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Otmar <br />Mini <br /> 'Class B- (Direct & Indirect Sales) $486 <br />4. <br /> Dried PastaBaked Goods Honey <br /> Flat Icing <br /> Pizzeles Jams/Jellies- <br /> Fruit Empanadas O Fruit Tamales/Pies <br /> Granola/Cereals O Seasoning Salt <br /> Cotton Candy Candied Apples <br />1&tDie^7«2aaoz3 CFO RE&PERmrnNG FORM <br />PRaz>®»39 s <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br /> Mustard <br /> Dried Grain Mixes <br />Salted <br />Caramel/Fudge <br />NutMixes/Nut <br />Butters <br />Ground <br />Chocolate <br /> Candy <br />O Churros <br /> Dry Baking Mixes <br /> Waffle Cones <br />San Joaquin County AP 2. to 2^ <oO <br />Environmental Health Department f\ < <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov orq/EHD <br />_______________ <br />J £ <br />3. “Class A" Self Certification Checklist <br />B^heckSst completed (-Class A‘ CFOs Only) <br />1. Categories: <br />KZxiass A" (Direct Sales Only) $186 <br />mend <br />^5330 <br />Buttercream <br />Frosting/lcing* <br /> Dried Mole Paste <br />Buttercream <br />Fondant/Gumpaste” <br /> Herb/Spice Blends <br />CFO Buhdcm Nana: <br />CFOPhyucMAddret*: <br />I ft 50 CornipMI <br />VMala (Ifappfcabfe): <br />Popcorn/ <br />Popcorn Balis <br /> Vinegar <br /> Fruit Butter" <br />Marshmallows/ <br /> Marshmallow <br />Bars* <br />2. Prohibited Items: Initial If you agree to abide by the following: AJZ- <br />Foods containing oream, 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 indude items that do not require refrigeration to keep them safe from bacterial <br />growth that could be a cause of food-bome illness. <br />Name: <br />CFO Gty. <br />Products: <br />Please check the items you will be preparing and/or selling. <br />Fried or Baked <br /> Donutsand <br />Waffles <br /> Trail Mix/Dried Fruit Dried Fruit <br />>