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1. Categories: <br />' Class A" (Direct Sales Only) $186 "Class B" (Direct & Indirect Sales) $486 <br />2. Prohibited Items: <br />4. Products: <br />Please check the items you will be preparing and/or selling. <br /> Dried PastaBaked Goods Honey <br /> Dry Baking Mixes VinegarMustardCandy <br /> Fruit Butter”EJ Waffle Cones Dried Grain MixesChurros <br />Flat Icing <br /> Jams/Jellies” Herb/Spice Blends PizzelesDried Mole Paste <br /> Fruit Tamales/PiesFruit Empanadas <br />Trail Mix/ Dried Fruit Dried Fruit Seasoning SaltGranola/Cereals <br /> Candied ApplesCotton Candy <br />CFO REG/PERMITTING FORMEHD 16-27 6/29/2023 <br />Buttercream <br />Frosting/lcing’ <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />Buttercream <br />Fondant/Gumpaste* <br />Nut Mixes/Nut <br />Butters <br />Salted <br />Caramel/Fudge <br />Ground <br />Chocolate <br />Popcorn/ <br />Popcorn Balls <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: 'yvww.siqov org/EHD <br />Owner Name <br />Jessie MciciqS <br />CFO City <br />VoctVvi <br />Telephone. <br />_4o{6-~7A7 Z <br />Date. <br />o2(T(3/rzb <br />CFO Zip: <br />Fried or Baked <br /> Donuts and <br />Waffles <br />Marshmallows/ <br /> Marshmallow <br />Bars* <br />3. “Class A” Self Certification Checklist: <br />[^Checklist completed ("Class A" CFOs Only) <br />CFO Business Name <br />F1 X/C- LpCXV-P S d <br />CFO Physical Address <br />Website (If applicable) <br />imiiinian' i r Tm <br />Initial if you agree to abide by the following: .) M <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 />growth that could be a cause of food-borne illness.