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SA N IJ O A Q U I N Environmental Health Department <br /> COU N 7 V <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 httl27//www.accessdata.fda.aov/scrit)ts/cdrh/cfdocs/cfCFR/CFRSe rch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> C14WJ2 "S <br /> o <br /> r <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />