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SANJOAQUIN <br />-COUNTY- <br />Environmental Health Department <br />Sweet Sorghum Roasted Coffee <br />Syrup (Beans/Grounds) Chocolate Covered Nonperishable Food <br />Fried or Baked <br />Donuts and Waffles ❑ Dried Hot Chocolate ❑ 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://www accessdata fda.gov/scriptslcdrtVcfdocs(cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />V-0 6vvi <br />2 of <br />EHD 16-276/29117 CFO REG/PERMn71NG FORM <br />