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SAN 10AQUIN <br />--COU NTY - <br />Environmental Health Department <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/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />HONEY <br />POLLEN <br />HONEY COMB <br />2 of 5 <br />EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />