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SA N J O A Q U I N Environmental Health Department <br /> COUNTY <br /> 9. Employee: Initial if you agree to abide by the following: <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:_ e <br /> 1, �4401,40,a� (rye rd.Qr,_ , 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 /> nn complaint or food-borne <br /> I, a rr--C- C9w_eragree 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, distrib ing, or otherwise providing my CFO products to the consumer or retailers, regardless of <br /> iz <br /> t is sold, consigned, or given away. <br /> Vl f L(At-kJ o w_ <br /> wner's Signature Print Name Date <br /> 5 of <br /> EHD 16-276/29/17 CFO REG/PERMITTING FORM <br />