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Environmental Health Department <br />8. Owner’s Statement: <br />2 o' 2 <br />Print Name <br />0 "Class A”: In the event of a consumer <br />complaint or reported food-borne illness <br />□ "Class B”: For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />•SAN JOAQUIN <br />county <br />Date <br />agree to notify the San Joaquin County Environmental <br />Health Department prior 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 sold <br />consigned, or given away <br />j <br />[ Owner's Signature <br />7. Delivery Limitation: Initial if you agree to abide by the following: L/fe ' <br />I understand that I may accept orders and payments via the internet, mail or phone However, all “Class A and <br />“Class B“ CFO products must be delivered directly (in person) to the customer The CFO products may not be <br />delivered via the United States Postal Service UPS. FedEx, or using any other indirect delivery method as <br />deliveries are regulated by, and subject to. CDPH registration and state and federal requirements <br />_, agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one)