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SAN JOAQUIN <br />-ouNTy <br />FrevIrotirnentAl Fiffalth Dopartmont <br />['lass A": In the event of a consumer <br />complaint or reported food-borne illness <br />C I "Class B": For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />C.) 23- (-1 <br />P3int ate <br />WI ?' <br /> • <br />s Signature <br />7. Deliverv Limitation: Initial if you agree to abide by the following: <br />I understand that I may accept orders and payments via the intemet, mail or phone However, all 'Class A' and <br />"Class El" 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 />8. Owner's Statement: <br />V-2:V w‘ck Piper-ALI agree to grant access to the local health department to <br />condu inspection of my cottage food operati n (mark one) <br />rs NN3 63"''W,-4 ,agree to notify the San Joaquin County Environmental <br />Health Department prior to modifying my food lit, type of operation, and/or method of selling, distributing, or <br />otherwise providing My CFO products to the co suMer or retailers, regardless of whether the product is sold, <br />consigned, or given away. <br />71. <br />2 of 2 <br />I ' • TA4 111'' <br />fl• 51;1:4,1,4r)Sar <br />14.••• ; <br />-illtablig <br />A•eg-.e&- <br />7 ,... <br />-4cfr! .r..4044./ r <br />' . -`