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1. Categories: <br /> "Class B" (Direct & Indirect Sales) $486“Class A’ (Direct Sales Only) $186 <br />2. Prohibited Items: <br /> Honey Dried PastaBaked Goods <br /> Vinegar Dry Baking Mixes MustardCandy <br /> Dried Grain Mixes Fruit Butter** Waffle ConesChurros <br />Flat Icing <br /> Jams/Jellies** Herb/Spice Blends PizzelesDried Mole Paste <br /> Fruit Tamales/PiesFruit Empanadas <br />Trail Mix/Dried Fruit Dried Fruit Seasoning SaltGranola/Cereals <br /> Candied ApplesCotton Candy <br />CFO REG/PERM1TTING FORM1EHD 16-27 6/29/2023 <br />Buttercream <br />Frosting/lcing* <br />Buttercream <br />Fondant/Gumpaste* <br />Nut Mixes/Nut <br />Butters <br />Ground <br />Chocolate <br />Popcorn/ <br />Popcorn Balls <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 Web: www.sigov.org/E HD <br />Salted <br />Caramel/Fudge <br />Owner Name <br />CFO Cily <br />SfocF f <br />Telephone: <br />Date <br />)Q - U- zs~ <br />CFO Zip <br />Marshmallows/ <br /> Marshmallow <br />Bars* <br />Fried or Baked <br /> Donuts and <br />Waffles <br />CFO Business Name <br />CFO Physical Address <br />Website (If applicable): <br />3. “Class A” Self Certification Checklist: <br />Qchecklist completed (“Class A" CFOs Only) <br />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.