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GA <br />1. Categories: <br />“Class B” (Direct & Indirect Sales) $486“Class A” (Direct Sales Only) $186 <br />2. Prohibited Items: <br />3. “Class A” Self Certification Checklist: <br /> Checklist completed (“Class A" CFOs Only) <br />4. Products: <br />Please check the items you will be preparing and/or selling. <br />Baked Goods HoneyDried Pasta <br /> VinegarDry Baking Mixes MustardCandy <br /> Fruit Butter**Waffle Cones Dried Grain MixesChurros <br />Flat Icing <br />PizzelesDried Mole Paste <br />Fruit Tamales/PiesFruit Empanadas <br />Trail Mix/ Dried Fruit Dried FruitGranola/Cereals Seasoning Salt <br />Candied ApplesCotton Candy <br />iEHD 16-27 6/29/2023 CFO REG/PERMITTING FORM <br />Nut Mixes/Nut <br />Butters <br />Buttercream <br />Frosting/lcing* <br />Buttercream <br />Fondant/Gumpaste* <br />Salted <br />Caramel/Fudge <br />Ground <br />Chocolate <br />Fried or Baked <br />Donuts and <br />Waffles <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/EHD <br />Marshmallows/ <br /> Marshmallow <br />Bars* <br />Herb/Spice Blends <br />CFO Zip: <br />CFO Business Name: <br />Afandi pctps <br />CFO Physical Address: <br />A327 A>/Pr/ Dg|V'a <br />Website (If applicable): <br />Initial if you agree to abide by the following: <br />Foods containing cream, custard, or meat fillings are potentially hazardous and are NOT ALLOVVED^1 <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 /> Jams/Jellies** <br />Owner Name: <br />AjVJL <br />CFO City: <br />'ig,A<2y <br />Telephone: <br />4^7- ^752- <br />73=^^: