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SA AI s1 O A Q I I I N Environmental Health Department <br /> —COUNNTY�J—�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 http//www accessdata fda gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch cfm?CFRPart=150 <br /> Food Descriptions: <br /> C YOiSS m l+ s ° UII Pyr RO& t IOU r 6V90' r , 6 mit , <br /> �Wr Cbly0 oiGr croisi nisi he o oim+ e ; ( ainioInd CVdw(AYlts) <br /> MM on FIOUV, butte V , poWderec dUkJJSI alhnonds <br /> CU VA S all VUVphce floU r , �1( Imo, Iol Pulnldr r , <br /> hf� vy Uyeo( vyt , �JriecoFs , whlie CV0 (010te , Mebttry <br /> Myffins ( oyatVi f wyrbfrrOV�eS , oil , NniiK,�4s , <br /> bY� Ud flour ] kVowh s1]0A � , V�alurg 9oArr , JA If , <br /> ro�fh hlue btrrief llrP%t�� � _V0 <br /> dugar , rv\tlk) ni I� <br /> d � lfil bmkihq 9 0 W a f r 11 1 pofpvdewds , yav,iJ 110 extVat4l <br /> mm and fiord( + all f1bur <br /> U6 IeS = ElnouIA e of ie <br /> A I+ r0 Win u qn r MOJOSSff ! 1 r i S, <br /> Vier mil A ? xf r u oAfs f Yn <br /> �IAices , rmnb(rrIeS Anu-Ifitter) DfA'hut tfrr ; <br /> fCin �1 M 0 A Volln 'Amoy) Cream Cheese , h�rnu� <br /> ire m m <br /> s own*� n % C'mcOiwi htit r, P�TSVaU� llpily S�° <br /> Flouv brnkln� p6vidf r I -eo,v,� ryernrn <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />