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SAN10 A Q U I N Environmental Health Department <br /> �-0UNTY <br /> Sweet Sorghum Roasted Coffee <br /> Syrup ❑ (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> Donuts and Waffles El 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 http:// m.accessdata.fda. ovlscri tslcdrhlcfdocslcfCFR/CFRSearch.cfm?CFRPart-150 <br /> Food Descriptions: <br /> llGKes OnICts OUtd 061lus 0AV-1 L s <br /> C � [A 5ci 1 GAS 0 u, ovt g Vx, 5, C I4 oto <br /> 2 of 5 <br /> EHD 16-27 6129117 CFO REGIPERMITCING FORM <br />