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Environmental Health Department <br />8. Owner’s Statement: <br />r <br />i, JuL <br />2 of 2 <br />COOKIES <br /> "Class B": For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />SAN JOAQUIN <br />COUNTY <br />Date <br />MjuU m • Hor^t P.rmrt PTOOlS^St- San Joaquin County <br />551 HototuMna RMr Pr LoA CA 55240 (JZM) 4«2-2523 <br />SUGAR COOKIE VJ/ROYAL ICING Cooht Flour (whrat flour, <br />harll^ flour, mot.n rrdurtJ iron. tfc.anunt rMnorutrott. <br />r-Mhmn. Mie Arid}, butter (peKteunud enom. loft), uyor. t^yi, <br />vArullo. almond extract tciiy# Powdered cugar. com syrup. <br />mrnnfue powder, water, cream of tartar, y/yrtnn. varulla <br />Contains Eyy5. INbaat. Milk. <br />Made m a lutoAan that uus nuti___coobie^i) <br />R1 “Class A”: In the event of a consumer <br />f complaint or reported food-borne illness <br />Made in a Home Kitchen <br />Perwvt * PfOO2S15fc San Joaquin County <br />J 51 Mokrlumnt River Or Lodi CA 95240 <br />ChocoUta Coohe with Royal Ictn# Cookie Flour (wkzat flour, <br />malted barleu flour, niacin, reduced iron, thiamme mononitrate. <br />riboflavin.Mic acid), butter (pacteurued cream, calt). cacao <br />powder, suyar. tgys. vanilla salt Icin# Powdered luyar, com <br />Syrup, water, cream of tartar, glycerin, vamf/a <br />Containc Eyys. Wtsaat. Milk. Made in a kitchen thac uwe n.u. <br />Contents. cooloXs) <br />i, Jkli , agree to notify the San Joaquin County Environmental <br />Health Deparunent 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 />• <br />lx y<^g-^__, Jul i & ms h n i c-l< <br />Owner's Signature Print Name <br />I, Juh , agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one) <br />Juli Quashnick <br />"J mgr^tnascookies^gnAAit com <br />.W ▼ rnynzinzisz:ook/es.com <br />7. 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 "Glass 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.