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SA N , 10 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 gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch cfm?CFRParl=150 <br /> Food Descriptions: Cr1UTYQS doy.gV%A ClAhe Oly-6 <br /> OC - at <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />