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Environmental Heakh Department <br />7. Deltvefy Limitation: <br />8. OwncTs Swwnfint; <br />.. agree to grant access to tlic kx.<»i hcalOi dcpartmcni toI. <br />Owner s SignMirr <br />yi "Class A": In the event at a consiMner <br />complart or reported food-borne iftness <br />□ Xlass B": f or regular anruM faotry nspreons <br />and m the event of a consumer c ompiant or <br />food borne dlncss <br />SAN JOAQUIN <br />—COUNTY <br />Divya Mahreddi <br />Pm Nsunf <br />fEB 7 2026 <br />Irabal if youagrw to atodda by tfw foMowng: DM <br />I understand that I may accept orders and payments v»a the interna mad or phone However, al 'Class A' and <br />’Class B* CFO products must be cefcvered (Erectly (<i person) to the customer The CFO products may not be <br />OeWwred v»a the Untcd States Postal Service UPS F edt«. or us«g any other mdrect detwy method as <br />de*venes are regulated by. and subject to CDPH registratron and state and federal requaemerts <br />I,VY. agree to notdy the San Joaquin County Erwvonmantal <br />Haalth Department poor to modifying my food list, type ci operation and/or method al seAnq drstrtxjhng or <br />otherwise providing myyCFO products to the consumer or retaders. regardtess cd whether tfie product is sold, <br />consigned, or given aehty <br />Divya Mallreddl... ... <br />conduct an mspeebon at my cottage food operation (mark one)