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Date: <br />1/18/26 <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. “Class A” Self Certification Checklist: <br />Checklist completed (“Class A" CFOs Only) <br />4. Products: <br />Dried Pasta Honey <br />MustardDry Baking MixesCandy Vinegar <br />Waffle Cones Dried Grain MixesChurros Fruit Butter** <br />Flat Icing <br />Heib/Spice Biends PizzeiesDrieu iviuie Paste Jams/Jeiiies <br />Fruit Tamales/PiesFruit Empanadas <br />Granola/Cereals Seasoning Salt Dried Fruit <br />CFO REG/PERMITTING FORMEHD 16-27 6/29/2023 1 <br />AP 2 <br />CFO Physical Address: <br />2628 Persimmon St <br />CFO B’jcinocs Name: <br />Again & Again Bakery <br />Buttercream <br />Frosting/lcing* <br />COTTAGE FOOD OPERATIONS (CFO) <br />RFGISTRATION/PFRMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />Buttercream Fondant/ <br />Gumpaste* <br />CFO City: <br />Lodi <br />Nut Mixes/Nut <br />Butters <br />Popcorn/ <br />Popcorn Balls <br />Ground <br />Chocolate <br />Fried or Baked <br />Donuts and <br />Waffles <br />San Joaquin County <br />Environmenial Heali h Depar i men i <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sioov,oro/EHD <br />Trail Mix/ Dried <br />Fmit <br />CFO Zip: <br />95242 <br />Ov/ncr Name: <br />Emily Castanon <br />Please check the items you will be preparing and/or selling. <br />Baked Goods <br />Initial if you agree to abide by the following: <br />Foods containing cream, custard, or meat fillings are potentially hazardous and are NOT <br />ALLOWED. Only foods that are defined as “non-ootentially hazardous" are aooroved for oreoaration <br />by a Cottage Food Operation. These foods include items that do not require refrigeration to keep <br />them safe from bacterial growth that could be a cause of food-borne illness. <br />Telephone: <br />209-314-7384