Laserfiche WebLink
SANNt J O }� Q U I N Environmental Health Department <br /> J 'COU tN�TY <br /> 9. Employee: Initial if you agree to abide by the following: <br /> I understand that 1 may not have more than one full-time equivalent cottage food employee, not including a <br /> family member or household member of the cottage food operator, working within the registered or permitted <br /> area of a private home where the cottage food operator resides and where cottage food products are prepared <br /> or packaged for direct, indirect, or direct and indirect sale to consumers. <br /> 10. Delivery Limitation: Initial if you agree to abide by the following: C7 <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 /> 11. Owner's Statement: <br /> I,,I I,, , �"1U ►n�11 �[.� _ , agree to grant access to the local health department to <br /> conduct an ihspeokion of my cottage food operation (mark one) " <br /> "Class.A": In the,event of arconsu�mer ❑ `,Class B": For regular annual facility <br /> complaint or,reported food borne illness inspections and in thb event'of a consumer <br /> complaint or food-borne <br /> I, .. J. I'Y , agree to notify the San Joaquin County <br /> Environmen al Hgblth.Department prior-to modifying my food list, type.of operation-, andlor.method,of <br /> selling,,distributing, or otherwise.providing 'my CFO products to the consumer or,retailers, regardless of .. <br /> whether the product:is.sold,.consigned,.or,given away. - <br /> v VY? Z� <br /> I OwitsWpatare Print Name Da <br /> I.I <br /> 5Of5 <br /> EHD 16-27 6129117 CFO REG/PERMITTING FORM <br />