Laserfiche WebLink
“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 /> Dried Pasta HoneyBaked Goods <br /> Dry Baking Mixes Mustard VinegarCandy <br /> Waffle Cones Dried Grain MixesChurros Fruit Butter** <br /> Flat Icing <br /> Herb/Spice Blends Pizzeles Jams/Jellies**Dried Mole Paste <br /> Fruit Tamales/PiesFruit Empanadas <br /> Seasoning Salt Trail Mix/ Dried Fruit Dried FruitGranola/Cereals <br /> Candied ApplesCotton Candy <br />1EHD 16-27 6/29/2023 CFO REG/PERMITTING FORM <br />S <br />Ground <br />Chocolate <br />Buttercream <br />Frosting/lcing* <br />Buttercream <br />Fondant/Gumpaste* <br />Salted <br />Caramel/Fudge <br />Nut Mixes/Nut <br />Butters <br />ENVIRONMENTAL HEALTH <br />DEPARTMENT <br />Popcorn/ <br />Popcorn Balls <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/EHDJAN 2 2026 <br />ft?2loO?>OOl <br />(\eeds <br />RECEIVED <br />Owner Name: <br />CFO City: <br />da QQsnb <br />Telephone: . <br />/ / D_________ <br />1. Categories: tWW <br />“Class A" (Direct Sales Only) $186 “Class B" (Direct & Indirect Sales) $486 <br />Marshmallows/ <br /> Marshmallow <br />Bars* <br />Fried or Baked <br /> Donuts and <br />Waffles <br />T ALLOWED. <br />J2t)ttage Food <br />e from bacterial <br />3. “Class A” Self Certification Checklist: <br />|^) Checklist completed ("Class A" CFOs Only) <br />CFO Business Name: , , <br />drill's Cwpurtd <br />CFO Physical Address: , <br />Website (If applicable): <br />Date:. . <br />CFO Zip: <br />Initial if you agree to abide by the follovying: <br />Foods containing cream, custard, or meat fillings are potentially hazardous and are N0 <br />Only foods that are defined as "non-potentially hazardous" are approved for preparation i^y a <br />Operation. These foods include items that do not require refrigeration to keep them <br />growth that could be a cause of food-borne illness.