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(n J�✓ I O n Q I I N Environmental Health Department <br />J -H --COUNTY-- <br />H t�t1 <br />7. Delivery Limitation: Initial if you agree to abide by the following: eA <br />I understand that I may accept orders and payments via the internet, rnail 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, Cec�ync fAkA4 P—cl vn 0, -5 , 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 consurner ❑ "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, �s� a�� JZLA Vek-0 S , 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 />� 01 c(g I dCA <br />Print Name <br />2of2 <br />Date <br />S <br />