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I <br /> I <br /> i <br /> S A N sJ 0 A Q U I N Environmental Health Department <br /> COUNTY- <br /> 7. <br /> QUNTY7. Delivery Limitation: Initial if you agree to abide by the following: <br /> I understand that I may accept orders and payments via the intemet, mail or phone. However, all"Class A"and <br /> 'Class 13"CFO products must be delivered direcdy(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 /> S. Owner's Statement: i <br /> I, ________ ►-t('_1�2_ c���J _ _ agree to grant access to the local health department to <br /> co , <br /> conduct an frnspeon of my cottage food operation(mark one} <br /> I <br /> Class W., In the event of a consumer ❑ "Class IB": For regular annual facility inspections <br /> complaint or reported food-borne illness and in the event of a consumer complaint or <br /> food-bome illness <br /> I, � z. �r _ _, 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 /> constr given away. <br /> 2c` . '2-\0 det's Si§ Print Name Date <br /> I <br /> w <br /> 2of2 <br /> I <br />