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EHO 16 29 6W2O15 CFO REG/PERMITTING RENEWAL FORM <br />I I <br /> “Class B": For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />8. Owner’s Statement: <br />l. . agree t0 grant access to the local health <br />department to conduct an inspection of my cottage food operation (mark one) <br />pg “Class A": In the event of a consumer <br />/ complaint or reported food-borne illness <br />Print Name <br />i H ---7--. agree to notify the San Joaquin County <br />Environmental Health Department prior to modifying my food list, type of operation, and/or method <br />of selling, distributing, or otherwise providing my CFO products to the consumer or retailers, <br />regardless of whether the product is sold, consigned, or given away. <br /> <br />6. Food Processor Course: <br />Attach food handler certification for owner and each individual that were not submitted wi <br />application (including family members and/or employees). zx// <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^Howev <br />A’ and "Class B" CFO products must be delivered dnectly (inperson)to the customer .The^CFO products <br />may not be delivered via the United States Postal Service, UPS. FedEx, or using an>'Other d « <br />delivery method as deliveries are regulated by, and subject to. CDPH registration and state and federal <br />requirements. <br />Owner's Signature