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i <br />SANAAQUIN <br />- - COUNT I Y <br />E] syrup Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />Environmental Health Department <br />Roasted Coffee <br />❑ (Beans/&ounds) ❑ Chocolate Covered Nonperishable Food <br />❑ Dried Hot Chocolate ❑ 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 Parl 150 of Title 21 of the Code of Federal <br />Regulations http:ihvww.accessdata.lda.aovfscrioWedrNddocsldCFR/CFRSeamh.dm?CFRPart=150 <br />Food Descriptions: 'RC 1 b6 cr,) <br />C'ABCOrG}I!J VIA11111)(1 <br />mfo. \emrrr, Q�Gr C601(1�, <br />6eC-0YQNQ� CWCQ)R ffS%A6(Ar coolGIe <br />�lQ YCtkq SY11C1LPr�t)OAlR 6�I�Q! �.4U�G12? <br />dnucok)ie CUP664S <br />... 205 <br />EMD <br />EHD 16-27629!17 CFO REGIPERMRTtNG FORM <br />