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SANJ O A Q U I N Environmental Health Department <br /> —COUNTY— <br /> ❑ Sweet Sorghum Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <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 http://www accessdata fda gov/scripts/edrhlcfdocs/dCFRICFRSearch dm?CFRPart=150 <br /> Food Descriptions: <br /> 2 of <br /> EHD 16-276/29/17 CFO REGIPERMFMNG FORM <br />