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o5--4 <br />SAN JOAQUIN Environmental Health Department <br />COUNTY <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING RENEWAL FORM <br />CFO Business Name: Owner Name: Date: <br />_?X: 3 C OAcit Cr IA <br /> S <br />Y1 <br /> I I OCl2Lli <br />CFO Physica Address: CFO City: <br />t2-Re1 Byyke Es COVI <br />CFO Zip: <br />15-3 2 0 <br /> <br />Website (If applicable)' Telephone: <br /> <br />17)*Aew ( 004( CAtuti-lov-tc. cnvIA 20- Lill -Is <br />Categories: <br /> <br />"Class A" (Direct Sales Only) $186 <br /> D "Class B" (Direct & Indirect Sales) $486 <br />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. Only <br />foods that are defined as "non-potentially hazardous" are approved for preparation by a Cottage Food Operation. <br />These foods include items that do not require refrigeration to keep them safe from bacterial growth that could be a <br />cause of food-borne illness. <br />Products: <br />Provide a list of all products you are preparing. If preparing jams, jellies, or fruit butters include a list of <br />ingredients (attach separate page if needed). <br />Food List: 540v, woo ..rto NoLtetd otr, k"y ,\htnapi <br />Val ?Mot/4( , <br />Product Labeling: <br />Attach two labels to this form for two of your CFO products (only one label is required if only one product is <br />made). <br />Water Source: <br />Please check what type of water source is being used at t e CFO: <br />City Water Private Well* <br />*If a private well, attach all updated water sample results (including quarterly bacteria and Nitrate results.) <br />Food Processor Course: <br />Attach food handler certification for owner and each individual that were not submitted with initial application <br />(including family members and/or employees). <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 209 468-3420 I F 209 464-0138 I www.sjcehd.corn <br />2o1 -1116t(