TEA PACKAGE INGREDIENT AND PRECAUTION RECORD — US PACKAGED FOOD Exact tea / brand / flavor / format: Package or lot identifier: Market and source of label: Date checked: Whole ingredient declaration copied or image location: Allergen source words in ingredients/parentheses: Contains statement, if present: Separate May contain/facility precaution, if present: Required ingredient question already identified: Unresolved source/precaution question: Maker/distributor named on package: Actual reply and date (blank until received): Decision and basis, within your established guidance: Gift substitution or new purchase requiring recheck: A flavor note or absent voluntary statement is not a suitability guarantee.