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S A N A O A Q U I N Environmental Health Department <br /> —COUNTY— I/ /� <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: _41." 1 " k <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/ I_S,tat( ynemee�nt: <br /> II c I( l 1 1 cam, <br /> � agree to grant access to the local health department to <br /> conducI 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-bome illness <br /> I, 1 1 tC Cl s� 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 roviding my CFO products to the consumer or retailers, regardless of whether the product is sold, <br /> consigne , or given away. <br /> ��k&kLv G a(d 4 ?�Z <br /> wners na Print Name Date <br /> 2 oft <br />