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SA N X10 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 aGcessdata fda gov/scripts/cdrh/ddoes/dCFR/CFRSearch Gfm?CFRPart=150 <br /> Food Descriptions: <br /> P,Y IPI blew +O)c lor C 151t m �/1. <br /> a� <br /> 6MA In9exbS Qdi <br /> 2 of <br /> EHD 16-276/29/17 CFO REG/PERMITTING FORM <br />