Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT MAR 0 4 2024 <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.orq t/W E I NMENTAL HEALTH <br />RMIT/SERVICES <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />CFO <br /> h <br />usiness Name: Owner Name: <br />CA \ 40 \A Cen 1 Coi\PeAon. Ptote4c Aah) <br />CFO Physical Address: CFO City: <br />N2C1 Cof6141 Lam. <br />Website (If applicable): Telephone: <br />Date <br />51 2 <br />CFO Zip: <br />q S-24 2_ <br />201 -1w8 63/ <br />1. Categories: <br />"Class A" (Direct Sales Only) $186 0 "Class B" (Direct & Indirect Sales) $486 <br />Prohibited Items: Initial if you agree to abide by the following: 44) <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 />p Checklist completed ("Class A" CFOs Only) <br />Baked Goods <br />Candy <br />Churros <br />Buttercream <br />Frosting/Icing * <br />Dried Mole Paste <br />Fruit Empanadas <br />Granola/Cereals <br />Cotton Candy <br />El <br />E <br />0 <br />El <br />El <br />E <br />El <br />111 <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 />E <br />El <br />0 <br />El <br />Ill <br />El <br />0 <br />Honey <br />Mustard <br />Dried Grain Mixes <br />Flat Ici ng <br />Pizzeles <br />Nut Mixes/Nut <br />Butters <br />Trail Mix/ Dried Fruit <br />Salted <br />Caramel/Fudge <br />0 Popcorn/ <br />Popcorn Balls <br />El Vinegar <br />0 Fruit Butter** <br />0 Ground <br />Chocolate <br />El Jams/Jellies** <br />Fried or Baked <br />0 Donuts and <br />Waffles <br />E Dried Fruit <br />Marshmallows/ <br />Marshmallow 0 <br />Bars* <br />EHD 16-27 6/29/2023 1 CFO REG/PERMITTING FORM <br />Products: <br />Please check the items you will be preparing and/or selling. <br />A <br />El <br />0 <br />El <br />0 <br />Osul ,A1A9