Loblaw Broker Supplier Food Safety Information

Broker/Wholesaler/Distributor : Primary Contact Name: Email: Office/Mobile Number: 24/7 Contact Name for Manufacturing Site: Email: Office/Mobile Number: 24/7 Contact for QA at Manufacturing Site: Email: Office/Mobile Number:
Vendor / Manufacturer () PREVENTATIVE FOOD SAFETY PLAN GFSI CERTIFICATION ALLERGEN

2013MR06

Instruction
1. Answer the questions in black first. Sent the filled form by Mar. 11 . 2. Sent the docs required later,

by request.
1. . 311. 2 . .

RECALL/ TRACEABILITY /

SANITATION

LABEL

PACKAGING MATERIAL

Vendor

Manufacturer

Address

Product

Country of HACCP Manufactur Certificate ing

Flow (F3)

CCP Plan / Timeline GFSI ? (F10)

Scop

Timeline

Allergen Control

Recall & Traceability Program.

Product Coding

Personnel for the labels Proof of Packaging Sanitation Label meet Copy of (title and contact info) / program CFIA Bilingual Materials the label consultants / CF GMP IA /
MARYANNE A. REYES - QC OFFICER / (02) 355-9033 MARYANNE A. REYES - QC OFFICER / (02) 355-9033 MARYANNE A. REYES - QC OFFICER / (02) 355-9033 MARYANNE A. REYES - QC OFFICER / (02) 355-9033 MARYANNE A. REYES - QC OFFICER / (02) 355-9033 MARYANNE A. REYES - QC OFFICER / (02) 355-9033 MARYANNE A. REYES - QC OFFICER / (02) 355-9033 MARYANNE A. REYES - QC OFFICER / (02) 355-9033 MARYANNE A. REYES - QC OFFICER / (02) 355-9033 MARYANNE A. REYES - QC OFFICER / (02) 355-9033 MARYANNE A. REYES - QC OFFICER / (02) 355-9033

UNIVERSAL UNIVERSAL CANNING CANNING INC INC UNIVERSAL UNIVERSAL CANNING CANNING INC INC UNIVERSAL UNIVERSAL CANNING CANNING INC INC UNIVERSAL UNIVERSAL CANNING CANNING INC INC UNIVERSAL UNIVERSAL CANNING CANNING INC INC UNIVERSAL CANNING INC UNIVERSAL CANNING INC UNIVERSAL CANNING INC UNIVERSAL CANNING INC UNIVERSAL CANNING INC UNIVERSAL CANNING INC UNIVERSAL CANNING INC UNIVERSAL CANNING INC UNIVERSAL CANNING INC UNIVERSAL CANNING INC UNIVERSAL CANNING INC UNIVERSAL CANNING INC

CALLE SAN ISIDRO, MASTER SARDINES IN AYALA ZAMBOANGA TOMATO SAUCE 425g CITY CALLE SAN ISIDRO, MASTER SARDINES IN AYALA ZAMBOANGA TOMATO SAUCE WITH CHILI 425g CITY MASTER MACKEREL AYALA ZAMBOANGA IN TOMATO SAUCE 425g CITY MASTER MACKEREL AYALA ZAMBOANGA IN TOMATO SAUCE 425g CITY CALLE SAN ISIDRO, MASTER SARDINES IN AYALA ZAMBOANGA TOMATO SAUCE 155g CITY MASTER SARDINES IN AYALA ZAMBOANGA TOMATO SAUCE WITH CHILI 155g CITY CALLE SAN ISIDRO, MASTER SARDINES IN AYALA ZAMBOANGA OIL SPANISH STYLE 155g CITY CALLE SAN ISIDRO, AYALA ZAMBOANGA MASTER SARDINES IN COCONUT MILK 155g CITY CALLE SAN ISIDRO, MASTER FRIED AYALA ZAMBOANGA SARDINES HOT & SPICY 155g CITY CALLE SAN ISIDRO, MASTER FRIED AYALA ZAMBOANGA SARDINES SPANISH STYLE 155g CITY CALLE SAN ISIDRO, MASTER FRIED AYALA ZAMBOANGA SARDINES WITH TAUSI 155g CITY FAMILY'S BRAND SARDINES IN AYALA ZAMBOANGA TOMATO SAUCE 425g CITY CALLE SAN ISIDRO, FAMILYS BRAND CALLE SAN ISIDRO, AYALA ZAMBOANGA CITY CALLE SAN ISIDRO, AYALA ZAMBOANGA CITY CALLE SAN ISIDRO, AYALA ZAMBOANGA CITY SARDINES TOMATO IN SAUCE CALLE SAN ISIDRO, CALLE SAN ISIDRO, CALLE SAN ISIDRO,

PHIL

PHIL

PHIL

PHIL

PHIL

PHIL

PHIL PHIL PHIL PHIL PHIL

UNIVERSAL UNIVERSAL CANNING CANNING INC INC UNIVERSAL UNIVERSAL CANNING CANNING INC INC UNIVERSAL UNIVERSAL CANNING CANNING INC INC UNIVERSAL UNIVERSAL CANNING CANNING INC INC

PHIL

MARYANNE A. REYES - QC OFFICER / (02) 355-9033

PHIL

MARYANNE A. REYES - QC OFFICER / (02) 355-9033

WITH CHILI 425g FAMILY'S BRAND SARDINES TOMATO 155g FAMILY'S SARDINES TOMATO WITH CHILI 155g IN SAUCE BRAND IN SAUCE

PHIL

MARYANNE A. REYES - QC OFFICER / (02) 355-9033

PHIL

MARYANNE A. REYES - QC OFFICER / (02) 355-9033

Loblaw Broker Supplier Food Safety Information

Broker/Wholesaler/Distributor Company Name: Primary Contact Name: Email: Office/Mobile Number: 24/7 Contact Name for Manufacturing Site: Email: Office/Mobile Number: 24/7 Contact Name for Quality Assurance at Manufacturing Site: Email: Office/Mobile Number:
Business Profile: List of the brands which are exclusively imported by your company to Loblaw. What is the total number of products being supplied to Loblaw?

T&T Supermarket Kelvin Wong

kelvin.wong@tntsupermarket.com

4162978881-8115 /416-938-1111 790 Tapscott Rd, Scarborough, ON M1X 1B8 Bruce Hung 4162978881-8116 /647-444-0367 Renny Jin renny.jin@tntsupermarket.com 416-297-8881-8233 /416-836-3898

T&T Bakery 31

Please take note of the following items when completing the questionnaire document: 1) Food Safety documents are to be provided for each product line involved in the products being supplied to Loblaw Companies Limited (LCL). HACCP plan sent for each line. 2) A copy of the product label MUST be submitted for each sku which you are supplying to Loblaw Companies Limited (LCL). This label must be fully legible for review. Copy of each labels sent.

Manufacturer ()

PREVENTATIVE FOOD SAFETY PLAN

GFSI CERTIFICATION

ALLERGEN

Manufacturer Name

Address

Country of Manufacturing

Do you have a written Preventative Food Safety Control Plan which outlines the action and measure that the importer/supplier takes to make sure the food is safe and complies with Canadian legislation (ex. HACCP)? / , HACCP

If YES, attach a copy of Product Process Flow Diagram & the Critical Control Points (CCP). Examples of CCP: Temperature, Metal Detection, Cooking Target Limits. CCP

If NO, please note that it is a mandate that all manufacturers selling product to LCL are required to be operating using a HACCP system approach. Please confirm your commitment and understanding. As well, the timeline for completion. LC L HACCP

If NO, please NOTE that it is a mandate that all manufacturers producing Is the facility GFSI Certified? If YES, products to LCL are required to be under which GFSI recognized scheme If YES, does the scope of the audit accredited by a GFSI recognized scheme (BRC, SQF 2000 Level 2, IFS, FSSC ensure the compliance to Canadian by the end of 2014. Please confirm your 22000)? If it is in progress, indicate in Regulations? Does the scope of the commitment and understanding. As progress and tentative audit date. audit include the products being well, the timeline of completion. GFSI supplied to LCL? GFSI BRC SQF2000 . 2014 , 2 IFS FSSC LCL 22000 LCL GFSI

It is a requirement that all manufacturers must have an allergen program to control cross contamination risks between allergen and nonallergen containing products. Please provide a copy of the allergen control program.

RECALL/ TRACEABILITY /

SANITATION

LABEL

PACKAGING MATERIAL

It is a requirement that all manufacturers must have a written Recall Plan and a traceability program which allows the company to locate and recover any manufactured product in case of a food safety concern. Please provide a copy of the Recall and Traceability Program.

Confirm below that a sanitation program is in place to ensure the cleanliness of food contact surfaces and prevention of cross-contact and cross contamination from insanitary objects, personnel and raw product.

Do you have a dedicated personnel responsible for the compliance of labels in accordance with Canadian Regulations? - If Yes, please provide title and contact info. - Please note: It is a mandate to contact on of our two designated consultants to conduct a compliance review of all the product labels being produced for LCL. - LCL

Please confirm that the label is designed to meet the CFIA's Guide to Food Labelling & Advertising. Refer to the following link for more information: http://www.inspection.gc.ca/food/labe lling/guide-to-food-labelling-andadvertising/eng/1300118951990/1300 118996556# CFIA

Are your product labels bilingual for English/French? (Yes/No) / /

Provide a copy of the label for all product produced and sold to LCL. Please use the below boxes as a check box to confirm that a legible copy of the label has been provided. LCL

Please provide proof that all packaging materials are compliant to Canadian regulations. This can be substantiated by: 1). a manufacturer's attestation; 2). documentation from a recognized government or nongovernmental authority; 3). packaging that is commercially prepared and labelled for food use; or 4). packaging material listed on CFIA's Reference Listing of Accepted Construction Materials, Packaging Materials and Nonfood Chemical Products (Reference Website is below). http://www.inspection.gc.ca/english/fssa/reference/refere.shtml 1). ; 2). ; 3). ; 4). CFIA , , http://www.inspection.gc.ca/english/f ssa/reference/refere.shtml)