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SAK J0AQUIN <br />COUNTY— <br />Environmental Health Department <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 butlers, 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 oov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />• ...�.IIAL41124111181wwK <br />2 of <br />EHD 16-276r29/17 CFO REG/PERMITTING FORM <br />