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Environmental Health Department <br />as <br />8. Owner’s Statement: <br />2 of 2 <br /><‘Class A": In the event of a consumer <br />complaint or reported food-borne illness <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 />Pont Name <br />I, VZ V\ J , agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one) <br />Date <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 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 Stales 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 />I, ykcQ 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 given awav <br />Owne'r s Signature