Laserfiche WebLink
I Uwotamlw ultlL I play IIUI navc IuIC ulan Unc Iwrun IC cyulvalcui wuayc Iuuu clI Yluycc, nut"wluu"iy a <br /> family member or household member of the cottage food operator,working within the registered or permitted <br /> area of a private home where the cottage food operator resides and where cottage food products are prepared <br /> or packaged for direct, indirect,or direct and indirect sale to consumers. <br /> 10. Delivery Limitation: Initial if you agree to abide by the following: jo <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 /> 11. Owner's Statement: I, <br /> ,,-Muir �)YY of en sk A agree to grant access to the local health department to <br /> conduct an inspection of my cottage ood operation (mark one) <br /> "Class A": In the event of a consumer El "Class B": For regular annual facility <br /> complaint or reported food-borne illness inspections and in the event of a consumer <br /> ,�nnnn <br /> complaint or food-borne <br /> , -w a lc i to (, m 0len(Lj — agree to notify the San Joaquin County <br /> En51ronmental Health Departme9t prior to modifying my food list, type of operation, and/or method of <br /> selling, distributing, or otherwise providing my CFO products to the consumer or retailers, regardless of <br /> whether the product is sold, consigned, or given away. <br /> g z a <br /> ner's Signature Print Name Datel <br /> 5 of <br /> EHO 16-276/29/17 CFO REG/PERMITTING FORM <br />