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The following requirements are outlined in the Cottage Food Operations (CFO) regulations and are provided as minimum standards <br />of health and safety for the preparation of approved cottage foods in the home. <br />CFO Business Name: Perry's Food for the Soul CFO Owner Name: Stephanie Perry <br />CFO Address: 1721 Chaparral Way CFO City: Stockton CFO <br />ZIP:95209 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orq/ehd <br />COTTAGE FOOD OPERATIONS (CFOs-CLASS A) <br />SELF CERTIFICATION CHECKLIST <br />Facility Requirements: Yes No <br />1. The CFO is located in a private dwelling where the CFO operator currently resides 2. <br />All CFO food preparation will take place in the private kitchen within that home. 3. <br />Additional storage used for the CFO will be within the home. Yes <br />If YES, is the room used exclusively for storage? <br />Specify the room(s) that will be used for storage? Kitchen, Panty and Garage <br />Sleeping quarters are excluded from areas used for CFO food preparation or storage. Yes <br />Zoning Requirements: Yes No <br />I have complied with the applicable zoning requirements for the CFO. Yes <br />Employee and Training Requirements: Yes No <br />6. Have all persons preparing or packaging CFO products completed the CDPH food <br />processor course? <br />If YES, copies of certificates are attached. Yes <br />If NO, complete course within 3 months of CFO registration. <br />7. The CFO has no more than 1 full-time equivalent employee? (Immediate family or <br />household members are not included.) No <br />Sanitation Requirements: Yes No