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T1Z S.0S15 SAN JOAQUIN COUNT( <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax (209) 464-0138 Web: ww,v.siqov.orcilEI ID <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />CFO Business Name: Contectionately Sweet Owner Name: C6.) <br />\t's <br />Zeya Skelton and Alicia amacho <br />Date: 3/18/24 <br />CFO Physical Address: CFO City: CFO Zip: <br />1659 Fairway oaks ct. Ripon, CA 95366 <br />Website (If applicable): Telephone: <br />209,701.9418 <br />Categories: <br />.slereClass A" (Direct Sales Only) $186 "Class B" (Direct & Indirect Sales) $486 = <br />2. Prohibited Items: Initial if you agree to abide by the following: (24 (k)5Ic <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-ifequire 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 />0 Checklist completed ("Class A' CFOs Only) <br />Products: <br />Please check the items you will be preparing and/or selling. <br />JW/P°Baked Goods <br />Candy <br />Churros <br />tributtercream <br />Frosting/Icing* <br />Dried Mole Paste <br />Fruit Empanadas <br />d Granola/Cereals <br />El Cotton Candy <br />D Dried Pasta <br />Dry Baking Mixes <br />Waffle Cones <br />ZButtercream <br />Fondant/Gumpaste* <br />1=1 Herb/Spice Blends <br />Fruit Tamales/Pies <br />Seasoning Salt <br />0 Candied Apples <br />Honey <br />Mustard <br />Dried Grain Mixes <br />,'Flat Icing <br />LI Pizzeles <br />ri Nut Mixes/Nut <br />Butters <br />• Trail Mix/ Dried Fruit <br />El Salted <br />Caramel/Fudge <br />LI Popcorn/ <br />Popcorn Balls <br />El Vinegar <br />LI Fruit Butter** <br />LI Ground <br />Chocolate <br />LI Jams/Jellies** <br />Fried or Baked <br />Donuts and <br />Waffles <br />LI Dried Fruit <br />Marshmallows/ <br />El Marshmallow <br />Bars* <br />CFO REG/PERMITTING FORM END 16-27612912023