HomeMy WebLinkAboutEHPR-08-2023-45190.tif r
(i) ENVIRONMENTAL HEALTH
Catawba County Government Center
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catawba county 25 Government Drive I P.O. Box 389 I Newton, NC 28658
public health Phone: (828) 465-8270 I Fax: (828) 465-8276
MAKING.HYING.NtTVNN.
Email: EHAdministrativeAssistants@CatawbaCountyNC.gov
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Application R.6- 03- /sf11
Plan Review li tion for a Mobile Food Unit
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: G crA 0,\.% C;""\ , \. Vs°'
Owner's Name: C \
Mailing address: �(t \c-- Q ckv Y1 ��
City: �\t\CPe'N\cN\\ State: ZIP: 28 \
Telephone#(s): .2.- - S\� �-)D
Email Address: U,c�
J .GMO� sr e.6S\.LC ..(NJ &A-0 C�►\ X.,Restaurant or Commissary supporting unit: /2 aids-foil
State ID#of Restaurant or Commissary: /d - 0 s 3 702 ' y
Applicant Signature ___N-- Date: 5 /\k /2G 2
7
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
Ready-to-Eat Food Handling
(edible without additional preparation necessary, e.g. salads, cold sandwiches, raw molluscan shellfish)
Food w c-eMe .Presh and/ar (-roaLn . IA) 11 Z-e, PI -ed
in erored hold/hi ,,t/1,4 up cr.,"ilrca.
Produce Handling
Will produce be washed or rinsed prior to use? Yes_l No ❑
Is there an approved location used for washing or rinsing produce? Yes No
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Will it be used for other operations? Yes n No
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: 1
frDtke cv ill Placed ar) ve a w1a,ne, Ill rl
Cpetthr Cv c ,s 1-t2r 0 a a{ J e4✓ct _s of tn)
Poultry Handling
Will poultry be washed or rinsed prior to use? Yes Mi Nol _
Is there an approved location used for washing or rinsing poultry? Yes J No n
Will that location be used for other operations? Yes ;I No=
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:
kli-ry 1.-1// 1 io.aced I rbi 4/l.h j c of d v¢ar
for .3 mitts girl prey,p aF -moo,e U cedrd/41_,l.f .
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Meat 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 ❑
Will it be used for other operations? Yes 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:
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Seafood Handling
Will seafood be washed or rinsed prior to use? Yes No
Is there an approved location used for washing or rinsing seafood? Yes No_�
Will it be used for other operations? Yes 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:
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Mobile Food Unit Diagram
Draw to scale, identifying and describing all equipment, including handwash facilities, equipment,
washing facilities, cooking equipment, refrigeration, worktables, storage, hot and cold holding
units, water source and storage. Describe the floor, wall and ceiling surfaces of the unit.
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Good Taste GT LLC
Proposed menu of food item for sale:
1. Banh Mi Sandwich
2. Egg Rolls
3. Chicken Wings
4. Sausages
5. Pork ribs
6. Bubble tea/Thai tea
7. Dipping Sauce
8. Chili sauce
9. Papaya salad
10.Rice
11. Drink (water/sodas)
12.Special(occasionally)
a. chicken/beef laab
b. Pho-soup noodles
c. Tapioca noodle chicken soup
d. Sesame balls
e. Steam sticky rice cake
f. Tapioca dessert drink
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Yeller Distribution, Inc.
DBA Biz On Wheels •.,,,, '17Koi•
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1835 Lindbergh St Your mobile business
Charlotte NC 28208
Phone: 1.800.944.2589 Invoice 1144 Date
Fax: 1.866.521.1475
Email: Info@bizonwheels.us 08/22/19
Bill To: Ship To:
Tang Thor
Hickory North Carolina v
(828)-855-6821
828-409-4286 64,11A, - V qr,irr),,L014,tes-/
NC Tax Exempt P.O. Number Deposit •
Item Description QT
2019 Concession trailer 16FT LONG 8FT WIDE 7 Ft HIGH 2 axle 5500 LBS with electric brakes White Trailer 1
Inside walls floor
ALL Cargo 18 ft Walls and Ceiling Glue on Stainless steel Polished brite brush 1
ALL Crago 18ft Floor Aluminum Dimond Plate Tread Brite 0.63 1
Doors awnning
Rear entry door and screen 72" 30" 1
serving window with awnnuing door 72" 36" window solid on right side slider on left 1
Electric Sytem
16 circuit Main electric box and Circuit breakers 120 amp 1
All commercial metal conduit wires 20amp 1
All LED light fixture inside 1
All hardware electric system 1
Inlet Box 30 amp 1
Labor cost all electric system 1
A/C Unit Roof Mount 15,000 BTU 1
Water system and sinks plumbing
Sink 10" 14" 14" 18-Gauge Stainless Steel 3 Compartment sink NSF 1
Sink Faucet, 8" Center Mounting Kit for faucet Push Stop Basket and Drain 1
Subtotal $47,000.00
CUSTOMER SIGNATURE Payments/Credits $-13,444.00
Balance Due $33,556.00
**SOLD AS IS**
**DEPOSIT NON REFUNDABLE**
** NO REFUND ON SPECIAL CUKORDER PARTS**
R.J. Yeller Distribution, Inc. ?
DBA Biz On Wheels
1835 Lindbergh St • C. 4
•
Charlotte NC 28208 Your mobile business
Phone: 1.800.944.2589 Invoice 1144 Date
Fax: 1.866.521.1475
Email: Info@bizonwheels.us 08/22/19
Bill To: Ship To:
Teng Thor
Hickory North Carolina
(828)-855-6821
828-409-4286
NC Tax Exempt P.O. Number Deposit
Item Description QT
Hand sink Stainless Steel Sink with Side Splash - 12" NSF
30 Gallon Fresh Water 1
40 GAL waste water tank 1
120 VOLT WATER PUMP - 3.0 GPM 1
LP Indoor Tankless Water Heater, Propane 1
plumbing hardware 1
labor install water tanks and all plumbing 1
City water fill up 1
RV waste water ampty 3" Bay with Cap Valve Assembly 1
Gas plumbing
100-Pound Steel Propane Cylinder I
LP Tanks front bracket 1
LP gas regulator 1
LP gas pigtail 1
GAS Line flexible stainless steel hose 1
fitting 1
Gas manifold 1
LP GAS ball valve 5
Labor install all LP GAS SYSTEM 1
Hood Sytem
Subtotal $47,000.00
CUSTOMER SIGNATURE _ Payments/Credits $ 13,444.00
Balance Due $33,556.00
**SOLD AS IS**
**DEPOSIT NON REFUNDABLE**
** NO REFUND ON SPECIAL CUWV12ORDER PARTS**
R.J. Yeller Distribution, Inc. (0 / r
DBA Biz On Wheels iras% °, . '
•
1835 Lindbergh St Your mobile business
Charlotte NC 28208
Phone: 1.800.944.2589 Invoice 1144 Date
Fax: 1.866.521.1475
Email: Info@bizonwheels.us 08/22/19
Bill To: Ship To:
Teng Thor
Hickory North Carolina
(828)-855-6821
828-409-4286
NC Tax Exempt P.O. Number Deposit
Item Description QT
Commercial Aire Hood Exhaust hood. Stainless steel backshelf ventilator 5FT long
18 Gauge stainless steel
Exhaust Fan VXD50 High Speed Direct Drive Centrifugal Upblast Exhaust Fan with speed control handles 1200 CFM 1
Equipment
Serve ware 40 LBS Fryer LP Gas range 1
Serve ware 40 LBS Fryer LP Gas range 1
Serve ware LP Gas range 24" 4 burner with oven 1
Serve ware Reach in refrigertor 35cu ft 2 Door 40" 1
Serve ware 29" sandwich prep 1
Worktable 94"W x 30"D
Worktable 72"W x 18"D 1
Stinless wall shlef 60" 12" 1
Stinless wall shlef 36" 12" 1
HONDA EU7000IS Gnerator 1
Honda generetor install in cage with slide out 1
On the 94" Table 36" from the fryer splash guard with cutting board 1
between range and fryer splash guard
Full graphic wrap 3M With Graphic design 406 SQ-FT 1
Avantco HDC-26 26" Self Service 3 Shelf Countertop Heated Display Warmer with Sliding Doors- 110V, 1500W 1
10% Discount
Subtotal $47,000.00
CUSTOMER SIGNATURE
Payments/Credits $-13,444.00
Balance Due $33,556.00
**SOLD AS IS**
**DEPOSIT NON REFUNDABLE**
** NO REFUND ON SPECIAL CUKORDER PARTS**
EQUIPMENT HDC26 - 26" Self Service Countertop N
VANTCO Heated Display Warmer
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Increasing sales of pre-made hot foods such as hot dogs,burritos, CD
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and sandwiches is easy with this Avantco HDC26 self service > 6 f r
countertop heated display warmer!With the ability to reach 120 '.1•' ` s
degrees Fahrenheit in 10 minutes and its maximum temperature of - '- -`41
185 degrees Fahrenheit in 20 minutes or less,this merchandiser .i'"0 4, ' t NCO
wont hold you back when hungry customers are flocking to your ��.
business.
Great for convenience stores,snack bars,concession stands,and Features
more,this 26"display warmer has front and rear sliding doors to • Great for convenience stores,snack bars and more a)
encourage your customers to serve themselves and to allow your • Maximum temperature of 185°F -"5
staff to refill the shelves from behind the counter.Its 3tierstainless
steel racks are removable for easy cleaning and provide plenty of • (3)stainless steel racks
space to show off your most mouthwatering impulse buys. • Front and rear sliding doors
• Thermostatic temperature controls
This unit has a stainless steel body with an attractive black finish • Black exterior with tempered glass door —N
as well as tempered glass doors to protect against breakage.Its • 110V,1500VV I"
thermostatic temperature controls regulate the 1500W of heat • CE and ETL Sanitation Listed
radiated by its bottom mounted heating element,while interior O
lighting provided by two lamps increases product visibility.These C
Technical lights are controlled separately from the heat for your convenience. Data
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Thls 3 shelf countertop merchandiser has a temperature range from Dimensions 26"W x 17 1/2"D x 24"H CD
85-185 degrees Fahrenheit It requires a 110V electrical connection Watts 1500W O
and comes with a NEMA 5-15P plug.CE and ETL Sanitation Listed.
Voltage/Power 110V
EQUIPMENT
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EQUIPMENT
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Increase sales of pre-made hot foods such as hot
dogs, burritos,and sandwiches with these Avantco • (3) Stainless Steel Racks Included
HDC self service countertop heated display cabinets! • Front and Rear Sliding Doors
Great for convenience stores,snack bars,concession • Black Exterior with Tempered Glass Doors
stands,and more,these display warmers have front • Maximum Temperature of 185°F
and rear sliding doors to encourage your customers
to serve themselves while your staff to refills the
shelves from behind the counter.
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4'A CATAWBA COUNTY
100A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
V 9 PHONE: 828.465.8399
Friday,August 11,2023
j842 sM www.catawbacountync.gov
PAYOR: Good Taste GT LLC
Good Taste GT LLC(Xiong,Kee)
PAYMENTS
TRANSACTION NUMBER: TRC-70620010-11-08-2023
PAYMENT DATE: 08/11/2023
PAYMENT TYPE: Credit Card
309304833
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
08-23-426794 110-580200-663000 FLI Mobile Food Unit/Push Cart $150.00
Plan Review Fee
TOTAL PAYMENTS: $150.00
EHPR-08-2023-45190
CASE TYPE: Environmental health Plan Review WORK CLASS: Other FLI
SITE ADDRESS: 310 HWY 70 SW,HICKORY NC 28602
Applicant GOOD TASTE GT LLC,4762 ROCK BARN RD,CLAREMONT NC 28610
C:8285142036
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 08/11/2023 15:44 Page 1 oft