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"Class B" (Direct & Indirect Sales) $486 <br />preparing. If preparing jams, jellies, or fruit butters include a list of <br />sourdough bread, waffles, and baked goods <br />Cahforma 95205 | T 209 468-3420 | F 209 464-0138 | wwwsjcehd.com <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING RENEWAL FORM <br />Date <br />7/30/25 <br />CFO Zip <br />95366 <br />SAN JOAQUIN <br />-----COUNTY <br />C.'catncs'; qro.^'. her ■ <br />Owner Name: <br />Apryl Enas <br />CFO City: <br />Ripon <br />Telephone: <br />3. Products: <br />Provide a list of all products you are j r...: <br />ingredients (attach separate page if needed). <br />Food List: <br />CFO Business Name: <br />Joy Rise Bread <br />CFO Physical Address: <br />429 Van Dyken Way <br />Website (If applicable): <br />4. Product Labeling: <br />Attach two labels to this form for two of your CFO products (only one label is required if only one product is <br />1. Categories: <br />0 “Class A" (Direct Sales Only) $186 <br />Environmental Health Department^ <br />2- Prohibited Items: Initial if you agree to abide by the following: '1^, <br />Foods containing cream, custard, or meat fillings are potentially hazardous and are NOT ALLOWED Only <br />foods that are defined as "non-potentially 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 be a <br />cause of food-borne illness. <br />5. Water Source: <br />Please check what type of water source is being used at the CFO: <br />K City Watery prjvate We||. <br />1 □♦’ach a'l updated water sample results (including quarterly bacteria and Nitrate results.) <br />6 rProcessor Course: <br />'" * ' * xzs cert^catwn for owner and each individual that were not submitted with initial application <br />i and'or employees) <br />' x.S I :f Ater