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CFQ Business Name: <br />m <br /> "Class B” (Direct & Indirect Sales) $486 <br />04 Dried Pasta HoneyBaked Goods <br /> Mustard <br /> Dried Grain Mixes Fruit Butter**Churros <br />J2 Flat Icing <br /> Pizzeles <br />D Fruit Empanadas Fruit Tamales/Pies <br /> Granola/Cereals Seasoning Salt Trail Mix/Dried Fruit Dried Fruit <br />$Cotton Candy O Candied Apples <br />eho 16.27 tmnm CFO REGff»ERMrmNG FORM1 <br />1. Categories: <br />“Class A” (Direct Sales Only) $186 <br /> Dry Baking Mixes <br /> Waffle Cones <br />Nut Mixes/Nut <br />Butters <br />Salted <br />Caramel/Fudge <br />Marshmallows/ <br />Marshmallow <br />Bars* <br />i <br />Buttercream <br />Frosting/lcing* <br />O Dried Mole Paste <br />Buttercream <br />Fondant/Gumpaste* <br /> Herb/Spice Blends <br />Popcorn/ <br />Popcorn Balls <br /> Vinegar <br />Fried or Baked <br /> Donuts and <br />Waffles <br />Ground <br />Chocolate <br />j^Jams/Jellies’ <br /> Candy <br />CFO Zip’ <br />3. “Class A" Seif Certification Checklist: <br />Checklist completed (“Class A“ CFOs Only) <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />CFO Physical Address: CF0 City- <br />Website (If applicable): Telephone: <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.s|flov orq/EHD <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 />4. Products: <br />Please check the items you will be preparing and/or selling.