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(including family members and/or employees). <br />1868 E. HazeIton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com <br />SAN JOAQUIN <br />- COUNT <br />Environmental Health Department <br />Delivery Limitation: Initial if you agree to abide by the following: sp <br />I understand that I may accept orders and payments via the internet, mail or phone. However, all "Class A" 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 />Owner's Statement: <br />I, Stephanie Perry, agree to grant access to the local health department to conduct an inspection of my cottage <br />food operation (mark one) <br />"Class B": For regular annual facility inspections <br />and in the event of a consumer complaint or food- <br />"Class A": In the event of a consumer complaint or borne illness <br />reported food-borne illness <br />I,Stephanie Perry, agree to notify the San Joaquin County Environmental Health Department prior to <br />modifying my food list, type of operation, and/or method of selling, distributing, or otherwise providing my CFO <br />products to the consumer or retailers, regardless of whether the product is sold, consigned, or given away. <br />Owner's Signature Print Name Date <br />ar dmieeemy <br />Stephanie Perty, March 6th 2024