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HONEY DALE <br />BEEKEEPING <br />SAN JOAQUIN <br /> <br />Environmental Health Department <br />Delivery Limitation: Initial if you agree to abide by the following: GD <br /> <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 />George Dale <br /> agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one) <br />E "Class A": In the event of a consumer 0 "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 />George Dale <br /> ,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 prodt to the consumer or retailers, regardless of whether the product is sold, <br />consigRed, or given away. <br />A" George Dale <br />Rini. Name <br />V/ <br />e <br />MADE IN A HOME KITCHEN <br />ISSUED IN SAN JOAQUIN COUNTY <br />PERMIT #PT0024052 <br />Pure Honey <br />7703 Woodside Drive <br />STOCKTON CA 95207 <br />Net Wt 2oz (56.699g) <br />Wildflower <br />209-270-9521 <br />Find us on Facebook @ Honeydalebeekeeping <br />Email us @ honeydalebees@gmail.com <br />2 of 2