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<br />1. Categories: <br />□“Class B" (Direct & Indirect Sales) $486“Class A" (Direct Sales Only) $186 <br />2. Prohibited Items: <br />4. Products: <br />Please check the items you will be preparing and/or selling. <br />□0 Dried Pasta HoneyBaked Goods <br />0 VinegarooMustardCandy <br />0 Fruit Butter**00 Dried Grain MixesChurros <br />0 Flat Icing <br />000 PizzelesHerb/Spice BlendsDried Mole Paste <br />^j^Nut Mixes/Nuto0Fruit Tamales/PiesFruit Empanadas <br />0 Dried Fruit0oTrail Mix/ Dried FruitSeasoning SaltGranola/Cereals <br />00Candied ApplesCotton Candy <br />1 CFO REG/PERMITTING FORMEHD 16-27 6/29/2023 <br />buttercream <br />Frosting/lcing* <br />[JpOry Baking Mixes <br />Eg/Waffle Cones <br />■Buttercream <br />Fondant/Gumpaste* <br />Salted <br />Caramel/Fudge <br />Popcorn/ <br />Popcorn Balls <br />.Mcirshmallows/ <br />Marshmallow <br />Bars* <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.sjqov.org/EHD <br />Initial if you agree to abide by the following:'! IV) p <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 />3. “Class A” Self Certification Checklist: <br />0xc'hecklist completed (“Class A” CFOs Only) <br />r—I Ground <br />L-J Chocolate <br />ElP'Japas/Jellies** <br />./Fried or Baked <br />0 Donuts and <br />Waffles <br />"“7F Pyes t LLC, -WOwa 12-%?! <br />CFO PhysicayAddress: . . ’ CFO City: ' __ CFO^Zip: <br /> <br />Website (If applicable):