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SAN J O J(HQ U I N Environmental Health Department <br /> --H'COUNTY- <br /> 9. O U NTIJY—�V <br /> 9. Employee: Initial if you agree to abide by the following: (� <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 /> 10. Delivery Limitation: Initial if you agree to abide by the following:a <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 /> 11. Owner's Statement: rr <br /> f1. LI ZA U- Uj0N V l agree to grant access to the focal 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 /> complaint or reported food-bome illness inspections and in the event of a consumer <br /> complaint or food-bome <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 /> � Lig Q MoNGi WIAINU <br /> OwneM Signatd3f Print Name Date <br /> 5 Of <br /> EHD 1627 WOW CFO REGIPERMITTING FORM <br />