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SANJOA 0 U I N Environmental Health Department <br /> COUNTY �— <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 K and <br /> "Class B"CFO products must be delivered directl (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, �afic- Te/ 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 El "Class B": For regular annual facility inspections <br /> c mplaint or reported food-bome illness and in the event of a consumer complaint or <br /> food-bome Illness <br /> I tri+ v' ' V//y agree to notify the San Joaquin County Environmental <br /> Health Department prior tomodifying my food list,type of operation,and/or method of selling, distributing, or <br /> otherwise providing my CFO prod is to the consumer or retailers, regardless of whether the product is sold, <br /> consigned, or given away. <br /> J�Q�7�1 QlylD//- <br /> O n is rgna ure Print Name Date <br /> EHD 16-296/27122 2 CFO REWERMDTING RENEWAL FORM <br />