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Environmental Health Department <br />/ r y_________ <br />Otwref 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 />SAN JOAQUIN <br />COU NTv <br />8- Owner’s Statement: <br />Mi/hiyA /\}o M agree to grant access to the local health department toI, <br />conduct an inspection of my cottage food operation (mark one) <br />b^Class A": In the event of a consumer <br />complaint or reported food-borne illness <br />*■ —A\) . 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 away. <br />Print Name <br />3> I <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 nol 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.