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SANIOAQUIN <br />COUNTY— <br />Environmental Health Department <br />❑ Sweet Sorghum ❑ Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br />Syrup (Beans/Grounds) <br />Fried or Baked <br />Donuts and Waffles Dried Hot Chocolate ElOther <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/cfCFR/CFRSearch cfm?CFRPart=150 <br />Food Descriptions: <br />• I 1. • • _ ■IM• 1. <br />V1 <br />Vill INK IN r <br />4 r d .• 1. . V • v •J <br />2 of <br />EHD 16.27 6/29/17 CFO REGIPERMITTING FORM <br />616 <br />V. <br />• . <br />1. <br />• I 1. • • _ ■IM• 1. <br />V1 <br />Vill INK IN r <br />4 r d .• 1. . V • v •J <br />2 of <br />EHD 16.27 6/29/17 CFO REGIPERMITTING FORM <br />