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SAN.A N I O ({ O U I N Environmental Health Department <br /> ,} { COUNTY— <br /> Sweet Sorghum Ei Roasted Coffee <br /> Syrup (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> El Donuts and Waffles ElDried Hot Chocolate F-1Other <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.aov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> Gl &_ <br /> Soofc✓ <br /> �/m mwf.•i 'PJC.�.�" <br /> �Pwrt.ar� C,��r'a.Gf' <br /> �ros Hie/Vani//a. j2ydlen� <br /> Pow" , slzolaA, �— <br /> merle) ua, <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />