Laserfiche WebLink
SANg10AQ U I N Environmental Health Department <br /> —COUNTY— <br /> Sweet Sorghum Roasted Coffee <br /> ❑ Syrup ❑ (Beans/Grounds) FRr Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> E] Donuts and Waffles9 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 Part 150 of Title 21 of the Code of Federal <br /> Regulations htto://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> Cook;es '. Coaonv+ MAcaredn On4o7oa) 2a/^sin, f ean�+ 23y er; C4ecolak <br /> •a;Fk "A c6COW-C, tiac i lMIa NO', <br /> 1r 1i 1/J le C.koC',/al4f- I <br /> rndujaenct y <br /> �re e a ,Je� — 5 <br /> Mvhh'n 11 n <br /> fiacadamia Nu�/ //f�k¢�eo ;D J Trown S(1 ar ' n'can <br /> Cake. <br /> CDDraLS : CQrro+ Cd`F� - Cben"We., ,. '1JOJ10L� 6-,;"r>IrJ yeig4 <br /> * le d � ! ��A�o lr°� bUtf�rer`[am f�3�iM� T�ACaA7. Tla7 ie)ral <br /> Cand ICC , Cwra,vu,• 'Tof4 /• Try ate c Cl e)toll ears rre <br /> bri.A ba na � 4rle �erru CA1Ds JiPDaa ?, 01mem" y <br /> V � v . 4'A] &41- <br /> Uru rn;xes : CaI4s -404 Clec,9104 <br /> 2 of <br /> EHD 16.276129/17 CFO REGIPERMITTING FORM <br />