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SANJ O A Q U I N Environmental Health Department <br />—COUNTY— <br />Sweet Sorghum Roasted Coffee <br />Syrup El (Beans/Grounds) ® Chocolate Covered Nonperishable Food <br />® Fried or Baked ElDried Hot Chocolate ® Other Bread, les crdpes, les benies, pancakes, chocolate <br />Donuts and Waffles eclairs, Ined genwac ...... <br />C C <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:/twww.accessdata.fda.00v/scripts/edrh/Gfdocs/cfCFRICFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />� <br />Les �enies�iom�rrgar-sok-, oil-; yeast �rogurt�haeolate�r-jam— C <br />2of5 <br />EHO 1527 6/29/17 CFO.REG/PERMITTING FORM <br />