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SA NA O A Q U I N Environmental Health Department <br /> —COUNTY— <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 oov/scripts/cdrh/cfdocs/CFCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> SID <br /> r r <br /> Y <br /> MCA a <br /> 1 1 <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />