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Dried or Dehydrated Dried Vegetarian- <br /> Vegetables ❑ Based Soup Mixes El Vegetable and Potato Chips <br /> Sweet Sorghum Roasted Coffee <br /> ❑ Syrup ❑ {Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> Donuts and Waffles ❑ Dried Hot Chocolate ❑ Fruit Infused Balsamic Vinegar <br /> ❑ Other <br /> Do not contain eggs,cream,or cream cheese <br /> *"If preparing tams,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 Regulations <br /> httpalwww.accessdata.fda,gov/scripts/cdrh/cfdocslcfCFPJCFRSearch.cfm?CFRPart=l 50 <br /> Food Descriptions; <br /> BREADS,PASTRIES,COOKIES,PIZZA DOUGH,TORTILLAS,GENERAL BAKED GOODS, ETC. <br /> DRIED HERB AND SPICE BLENDS FOR BREAD TOPPING OR DIPPING <br /> fa <br /> 00 <br /> EHO 16-27 6/29/2023 2 CFO REGIPERMITTING FORM <br />