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Sunyana Dhaliwal 10/14/2025Yana Distribution LLC owner Name:CFOBusiness Name:Date: <br />CFOCity: <br />Lodi <br />Telephone:Website (If applicable):(909) 918- 7466 <br />“Class B” (Direct & Indirect Sales) $486“Class A’’ (Direct Sales Only) $186 <br />SD2. Prohibited Items: <br />4. Products: <br />Pleasecheckthe items you will be preparing and/or selling. <br />[—| Popcorn/□□ Dried Pasta HoneyBaked Goods <br />□□□ Dry Baking Mixes□MustardCandy <br />□□□□ Waffle Cones Dried Grain MixesChurros <br />□□□Flat Icing <br />** <br />□□□Pizzeles <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 />Dried Mole Paste <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIAHOMEMADEFOODACTAB1616(GATTO)) <br />Nut Mixes/Nut <br />Butters <br />Salted <br />Caramel/Fudge <br />Popcorn Balls <br />Vinegar <br />Initial if you agree to abide by the following: <br />Foodscontaining 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 growth <br />that could be a cause of food-borne illness. <br />CFOPhysical Address: <br />2037 Sugarbowl Way <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTH£alth department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/EHD <br />1. Categories: <br />□ <br />CFOZip: <br />95242 <br />3. “Class A” Self Certification Checklist: <br />□ Checklistcompleted(“ClassA”CFOsOnly) <br />Buttercream <br />Fondant/Gumpaste* <br />[—] Herb/Spice Blends <br />Ground <br />□ Chocolate <br />Jams/Jellies <br />Fried or Baked <br />Donuts and <br />□ Waffles <br />Marshmallows/ <br />Marshmallow <br />□ Bars* <br />Fruit Butter**