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PR oc -g9 3 69 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orq/EHD <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />CFO Business Name: Owner Name: <br />Sweet Treats by Shaina Shaina Boak <br />CFO Physical Address: CFO City: <br />1010 Birch Run Way Manteca <br />Date: <br />02/08/2024 <br />CFO Zip: <br />95336 <br />VVebsite (If applicable): Telephone: <br />(209) 679-8004 <br />Categories: <br />X "Class A" (Direct Sales Only) $186 <br />Prohibited Items: <br />El "Class B" (Direct & Indirect Sales) $486 <br />Initial if you agree to abide by the following: <br /> <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 />1:g Checklist completed ("Class A" CFOs Only) <br />Products: <br />Please check the items you will be preparing and/or selling. <br />X Baked Goods [11 Dried Pasta <br />111 <br />III Candy <br />El Churros <br />X Buttercream <br />Frosting/Icing* <br />[11 Dried Mole Paste <br />El Fruit Empanadas <br />El Granola/Cereals <br />El Cotton Candy <br />LI Dry Baking Mixes <br />El Waffle Cones <br />Buttercream <br />Fondant/Gurnpaste* <br />111 Herb/Spice Blends <br />LI Fruit Tamales/Pies <br />El Seasoning Salt <br />LII Candied Apples <br />I=1 Honey <br />CI Mustard <br />[11 Dried Grain Mixes <br />111 Flat Icing <br />LI Pizzeles <br />n Nut Mixes/Nut <br />" Butters <br />111 Trail Mix/ Dried Fruit <br />X Salted <br />Caramel/Fudge <br />X Popcorn/ <br />Popcorn Balls <br />LI Vinegar <br />CI Fruit Butter"* <br />111 Ground <br />Chocolate <br />111 Jams/Jellies** <br />Fried or Baked <br />CI Donuts and <br />Waffles <br />El Dried Fruit <br />Marshmallows/ <br />El Marshmallow <br />Bars* <br />EHD 16-27 6/29/2023 1 CFO REG/PERMITTING FORM