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SANJ O A Q U I N Environmental Health Department <br /> COUNTY <br /> ❑ Sweet Sorghum ❑ Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <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/edrti/cfdom/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> f f <br /> t Yy f tiV�c� �Vt t6-('y)A1 : bu�K r ' l-f Y rd '(J r Vf AyYN <br /> V o11p�\\01 tC61 <br /> f tip(n1�-ef <br /> (_GHTA \n1DMb.f <br /> 2 of 5 <br /> EHD 16-27 6/29/17 <br /> CFO REG/PERMITTING FORM <br />