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Environmental Health Department <br /> SAN J O A p U I N <br /> Sweet Sorghum Roasted Coffee Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> Fried or Bakedes L Gr pA s Mac�+.ca�13 <br /> Donuts and Waffles Dried Hot Chocolate Othe oe.er �� 5�.. <br /> Do not contain eggs,cream,or cream cheese <br /> If preparing jams,jelBes or fruit butters,include a list of ingredients(attach separate page if needed). These items <br /> must comply with stannards described in Pan 150 of Title 21 of the Code of Federal <br /> Regulations http/tw Mwd to fda aov/scrioWoddy flocs/cfCFR/CFRSearch.chn?CFRPan 150 <br /> Food Descriptions: 0L, P-aou h �oreac�YYradc (y,4k sa)f Tut' <br /> Wufer , ` z ,~-7 1v 7 Oc)d rQkU e 17MLMOrL / <br /> ��lni-Of\4 Mca_de Lv%tk. LLIM oncl Poc.earlef'ed cSucP4 ✓ <br /> n rJ ioctvd e✓ D h e AP-5. <br /> >>�T. & �atr�r �,-e.t-,M SIJ -/ <br /> C � cacCtw " r e t,,;f�. s vu fifQr��r elf �� r . <br /> jl���✓. ll S2_D ;V e, o/l on fve L,tWI'A "3ea 6&)11 -5-) <br /> Ta: fuua 'A)nl hl4g � Oyt A912q 5 /V�dl 40 �Grl i/aLfg A- <br /> J J <br /> L — t1 10 Jt <br /> rosffrt - b r J! 2! v & <br /> Lq as <br /> 2 Of <br /> EHD 16.27 SM17 CFO RECrPEFOAn TNG FORM <br />