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a <br /> 6. Food Processor Course: <br /> Attach food handler certification for owner and each individual that were not submitted with initial <br /> application (including family members and/or employees). /1(� <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: <br /> I understand that I may accept orders and payments via the internet, mail or phone. However, all "Class <br /> A"and"Class B" CFO products must be delivered direct/ (in person)to the customer.The CFO products <br /> may not be delivered via the United States Postal Service, UPS, FedEx, or using any other indirect <br /> delivery method as deliveries are regulated by, and subject to, CDPH registration and state and federal <br /> requirements. <br /> B. Owner's Statement: <br /> Zt-Kl 0.x1 , agree to grant access to the local health <br /> on o myeo a o0 opera Ion mar one) <br /> ❑ "Class A": In the event of a consumer "Class B": For regular annual facility inspections <br /> complaint or reported food-bome illness and in the event of a consumer complaint or <br /> 11 food-borne illness <br /> an agree to notify the San Joaquin County <br /> Environmental Health Department prior to modifying my food list, type of operation, and/or method <br /> of selling, distributing, or otherwise providing my CFO products to the consumer or retailers, <br /> regardf whe her the produc ' old, consigned, or given away. <br /> C n A 14,C+L 2 i an 5�a4)i5 <br /> n natu Print Name Date <br /> . = MADE INAFIOMEKITCHEN - — - <br /> i' <br /> Permit ID#0024031 <br /> BAM Treats <br /> Linden,CA 95236 <br /> HOMEMADE GOURMET TOFFEE 209-482-7846 cyndi@bamtreats.com <br /> Contains. <br /> Almonds,Butter,Chocolate,&Sugar <br /> EHD 16-291/23/14 2 CFO REG/PERMITTING RENEWAL FORM <br />