Laserfiche WebLink
111 <br />Jams/Jellies** <br />Fried or Baked <br />Donuts and <br />Waffles <br />Ground <br />Chocolate <br />0 Trail Mix/ Dried Fruit 0 Dried Fruit <br />Salted <br />Caramel/Fudge <br />Marshmallows/ <br />Marshmallow <br />Bars* <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton 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 /> Date: <br />Crumb. <br /> 3/13/2024 <br /> <br />CFO Physical Address: CFO City: CFO Zip: <br /> <br />0,20 Moran. Court <br /> etocKiOn 05209 <br />Website (If applicable): Telephone: <br />Categories: <br />El "Class A" (Direct Sales Only) $186 H "Class B" (Direct & Indirect Sales) $486 <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 />ci Checklist completed ("Class A" CFOs Only) <br />Products: <br />Please check the items you will be preparing and/or selling. <br />Mustard <br />Dried Grain <br />111 Flat Icing <br />Pizzeles <br />Popcorn/ <br />Popcorn Balls <br />Vinegar <br />Mixes 0 Fruit Butter** <br />Candy <br />LI Churros <br />Buttercream <br />Frosting/Icing* <br />Dried Mole Paste <br />Fruit Empanadas <br />El Granola/Cereals <br />El Cotton Candy <br />0 Dry Baking Mixes <br />Waffle Cones <br />0 Buttercream <br />Fondant/Gumpaste* <br />111 Herb/Spice Blends <br />El Fruit Tamales/Pies <br />Seasoning Salt <br />Candied Apples <br />Baked Goods O Dried Pasta El Honey <br />0 <br />Nut Mixes/Nut <br />Butters <br />EHD 16-27 6/29/2023 CFO REG/PERMITTING FORM <br />R20S401021--