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SANJ O A Q U I N Environmental Health Department <br /> OOUNTY <br /> 7. 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 /> 8. Owner's Statement: <br /> 1, (!—kk A-&Q � . 7 — /— O} agree to grant access to the local health department to <br /> conduct an inspection of my cottage fo d operation (mark one) <br /> ❑ "Class A": In the event of a consumerrB "Class B": For regular annual facility inspections <br /> complaint or reported food-bome illness and in the event of a consumer complaint or <br /> food-bome illness <br /> 1, ,agree to notify the San Joaquin County Environmental <br /> Health Department prior to moth g myfood 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 /> c�ons�igne"d, orrggiven away. <br /> �y <br /> sti`�" 445- ' ter �- WeA Carrof �ka�tbu i -Dyer ! \y la�1c� Z� <br /> Owner's Signature Print Name Date <br /> EHD 1E-29 6/27/22 2 CFO REG/PERMMNG RENEWAL FORM <br />