Laserfiche WebLink
6. Food Processor Course: <br />KMH7. Delivery Limitation: <br />Kaitlyn M. Homon <br />CFO REG/PERMITTING RENEWAL FORM2EHD 16-29 6/29/2015 <br />Initial if you agree to abide by the following: <br />I understand that I may accept orders and payments via the internet, mall or phone. However, all "Class <br />A” and "Class B” CFO products must be delivered directly (in person) to the customer. The CFO products <br />may not be delivered via the United States Postal Service, UPS, FedEx, or using any other indirect <br />delivery method as deliveries are regulated by, and subject to, CDPH registration and state and federal <br />requirements. <br />Attach food handler certification for owner and each individual that were not submitted with initial <br />application (including family members and/or employees), <br />□ “Class B”: For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />Kaitlyn M. Homon <br />Print Name <br />7/21/26 <br />Date <br />[53 “Class A”: In the event of a consumer <br />complaint or reported food-bome Illness <br />Owner’s Signature <br />I,J, 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 />8. Owner's Statement: <br />Kaitlyn M. Homon t t .. u.I,________________________________, agree to grant access to the local health <br />department to conduct an inspection of my cottage food operation (mark one)