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complaint or reported food-borne illness complaint or food-borne <br />I, Xijiu Li , agree to notify the San Joaquin County Environmental Health Department <br />prior to modifying my food list, type of operation, and/or method of selling, distributing, or otherwise <br />providing my CFO products to the consumer or retailers, regardless of whether the product is sold, <br />consigned, or given away. <br />Xriu Li 09/06/23 <br />Owner's Signature Print Name Date <br />END 16-27 6/29/2023 7 CFO REG/PERMITTING FORM