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KE CEI •�'--'D <br /> SEP 17 2020 <br /> J � ((UI[[ N ENVIRONMENTAL HEALTH Environmental Health Department <br /> ,C 0[ t N..I" I/ PERMIT/SERVICES <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: S <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: <br /> I, l C�i l4 P —Da]la agree to grant access to the local health department to <br /> conduct an inspection of rT4 cottage food operation (mark one) <br /> a"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 /> 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 /> S1�lETN� C2020 <br /> wner's Signature Print Name Date <br /> MADE IN A HOME KITCHEN MADE INA HOME KITCHEN <br /> PERMIT - PT0026247 PERMIT - PT0026247 <br /> SWETHA'S KITCHEN SWETHA'S KITCHEN <br /> 511 W. TRAMONTO DR. 511 W. TRAMONTO DR. <br /> TRACY, CA 95391 TRACY, CA 95391 <br /> NET WT. OZ NET WT. OZ <br /> 2of2 <br />