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□“Class B” (Direct & Indirect Sales) $486 <br />nF <br />*lf a private well, attach all updated water sample results (including quarterly bacteria and Nitrate results.) <br />Fl? OS 912. <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING RENEWAL FORM <br />5. Water Source: <br />Please check what type of water source is being used at the CFO: <br />□ City Water 53 Private Well* <br />6. Food Processor Course: <br />Attach food handler certification for owner and each individual that were not submitted with initial application <br />(including family members and/or employees). <br />1868 E Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd com <br />3. Products: <br />Provide a list of all products you are preparing. If preparing jams, jellies, or fruit butters include a list of <br />ingredients (attach separate page if needed). <br />Food List: gUNlDTARIgS, KI PT CW-tS , CAKB <br />TOfTtK, MEXICAN we-PPlNfe COQH&S, cookies (OKED, Ms-Ms, <br />ORED MEMS, CtnMlAT& CtilP, -f^NF&Tn, S'MOm, BANANA <br />PVlPPINl/ R6PVEO/&T). emiNIES, fyiN EftD^NlES <br />VMlTA OKED COOKIE MRECS) , PVlMfKIN EKEAP, CtWOATE <br />COVERED 0 REDS / p RETLE IS/MADELEINES <br />4. Product Labeling: <br />Attach two labels to this form for two of your CFO products (only one label is required if only one product is <br />made). <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. Only <br />foods that are defined as “non-potentially hazardous” are approved for preparation by a Cottage Food Operation. <br />These foods include items that do not require refrigeration to keep them safe from bacterial growth that could be a <br />cause of food-bome illness. <br />1. Categories: <br />IX “Class A" (Direct Sales Only) $186 <br />"NORMA-rfc^ll^ <br />CFO City: <br />ACAMPO________ <br />Telephone. <br />Date: , . <br />02101 |2E <br />CFO Zip: <br /><15220 <br />CFO Business Name: <br />SWEET DEMAND <br />CFO Physical Address: <br />1^25 E- PELTIER RD <br />Website (If applicable):