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SANJOAQUIN <br /> <br />Environmental Health Departenent <br />COUNTY-- <br />Delivery Limitation: Initial if you agree to abide by the following: SE6 <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 />1, Trfvew /7)5s , agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one) <br />,J <br />ET "Class A": In the event of a consumer <br />complaint or reported food-borne illness <br />El "Class B": For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />I, c7fi-tif."1 E. &tics , 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 products to the consumer or retailers, regardless of whether the product is sold, <br />consigned, or given away. <br />%eAt' i't 444 <br />'7 S7X- V14"/ 6. t_,AFs- 3 `((-2.2/24t Owner's gnature Print Name Da e <br />e,'-+ r(Nc7\;..\ ->d 1c iee <br />cks\r\szc.)-eci. <br />cL—Q $as• —7 • <br />2 of 2