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SAN JOAQUIN <br />COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />CFO Business Name: Owner Name: Date: <br />Saint Fetes Bakery David Rainwater 2/22/23 <br />CFO Physical Address: CFO City: CFO Zip: <br />1849 Orvis Dr. Stockton <br /> 95209 <br />Website (If applicable): Telephone: <br />209-639-5913 <br />Categories: <br />El "Class A" (Direct Sales Only) $186 El "Class B" (Direct & Indirect Sales) $312 <br />2. Prohibited Items: Initial if you agree to abide by the following: DR <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 />"Class A" Self Certification Checklist: <br />IK Checklist completed ("Class A" CFOs Only) <br />Products: <br />Please check the items you will be preparing and/or selling. <br />0 <br />El <br />LI <br />El <br />0 <br />El <br />0 <br />Baked Goods <br />Candy <br />Churros <br />Buttercream <br />Frosting/Icing* <br />Dried Mole Paste <br />Fruit Empanadas <br />Granola/Cereals <br />Cotton Candy <br />2 <br />1E1 <br />LI <br />El <br />El <br />0 <br />0 <br />Dried Pasta <br />Dry Baking Mixes <br />Waffle Cones <br />Fondant/Gumpaste" <br />Herb/Spice Blends <br />Fruit Tamales/Pies <br />Seasoning Salt <br />Candied Apples <br />Buttercream 1-1 <br />El <br />0 <br />0 <br />El <br />LI <br />LI <br />0 <br />LI <br />Honey <br />Mustard <br />Dried Grain Mixes <br />Flat Icing <br />Pizzeles <br />Nut Mixes/Nut <br />Butters <br />Trail Mix/ Dried Fruit <br />Salted <br />Caramel/Fudge <br />LI <br />0 <br />El <br />LJ <br />0 <br />LI <br />El <br />0 <br />Popcorn/ <br />Popcorn Balls <br />Vinegar <br />Fruit Butter*" <br />Ground <br />Chocolate <br />Jams/Jellies** <br />Fried or Baked <br />Donuts and <br />Waffles <br />Dried Fruit <br />Marshmallows/ <br />Marshmallow <br />Bars* <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/ehd