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Environmental Health Department <br />7. Delivery Limitation: <br />8. Owner’s Statement: <br />conduct an inspection of my cottage f <br />agree to grant access to the local health department to■» / I I I f yy <br />conduct an inspection of my cottage food operation (mark one) <br />'Print Name Date <br />111IlsIs <br />2 of 2 <br />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 “Class 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. <br />□ “Class A”: In the event of a consumer <br />complaint or reported food-bome illness <br />^“Class B”: For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />SANJOAOUIN <br />------COUNTY <br />'wner’s Signature <br />I, v , agree to notify the San Joaquin County Environmental <br />Health department 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 ojrfen away. // <br />™ = <br />“e <br />-5 o <br />ill if <br />S vs; <br />li <br />0 t life. <br />s <3 - <br />t;— <br />is li <br />fa ss £ co ° y - 3 <br />I |hil <br />Ihlh ”O2®cS filsp ihr 2 0^*= <br />a 5 <br />or <br />| a 11S ’ll <br />s <br />H sis <br />ill <br /><!