Laserfiche WebLink
-----1 <br />CFO ZIP <br />Facility Requirements:No <br />1 <br />Additional storage used for the CFO will be within the home. <br />sf' 4. Sleeping quarters are excluded from areas used for CFO food preparation or storage. <br />Zoning Requirements: <br />5. I have complied with the applicable zoning requirements for the CFO. <br />Employee and Training Requirements:Yes No <br />a. <br />b. If NO, complete course within 3 months of CFO registration. <br />Yes NoSanitation Requirements: <br />8 <br />9 <br />CfO Cl ASS A CHECKLIST1EHD 16-26 12/27/2012 <br />7. The CFO has no more than 1 full-time equivalent employee? (Immediate family or <br />household members are not included.) <br />6. Have all persons preparing or packaging CFO products completed the CDPH food <br />processor course? <br />If YES, copies of certificates are attached. <br />COTTAGE FOOD OPERATIONS (CFOs-CLASS A) <br />SELF CERTIFICATION CHECKLIST <br />San Joaquin County <br />Environmentai Hi ai th Department <br />1868 Fast Hazelton Avenue, Stockton. CA 95205 6232 <br />Tp/ep/ionp.- (209) 468 3420 Fax: (209) 464 0138 IVp/t: <br />Yes <br />The CFO is located in a private dwelling where the CFO operator currently resides <br />2. All CFO food preparation will take place in the private kitchen within that home <br />3. <br />Yes No <br />CFO Business Name <br />I f ' 5 <br />CFO Address <br />L l\&C> <br />1 following ntginnernents a/p outlined in Ibn Collage Food Opoiations (CFO) ingiil/iHon’i and are prow led minimum slandfird* <br />of health and salely foi lhe preparation of approved collage foods in the homo <br />CFO Owner Name <br />IrmA CionzztK2-_____j <br />CFO City ~ " Fctozip <br />_____^5 33^- <br />Kitchen equipment and utensils used to produce CFO products are clean and <br />maintained in a good state of repair. <br />All food contact surfaces, equipment, and utensils used for the preparation, packaging, <br />or handling of any CFO products shall be washed, rinsed, and sanitized before each <br />use. <br />10. All food preparation and food and equipment storage areas shall be maintained free of <br />rodents and insects <br />b. Specify the room(s) that will be used for storage? <br />a If YES, is the room used exclusively for storage? <br />A f-r-t