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A?2.ko02°l'|-? <br />CFO Business Name:Owner Name:Date:Camryn Abelar 1/14/2026Dougies Dough <br />CFO Physical Address:CFO City:CFO Zip:Tracy 953774325 Oakridge DR. <br />Website (If applicable):Telephone:(209) 407-9591 <br />corn <br />"Class A" (Direct Sales Only) S186 “Class B” (Direct & Indirect Sales) S486 <br />CA2. Prohibited Items: <br />4. Products: <br />Please check the items you will be preparing and/or selling. <br />□□□Baked Goods Dried Pasta Honey <br />□□□□ VinegarCandyDry Baking Mixes Mustard <br />□□□□ Fruit Butter**Churros Waffle Cones Dried Grain Mixes <br />□□□□Flat Icing <br />□□□□ Jams/Jellies**Dried Mole Paste Herb/Spice Blends Pizzeles <br />□□□Fruit Empanadas Fruit Tamales/Pies <br />□□ Dried Fruit□□Granola/Cereals Seasoning Salt Trail Mix/ Dried Fruit <br />□□□Cotton Candy Candied Apples <br />1EHD 16-27 6/29/2023 CFO REG/PERMITTING FORM <br />5 <br />Buttercream <br />Frosting/lcing* <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 />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <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.sigov.org/EHD <br />Fried or Baked <br />□ Donuts and <br />Waffles <br />Marshmallows/ <br />□ Marshmallow <br />Bars* <br />1. Categories: <br />3. “Class A” Self Certification Checklist: <br />[X| Checklist completed (“Class A" CFOs Only) <br />□ <br />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 />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 reguire refrigeration to keep them safe from bacterial <br />growth that could be a cause of food-borne illness.