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PRoSllltOS <br />Environmental Health Department <br />&535S166 I Lilcr Cl <br />wensne (ii appacaoei <br />1. Categories: <br />"Class B' (Direct & Indirect Sales) $3100"Class A’ (Direct Salos Only) SI 55 <br /> Dried Pasla MoneyBaked Goods <br /> VinegarMustard Dry Baking MixesCandy <br />O Fruit Butter" Wattle Cones Dnod Grain MixesChurros <br />Flat Icing <br /> Jams/Jolhos" Horb/Spico Blonds PizzolosDried Mole Paste <br /> Fruit Tamatos/PiosFruit Lmpanadas <br />Trai Mix/Dned Fruit Deed Fruit Seasoning SallGranola/Coroals <br /> Candied ApplesCotton Candy <br />Vogotablo and Potato Chips <br />mw sjcolid coni1HG8 E. Hazelton GB Fit+75%/51 vzs <br />I <br />Sutterer oam <br />Frostmg/lcing' <br />Dnod or Dotiydiaiod <br />Vogotablos <br />Buttorcroam <br />Fondant/Gumpaslo* <br />Dried Vagetanan- <br />Basod Soup Mixos <br />Nut Mixos/Nut <br />Butiors <br />Date: <br />O2.'1B.?O26 <br />CFO Zip <br />Ground <br />Chocolate <br />Popcorn/ <br />Popcorn Ralls <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING FORM <br />(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO)) <br />Saltod <br />CaramoLTudqo <br />CFO Business Name <br />El Nercs Wonder Cookies <br />Cf O Physical Addfess <br />Owner Name <br />Macias <br />CFOOty: <br />'Rpon <br />T elepnonp <br />12MJ4M 7410 <br />SAN JOAQUIN <br />-COUNTY - <br />G'Fatnett qr©M here <br />Marshmallows/ <br /> Marshmallow <br />Bars* <br />Fried or Bakod <br /> Donuts and <br />Wafflos <br />2. Prohibited Items: Initial if you agree to abide by the following:^ <br />Foods containing cream, custard, or meat fillings are potentially hazardous and aro NOT ALLOWED. Only <br />foods that aro defined as "non-potonlially hazardous' are approved for preparation by a Cottage Food Operation. <br />These foods include items that do not require refrigeration to keep them safe from bacterial growth that could bo a <br />causo of food bomo illnoss. <br />eina.-rsxT <br />3. “Class A” Self Certification Checklist: <br />g] Checklist completed ("Class A" CFOs Only) <br />4. Products: <br />Please check the items you will be piopariny and'of sailing