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6. Food Processor Course: <br /> Attach food handler certification for owner and each individual that were not submitted with initial <br /> application (including family members and/or employees). <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 <br /> A"and "Class B"CFO products must be delivered directl (in person)to the customer.The CFO products <br /> may not be delivered via the United States Postal Service, UPS, FedEx, or using any other indirect <br /> delivery method as deliveries are regulated by, and subject to, CDPH registration and state and federal <br /> requirements. <br /> 8. Owne s Stat/V MNement I, ZL agree to grant access to the local health <br /> department to conduct an inspection/of my cottage food operation (mark one) <br /> X <br /> Class A": In the event of a consumer El "Class B": For regular annual facility inspections <br /> omplaint or reported food-borne illness and in the event of a consumer complaint or <br /> food-borne illness <br /> I, Te& , agree to notify the San Joaquin County <br /> En onmental Health Department l6rior to modifying my food list, type of operation, and/or method <br /> of selling, distributing, or otherwise providing my CFO products to the consumer or retailers, <br /> regardless of whether the prods sold, c ns' e <br /> uct id, or given away. <br /> 0 <br /> (�4 V�Y� <br /> No a &[-�//V <br /> Ow er's Signature rint Name I Date <br /> EHD 16-29 6/29/2015 2 CFO REG/PERMITTING RENEWAL FORM <br />