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r <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). <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 directly (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 /> 8. Owner's//��S��pp _TS�) Yta��tement`: / <br /> 1 1et111L , agree to grant access to the local health <br /> department to conduct ad inspection of my cottage food operation (mark one) <br /> X"Class A": In the event of a consumer ❑ "Class B": For regular annual facility inspections <br /> complaint or reported food-borne illness and in the event of a consumer complaint or <br /> �I 'rnI p food-borne illness <br /> I, ° °'��� l V agree to notify the San Joaquin County <br /> Environmental Health Elepartment 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 /> regardless of whether the product is sold, consigned, or given away. <br /> by , �dxl Tell 8 - 4 -17 <br /> Owner's Signatu Print Name Date <br /> EHD 16-287/27/17 2 CFO REG/PERMITTING RENEWAL FORM <br />