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SANJ O A Q U I N Environmental Health Department <br /> COUNTY <br /> El Sweet Sorghum El Roasted Coffee <br /> Syrup (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> Donuts and Waffles ElDried Hot Chocolate F-1Other <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 /> ftk V WO M'Q'1� (7 S40 hi�, Pk 111(iV�CA L WU A'►11 kD A <br /> S P IMI'C7�1 fes({�'(s1�, <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />