Laserfiche WebLink
agree to grant access to the local health <br />department to conduct an inspection of my cottage food operation (mark one) <br />2 CFO REG/PERMfrriNG RENEWAL FORMEHD 16-29 6^9/2015 <br />□ "Class B": For regular annual facility Inspections <br />and In the event of a consumer complaint or <br />food-home illness <br />53 "Class A": In the event of a consumer <br />complaint or reported food-home Illness <br />6. Food Processor Course: <br />Attach food handler certification for owner and each Individual that were not aubmltted with Initial <br />application (Including family members and/or employees). <br />8. Owner’s Statement: <br />i.. Mvtwui nw-hAt.? <br />Print Name <br />, agree to notify the San Joaquin County <br />Environmental Health Department prior to modifying my food list, type of operation, and/or method <br />of selling, distributing, or otherwise providing my CFO products to the consumer or retailers, <br />regardless of whether the product is sold, consigned, or given away. <br />///■x/Z-C <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, mall or phone. However, all “Class <br />A" and "Class B" CFO products must be delivered directly (in person) to the customer. The CFO products <br />may not be delivered via the United States Postal Service, UPS, FedEx, or using any other indirect <br />delivery method as deliveries are regulated by, and subject to, CDPH registration and state and federal <br />requirements. <br />iavmA <br />Owner's Signature