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SA N J O A Q U I N Environmental Health Department <br /> —COUNTY <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 150 of Title 21 of the Code of Federal <br /> Regulations htto://www.accessdata,fda.gov/scripts/odrh/cfdocs/cfCFRICFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> - <br /> Gt-k:Colc.-� <br /> fZ.rt-a �...a 13�RS <br /> GNtC�!vTE �kF�r G'aK <br /> 2 of <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />