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SA NSI OAQ I I N Environmental Health Department <br /> COUNTY- <br /> 0 OU N TY�J-IY <br /> ❑ Sweet Sorghum ❑ Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> Fried or Baked <br /> El Donuts and Waffles E] Dried Hot Chocolate F] Other <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 htto7//www accessdata.fda.ciov/scripts/cdrh/cfdocs/cfCFR/CFRSearch-cfm?CFRPart=150 <br /> Food Descriptions: <br /> 2 of <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />