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SA N X10 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: <br /> I, O � FrCU-)2t C. 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 /> I, l.Fil r 0 'L Fre_n 2t c 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 /> �--V'V�/t'\�-� L-ftl7�� -�f`Gr r�2c G� 4l '�•-� �� <br /> Owner's Signature Print me Date <br /> AHoME�T <br /> Red. He F''i <br /> PRESERVES } <br /> Zinfandel Chili <br /> rngterfienf &Sugar,Wine,Cherry Juier, I <br /> Pectin,Lemon Juice,Chili <br /> 17672 Mello Ave.Ripon,CA 96366 <br /> MEND Rm'v IP116i61e1 <br /> -!6e <br /> 'A `IW"`do <br /> myself.:." Red -Henngg�ts s <br /> ` ice,•, r i PRESERVES 1'o 5 rr;a�E <br /> rol.no2 Pte' <br /> ® mlhenpresemes <br /> * - Wy, Red Hen Preserves- <br /> A. / ° Made in a Home Kitchen 1751:Menu Ave.6 pun.CA 95366 Ak <br /> 9r7a1.eo: stcr66Perr6rlrr6ole3ez <br /> 2 of 2 <br />