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SAN.14JOA Q U IN Environmental Health Department <br />—COUNTY <br />El Sweet Sorghum Roasted Coffee F1 Chocolate Covered Nonperishable Food <br />Syrup (Beans/Grounds) <br />El Fried or Baked El Dried Hot Chocolate LJ Other StMO� syr <br />Donuts and Waffles <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 httpY/www.accessdata.fda.oov/scripts/cdrh/cfdocs/cfCFRICFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />Stere �r.,� 'lily Iced "'i <br />2 of <br />EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />