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Made with Xodo PDF Reader and Editor <br />CFO Oytcipr Name <br />NoYesFacility Requirements: <br />□1. 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. Additional storage used for the CFO will be within the home. <br />□ <br />b. Specify the room(s) that will be used for storage? <br />□4. <br />NoYes <br />□ <br />Yes NoEmployee and Training Requirements: <br />□ <br />If YES, copies of certificates are attached.a. <br />□b. If NO. complete course within 3 months of CFO registration. <br />□ i <br />Yes NoSanitation Requirements: <br />□ <br />□ i <br />1 CFO CLASS A CHECKLISTEHO 56 12Z?7/?.O12 <br />Sleeping quarters are excluded from areas used for CFO food preparation or storage. <br />7. The CFO has no more than 1 full-time equivalent employee? (Immediate family or <br />household members are not included.) <br />10. All food preparation and food and equipment storage areas shall be maintained free of <br />rodents and insects. <br />COTTAGE FOOD OPERATIONS (CFOs-CLASS A) <br />SELF CERTIFICATION CHECKLIST <br />San Joaquin County <br />Environmental Health Department <br />1868 Fast Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464 0138 Web: y/vrw.sjgoy.org/ehd <br />□ <br />8. Kitchen equipment and utensils used to produce CFO products are clean and <br />maintained in a good state of repair. <br />9. 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 />□ <br />Zoning Requirements: <br />; 5. I have complied with the applicable zoning requirements for the CFO. <br />77m» ftiHowinq requ'ix'ments nn? ntifltwd in the Cottage Food Operations (CFO) regulations end am provided as minimum standards <br />nt health and safety for the pmpamtion of approved cottage foods in the homo <br />\ CFO ZIP'. <br />[ CFO Business Name <br />j CFO Address J <br />6. Have all persons preparing or packaging CFO products completed the CDPH food <br />processor course? <br />a. If YES, is the room used exclusively for storage?