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a <br /> I' 9. Employee: Initial if you agree to abide by the following: C� <br /> understand that I may not have more than one full-time equivalent cottage food employee, not <br /> including a family member or household member of the cottage food operator, working-within the <br /> registered or permitted area of a private home where the cottage food operator resides and where <br /> cottage food products are prepared or packaged for direct, indirect, or direct and indirect sale to <br /> consumers. <br /> 10. Delivery Limitation: rInitial if you agree to abide by the following: _ <br /> understand that I 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 Postal 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 /> 11. Owner's Statement: <br /> 1, C0)Ct-kV%!&k2_ie4,6 agree to grant access to the local health <br /> department o conduct an inspection f my cottage food operation (mark one) <br /> "Class A In the event of a consumer 0 "Class B": For regular annual facility <br /> complaint or reported food-borne illness inspections and in the event of a consumer <br /> complaint or food-borne . <br /> I, r A j„ ex WN OL &n agree to notify the San Joaquin County <br /> Environmeotal Health Department pr' r 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 /> lardless of whether the product is sold, consigned, or given away. <br /> VJ <br /> wner's Signature Print Name' Date <br /> EHD 16-27 2/3117 5 CFO REGIPERMITTING FORM <br />