|
e P—
<br />SA N,oJ OAQ U I N Environmental Health Department
<br />—COUNTY -
<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 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 state and federal requirements.
<br />8. Owner's Statement:
<br />I, �1 nor - r sL1 1 Cn In i!w , agree to grant access to the local health department to
<br />conduct i inspection of my cottag food operation (mark one)
<br />"Class A": In the event of a consumer ❑ "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 -borne illness
<br />agree to notify the San Joaquin County Environmental
<br />Health Ddoartment prior to mod' ng 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 />S'morm Tart (2 oz; 57 g)
<br />Iv®adisae parry four (umkarLW eosichtl tivur (when) (bur, m ,i barky (bw, niacih sdu
<br />von sbimb ao[aoims, r3ol n% folic acid). ,mandirad cormlarch), wgv. whole what flow
<br />mbk ed, bwsr (milk. W0, evrirhd (bur (wbat Dour. vbcm, sduced kM lhiamme,
<br />momoissae, r fbvi , folic aca), bmd Mw (unbkachal evrichW hW aPdv9 wheal flour (wheat
<br />aow, �misd barky (lma. a k (As BI), sdafsviv (vid, B2), fobs acid). mm symp (lire
<br />wm ryrlq. WL vaw0a), Paawiad [pan, pawde mgw (wgar. mmrtach), dale ecw swm
<br />chomWe (uvsweasvM rboraYa. sugar. deavme, soy kciWk (emulsirsr), naenai vnwlh eabact).
<br />corm powder (prowud wi0 4441), brown mgar (a,rtr, mum wga, cane mokase), epg whit,
<br />gcWm, hoaeyWL vawW(hva(wvsr.Plycmn.os®nw vanJhhm raystivq). [inmma0.6d g
<br />od
<br />Made in e Home Kitchen
<br />PesWfq Pf0025]69 Taum Gkea 1742 Taw In MaolekG95337 (209)740.2932
<br />eCamains wheat, milk, eggs, and soy.
<br />2 oft
<br />Ch,lau, Chip Cookie ( 5, 144)
<br />hs®di�: mdk
<br />(e.dk, lbw (what Mur, niecia, rcdtwxd'voo. Ihimive, m000vnras, nbollavoti folic
<br />acid). boner W0, dvt umi sweet [hocolale (umwalmM chmohs, fugax, duvme, svY
<br />kcithm (emutse), coeval vavilh cxvan), h [mmmb Uuga, coma bower, maweesved
<br />chocobs processed wiW 4441E whole h powder. lacrose, -WAY lecitbm (eoWsifier), natuW
<br />Ilavors), toga, brown suPpr (tug r, muco sum, rare moLtcses).), egg, rlkkg sod; vav m flavor
<br />(water. alumni agenic vanilla bon mfr, o), i belrbg powder (baking soda, wm starch
<br />sodwn alumbum mlpms, rakiwv sulphas. m0000lcium phosphate)
<br />Made in a Home Kitchen
<br />PerWtNPi 70 Teearu Cakes 1742T.a Mery Ca95337 (209)740.2932
<br />•Cmfflmins wham, eggs, milk, and soy. \
<br />
|