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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. all "Clas and <br />Class 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 />,701aiict_ ( . agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one) <br />X "Class A": In the event of a consumer <br />complaint or reported food-borne illness <br />Li "Class B": For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />, agree to notify the San Joaquin County Environmental <br />Health Department prior to modifyi y 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 />••_'• ed, or given away. <br />I.c Wic < • Qv\v\viv <br />PrintlINaVirme L \e\V 3 "c3 11 <br />Date wner's Si'atur