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Environmental Health Department <br />7. Delivery Limitation: <br />8. Owner’s Statement: <br />2 of 2 <br />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 />□ “Class A”: In the event of a consumer <br />complaint or reported food-borne illness <br />“Class B”: For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />Date <br />SANJOAOUIN <br />COUNTY------ <br />Print NameOwner’s Sigrfbiure <br />I,. 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 CFO products to the consumer or retailers, regardless of whether the product is sold, <br />consigned, or given away. <br />i, ____, agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one)