HomeMy WebLinkAboutB and B Concessions 730954 08 30 16.LS.PDFTime in, pam Time Ow, I I : 1 5 a M TulalTirne, 5milnute3
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B A N D B C 0 N C E S S 1 0 N
ENNew [:]Transitional
Name ofEstaWshment
d 8 0 0 A b B 0 1 15 6 L 1: N C l
Address 1:
Address 2,
A C W 0 R T H G A 3 lZ 1 0 1
City; 3tate° zfp�
B A N D B C 0 C E S S 1 0 N S
Pit anager or Person in charge
EM g ailing Address Same
B A N D B C 0 C E 5 5 1 0 N 5
Fol ailing Name
1 8 0 0 A B B 0 T T S G L E N C T
hl aWng Address 2
A C W 0 R T H G A 3 C 1 0 1
Oily StOW zfp:
Phone Fax Emergency Phone Number
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Email kddress-1
5-5 - Municipal,Community
Water Supply
0 9 5 4 40M Enter last 4 digits only
Facility m
3-3 - Municipal/Community N/A
Wastewalef System Risk Calegofy
Old Facility IL)
M ap # Parcer ID #
. ....... . ...
L at Long
Push Cart or MFU OPushcart El M FU
Push cartflA a bile Food Unit operating in conjunction with
Transitional Permit Conditions: Permit Expires;
ConOlhonsiRernaros ---- --
VALID THROUGH 9516
r4on-Compliant Remarks
1 8
County
C1
Territory 4 Capacity-
73 - Temporary I
operate a: 5fams code
0 8 3 0 � 0 1 6
. ........ . .
Date:
Restaurant or Commissary IV:
Establishment Assigned To,
1896-Sears, Luke
U
0 days [] 180 days 1�
N en- P, "plia nt sterns co m plete d by:
1:1 clxk sh�! chtckb,,x �o W r��maAs
C�afsvvf-s
R am 9 '" k9
3980
'EH S Signature,
1896-Seans, Luke 0 8 / 3 0 / a 0 1 6
EfISID Date:
hi anageriFerson in charge
0 8 / 3 0 / .7 0 1 6
Tile Date:
NG Deparlment of Health and Human Services [j]Permit F—]TransitionalPermit
D iv ision of Pu blic I I ealth
Environmental Ficalth Soction Date: 18/30Q015
N @me of Establishment: B AND 8 CONCESSION Perm ittee: AND B COCESSIONS
Gly: ACWORTH
Stato-GA Zip: 30101 I'vianagcir/Por-son in Chargc-,
Milling Nam BANDS COCESMING Gounty Cote
BfilngAddress_ 28OUABEC)TISGILENCT
City, ACWORTH State:'GA Zip,: 30101 Status Code: I
E m a all Add rie ss: Establishment ID, 2018730954
---------------------------
Phone-
Emergency Phone Number Lit. .....--.------.. Lone ................
Permission is granted to operate a 73 - rernporary Food Establishment as defined in G S 13OA-24?(I) and 1 MA-248,
Regulation of Maid and Lodging FaCil Irres, See perma requirements in Rules. 'f his permit IS 1101r tran sferaNe and may be revoked for failuria to
comply wth all requirements.
WastexeaterSysterns; Rmuricovc�mmunk, [:]On -site System Capacty:
categorf #: 91 E ff]
WaterSupply: [Elm uricipalic)mmunity E]On-Sits S,stern 11 IE
Fushc3rt'Noblle Food Unitope'ating in condunOon with Restaurant Or COMM SSa'y Name an 3—i5'r56eT — — — — — — — — — —
Cc no it! on &Rem a rk&
E etablishrre nt 3 ssig nod 'to: 1806-Goarns, Luko
VALID "rHROUGH 9.5.16
Transitional Permit Condition$
-his permit $hall expire 01 snd Is not renewable. All nnn-ComClian- items listed herein and on a1taChed racks (if
anali-mbI20 must �e csrnialeteJwilhIn 9 0 /E] 180 days days. This establishment mist close if all noncornoliant i-.ems are not corrected be the
expiration da:e.
RP,rP.lvPri Py Tito n,t,,, 0&5012016
M 3nageriPerson in Charge
Signed BY: REHS#: 1896-Sears,Luke Date: 081301,016
/I b*fdon of—Pu blic Health
Puqpwe;General Statute 130A 24,8(bf stanas "No -_,,tab1nbnamt mall --cmatneirce of continue operation v%ithout a petrait or tsansiacnzl peffmit issued by the Department-
'Meptmitortransidard petrmt shall be issued ter the, crxmer or operator of the establi stment and shall not be transferable- Y the establistiment is lfas�d, the P=t or
transitonal pemt diall be issued irpthe lessee, and shall not be translerabIt.. If 'he locattan of an establishment changes, a novpffinit shall be obtained for the,
establishment - A permit shall be, isme-1 only Mtn fit esstabhshtomt sati 9 fles-all of the i-quirements of the rules - The Comnaisssion shall adopt rules est2lslisbing the
requirunents that must bernet before a transitional pernat may be issued, and the period for Mucha trans.tional periantmay be issued, The Dtparhnerr, may also impose
ucliditum'U'll Lhrrisu�uice Ufa pa'Itit UT lults'ad'Llprr'd by air, Cuinmissjun- A pturn La Uankliunal
revoked in accordance tath G_S_ 130A-23(d) for fiiPure,)fthe estabEshment to rnaintaira ruinitrum Dade of - A permit or transitional peer nit rnaN, oeqenxise to
suTerdtd or revoked inacctordarce. with G_S_ 130.4-23" Preparation- Lozal emironmtntal health specialisEsshall issue a pe =it every tinne a diange in pe =it status is
indi ca-,ed. Prepare an onginal and cone copy for 1. {fir on3l to be Left iaalh theci-me, or operston 2. Cop-y for tie local hea I th department. Di spoation: Please refe'r to
RezoAs Retmitai and Ihspositial Schedule 8B for CountvDistirbot Htalth seats vslat ti is pub.ished bythe North Cwolina aasion ofArcbives & history
Additional forum ma,,, be Ordered from: Fnnironmentai Heaka Semor, 1632 "Mail Senice Center, Raleigh, -.\,C 2761,99-1,632, (Couriier 52-01 D:�r
EH 3 1341 (reviser, 07112)
Ervironmental Health Section
Comment Addendum - Attachment
EstaWln �jirrevt V aTi�e: R Amn R CDNC.'-SSION
Location Address,: 2800 ABBOTTS GLEN CT
-it AMORIM
Coun��A
Z ip: 30101
Wastewater System: (j) klunicipavCornmuniV C) On -Site System
Water Supply: @ C, 'fin-sitL sysksm
Permiltee: AND Ira
gum=
Condlllons/RemarKs ilcontlnue,3):
Mon---orrpliait Items:
Data: o8p,3c,,2oi6
Status Code:
Cate gory 4.,