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SAN JOAQUIN <br /> <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, 1LCthss 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,LE.k 12-0 ,agree to grant access to the local health department to <br />conduct an insp <br />1 <br /> tion of my cottage food operation (mark one) <br />.;2c <br />"Class A": In the event of a consumer <br />complaint or reported food-borne illness <br />"Class B": For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />I, LL1 , agree to notify the San Joaquin County Environmental <br />Healt Depargnent 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 />t i 9-7(W atoi(a.c <br />Print Name) Date <br />2342