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SA N�J O A Q U I N Environmental Health Department <br /> F1 <br /> COUNTY- <br /> 7. <br /> O U !Ni TYU <br /> 7. Delivery Limitation: Initial if you agree to abide by the following <br /> �z�___ <br /> I understand that I may accept orders and payments via the internet, mail or phone. However, II "Cla A"and <br /> "Class B"CFO products must be delivered directly(in person)to the customer. The CFO produ, ay 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 /> 8. Owner's Statement: <br /> I, `f -- Aif/ agree to grant access to the local health department to <br /> conduct an inspection of my cottag 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-borne illness <br /> agree to notify the San Joaquin County Environmental <br /> Health DepartrAent prior to mo ifying my food list, type of operation, and/or method of selling, distributing, or <br /> ,--- otherwise providing my CFO oducts to the consumer or retailers, regardless of whether the product is sold, <br /> c signed or giv n away. <br /> )�i_) Z_L� <br /> Owne s Signa ure Print Date <br /> j / <br /> 2of2 <br />