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SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY -- <br />7. 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. 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 />L.,, <br />it" a I , r / r , agree to grant access to the local health department to <br />conduct an i spection of my cottage food operation (mark one) <br />gj "Class A": In the event of a consumer <br /> o "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 />/S4, //-/ _1/-A , agree to notify the San Joaquin County Environmental <br />Health ment 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 />/4i 9 4A i4/U <br />Owner'k,Signature9 <br />A <br />Print <br /> <br />/2" _ <br />uate <br /> <br />2 of 2