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Honey 12 Barked Goads <br />rj Caney <br />Clitaioe <br />Butteratiam <br />Frosting/Icing* <br />D Dried Mole Panto <br />o Dimd Nan <br />F] Dry Ratan; Wren <br />Waffle Canes <br />Bultercrearn <br />ondantiGurrpoille <br />Haibrapto Unds <br />oPossorsnwrysoc roam <br />Porioarn.., <br />POOCOra Sala <br />Vinegar <br />F•tal Wier — <br />Grmind <br />Chocolate <br />Jurnailiehrs" <br />Fried ar bawl <br />Onnat's and <br />WaffIns <br />Dna4 Prult <br />MarsIvnalicray <br />MareNnatew <br />Bars' <br /># rail 1 rnpanadas 0 Enid tanialaVPies <br />OritnOtaftv,lefealit U :308103flifg Salt <br />Coon Candy Ii canoed Appxya <br />voo le 2, 42102c2) <br />n Mustard <br />CI Dried Grim Mims <br />Pat Icr.ing <br />Patsies <br />0 <br />ci Salad <br />CararnatIVUdde <br />Nut likieseNsit <br />Buren <br />SAN JOAQUIN COUNTY <br />ENVIRONM EN TAL HEALTH DEPARTMENT <br />ees East Hazellaqi wet Swalkin, CA 9520543232 <br />Tatophone: .12D9) 411A 3.42r I' sr:120511464 0 t 31, Web: tnwrilecne orri,f,t1Q <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GAT TO) I <br />CPO kerma Nene Nfolt Pcsirm <br />easy weenier Baking e appy <br />- • - , <br />cro1 r34410.4.1dili CIO CEN <br />2348 Stan dfield Mato n <br />nide aPt11/4 <br />Wax& iw rion4catiei <br />T."44'" 20%.420321 2092426321 <br />CaVacries: <br />5 9: A (NW Sales Only) $196 0 "Class 8' (Dsect & Indusci Swap) $sst; <br />2. Prohibitncl horns: Initial if you agree to abide by the fallowing: ,tic) <br />COntall - custard, Of meet Milne* are potentiality hazardous and are NOT ALLOWED <br />Only f cods that air defined an -rcn potent:may hazantaus'n# aperoverl for preparation hy a Cottage Food <br />Operatrar. These twth inchAde items that di noI oequiter refrtgerabon lo keep ahem See 1110,71 batteowil <br />roost" nat could be a cause of tood-borna HnøI <br />"Class A" Self Certification Checklist: <br />Cnnekltst complatro i-Clann A' CFOs Only) <br />Produc:: IN: <br />;JAMS', CbaCir Via Atants yor) me' be preparing mwor sageg