Navigating the terrain of starting a Cottage Food Operation (CFO) in San Joaquin County has been made straightforward with the comprehensive San Joaquin Ehd 16 27 form, designed under the California Homemade Food Act AB 1616. Created to regulate home-based food businesses, this form serves as a tool for entrepreneurs to register or permit their operations, guiding them through various requirements from product types to safety standards. Offering insights into allowable food products, such as baked goods, dried mixes, and certain confections, it sets clear boundaries by prohibiting potentially hazardous foods like those with cream or meat fillings. The form not only addresses direct and indirect sales classifications but also emphasizes compliance with product labeling laws, waste disposal, water source testing, and public health guidelines. For cottage food operators, understanding the importance of submitting detailed product descriptions, adhering to precise labeling requirements, and fulfilling local health department protocols is crucial. The document further outlines the need for food handler education, limits on employee numbers, and restrictions on delivery methods, ensuring that all CFOs maintain safety and quality from preparation to the point of sale. As a framework for operational compliance and public health safety, the San Joaquin Ehd 16 27 form exemplifies the proactive steps taken by San Joaquin County to support small food businesses while protecting consumers.
Question | Answer |
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Form Name | San Joaquin Form Ehd 16 27 |
Form Length | 5 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 1 min 15 sec |
Other names | CFO REG PERMITTING FORM san joaquin cottage food form |
Environmental Health Department
COTTAGE FOOD OPERATIONS (CFO)
REGISTRATION/PERMITTING FORM
(CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO))
CFO Business Name: |
Owner Name: |
Date: |
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CFO Physical Address: |
CFO City: |
CFO Zip: |
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Website (If applicable): |
Telephone: |
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1.Categories:
“Class A” (Direct Sales Only) $155
“Class B” (Direct & Indirect Sales) $310
2. Prohibited Items: |
Initial if you agree to abide by the following: ________ |
Foods containing cream, custard, or meat fillings are potentially hazardous and are NOT ALLOWED. Only foods that are defined as
3.“Class A” Self Certification Checklist:
Checklist completed (“Class A” CFOs Only)
4.Products:
Please check the items you will be preparing and/or selling.
Baked Goods
Candy
Churros
Buttercream Frosting/Icing*
Dried Mole Paste
Fruit Empanadas
Granola/Cereals
Cotton Candy
Dried Pasta
Dry Baking Mixes
Waffle Cones
Buttercream Fondant/Gumpaste*
Herb/Spice Blends
Fruit Tamales/Pies
Seasoning Salt
Candied Apples
Honey
Mustard
Dried Grain Mixes
Flat Icing
Pizzeles
Nut Mixes/Nut
Butters
Trail Mix/ Dried Fruit
Salted Caramel/Fudge
Popcorn/ Popcorn Balls
Vinegar
Fruit Butter**
Ground
Chocolate
Jams/Jellies**
Fried or Baked Donuts and Waffles
Dried Fruit
Marshmallows/
Marshmallow
Bars*
Dried or Dehydrated Vegetables
Dried Vegetarian- Based Soup Mixes
Vegetable and Potato Chips
1868 E. Hazelton Avenue | Stockton, California 95205 | T 209
Sweet Sorghum Syrup
Fried or Baked Donuts and Waffles
Roasted Coffee (Beans/Grounds)
Dried Hot Chocolate
Environmental Health Department
Chocolate Covered Nonperishable Food
Other_____________________________
* Do not contain eggs, cream, or cream cheese
** If preparing jams, jellies or fruit butters, include a list of ingredients (attach separate page if needed). These items must comply with standards described in Part 150 of Title 21 of the Code of Federal
Regulations http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150
Food Descriptions:
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5. Product Labeling: |
Initial if you agree to abide by the following: ________ |
For a detailed description, see the CDPH document “Labeling Requirements for Cottage Food Products.” All cottage food products must be properly labeled in compliance with the Federal, Food, Drug, and Cosmetic Act (21 U.S.C. Sec. 343 et seq.) The label must include:
•Submit one example label for one of your CFO products.
•The words “Made in a Home Kitchen” in
•The name commonly used to describe the food product.
•The name city, state and zip code of the cottage food operation which produced the cottage food product. If the firm is not listed in the current telephone directory then a street address must also be declared. (A contact phone number or email address is optional but may be helpful for consumers to contact your business.
•The registration or permit number of the cottage food operation which produced the cottage food product and in the case of “Class B” CFOs, the name of the county where the permit was issued.
•The ingredients of the food product, in descending order of predominance by weight, if the product contains two or more ingredients.
•The net quantity (count, weight, or volume) of the food product. It must be stated in both English (pound) units and metric units (grams).
•A declaration on the label in plain language if the food contains any of the eight major food allergens such as milk, eggs, fish, shellfish, tree nuts, wheat, peanuts, and soybeans. There are two approved methods prescribed by federal law for declaring the food sources of allergens in packaged foods: 1) in a separate summary statement immediately following or adjacent to the ingredient list, or 2) within the ingredient list.
•If the label makes approved nutrient content claims or health claims, the label must contain a “Nutrition Facts” statement on the information panel.
O The use of the following eleven terms are considered nutrient content claims (nutritional value of a food): free, low, reduced, fewer, high, less, more, lean, extra lean, good source, and light. Specific requirements have been established for the use of these terms. Please refer to the Cottage Food Labeling Guideline for more details.
O A health claim is a statement or message on the label that describes the relationship between a food component and a disease or
•Labels must be legible and in English (accurately translated information in another language may accompany it).
•Labels, wrappers, inks, adhesives, paper, and packaging materials that come into contact with the cottage food product by touching the product or penetrating the packaging must be
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Example:
Note: For the “Issued in County” - Identify the jurisdiction (city/county) where you are obtaining approval.
6.Disposal of Waste:
Please check what type of treatment is used to dispose of waste
Public Sewer Service
Private Septic System
In the event of septic system failure or plumbing problem, you are required to notify San Joaquin County Environmental Health Department immediately.
7.Water Source:
Pease Identify the water source to be used in Cottage Food Facility (check one box)
Name of Public Water System or Community Services District:
Private Water Supply**, Identify the source (well, spring, surface, etc.):
Private Water Supply: Initial Water Quality Results
Check boxes below if initial water testing has been completed.
All testing must be done at a State Certified Laboratory. Either attach lab results or provide name of lab, date & results in space provided next to type of test.
*(Testing frequency for transient
Bacteriological Test (quarterly*):
Nitrate Test (yearly*):
Nitrite Test (every 3 years*):
**Additional information may be required if food is prepared from a home with a private water supply – check with local jurisdiction.
8.Food Processor Course: Initial if you agree to abide by the following: ________
Within 3 months of being approved to operate by the Environmental Health Department, please provide proof of completion of the California Food Handler course in lieu of the California Department of Public Health (CDPH) food processor course.
For more information see CDPH website www.cdph.ca.gov/programs/Pages/fdbCottageFood.aspx
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9. Employee: |
Initial if you agree to abide by the following: ________ |
I understand that I may not have more than one
10. Delivery Limitation: |
Initial if you agree to abide by the following: ________ |
I understand that I may accept orders and payments via the internet, mail or phone. However, all “Class A” and “Class B” CFO products must be delivered directly (in person) to the customer. The CFO products may not be delivered via the United States Postal Service, UPS, FedEx, or using any other indirect delivery method as deliveries are regulated by, and subject to, CDPH registration and state and federal requirements.
11.Owner’s Statement:
I, ________________________________________, agree to grant access to the local health department to
conduct an inspection of my cottage food operation (mark one)
“Class A”: In the event of a consumer complaint or reported
“Class B”: For regular annual facility inspections and in the event of a consumer complaint or
I, ________________________________________, agree to notify the San Joaquin County
Environmental Health Department prior to modifying my food list, type of operation, and/or method of selling, distributing, or otherwise providing my CFO products to the consumer or retailers, regardless of whether the product is sold, consigned, or given away.
Owner’s Signature |
Print Name |
Date |
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