Laserfiche WebLink
SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />7. Delivery Limitation: Initial if you agree to abide by the following: Vc <br />I understand that I may accept orders and payments via the internet, mail or phone. However, all "Class A" and <br />"Class B" CFO products must be delivered directly (in person) to the customer. The CFO products may 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 />Owner's Statement: <br />a\ A ,agree to grant access to the local health department to <br />conduct an inspection of rr cottage food operation (mark one) <br />Class A": In the event of a consumer 1=1 "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 />I, \)OkiNe%Ck SQ_Acic , agree to notify the San Joaquin County Environmental <br />Health Department pribr 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 /> <br />10 <br />Pfai A A • •low4litoll / <br />Owner's Signatu <br /> <br />\fair\ect 1 2 2-4 <br /> <br />Print Name Date <br /> <br />MADE IN A HOME KITCHEN <br />Permit #PT0026408 <br />Issued in San Joaquin County <br />SALTED CHOCOLATE CHIP COOKIES <br />Vanessa Selga <br />8351 Cruden Street <br />Stockton CA 95209 <br />Ingredients: Flour (wheat. niacin, reduced iron, thiamine mononitrate. riboflavin. <br />folic acid, malted barley flour). butter (milk, salt). dark brown sugar. sugar, eggs. <br />oats, vanilla bean paste. chocolate chips, baking powder. baking soda, kosher salt <br />Contains: Wheat, eggs, soy, and dairy <br />Net Wt 2.65 oz. (75g) <br />MADE IN A HOME KITCHEN <br />Permit #PT0026408 <br />Issued in San Joaquin County <br />S'MORES BROWNIES <br />Vanessa Selga <br />8351 Cruden Street <br />Stockton, CA 95209 <br />Ingredients: Flour (wheat. niacin, reduced iron, thiamine mononitrate. riboflavin. <br />folic acid malted barley floury butter (milk, salt). sugar, eggs. <br />vanilla bean paste. chocolate chips, graham crackers, marshmallows, cocoa powder. <br />Contains: Wheat, eggs, soy, and dairy <br />Net WE 4 oz (113.4g) <br />2 of 2