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SA NIJ O A Q U IN Environmental Health Department <br /> COUNTY— <br /> El <br /> OUNTY—❑ Sweet Sorghum ❑ Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> Fried or Baked <br /> E] Donuts and Waffles ❑ Dried 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 gov/scripts/cdrh/cfdocs/efCFR/CFRSearch cfm?CFRPart=150 <br /> Food Descriptions: <br /> 2 of <br /> EHD 16-27 6/29117 CFO REG/PERMITTING FORM <br />