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SAN JOAOUIN Environmental Health Department <br />C) 2_ i 57 <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING RENEWAL FORM <br />0 Business Name,: ..- Owner Name: <br />i --)L(D -IlesZ.4-ya.--x-Ar C1 4( <br />CFO PhysicalAddress:,____ CFO City: 7 _ <br />A-C/4-(-/Kv e-I `--(//(--r• <br />Website (If applicable): Telephwte: <br />221.— <br /> <br />D7 <br />Z -1712 <br />CFO Zip: <br /> <br />1: Categories: <br />.Nr "Class A" (Direct Sales Only) $186 E "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. 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: <br />(17/ (A7 S CA k--C <br />( <br /> <br />k 2--.S <br />2S <br /> <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 the CFO: <br />)4 City Water 11 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 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com