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SA N 410 A Q U I N Environmental Health Department <br /> COUNTY— <br /> . <br /> /. Delivery Limitation: Initial if you agree to abide by the following: <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 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 /> I, Cyn , 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 116 "Class B": For regular annual facility inspections <br /> complaint or reported food-borne illness and in the event of a consumer complaint or <br /> I/ food-borne illness <br /> 2c�KI,Cynd� r �i an agree to notify the San Joaquin County Environmental <br /> Health 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 /> T <br /> or given away. <br /> C nc � �zaK'tc�n '�av <br /> ne 19 a Print Name Date <br /> 2 of <br />