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SA N J OA Q U IN Environmental Health Department <br />COUNTY <br />❑ Dried or Dehydrated Dried Vegetarian - <br />Vegetables ❑ Based Soup Mixes ❑ Vegetable and Potato Chips <br />E]Sweet Sorghum Roasted Coffee <br />Syrup ❑ (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br />❑ Fried or Baked ❑ Dried Hot Chocolate <br />Donuts and Waffles ❑ Fruit Infused Balsamic Vinegar <br />Other S y 11 <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 hhp /Avww accessdata fda gov/scripts/cdrh/cfdors/cfCFR/CFRSearch cfm?CFRPart=150 <br />Food Descriptions: <br />a i<Q 1 ) n 0Ye-11 `i <br />2of5 <br />