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The following rvqtiirvmonls am outlined In the Cottage Food Operations (CFO) regulations and ere provided as minimum standards <br />o! health and safety for the preparation of approved cottage foods In the home. <br />Facility Requirements:NoYes <br />Yes No <br />Yes No <br />CK <br />CFO CLASS A CHECKLIST1EHD 18-28 12^7/2012 <br />COTTAGE FOOD OPERATIONS (CFOs-CLASS A) <br />SELF CERTIFICATION CHECKLIST <br />cz <br />O' <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.siqov.org/ehd <br />Zoning Requirements: <br />5. I have complied with the applicable zoning requirements for the CFO. <br />CFO Business Name.CFO Owner Name: <br />CFbcity: J <br />MounUkn house, CA-I <br />Sanitation Requirements:_____________________________________________ <br />8. Kitchen equipment and utensils used to produce CFO products are clean and <br />maintained in a good state of repair. <br />9. Ail 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 />Yes No <br />Pni h(o 11 fl <br />CFO ZIP: <br />Employee and Training Requirements: <br />6. Have all persons preparing or packaging CFO products completed the CDPH food <br />processor course? <br />a. If YES, copies of certificates are attached. <br />b. If NO, complete course within 3 months of CFO registration. <br />7. The CFO has no more than 1 full-time equivalent employee? (Immediate family or <br />household members are not included.) <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 />a. If YES, is the room used exclusively for storage? <br />b. Specify the room(s) that will be used for storage? n L <br />4. Sleeping quarters are excluded from areas used for CFO food preparation or storage.