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SA N A O A Q U I N Environmental Health Department <br /> COUNTY— <br /> E] <br /> OU NTY— <br /> Sweet Sorghum Roasted Coffee <br /> ❑ Syrup El (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'l50 of Title 21 of.the Code of Federal �_' <br /> Regulations hfto://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfM?CFRPart=150 - <br /> Food Descriptions: <br /> (7014 1 ela,42o%/ <br /> 2of5 <br /> EHO 16-276/29/17 CFO REG/PERMrMNG FORM <br />