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0 <br />El <br />0 <br />Baked Goods <br />Candy <br />Churros <br />Buttercream <br />Frosting/Icing" <br />Dried Mole Paste <br />Fruit Empanadas <br />Granola/Cereals <br />Cotton Candy <br />D Dried Pasta <br />0 Dry Baking Mixes <br />0 Waffle Cones <br />0 Buttercream <br />Fondant/Gumpaste* <br />LI Herb/Spice Blends <br />DI Fruit Tamales/Pies <br />El Seasoning Salt <br />LI Candied Apples <br />0 <br />El <br />0 <br />El <br />LI <br />LI <br />El <br />n <br />1-1 <br />Honey <br />Mustard <br />Dried Grain Mixes <br />Flat Icing <br />Pizzeles <br />Nut Mixes/Nut <br />Butters <br />Trail Mix/ Dried Fruit <br />Salted <br />Caramel/Fudge <br />LI Popcorn/ <br />Popcorn Balls <br />LI Vinegar <br />DI Fruit Butter** <br />LI <br />0 Jams/Jellies' <br />Fried or Baked <br />El Donuts and <br />Waffles <br />El Dried Fruit <br />Marshmallows/ <br />El Marshmallow <br />Bars* <br />Ground <br />Chocolate <br />SA JOAQUIN <br /> <br />Environmental Health Department <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />CFO Byjsiness Name: Owner Name: Date: <br />blChnnteCt 3Vjed-5 V‘Hx,kil 9)auttisir, <br />CFO Physical Address: CFO City: -1 CFO Zip: <br />PrO5 PCCA-rA2- ot12- Gkt0Hrn 'Cl7A <br />VVebsite <br />1. Categories: <br />"Class A" (Direct Sales Only) $186 fl "Class B" (Direct & Indirect Sales) $312 <br />Prohibited Items: Initial if you agree to abide by the followin : <br />1 Foods containing cream, custard, or meat fillings are potentially hazardous and are NOT AL • .WED. Only foods <br />that are defined as "non-potentially hazardous" are approved for preparation by a Cottage Food Operation. These <br />foods include items that do not require refrigeration to keep them safe from bacterial growth that could be a cause of <br />food-borne illness. <br />"Class A" Self Certification Checklist: <br />Checklist completed ("Class A" CFOs Only) <br />Products: <br />Please check the items you will be preparing and/or selling. <br />1868 E. Hazelton Avenue! Stockton. California 95205 I T 209 468-3420 F 209 464-0138 www.sjgov.org/ehd