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ft Pl o 3 v ^3 FR tGooio^' CFO Business Name: □ “Class B" (Direct & Indirect Sales) S486 2. Prohibited Items: Dried Pasta □ Honey □Baked Goods E] Dry Baking Mixes □ Mustard □ Vinegar□Candy □ Dried Grain Mixes0 Waffle Cones □ Fruit Butter**□Churros □ Flat Icing□□ Pizzeles0 Herb/Spice Blends 0 Jams/Jellies**□Dried Mole Paste o0 Fruit Tamales/Pies0Fruit Empanadas &0 Trail Mix/ Dried Fruit 0 Dried Fruit0 Seasoning SaltGranola/Cereals El0 Candied Apples□Cotton Candy CFO REG/PERMITTING FORMEHD 16-27 6/29/2023 1 Buttercream Frosting/lcing* Buttercream Fondant/Gumpaste* Salted Caramel/Fudge Nut Mixes/Nut Butters Popcorn/ Popcorn Balls Ground Chocolate Fried or Baked Donuts and Waffles Marshmallows/ Marshmallow Bars* 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 Date: CFO Zip: ^53^^ 1. Categories: Si "Class A” (Direct Sales Only) Si86 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. 3. “Class An Self Certification Checklist: £3 Checklist completed (“Class A" CFOs Only) CFO Business Name . Owner Name: . - Redwood mCp. CFO Physical Address: CFO City: 12-332. 6. Wes-t Rtpon Pd- Ripon Website (If applicable): Telephone: n)IA___________________ZOq-e-f 3-388 k 4. Products: Please check the items you will be preparing and/or selling.