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SA N d O A Q U I N Environmental Health Department <br /> --COUNTY--- <br /> Sweet Sorghum Roasted Coffee <br /> ❑ Syrup ❑ (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> Cl Donuts and Waffles ❑ Dried Hot Chocolate ❑ Other <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; r <br /> �F't1�1C1n �gCA�fl�nS W��'l / CirenVYt 11 � 1tV� <br /> 2 of - <br /> EHD 1627 6/29117 - CFO REGMERMITTING FORM <br />