Laserfiche WebLink
AplSO'Z'obl <br />f\€vAj - <br />Website (If applicable): <br />“Class B” (Direct & Indirect Sales) $486□X <br />SG <br />3 <br />X Checklist completed (“Class A" CFOs Only) <br />4. Products: <br />Please check the items you will be preparing and/or selling. <br />□□HoneyDried PastaBaked Goods □X <br />□Mustard □ VinegarDry Baking MixesXXCandy <br />Fruit Butter**Dried Grain Mixes □□Waffle Cones□X Churros <br />Flat Icing □□XX <br />X Jams/Jellies'PizzelesHerb/Spice Blends □□Dried Mole Paste□ <br />□XFruit Tamales/PiesXFruit Empanadas□ <br />Dried FruitTrail Mix/ Dried Fruit □□Seasoning Salt□Granola/Cereals□ <br />Candied Apples □□Cotton Candy □□ <br />CFO REG/PERMITTING FORM1EHD 16-27 6/29/2023 <br />CFO Business Name: <br />Melting Moments by Spooh <br />1, Categories: <br />“Class A” (Direct Sales Only) $186 <br />Buttercream <br />Frosting/lcing* <br />Buttercream <br />Fondant/Gumpaste* <br />Owner Name: <br />Spurthi Gottumukkala <br />Nut Mixes/Nut <br />Butters <br />Salted <br />Caramel/Fudge <br />Popcorn/ <br />Popcorn Balls <br />Ground <br />Chocolate <br />Fried or Baked <br />Donuts and <br />Waffles <br />Marshmallows/ <br />Marshmallow <br />Bars* <br />CFO Physical Address: <br />1773 Jade PI <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />CFO City: <br />Tracy <br />Date: <br />09/13/2025 <br />CFO Zip: <br />95377 <br />Telephone: <br />4087074083 <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 />“Class A” Self Certification Checklist: <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: HYPERLINK <br />''http://www.sjgov.org/EHD" www.siQOv.org/EHD <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.