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SANUJ OA Q U I N Environmental Health Department <br /> —COUNTY- <br /> 7. Delivery Limitation: Initial if you agree to abide by the following:S21-11 <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 /> 8. Owner's Statement: 1/L/ <br /> 1, AM 6J —r(A .agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation(mark one) <br /> Ed"Class A":In the event of a consumer ❑ "Class B": For regular annual facility Inspections <br /> complaint or reported food-bome illness and in the event of a consumer complaint or <br /> food-bome illness <br /> I, n agree to notify the San Joaquin County Environmental <br /> Health D partment prior to modifying my food list,type of operation,and/or method of selling,distributing,or <br /> otherwise providing m CFO products to the consumer or retailers,regardless of whether the product is sold, <br /> consi ed,org' Y. <br /> 5cnaf a <br /> 0 ature Print Name Oate <br /> 2 oft <br />