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SA NA A O U I N Environmental Health Department <br /> ---C OU N T Y----- <br /> Sweet Sorghum ❑ Roasted Coffee Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) hh + f n <br /> El Fried or Baked Dried Hot Chocolate Other I I i VQ- Oil �'/7d Ala 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 1/www acoessdata fda oov/scripts/cdrh/cfdocs/cfCFR/CFRSearch cfm?CFRPart=150 <br /> Food Descriptions: <br /> F- <br /> l'q1/0 re d inY ar — ! i'lP 'a/ a aVa' &' 1 r4iL <br /> 01('v'-d/ - D 11tr od eli —7,G q <br /> r—'4at/ard( u r — u r a l -er-6 <br /> nh — if G rb41-h-s <br /> e� p o �� - IJ's ✓ Rhe G�rliv <br /> 2 of 5 <br /> EHD 16-27 6/29117 CFO REG/PERMITTING FORM <br />