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SANJ O A Q U I N Environmental 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-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 intemet, mail or phone. However, 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 `,, <br />I. lel � CA Q (11 I(n cS 1L11 I , 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 complaint "Class 8": For regular annual facility inspections <br />VV or reported food -borne illness and in the event of a consumer complaint or <br />food -borne <br />I,YWA Ck V O V M.0J7Y% , 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 />f�Oye,'s(ignature <br />Print Name <br />7or7 <br />Date <br />