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6 good Pro <br /> cessor <br /> Attach foo Course: <br /> d handler certification for owner and each i <br /> application (including family members and/or employees), <br /> that were not submitted with initial <br /> �� Deliver mployees). <br /> �'MitEltjon: <br /> f understand that I ma Initial if you agtee to abide b <br /> A" and "Class Y accept orders and payments via the Internet matt y the following: <br /> CI=O products must be delivered directt(in person) to the costo i <br /> may not be delivered via the United States Postal Service in p son) or phone. However, all "Class <br /> delivery method-as deliveries are regulated b tomer, The Cfip products <br /> requirements. Y, and subject to, CDPH registration gand state and any other indirect <br /> S• Owner's Statement: <br /> aciae department to conduct an inspection of my cottage food opegration (mark onej e local health <br /> r <br /> ' El "Class R": In the event of a consumer - --- -- <br /> "Class B". For regular annual facility inspections <br /> complaint or reported iaod-borne illness and in the event of a consumer complaint or <br /> food-borne illness <br /> I tY� 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 /> reg dIess of whethe the pro 'uct is sold, consigned, or given away. <br /> wners signatu rint Name Date <br /> I <br /> I <br /> R i <br /> i <br /> Z CFO REGIPERMITTING RENEWAL FORM <br /> EHD 16-29 512912015 <br />