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f I <br /> SA N-1JO A Q U I N Environmental Health Department <br /> COUNTY <br /> 7. 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 /> 8. Owner's Statement: n <br /> fVt <br /> 1,CL agnCY <br /> 1, Bci rbc ra ,e a f)D , 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 inspections <br /> complaint or reported food-borne illness and in the event of a consumer complaint or <br /> food-borne illness <br /> Al),C k' ea f--ty a rt•ct <br /> I, 6 a r,b a r-A Aea f'b 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 /> rtkf&kc, hx,�) <br /> Owner's Signature Print Name Date <br /> Boysenberry Jam <br /> Made in a Home Kitchen Made In A Home Kitchen <br /> Ratio Family Farms 14350 S.jack Tone Rd. Manteca,CA 95336 Ingredients:Oafs,Raisins,Sugar,Flour,Shortening,Egg, <br /> Permit#PT0026215 San Joaquin County Net Wt.Boz.(226.8g) Water,Vanilla,Cinnamon,Salt&Baking Soda <br /> Net.Wt._oz(_�) <br /> ,11111 ;j'�tCl.Cli <br /> Ingredients:Sugar,Boysenberries,Lemon Juice,Pectin&Nutmeg Ratto Family Farms Permit#PT0026215 <br /> 14350 S. Jack Tone Rd. Manteca, CA 95336 1 S.J County <br /> 2of2 <br />