HomeMy WebLinkAbout China View Permit 011469 11 09 17.JH.PDF
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CHINAVIEW
Name of Establishment
31051STAVSW
Address 1:
Address 2:
HICKORYNC28602
ZIP:
City:State:
YONGZHENG
Permittee
Manager or Person in charge
Mailing Address Same
YONGZHENG
Mailing Name
31051STAVSW
Mailing Address 1
Mailing Address 2
HICKORYNC28602
City:State:ZIP:
() -() -() -
PhoneFaxEmergency Phone Number
Catawba
CHINAVIEW.2017@GMAIL.COM
18
County #
Email Address:
01
5-5 - Municipal/Community3-3 - Municipal/CommunityIV
52
Capacity:
Water SupplyWastewater SystemRisk CategoryTerritory #
1 - RestaurantI
Enter last 4 digits only
1469
Old Facility ID:Nodq`sd `9Rs`str Bncd
Facility ID
Map #Parcel ID #
..//
11092017
Lat.Long.
C`sd9
Otrg B`qs nq LET
PushcartMFU
Pushcart/Mobile Food Unit operating in conjunction with:
Qdrs`tq`ms nq Bnllhrr`qx HC9
90 days180 days
Odqlhs Dwohqdr9
Sq`mrhshnm`k Odqlhs Bnmchshnmr9
//
Non-Compliant items completed by:
Conditions/Remarks
WITHIN 30 DAYS:
REFINISH/REPLACE CEILING TILE
Bg`q`bsdqr
PAINT WALK IN COOLER DOORS
Qdl`hmhmf
PAINT DOOR TO KITCHEN
3867
REPAIR CORNER ON WALL BEHIND PREP SINK
Non-Compliant Remarks
Bg`q`bsdqr
Qdl`hmhmf
4000
Establishment Assigned To:
1654-Huffman, Jason
EHS Signature:Manager/Person in charge
1654-Huffman, Jason
////
1109201711092017
C`sd9
EHSID C`sd9
Title
Print
NC Department of Health and Human Services
PermitTransitional Permit
Division of Public Health
11/09/2017
Date:
Environmental Health Section
CHINA VIEWYONG ZHENG
Name of Establishment:Permittee:
3105 1ST AV SW
Location Address:
HICKORYNC28602
City:State:Zip:Manager/Person in Charge:
YONG ZHENGCatawba
Billing Name:County:
3105 1ST AV SW
Billing Address:
I
HICKORYNC28602
City:State:Zip:Status Code:
CHINAVIEW.2017@GMAIL.COM2018011469
Email Address:Establishment ID:
Phone:Fax:Map #:Parcel ID:
Emergency Phone Number:Lat:Long:
1 - Restaurant
Permission is granted to operate aas defined in G.S. 130A-247(I) and 130A-248,
Regulation of Food and Lodging Facilities. See permit requirements in Rules. This permit is not transferable and may be revoked for failure to
comply with all requirements.
52
Capacity:Category #:012
Municipal/CommunityOn-Site System
Wastewater Systems:
Water Supply:Municipal/CommunityOn-Site System
34
Pushcart/Mobile Food Unit operating in conjunction with:
Restaurant or Commissary Name and ID number
Conditions/Remarks:
Establishment assigned to:1654-Huffman, Jason
Permit and Non-Compliant Conditions are on the attached addendum....
Attachments
Sq`mrhshnm`k Odqlhs Bnmchshnmr
This permit shall expire onand is not renewable. All non-compliant items listed herein and on attached pages (if
90180 days
applicable) must be completed withindays. This establishment must close if all noncompliant items are not corrected by the
expiration date.
11/09/2017
Received By:Title:Date:
Manager/Person in Charge
1654-Huffman,11/09/2017
Signed By:REHS#:Date:
Division of Public Health
Purpose: General Statute 130A-248(b) states "No establishment shall commence or continue operation without a permit or transitional permit issued by the Department.
The permit or transitional permit shall be issued to the owner or operator of the establishment and shall not be transferable. If the establishment is leased, the permit or
transitional permit shall be issued to the lessee and shall not be transferable. If the location of an establishment changes, a new permit shall be obtained for the
establishment. A permit shall be issued only when the establishment satisfies all of the requirements of the rules. The Commission shall adopt rules establishing the
requirements that must be met before a transitional permit may be issued, and the period for which a transitional permit may be issued. The Department may also impose
conditions on the issuance of a permit or transitional permit in accordance with rules adopted by the Commission. A permit or transitional permit shall be immediately
revoked in accordance with G.S. 130A-23(d) for failure of the establishment to maintain a minimum grade of C. A permit or transitional permit may otherwise be
suspended or revoked in accordance with G.S. 130A-23.." Preparation: Local environmental health specialists shall issue a permit every time a change in permit status is
indicated. Prepare an original and one copy for: 1. Original to be left with the owner or operator. 2. Copy for the local health department. Disposition: Please refer to
Records Retention and Disposition Schedule 8.B.6., for County/District Health Departments which is published by the North Carolina Division of Archives & History.
Additional forms may be ordered from: Environmental Health Section, 1632 Mail Service Center, Raleigh, NC 27699-1632, (Courier 52-01-00)
EHS 1341 (revised 07/12)
Environmental Health Section
CHINA VIEW
2018011469
Date:
11/09/2017
I
3105 1ST AV SW
Status Code:
Location Address:
HICKORYNCIV
City:State:Category #:
28602
Catawba
County:Zip:
Municipal/CommunityOn-Site System
V`rsdv`sdq Rxrsdl9
V`sdq Rtookx9 Municipal/CommunityOn-Site System
YONG ZHENG
Odqlhssdd9
Sdkdognmd9
Conditions/Remarks (continued):
WITHIN 30 DAYS:
REFINISH/REPLACE CEILING TILE
PAINT WALK IN COOLER DOORS
PAINT DOOR TO KITCHEN
REPAIR CORNER ON WALL BEHIND PREP SINK
Non-Compliant Items: