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SAN,DJOAQUIN <br />—COUNTY- <br />7. Owner's Statement: <br />Environmental Health Department <br />1, i` V L Y Le KL . CaS'lh U() , 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 B": For regular annual facility inspections <br />complaint or reported food -borne illness and in the event of a consumer complaint or <br />food-bome illness <br />l �{ 1, �l1 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 />L,Q*u CaS-h I <br />EHD 16-29 6127122 2 CFO REGIPERMITTiNG RENEWAL FORM <br />