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S A N JO A Q U IN Environmental Health Department <br /> - <br /> Sweet Sorghum Roasted Coffee <br /> COUNTY— <br /> El Syrup El (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> dFried or Baked ❑ Dried Hot Chocolate ❑ Other <br /> Donuts and Waffles <br /> i <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 hfti):/A&ww.accessdata.fda.gov/scriptsicdrh/cfdocs/cfCFRICFRSe rch.cfm?CFRPart=150 <br /> Food Descriptions: nn 1_ <br /> Ciy1CAI of Set�r f �n F]y�fCds <br /> '3 VAS, C W1 CACS <br /> VGt'�ry F'� nas�-ri,4, <br /> 2of5 <br /> EHD 16.27 6/29/17 CFO REGIPERMnTING FORM <br />