Laserfiche WebLink
6. Food Processor Course: <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 /> 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 <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 /> 8. Owner's Statement: <br /> � <br /> 1, i -PL-r\, % , agree to grant access to the local health <br /> department to conduct an inspection-of my cottagefoodoperation (mark one) <br /> P4"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 /> I, ��` t �L11 v 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 /> SS/ lain t ��5�/Cp <br /> wner's Slgnat re Print Name Date <br /> EHD 16-29 6/29/2015 2 CFO REG/PERMITTING RENEWAL FORM <br />