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Environmental Health Department <br />AUcM pxu/p agree to grant access to the local health department to <br />Owner's Signature <br />2 of 2 <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 />COU NTY <br />Date <br />Delivery Limitation. Initial if you agree to abide by the following: A- <br />' may aCCept °rderS and Payments via the internet, mail or phone. However, all “Class A" and <br />H PMdUClSo1USt del,vered directly (in person) to the customer. The CFO products may not be <br />via ie United States Postal Service, UPS, FedEx, or using any other indirect delivery method as <br />delivenes are regulated by. and subject to. CDPH registrat.on and state and federal requirements. <br />8. Owner’s Statement: <br />agree to notify the San Joaquin County Environmental <br />otherwise providing my CFO products to the consumer or retailers, regardless of whether the product is sold. <br />I, AbcW ■ • ' - - ■ _ - - <br />Health Department prior to modifying my food list, type of operation, and/or method of selling, distributing <br />consigned, or given away. <br />*•------AbcU pneu/p aglcc tu yi£1 <br />conduct an inspection of my cottage food operation (mark one) <br />0 “Class A": In the event of a consumer <br />complaint or reported food-borne illness <br />AM"/ <br />Print Name