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SAN,JOAQUIN <br />Environmental Health Depariroz,:.• <br />Employee; Initial if you agree to abide by the following: <br />understana that I may not have more than one fuil-time equivalent cottage food employee, not includirg <br />family member or household member of the cottage food operator, working within the registered or permitter <br />area of a private home where the cottage food operator resides and where cottage food products are oreoarec <br />or packaged for direct indirect, or direct and indirect sale to consumers <br />Delivery Limitation:lal if you agree to abide by the following: ;vc <br />I understana that I may accept oroers and payments via the Internet mail or phone However. al: Class A 7, <br />-Class 13 - CFO products must be delivered directly (in person) to the customer. The CFO products may <br />delivered via the United States Postal Service, UPS. FedEx, or using any other indirect delivery metnod as <br />deliveries are regulated by, and subject to, CDPH registration anc state and federal requirements <br />Owner's Statement: <br />i , agree to grant access to the locai nealth departmee: <br />conduc an inspection of my cottage food operation (mark one'. <br /> <br />W, "Class A": In the event of a consumer "Class kr: For regular annual facility <br /> <br />complaint or reported food-borne illness tr,seections and in tne event of a consumer <br />complaint or food-borne <br />I M T.S" . agree to notify the San Joaquin County <br />Environmental Health Department prior to modifying my food list, type of operation. and 'o: metnoc 0: <br />selling, distributing, or otherwise providing my CFO Products to the consumer or retailers, regardless n! <br />whether the product is sold, consigned, or given away. <br />IstriciA.J.6.64 . <br />O stia' S 0-1)-414 richri '1 7A <br />oront Name <br />CFO REG PE Fi VITT g (7' i-0,1