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Dried or Dehydrated Dried Vegetarian- <br />Vegetables Based Soup Mixes <br />El Sweet Sorghum Roasted Coffee <br />Syrup (Beans/Grounds) <br />EJ Fried or Baked 0 Dried Hot Chocolate Donuts and Waffles <br />Vegetable and Potato Chips <br />1:1 Chocolate Covered Nonperishable Food <br />Fruit Infused Balsamic Vinegar <br />0 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 Regulations <br />http://www.accessdata.fda.qoviscripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: on, a,,,,yd,„1,d ItRve,% + c yr,Q., <br />(1Zev;s 13 1 4 ,14--, sold °t1 bithck, 4-e_cA ree -}-tc, oulooy <br />0+1,tr a,ried heAs ore, ,Nme,41nei ok cidedi 1-1,efe re. <br />rnin f-, 1-erkkovN vtritn,A an ECA5t. <br />EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM