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SANJ O A Q U I N Environmental Health Department <br /> 9. Employee: Initial if you agree to abide by the following:—d— <br /> I understand that I 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: <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 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, J 1 e k.L-c 8 S agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation(mark one) <br /> ;9"Class A": In the event of a consumer ā‘ "Class B": For regular annual facility <br /> complaint or reported food-bome illness inspections and in the event of a consumer <br /> complaint or food-borne <br /> I, L[)U e "V bS _,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 aw4W J <br /> epi "J1-S /- l -121917 <br /> Owner's Si Print Name Date <br />