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"Class A": In the event of a consumer <br />complaint or reported food-borne illness <br />SAN JOAQUIN <br />COUNTY <br />Environmental Health Department <br />Employee: Initial if you agree to abide by the following: L--/ <br />I understand that I may not have more than one full-time equivalent cottage food employee, not including a <br />family member or household member of the cottage food operator, working within the registered or permitted <br />area of a private home where the cottage food operator resides and where cottage food products are prepared <br />or packaged for direct, indirect, or direct and indirect sale to consumers. <br />Owner's Statement: <br />1-JA I IA MA2 /41 -1L7I2 , agree to grant access to the local health department to <br />conduct an inspection frny cdftage food operation (mark one) <br />"Class B": For regular annual facility <br />inspections and in the event of a consumer <br />complaint or food-borne <br />'JO (, (7 /1 CLO.OA , agree to notify the San Joaquin County Environmental <br />Health Department prioq ft:$ 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 />i_otrq-B) (1,00V fY <br />PrintIVame i <br /> <br />it4rAl iJ i qJ <br />D te Owner's Sign t e <br /> <br />5 of 5