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For moro information sea CDPH wobsito yoarvi.cdph,ca,ggy/progginesifabCottagoFood.asp_s <br />1. awl00.._ei Initial if you agree to abide by the following: <br />I understand that I may not have more than one full-time 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 />t--e/c44'\1)-\ \\\O\ <br />inspection of my cottage food operation (mark one) <br />agree to grant access to the local health department to conduct an <br />"Class A": In the event of a consumer complaint or <br />reported food-borne illness <br />"Class B": For regular annual facility inspections and in <br />the event of a consumer complaint or food-borne <br /> <br />, 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 />..-- <br />Owner's Signature Print Name Date <br />i,e,k 6,4,A V ;