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.'.T6SXXX VTV <br />Environmental Health Department <br />8. Owner’s Statement: <br />AL <br />2 of 2 <br />“Class A”: In the event of a consumer <br />complaint or reported food-borne illness <br />SAN JOAQUIN <br />-COUNTY- <br />■O <br />Oi <br />I QxCaivxcx. . agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one) <br />A AAj<.Q\C\W\ <br />Print Nai$e <br />7. 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 <br />may be made in person, via mail delivery, or using any other third-party delivery service throughout the state <br />of California only <br />I 2jLCA\V\ C\ \\ C \N VT_____________■ agree to n0,ify the San Joacluir1 County Environmental <br />HealthDepartment 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 />consigned, or given away. <br />GL 4^ <br />ier’s Signature <br />□ “Class B”: For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />ggasgii.'. <br />a—