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Sp .' <br /> 6. Food Processor Course: <br /> Attach food handier certification for owner and each individual that were not submitted with initial <br /> application (including family members and/or employees). <br /> 7. Deliver Limitation: . . Initial if you agree to abide by the following: <br /> 1 understand that l 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 Postai 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 /> S. Owner's Statement: <br /> agree to grant access to the local health <br /> -- - department-to-conduct en-inspection-of'my cottage food-i5Ve-atinn-(rria�k`one) --v <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 <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 whether the product is sold, consigned, or given away. <br /> ate' , 5�t Z'Z� <br /> Owner`s Signature Print Name Date <br /> I <br /> EHD 16-29 6/29/2015 2 CFO REG/PERMI-MNG RENEWAL FORM <br />