PRODUCT SPECIFICATION SHEET

1. GENERAL INFORMATION
Product name Dried Torbangun Leaves
Item number of supplier
001TOR
trade name
Certificate of origin EU Agriculture v Non-EU Agriculture
Status v producer v supplier
Company name Wonderful Agriculture Indonesia
Babakan Lio RT 001/008 Balumbang Jaya Village, Subdistrict of Bogor Barat,
Address of supplier
Bogor City, 16116, West Java, Indonesia
name : M. Nasrul Qorib function : Directur
Contact name phone : +62 857 4280 8015 fax :-
mail : torbangungroup@gmail.com 24-hour emergency hotline :
Date of issue March 30th, 2018

2. PRODUCT CHARACTERISTICS
Appearance/color Greenish to dark brown
Smell Sharp
Taste Bitter
Information about production process Thermal process (drying)
Size/form Simplicia
Percentage of breakage [%] < 30
Degree of purity [%] 100
type of contamination percentage

Possible contamination

3. NUTRITIONAL VALUE PER 100 g

Energy 0.027 kcal
Fat 0.6 g
Carbohydrate 4 g
Fibre 1 g
Protein 1.3 g
by chemical analysis
Determination of nutritional values
v by literature database
4. VITAMIN / MINERALS / TRACE ELEMENTS AND OTHERS PER 100 G
Calsium (Ca) 279 mg
Phosphorus (P) 40 mg
Besi (Fe) 13.6 mg
Potassium (K) 52 mg
Magnesium (Mg) 62.5 mg
Vitamin B1 0.16 mg
Vitamin C 5.1 mg
Ash 1.6 mg
by chemical analysis
Determination of nutritional values
v by literature database

5. CHEMICAL – PHYSICAL PROPERTIES

Specified Value Result
Water content
Bulk weight

6. RESIDU ANALYSIS
Specified Value Result Method
Heavy metal :
Lead Less than 3.0 ppm 0.6 ppm SNI 01-2896-1998
Cadmium Less than 1.0 ppm 0.0 ppm SNI 01-2896-1998
Arsenic 1.0 – 7.0 ppm 2.2 ppm SNI 01-4866-1998
Mercury Less than 1.0 ppm 0.0 ppm SNI 01-2896-1998

Analysis reports can be provided to company

7. DECLARATION OF ALLERGEN ACCORDING TO PERMENKES OF 2016

Mark if included in formula Mark if contamination is cause
of contamination probable

8. MICROBIOLOGICAL LIMITS
Specified Value Result Method
TPC Less than 10,000,000 cfu/g TNTC ISO 4833 : 2003
Total of fungi Less than 100,000 cfu/g 27, 990 cfu/g ISO 21527-2 : 2008
Entero Less than 100,000 cfu/g 27, 950 cfu/g ISO 21528-2 : 2004
Coliform Less than 10,000 cfu/g 2, 990 cfu/g Chromogenic E. coli/ Coliform
Escherichia Coli Less than 10 cfu/g < 10 cfu/g Selective Medium. Oxoid The
Manual 9th Edition, 2006
Salmonela NEGATIVE NEGATIVE ISO 6579 : 2002

Analysis reports can be provided to company

9. DISPATCH / STORAGE / LABELLING
Type of packaging
Pack size/sales unit
Packaging material
Dispatch unit (du) du per pallet du per layer
Type of pallet/pallet size
Pallet height
o
storage temperature : C
Storage conditions
relative humidity : %
Minimum shelf life
Remaining shelf life (from delivery)

Coding of minimum shelf life and batch number

HS code
EAN

10. NON-GMO DECLARATION

We confirm, that the product
is not, does not contain or consist of GMO.
is not produced from GMO or does not contain ingredients, additives, aroma, or carrier substances
produced from GMO although they do no longer contain those and are no longer detectable.
complies with the rules of the following regulations:
- Article 14 of Government Regulation No. 28 of 2004 on Food Safety, Quality, and
Nutrition
- Article 35 of Government Regulation No. 69 of 1999 on Food Labeling and
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