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SA N�J O A Q u I \ Environmental Health Department <br /> --COUNTYH '`I <br /> ❑ Sweet Sorghum ❑ Roasted Coffee 2(Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> Fried or Baked <br /> ❑ Donuts and Waffles ❑ Dried Hot Chocolate ❑ Other <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.00v/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: ��� c1 CCA, D( a hof <br /> Swe-+S cAtso 6e SOIJ , Io+- CYiAVV I <br /> V- ve1ve-� a w 1 n ,s th oQ 1, s c c-t,% r <br /> v� �euc (A�� vc Cti Jv�V" <br /> b6LLJiNy fow�-Zrr o 1 'veti — 4-e4le . baUA' k4 Sa�C\, l�1 }kv�v►;t� <br /> c L 1 v'"tl c ll,\ kv� e 4-r I Y"l � (V c r 0 V�r <br /> LL yJ U't hGkV't Z-wo 4�ayU1,k i\t,- i Sze S b (J C)r'e (3� lytw\ <br /> (k viss o Qci - S L rl?u o Vx tLA bul4ev- S u c t r <br /> U,tr > d� . c�v� =[a )Z iL'U oke <br /> civ V NT`T� 4e SL'4a'7' <br /> VVx ,'+ie-r , w�tiu I r ►'f'f t 1 k t,a✓t i I l ct \r x f rac,4- <br /> 51raw6-cwA pvre-e .Jh .Movsse layers M- VKUA :Y <br /> i'N h n u� et v- <br /> purer rt r we- h U r I'uS rte/ <br /> 2y—r�,— Fir�Gtl l U 6r 1 i^L l�L u,u- ,rr� G �u ?� vk-� v <br /> Svq�f ,SWec�4e.+'�e l Cun k ,ofYe-8 m► l <br /> F <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />