Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HaZelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www ugly...gig/1Q <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />cybiL <br />1. C <br />lass A" (Direct SA es Only) $186 Class B" (Direct & Indirect Sales) $486 <br />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 <br />Food Operation. These foods include items that do not require refrigeration to keep them safe from <br />bacterial growth that could be a cause of food-borne Illness. <br />"Class A" Self Certification Checklist: <br />Checklist completed ("Class A" CFOs Only) <br />Products: <br />Please check the items you will be preparing and/or selling. <br />... <br />Bakec---1 7 ‘ <br />----Popcorn/ <br />Dried Pasta Honey Popcorn Balls <br />Candy Dry Baking Mixes Mustard Vinegar <br />Churros Waffle Cones Dried Grain Mixes Fruit Butter — <br />Buttercream <br />Frosting/Icing" <br />Buttercream <br />Fondant/Gumpaste" Flat Icing <br />Ground <br />Chocolate <br />Dried Mole Paste Herb/Spice Blends Pizzeles Jams/Jellies — <br />Fruit Ernpanadas Fruit Tamales/Pies <br />Nut Mixes/Nut <br />Butters <br />Fried or Baked <br />Donuts and <br />Waffles <br />GranolaJCereals Seasoning Salt Trail Mix/ Dried Fruit Dried Fruit <br />Cotton Candy Candied Apples Salted <br />Caramel/Fudge <br />Marshmallows/ <br />Marshmallow <br />Bars' <br />Dried or <br />Dehydrated <br />Vegetables <br />Dried Vegetarian- <br />Based Soup Mixes <br />Vegetable and Potato Chips <br />Sweet Sorghum <br />Syrup <br />Roasted Coffee <br />(Beans/Grounds) <br />Chocolate Covered Nonperishable Food <br />Fried or Baked <br />Donuts and Waffles <br />Dried Hot Chocolate Fruit Infused Balsamic Vinegar <br />Other <br />Do not contain eggs. cream, or cream cheese <br />(preparing jams, jellies or fruit butters, include a list of ingredients (attach separate page if needed) These items <br />must comply with standards described in Part 150 of Title 21 of the Code of Federal Regulations <br />Mininiew accessdata 'Oa govismpiskdrhicrdocsnICFRICFRSeatr.h dm7CFRPart=150 <br />CFO Business Name. srtp,...tc.,, 5:‘,.e.,-,1_ iwzym---. --6,..11,:?1 <br />CFJO Zip 9sii-te CFO Phywal Address <br />V,3 1-r b„(,)tis.1-vd 05.- <br />CFO CO to.oi <br />Website (If applicable) s.2.0,1 4.,..t _TIlei ye;