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SAN1 J 0 A QU I N Environmental Health Department <br /> -- COUNTY---- <br /> El 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/cfCFRICFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> Cakes made with organic products, low sugar, no sugar, no salt breads and organic. <br /> Gluten free breads, cakes, waffle, ice cream cones. <br /> Fruit jams from organic quality ingredients. <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />