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SANJ O A Q U I N Environmental Health Department
<br />C 0IJNTY-
<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 lass 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 />I, J t` \ &\. , 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 8": 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 />I, ;Jl3 t ��� S hh \C fL _,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 />Mads in a Howe KKehen: Permit 1002 110- San Joeli in Caunty
<br />151 Mokelumne River "r. ISdi CA 95310 (309) 482-2923
<br />SWANCOOKIE W/ROYAL ICING: Cookie: Flour (wheat flour.
<br />malted bark,
<br />(bar. dada, reduced iron. thiamine mowowrrate,
<br />,,,foo in, folic acid), butter (p ,.—red area-, salt), .,or. eggs,
<br />Ilia, almond ertma IW: Powdered wgar, cam syrup
<br />moingue powder, water, cram of tartar, glycerin, vanilla.
<br />Contains E,,n, WWn[, Milk
<br />Made in a ki[cken tkat uses nuts. ceokie(s)
<br />2 oft
<br />ware
<br />Juli Quashnick
<br />(20q) 482-2823
<br />myna"scookies@gmail.com
<br />InstagramlFacebook
<br />Made in a Home Kitchen
<br />Permit 4: PT0025g56
<br />San Joaquin County
<br />151 Frokelumne River Drive
<br />Lodi, CA 85240
<br />Pe[an SkerObroad Cookie ingredlo t, Flour
<br />(who[ hour, malted baNey flour, niacin, ndunA
<br />irer, thiamine mononitrate, riboflavin, folie aFid),
<br />butte. (pmt.arized Dream, saIC,'agar, pecans,
<br />anilla
<br />Contairu: Wheat, nuts, milk
<br />(Made in a kitcken that usu nuts)
<br />�- Cocil\'c,5
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