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SAN , <br /> N ` J o U I i Y Environmental Health Department <br /> COUNTY <br /> Sweet Sorghum Roasted Coffee <br /> ❑ Syrup (Beans/Grounds) Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> El Donuts and Waffles F Dried 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.govlscripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> Cookies t <br /> Brownies I <br /> Cakes <br /> 3 <br /> Cupcakes a <br /> Rice Krispy Treats <br /> Candy Pretzels <br /> f <br /> r+ <br /> e <br /> U <br /> Vi <br /> of <br /> 3 <br /> I <br /> g7 <br /> 3 <br /> a, <br /> i <br /> 2 of 5 <br /> EHD 16-27 6129/17 CFO REG/PERMITTING FORM <br /> 9 <br /> gg� <br /> 3 <br />