Company XYZ / master List of
allergenic ingredients / Form P03-1 /
Page 3 of 3 /
Issued on:
Issued by: / Version No: 1
Supersedes: / Revised: /
Ingredients / Allergen Type / Storage / Supplier Checklist Received
Almonds, raw / Tree Nuts / Warehouse
Butter / Dairy / Ingredient Cooler 1
Butter, European Blend / Dairy / Ingredient Cooler 1
Butter Flavor, Embassy 6080 / Dairy / Warehouse
BBQ Sauce / Sulphites / Warehouse
BBQ Sauce, Quebec Style / Sulphites / Warehouse
Cashews, raw / Tree Nuts / Warehouse
Cheese, Parmesan Kraft Pure / Dairy / Ingredient Cooler 1
Cheese, Romano Kraft Pure / Dairy / Ingredient Cooler 1
Cheese, Formagio 3 Blend / Dairy / Ingredient Cooler 1
Cheese, Parmesan Imitation / Soy / Ingredient Cooler 1
Cheese, Amer.Processed / Dairy / Ingredient Cooler 1
Cream Cheese, Philadelphia / Dairy / Ingredient Cooler 1
Chicken Paste, Minor’s / Dairy, Soy, Wheat / Ingredient Cooler 1
Chicken Soup Base, Stafford / Sulphites, Wheat / Spice Room
Crab Meat / Shellfish / Freezer
Dips, Balsamic Vinaegrette / Dairy / Ingredient Cooler 1
Dips, Big Bleu / Dairy, Eggs / Ingredient Cooler 1
Ingredients / Allergen Type / Storage / Supplier Checklist Received
Dips, Cheezy Cheddar / Dairy, Eggs / Ingredient Cooler 1
Dips, Caesar / Dairy, Eggs, Fish / Ingredient Cooler 1
Dips, Chipotle Cilantro / Eggs / Ingredient Cooler 1
Dips, Cream Cheese Icing / Dairy / Warehouse
Dips, Italian Garlic / Dairy, Eggs / Ingredient Cooler 1
Dips, Jalapeno Ranch / Dairy, Eggs / Ingredient Cooler 1
Eggs, Whole Liquid / Eggs / Freezer
Eggroll Wrapper / Eggs, Wheat / Freezer
Flour, Keynote 39 / Wheat / Warehouse
Flour, Semolina / Wheat / Warehouse
Lea & Perrin Worcestershire Sauce / Fish / Warehouse
Mayo, Real / Eggs / Warehouse
Milk, Skim, High Temp / Dairy / Warehouse
Milk, Skim, Low Temp / Dairy / Warehouse
Nando’s Premix “D” / Soy / Warehouse
Nando’s Premix “I1” / Soy / Warehouse
Oil, Sesame / Sesame / Warehouse
Oyster Sauce,Golden Dragon / Shellfish / Warehouse
Oyster Sauce, Panda LKK / Shellfish / Warehouse
Ingredients / Allergen Type / Storage / Supplier Checklist Received
Pecans, shelled halves / Tree Nuts / Warehouse
Sesame Seeds, white hulled / Sesame / Warehouse
Shrimp Meat / Shellfish / Freezer
Soy Lecithin / Soy / Warehouse
Soy Sauce, Kikkoman / Soy / Warehouse
Whipped Cream / Dairy / Ingredient Cooler 1
Whisky / Sulphites / Warehouse
Wine, Sautern (white) cooking / Sulphites / Warehouse
Wine, Sherry / Sulphites / Warehouse