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SAN JOAQUIN <br />El Syrup Sorghum <br />Syrup <br />El Donuts <br />or Baked <br />Donuts and Waffles <br />❑ Roasted Coffee <br />(Beans/Grounds) <br />❑ Dried Hot Chocolate <br />Environmental Health Department <br />❑ Chocolate Covered Nonperishable Food <br />❑ 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 http:ltwww.acoessdata.fda.gov/sgdptslcdrh/efdoes/cfCFRICFRSea cf n?CFRPart=150 <br />Food Descriptions: <br />1�2 <br />2of5 <br />EHD 16-27 6129/17 CFO REG/PERMn-TING FORM <br />