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SA N etJ O A Q U I N Environmental Health Department <br /> —COUNTY- <br /> 9. Employee: Initial if you agree to abide by the following <br /> I understand that I may not have more than one full-time equivalent cottage food employee, not i luding 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 <br /> I understand that I may accept orders and payments via the internet, mail or phone. However, 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: <br /> agree to grant access to the local health department to <br /> c'n1 t an inspection o my cottage food eration (mark one) <br /> ➢Gl"Class A": In the event of a consumer ❑ "Class B": For regular annual facility <br /> complaint or reported food-borne illness in tions and in the event of a consumer <br /> complaint or food-borne <br /> agree tG notify the San Joaquin County <br /> E r nmental He#h Department prior o modifying my food list, type of operation, and/or method of <br /> s ng, 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 /> Ow rs Signature Pry' t Narde Date <br /> TA n1C)r�r,/A, 6VUkaIvL -7 1-1 <br /> 5 of <br /> EHD 16-276/29/17 CFO REG/PERMITTING FORM <br />