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SA N ,O A Q U I N Environmental Health Department <br /> _..� <br /> COUNTY -.-. -- <br /> ❑ Sweet Sorghum ❑ Roasted Coffee ® Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> El Fried or Baked <br /> Donuts and Waffles ❑ Dried Hot Chocolate ElOther <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 /> Cakes/cupcakes <br /> Quick breads/muffins <br /> Caramel corn(and other flavored popcorn) <br /> Fudge <br /> Cookies/biscotti <br /> Chocolate covered nuts/pretzels <br /> Buttercream frosting/icing,marshmallow fondant <br /> 2 of 5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />