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A A( 111 QU <br /> Environmental Health Department <br /> IN <br /> ............[COLI NTY................ <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 goy/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 />