Laserfiche WebLink
1 )—COUNTY — <br />Greatness grows here. <br />1NiJUAIJUIN tnvironmenttinIcauxi-vactscas-nann <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br /> <br />itt Perfec-1-PppRee <br />Owner ties: c1/4shou _StkIDele6 <br />CFO Business <br /> <br /> <br />51202.621 <br />Nae: rn <br />CFO Physical Address: CFO City: CFO Zip: <br />LIBLIS• Gwan4 Une Pucci Tent 45-3011 <br />Webslte Of applicable): Telephone: 20 ci Lilo -0,114 <br />Categories: <br />ph °Class A" (Direct Sales Only) $155 0 "Class B° (Direct & Indirect Sales) $310 <br />2. Prohibited Items: Initial if you agree to abide by the following: U3F3 <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 />"Class A" Self Certification Checklist: <br />NI Checklist completed ("Class A" CFOs Only) <br />Products: <br />Please check the items you will be preparing and/or selling. <br />Baked Goods <br />Candy <br />o Churros <br />Buttercream <br />Frosting/Icing* <br />Dried Mole Paste <br />Fruit Empanadas <br />Granola/Cereals <br />p Cotton Candy <br />Dried Pasta <br />Dry Baking Mixes <br />Waffle Cones <br />Buttercream <br />Fondant/Gumpaste* <br />El Herb/Spice Blends <br />Fruit Tamales/Pies <br />Seasoning Salt <br />0 Candied Apples <br />Honey <br />Mustard <br />EI Dried Grain Mixes <br />0 Flat Icing <br />o Pizzeles <br />0 <br />Salted <br />Caramel/Fudge <br />n Popcorn/ <br />" Popcorn Balls <br />El Vinegar <br />EI Fruit Butter" <br />O Ground <br />" Chocolate <br />Jams/Jellies** <br />Fried or Baked <br />0 Donuts and <br />Waffles <br />Marshmallows/ <br />0 Marshmallow <br />Bars* <br />Nut Mixes/Nut <br />Butters <br />Trail Mix/ Dried Fruit 0 Dried Fruit <br />Q Dried or Dehydrated ri Dried Vegetarian- <br />" Vegetables " Based Soup Mixes 0 Vegetable and Potato Chips <br />a -Aft re% IC Lan. ostarroal—Char..1thrsnaZnlifetmin-Ognfic.1—T—On0Agia-oAnn c AAA r11•20 I