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SANJ O A Q U I N Environmental Health Department <br /> COUNTY— <br /> E] <br /> OUNTY—❑ Sweet Sorghum EiRuasted Coffee Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> Fried or Baked <br /> Donuts and Waffles Dried Hot Chonnlafe =l Other <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 huo:iiwww.accessdata.fda.eoviscriotsicdrhicfdocsicfCFRiGFRSearch.cfm%CFRPart=i50 <br /> Food Descriptions: <br /> S U 2 <br /> an.�n. ��ry� YemOUP� q& theVY�O� L- �(om the (O'nag <br /> YDS=cair�,t�ra �1QV) a `�c)c 00 Ci o offlme - <br /> �rn�r�a�Qr�s �r n fJ n L, l�Va1 e= SAD tt e sr,me <br /> 2of5 <br /> ENO 16-27 6129/17 CFO REG/PERMITTING FORM <br />