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Sn A�J 0 A Q U I N Environmental Health Department <br /> F11COUNTY— <br /> E] <br /> `I O U N TY— <br /> Sweet Sorghum Roasted Coffee❑ Syrup El (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> I <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?CFRPart=150 <br /> Food Descriptions: <br /> V&6 ('W ©�- 'n->�dmAh <br /> LAG ►-PC1 S . <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />