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Envif'oninenial Health DQ17Fi1't�T1Gn <br /> J. Employee: Initial if you agree to abide by the following: , <br /> I understand that I may not have mole than one full-time equivalent cottage food employee, not Including a <br /> family memberor household member of the cottage food operator, working within the registered or permitted <br /> area of a private home where the cottage food operator resides and where cottage food products are prepared <br /> or packaged for direct, indirect, or direct and indirect sale to consumers. <br /> 10. Deliver! 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 A"and <br /> "Class C"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 /> 11. Owner's Statement: <br /> 771 off}Uk 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 <br /> cornplaint or reported food-borne illness inspections and in the event of a consumer <br /> complaint or food-borne <br /> agree to notify the San Joaquin County <br /> Environmental Health Department prior to modifying my food list, type of operation, and/or method of <br /> selling, distributing, or otherwise providing my CFO products to the consumer or retailers, regardless of <br /> whether the product is sold, consigned, or given away. <br /> s Siyna ue Print Name Date <br /> r OI r <br /> FHrI 1G•27(,`9'17 CI 0 REG:PERMITTIWG FORE! <br />