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SANJ O A Q U IN Environmental Health Department <br /> COUNTY <br /> Sweet Sorghum Roasted Coffee <br /> ❑ Syrup ❑ (Beans/Grounds) E] 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 htto://ww.acrossdatafdagov/scriots/edrh/cfdocs/cFCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> l/h oG+71 C l/h t p Govt/�f <br /> 2 of <br /> EHD 16-27 6/29117 CFO REG/PERMFrTING FORM <br />