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p.32096934145Marsha Nandani Raj8-May-2025 13:39 <br />Website (II appliCcb.'e); <br />"Ciass B” (Direct & Indirect Sales) S486□ <br />CP <br />3. <br />4. Products: <br />Please check {he items you will be preparing and'or selling. <br />n Dried Pasta n □HoneyBaked Goods <br />□ Vinegar□□□ Dry Baking Mixes MustardCandy <br />□Q Fruit Butter'□□ Waffle Cones Dried Grain MixesChurros <br />□□□□Flat Icing <br />□□ Jams/Jellies**□Q Herb/Spice Blends PizzelesDried Mole Paste <br />□d Fruit Tamales/Pies□Fruit Empanadas <br />□O Dried Fruit□ Seasoning Salt□Trail Mix/ Dried FruitGranola/Cereals <br />□□□ Candied ApplesCotton Candy <br />CFO RtG/PLRMIrriNG FORMEHD ie-S7 BGB/2023 1 <br />CFO Zip: <br />95246 <br />Buttercream <br />Frosting/lcing'’ <br />Buttercream <br />Fondant/Gumpaste* <br />Nut Mixes/Nut <br />Butters <br />Date; <br />03,10.2025 <br />Popcorn/ <br />Popcorn Balls <br />Ground <br />Chocolate <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 161S (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.sipos/.orc/EHD <br />Salted <br />Caramel/Fudge <br />^7 <br />1. Categories: <br />S3 “Class A£ (Direct Sales Only) $186 <br />Owner Niyne; <br />Charu Pandey <br />cfo cay; <br />Lodi, CA <br />Telephone: <br />(707)339-7664 <br />Fried or Baked <br />□ Donuts and <br />Waffles <br />Marshmallows/ <br />□ Marshmallow <br />Bars* <br />CFO Business Nane <br />Fifteen Spices LLC <br />CFG Physical Address. <br />916 Qaiavers Street <br />•4^ <br />“Class A” Self Certification Checklist <br />K7] 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-borne Illness.