Allergen Recipe Builder NON OpX

Dish Name Goat cheese mousse and red pepper coulis in tomato and basil basket
Allergens Present

This form can either be completed electronically or written by hand.

Please ensure you refer to the Allergen Delivery Diary for accurate allergen information.
October 2014

Almonds

Molluscs

Lupin

Wheat

Sulphites

Town and
country

Sesame

Tomato and basil

basket

Mustard

Chef direct

Celery

Vinegar white wine

Nuts
Must state which of
the following: almond,
hazelnut, walnut,
cashew, pecan, Brazil,
pistachio, Macadamia

Raynolds

Milk

Red pepper

Soya beans

Chef direct

Peanuts

Goat cheese

Fish

Manufacture
r

Eggs

U105.75.
1

Product Name

Crustaceans

M Code

Use by
or Best
Before
date

Cereals containing
Gluten
Must state which of
the following: Wheat,

INGREDIENTS