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SAN )O A Q U I N Environmental Health Department <br /> -COUNTY-- <br /> Sweet Sorghum Roasted Coffee <br /> Syrup ❑ (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <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,aov/scdots/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> aY cookies Shor r vavu,Uw ectrac <br /> S19aEVil.QDW -FIDu,Y <br /> �tOl O.U.'IL) <br /> VJJ 91DOCIA ;IM+ �' ' r r 1AA <br /> ADOL trOWL'vIL <br /> 2 of <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />