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Environmental Health Department <br />8. Owner’s Statement: <br />i. cknn'itW Uexvl <br />conduct an insoection of my cottage-K <br />ly food list, type of operation, and/or method of selling, distributing, <br />'ner's Signature <br />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 />SANJOAOUIN <br />------COUNTY------- <br />3 <br />DatePrint Name Q~ <br />I Q (Ln Q t KA , agree to grant access to the local health department to <br />conduct an inspection of my cottage-food operation (mark one) <br />\£0‘Class A”: In the event of a consumer <br />'complaint or reported food-borne illness <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, dll "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 />I . agree to notify the San Joaquin County Environmental <br />Health Department priorto modifyi(§'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 />corteigned, or given away.