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SAN.1 OAQ U I N Environmental Health Department <br /> COUNTY- <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: <br /> 1 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 <br /> 1, VLL/L, 1 VJ(11 agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation (mark one) <br /> 9"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, N l/I LLC I f✓G✓ 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 /> consigned, or given away. <br /> !ll A. <br /> Hers Signature Print Name Date <br /> Ingredients: Lpender Made in a <br /> Flour, Sugar, Butter, $h ad Home <br /> Cornstarch, Salt, <br /> Lavender ExtractKitchen <br /> �1�J�aI �0� 2668 Crafton Way, <br /> Net Weight 3 oz. <br /> (85:0488) FARMSTEAD Stockton CA 95204 <br /> Permit#PT0027613 Issued in San Joaquin County <br /> Ingredients: Lavel Vinegar Made in a <br /> Balsamic Vinegar Home <br /> Lavender Extract Kitchen <br /> Net Weight 12 oz. ' 1k jna del S* 2668 Grafton Way, <br /> (340.194g) FARMSTEAD Stockton CA 95204 <br /> Permit#PT0027613 Issued in San Joaquin County <br /> 2of2 <br />