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SANJ 0 A Q U I N Environmental Health Department <br /> C.r) J N I " <br /> 7. 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 /> 1, J)rl.j2_t4, .X Y\l \ , agree to grant access to the local health department to <br /> conduct an insiYection of my cottage food operation (mark one) <br /> ❑ "Class A": 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-bome illness <br /> I, agree to notify the San Joaquin County Environmental <br /> Health DepartmAmt 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 gi n away. <br /> brts>ti i.Sn,\ �4-) 1 1 -'21 :1- <br /> Ow 's Signature Print Name Date <br /> 2ofz <br />