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SA N jo10 A Q U I N Environmental Health Department <br /> —COUNTY— <br /> ❑ Sweet Sorghum ❑ (Beans/Grounds)Roasted Coffee <br /> Syrup E] Chocolate Covered Nonperishable Food <br /> ❑ Fried or Baked ❑ Dried Hot Chocolate ❑ Other <br /> Donuts and Waffles <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 Pan 150 of Title 21 of the Code of Federal <br /> Regulations httoJ/www.aacmdata.fda.aov/scdptstcdrfJddocslctCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> "FVMAV- —Co�'T�\SAS : 5VAJUc1\�.4C> I�1Q.Ag_,W P,*tV .t V TFtQi��c Orn\� <br /> "F�i4*F tc�.�rb�J�7G�tL , 'bV oN SAKI <br /> dP�¢1f�C1oNS ..SAMA V-CGLJ�g w1*-^ A�OC'CJ �LMJNQ M��bG� <br /> • F-. rpt. r4-CA LerwzN0£2 *)IAM �- <br /> • l''PCR\1L wlk>^ O�l,lle F1cr1�tiS <br /> • MCwcA� ONvco�Pr� <br /> ') �t)QN T���1MS: M4�Z T-\uwc+- (coRNnnGct\ L%mz-) wpAea.,_ <br /> - <br /> �/Pt¢�P�\U�1S• •�,VEP.y�W�.M •(3t/�k �'\rhr+ ��`G �(z'$ <br /> La ME <br /> 3� (��-x�CLuNS ' Sou��tau�v�"�-� r p1AfJ-\�G �QG�et2 t o\�:►E a\�, <br /> "?PaMFSS-Pt� CnkCUGE — Ot,cT- -e>NyF 7 'EVA PsbrNa� Nbat VVU06V <br /> 2 of <br /> EHD 16-27 6✓29/17 CFO REG/PERMrrTING FORM <br />