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fo d Processor Course:. Initial if you agree to abide by the following: <br />Employee: Initial if you agree to abide by the following: <br />END 15-27 629/2023 CFO REG/PERMITTING FORM <br />0-1// 7/74 / <br />Nitrate Test (yearly') <br />Nitrite Test (every 3 years') <br />-Add:tonal information may be required d foods prepared from a name iiidth a Private Water SUPPIY - thed, Your local Iiirisd'di." <br />Within 3 months of being approved to operate by the Environmental Health Department, please <br />provide proof of completion of the California Food Handler course In lieu of the California Department <br />of Public Health (CDPH) food processor course, <br />For more Intommuon see CDPH website www.cciph.camplipilgyams/PaggslIdbCottageFood.a1P2 <br />I understand that I may not have more than one full-time equivalent cottage food employee, not <br />including a family member or household member of the cottage food operator, working within the <br />registered or permitted area of a private home where the cottage food operator resides and where <br />cottage food products are prepared or packaged for direct, indirect, or direct and indirect sale to <br />consumers. <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. Direct and <br />Indirect sales may be fulfilled in person, via mail delivery, or using any other third-party delivery <br />service throughout the state of California only. <br />Owner's Stateinent: <br />1.1 cybfc 14.14/ agree to grant access to the local health <br />department to conduct an inspection of my cottage food operation (mark one) <br />"Class A": In the event of a consumer complaint or "Class B": For regular annual facility inspections <br />reported food-borne illness and in the event of a consumer complaint or <br />food-borne <br />I, (Li6t agree to notify the San Joaquin County <br />Environmental Health Department prior to modifying my food list, type of operation, and/or method <br />of selling, distributing, or otherwise providing my CFO products to the consumer or retailers, <br />regardless of whether the product is sold, consigned, or given away.