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SA NJ OA Q U I N Environmental Health Department <br /> I COUNTY - <br /> 7. Delivery Limitation' Initlal If you agree to abide by the following; Toy.! <br /> I understand that I may accept orders and payments via the internet,mail or phone.Hnwaver,all'Class A'and <br /> "Class B-CFO products must be delivered directly(in person)to the customer.The CFO products may not D6 <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 slate and federal requirements. <br /> B. Owner's Statement: <br /> I, T"' 11D S�, —y4 Vw agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation(mark one) <br /> Ll"Class A": In the event of a consumer "Class B": For regular annual facility inspections <br /> complaint or reported food-bome illness and in the event of a consumer complaint or <br /> food-borne illness <br /> 1. 7."'4 OSe+ _w usu ,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 /> C U,4 QSe.--WvS-J x'23 12 <br /> Owner's Signature Print Name Date <br /> 2 oft <br /> Scanned with CamScanner <br />