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CFO Business Name: <br />“Class B" (Direct & Indirect Sales) $486 <br />growth that could be a cause of food-borne illness. <br />• * <br /> Honey Dried PastaBaked Goods <br />Candy * Mustard Dry Baking Mixes <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 /> Trail Mix/Dried Fruit Dried Fruit Seasoning SaltGranola/Cereals <br /> Candied ApplesCotton Candy <br />CFO REG/PERMOTING FORM1EHD 16-27 6/29/2023 <br />P(<25C035^- <br />Buttercream <br />Fondant/Gumpaste* <br />Nut Mixes/Nut <br />Butters <br />Salted <br />Caramel/Fudge <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 />DRM-l-n HFKttFU-MR’U <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.org/EHD <br />1. Categories: <br />CS^'Class A” (Direct Sales Only) $186 <br />3. “Class A” Self Certification Checklist: <br />(^TChecklist completed (“Class A" CFOs Only) <br />Popcorn/ <br />Popcorn Balls <br /> Vinegar <br />PI Buttercream <br />• v Frosting/lcing* <br />Fried or Baked <br /> Donuts and <br />Waffles <br />Marshmallows/ <br /> Marshmallow <br />Bars* <br />wW? <br />• i <br />CFO Business Name: . , Owner Name: Date: . . 1 <br />CWY05 Cl <br />CFO Physical Address: CFO City: CFO Zip: <br />Website (If applicable): Telephone: <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 />4. Products: <br />Please check the. items you will be preparing and/or selling.