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SAN J O A Q U I N Environmental Health Department <br /> —COUNTY— <br /> Sweet Sorghum❑ Roasted Coffee Syrup ❑ (Beans/Grounds) ElChocolate Covered Nonperishable Food <br /> Fried or Baked <br /> ❑ Donuts and Waffles ❑ 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 htto://www.accessdata.fda.cov/scripts/odrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> ��GL SCi G <br /> 77-E-L- <br /> ar <br /> rl lig <br /> soda./ <br /> Va.,:/la, �xf� ho rru✓ r,�i, ed�z,,ts <br /> 17ocvdnr,¢d , S�v��l, <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />