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SA N sJ 0 n Q I i I N Environmental Health Department <br /> COUNTY- <br /> 7. <br /> O U NHT�1Yv <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. 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 /> 8. Owner's Statement: <br /> I, agree to grant access to the local health department to <br /> conduct an inspection df my cottage food operation (mark one) <br /> "Class A": In the event of a consumer ❑ "Class B": For regular annual facility inspections <br /> complaint or reported food-borne illness and in the event of a consumer complaint or <br /> food-borne illness <br /> agree to notify the San Joaquin County Environmental <br /> Health Departm nt 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, iven away. <br /> �o►�iN NTi . P <br /> r �� <br /> AIZ-77 <br /> ignature Print Name _Dale <br /> Loring s%ble Garden <br /> L WN <br /> Chandler Walnuts <br /> Ingredients:Walnuts <br /> Made in home Kitchen <br /> 17397 Entenirise Road Escalon Ca 953zo <br /> Sat:Joaquin Permit#PToom49Y <br /> lorinasedib a ar4p.W <br /> Mulling spices <br /> Lorind's Fdibte Garden <br /> Directions-In disposable Tea bag, <br /> 2 tsp of mulling spices. Drop teabag in pot <br /> on stove with one bottle of Cider or Red <br /> Wine,Add Brown sugar to taste-2 tbsp. <br /> }, Ingredients:Cinnarnon,Nutmeg,Ctoves, <br /> Star Anise,Altspice <br /> Made in Home Kitchen <br /> t?m Enterprise Road Fscalon Ca 9532o <br /> San Mum <br /> Permit«PToov,95t <br /> lorinasediblegarden.net <br /> 2of2 <br />