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SKJ O A Q U I N Environmental Health Department <br /> COUNTY <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: <br /> 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 /> 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 ❑ "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, I I�J� � pQV `L 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 /> 1 "k e <br /> Owner's Sigf7atJre Print Name Date <br /> MADE IN A HOME KITCHEN <br /> Permit#PT00026160 <br /> Issued in county:San Joaquin County <br /> Allison Hepperle <br /> 2506 Taft Avenue <br /> Manteca,CA 95337 <br /> CARROT CUPCAKES <br /> Ingredients for cupcake:Sugar,flour,carrots,pineapple,eggs,milk,walnuts,baking <br /> soda,salt,vanilla extract <br /> Cream Cheese Frosting:powdered sugar,butter,cream cheese emulsion <br /> Contains:wheat,milk,eggs,WALNUTS Nt Wt 2.5 oz <br /> (70.878) <br /> MADE IN A HOME KITCHEN <br /> Permit#PT00026160 <br /> Issued in county:San Joaquin County <br /> Allison Hepperle <br /> 2506 Taft Avenue <br /> Manteca,CA 95337 <br /> Sugar cookies <br /> Ingredients for cupcake:Sugar,flour,butter,eggs,baking soda,baking powder,salt, <br /> vanilla flavoring <br /> Contains:wheat,milk,eggs Nt Wt 2.5 oz(70.878) <br /> 2 of 2 <br /> .S' <br />