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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 /> 1 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 /> I delivery method as deliveries are regulated by; and subject to, CDPD.registration and state and federal <br /> requirements. <br /> 8. Owner's Statement: <br /> agree to grant access to the local health <br /> department to Vonduct an inspection of my cottage food operation (mark one) <br /> ] "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 /> food-borne illness <br /> I, 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 /> regardless of whethe product is sold, consigned, or given away. <br /> l <br /> ner'S Signature Prim`Na ate <br /> !-'4--_&_, <br /> .� <br /> MADE'IN A HOME KITCHEN, <br /> Permit# PT0024052 <br /> E- Pure Honey <br /> �zv= 4254 Boulder Creek Circle <br /> Stockton CA 95219 <br /> HONEYDALE_ " Net Wt:13.,6oz(385.554g) r: , <br /> Swain `Rd . �f <br /> 4.t <br /> ` -� Call orText 269-270-9521 �{ <br /> Find us on Facebook @ Honeydalebeekeep ing i <br /> Email us @ 'honeydalebees@grnaii.com - t <br /> EHD 16-29 6!1212016 2 CFO REG/PERMITTING RENEWAL FORM <br />