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1 <br />Environmental Health Department <br />2 of 2 <br />SAN JOAQUIN <br />COUNTY <br />Date <br />Initial if you agree to abide by the following: <br />------------------------------------------------------ .all “Class A" and <br />FedEx, or using any other indirect delivery method as <br />i. r <br />conduct an inspection of <br /> "Class B”: For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br /> agree to notify the San Joaquin County Environmental <br />modifying my food list, type of operation, and/or method of selling, distributing, or <br />nroducts to the consumer or retailers, regardless of whether the product is sold, <br />Print Name ' <br />— ------------agree to grant access to the local health department tosection of rAy cottage food operation (mark one) <br />Class A": In the event of a consumer <br />complaint or reponed food-borne illness <br />Z- Deiivery Limitation: | * * <br />1 J'nders’and that I may accept orders and payments via the internet, mail or phone. However, <br />s s ,o ,he cus"”"s'- cfo prod'. .. r-usiai oervice, UHt>. 1-eucA, ui using any utriei inuiieut uenvery m< <br />nes are regulated by. and subject to, CDPH registration and state and federal requirements. <br />8- Owner's Statement: <br />i.pgryby V <br />Health Department prior to r ; JZ,: .wv <br />otherwise providing my CFO products to'the' <br />consigned, or given away.