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5-May-Z0Z5 Zl:43 From:+16813100710 p.3t <br />Date. <br />5-5-25 <br />“Class B" (Direct & Indirect Sales) $486 <br />2. Prohibited Items: <br />4. Products: <br />Please check the items you will be preparing and/or selling. <br />Dried Pasta HoneyBaked Goods <br /> VinegarDry Baking Mixes MustardCandy <br /> Fruit Butter”Dried Grain MixesWaffle ConesChurros <br />Flat Icing <br /> Jams/Jellies”Herb/Spice Blends PizzelesDried Mole Paste <br />Fruit Tamales/PiesFruit Empanadas <br />Trail Mix/ Dried Fruit Dried FruitSeasoning SaltGranola/Cereals <br />Candied ApplesCotton Candy <br />CFO REG/PEFWITTING FORM1EHD 16-27 6/29/2023 <br />Salted <br />Caramel/Fudge <br />Buttercream <br />Frosting/lcing* <br />Buttercream <br />Fondant/Gumpaste* <br />Nut Mixes/Nut <br />Butters <br />Popcorn/ <br />Popcorn Balls <br />Ground <br />Chocolate <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />Owner Name. <br />Josephine Pacheco <br />CFO Zip: <br />95337 <br />1. Categories: <br />“Class A” (Direct Sales Only) $186 <br />CFO Business Name. <br />Manna & Motherhood Co. <br />CFO Physical Address: <br />974 Maggiore Ln <br />Website (If applicable): <br />CFO City: <br />Manteca <br />Telephone: <br />209-624-0341 <br />Fried or Baked <br /> Donuts and <br />Waffles <br />Marshmallows/ <br /> Marshmallow <br />Bars’ <br />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: <br />3. “Class A" Self Certification Checklist: <br />21 Checklist completed (“Class A" CFOs Only) <br />Initial if you agree to abide by the following: yj <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 reguire refrigeration to keep them safe from bacterial <br />growth that could be a cause of food-borne illness.