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I Dvlronmontfll Hnalfh Dopartmont <br />> <br />8. Owner’s Statement: <br />2 of 2 <br />Q “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 />SAN JOAQUIN <br />COUNTY <br />/V\) OSH I? j <br />Print Name <br />D5/o5/ <br />DateOwner's Signature <br />I, AnUsHIcJ , agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one) <br />I, 3) IS MJ , 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 />7- Delivery Limitation: Initial If yon agree to abide by the following: <br />I understand that I may accept orders and payments via the Internet, mail or phono Ilov/ovor, all Glas<; /• and <br />"Class B" CFO products must be delivered directly (in person) Io the customer Iho Cf O products rnay riot ‘z <br />delivered via the United States Postal Service, UPS, FedEx, or using any other indirect dolivery method as <br />deliveries are regulated by, and subject to, CDPH registration and state and federal requirement..