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SAN10 A Q U I N Environmental Health Department <br /> - COUNTY <br /> El Sweet Sorghum Roasted Coffee <br /> Syrup (Beans/Grounds) Chocolate Covered Nonperishable Food <br /> Friednr RnLcr! <br /> U Donuts and Waffles U Dried Hot Chocolate U 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 /> Food Descriptions: <br /> Av <br /> l C ll"- -e, <br /> 1r - Ge <br /> ✓! ,8 <br /> CC , GCl/ <br /> )� <br /> J <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />