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SANAOAQUIN <br />—COUNTY— <br />Environmental Health Department <br />❑ Sweet Sorghum ❑ Roasted Coffee 0 Chocolate Covered Nonperishable Food <br />Syrup (Beans/Grounds) <br />❑ Fried or Baked LZ Dried Hot Chocolate ❑ Other <br />9 <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 http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />►� 11 1 r / ► 1 1 ► • :A <br />,a 1 <br />2 of 5 <br />EH 16-276/29/17 CFO REG/PERMITTING FORM <br />1� <br />