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l S AN J 0 A Q U I N Environmental Health Department <br />I 'tial if ou agree to abide by the following: 5 <br />9. Employee: nr y <br />I undersand that I may not have more than one full-time equivalent cottage food employee, not including a <br />family member or household member of the cottage food operator, working within the registered or permitted <br />area of a ate horn t <br />where he cottage <br />and Ho ped sale t des and where cottage food products are prepared <br />or packaged <br />10. Delivery 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 direct) (in person) to the customer. The CFO products may not be <br />Ex, or using any other indirect <br />deliveriesdelivered i etheg United <br />ited byaandPsubjelct to, Service, <br />CDPH registration ands ate and federal requirements.very ethod as <br />11. Owner's statement: <br />1, 4 A N D W1 A , 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 <br />complaint or reported food -borne illness inspections and in the event of a consumer <br />complaint or food-bome <br />1, SAN ) �O , agree to notify the San Joaquin County <br />Environmental Health Department prior to modifying my food list, type of operation, and/or method of <br />selling, distributing, or otherwise providing my CFO products to the consumer or retailers, regardless of <br />whether the product is sold, consigned, or given away. <br />SA N.vtlYA <br />Print Name <br />2-1 16 1 20 21 <br />5 of <br />EHD 16-27 6/29/17 CFO REGIPERMrMNG FORM <br />