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CFO Business Name: <br />RCM GROUP LLC <br />Owner Name: Date: 02/14/2025 <br />CANTALETA <br />Trail Mbd Dried Fruit 0 Dried Fruit <br />LI Salted <br />Caramel/Fudge <br />Marshmallows/ <br />0 Marshmallow <br />Bars* <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.siqov.orq/EHD <br /> <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />CFO Physical Address: CFO City: <br />1973 PILLSBURY ROAD MANTECA CFO Zip: <br />95337 <br />Website (If applicable): Telephone: 9256059465 - 209 6107460 <br />Categories: <br />"Class A" (Direct Sales Only) $186 M "Class B" (Direct & Indirect Sales) $486 <br />Prohibited Items: Initial if you agree to abide by the following: <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 />"Class A" Self Certification Checklist: <br />0 Checklist completed ("Class A" CFOs Only) <br />Products: <br />Please check the items you will be preparing and/or selling. <br />Popcorn/ <br />Popcorn Balls <br />Vinegar <br />DI( Baked Goods 0 Dried Pasta <br />LII Candy 111 Dry Baking Mixes <br />LII Churros 0 Waffle Cones <br />Buttercream LI Buttercream <br />Frosting/Icing* Fondant/Gumpaste* <br />Dried Mole Paste El Herb/Spice Blends <br />Fruit Empanadas 111 Fruit Tamales/Pies <br />LI Granola/Cereals 0 Seasoning Salt <br />LI Cotton Candy 1111111 Candied Apples <br />EHD 16-27 6/29/2023 1 <br />LI Honey LII <br />10 Mustard LI <br />Dried Grain Mixes El Fruit Butter*" <br />Flat Icing LI <br />LI Pizzeles 0 Jams/Jellies** <br />LI <br />CFO REG/PERMITTING FORM <br />Ground <br />Chocolate <br />Nut Mixes/Nut <br />Butters <br />Fried or Baked <br />Donuts and <br />Waffles <br />W25C0313