§u:State of Sample:

29/0512018 Ngay tra k~tqua:Date of returning:

Ca phe hat S6 luong:Roasted coffee Quantity:CA PHE H~ TRANG - Success 3

Thanh phamFinished product

05/0612018

01

TT CHiTIEU KETQuA OONV! pHlfONG pHAPTII(JNo. SPECIFICATION RESULT UNIT METHOD

Khong phat hien 101 Ochratoxin A Not detected ug/kg TCVN 9724: 2013

(LOD=1,0)

Phu trach ky tTechnical Man ger

TONG GIA.M DOC._,~,.......DIRECTOR

Trftn Th\lY Thanh Thao

I. Ke'tqua nay chi co gia tri tren mdu thit / This testing result is only valid on tested sample2. Thong tin mdu do khach hang cung cap / Sample information was provided by the customer3. {*}Chi lieu dLt'1C VILAS cong nhdn / Item was accredited by VILAS .

KPH: Khong phdt hi?n / ND: Not detected. LOD: Giai h(111 phdt hi?n / Limit of detectIOn.

BM 5.7/l (24/10/2017) Believe in CHAN NAM

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

PNM & TN: 176/9A Le van 5y, P. 10, Q. Phu Nhuc;:.n, Tp. HeMDi~n tho<;Ii:028.39911131 - 028.39911132 - Hotline: 0901372755

Email: info@channam.com.vn - Website: www.channam.com.vnCHAN NAMTSS VILAS 677

56/ No: 18060J31-4/KQKET QuAPHAN rtcn

TEST REPORTMfi s8 (ID.): 1805111111805434

Ten khach hang: CONG TY CO PHAN cA PHE TRUNG NGUYENClient TRUNG NGUYEN COFFEE CORPORATIONDia chi: 268 Nguyen T~tThanh, Phuong Tan ~p, TP. Buon Ma Thuot, TinhDaklakAddress 2_68 Nguyen Tat Thanh Street, Tan Lap Ward, Buon M,a Thuot City, DakLak Provinc4Ngay nhan man: 29/05/2018 Ngay tnt ket qua: 05/0612018Date of receiving Date of returning:Lo~i miu: Ca phe hat sf, hrong:Kind of sample Roasted coffee Quantity:Ten miu: CA PHE H~T RANG - Success 3Name of SampleTinh trang miu:State of Sample:

01

Thanh pharnFinished product

TT CHiTIEU KETQuA OONVJ PHUONGPliAPTH(rNo. SPECIFICATION RESULT UNIT METHOD

01 T6ng s6 vi sinh viftthi~u khi (*) Khong phat hien CFU/g TCVN 4884-1:2015Total Plate Count Not detected (ISO 4833-1: 2013)

02 Coliforms (*) Khong phat hien CFU/g TCVN 6848 : 2007- Not detected ( ISO 4832 : 2007)

03 Escherichiacoli (*) Khong phat hien CFU/g TCVN 7924-2:2008Not detected (ISO 16649-2:2001)

04 T6ng s6 bao til nam men - moe Khong phat hien CFU/g TCVN 8275-2 : 2010Yeast and Mould (*) Not detected (ISO 21527-2: 2008)

Ghi ehU:Note

Chi tieu s6 01- 04 co nguiing phdt hien = 10 CFU/gItems number 01-04 limit of detection = 10 CFUlg

Phu trach ky thu~tTechnicalMan er

~""""~-GIAM DOCWiim~~i)IRECTOR

Tr§n Thuy Thanh Thao

1. Ke~tqua nay chi co gia tri trerimliu thi( I This testing result is only valid on tested sample2. Thong tin mliu do khach hang cung cdp I Sample information was provided by the customer3. (*) Chi tieu duac VILAS cong nhiin I Item was accredited by VILASKPH: Kh/ing phd! hifn I NO: Not detected, LaD: Giai hqn phdt hi¢n I Limit of detection.

BM 5.7/l (24/10/2017) Believe in CHAN NAM