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Environmental Health Department <br />Website (If applicable): <br />1. Categories: <br />“Class A" (Direct Sales Only) $186 “Class B” (Direct & Indirect Sales) $486 <br />2. Prohibited Items: <br />3. Products: <br />Food List: <br />4. Product Labeling: <br />5. Water Source: <br />*lf a private well, attach all updated water sample results (including quarterly bacteria and Nitrate results.) <br />6. Food Processor Course: <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />Please check what type of water source is being used at the CFO: <br />[xl City Water Private Well* <br />CFO Physical Address: <br />3806 Five Mile Drive <br />Attach two labels to this form for two of your CFO products (only one label is required if only one product is <br />made). <br />Attach food handler certification for owner and each individual that were not submitted with initial application <br />(including family members and/or employees). <br />Initial if you agree to abide by the following: D.C. <br />Foods containing cream, custard, or meat fillings are potentially hazardous and are NOT ALLOWED. Only <br />foods that are defined as “non-potentially hazardous” are approved for preparation by a Cottage Food Operation. <br />These foods include items that do not require refrigeration to keep them safe from bacterial growth that could be a <br />cause of food-borne illness. <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING RENEWAL FORM <br />CFO Business Name: <br />Chandler Sweets & Treats <br />0 <br />CFO Zip: <br />95219 <br />Telephone: <br />(209)403-3517 <br />SAN JOAQUIN <br />COU NTY------ <br />Greotness grows here <br />Owner Name: <br />Pania Chandler <br />CFO City: <br />Stockton <br />Provide a list 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 />Magic Cookies Bars (with graham crackers, coconut, chocolate chips & walnuts); Mountain Dew Cake (a <br />lemon flavored cake); White Chocolate Pound Cake; German Chocolate Cake with Coconut Pecan Frosting <br />(without eggs or fresh coconut); Red Velvet Cake (without cream cheese frosting), Brownies (without cream <br />cheese); Lemon Pound Cake, Caramel Cake; Biscotti; Madeleines; Peppermint Bark; Candy Cane Fudge; <br />Cinnamon Rolls (without cream cheese in the frosting); Cookies (chocolate chip, peanut butter, snickerdoodle, <br />sugar, Spritz, coconut white chocolate, white chocolate-macadamia, oatmeal, shortbread, chocolate toffee); <br />Brownies (without cream cheese); rice crispy treats; Chocolate-Chocolate Chip Cake; Baked Snack Mix (a <br />mixture of corn chips, pretzels, rice cereal & nuts coated with caramel); Vanilla-Walnut Fudge; Chocolate- <br />Walnut Fudge, Scones; Cinnamon Muffins; coconut macaroons; strawberry crunch cake (without fresh <br />strawberries)_________________________________________________________________________________ <br />Date: <br />7-14-2026