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Environmental Health Department <br />H <br />label is required if only one product is <br />T 209 468-3420 | F <br />4 <br />Hr <br /> <br /> <br />I <br />1 <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING RENEWAL FORM <br />(including family me-- <br />1868 E. Hazelton Avenue | <br />SANJOAOUIN <br />------COUNTY------- <br />Greatness grows here. <br />3 <br />1. Categories: <br />J5 -Class A’ (Direct Sales Only) $186 <br />Owner Name: <br />Ashley Fontilia <br />CFO City: <br />Tracy_____________ <br />Telephone: 510-709-8545 <br />Date: <br />06/30/2025 <br />CFO Zip: <br />95376 <br />I <br />VI <br />ik <br />k <br />CFO Business Name: <br />Bake It Up <br />CFO Physical Address: <br />2915 Coventry Drive <br />Website (If applicable): <br /> “Class B‘ (Direct & Indirect Sales) $486 <br />2. Prohibited Hems: Initial if you agree to abide by the following: — <br />Foods containing cream, custard, or meat fillings are potentially hmrd0“® ^TcSa^dO^raton <br />^“n"e from bacteria, grovrib that could be a <br />cause of food-bome illness. <br />3- Xd^st of all products you are preparing. If preparing Jams, jellies, or fruit butters Include a list of <br />ingredients (attach separate page if needed). <br />Food List A variety of macarons, cake pops, scones, cookies, and other bakedgoods. <br />SEE ATTACHED FORM. <br />s- <br />S.f asm™ I----- <br />Stockton, California 952051 <br />4‘ SSSSis form for two of your CFO products (only one <br />made). <br />I