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SANJ O A Q U I N Environmental Health Department <br /> :_OUNTY- <br /> 9. Employee: Initial if you agree to abide by the following: S <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. Owner's Statement: <br /> I. -!�-h ahla A4aw- 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 [Class B": For regular annual facility <br /> complaint or reported food-borne illness inspections and in the event of a consumer <br /> complaint or food-bome <br /> I. � 1n agree to notify the San Joaquin County Environmental <br /> Health Depirlment prior to mo ifying 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 /> v✓ne�Sigt��_��Print Name Date <br />