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(tf ap^iceUei <br />I-] Honey D*ied Pasta■Baked Goods <br /> Mustard| ! Dry Baking MixesDCandy <br /> Fruit Butter" Dried Grain Mixes Waffle CanesChurros <br /> Flat icing <br />O JamsOBilies” PizzelesFl Heib-'Spice BlendsDried Mose Paste <br /> Fruit Tamates.'PfesFr uit Empanadas <br /> Seasoning SaltnGranolai'Cereals <br />Q Candied AopleSCotion Candy <br />CFO R5G.FCKkV TONG FWM1EMO ’£-?7 e<29>2U23 <br />I <br />Butteicream <br />Frnsiing.'lctng* <br />Buttercream <br />Fonda nUGumpasle" <br />Lgd i <br />loteprena <br />I2&S1366^7W <br />Nut Mixes-'Nul <br />Butlers <br />CW* <br />CFOZ‘?>: <br />Ground <br />Chocolate <br />COTTAGE FOOD OPERATIONS (CFO) <br />registration/permitting form <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />O,nef Name: <br />Lirlsev weeks <br />CFO <br />Salted <br />C a rarne trudge <br />1. Categories: <br />“Class A‘ (Direct Sates Only) SI 86 <br />3. “Class A” Seif Certification Checklist: <br />Checklist comp4eted (“Class A" CFOs Only} <br />Fried or Baked <br />|~1 Donuts and <br />Waffles <br />CFO Sicncsfl Name. <br />Ktrt 5 5 ou <br />CFO Fttysical Addrew <br />Popcorn-' <br />Popcorn Balls <br /> Vinegar <br />San Joaquin County <br />Environmental Health Department <br />1858 East Hazelton Avenue, Stockton, CA 95205-6232 <br />T^phone: (209) 463-3420 Fax: (2C-&) 464-0138 Wefc vAW/.^QOY.nrg.TbP <br /> Trail Mixi Dried Fmil Dried Fruit <br />Marshmallows/ <br /> Marshmallow <br />Bars* <br />4. Products: <br />Please check the items you will be preparing and/or selling <br /> “Class B” (Direct & Indirect Sales) 5486 <br />2. Prohibited Items: Initial if you agree to abide by the following: ----- <br />Foods containing cream, custard, or meat fillingi are potentially hazardous and are NOT ALLOWED <br />Only foods that are defined as ‘nompotentially hazardous” are approved for preparation by a Cottage ood <br />Operaten These foods include items that do not require refrigeration tn keep them safe from bactenai <br />growth that could be a cause of fcod-bome Illness