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HomeMy WebLinkAboutEHPR-08-2023-45311.tif ENVIl oHMFNTAI WAIIFI (ntnwhn County Geve►nmert fen1Rr catawba county 75 Government Drive I P.Q. Rex 189 I Newton, NC 78658 public health Phone: (828) 465 8710 ( Fax: (878) 465,8716 lump miss Fmnil: IHArtminiilmtiveAl htnn i (ntnwbn(ointyti(.pov Plan Review Application 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. F4i) _'xj j f .3 1 • Attach a proposed areas of food Hams for sale. • Attack a diagram of salt containing location of all minutest, storage areas, Asks,oad teaks. • Does suppo+iiap restaurant or commissary bare a well and septic system? Hu,a tank dock ad wale sample will be regrind. 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: T\l? CC AS A Ern► r)M CN. v S Owner's Name: n ke r u Mailing address: \ S S F Ave: City: State: WC. LP: 7.1-�f. Telephone Ws): ±)z.�� ��u 1 731 Email Address: a -, V-Q (QC6L ' .c ° Restaurant or Commissary supporting unit: 1 e \/r c' - - - State tD I of Restaurant or Commissary: )t!iMoZu U S°l - , . .� 4 �' /z�/Z 3 Applicant Signature Date:� ! 1 Food Handling Ptocednrer; (iplaie the following with as ouch detail as possible. Provide descriptions of the specific moos of the kltchnn nd roe* sedmg items en the plan where feed will be handled. Explain the handling procedures for fhe fellewinqa food categories. Descrjbe the process from receiving to service including: • How the food will arrive(from,fresh, packaged, etc.) • Where the food will be stored • Where (specific pieces of equipment with their corresponding equipnnent 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 handed Ready-to-Eat Food ii..4iiullisy (edible whitest additions'preparation necessary, e.g.salads,cold sandwiches, raw molluscan shellfish) luce Handlinv Will produce be washed or rinsed prior to use? Is there as approved location used for washing or rinsingYes L Will it be used for other oProduce? N0— Please ind'Kate hncertion efPe►ations? Yes ice' No for wash produce washing equipment and descrio Yes No on sung the puce at this locaties: lnesdsres, Iodide time of dap and frsgoency n I re nr► PCJn L rl \• Poultry tt..ding �' Foy Will r' ,J 1n c poultry be washed or tiered r Is there on approved to P�to use? Will that I 0n used for washing or rinsing poultry? Yes ecatioo be used far other o No _ Please ind'Kete loci Pa Perotions? Yes— No _- for1Me�ieg or washing ege4nnneat and d Yeses +mg the pa Id hankie: 0 the Procech,res.lid tLN of d%�d w otyc. Iry ter 1 1S P of n ' n it Hall ,ag h, Willppky� Is reeve an e1/Prered�s�Mmshed or�d Prior to use? Will h be used for bC°t'0q used for washing er r. or"shin ied location o{� �? porfc and red nreah? YK�— Now` w^usng the seafood �equip ,nt pd un Yes�`� Now_ at this.ecaii•e: '�the prated s. Inds nge f°-� d°1►and fi pay rPr�1 V��C�cL/r o lr' t 11 nor ;�P j 1, ,cc^ coo -- n p c1�e Z �t. eeN- Ant. Sc. � c16" y rt, et . afood Handb Will:soloed Is washed or rinsed prior to use? Yes__ ' No Is there at approred lecatioo used for washing or rinsing seafood? Yes - No MI it be used for other operations? Yes Ho Meese indicate toadies of seafood washing equipment and describe the procedures. Include time of day and freg``u^^ency for washing or rinsing the seafood at this location 1 1 �11\ 41c 1✓.:G1\VJ VIn\t'), lil do .ic,n..�� Sink 4- T1n- it ‘1,-i[ _..__ w 2 t-p-4.-,. -47 i ._,3 i ...t -Q, o aJ 0, ,11 - --.1 -r tA o C. 0 � � r � acs <7 '15 .0., l 7 E G k _i_ L 1 1. 4fli 8 6 5 C __--r ,. V ,0,-,1 , �- F. i— \P 0 s � ,,. 3 tr) av, In efl c \ i 1 c v 17, 6 Calendar By: WaterproolPaper.com More Free Printables: Calendars Maps Graph Paper Targets § k 0 = / k E a) a)\ { E \ el.) 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Q 0 3 .D 4 0 0 0 fu GO i i p- O E O e-1 e-1 e-i 1— ezt N N it Cr. a VI * o LU J * Q Z w el N m Ln co N. 00 m e -i e-1 1 0 BURGERS • EL CLASICO • Lettuce, tomato, cheddar cheese, onions, mustard, pickles, ketchup, & mustard. • EL COLOMBIANO • Grilled onions, mozzarella cheese, lettuce, tomato, pineapple sauce, pink sauce, ketchup, light mustard, & house sauce • EL SUPER COLOMBIANO • Grilled onions, mozzarella cheese, lettuce, tomato, crushed chips, bacon, ham, coleslaw, pineapple sauce, pink sauce, ketchup, light mustard, & house sauce • EL COLOMBIANO AREPA BURGER • EL COLOMBIANO on corncakes instead of a bun. • PATACON BURGER • Same as the Colombian but on platains HOT DOGS • PERRITO o Ketchup & mustard • ASADA PERRO o Grilled steak, Mozzarella cheese, crushed chips, pineapple sauce, pink sauce, mayo, ketchup, mustard, & house sauce • El CALENO o Ketchup, pineapple sauce, mozzarella cheese, crushed chips, pink sauce • EL SUPER CALENO o Ketchup, pineapple sauce, mozzarella cheese, crushed chips, pink sauce, chopped bacon, coleslaw, mustard, mayo, and house sauce ADD ONS SLAW, CHILI, PICKLES, TOMATOES, ONIONS, BACON, SOUR CREAM, EXTRA CHEESE, EXTRA BURGER PATTY, AVOCADO AREPAS • AREPA RELLENA DE CARNE DESMECHADA o Mozzarella cheese & shredded beef corncake filled corncake topped with house sauce • AREPA RELLENA DE POLLO DESMECHADO o Mozzarella cheese & shredded chicken breast filled corncake topped with house sauce • AREPA RELLENA DE QUESO o Mozzarella cheese filled corncake • AREPA RELLENA DE CARNE ASADA o Mozzarella cheese & steak filled corncake topped with house sauce QUESADILLAS o CHEESE QUESADILLA o STEAK QUESADILLA o SHREDDED CHICKEN BREAST QUESADILLA o SHREDDED BEEF QUESADILLA ANTOJITOS • PHILLY CHEESESTEAK EGGROLLS o COOKED ONIONS AND BELL PEPPERS, STEAK, MOZZARELLA AND PROVOLONE CHEESE • CHICKEN FAJITA EGGROLLS o COOKED ONIONS AND BELL PEPPERS, SHREDDED CHICKEN BREAST, MOZZARELLA AND PROVOLONE CHEESE • EMPANADAS o COLOMBIAN STYLE EMPANDAS STUFFED WITH YOUR CHOICE OF SEASONED CHICKEN OR STEAK AND POTATOES • TEQUENOS (3) o CHEESESTICKS • WING PLATE (6) W/FRIES FRIES/PAPAS • CRINKLE CUT FRIES • PAPA CRIOLLA o FRIED YELLOW POTATOES • SALCHIPAPA o CUT UP HOT DOGS WITH FRIES TOPPED WITH HOUSE SAUCE AND PINK SAUCE • SALCHIPAPA CRIOLLA O CUT UP HOT DOGS WITH FRIED YELLOW POTATOES TOPPED WITH HOUSE SAUCE AND PINK SAUCE • ASADA FRIES/ POLLO FRIES o BED OF CRINKLE FRIES COVERED IN CHEESE SAUCE, TOPPED WITH CHOPPED STEAK OR SHREDDED CHICKEN, SOUR CREAM, PINK SAUCE & PARSLEY • CHEESE FRIES • CHILI CHEESE FRIES • YUCCA FRIES MAICITOS • MAICITO SENCILLO o CORN WITH MOZZARELLA CHEESE, HOUSE SAUCE, CRUSHED CHIPS, PINK SAUCE, & PINEAPPLE SAUCE • MAICITO DE ASADA o CORN WITH STEAK, MOZZARELLA CHEESE, HOUSE SAUCE, CRUSHED CHIPS, PINK SAUCE, & PINEAPPLE SAUCE DESSERTS/POSTRES • CHURRO • CHOCORAMO • STRAWBERRY CHEESECAKE EGGROLLS Drinks • Coke, sprinte, dr pepper, Gatorade , postonbon, jarritos , water BA C CATAWBA COUNTY I00A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT ( ` ' PHONE:828.465.8399 Monday,August 28, 2023 1$4 2 sM www.catawbacauntync.gov PAYOR: Riqras de Empanadas R Us Riqras de Empanadas R Us(Quatero,Leydy) PAYMENTS TRANSACTION NUMBER: TRC-7 1884775-28-08-2023 PAYMENT DATE: 08/28/2023 PAYMENT TYPE: Credit Card 310014401 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 08-23-427431 110-580200-663000 FLI Mobile Food Unit/Push Cart S150.00 Plan Review Fee TOTAL PAYMENTS: $150.00 EHPR-08-2023-453 11 CASE TYPE: Environmental I Icalth Plan Review WORK CLASS: Other FLI SITE ADDRESS: 15 SOUTH F AVE,MAIDEN NC 28650 Applicant RIQRAS DE EMPANADAS R US, 15 SOUTH F AVE,MAIDEN NC 28650 C:8283907259 EMPANADASRUSOFNC@GMAIL.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 08/28/2023 15:24 Page 1 of 1