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SAN10 A Q U s N Environmental Health Department <br /> CC-)UNTY <br /> Sweet Sorghum Roasted Coffee <br /> ElSyrupEl (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> ❑ Fried or Baked ❑ Dried Hot Chocolate ❑ Other <br /> Donuts and Waffles <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 /> �VAuc oIaic- clni s <br /> Sua a r pcanubu4-e r- oa+s <br /> by-014)0 s O W- a1�ry►yvtd -� �urn�- <br /> i e Shoy+-Cyxi <br /> y& i a oa,�Ae. "+Vaci- <br /> mi <br /> 'h rotiv V1 Jo,AA-W ct hr.a m rr,n <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br /> i <br />