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SANJOAQUIN <br />—COUNTY— <br />Environmental Health Department <br />❑ Vegetable and Potato Chips <br />❑ Chocolate Covered Nonperishable Food <br />❑ Fruit Infused Balsamic Vinegar <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 htto7//www accessdata fda cov/scripts/odrh/cfdocs/cfCFR/CFRSearch cfm7CFRPart=150 <br />Food Descriptions: <br />S Z <br />a <br />S <br />a 6 I <br />S cv-\ <br />2of5 <br />Dried or Dehydrated <br />❑ Dried Vegetarian - <br />Vegetables <br />Based Soup Mixes <br />❑ <br />Sweet Sorghum <br />❑ Roasted Coffee <br />Syrup <br />(Beans/Grounds) <br />❑ <br />Fried or Baked <br />Donuts and Waffles <br />❑ Dried Hot Chocolate <br />❑ <br />Other <br />Environmental Health Department <br />❑ Vegetable and Potato Chips <br />❑ Chocolate Covered Nonperishable Food <br />❑ Fruit Infused Balsamic Vinegar <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 htto7//www accessdata fda cov/scripts/odrh/cfdocs/cfCFR/CFRSearch cfm7CFRPart=150 <br />Food Descriptions: <br />S Z <br />a <br />S <br />a 6 I <br />S cv-\ <br />2of5 <br />