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Home My WebLink AboutCBPR-06-2022-41371 (2) r °HA ENVIRONMENTAL HEALTH Catawba County Government Center catawba county 25 Government Drive P.O. Box 389 Newton, NC 28658 j` ' public health Phone: (828) 465-8270 I Fax: (828) 465-8276 MAKING.LIVING.IIITE1. Email: EHAdministrativeAssistants@CatewbaCountyNC.gov PZ.t{ - 3 Plan Review Application for a Mobile Food- nit Submit application form, a complete proposed menu of food items for sale, and a scaled drawing to the Health Department for approval before beginning any construction or renovation. Applications must be reviewed and approved before we can look at your unit. Insufficient information will delay plan review. • Attach a proposed menu of food items for sale. • Attach a diagram of unit containing location of all equipment, storage areas, sinks, and tanks. • Does supporting restaurant or commissary have a well and septic system? If so, a tank check and water sample will be required. A "mobile food unit"means a vehicle-mounted food service establishment designed to be readily moved. All units must report daily to the restaurant or commissary for supplies, cleaning and servicing. Facilities shall be provided at the restaurant or commissary for all aspects of function of a mobile unit including food storage, dry storage, obtaining fresh water, sewage disposal and garbage disposal.An operator is not allowed to maintain foods and products sold in a mobile unit to be stored at their personal residences. If a permitted restaurant or food stand is not capable of handling the extra needs of a mobile food unit a permit will be denied. Name of Business: �� U) ! \.z �'CCI �fl( . Owner's Name: [-a b i oict ( ii 1 d rn n Mailing address: J' 6 5 W �hy to N C- City: t I-e- State: N VC. ZIP: 2% t Telephone#(s): 5i 2 S- Lk Do — 22 23 Email Address: Q con z r.Ca. 2cggYY1 G1 , corn Restaurant or Commissary supporting unit: Lct (111Y 1 nC State ID#of Restaurant or Commissary: ` 0 ? C_cX " L 1 1 )L vc' / 1 CU( oVe✓ NL ` �1 (2-77 Applicant Signature r: ,� . �`l�Lv Date: �(12.—\ M Food Handling Procedures Explain the following with as much detail as possible. Provide descriptions of the specific areas of the kitchen and corresponding items on the plan where food will be handled. Explain the handling procedures for the following food categories. Describe the process from receiving to service including: • How the food will arrive (frozen, fresh, packaged, etc.) • Where the food will be stored • Where (specific pieces of equipment with their corresponding equipment schedule numbers) and how the food will be handled (washed, cut, marinated, breaded, cooked, etc.) • When (time of day and frequency/day) food will be handled auy-Lo-tiaL rood Handlint, (edible without additional preparation necessary, e.g. salads, cold sandwiches, raw molluscan shellfish) Produce rlandlinc Will produce be washed or rinsed prior to use? Yes Llek No ❑ Is there an approved location used for washing or rinsing produce? Yes ES No n Will it be used for other operations? Yes n N- o (Ti Please indicate location of produce washing equipment and describe the procedures. Include time of day and frequency for washing or rinsing the produce at this location: O7_ C c i l nV i... a i')C.;l /�; C Q 1"1 _' `L r 1. gt)er,C.Cr - l.lh P 1-h-. oes5e*covAr , ?i i � c� b hp t0(c ; , )(oi e t t --r b.(f? G1;)1�) �/) 't'i/ tie<jfP*1nE?! R ;you .,. Handling Will poultry be washed or rinsed prior to use? . Yes ❑ No Is there an approved location used for washing or rinsing poultry? Yes ❑ N- o n Will that location be used for other operations? Yes [1 N- o n Please indicate location of poultry washing equipment and describe the procedures. Include time of day and frequency for washing or rinsing the poultry at this location: v,-2 t Handling Will pork and red meats be washed or rinsed prior to use? Yes ❑ No Is there an approved location used for washing or rinsing pork and red meats? Yes ❑ No 0 Will it be used for other operations? Yes (1 No ❑ Please indicate location of seafood washing equipment and describe the procedures. Include time of day and frequency for washing or rinsing the seafood at this location: f Aor! 1andling Will seafood be washed or rinsed prior to use? Yes El No ❑ Is there an approved location used for washing or rinsing seafood? Yes n No n Will it be used for other operations? Yes n No n Please indicate location of seafood washing equipment and describe the procedures. Include time of day and frequency for washing or rinsing the seafood at this location: N/A- • , bile Fond Unit Dia r .W andwash ties, Draw toscale, identifying and describing all equipment, includingh age, hot andicold hold agent, washing worktables facilities, cooking equipment, refrigeration,workta , units, water source and storage. Describe the floor, wall and ceiling surfaces of the unit. 1111111 fl All N5+5- so O 111 1 SI 1111111 11111111111111 libtfatiiiiii ti)4 ' r''''': ? re'T, i c 4di Him.suit imaimi Sil Are&Ajdt'- \ Z rp QiIIIIII i 111110011111111111111111111 ,,,1111...A 1111=1111amitsmesi■■ 1111 ' ':' 1111110::: .„, 0 cti.EL 1 k Il tier ■■ rfla jai gIIl s i i S 0 mum �; 1111111GC11l n_z+10 fi 111111 7 s . r�� pia 1111, cam- III 1111111M .11111111111 ram iminimi Fffel iit rr III am_ err1 MI ____„ -tea co IN,Zecc fr 15A C o CATAWBA COUNTY 100A SOUTHWEST HWES 1 BLVD " NEWTON,NORTH CAROLINA 28658 RECEIPT PHONE:828.465.8399 y*Kfil � Friday,April 21, 2023 �� 42 SM www.catawbacountync.gov PAYOR: Taco Azteca Taco Azteca(Calderon,Fabiola) PAYMENTS TRANSACTION NUMBER: TRC-62378840-21-04-2023 PAYMENT DATE: 04/21/2023 PAYMENT TYPE: Check 1002 NCDL36902720 dob 6/11/197070 exp 6/11/2029 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 04-23-421558 110-580200-663000 FLI Mobile Food Unit/Push Cart $150.00 Plan Review Fee TOTAL PAYMENTS: $150.00 EH PR-04-2023-44120 CASE TYPE: Environmental Ilealth Plan Review WORK CLASS: Other FLI SITE ADDRESS: 902 CONOVER BLVD E A,CONOVER NC 28613 Applicant TACO AZTECA,8565 W NC 10 HWY,VALE NC 28168 C:8284002223 TACOAZTECA.S28@GMAIL.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 04/21/2023 15:07 Page 1 of 1 catawba county public health Acuerdo de Cumplimiento para Unidad Mobil / Carretilla de alimentos/Hot Dogs (perros calientes) Nosotros, las partes firmantes reconocemos con nuestras firmas que ambos hemos leido y entendido las reglas que rigen el saneamiento de restaurantes y otros establecimientos que manejan o manipulan alimentos, 15A NCAC 18A, section 2600, como pertenece a la operation de una carretilla o unidad movil de alimentos y que las partes firmantes entienden la responsabilidad de cada parte como requiere en .2670 - .2672 de las reglas y debe cumplir con los requisitos del Codigo Manual de Alimentos de Carolina del Norte FDA del 2009, que incluyen: "Las carretillas o unidades moviles deberan operar en conjuncion con un restaurante que tenga permiso o un comisario y deben de reportarse por In monos una vez al din al restaurante o comisario pore suministros, limpieza, y servicio. Las instalaciones, en cumplimiento con esta section, deben de proveerse del restaurante o comisario de almacenamiento para todos los suministros. Las carretillas o unidades moviles deberan de ser guardadas en un area que las protein del polvo, basura, insectos, y afros contaminantes. Las(laves del ague que se usan porn suplir o abastecer ague a las carretillas o unidades moviles de alimentos deberan ester protegidas pare prevenir el contacto con quimicos, salpicaduras y otras fuentes de contamination.Almacenamiento de residuos solidos,e instalaciones pare In elimination de residuos liquidos deberan ser proporcionados por las instalaciones del restaurante o comisario." +1�, Hoy, dia 1 del mes de _, del 20 =� Yo, 1/L f 114{Li///,/ , 0w rvt))-('L— ----del (Nombre del dueno o gerente del restaurante) (Titulo) q localizado enC. 0 2-4 C/e ru��b�- C t (UL Nombre del establecimiento) (Direction gg ) 2 ��(013 Numero de ID ZO O2 Lk�� ertifico que he leido y entendido los reglamentos arriba mencionadas y la presente Autorizo a : 4R)(AA Act , Operador de la unidad movil de alimentos, (Nombre) para que opere una Carretilla o unidad movil de alimentos en conjuncion con mi establecimiento, tal y como to exigen las normas. Yo certifico que estoy autorizado de entrar en este acuerdo en nombre del establecimiento antes mencionado, y entiendo que las reglas requieren que la unidad visite mi establecimiento cada dia que la carretilla o unidad movil opere, para su limpieza, catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive ( PO Box 389 I Newton NC 28658 1828.465.8210 MAKING. LIVING. BETTER. mantenimiento y suministro, incluyendo reposicion de agua y eliminacion de todos los residuos solidos y liquidos. Estoy de acuerdo de tener y mantener un registro para que el operador de la carretilla o unidad movil to firme y escriba la fecha en cada visita a mi establecimiento, para producir el registro solicitado, y que informe con precision el contenido del mismo. Estoy de acuerdo de permitir que se almacenen todas las provisiones para la unidad movil en el local o establecimiento arriba mencionado. Estoy de acuerdo de proveerle acceso a mi establecimiento al operador de la carretilla o unidad movil de alimentos para este proposito. Entiendo que el area en mi establecimiento que use el operador de la unidad movil de alimentos esta sujeta a cualquier inspeccion hecha por el Departamento Local de Salud Ambiental. Estoy de acuerdo que si esta aprobacion es cancelada, se debe notificar inmediatamente a la Division da Salud Ambiental del Condado de Catawba. [) oLyed'idittAlOperador Autorizado (Firma) • �� ato/i/c-x-ti , Operador de la Carretilla o Unidad Movil de Alimentos (Firma) Afrvo, 'v I e-r iiA- , Sello del Notario (Firma) Mi comision se vence