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oce-c4,4e, e Cep (c'te,s- <br />SAN JOAQUIN Environmental Health Department <br />COUNTY <br /> <br />a Sweet Sorghum <br />Syrup <br />Roasted Coffee <br />(Beans/Grounds) Chocolate Covered Nonperishable Food <br />Fried or Baked <br />Donuts and Waffles Dried Hot Chocolate Other Sowrcfoo5k read <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 Pad 150 of Title 21 of the Code of Federal <br />Regulations htto://www.accessdata.fda.00viscripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />OM-met,' ELn n CO-0 ,C <br />o.nnourro &c [ç r <br />€ ,ef <br />Pear) utb, AA-c-er ancx--0( °vire, cri,ce <br />2 of 5 <br />EHD 16-27 6/29/17 CFO REG/PERMITTING FORM