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SANJ O n Q I I IN <br />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 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 />JI, agree to grant access to the local health department to <br />con`duht an Inspecti of my cottage 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 -borne illness and in the event of a consumer complaint or <br />food -borne illness <br />1, agree to notify the San Joaquin County Environmental <br />Health epr, hent r to modifying my food list, type of operation, and/or method of selling, distributing, of <br />otherwise providing my CFO products to the consumer or retailers, regardless of whether the product is sold, <br />Made in a Home Kitchen Made in a Home Kitchen <br />Permit lD #PTG027639 Permit ID #PT0027639 <br />Issued in: San Joaquin County <br />Michaels Heavenly Sweets 3967 Monique Circle <br />Stockton, CA 95204 <br />Ingredients: May contain some or all of the following. Granulated Sugar, <br />Com Syrup, Milk, Butter, Salt, Soy Lecithin, ( Soy Lecithin) White <br />Chocolate (Cocoa Butter, Milk Solids, Soy Lecithin) Vanilla Extract <br />Flavoring. <br />CONTAINS: Granny Smith Apple, Pecans, Soy, Milk <br />Net Wt. 15.3 oz (433.75 grams) <br />Issued in: San Joaquin County <br />Michaels Heavenly Sweets 3967 Monique Circle <br />Stockton, CA 95204 <br />Ingredients: May contain some or all of the following. Granulated Sugar, <br />Corn Syrup, Milk, Butter, Salt, Soy Lecithin, Cacao, White Chocolate ( Soy <br />Lecithin) Milk Chocolate, Cacao Bean, (Cocoa Butter, Milk Solids, Soy <br />Lecithin) Vanilla Extract Flavoring. <br />CONTAINS: Strawberry, Soy, Milk <br />Net Wt. 3.94oz (111.7 grams) <br />EHO 16-29 6/27/22 2 CFO REG/PERMITTING RENEWAL FORM <br />