Laserfiche WebLink
^ESEWEE) <br />APR I 7 2026 <br />environment health <br />beeves Co- <br /> Honey Dried PastaBaked Goods <br /> Vinegar Mustard Dry Baking MixesCandy <br /> Dried Grain Mixes Waffle ConesChurros <br /> Flat Icing <br /> Pizzeles Herb/Spice BlendsDried Mole Paste <br /> Fruit Tamales/PiesFruit Empanadas <br /> Seasoning SaltGranola/Cereals <br /> Candied ApplesCotton Candy <br />CFO REG/PERMITHNG FORM1EHD 16-27 6/29/2023 <br />Buttercream <br />Frosting/lcing* <br />Buttercream <br />Fondant/Gumpaste* <br />Nut Mixes/Nut <br />Butters <br />Salted <br />Caramel/Fudge <br />Popcorn/ <br />Popcorn Balls <br />Ground <br />Chocolate <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />3. “CJciss A” Self Certification Checklist: <br />B Checklist completed (“Class A” CFOs Only) <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. <br />1. z Categories: <br />H “Class A” (Direct Sales Only) $186 <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.orQ/EHD <br />Fried or Baked <br /> Donuts and <br />Waffles <br />Void ''A <br />Date: <br />CFO Zip: <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-bome illness. <br />CFO Business Name: . Owner Wame: .Jordg bakes, Go- Jordan P0S2- <br />CFO Physical Address: CFO City: <br />'1<bb GVwmin PAcunc br- , eft <br />Website (If applicable): Telephone: k <br />_________________________ <br />“Class B” (Direct & Indirect Sales) $486 <br /> Trail Mix/Dried Fruit Dried Fruit <br />Marshmallows/ <br /> Marshmallow <br />Bars* <br /> Fruit Butter** <br /> Jams/Jellies** <br />4. Products: <br />Please check the items you will be preparing and/or selling. <br />[/