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SANJ O A Q U I N Environmental Health Department <br /> -COUNTY- <br /> 9. <br /> COUNTY9. 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 including 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, 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: <br /> I, JV-4V— " , agree to grant access to the local health department to <br /> conduct an inopection of my cottage food o r6p <br /> tion (mark one) <br /> /,Class A": In the event of a consumer El "Class B": For regular annual facility <br /> /,Class <br /> or reported food-borne illness inspections and in the event of a consumer <br /> complaint or food-borne <br /> agree to notify the San Joaquin County <br /> Environmenfjl Health Department prior t odifying my food list, type of operation, and/or method of <br /> selling, distributing, or otherwise providing CFO products to the consumer or retailers, regardless of <br /> whether the pr �uc is sold, consi ed, or given away. <br /> �--- � <br /> Owner's Signature Print NaMe ate <br /> 5 of <br /> EHD 16-276/29/17 CFO REG/PERMITTING FORM <br />