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HomeMy WebLinkAboutApproved Plastics Waiver - Wok N RollA1 ES Application Date:6t4t2026 TOWN OF YARMOUTH HEALTH DEPARTMENT I146 Route 28, South Yarmouth, MA02664 508-398-223 I extension 1240 DISPOSABLE PLASTIC FOODWARE DECISION FORM Issuance Date: Appticant Name: 93[gglt-Ig- -*--- ------ - * ---- --*----- Business/0rgan ization: Wok N Roll Property Address:1319 Main St, South Yarmouth, MA 02664 WAryER REQUEST DECISION (per the Disposable Plostic Foodware Rules and Regulationsfor Food Establishments) (nfnnOVED - Waiver is granted. Applicant has demonstrated grounds for a Waiver from these regulations. tr DENIED - Waiver is denied. Applicant has not demonstrated grounds for a Waiver from these regulations. Reason: N NOT APPLICABLE VARIANCE REQUEST DECISION (per the Disposable Plastic Foodware Rules ond Regulationsfor f-ood Establishnrcnts) ! 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. ! 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 I Conditions of Approval (if applicable):Duration of Waiver (if approved): ex?;r€s ta l6t lzouz tr NOTAPPLICABLE Conditions of Approval (if applicable):Duration of Variance (if approved) HEALTH AGENT OR DESIGNEE ONLY NOTICE TO 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 waiveq may appeal that decision to the Board of Health within 30 days for a public hearing to amend, overturn, or otherwise modify the decision. The hearing before the Board of Health shall be a de novo review. Barry Lewis MlBCnq Printed Name:Title: Assistant Health Director Signatuqgll ('6'stDate 1'--- TOWN OF YARMOUTH HEALTH DEPARTMENT PLASTIC PRODUCT WAIVER REQUEST FORM Plea.ve complete the following 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 w,aivers. If you are seeking relieffor plastic products classified under Resin identification Code #3, #4, #6, or #7 you must apply for a Board of Health variance. {# BUSINESS INFORMATION BUSINESS NAME Wok N Roll BUSINESSADDRESS 131g Main st, south Yarmouth, MA 02604 CoNTACT PERSON samuel Pho PHONE # 7B1BBB1T72 EMAIL samuelphoS59 1 @gmail.com PLASTIC PRODUCT DETAILS PRODUCT NAME COST PER UNIT MONTHLY QUANTITYUSED PLASTIC TYPE (BYNUMBER) l.Polypropylene clear portion cups + lids $0.10 4000 5 2. Polypropylene plastic box $0.25 2000 5 3. Polypropylene plastic utensils $0.01 1000 5 4. FOR EACH PRODUCT ABOVE PLEASE ANSWER THE FOLLOWING QI.IESTIONS:r WHAT IS EACH PRODUCT USED FOR?o WHY IS THIS PRODUCT ESSENTIAL TO YOUR OPERATIONS?o ARE THERE HEALTH/SAFETY REASONS FOR ITS USE? Portion cups and lids are used for storing sauces for takeout orders. There is no substitute for this item. Reason for requesting relief: [l No suitable alternative E Altemative creates undue financial hardship tr Supply chain issues[l Public health best ,ne plastic boxes are used to store foods for takeout orders. are significantly more expensive and cause financial burden 2 Polypropyle Substitutes E No suitable alternative El Alternative creates undue financial hardship n Supply chain issues Reason for requesting relief: Z Public health best Polypropylene plastic utensils are used to consume foods. Substitutes are significantly more expensive and cause financial burden Reason for requesting relief: E No suitable altemative Z Alternative creates undue hnancial hardship tr Supply chain issues Ei Public health protection/food safety best practices 4. Reason for requesting relief: E No suitable alternative n Alternative creates undue financial hardship D Supply chain issues E Public health protection/food safety best practices PLEASE LIST ANY ALTERNATIVES YOU HAVE TRIED AND WHY TIIEY ARE NOT FEASIBLE : Paper boxes are significantly more expensive than plastic boxes and are less durable for storing foods 1TGNATURE Sd.,r-U P/o DATE 614126 #1 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) PLEASE LIST OTHER STEPS YOUR BUSINESS IS TAKING TO REDUCE PLASTIC USAGE: We are using paper bags instead of plastic bags to store foods. We are reducing use of utensils and sauces to only when requested. DURATION OF WAIVER REQUESTED: (8X,6 MONTHS, I YEAR, SUMMER/SEASONAL) 1 Year Board of Health Variance Application can be .found on the Town of Yarmouth website under the Health Department. J.