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SANJ O A Q U I N Environmental Health Department <br /> cou �'iTv <br /> Sweet Sorghum Roasted Coffee <br /> ❑ Syrup (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 htm://www.accessdata.fda.dov/scripts/odrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> Cakes/cupcakes <br /> Owck breada/mutfins <br /> Caramel cpm(and other flavored popcom) <br /> Fudge <br /> Cookies/biscotti <br /> Chocolate covered nuts/pretzels <br /> Buttercream/rostingriang,marshmallow fondant <br /> 2 of <br /> EHD 16-27 6/29/17 CFO REG/PERMfrTING FORM <br />