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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 usingany 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 /> I, 1 'Pin- re <br /> f�- - age to_grarac <br /> lt- cess to Tth�.locai,health - <br /> - epartrnent V:5 c6iMuct an Inspection- of my cottage food operatlan (mark one) <br /> "Class A": In the event of a consumer ❑ "Class B": For regular annual facility inspections <br /> III ��T complaint or reported food-borne illness and in the event of a consumer complaint or <br /> food-borne illness <br /> I. Sys 1 �j 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 /> 71, <br /> M7 <br /> —Owner's SignaturePrint Name Date <br /> i <br /> .. i <br /> EHD 16-29 6/29/2015 2 CFO REG/PERMITTING RENEWAL FORM <br />