Download Applicant Company Name - Idaho State Department of Agriculture

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