Laserfiche WebLink
SAN 10AQUIN <br />Environmental Health Department <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />Website (lf applicable): Telephone: /L // 135- <br />-7030 <br />1. Categories: <br />0 "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: W& <br />Foods containing cream, custard, or meat fillings are potentially hazardous and are NOT ALLOWED. Only foods <br />that are defined as "non -potentially hazardous' are approved for preparation by a Cottage Food Operation. These <br />foods include items that do not require refrigeration to keep them safe from bacterial growth that could be a cause of <br />food -borne illness. <br />3. "Class A" Self Certification Checklist: <br />Checklist completed ("Class A' CFOs Only) <br />4. <br />Products: <br />Please check the items you will be preparing and/or selling. <br />Baked Goods <br />❑ <br />Dried Pasta <br />❑ <br />Honey <br />El <br />Popcorn Balls <br />Popcorn <br />❑ <br />Candy <br />Dry Baking Mixes <br />❑ <br />Mustard <br />❑ <br />Vinegar <br />❑ <br />Churros <br />❑ <br />Waffle Cones <br />❑ <br />Dried Grain Mixes <br />❑ <br />Fruit Butter** <br />Buttercream <br />ElFondant/Gum <br />Buttercream <br />El <br />Flat Icing <br />ElChocolate <br />Ground <br />Frosting/Icing* <br />paste* <br />❑ <br />Dried Mole Paste <br />❑ <br />Herb/Spice Blends <br />❑ <br />Pizzeles <br />❑ <br />Jams/Jellies** <br />Fried or Baked <br />F1Fruit <br />Empanadas <br />EIFruit <br />Tamales/Pies <br />ElButters <br />Nut Mixes/Nut <br />Donuts and <br />Waffles <br />❑ <br />Granola/Cereals <br />❑ <br />Seasoning Salt <br />❑ <br />Trail Mix/ Dried Fruit <br />❑ <br />Dried Fruit <br />Marshmallows/ <br />F-1Cotton <br />Candy <br />ElCandied <br />Apples <br />ElCaramel/Fudge <br />Salted <br />El <br />Marshmallow <br />Bars* <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 />