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SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />Sweet Sorghum <br />Syrup <br />0 Fried or Baked <br />Donuts and Waffles <br />Roasted Coffee <br />(Beans/Grounds) g Chocolate Covered Nonperishable Food <br />LI Dried Hot Chocolate [I] 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.accessdatalda.qov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: Banana bread and pumpkin bread. Breads can have added walnut, semi sweet chocolate chips, and raisins. <br />2 of 5 <br />END 16-27 6/29/17 CFO REG/PERMITTING FORM