Laserfiche WebLink
Food Preparation Requirements (includes packaging and handling): Yes No <br /> 11. Hand washing is required immediately prior to handling foods and after engaging in <br /> any activity that contaminates the hands such as after using the toilet, coughing or ❑ <br /> sneezing, eating or smoking. <br /> 12. Warm water, hand soap and clean towels are available for hand washing. 1�4, ❑ <br /> 13. All food ingredients used in the CFO products are from an approved source. , ❑ <br /> 14. Potable water shall be used for hand washing, ware washing and as an ingredient. V ❑ <br /> 15. Is your water source a private well? ❑ ❑ <br /> a.If YES, have you completed testing for bacteria and nitrate? ❑ ❑ <br /> 16. Is your water source a public water system or community services district? ❑ ❑ <br /> a.If YES, what is the name of the system or district? <br /> During the preparation, packaging or handling of CFO products: Yes No <br /> 17. Domestic activities such as family meal preparation, dishwashing, clothes washing or Elironing, kitchen cleaning or guest entertainment are excluded from the kitchen. <br /> 18. Infants, small children, or pets are excluded from the kitchen. ❑ <br /> 19. Smoking is excluded. ❑ <br /> 20. Any person with a contagious illness shall refrain from work in the CFO. ❑ <br /> Labeling Requirements: es No <br /> 21. A copy of the label has been submitted to this Department for review and approval. ❑ <br /> 22. 1 have attached a sample label. V— ❑ <br /> By signing below you re certifying tha ou meet the requirements of the California Homemade Food Act, AB 1616 <br /> (Gatto), as it pertains o 'Class A" Co a e Food Operation. Prior to making any changes, I acknowledge that I must <br /> notify San Joaquin un y Environment ea Department of any intended changes to the above statement. <br /> Cottage Fo per to h cklist comple and submitted by: <br /> 1 S (J00late ' 1 <br /> Sin Print Name <br /> EHD 16-26 1212712012 2 CFO CLASS A CHECKLIST <br />