Laserfiche WebLink
at�ur ' SAN JOAQUIN COUNTY <br /> + � ENVIRONMENTAL HEALTH DEPARTMENT <br /> �' - '• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 'Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.slgov.org(EHD <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 /> Rosotix Roma Desai 12/17/2024 <br /> CFO Physical Address: CFO City: CFO Zip: <br /> 2458 Cordelia Lane Tracy 95377 <br /> Website(If applicable): Telephone; <br /> https://www.rosotix.com 408-364-6227 <br /> 1. Categories: <br /> ® "Class A" (Direct Sales Only) $186 ❑ "Class B" (Direct & Indirect Sales) $486 <br /> 2. Prohibited Items: Initial if you agree to abide by the following: Roma Desai <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 /> 3. "Class A" Self Certification Checklist: <br /> ® Checklist completed ("Class A" CFOs Only) <br /> 4. Products: <br /> Please check the items you will be preparing and/or selling. <br /> ❑ Baked Goods ❑ Dried Pasta ❑ Honey ❑ Popcorn/ <br /> Popcorn Balls <br /> ❑ Candy ❑ Dry Baking Mixes ❑ Mustard ❑ Vinegar <br /> ❑ Churros ❑ Waffle Cones ❑ Dried Grain Mixes ❑ Fruit Butter" <br /> ❑ Buttercrream ElButtercream El Flat Icing El Ground <br /> Frosting/Icing} Fondant/Gumpaste Chocolate <br /> ❑ Dried Mole Paste ❑ Herb/Spice Blends ❑ Pizzeles ❑ Jams/jellies" <br /> Nut Mixes/Nut Fried or Baked <br /> ❑ Fruit Empanadas ❑ Fruit Tamales/Pies ❑ Butters ❑ Donuts and <br /> Waffles <br /> ❑ Granola/Cereals ❑ Seasoning Salt ❑ Trail Mix/ Dried Fruit ❑ Dried Fruit <br /> Salted Marshmallows/ <br /> ❑ Cotton Candy ❑ Candied Apples ❑ Caramel/Fudge ❑ Marshmallow <br /> Bars` <br /> EHD 16-27 6/2912023 1 CFO REGIPERMF TiNG FORM <br /> PRI-C6 00 1 Z(zj <br />