COMPLIANCE INFO_2024 - Laserfiche WebLink

Home Browse Search

CFO Business Name: Owner Name: Nika's Mad Sweets Annika-Mie Lim Racadio Date: 1/1/2024 C''> SAN JOAQUIN COUNTY Environmental Health Department Greatness grow '.'c COTTAGE FOOD OPERATIONS (CFO) REGISTRATION/PERMITTING RENEWAL FORM CFO Physical Address: CFO City: CFO Zip: 1615 sheridan way stockton, ca 95207 Website (If applicable): Telephone: 619-634-5610 Categories: LI "Class A" (Direct Sales Only) $186 El "Class B" (Direct & Indirect Sales) $486 2. Prohibited Items: Initial if you agree to abide by the following: AR Foods containing cream, custard, or meat fillings are potentially hazardous and are NOT ALLOWED. Only foods that are defined as "non-potentially hazardous" are approved for preparation by a Cottage Food Operation. These foods include items that do not require refrigeration to keep them safe from bacterial growth that could be a cause of food-borne illness. Products: Provide a list of all products you are preparing. If preparing jams, jellies, or fruit butters include a list of ingredients (attach separate page if needed). Food List: BAKED GOODS (ex. cookies, blondies, brownies, coffee cakes, muffins, cakes, buttercream frosting, breads Product Labeling: Attach two labels to this form for two of your CFO products (only one label is required if only one product is made). Water Source: Please check what type of water source is being used at the CFO: City Water Private Well" *Va private well, attach all updated water sample results (including quarterly bacteria and Nitrate results.) Food Processor Course: Attach food handler certification for owner and each individual that were not submitted with initial application (including family members and/or employees). 1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com NOStitp5i6