Laserfiche WebLink
SANh N JO g Q U I N Environmental Health Department <br /> (-1 f(7. �(.t N,1T 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/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> • C�70C01 I-2C ��lP , Sy1iCI,U�load1e 0.�td 00�-}v�2gI Cook-i23 . <br /> • <br /> Sepl QL ble VIA 10 �P WJ4 n Sa(m0 VA G1g1,r,I,c,2v) <br /> W Ini C Vtor olaVt GOV�kZ-e-d POPCO2 VA <br /> • Cinocoto�l-e -�yc1gQ �i _C' S <br /> 2 of 5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />