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. S A N A O A Y U I N Environmental Health Department <br /> COUNTY <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: JT_ <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 directl (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, J av/,tr losc4kt U agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation (mark one) <br /> ❑ "Class A": In the event of a consumer 41 <br /> "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 /> I, Gz✓>'G� �f�s��t0 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 way. <br /> LiAg R,Itn 20 <br /> G' <br /> wner's Si ature Print Name Date <br /> MADE IN A HOME KITCHEN FROM ORGANIC o <br /> STEVUI LEAVES GROWN AT OUR FARM. NO SILICON S x <br /> DIOKWE ADDED FOR ANTI-CAKING..76 DZ(2 10) <br /> CERTIFIEDOROANIC BYCCOF d a <br /> FAMILY FAR 2 <br /> / / / MADE IN A HOME KITCHEN FROM ORGANIC B <br /> HEIRLOOM GARLIC GROWN AT OUR FARM. r g s <br /> NO SILICON DIOXIDE ADDED FOR ANTI-CAKING. d a <br /> 1.25 OZ(350) E <br /> CEATFTEO ORGANIC eT CCOF <br />