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111 <br />411 <br />El <br />LI <br />I <br />El <br />111 <br />El <br />Dried Pasta <br />Dry Baking Mixes <br />Waffle Cones <br />Buttercream <br />Fondant/Gumpaste* <br />Herb/Spice Blends <br />Fruit Tamales/Pies <br />Seasoning Salt <br />Candied Apples <br />111 <br />El <br />El <br />EIN <br />111 <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 />Popcorn/ <br /> <br />I Popcorn Balls <br /> <br />E I Vinegar <br /> <br />El Fruit Butter" <br />Ground <br /> <br />LI Chocolate <br /> <br />LI Jams/Jellies' <br />Fried or Baked <br />Donuts and <br />Waffles <br /> <br />111 Dried Fruit <br />Marshmallows/ <br /> <br />LI Marshmallow <br />Bars* <br />di Baked Goods <br />LII Candy <br />E Churros <br />LI <br />El Dried Mole Paste <br />E Fruit Empanadas <br />I Granola/Cereals <br />LI Cotton Candy <br />Buttercream <br />Frosting/Icing* <br />r\a,u- (\ee fir2_ <br />SAN JOAQUIN COUNTY <br /> 0 9-1Thci <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sicehd.com <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />CFO Business Name: 66STRAWBERRIES LLC Owner Name: SHAHER BANO Date: 09/19/23 <br />CFO Physical Address: CFO City: CFO Zip: 268W LUCILLE AVE MOUNTAIN HOUSE 95391 <br />Website (If applicable): 66strawberries.com Telephone: 815-608-9402 <br />Categories: <br />el "Class A" (Direct Sales Only) $125 El "Class B" (Direct & Indirect Sales) $250 <br />2. Prohibited Items: Initial if you agree to abide by the following: <br />Foods containing cream, custard, or meat fillings are potentially hazardous and are NOT ALLOWED. <br />Only 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 <br />growth that could be a cause of food-borne illness. <br />"Class A" Self Certification Checklist: <br />NM Checklist completed ("Class A" CFOs Only) <br />Products: <br />Please check the items you will be preparing and/or selling. <br />EHD 16-27 6/29/2015 1 CFO REG/PERMITTING FORM