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"Class B" (Direct & Indirect Sales) S486 <br /> HoneyIX Dried PastaBaked Goods <br /> Mustard Dry Baking MixesCandy <br /> Fruit Butter** Dried Grain Mixes Waffle ConesChurros <br />0 Flat Icing <br />O Jams/Jellies**O Pizzeles Herb/Spice BlendsDried Mole Paste <br /> Fruit Tamales/PiesFruit Empanadas <br />Q Seasoning SaltGranola/Cereals <br />O Candied ApplesCotton Candy <br />CFO REGPERMirrtNG FORM1EHD 16-27 6^9/2023 <br />^24002.10 <br />Buttercream <br />Frosting/lcing* <br />Buttercream <br />Fondant/Gumpaste* <br />Nut Mixes/Nut <br />Butters <br />Salted <br />Caramel/Fudge <br />Ground <br />Chocolate <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 460-3420 Fax: (209) 464-0130 Web: www.siqo.org/EHD <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />1. Categories: <br />"Class A" (Direct Sales Only) $186 <br />3. “Class A” Self Certification Checklist: <br />tsf Checklist completed ("Class A” CFOs Only) <br />Popcorn/ <br />Popcorn Balls <br /> Vinegar <br />Fried or Baked <br /> Donuts and <br />Waffles <br />CFO Business Name <br />CFO Physical Address <br />Ung <br />Websiio (If applicable) <br />Owner Name <br />CFO City J <br />Telephone <br />2 Prohibited Items: Initial if you agree to abide by the following: — <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 />Dale <br />7/ K/Z6 <br />CFO Zip <br /> Trail Mix/Dried Fruit Dried Fruit <br />Marshmallows/ <br />O Marshmallow <br />Bars* <br />4. Products: <br />Please check the items you will be preparing and/or selling