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SANA O A Q U IN Environmental Health Department <br /> —COUNTY <br /> ❑ Sweet Sorghum ❑ Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> Fried or Baked <br /> El Donuts and Waffles ElDried Hot Chocolate ElOther <br /> ' Do not contain eggs,cream,or cream cheese <br /> "If preparing jams,jellies or fruit butters,include a list of ingredients(attach separate page if needed). These items <br /> must comply with standards described in Part 150 of Title 21 of the Code of Federal <br /> Regulations http://www.accessdata.fda.gov/scripts/cdrh/cfdoes/efCFRICFRSearch.dm?CFRPart=150 <br /> Food Descriptions: <br /> Q�cr k La 1 14- 3-o t3 <br /> l V TD \rsrz —PlAck1l, t &q <br /> 2 of <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />