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Idaho State Department of Agriculture’s Natural Flavor Profile Organic Operation Name Name of Natural Flavor Manufacturer Facility ID Date Certified Organic Product(s) Containing the Natural Flavor Natural Flavor Product Name Check which labeling category the product containing the natural flavor meets. "organic" (95% organic ingredients) "made with organic…” (70% organic ingredients) Name Of Natural Flavor Product Flavor Type1 Supplier/Manufacturer Do All Ingredient Which Function Only As Flavors Flavor(s) Meet the FDA Definition? () Do You Have Documentation That The Natural Flavor Product, Including Any Solvents, Carriers, Preservatives Or Processing Aids, Were Not Produced Using Any Of The Following? ()2 GMO’S Other Natural Flavor Constituents: Provide complete information about all natural flavor constituents. Name of Natural Flavor Was Constituent If Yes, Please List the Is Constituent Is Constituent Constituent(s)3 Produced Via Name of the Solvent.5 a a Extraction Nonsynthetic Nonsynthetic Solvents? Preservatives? Carrier? 4 () 1 SEWAGE SLUDGE Do You Have Documentation That Any Natural Flavor Constituents Were Produced In Compliance With NOP Annotations? () 6 Examples include, but are not limited to: compounded flavors, distillates, extracts, essential oils, isolates, oleoresins, protein hydrolysates, and volatile aromatics. Please attach 3 Examples include, but are not limited to: carriers, preservatives, and processing aids. 4 Extraction solvents must be nonsynthetic and petroleum free. 5 Carbon dioxide, ethanol, natural oils and water are allowed examples. 6 Annotations may be found in 205.605 & 205. 606 of the National List. Common examples include alcohol, citric acid, glycerin and MaltoDextrin. 2 03/2011 - OFP IONIZING RADIATION