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SAN JOAQUIN <br />_.. `l T <br />Condra's Treats <br />1507 Chester Dr <br />Environmental Health Department <br />0 <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />Website (if applicable): <br />Ma <br />CFO City: <br />Tracy <br />Telephone: <br />209-666-7285 <br />Date 8/122 <br />CFO Zip: <br />95376 <br />1. Categories: <br />X "Class A" (Direct Sales Only) $186 "Class B" (Direct & Indirect Sales) $312 <br />2. Prohibited Items: Initial if you agree to abide by the following: 10 <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 <br />Operation. These foods include items that do not require refrigeration to keep them safe from bacterial growth <br />that could be a 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 andlor selling. <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br />Popcorn/ <br />Baked Goods V <br />Dried Pasta <br />Honey <br />Popcorn Balls <br />Candy <br />Dry Baking Mixes <br />Mustard <br />Vinegar <br />Churros <br />Waffle Cones <br />Dried Grain Mixes <br />Fruit Butter" <br />Buttercream / <br />Frosting/Icing' �J <br />Buttercream FondantFlat <br />Gumpaste' <br />Icing f <br />g <br />Ground <br />Chocolate <br />Dried Mole Paste <br />Herb/Spice Blends <br />Pizzeles <br />Jams/Jellies" <br />Nut Mixes/Nut <br />Fried or Baked <br />Frail Empanadas <br />Fruit Tamales/Pies <br />Butters <br />Donuts and <br />Waffles <br />Granola/Cereals <br />Seasoning Salt <br />Trail Mix/ Dried Fruit <br />Dried Fruit <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br />