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SAN JOAQUIN <br />COUNTY— <br />Sweet Sorghum <br />Syrup <br />dFried or Baked <br />Donuts and Waffles <br />❑ Roasted Coffee <br />(Beans/Grounds) <br />❑ Dried Hot Chocolate <br />Environmental Health Department <br />❑ Chocolate Covered Nonperishable Food <br />Other <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://wwv.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.dm?CFRPart=150 <br />Food Descriptions: <br />�jreaK�ag•4- bars � �r'�ed �' h��� c1Jr1J}•s <br />W'�t�, Flct,�n45{ cr \a�c9 or <br />yy%.-.rsh o%(lOylSr CG)V 1 � 7`Y1r�K.I C'��' C -104e -e- <br />c�\ccs . hriead's. <br />2af5 <br />EHD 16-276/29/17 CFO REG/PERMITTING FORM <br />