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cce Le, Qc-viev--- <br />Print Name Date Owner's Signature <br />ajespoojaleis Aq paJamod .............................. <br />'opuep !pef uostngoef 3 srz <br />Aituoj uyor <br />mwirs oar <br />.sieafi (E) aait.p Joj Nei\ s! pJeD sm. .asinop sialpueH pooj eiwomeD palaidipop 4iinissa3pn5 seg piej sialpueN pood s!glio Japioq <br />aqj <br />California Food Handlers Card <br />Issued to: ANNAMARIE GWERDER <br />snliaj '03) <br />11141 <br />Jul 1, 2024 Completion Date: <br />Valid for 3 years <br />1f3 a2 g-k1296ac Verification: <br />Verify card at www.statefoodsafety.comNerify <br />Sta teFoodSafety <br />SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY- <br />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 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 />kAiktkvtAo u-s21 4_Qr , agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one) <br />El "Class A": In the event of a consumer cag-'"Class B": For regular annual facility inspections <br />complaint or reported food-borne illness and in the event of a consumer complaint or <br />food-borne illness <br />/t vofk reuz_ <br />• <br />, 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 />consig d, or given away. <br />110 'woodod 'spuowiv <br />'iebns sluelpai6u! <br />1G8Z-6Z9(602) <br />tuoo•salqiispai.useuueeuue <br />woo' sencuistsouiseuu ew.frAta <br />Alunoo onbeor <br />ues 9LE96 'VO ARJL <br />Peo?:! as!Peied 1.917E4 <br />uegoilA auJoH PeW1-1e0 <br />e tpleios W0J4 apelni <br />AlaTta <br />GOODIES that ROCA your WORLD! <br />ANNA'S ROCA <br />POPCORN <br />4 ounces (113.3989) <br />(effluen amd 'uppoal <br />eAos'Jonb!1 alel000qo <br />Jiinq e0000 'iefins) <br />alemoyo 'spuoulv <br />Jefins sTua!pau! <br />1S0Z-6Z9 (60z) woo•somisisoupeuuepeuue woo•soicHis!se.u!seuuewavva <br />I CEN04 <br />Aluno3 onbeor <br />ues 170E36 'VO AZOJJ <br />peo8 as!peied Lapp!. <br />ueL131!>! 01110H Peglueo <br />e u! yomos woij epeN <br />41\11\14;6' <br />GOODIES that ROCA your WORLD, <br />Dark Chocolate <br />ANNA'S ROCA <br />1/2 Pound (22679 9) <br />2 of 2