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❑ Dried or Dehydrated ❑ Dried Vegetarian- Vegetable and Potato Chips <br /> Vegetables Based Soup Mixes <br /> Sweet Sorghum Roasted Coffee <br /> El Syrup ❑ (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> El Donuts and Waffles Dried Hot Chocolate ❑ Fruit Infused Balsamic Vinegar <br /> ❑ 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 Regulations <br /> htt :Uwww.accessdata,fda. ovlscri ts/cdrhlcfdocslcfCFRICFRSearch.cfm?CFRPart=150 <br /> Food Descriptions 1 <br /> G hY col C Y <br /> �-�Yt't c-, �p (A rlr�. Croy <br /> nc�u 0\ bob Ci�nln�lma� "�1tac�f� <br /> n)CWvo V') I l <br /> h a cc'v-' VvirBack <br /> 1r( Sid wydn �Ori?OA - -- --- <br /> a ca s <br /> ar LJ all rV <br /> EHD 16-276129l2023 2 CFO REGIPERMITTING FORM <br />