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eV-s4kooq --9- <br />SAW JOAOUIN <br /> <br />Environmental Health Department <br />COTTAGE FOOD OPERATIONS (CEO) <br />REGISTRATION/PERMITTING RENEWAL FORM <br />Ories: <br />C-lass. A' ,:7Jireci Safes Only); $135 <br />`Ciass H. (Direct & inchrect Sales) $488 <br />Prohibited items: Initial if you are to abide by the following <br />Poods containing cream, custard. ot meat fillings ate potentially hazardous and are NOT At.LOWED Only <br />f0C4Sthai are defoad at non-lr:otentially hazardotte are approved for peeparation by a Coltaqe Food C,:..pgraWn. <br />These foods include items that do nod require refrigeration to keep them safe from bacterial qrcAviti thI Could b El <br />cause of food-borne illness. <br />Products: <br />Provide a 1;st of ar? products yuu are pleparing. ;f repairing jams, jellies, or fruit butlers Include a ast ut <br />ingredients {Oath aepatote Dace it needed). <br />Food List: <br />-,e1) <br />4. Product Labeling: <br />Attach two labels 10 this form for two of your CFO products .only one label i reQuiri it only one pfocluct 4 <br />S. Water ()urea: <br />Re check what type of water some. ks beIng used at die- CO. <br />City Water 0 PrIvate Well' <br />if a rtiv-aie well, attach all updeett water samole res-afts, :inoludIng Quarterly bac,tena and Nitrate results.) <br />G. Food Processor Course; <br />Attach food handler crllCaton for owner arYi eAcil Individual that were nol submntad with initial applimllon <br />(InCludog family members endior employees.i. <br />1868 E ilazelton Avenue Stockton. CaJib,-nla 95205 I T 2C9 468-3420 I F 2094644130 j wwwsjcehd entri