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SANJ O A Q U I N Environmental Health Department <br /> —C0U 'JTY <br /> El Sweet Sorghum E] Roasted Coffee <br /> Syrup (Beans/Grounds) Chocolate Covered Nonperishable Food <br /> El 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'Owww accessdata fda cov/scdpts/edrh/cfdocs/efCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: S� e a4+�GhDd � W0A <br /> 2of5 <br /> EHD 16-276/29/17 CFO REG/PERMrMNG FORM <br />