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SANJ O A Q U I N Environmental Health Department <br />Sweet SorghumE](Beans/Grounds) Roasted Coffee <br />Syrup F1Chocolate 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://www.accessdata.fda.oov/scriots/odrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: A <br />yariebi of <br />uLA04/Qurnwties <br />.µ,a} <br />Are <br />GOVe CCA `r1 <br />a M -Ix h/re <br />OF GL <br />lfVM AAtl <br />dnl1; <br />SKZS. <br />2of5 <br />EHD 16-27 6/29/17 CFO REG/PERMrrTING FORM <br />