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Environmental Health Department <br />“Class A" (Direct Sales Onlv) SI86 Cass c' tL.".:---1. j- : S'iat' <br />2. Prohibited Items: <br />5. Water Source: <br />......rvn.i'i'f' wr?iw imi suijfIliiiwii with ifiiii-ti ctuuiivuiknt <br />-rovide a list ot all oroducts vou are Dreoanna. It oreoanna lams, tellies, ar fruit butters include a list at <br />ingredients tanacn separate page it needed). <br />0f3T-?-o3 <br />SAN JOAQUIN <br />------COUNTY------- <br />oca List: <br />Road dlorp <br />COTTAGE FOOD OPERATION’0 <br />REGISTRATION/PERMITTING RENEW ” <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />. rna.-t- i^nar rvofl or warer source is being used at the CFO: <br />Ej’rlvate Well* <br />■it a onvate wen. anacn an donated water sample results (including quarterly bacteria and Nitrate results.) <br />4. Product Labeling: <br />Attach two labels to this form for two of your CFO oroducts (onlv one label Is renuireri if oniv one nrariiiar is <br />made). <br />lo l /2 5 <br />-awi a>oot riinnno am nnronTiauy naygrdous and are NOT ALLOWED. Only <br />!ihuv neramous are aoDroveo ror oreoaration by a Cottage Food Operation. <br />... tumqcTution to Keen tncm safe from bacterial growth that could be a <br />0V'Vrx loUlU,^ <br />Website (If applicable): . Telephone: . -v ' . . <br />1. Categories: <br />sj, tin cZzkuLi-L.Z?