Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
SANJOApUIN Department <br /> Environmental Health De <br /> —COUNTY— - <br /> °dr �e' Greatness grows here. <br /> COTTAGE FOOD OPERATIONS (CFO) <br /> REGISTRATION/PERMITTING FORM <br /> (CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br /> CFO Business Na dw QrQJt 0 er Name. Date: <br /> Izlsinq �aarn ,Ypom TalCur �16rro� iolz� lzo0 <br /> CFO Physical Rddress: CFO lay CF Zip: r <br /> (0)q jqjt4M4S by_ LAtV1YOr !7 95330 <br /> Website(If applicable): Telephone'^56) -7 1 t_ (a 2-) <br /> Ul J <br /> 1. categories. <br /> "Class A"(Direct Sales Only)$155 ❑ "Class B"(Direct&Indirect Sales)$310 <br /> 2. Prohibited Items: Initial if you agree to abide by the following: ------ <br /> Foods containing cream,.custard, or meat fillings are potentially hazardous and are NOT ALLOWED. Only <br /> foods that are defined as"non-potentially hazardous"are approved for preparation by a Cottage Food Operation. <br /> These foods include items that do not require refrigeration to keep them safe from bacterial growth that could be a <br /> cause of food-borne illness. <br /> 3. "Class A" Self Certification Checklist: <br /> `Checklist completed("Class A"CFOs Only) <br /> 4. Products: <br /> Please check the items you will be preparing and/or selling. <br /> Popcorn/ <br /> Baked Goods ❑ Dried Pasta C3 Honey ❑ Popcorn Balls <br /> Candy ❑ Dry Baking Mixes ❑ Mustard ❑ Vinegar <br /> ❑ Churros ❑ Waffle Cones ❑ Dried Grain Mixes ❑ Fruit Butter*" <br /> ❑ Buttercream ❑ Buttercream ❑ Flat Icing ❑ Ground <br /> Frostingllcing* Fondant/Gumpaste* Chocolate <br /> ❑ Dried Mole Paste ❑ Herh/Spice Blends ❑ Pizzeles ❑ Jams/Jellies- <br /> Nut <br /> Nut Mixes/Nut Fried or Baked <br /> El Fruit Empanadas El Fruit Tamales/Pies ElButters Donuts and <br /> Waffles <br /> ❑ Granola/Cereals ❑ Seasoning Salt ❑ Trail Mix/Dried Fruit ❑ Dried Fruit <br /> Salted Marshmallows/❑ <br /> ❑ Cotton Candy Candied Apples ❑ <br /> Caramel/Fudge Marshmallow <br /> Bars <br /> ❑ Dried or Dehydrated ❑ Dried Vegetarian- ❑ Vegetable and Potato Chips <br /> Vegetables Based Soup Mixes <br /> 1868 E. Hazehon Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />