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SANJ O A Q U I N Environmental Health Department <br />❑ Sweet Sorghum El Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br />Syrup (Beans/Grounds) <br />Fried or Baked ❑ Dried Hot Chocolate KL Other fa 7eh rm lC - <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 htto'//www accessdata fda oov/scripts/cdrh/cfdoes/cfCFRICFRSearch cfm?CFRPart=150 <br />Food Descriptions: <br />2of5 <br />EHD 16-27 6/29/17 CFO REG/PERNIFTING FORM <br />