Laserfiche WebLink
Yes No <br />'0.□ <br />.r A <br />Yes <br />□ <br />No <br />< <br />EHD 16-26 12/27/2012 2 CFO CLASS A CHECKLIST <br />___' i <br />No <br />□ <br />□ <br />□ <br />□ <br />□ <br />□ <br />□ <br />□ <br />□ <br />□ <br />□ <br />□ <br />□ <br />□ <br />0 <br />□ <br />□ <br />I <br />Yes <br />'El <br />DatePrint Name <br />Food Preparation Requirements (includes packaging and handling): <br />11 ’ !S required immediate|y Prior to handling foods and after engaging in <br />snee^X“"g S USin9 t0"et’ °r <br />12. Warm water, hand soap and clean towels are available for hand washing. <br />13. All food ingredients used in the CFO products are from an approved source. <br />14. Potable water shall be used for hand washing, ware washing and as an ingredient. <br />15. Is your water source a private well? <br />a. If YES, have you completed testing for bacteria and nitrate? <br />16. Is your water source a public water system or community services district? <br />a. If YES, what is the name of the system or district? <br />Labeling Requirements: <br />21. A copy of the label has been submitted to this Department for review and approval. <br />22. I have attached a sample label. <br />During the preparation, packaging or handling of CFO products: <br />17. Domestic activities such as family meal preparation, dishwashing, clothes washing or <br />ironing, kitchen cleaning or guest entertainment are excluded from the kitchen. <br />18. Infants, small children, or pets are excluded from the kitchen. <br />19. Smoking is excluded. <br />20^Any person with a contagious illness shall refrain from work in the CFO. <br />ifel0H y°Vre Lhat you meet the requirements of the California Homemade Food Act AB 1616 <br />35 perta|ns t0 a C|ass A Cottage Food Operation. Prior to making any changes, I acknowledge that I must <br />notify San Joaquin County Environmental Health Department of any intended changes to the above statement. <br />Cottage Food Operator Checklist completed and submitted by <br />Signature