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.S A N,J O A Q U I N Environmental Health Department <br /> COUNTY <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: .wt- <br /> I understand that I may accept orders and payments via the internet, mail or phone. However, all "Class A" and <br /> "Class B" CFO products must be delivered directly (in person) to the customer. The CFO products may not be <br /> delivered via the United States Postal Service, UPS, FedEx, or using any other indirect delivery method as <br /> deliveries are regulated by, and subject to, CDPH registration and state and federal requirements. <br /> 8. Owner's Statement: <br /> I, a(/F`Cr 7-os[ai2 p agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation (mark one) <br /> ❑ "Class A": In the event of a consumer X"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, �] Aye eY- / oic- A-z c i agree to notify the San Joaquin County Environmental <br /> Health Department prior to modifying my food list, type of operation, and/or method of selling, distributing, or <br /> otherwise providing my CFO products to the consumer or retailers, regardless of whether the product is sold, <br /> consigned, or given away. <br /> Own s Signature Print Name Date <br /> 0S <br /> / , IALAPFNO PEPPERS CROWN AT OUR FAIf�: 8 =s <br /> i NO SILICON DIOXIDEADDED EOR ANTI- INS. d a <br /> 6000 SCOVILLES 102(299) € o <br /> '3 <br /> - CFRTIFIFO ORGANIC BY CCOF °"' _ e, <br /> FAMILI FARM I ' IBI 1 <br /> C70scano MADE IN A IME 'I'I' o <br /> SMOKED PUBLANO PEPPERS GROWN AT OUR FAQ. <br /> I SILICON DIOXIDE ADDE 1•. <br /> C `y 1 1Oz <br /> I � L I I(I +• - o <br /> � I � o <br /> NI lJ <br /> 2of2 <br /> S <br />