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Environmental Health Department <br />8. Owner’s Statement: <br />||<«,(ZPZg <br />Owner's Signatui <br />2 of 2 <br />SAN JOAQUIN <br />— COUNTY - <br />?^C"uiass in me event ot a consumer <br />comoiaint or reooneo Tooa-oorne mness <br />I'D <br />Date <br />■ vou aaree to abide by the following: , <br />: unssrstana mau may acceo: □roars ana osvrr.ams via me internet, mail or phone. However, all “Class A" and <br />....... „,v |in Derson) (0 the CU8tomer -i-he CF0 prO(jUCts may not be <br />— -- - - i-eatx. or using any other indirect delivery method as <br />ueuveiics sic ^uu.cue-u uv. auu ouuouv oUHh reaisiration and state and federal requirements. <br />Print Name <br />I, 0l\V6t . <br />Health Department prior to modifvina mv rooo nst. tvoe oi ooerauon. anu/v. ... - <br />otherwise providing my CFO products to the consumer or retailers, reaaraiess or wnerner me oroauct is soia <br />consigned, or given away. <br />i. O ItVfl <br />conduct an inspection of my cottage food operation (mark onei <br />PI “Class B": For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness