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SAN JOAQUIN <br />Delivery Limitation: <br />Environmental Health Department <br />Initial if you agree to abide by the following: (\A - • <br /> <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 />Owner's Statement: <br />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 <br />complaint or reported food-borne illness <br />Lii "Class B": For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />/, ( <br />I, ( <br />. 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 />AuAict, AcL( cq., 1 11 Owner's Sign um Print Name D te <br />fl r <br />'\).k,1 'k <br />2 of 2