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SA N s J O A Q U I N Environmental Health Department <br /> --COUNTY <br /> 7. DeliverV Limitation: Initial if you agree to abide by the following: L—F <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 /> 1, e��_c- F,FI?O , 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 ❑ "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 /> 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 /> Z <br /> iven away. e_ �FFb S - rl-fl <br /> 190 <br /> g ure Print Name Date <br /> 1N SEASoN <br /> Plum ,lam <br /> Ingredients:Sugar,Plums,Lemon Juice <br /> 8 oz. (� <br /> Q 1605 N.Commerce St.Stockton,CA 95204 <br /> San Joaquin County <br /> Peril#Pr0025304 <br /> [10Mv, <br /> 2 of 2 <br />