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Candy <br />Churros <br />Buttercream <br />Frosting/Icing* <br />El Dried Mole Paste <br />0 F• ruit Empanadas <br />El G• ranola/Cereals <br />Cotton Candy <br />0 Dry Baking Mixes <br />Waffle Cones <br />Buttercream <br />Fondant/Gumpaste* <br />0 Herb/Spice Blends <br />Fruit Tamales/Pies <br />Seasoning Salt <br />El Candied Apples <br />FIQ250D1g5 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/EHD <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />Owner Name: <br />SOWMYA KUPPIREDDY <br /> <br />CFO Physical Address: CFO City: <br /> <br />2155 NATOMA PL MANTECA <br />Date: <br />11/08/2024 <br />CFO Zip: <br />95337 <br />CFO Business Name: <br />CAKES & BUZZ <br />Website (If applicable): Telephone: <br />510 648 5169 <br />Categories: <br />"Class A" (Direct Sales Only) $186 LI "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 Food <br />Operation. These foods include items that do not require 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 />Yr Checklist completed ("Class A" CFOs Only) <br />Products: <br />Please check the items you will be preparing and/or selling. <br />Baked Goods 0 Dried Pasta Honey LI Popcorn/ <br />Popcorn Balls <br />Mustard <br /> <br />IY:f Vinegar <br />0 Dried Grain Mixes E Fruit Butter** <br />IYr ty( Flat Icing Ground Chocolate <br />LI Pizzeles 1Yr Jams/Jellies*" <br />Fried or Baked V Nut Mixes/Nut Donuts and Butters Waffles <br />LI Trail Mix/ Dried Fruit Yr Dried Fruit <br />V Salted <br />Caramel/Fudge <br />Marshmallows/ <br />Marshmallow <br />Bars* <br />END 16-27 6/29/2023 1 CFO REG/PERMITTING FORM