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LI <br />LI <br />LI <br />Dried or Dehydrated <br />Vegetables <br />Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />Other <br />LI <br />LI <br />LI <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />Dried Hot Chocolate <br />I=1 <br />El <br />I=1 <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 Regulations <br />http://www.accessdata.fda.doyiscripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />5u9AP f46,vatte4ice,,,' <br />Made in a Home Kitchen Permit soolsw/ Issued <br />: San Soaouin Am in county <br />Amber Wahl Wahl to Wahl Confections Rao Corbin Lane Lodi, CA 45242 (U4)7(.83531 Sugar <br />Cooties <br />Ingredients: NI-purpose flour (bleached wheat flour, malted barley flour, <br />niacin, reduced iron, thiamine mononitrate, <br />riboflavin, <br />folic acid), butler (milt, natural flavor), <br />confectioner's sugar(sugar, cornstarch), <br />egs. artificial vanilla axtrut, <br />salt bating powder. <br />Contains: wheat egg, milt Net Wt. 239 oz. (42.091) Royal Icing Ingredients: confectioners' sugar (sugar. cornstarc,). meringue powder, <br />corn syrup (corn syrup, <br />salt, vanilla extract): artificial vanilla extract water, white food coloring. <br />END 16-27 6/29/2023 <br /> 2 <br />CFO REG/PERMITTING FORM