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1. Categories: <br />□“Class A" (Direct Sales Only) $186 “Class B” (Direct & Indirect Sales) $486 <br />2. Prohibited Items: <br />4. Products: <br />□ Dried Pasta □□HoneyBaked Goods <br />□□ Vinegar□□ Dry Baking Mixes MustardCandy <br />□□ Fruit Butter**□Dried Grain MixesChurros <br />□□Flat Icing <br />□□ Jams/Jellies**□ Herb/Spice Blends□PizzelesDried Mole Paste <br />□□ Fruit Tamales/Pies□Fruit Empanadas <br />□□ Dried Fruit□□ Seasoning Salt Trail Mix/ Dried FruitGranola/Cereals <br />□□ Candied Apples□Cotton Candy <br />i CFO REG/PERMITTING FORMEHD 16-27 6/29/2023 <br />Buttercream <br />Frosting/lcing* <br />Buttercream <br />Fondant/Gumpaste* <br />Nut Mixes/Nut <br />Butters <br />Popcorn/ <br />Popcorn Balls <br />Ground <br />Chocolate <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />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.siqov.org/EHD <br />Salted <br />Caramel/Fudge <br />CFO Zip: <br />95210 <br />Date: <br />08/29/2025 <br />3. “Class A” Self Certification Checklist: <br />0 Checklist completed (“Class A" CFOs Only) <br />CFO Business Name: <br />Screaming Meanie Cakes & Treats <br />CFO Physical Address: <br />9252 Kirkby Lane <br />Website (If applicable): <br />Owner Name: <br />Margaret Vizinau <br />CFO City: <br />Stockton <br />Telephone: <br />209-905-4715 <br />Fried or Baked <br />□ Donuts and <br />Waffles <br />Marshmallows/ <br />□ Marshmallow <br />Bars* <br />□ Waffle Cones <br />Initial if you agree to abide by the following: MV <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-bome illness. <br />Please check the items you will be preparing and/or selling.