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SANJ O A O U I N Environmental Health Department <br /> �- A. 10"eA ;A Gil ,+ <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 internal.mail or phone.However,all'Class A'and <br /> 'Class B'CFO products must be delivered directl (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 slate and federal requirements. <br /> 8. Owner's Statement: JJ <br /> I. �L i'V\ YawYC�(0 olil ,agree to grant access to the local health department to <br /> conduct an ingpection of my cottade food operation(mark one) <br /> Class A":In the event of a consumer ❑ "Class B": For regular annual facility inspections <br /> mplaint or reported food•bome illness and in the event of a consumer complaint or <br /> food-bome illness <br /> agree to notify the San Joaquin County Environmental <br /> Heatth�ent prior to moitiiVng 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 /> con igned,or given away. <br /> �, /l1 your hlai� 3 2y <br /> 's " na Print ne Date <br /> MADE IN A HOME KITCHEN <br /> P.mIN B:P WMEI6 <br /> Iamd In County:Son Joaquin <br /> Su,r Cuehy WN Royal WN <br /> M not Spe+erkp Gvtlr <br /> 146 onwaa Wa <br /> Roon.ila l <br /> IM)ppTerrp <br /> urrndaoi FW:lunpindWp Wow FW.WM Sivuy F Wa,Nacn.lmn.nramn IJoripnoru. <br /> RAdIF.rn.F04Ji,44 Supe.BWr(S6,BFI Egp.'aini P[War.C "Sy va"a Em`uF. <br /> Wats,Bn 0.wpr,Adi cabaq <br /> coauda*:M1rFf.woI Epp <br /> "W4 2.11oa t66.Bppal <br /> MADE IN A HOME KITCHEN <br /> %rmlt S.PTN26826 <br /> u"6lW <br /> sauid in Courcy-.San Joaquin <br /> M <br /> Ird M <br /> y nSUWr <br /> ♦pWFnru 6914 Uy.WNs FButtem <br /> ui Gwa` <br /> oMY <br /> uo fb'f66 <br /> 120p1>nM'''pF <br /> Goy Flou+(EWai Wren Four,N 1 ^ ""Sopa. <br /> InD+f"Y' inpl.Sum IMBo.04 Wlwl Gr'oo iou. <br /> NUanaill <br /> yyRmm�a.aadwn �F,R�.,ycre.m P++ <br /> C. sins:V,.A Milk.E90a <br /> a.rWL a.tro.luoreal <br /> 2of2 <br />