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Product Specification

C

HI

-C

AFE BIO

BIOC; MBIOC

This specification sheet cancels and replaces all previous publications: July 10th, 2015 Product Specification valid for 1 year.

Dr. Jacob’s Medical GmbH - Platter Straße 92 – D-65232 Taunusstein – Germany. BIO-zertifiziert durch DE-ÖKO-064.

Tel: +49 6128 48 77 0 – Fax: +49 6128 4 10 98

E-Mail: info@drjacobsmedical.de – Website: www.drjacobs.info

- 1 -

DESCRIPTION OF THE PRODUCT:

Product name: Chi-Cafe bio

Name of the food: beverage powder with fibre, soluble coffee and plant extracts

Ingredients: acacia gum1 (75%, soluble fibre), soluble, freeze-dried coffee1 (20 %), natural aroma (with reishi extract), guarana extract1 (1.5 %), ginseng extract1 (0.1 %).

1Ingredients from controlled organic farming.

Contains traces of barley. Approx. 50 mg natural caffeine from guarana and coffee per cup.

Code number: DE-ÖKO-070 (container, 400 g) DE-ÖKO-039 (sample bag, 6 g) Place of origin: Non-EU-agriculture

AVERAGE NUTRITIONAL VALUES:

100 g 1 cup (6 g)***

Energy 893 kJ/213 kcal 54 kJ/13 kcal (< 1 %*)

Fat < 0.1 g < 0.1 g (< 1 %*)

of which saturates < 0.1 g < 0.1 g (< 1 %*)

Carbohydrate 9.4 g 0.6 g (< 1 %*)

of which sugars 0.4 g < 0.1 g (< 1 %*)

Fibre 72 g 4 g

Protein 6.1 g 0.4 g (< 1 %*)

Salt 1.1 g 0.1 g (1 %*)

Calcium 800 mg (100 %**) 48 mg (6 %**)

Magnesium 150 mg (40 %**) 9 mg (2 %**)

* Reference intake of an average adult (8400 kJ/2000 kcal); ** Daily reference intakes (nutrient reference values – NRV); ***Preparation with water.

These values are calculated from occasional analytical results and are only an indication.

(2)

Product Specification

C

HI

-C

AFE BIO

BIOC; MBIOC

This specification sheet cancels and replaces all previous publications: July 10th, 2015 Product Specification valid for 1 year.

Dr. Jacob’s Medical GmbH - Platter Straße 92 – D-65232 Taunusstein – Germany. BIO-zertifiziert durch DE-ÖKO-064.

Tel: +49 6128 48 77 0 – Fax: +49 6128 4 10 98

E-Mail: info@drjacobsmedical.de – Website: www.drjacobs.info

- 2 -

SPECIFICATIONS: Sensory quality:

Aspect: Powder

Color: Light brown with dark brown dots

Flavor: Coffee-flavor with a whiff of caramel

Solubility: Soluble in water

STANDARD PACKAGING:

Container: Container with plastic lid, 400 g

Sample bag: Plastic film, rectangular, shrink-wrapped, 6 g

MARKING:

Labelling in accordance with EU Regulation (EU) No 1169/2011 and Directive 2000/13/EC.

Labelling in accordance with Council Regulation (EC) No 834/2007 and Commission regulation (EC) No 889/2008.

RECOMMENDED STORAGE CONDITIONS AND SHELF LIFE:

24 months when kept without light and stored in a cool (<25 °C), dry place in unopened original packaging

(3)

Product Specification

C

HI

-C

AFE BIO

BIOC; MBIOC

This specification sheet cancels and replaces all previous publications: July 10th, 2015 Product Specification valid for 1 year.

Dr. Jacob’s Medical GmbH - Platter Straße 92 – D-65232 Taunusstein – Germany. BIO-zertifiziert durch DE-ÖKO-064.

Tel: +49 6128 48 77 0 – Fax: +49 6128 4 10 98

E-Mail: info@drjacobsmedical.de – Website: www.drjacobs.info

- 3 -

STATEMENTS: Mycotoxins:

We commit ourselves that this product is in compliance with the regulation 1881/2006/EC and its series of modifications.

Heavy metals:

We commit ourselves that this product is in compliance with the regulation 1881/2006/EC and its series of modifications.

Irradiation:

We certify that this product has not undergone irradiation treatment.

GMO:

This product and its components do not result from GMO.

As a consequence, this product does not request labeling concerning GMO, in accordance with the European Regulations EC 1829/2003 and EC 1830/2003.

Allergens:

Contains traces of barley according to the EU Regulation (EU) No 1169/2011. No further allergens according to this regulation are present in the product.

Nanomaterials:

According to the definition of ‘nanomaterials’ of the EU Regulation (EU) No 1169/2011, we hereby attest that no nanomaterials are used in our product.

This document is valid without signature.

The information contained herein is, to the best of our knowledge, correct. Part or total information is received from our supplier. The data outlined and the Statements made are intended only as a source of information. No warranties, expressed or implied, are made. The information contained herein should not be construed as permission for violation of patent rights.

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