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SAN JOAOUIN Environmental Health Department <br />Delivery Limitation: Initial If you agree to abide by the following: (-1— <br />I understand that I may accept orders aniI payments via the Internet. mail or phone However. all "Class A' and <br />"Class El" CIO products must he delivered directly (in person) to the customer The CFO products may not be <br />delivered via the United States Postal Service. UPS, Fedt x, or using any Other indirect delivery method as <br />deliveries are regulated by, and subiect to, CDPH registration and state and federal requirements <br />Owner's Statement: <br />agree to grant access to the local health department to <br />co-LSn uct an\ton of my cottage food operation (mark one) <br />"Class A": In the event of a consumer <br />.7omplaint or reported food-borne illness <br />111 "Class B": For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />- <br />s_k- agree to notify the San Joaquin County Environmental _ 1 -ANC, <br />Health Department prior to mcitfying 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 />1—\r‘bYNNe Cr• _3/ 19 id (.4 <br />FM Name ' Date owner s Signature <br />