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PR 2 Lf^ <br />Environmental Health Department <br />/j?qM O^W <br />□ 'Class B" (Direct & Indirect Sales) $486 <br />ting; <br />form for two of your CFO prodw i: <br />n-uiit'i (includH-.Q quarterly bai terui .r ■ N '■ O’ ro'.ults > <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING RENEWAL FORM <br />ig iisrrd .it tha CI i <br />□ Private Weir <br />r. <br />SAN JOAQUIN <br />-----COUNTY----- <br />1. Categories: <br />0^ ’Class A' (Direct Sales Only) $186 <br />3. Products: <br />Provide a let of all products you are preparing. If preparing jams. Jen <br />ingredients (attach separate page if needed) <br />Food List: <br />IB <br />i t <br />I <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 Only <br />foods that are defined as 'non-potentially hazardous’ are approved for preparation by a Cottage Food Operation <br />These foods include Herns that do not require refrigeration to keep them safe from bacterial growth that could be a <br />cause of food-bome illness <br />^05® <br />MO Business Narne . <br />CFO Physical Adless <br />Website (It applicable) <br />°^-25 2-l<2 <br />CFO Zip <br />°7J wiw 9^'0 <br />CFO City ' <br />VYVtnfeczv____ <br />T« <br />- ijaee i^r L¥.-ne> aasf P-ich rndrvwuaf that were not submitted with initial ipple at >• > <br />i 209 46^3420 ’ F 209 464-0l3f <br />S8 <br />s. or fruit butlers include a list of <br />ibel is required if only one product is