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SAN JOAOUIN <br />— COUNTY - <br />Environmental Health Department <br />Sweet Sorghum Roasted Coffee <br />ElsyrupE](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://www.accessdata.fda aov/scripts/cdrti/ddocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />EHD 16-27 6129117 2 of 5 <br />CFO REG/PERMnTING FORM <br />