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Fnvironmontal Health Department <br />8. Owner’s Statement: <br />'ner's Signature <br />2 uf 2 <br /> <br />-S^'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 />Print Name <br />otherwise providing my CFO products to the consumer or retailers, regardless of whether the product is sold, <br />consjgsed, or given away. <br /> <br />Date <br />SAN JOAQUIN <br />r ot) n • > <br />J , 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 />, agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one) <br />7. Delivery Limitation: Initial if you agree to abide by the following: 0^^ <br />I understand that I may accept orders and payments via the internet, mail or phone. However, all "Class A" and <br />“Class EV CFO products must be delivered directly (In person) to the customer. The CFO products may not be <br />delivered via the United States Postal Service, UPS, FedEx, or using any other indirect delivery method as <br />delivenes are regulated by. and subject to, CDPH registration and state and federal requirements.