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For morn Information seo CDPH wobsito www.cdph ca goylpLog�e a Pages fdbCott geFood.aspA <br /> 1. EmpjQygg;Initial if you agree to abide by the following: <br /> I understand that I may not have more than one full-lime equivalent cottage food employee.not including a family member <br /> or household member of the cottage food operator,working within the registered or permitted area of a private home where <br /> the cottage food operator resides and where cottage food products are prepared or packaged for direct,indirect,or direct <br /> and indirect sale to consumers. <br /> 1. 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.Direct and Indirect sales may be <br /> fulfilled in person,via mail delivery,or using any other third-party delivery service throughout the state of California only. <br /> 1. Owner's Statement: <br /> I, Lp,Q V t I\ agree to grant access to the local health department to conduct an <br /> inspection of my cottage food operation(mark one) <br /> "Class A":In the event of a consumer complaint or "Class B": For regular annual facility inspections and in <br /> reported food-borne illness the event of a consumer complaint or food-borne <br /> I, tom` `r I') agree to notify the San Joaquin County Environmental Health <br /> Department prior to modifying my food list,type of operation,and/or method of selling,distributing,or otherwise providing <br /> my CFO products to the consumer or retailers,regardless of whether the product is sold,consigned,or given away. <br /> Owners Signature Print Name Date' <br />