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0^ "Class B" (Direct & Indirect Sales) $486 <br />50 <br /> Honey Dried PastaBaked Goods <br /> Vinegar Mustard Dry Baking MixesCandy <br /> Fruit Butter** Dried Grain Mixes Waffle ConesChurros <br /> Flat Icing <br />Jams/Jellies** Pizzeles Herb/Spice BlendsDried Mole Paste <br />Fruit Tamales/PiesFruit Empanadas <br /> Seasoning SaltGranola/Cereals <br /> Candied ApplesCotton Candy <br />CFO REG/PERMITTING FORM1EHD 16-27 6/29/2023 <br />1 <br />ft ? 2 SO 2. <br />! <br />Buttercream <br />Frosting/lcing* <br />Buttercream <br />Fondant/Gumpaste* <br />Nut Mixes/Nut <br />Butters <br />Salted <br />Caramel/Fudge <br />Popcorn/ <br />Popcorn Balls <br />Ground <br />Chocolate <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.siaov.org/EHD <br />Owner Name: <br />CFO City: <br />Telephone: <br />Fried or Baked <br /> Donuts and <br />Waffles <br />1. Categories: <br />“Class A” (Direct Sales Only) $186 <br />3. “Class A” Self Certification Checklist: <br /> Checklist completed ("Class A" CFOs Only) <br /> Trail Mix/ Dried Fruit Dried Fruit <br />.Marshmallows/ <br />Marshmallow <br />Bars* <br />O0^)<ao <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. .— — <br />CFOgusiness Name: <br />CFO Physical Address: <br />Website (If applicable): <br />Da'e'q /1 19-r <br />CFO Zip: <br />4. Products: <br />Please check the items you will be preparing and/or selling.