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KMEgSi <br /> ‘Class B" (Direct & Indirect Sales) $486 <br /> Dried Pasta HoneyBaked Goods <br /> Mustard <br /> Dried Grain Mixes <br /> Flat Icing <br /> Pizzeles Jams/Jellies" Herb/Spice Blends Dried Mole Paste <br /> Fruit Tamales/Pies Fruit Empanadas <br /> Trail Mix/Dried Fruit Dried Fruit Seasoning Salt Granola/Cereals <br /> Candied Apples Cotton Candy <br />CFO REG/PERMUTING FORM1EHD 16-27 6/29/2023 <br />0^1 <br /> Candy <br /> Churros <br />Buttercream <br />Frosting/lcing* <br /> Dry Baking Mixes <br /> Waffle Cones <br />Buttercream <br />Fondant/Gumpaste* <br />Nut Mixes/Nut <br />Butters <br />Salted <br />Caramel/Fudge <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 Wbb; www.sjqov.org/EHD <br />Popcorn/ <br />Popcorn Balls <br /> Vinegar <br /> Fruit Butter** <br />Marshmallows/ <br /> Marshmallow <br />Bars* <br />Fried or Baked <br /> Donutsand <br />Waffles <br />3. “Class A" Self Certification Checklist: <br /> Checklist completed (‘Class A' CFOs Only) <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. <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 />Date.Qr ft, MS <br />CFO Zip:CFo(physical Address: CFO City: <br />WHS M Htwndm. ■ StoM <br />Website (If applicable): v Telephone: <br />1. Categories: <br />‘Class A’ (Direct Sales Only) $186 <br />4. Products: <br />Please check the items you will be preparing and/or selling.