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'i : x - k <br />1 <br />■'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-bome illness <br />HeaIth Depanrnentpril <br />ame <br />. agree to grant access to the local health department to <br />conduct an Inspection piny cottage food operation (mark one) <br />Q "Class A": In the event of a consumer <br />complaint or reported food-borne illness <br />zmc/inJ <br />PriptNai <br />^UyerxlJniLUtlom Initial If you agree to abide by the following: ------ - <br />,^al 1 accept orders and payments via the Internet, mall or phone. > ,o'f'ov?r' Lznot pe <br />aeiivenes are regulated by, and subject to. CDPH registration and slate and federal requirements <br />8* Owners Statement: <br />H , agree to notify the San Joaquin County Environmental^ <br />----—,—, i Hiipr 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 so . <br />consigned.given away.