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Health Departme <br />otherwise providin <br />consigned, or givV <br />e <br />Ownie Signat <br /> <br />'CA(\C1 <br /> - ?-1-4 <br /> <br />Print Na Date <br />N \ b-esit <br />prior to modifying my f <br />my CFO products t <br />,agree to notify the San Joaquin County Environmental <br />d list, type of operation, and/or method of selling, distributing, or <br />consumer or retailers, regardless of whether the product is sold, <br />SAN JOAQUIN <br />COUNTY <br />Environmental Health Department <br />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 />C.. k\gurz, ,agree to grant access to the local health department to <br />conduct an ins e tion of my cottage foo eration (mark one) <br />"Class A": In the event of a consumer <br /> El "Class B": For regular annual facility inspections <br />omplaint or reported food-borne illness and in the event of a consumer complaint or <br />food-borne illness <br />2 of 2