Laserfiche WebLink
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 />“Class A": In the event of a consumer <br />complaint or reported food-borne illness <br />Print NameOwner's Signature Date <br />agree to notify the San Joaquin County Environmental <br />• »•_____-J — t____lit — __ _1!_It- . <br />otherwise providing my CFO products to’the consumer or retailers, regardless of whether the product is sold, <br />consigned, or given away. <br />SAN JOAQUIN <br />COUNTY----- <br />I. agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one) <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 maH or Phone. However, all “Class A" a d <br />delivered via the United States Postal Service, UPS, FedEx, or using any other indirect deliver^rneT^Xi00'be <br />deliveries are regulated by, and subject to, CDPH registration and state and federal requirements 3S <br />8- Owner’s Statement: <br />______— Collins . ‘ <br />Health Department prior to modifying my food list, type of operation, and/or method of selling, distributing <br />EnVirOnn«n‘alHeaHhDepanment