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SANJ O A O U I N Environmental Health Department <br />— COUNTY <br />Sweet Sorghum ❑ Roasted Coffee Syrup El(Beans/Grounds) F1Chocolate Covered Nonperishable Food <br />Fried or Baked <br />Donuts and Waffles [-]Dried Hot Chocolate ElOther <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/edrh/cfdoes/cfCFRICFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />--borFr-3 -Fy c 603 Is( YA re -(le •1n <br />✓prt o/ ' <br />IAO vynd o ccm �rn y^9✓direll / nCCetcrlcss <br />r <br />1229 <br />2of5 <br />EHD 16-276/29/17 CFO REG/PERMITTING FORM <br />