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SA.N 10 A Q U I N Environmental Health Department <br /> COUNTY <br /> Sweet Sorghum Roasted Coffee <br /> ❑ Syrup El (Beans/Grounds) F-1Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> 1-1 Donuts and Waffles F-1Dried Hot Chocolate ❑ 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 http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> o CKes --K- <br /> n�.c-cteS <br /> W (7- <br /> 2 of 5 <br /> '-2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />