Kitchen rolls:

Coffee filters:

Tea filters:

Name of material:

Identification or article number:

Manufacturer:

This material is suitable for contact with the following types of food (please check the appropriate categories yes or no)

Acidic yes______

No_____

Alcoholic yes______

No_____

Watery yes______

No_____

Fatty yes______

No_____

at temperatures up to _______oC.

It is guaranteed that the material does not contain recycled fibres.

The following substances are used as processing agents or additives:

Chemical name

CAS Number

Assessed by1)

Limit2)

Signed:_______________________________

Date and place:_____________________________

1)With reference to FDA, SCF, Council of Europe or other

2)The migration limits for these substances are not exceeded under the relevant conditions of use, which are documented by calculation or migration testing. Documentation is attached.