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SANJ O A Q U I N Environmental Health Department <br /> Sweet Sorghum Roasted Coffee <br /> COUNTY— <br /> El Syrup El (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> El Donuts and Waffles ElDried Hot Chocolate ❑ Other <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/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> JAW V <br /> m <br /> el 4'A! <br /> V12,NrYV <br /> = \A Sr� <br /> 2 of 5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM.. <br />