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NoYes <br />No <br />zf <br />Yes <br />I <br />CFO CLASS A CHECKLIST <br />2 <br />EHD 16-20 12/27/2012 <br />By signing below you <br />(Gatto), as It pertains to <br />No <br />rz-l?0 <br />Date170. _ <br />TA Signature <br />Food Preparation Requirements (includes packaging and handling): <br />11. Hand washing is required immediately prior to handling foods and after engaging in <br />any activity that contaminates the hands such as after using the toilet, coughing or <br />I sneezing, eating or smoking. <br />I 12. Warm water, hand soap and clean towels are available for hand washing. <br />I 13. All food ingredients used in the CFO products are from an approved source. <br />I 14. Potable water shall be used for hand washing, ware washing and as an ingredient <br />I 15. Is your water source a private well? <br />I a.If YES, have you completed testing for bacteria and nitrate? <br />I 16. Is your water source a public water system or community services district? <br />I a.If YES, what is the name of the system or district? <br />During the preparation, packaging or handling of CFO products: <br />17. Domestic activities such as family meal preparation, dishwashing, clothes washing or <br />ironing, kitchen cleaning or guest entertainment are excluded from the kitchen. <br />118. Infants, small children, or pets are excluded from the kitchen. <br />I 19. Smoking is excluded. <br />I 20. Any person with a contagious illness shall refrain from work in the CFO. <br />cz <br />0^ □ <br />Yes <br />0" <br />Labeling Requirements:____________ <br />21. A copy of the label has been submitted to this Department for review and approval. <br />22. I have attached a sample label <br />si cm “.—X 8— <br />Cottage Food Operator Checklist completed and submitted by: <br /> <br /> Print Name