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SANUJ O A Q U IN Environmental Health Department <br /> —COUNTY- <br /> 7. 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 "C 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 /> 8. Owner's Statement: cel. <br /> 1. Q 'f Ol l P-l Vv agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation (mark one) <br /> ``Class A": In the event of a consumer ❑ "Class B": For regular annual facility inspections <br /> complaint or reported food-borne illness and in the event of a consumer complaint or <br /> food-borne illness <br /> I, 2-Q� 8u (� l � agree to notify the San Joaquin County Environmental <br /> Health Department pri o 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 /> consigned, or given away. <br /> i9A_�Du oz�i3ki Z4 29 )262 <br /> Owner's Signature C) Print Name Date <br /> SNICKERDOODLES <br /> .. AII-purpoea Flour(Wheat Flour,Malted Saney Flouq <br /> Nlacin,Reduced Iron,Thlacin M-Mrste,Ribof!Wn, <br /> Puha Acd),Pure Cone Sugar,Butter(Pasteurized <br /> Cream(milk)Natuml Flavor),Shortening(Soybean <br /> Oil,Fully Hydrogenated Palm OII,Penally <br /> Hydrogenated Palm and Soybean Oils,Mono and <br /> D19yoeddes.TSHO and Citric Adtl(Anboxldants), <br /> Eggs,Ground Cinnamon,Pure Vanilla Extract, <br /> Cream oftener(PplesaWm BMartrate),Baking Sade <br /> (Sodium Bicarbonate),Setl. <br /> Contains:Wheat, Milk, Eggs,Soy <br /> 2 of <br />