HomeMy WebLinkAboutApproved Plastics Waiver - Giardino's Family RestaurantApplication Date:6t4t2026
TOWN OF YARMOUTH HEALTH DEPARTMENT
I146 Route 28, South Yarmouth, MA02664
508-398-2231 extension I 240
DISPOSABLE PLASTIC FOODWARE DECISION FORM
Issuance Date:I 20 2b
Applicant Name:Tom Giardino
Business/Organization , Giardino's Family Restaurant
Property Address: 242 Main Street, RT28, West Yarmouth, MA 02673
WAIVER REQUEST DECISION (per the Disposable Plastic Foodware Rules and Regulationsfor Food Estoblishments)
$.nffnOVED - Waiver is granted. Applicant has demonstrated grounds for a Waiver from these regulations
! DENIED - Waiver is denied. Applicant has not demonstrated grounds for a Waiver from these regulations.
Reason:
tr NOTAPPLICABLE
Conditions of Approval (if applicable):Duration of Waiver (if approved):
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VARIANCE REQUEST DECISION (per the Disposable Plastic Foodware Rules and RegulationsJbr Food Establishments)
tr APPROVED - Variance is granted. Applicant has demonstrated that the enforcement of these regulations would create an undue
hardship and that due diligence has been exercised in seeking compliance with these regulations.
tr DENIED - Variance is denied. Applicant has not demonstrated that the enforcement of these regulations would create an undue
hardship and/or that due diligence has been exercised in seeking compliance with these regulations.
Reason:
tr NOTAPPLICABLE
Duration of Variance (if approved):
HEALTHAGENT OR DESIGNEE ONLY
NOTI APPLICANT: Any Food Establishment or Takeout Food Delivery Service aggrieved by a decision of the Health Agent,
or designee, on its request for a variance or waiver, may appeal that decision to the Board of Health within 30 days for a public
hearing to amend, overturn, or otherwise modif the decision. The hearing before the Board of Health shall be a de novo review
Printed Name:
Barry Lewis MBilCftO--
Title:
Assistant Health Director
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Conditions of Approval (if applicable):
TOWN OFYARMOUTH
HEALTH DEPARTMENT
PLASTIC PRODUCT WAIVER REQUEST FORM
Please complete thefollowing.form to request relief from the Tbwn of Yarmouth Disposable Plastic Foodware Rules
and Regulations. Plastic materials classified under Resin ldentification Code #1 , #2, and #5 are subject to waivers. If
you are seeking relieffor plastic products classified under Resin identification Code #3, #4, #6, or #7 you must appllt
for a Board of Health variance.
BUSINESS INFORMATION
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CONTACTPERSON ,"ryV"'*"CrAL,tutu?PHoNEos^r^ 7t_o3!3
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PLASTIC PRODUCT DETAILS
PRODUCT NAME COST PER LNIT MONTHLY QUANTITY USED PLASTIC TYPE
(BY NUMBER)
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WHAT IS EACH PRODUCT USED FOR?
WHY IS THIS PRODUCT ESSENTIAL TO YOUR OPERATIONS?
ARE THERE HEALTTVSAFETY REASONS FOR ITS USE?
PLEASE ANSWER THE FOLLOWTNG QUESTIONS:
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alternative E Altemative creates undue financial hardship Ssupply chain issues
tr Public health protection/food safety best practices
for requesting relief:
(N" suitable
,Reason
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lrAlternative creates undue financial hardship
Reason for requesting relief:
E Public health best
E No suitable alternative NrrO,, chain issues
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3
Reason for requesting relief:
E No suitable alternative E Alternative creates undue financial hardship tr Supply chain issues
E Public health protection/food safety best practices
4
Reason for requesting relief:
E No suitable alternative E Alternative creates undue financial hardship ! Supply chain issues
tr Public health protection/food safety best practices
PLEASE LIST ANY ALTERNATIVES YOU HAVE TRIED AND WHY THEY ARE NOT FEASIBLE:
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PLEASE LIST STEPS YOUR BUSINESS IS TO REDUCE PLASTIC USAGE:
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DURATION OF WAIVER REQUESTED:
(EX. 6 MONTHS, 1 YEAR, SUMMER/SEASONAL)l/ar<
DA,EG?- eLSIGNATURE
#l Polyethylene Terephthalate (PET) (waiver)
#2 High-Density Polyethylene (HDPE) (waiver)
#3 Polyvinyl Chloride (PVC) (NO waiver)
#4 Low-Density Polyethylene (LDPE) (NO waiver)
#5 Polypropylene (PP) (waiver)
#6 Polystyrene (PS) (prohibited in the Town of Yarmouth already) (NO waiver)
#7 Other Plastics, including bioplastics and polycarbonate (NO waiver)
Board of Health Variance Application can be found on the Tbwn of Yarmouth website under the Health Department.