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i <br /> SA N J O A Q U I N Environmental Health Department <br /> COUNTY <br /> Sweet Sorghum Roasted Coffee <br /> Syrup (Beans/Grounds) Chocolate Covered Nonperishable Food <br /> Fried or Baked �/"_ <br /> Donuts and Waffles Dried Hot Chocolate [� Others p ct_ R_ 'GPa LI2nr�c <br /> `�©Ctb�L� l.►v"c�t^ .LDux Sema d�a� 0251 1'_") <br /> 624 <br /> Do not contain eggs, cream, or cream cheese �vr <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 /> S-�neB <br /> VJ <br /> zo <br /> u sang_�8 <br /> aJ <br /> V' <br /> c V <br /> x <br /> 2 of 5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />