Laserfiche WebLink
SANJ O A Q U i N Environmental Health Department <br /> �_ OUN-V I, <br /> 9. Employee: Initial if you agree to abide by the following: Y <br /> I understand 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 private home where the cottage food operator resides and where cottage food products are prepared <br /> or packaged for direct, indirect,or direct and indirect sale to consumers. <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 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 /> 11. Owner's Statement: <br /> I, iyw* Q �,X\ agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation (mark one) <br /> �J "Class A": In the event of a consumer ❑ "Class B": For regular annual facility <br /> complaint or reported food-bome illness inspections and in the event of a consumer <br /> complaint or food-borne <br /> I, �StiAkr\(A \ agree to notify the San Joaquin County <br /> Environmental Hea 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 /> Owner' S nature Print Name Date l <br /> 5 of <br /> EHO 16276r-X17 CFO REG(PERMITTING FORM <br />