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SA AI J O A Q U I N Environmental Health Department <br /> —COUNTY 'v <br /> Sweet Sorghum Roasted Coffee <br /> ElSyrupEl (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> Fried or Baked Dried Hot Chocolate ElOther <br /> ElDonuts 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 /> 2 of 5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />