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J tr / 9. Employee: Initial if you agree to abide by the following: ra I understand that I may not have more than one full-time equivalent cottage food employee, not including a family member or household member of the cottage food operator, working within the registered or permitted area of a private home where the cottage food operator resides and where cottage food products are prepared or packaged for direct, indirect, or direct and indirect sale to consumers. 10. Gross Annual Sales: Initial if you agree to abide by the following: Ccr I understand that I will lose my CFO status and will need to become permitted in a commercial facility if my CFO business exceeds the following gross annual sales figures for the calendar years in the following table: Calendar Year Gross Annual Sales In2013...............................................................................................................$35,000 In2014...............................................................................................................$45,000 In 2015 and in subsequent years.......................................................................$50,000/� 11. Delivery Limitation: Initial if you agree to abide by the following:c% y I understand that I may accept orders and payments via the internet, mail or phone. However, all "Class A" and "Class B" CFO products must be delivered directly (in person)to the customer. The CFO products may not be delivered via US Mail, UPS, FedEx or using any other indirect delivery method as this is regulated/subject to CDPH registration and state and federal requirements. 12. Owner's Statement� __•• ..�__ ,, \\ I,CRA-a. 20& tqH EJ F�1"�J, agree to grant access to the local health department to conduct an inspection of my cottage food operation (mark one) Class A": In the event of a consumer ❑ "Class B": For regular annual facility complaint or reported food-borne illness inspections and in the event of a \ consumer complaint or food-borne I,(iltfteLW� is N�2I`(143 , agree to notify San Joaquin County Environmental Health Department prior to modifying my food list, type of operation, and/or method of selling, distributing, or otherwise providing my CFO products to the consumer or retailers, regardless of whether the product is sold, consigned, or given away. IR tea &&VyytAV13 Owner's Signat re Print Name Date EHD 16-27 12/27/2012 4 CFO REG/PERMITTING FORM