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SA N X10 A Q U l N Environmental Health Department <br /> --COU NTY— <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 cov/scdpts/cdrh/efdocs/cfCFR/CFRSearch cfm?CFRPart=150 <br /> Food Descriptions: <br /> All types of cakes: example- Spong cake, Plump cake, Organic cake, Fondant cake, Honey cake, <br /> Cheese Ic Chocolate cake, Dry fruits pastry,Fruit cake, ice cream cake, Butter creame cake, <br /> hipeream cake, Vanilla cake, Butter scotch cake ,Cupcakes , Celebration cake, <br /> Wedding cake ,Event cake, Customized cake <br /> 2 of <br /> EHD 16-276/29/17 CFO REG/PERMITTING FORM <br />