Laserfiche WebLink
SAN JOAQUIN <br />COUNTY <br />9. Employee: <br />Environmental Health Department <br />Initial if you agree to abide by the following: <br /> <br />I understand that I may not have more than one full-time equivalent cottage food employee, not including a <br />family member or 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 />Delivery 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 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 />Owner's Statement: <br />1, %-\ Ca_ L Fr <br /> <br />,agree to grant access to the local health department to <br /> <br />conduct an inspection of my cottag food operation (mark one) <br />D"Class A": In the event of a consumer <br /> E "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 />co., I, br &fit- , agree to notify the San Joaquin County <br />mental Health Departm t prior to modifying my food list, type of operation, and/or method of <br />distributing, or otherwise oviding my CFO products to the consumer or retailers, regardless of <br />ther the product is sold, consigned, or given away. <br />-7 <br />Print <br />2 \1(1.c., <br />ame <br />4/3/2020 <br />Date <br />of 5 <br />END 16-27 6/29/17 CFO REG/PERMITTING FORM