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SAJ O A Q U I N Environmental Health Department <br /> COUNTY <br /> Sweet Sorghum Roasted Coffee <br /> ❑ Syrup El (Beans/Grounds) F] 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 Part 150 of Title 21 of the Code of Federal <br /> Regulations httt ://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFR Search.cfm?CFRPart=150 <br /> Food Descriptions: Cookies, cupcakes, brownies, blondies (similar to brownies), <br /> fruit pies, baked donuts, corn bread muffins. <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />