Laserfiche WebLink
Yes <br />2. <br />3. <br />b. <br />4. <br />Zoning Requirements:Yes No <br />5.I have complied with the applicable zoning requirements for the CFO. <br />Employee and Training Requirements:Yes <br />If YES, copies of certificates are attached.a. <br />Sanitation Requirements:Yes No <br />CFO CLASS A CHECKLIST1EHD 16-26 12/27/2012 <br />8. Kitchen equipment and utensils used to produce CFO products are clean and <br />maintained in a good state of repair. <br />9. All food contact surfaces, equipment, and utensils used for the preparation, packaging, <br />or handling of any CFO products shall be washed, rinsed, and sanitized before each <br />use. <br />10. All food preparation and food and equipment storage areas shall be maintained free of <br />rodents and insects. <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: www.siqov.org/ehd <br />CFO ZIP <br />‘Kan <br />No <br />I <br />CFO Owner Name <br />/lyvwn i i t’ <br />CFO City <br />fcA <br />COTTAGE FOOD OPERATIONS (CFOs-CLASS A) <br />SELF CERTIFICATION CHECKLIST <br />XS SX S end m pm,ded ” slsnda,as <br />CFO Business Name <br />—___B 'AtS <br />CFO Address <br />------(ycU? /VyyUL <br />Facility Requirements: <br />1.The CFO is located in a private dwelling where the CFO operator currently resides <br />All CFO food preparation will take place in the private kitchen within that home. <br />Additional storage used for the CFO will be within the home. <br />a. If YES, is the room used exclusively for storage? <br />Specify the room(s) that will be used for storage? j <br />Sleeping quarters are excluded from areas used for CFO food preparation or storage. " <br />b. If NO, complete course within 3 months of CFO registration. <br />7. The CFO has no more than 1 full-time equivalent employee? (Immediate family or <br />household members are not included.) <br />6. Have all persons preparing or packaging CFO products completed the CDPH food <br />processor course? <br />No <br />6Z □" <br />0" <br />cz <br />I