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I, SA W. J O A O U IN 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, mai[ 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 /> 1, NANC�LWAL-bll-)R- , agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation (mark one) <br /> A <br /> "Class A": In the event of a consumer Ll "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 /> I, Ni NC- L-L I D 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 /> ISA ALL!, S ' 1 C�� Zn2b <br /> Owne Signature Print Name Date <br /> Made in a Home Kitchen <br /> Permit#: PT0026246 <br /> Issued in San]oaquin County <br /> Shortbread <br /> Nancy Walllor <br /> 539 Brandywine Drive <br /> Lodi, CA 95240 <br /> nan.short.sweet@g mait.com <br /> Ingredients: all-purpose Flour(wheat flour, malted barley flour, niacin, iron, <br /> thlamin mononitrate, riboflavin, folic acid), butter, sugar. <br /> No preservatives. <br /> contains:wheat,butter,sugar <br /> Made to order; baked in small batches. <br /> Net Wt. approx. oz. <br /> 2of2 <br />