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C' Environmental Health Department <br /> AN JOAOUIN <br /> C01-11\11 Y <br /> ❑ Sweet Sorghum ❑ Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <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/edrh/cfdoes/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: 6 O Y:�4 <br /> Y0V9D CA46E, AAVfF7fQ3 AFLL ASE_ &A� art't /yQ <br /> 2 of 5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />