COMPLIANCE INFO_2023 - Laserfiche WebLink

Home Browse Search

Food Preparation Requirements (includes packaging and handling): Yes No 11. Hand washing is required immediately prior to handling foods and after engaging in Pe ❑ 22. any activity that contaminates the hands such as after using the toilet, coughing or 9?0 ❑ sneezing, eating or smoking. 12. Warm water, hand soap and clean towels are available for hand washing. 1--� ❑ 13. All food ingredients used in the CFO products are from an approved source. 9400 ❑ 14. Potable water shall be used for hand washing, ware washing and as an ingredient. 2., El 15. Is your water source a private well? ❑ & a. If YES, have you completed testing for bacteria and nitrate? ❑ ❑ 16. Is your water source a public water system or community services district? EGIO ❑ a. If YES, what is the name of the system or district? During the preparation, packaging or handling of CFO products: Yes No 17. Domestic activities such as family meal preparation, dishwashing, clothes washing or E]ironing, kitchen cleaning or guest entertainment are excluded from the kitchen. For 18. Infants, small children, or pets are excluded from the kitchen. Zr ❑ 19. Smoking is excluded. V ❑ 20. Any person with a contagious illness shall refrain from work in the CFO. [y ❑ Labeling Requirements: Yes No 21. A copy of the label has been submitted to this Department for review and approval. Pe ❑ 22. 1 have attached a sample label. (e ❑ By signing below you are certifying that you meet the requirements of the California Homemade Food Act, AB 1616 (Gatto), as it pertains to a "Class A" Cottage Food Operation. Prior to making any changes, I acknowledge that I must notify San Joaquin County Environmental Health Department of any intended changes to the above statement. Cottage Food Operator Checklist completed and submitted by: 4 L '-- G10 Q, 6111 Signature ' Pri it Name Date EHD 16-26 122712012 2 CFO CLASS A CHECKLIST