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°�- SAN JOAQUIN COUNTY -cp g �- <br /> ENVIRONMENTALALTH DEPARTMENT <br /> �`• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sigov.org/EHD <br /> COTTAGE FOOD OPERATIONS (CFO) <br /> REGISTRATIONIPERMITTING FORM <br /> (CALIFORNIAHOMEMADEFOODACTAB1616(GATTO)) <br /> CFOBusinessName: Yana Distribution LLC Owner Name: Sunyana Dhaliwal date: 10/14/2025 <br /> CFOPhysical Address: CFOCity: GFOZip: <br /> 2037 Sugarbowl Way Lodi 95242 <br /> Website(If applicable): Telephone: (909) 91 8- 7466 <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: SD <br /> Foodscontaining 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 growth <br /> that could be a cause of food-borne illness. <br /> 3. "Class A" Self Certification Checklist: <br /> ❑ Checklistcompleted("ClassA"CFOsOnly) <br /> 4. Products: <br /> Pleasecheckthe items you will be preparing andlor 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 /> Buttercream Buttercream Ground <br /> ❑ Frosting/Icing* ❑ Fondant/Gumpaste* ❑ Flat Icing ❑ Chocolate <br /> ❑ ❑ er pce ❑ <br /> Dried Male Paste Herb/Spice I Blends Pizzeles ❑ Jams/Jellies** <br /> Fried or Baked <br /> Nut Mixes/Nut Donuts and <br /> ElFruit Empanadas ElFruit Tamales/Pies ❑ El Waffles <br /> Butters <br /> Dried Fruit <br /> ❑ Granola/Cereals ❑ Seasoning Salt ❑ Trail Mix/ Dried Fruit ❑ <br /> Marshmallows/ <br /> Salted Marshmallow <br /> ❑ Cotton Candy ❑ Candied Apples ❑ ❑ Bars* <br /> Caramel/Fudge <br /> EHD 16-27 6/29l2023 1 CFO RFG/PFRMITTING FORM <br />