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SAN.oIOAQUIN <br />COUNTY— <br />Environmental Health Department <br />Sweet Sorghum Roasted Coffee <br />El Syrup ❑ (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br />❑ Fried or Baked ❑ Dried Hot Chocolate ❑ Other <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,/Iwww.accessdata fda gov/scripts/cdrh/cfdoes/efCFRICFRSearch.cfm?CFRPart=150 <br />Food Descriptions <br />M ac,arbvr <br />C.�Klou�l� <br />2of5 <br />EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />