Laserfiche WebLink
SAN JOAQUIN <br />—COU NTY- <br />7. Owner's Statement: <br />Environmental Health Department <br />I, 01Iter) q Irnahut —,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 inspections <br />complaint or reported food-bome illness and in the event of a consumer complaint or <br />food -borne illness <br />Kr ) J rN' ! I I r -n oiYjM , 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 aw� <br />/ .c <br />Khj)`1�11 <br />3/31/23 <br />Date <br />EHD 18-29 612722 2 CFO REGIPERMnTING RENEWAL FORM <br />