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SAN JOAQUIN <br />CC) IJNTY <br />Environmental Health Department <br />❑ <br />Dried or Dehydrated <br />Vegetables <br />❑ Dried Vegetarian- <br />❑ Vegetable and Potato Chips <br />Based Soup Mixes <br />❑ <br />Sweet Sorghum <br />Syrup <br />❑ Roasted Coffee <br />❑ Chocolate Covered Nonperishable Food <br />(Beans/Grounds) <br />❑ <br />Fried or Baked <br />Donuts andWaffles <br />El Dried Hot Chocolate <br />E] Fruit Infused Balsamic Vinegar <br />�f <br />Other ` IOi-bx <br />M <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 hno.//www accessdata fda aov/scripts/cdrh/cfdow/cfCFRICFRSearch cfm7CFRPart=150 <br />Food Descriptions: <br />1 <br />2 of <br />