Laserfiche WebLink
Health Department pr <br />otherwise providing m <br />consigned, or given <br />SAN JOAQUIN <br /> <br />Environmental Health Departmeht <br />COU r`ITY <br />7. Owner's State ent: <br />, IPIOA joi45 , agree to grant access to the local health department to <br />conduct an inspectio f my cottage food operation (mark one) <br />tK "Class A": In the event of a consumer <br />complaint or reported food-borne illness <br />0 "Class B": For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />, agree to notify the San Joaquin County Environmental <br />to modifying my food list, type of operation, and/or method of selling, distributing, or <br />FO products to the consumer or retailers, regardless of whether the product is sold, <br />y. <br />41001 Ofcis 3-zzgo2.3 <br />Print Name U Date <br />LoriN <br />ne s ign <br />EHD 16-29 6/27/22 2 CFO REG/PERMITTING RENEWAL FORM