Laserfiche WebLink
Employee: Initial if you agree to abide by the following: Cti{4 <br />I understand that I may not have more than one full-time equivalent cottage food employee, not <br />including a family member or household member of the cottage food operator, working within the <br />registered or permitted area of a private home where the cottage food operator resides and where <br />cottage food products are prepared or packaged for direct, indirect, or direct and indirect sale to <br />consumers. <br />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 "Class <br />A" and "Class B" CFO products must be delivered directly (in person) to the customer. The CFO products <br />may not be delivered via the United States Postal Service, UPS, FedEx, or using any other indirect <br />delivery method as deliveries are regulated by, and subject to, CDPH registration and state and federal <br />requirements. <br />Owner's Statement: I <br /> ,agree to grant access to the local health <br />department to conduct an inspection of my cottage food operation (mark one) <br />"Class A": In the event of a consumer ifp 0 "Class B": For regular annual facility <br />complaint or reported food-borne illness inspections and in the event of a consumer <br />complaint or food-borne <br />I, 6( ail:t ViCkJo0 i ,agree to notify the San Joaquin County <br />Environmental Health Department prior to modifying my food list, type of operation, and/or method <br />of selling, distributing, or otherwise providing my CFO products to the consumer or retailers, <br />regardless of whether the product is sold, consigned, or given away. <br />I i <br />6-(n t,v <br />Owner's Si. ature Print Name <br /> <br />P) C 3 <br /> <br />EHD 16-27 6/29/2023 5 CFO REG/PERMITTING FORM