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Dried or Dehydrated <br />Vegetables <br />Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />0 Vegetable and Potato Chips <br />0 Chocolate Covered Nonperishable Food <br />111 <br /> <br />Dried Hot Chocolate El Fruit Infused Balsamic Vinegar <br />• <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <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 Regulations <br />http://www.accessdata.fda.00v/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />(-ice\eA <br /> <br />At- (-10 <br /> <br />tot,4, <br />coiK <br /> <br />PeiaA,t_ kic:e_4 • <br />EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM