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•'""" SAN JOAQUIN COUNTY <br /> ENVIRC)NNIFN I At. HEAT. I H DEPARWENT <br /> •ist Hatelton Avenue. Stuckll,i A 35105 232 <br /> ,, f=.,tv 1209j 464yd1.': <br /> Llspi" . <br /> COTTAGE FOOD OPERATIONS (CFOs-CLASS A) <br /> SELF CERTIFICATION CHECKLIST <br /> r r w N nrfuonw"Onr.s Ora(rA,famrl(n ft C~F0W r)lrFoJ and"f6 p").100 1•�, .T,,: „ sfan 1a+As <br /> o0 4".1 c' ry ksv tfa..rva{.yrM,tlsF ur wpprri vd r atraQe�Aloda &a 19o"f <br /> CFO Audi//v%% CFO Cit., C�b ZlpCI AD <br /> � <br /> Few Requlremonts: Yes No <br /> t The CFO ;,, locateki rn a Private dwolkng whets the r-FO operator currently resides --- �❑ <br /> 2 All CFO tool y:rep ar,auon wall take place in the pnuate kitchen wtthrn that home ❑ <br /> 3 Add6cinal storage used for the CFO will be within the home. �� ❑ <br /> a If YES. Is the room used exclusrvel, +,,r -i ., fge7 L7 ❑ <br /> b Specify ti e rc nrnisj that will be used for s1• f .age? T CIna txr� �:�►"���_ <br /> 4 Sleeping quarters are olicluded frorn areas used for CFO food prepaltr tastorege. UT ❑ <br /> Z*Wng Requ1mm*nts Yes No <br /> 5. 1 have coamplred wrtti ttw r-}u,fements ter the CI=O ❑ <br /> Ei"ployee and TroWng Roqulreme3nts Yes <br /> 1-6 - Haveall persons preparing or pat ii,iipfF,; CFC) t1r(A11(-13 i 0rnpk!tt-,, 1ne Cf)PH food <br /> processor course) ❑ Fix <br /> a If YES. copies of certifrra(im drM attar:hill / A ❑ <br /> b I1 NO, complete course within 3 rnr-jnthS of CFO regirtrRtft7r, r ❑ O <br /> i <br /> I The CFO has no more than 1 full-tlrr,e w4uivalonl prnplpyee') i Inlntied'ate larndy or <br /> hqusehDld members are nr.)f included ) ❑ <br /> Sa+nitatlon Requirements- Yes No <br /> 8 ►6ltCt1+11rt equipmonl and utensils ustid to produce CFO G�rcKiut td t►re {:'1ea end <br /> ► ovAmne[d in a fo)rl Ntato (,if repay ❑ <br /> 9 ALM food i")tn( t surfa,4,, r.,Iulp"iont :and utensils u%od tar Ihe preperattpn, Packaging, <br /> tX ha}ndkrwj crt any (,1 + ) t,f,Ffl,,,,l% thall tart washed, rinsed. rind sandized bet <br /> �.a <br /> 1 <br /> 0 AN IOW prlrl{ial utu)fV at-,t (r-'r•l If•il f•.It flf'If 111�f 51 Sl41fi1<�IF Fi rk•raS 5f1�k1 t)$ rn.�lnl)fr Vt'1� tl1'#! lit <br /> mldit*rrts and Fnse,;Is <br /> F3"M w a!4 r?t 1 rx <br />