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SAN JOAQUIN <br />- COUNTY ------ <br />Sweet Sorghum <br />El Syrup <br />Fried or Baked <br />Donuts and Waffles <br />Environmental Health Department <br />Roasted Coffee <br />E] Roasted <br />❑ Chocolate Covered Nonperishable Food <br />❑ Dried Hot Chocolate ❑ <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 />oa+rneal t raisin/choc-otate chip cooKieS <br />• raisin — nv+ aranoia <br />• 6lueberr.r yam <br />• atcoYiad dri4 -Wyiks <br />krait mix <br />2 of <br />EHD 16-276/29/17 CFO REG/PERMITTING FORM <br />