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SAN10 A p U I N [rrruonmental Health Department <br /> 9. Employee: Initial if you agree to abide by the following:_� <br /> I understand that I may not have more than one full-lime equivalent cottage00c employee, not including a <br /> family member or household member of the cottage food operator,working with the registered or permitted <br /> area of a pnvate 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 duectil (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, jPI#V,/w ;F49,C .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-bome illness inspections and in the event of a consumer <br /> -{� complaint or food-borne <br /> Ba <br /> p <br /> I, 7 ame4 7 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 /> 4~la Avg- a3 , 2az� <br /> Owr is Signature Print Name Date <br /> 5 of <br />