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Owl 1UTAQUIIV <br />7. Owner's Statement: <br />I.111�1(=S - 1.1 L - KW [ a o , agree to grant access to the local health department to <br />conduct on Inspection of my cottage food operation (mark one) <br />Q "Class A": In the event of a consumer <br />comp:aint or reported food -borne Illness <br />❑ "Class 8": For regular annual facility Inspections <br />and in the event of a consumer complaint or <br />food-bome Illness <br />I, AIII)141 f y}� �" ��LU�D 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 CFU products to the consumer or retailers, regardless of whether the product is sold, <br />consigned, or given away. <br />EHD 1629627,22 2 CFO REG FER'.ct7ucG FN=V.'LFZ:F" 1 <br />