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Environmental Health Department <br />3//3 <br />Date <br />- 32 <br />SANJOAOUIN <br />~ COUNTV <br />I- Delivery Limitation: initial if you agree to abide by the following: TC? <br />iciassB^FO nr!^ M acceP‘ orders and payments via the internet, mail or phone. However all “Class A” and <br />delivemd CUS,°T- Th6 CF° not be <br />detiveries are reguiated by, and subject to, CDPH reglstSnl state anTfrdem^uimSr''0' " <br />8- Owner's Statement: <br />I. Az/f ks7//z •€ <br />conduct an^spection of m^ottage food operatlonKonT'3CCeSS‘b* l0Ca' department t0 <br />p3j‘Class A”: In the event of a consumer <br />^complaint or reported food-borne illness <br />consignee, or given away. <br />Owner's Signature Print Name <br />□ “Class B”: For regular annual facility inspections <br />and in the event of a consumer comolaini or <br />food-borne illness <br />agree to notify the San Joaquin County Environmental <br />or retailers, regardless of whether the product is sold,