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a <br /> S ((({N,rI 0 (I Q U I N Environmental Health Department <br /> COUNTY 'V Inluding <br /> 9. Employee: Initial if you agree to abide by the followingI understand that I may not have more than one full-time equivalent cottage food employee, noa <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 /> ' d or packaged for direct,indirect,or direct and indirect sale to consumers. tiass <br /> 10. Delivery Limitation: Initial if you agree to abide by the following:I understand that I may accept orders and payments via the internet, mail or phone. However, all 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: <br /> agree to grant access to the local health department to <br /> conducl an Inspection of my cottage food operation(mark one) <br /> X"Class A": In the event of a consumer ❑ "Class B": For regular annual facility <br /> complaint or reported food-borne illness inspections and In the event of a consumer <br /> r complaint or food-bome <br /> agree to notify the San Joaquin County <br /> Environmental Health Department 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 /> Ju <br /> Owner's Signature Print Name Date <br /> I / <br /> 5 of <br /> EHO 16-27 629117 CFO REGIPERMnTING FORM <br /> I I <br />