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SAN JOAQUIN <br />C-7. I. ••••• 'I/ <br />Environmental Health Department <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. Direct and Indirect sales <br />may be made in person, via mail delivery, or using any other third-party delivery service throughout the state <br />of California only. <br />Owner's Statement: <br />1, //6r/7/ 7 iazarP , agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one) <br />12K`Class A": In the event of a consumer fl "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 />1, /*bale 76a767/7 , 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 /> <br />4.711 <br />r's Signature <br /> <br />pday7ie T Gazaip ,i/s-pooey <br />Print Name ate <br />