Laserfiche WebLink
gVtN <br /> S A NJ O A Q U I N Environmental Health Department <br /> COUNTY— <br /> Greatness grows here. <br /> COTTAGE FOOD OPERATIONS (CFO) <br /> REGISTRATION/PERMITTING FORM <br /> (CALIFORNIA HOMEMADE FOOD.ACT AB 1616 (GATTO)) <br /> CFO Business Name: Owner Name: Date: <br /> (' Gro\�j�'S CYea�i� SWe2�grnndTra�li� Ch Es�tl�f <br /> CFO Physical Address: CFO City: CFO Zip: <br /> 3133 Emkh , Ate- ck1 <br /> Website(If applicable): Telephone: � <br /> 1. Categories: < <br /> [ "Class A" (Direct Sales Only) $155 ❑ "Class B" (Direct& Indirect Sales) $310 <br /> 2. Prohibited Items: Initial if you agree to abide by the following: C cc,. <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-borne illness. <br /> 3. "Class A" Self Certification Checklist: <br /> [Checklist completed ("Class A"CFO`s Only) <br /> 4. Products: <br /> _ Please check the items you will be preparing and/or selling. <br /> E( Baked Goods El Dried Pasta El Honey El Popcorn <br /> / <br /> Popcorn Balls <br /> E Candy El Dry Baking Mixes ElMustard E] Vinegar <br /> I� Churros ❑ Waffle Cones ❑ Dried Grain Mixes ❑ Fruit Butter** <br /> ❑/ Buttercream ❑ Buttercream El Flat Icing �/ Ground <br /> Frosting/Icing* Fondant/Gumpaste* Chocolate' <br /> ElDried Mole Paste ❑ Herb/Spice Blends ElPizzeles Lg/Jams/Jellies** <br /> Nut Mixes/Nut Fried or Baked <br /> Fruit Empanadas ❑ Fruit Tamales/Pies ❑ Butters ❑ Donuts and <br /> —/ _ Waffles <br /> 1y" Granola/Cereals ❑ Seasoning Salt EI Trail <br /> Trail Mix/Dried Fruit Ly Dried Fruit <br /> / Salted Marshmallows/ <br /> ley Cotton Candy ❑ Candied Apples Caramel/Fudge Marshmallow <br /> Bars* <br /> ❑ Dried or Dehydrated ❑ Dried Vegetarian- ElVegetable and Potato Chips <br /> Vegetables Based Soup Mixes <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />