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SA N J 0 /( Q U I N Environmental Health Department <br /> �{ <br /> COUNTY— <br /> Sweet <br /> OU NMTY— <br /> ❑ Sweet Sorghum ❑ Roasted Coffee Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> ❑ Fried or Baked <br /> Donuts and Waffles El Dried Hot Chocolate F] Other <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/cfCFRtCFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: t <br /> 1 <br /> nx <br /> Nwola ogkrea ixrtel5 a a Anod fYU6 <br /> -es <br /> iS <br /> 2 of <br /> EHD 16276/29117 CFO REGIPERMrrTING FORM <br />