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SAN JOAQUIN <br /> <br />Environmental Health Department <br />Delivery Limitation: Initial if you agree to abide by the following: F v <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 />- /-?/ ,<, agree to grant access to the local health department to <br />c nduct an inspect o y c ttage food operation (mark one) <br />fl "Class A": In the event of a consumer <br />complaint or reported food-borne illness <br />[X "Class B": For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />Vitil(z d,//) ,agree to notify the San Joaquin County Environmental <br />alth Department 06r to odifying 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 />1/i zb / <br />h/filit Plo ,611/ <br />Print Name <br /> <br />Owner's 9atu <br /> <br />Date <br />2