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SAN J O A Q U IN Environmental Health Department <br /> courvT <br /> Sweet Sorghum Roasted Coffee <br /> F1 Syrup ❑ (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> ElFried or Baked <br /> ElDonuts and Waffles Dried Hot Chocolate Other l <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:/Iwww.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> NpfAM ?b 6p S <br /> 10 ' 0`1 <br /> 2of5 <br /> EHD 16-276/29/17 CFO REG/PERMUTING FORM <br />