Laserfiche WebLink
Environmental Health Department <br />bknihfen <br />)n of my (/ottage fc <br />I <br />Owne,ighature <br />2 of 2 <br />Date <br />“Class A”: In the event of a consumer <br />complaint or reported food-borne illness <br />SAN JOAQUIN <br />-COUNTY <br />□ “Class B”: For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />Print Name <br />------------> agree to notify the San Joaquin County Environmental <br />'ing my food list, type of operation, and/or method of selling, distributing, or <br />■"*? t? t.u3 consumer or retailers, regardless of whether the product is sold, <br />Health Department prior to modifying myL <br />otherwise providing my CFO products to the <br />consigned, or given away. <br />Dellvery Limitation: Initial if you agree to abide by the following: <br />I understand that I may accept orders and payments via the Internet, mail -r pt •one. tlowcv -r. all "Class A" and <br />C ass B CFO products must be delivered directly (in person) to tin r;u dom: rh-; CFO pru ■.jc*-. may not be <br />e ivered via the United States Postal Service, UPS. FedEx, or usmj .my ut’m.r indirect delivery rn -thod as <br />deliveries are regulated by, and subject to, CDPH registration and stm ■ and feder I requirement s. <br />8. Owner’s Statement: <br />___________agree to grant access to the local health department to conduct an inspection of my?ottagefoEd operation (mark one)