COMPLIANCE INFO_2026 - Laserfiche WebLink

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1., Categories: □“Class A” (Direct Sales Only) $186 “Class B” (Direct & Indirect Sales) $486 2. Prohibited Items: 3. “Class A” Self Certification Checklist: Checklist completed (“Class A” CFOs Only) 4. Products: □ Honey □□ Dried Pasta □ Mustard □ Vinegar□ Dry Baking MixesCandy □ Fruit Butter**□ Dried Grain Mixes□ Waffle Cones□Churros □ Flat Icing □□□ □ Pizzeles □ Jams/Jellies**□ Herb/Spice Blends□Dried Mole Paste □□ Fruit Tamales/Pies□Fruit Empanadas □ Dried Fruit□ Trail Mix/ Dried Fruit□ Seasoning Salt□Granola/Cereals □□ Candied Apples□Cotton Candy 1 CFO REG/PERMITTING FORMEHD 16-27 6/29/2023 I RECEIVED Buttercream Frosting/lcing* Buttercream Fondant/Gumpaste* Nut Mixes/Nut Butters Salted Caramel/Fudge Popcorn/ Popcorn Balls Ground Chocolate COTTAGE FOOD OPERATIONS (CFO) REGISTRATION/PERMITTING FORM (CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.org/EHD JAN 1 5 2026 Date: CFO Zip: Ovippr Na... CFO CityJ Telephone: ir Name: 6?/? u //?/ y Initial if you agree to abide by the following: Foods containing cream, custard, or meat fillings are potentially hazardous and are NOT ALLOWED. Only foods that are defined as “non-potentially hazardous" are approved for preparation by a Cottage Food Operation. These foods include items that do not require refrigeration to keep them safe from bacterial growth that could be a cause of food-borne illness. Fried or Baked □ Donuts and Waffles Marshmallows/ □ Marshmallow Bars* ENVIRONMENTAL health department CFO Business Name: /~~7 i CFO Physical Address: /^/i CtT, ^1 Website (If applicable): Please check the items you will be preparing and/or selling. M Baked Goods □