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SANJ O A Q U I N Environmental Health Department <br /> COU NTY <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 intemet,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, COPH registration and state and federal requirements. <br /> 8. Owner's Statement: <br /> 1, r 1 UdT 1 f�.V I M�1 f V� .agree to grant access to the local health department to <br /> conduct an inspection of myW43ttage 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-bome illness and in the event of a consumer complaint or <br /> food•bome illness <br /> I, f 1 P,(1 TV 1 C;� ,agree to notify the San Joaquin County Environmental <br /> Health Department prior toinodifying 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 /> non R10�6Q Nea+her��ts <br /> Owner's`�i tWe Print Name Date <br /> r <br /> F I%au occauefs <br /> lvlwntaih H Dose,Ca g 5391 <br /> hgsugartadkiesince9mailcan <br /> Iced Sugar Cookies <br /> Nyadlvnls J—W no",I"bny npuL nl.u...Ihb"ny nononN.La.nbanaw,.unry,mf <br /> IoLC puN.powdemd suga t ex.mrn ua l gmuLYpd sug"6ultur Imik svl4 Lehl mrn <br /> sNup Wghi p n syfup. i"s ..wore,,ngi baling ppwdvf Iwm slatl,.sodlumbmb "v <br /> wdWmaluMnumwllau Imnodnum phpspxaul vunW.wu a4 du.ua fp mW., <br /> Serving size:r each <br /> Allergens:Eggs•Dairy•Nuts.Whot. <br /> Made in a home kitchen <br /> Pentitc Pr002Je34 i=dal�a4SonJWWg <br /> OeHetISugorCookies pe <br /> 2oft <br />