Laserfiche WebLink
ppo sto <br />SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING RENEWAL FORM <br />CFO Business Name: Owner Name: Date: <br />Chandler Sweets & Treats Dania Chandler 7-11-2024 <br />CFO Physical Address: CFO City: CFO Zip: 95219 <br />3806 Five Mile Drive Stockton <br />Website (If applicable): <br />Telephone: (209) 403-3517 <br />Categories: <br />El "Class A" (Direct Sales Only) $186 El "Class B" (Direct & Indirect Sales) $486 <br />2. Prohibited Items: Initial if you agree to abide by the following: D.C. <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 />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: <br />Magic Cookie Bars with graham crackers, coconut, chocolate chips and walnuts; Mountain Dew Cake-a <br />lemon flavored cake, White Chocolate Pound Cake, Cookies. chocolate chip, peanut butter, <br />Snickerdoodle, sugar, Spritz, coconut white chocolate, oatmeal; Chocolate-Chocolate Chip Cake, German <br />Chocolate Chip; Baked Snack Mix; a mixture of corn chips, pretzels, rice cereal, & nuts coated with <br />caramel; Vanilla-Walnut Fudge, Chocolate-Walnut Fudge; <br />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 />Water Source: <br />Please check what type of water source is being used at the CFO: <br />El City Water El Private Well* <br />*If a private well, attach all updated water sample results (including quarterly bacteria and Nitrate results.) <br />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 I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com