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Environmental Health Department <br />8. Owner’s Statement: <br />2 of 2 <br />Date <br />SAN JOAQUIN <br />-----COUNTY----- <br />, (\7\7C. agree to notify the San Joaquin County Environmental <br />consigned, or given away <br />'^vners Signature Print Name <br />( flaza UAm__________________- =9ree to access ,0 the tocat heatth department to <br />conduct an inspection of my cottage food operation (mark one) <br />□ "Class B”: For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />7. Peiivery Limitation: Initial If you agree to abide by the following. <br />SXla^S ^X^^OPH^nandsL^dfederatregulrements <br />o “Class A”: In the event of a consumer <br />complaint or reported food-borne illness