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w <br /> SA N SJ O A Q U I N Environmental Health Department <br /> --COUNTY <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: !/ N <br /> I 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 CPO 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 /> I StJ C-) Ir3/') '-) agree, to grant access to the local health department to <br /> conduct an inspection of my cottage food operation (mark one) <br /> Ejl"Class rA": 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 /> 1, S t 7 P 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 /> P,ti4UA^_ __3 C")L� i3� C mfg -7122- 2-01 <br /> �i�vner's Signature Print Name Date <br /> Z <br /> W <br /> y <br /> MADE IN A HOWIt rITCHEN U w o <br /> PERMIT - PT0026247 = O 0-) N <br /> SWETHA'S KITCHEN w oo l_- z 0, -Z <br /> 511 W. TRAMONT4 QR 2 �- O Q M <br /> CA 95391 O U <br /> TRACY, Q <br /> LU <br /> NET WT. I '= 0Z - LY W z <br /> UJ UJ <br /> Q <br /> 2of2 <br />