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SAN1 O A Q U I N Environmental Health Department <br /> —COUNTY <br /> 7. Delivew 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 /> 8. Owner's Statement: <br /> ppf <br /> I,_2Ew1 V�. _ �)' J f_0 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. ��y�f Vy ` agree to notify the San Joaquin County Environmental <br /> Health Department prior to 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 /> Mcg r given way. <br /> Owner's Signature Print Name Date <br /> - <br /> • � a <br /> -ti 1 _ <br /> ', •1' v 4 . <br /> Qlantity <br /> A AG-rrt, <br /> 1 <br /> y <br /> : 1 <br /> ie <br /> 11. 1 1o ' • � � � y • . <br /> 2 of 2 1' I:1 �antity <br />