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SA N,J 0 A QU I N Environmental Health Department <br /> COUNTY — <br /> Dried or Dehydrated Dried Vegetarian- <br /> Vegetables Based Soup Mixes ❑ Vegetable and Potato Chips <br /> Sweet Sorghum Roasted Coffee Pl< <br /> ElSyrupEl (Beans/Grounds) Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> Donuts and Waffles Dried Hot Chocolate ElFruit Infused Balsamic Vinegar <br /> ❑ 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 httix//www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: CLO �O�A <br /> -o- b-,-rSTC hc- c:1c-4-t_ Ji p pe-A S f��,,,�► > r��� 'b <br /> C.`,0c,01ck -Ire -I--Z ' 1 i cam.. C,1r 1- <br /> C om( wool -fJ cki o' <br /> n-f q <br /> 2 of 5 <br />