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� MAY 2 2 2014 SPERMITIISEP"'CE LTH y 9. Employee: Initial if you agree to abide by the following{ b I understand that I may not have more than one full-time equivalent cottage food employee, not including a family member or household member of the cottage food operator, working within the registered or permitted area of a private home where the cottage food operator resides and where cottage food products are prepared or packaged for direct, indirect, or direct and indirect sale to consumers. 10. Gross Annual Sales: Initial if you agree to abide by the following: L I understand that I will lose my CFO status and will need to become permitted in a commercial facility if my CFO business exceeds the following gross annual sales figures for the Calendar years in the following table: Calendar Year Gross Annual Sales In2013 ..............................................................................................................$35,000 In2014 ..............................................................................................................$45,000 In 2015 and in subsequent years.......................................................................$50,000 11. 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 direct) (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. 12. Owner's 11S''tatement: I, �'u n T*\t4l L agree to grant access to the local health departrfient to conduct an inspecti6Wof my cottage food operation (mark one) ❑ "Class A": In the event of a consumer [g�"Class B": For regular annual facility complaint or reported food-bome illness inspections and in the event of a consumer complaint or food-borne agree to notify the San Joaquin County Environmental Health DepaWnent 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, re ss of whether the product is sold, consigned, or given away. 1 A I %(4- e Print Name Date EHD 16-271/612014 4 CFO REGMERMITTING FORM