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SAN JOAOUIN Environmental Health Department <br /> COTTAGE FOOD OPERATIONS (CFO) <br /> REGISTRATION/PERMITTING RENEWAL FORM <br /> CPO ro <br /> C ro c+r.w Add U"LAf� ti it U <br /> tip <br /> ( ' Liss%.A'(L),90C bras Ontf)$186 Ca $312 <br /> 12— <br /> 2. Prohibited I14ma: fndiaf of you ague to rade by the fdlowi . <br /> 1 oocfs ccr trnry crrarn,custard,of mart hbenga ara pole hatsrdouMOT ALLOWED On}! <br /> .atrn tz s Food Opera5o'+ <br /> foods that*to dotncj as'no" p~baty ha:ardc..rc'AM ap{ro•. 4 for V y C a9° <br /> lho•se 1oo0s r,k.id*loam mat do not rogvre rata,)-Rt.;n!o ke"r*M alta troer pyctarlal growth that co11G Qe a <br /> cause of t4o4-taorno 61rwts <br /> 3. PrcyAot a w of a:produch rev art te*Pwrg r.P"Panr>i 1"t pct aa, or!rut exJttRrs nccvda s trtt of <br /> r1red+erft(attach separate C4090 if ne-edad <br /> 4 Food Lnt <br /> rewt <br /> 4. Prodtuc! ! abeI1ng: <br /> ono LAW to thn form V or*of yxtt CFO products(only ono 16W 91 ret(u.red f only one produ:l s <br /> S. Water%wrce; <br /> pwso�jv aAar t)Vo of j*Atew sab7 u <br /> re rs tann sed at tN CFO <br /> watery ❑Prlva!e Wer <br /> ••a prlva•r+»s nttis:h aq u¢datcC•.vYer 4Xrtt�tie rr!Svt!(!tC%L3Q�►f�q;;artnr?y t�.lc9ana attic!htttade reS� ) <br /> 6. Food Processor COMO: <br /> AUSCfl 100 hardkr Gaiftawn W olvtlef wK101:11 f4FAl M that*W0 nd iubff bd wtlfl tf"iDpbOdOn <br /> (OX*jdatg faff*rr,errsptt's afW(w OVOY001) <br /> 16dt E Hwent:jn A;tnvp I woccton, ('oforn4 952 51 T 209 468-34201 F 209 464-0138 1 www slgov orgrEND <br />