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SANJ O A Q U I N Environmental Health Department <br /> COUNTY <br /> Sweet Sorghum Roasted Coffee <br /> El Syrup ® (BeanslGrounds) F-1Chocolate 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 htto://www.accessdata.fda.gov/scdotstcdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: Q.eo�s� of ��� 8 bern5 cn� (r Ana be ns ) <br /> � QQ- QHS Who rc <br /> C <br /> C10'2_7 <br /> 2 of <br /> EHD 1627 6/29/17 CFO REG/PERMITTING FORM <br />