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SAN 10AQUIN <br />COUNTY <br />Environmental Health Department <br />Sweet Sorghum Roasted Coffee <br />ElSyrupEl(Beans/Grounds) E]Chocolate Covered Nonperishable Food <br />❑ Fried or Baked ❑ Dried Hot Chocolate <br />Donuts and Waffles F-1 Other <br />* Do not contain eggs, cream, or cream cheese 110 <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.arcessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />kk <br />2 Of <br />EHD 15-27 6/29/17 CFO REG/PERMITTING FORM <br />