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□“Class A” (Direct Sales Only) $186 “Class B” (Direct & Indirect Sales) $486 <br />2. Prohibited Items: <br />4. Products: <br />Please check the items you will be preparing and/or selling. <br />0□□Baked Goods Dried Pasta Honey <br />0 □ □ <br />□ VinegarCandyDry Baking Mixes Mustard <br />0□□□ Fruit Butter'Churros Waffle Cones Dried Grain Mixes <br />0 □□Flat Icing <br />0□ □ <br />Dried Mole Paste Herb/Spice Blends Pizzeles <br />□□0 Fruit Tamales/PiesFruit Empanadas <br />□□0 Trail Mix/ Dried Fruit 0 Dried FruitGranola/Cereals Seasoning Salt <br />□ □ □ <br />Cotton Candy Candied Apples <br />1EHD 16-27 6/29/2023 CFO REG/PERMITTING FORM <br />Buttercream <br />Frosting/lcing* <br />Buttercream <br />Fondant/Gumpaste* <br />Nut Mixes/Nut <br />Butters <br />Salted <br />Caramel/Fudge <br />Popcorn/ <br />Popcorn Balls <br />Ground <br />Chocolate <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.org/EHD <br />Date: <br />9/29/2025 <br />CFO Zip: <br />CA 95337 <br />Initial if you agree to abide by the following: BCrK <br />Foods containing cream, 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 include items that do not require refrigeration to keep them safe from bacterial <br />growth that could be a cause of food-borne illness. <br />Marshmallows/ <br />□ Marshmallow <br />Bars* <br />Fried or Baked <br />0 Donuts and <br />Waffles <br />1. Categories: <br />0 <br />3. “Class A” Self Certification Checklist: <br />0 Checklist completed (“Class A” CFOs Only) <br />CFO Business Name: Owner Name: <br />Noor Bazaar LLC, DBA The Chai Life Bhavdoep Kaur <br />CFO Physical Address: CFO City: <br />801 Atherton Dr. #103 Manteca <br />Website (If applicable): Telephone: <br />www.thechailifecompany.com 209-998-2948 <br />0 Jams/Jellies**