MOBILE FOOD UNIT PLAN REVIEW PACKET

MOBILE FOOD UNIT PLAN REVIEW PACKET

OVERVIEW

The materials in this packet will guide you through the plan review process to assure that your mobile food unit meets requirements of the Mobile Food Unit Rules. This packet is also intended to evaluate your proposed operation to provide the safest food possible to the general public. The application form must be completed as part of the plan.

This packet consists of the following information:

Ø General Information

Ø Applicants Checklist for Mobile Food Units

Ø Mobile Food Unit General Requirements and Limitations

Ø Mobile Food Unit Plan Review Application

Ø Mobile Food Unit Plan Review Worksheet

Ø Mobile Food Unit Commissary Agreement

Ø Mobile Food Unit Itinerary and Operating Schedule

Ø Application for License

Ø Mobile Food Unit Change of Ownership Form

Also you may obtain Oregon Rules by visiting: http://arcweb.sos.state.or.us/rules/OARs_300/OAR_333/333_162.html

Or if available opening the Adobe Reader version in the Klamath County Website.

Please complete the attached documents and submit them with the required plan review fee to Multnomah County Environmental Health. Approval from the health department must be obtained prior to construction or operation of your unit. The following materials must also be submitted with your completed packet:

1. Complete plans of the unit drawn to scale, including equipment location.

2. List of all equipment necessary for the operation of the unit.

3. A description of the construction materials used on the unit, including surface finishes for floors, walls, ceilings and countertops.

4. Information relating to your base of operation, including times and dates of use. Attach a completed Mobile Food Unit Commissary Agreement, if necessary.

5. List of your operating location(s) and approximate time schedule, if applicable. If the unit operates on a designated route, you must specify your itinerary. Attach a completed Mobile Food Unit Itinerary and Operating Schedule.

If you have any questions during this process, please contact the Klamath County Environmental Health

(541) 883-1122.

GENERAL INFORMATION MOBILE FOOD UNITS AND PUSHCARTS

A mobile food unit is defined in OAR 333-162-0000(31) as “…any vehicle that is self-propelled, or which can be pushed or pulled down a sidewalk, street or highway, on which food is prepared, processed or converted, or which is used in selling and dispensing food to the ultimate consumer.” There is no size limit to mobile food units, except they must meet the following requirements:

Ø The unit must be a vehicle and not require a special permit from the Oregon Department of Transportation to be moved.

Ø Mobile food units must be mobile at all times during operation. There is no requirement to move the unit at specific intervals, however, the unit must be on wheels at all times and have no permanent connections to any utility service (including water, sewer, or electric).

Ø The unit and all operations and equipment must be integral to the unit. This precludes the use of a barbecue with a Class III or IV unit, nor the use of 12 cubic feet of storage on any class of unit.

There are four types of mobile food units. The mobile food unit classifications are based upon the type of menu served.

CLASS I – These units can sell only intact prepackaged foods and dispense non-perishable beverages. No dispensed ice is allowed. No preparation or assembly of food items is allowed.

CLASS II – These units may dispense unpackaged foods. However, no cooking, preparation or assembly of foods is allowed on the unit.

CLASS III – These units may cook, prepare and assemble food items. However, no raw-to-finish cooking of animal foods is allowed on the unit.

CLASS IV – These units may serve a full menu.

Please keep in mind any change in the menu must be approved by the health department.

Finally, this document does not contain all the requirements for your unit. Please refer to the Mobile Food Unit Rules located on the web at:

http://arcweb.sos.state.or.us/rules/OARs_300/OAR_333/333_162.html

APPLICANT’S CHECKLIST

FOR MOBILE FOOD UNITS

This sheet is intended to help track your progress through the plan review process. When all steps are completed, your mobile food unit will be ready for licensing operation.

DATE COMPLETED:

	Submit plan review application, plans, and completed review packet which include the following: Mobile Food Unit Plan Review Application Mobile Food Unit Plan Worksheet Mobile Food Unit Itinerary and Operating Schedule Mobile Food Unit Commissary Agreement Application for License. Pay the required fees Wait for plan review approval letter prior to beginning operation.
	Obtain any required approvals from other agencies, i.e. planning, zoning, and building codes. (see below*).
	3. Plans approved by the health department. (see below *) You will receive a response within 10 working days.
	Call the health department for a pre-operational inspection at least one week prior to the date you intend to open.
	Submit a Mobile Food Unit license Application with the required fee along with a Mobile Food Unit Commissary Agreement and a Mobile Food Unit Itinerary and Operating Schedule, if applicable.
	6. Pre-operational Inspection performed and mobile food unit is approved for operation.
	7. After steps one through six has been completed and your application has been approved, you may open.

MOBILE FOOD UNIT GENERAL REQUIREMENTS AND LIMITATIONS

A mobile unit can serve menu items in its own classification and those to the left of it on the chart. For example, a Class III unit may also sell items allowed under Class I and II. Please See Mobile Food Unit Rules for full requirements.

Class I

Class II

Class III

Class IV

Water

Supply

Required

Yes

Handwashing

System

Required

Yes –

Minimum

five gallons¹

Yes –

Minimum

five gallons¹

Yes –

Minimum

five gallons²

Dishwashing

Sinks

Required

No³

Yes –

Minimum

30 Gallons

Assembly or

Preparation

Allowed

Yes

Cooking

Allowed

Yes⁴

Yes

Barbecue

Operation

Allowed

Yes –

Reheating of

foods only

Yes

Restroom

Required

Yes

Examples

Prepackaged

sandwiches/

Dispensed soda without ice/Canned & bottled beverages

Service of

unpackaged

food items

Bento

espresso

hot dogs

limitations

¹ The handwashing system may consist of a container which provides flowing water.

² The handwashing system must be plumbed to provide hot and cold running water.

³ Must provide a minimum of 30 gallons of water for dishwashing, if provided.

⁴ May cook only foods which are not potentially hazardous when raw (rice, onions, pasta, etc…).

MOBILE FOOD UNIT PLAN REVIEW APPLICATION

OAR 333-162-0920 requires that a completed plan review packet be submitted and reviewed before your unit can be issued a license and approved to operate. Please contact the Klamath County Environmental Health Office (541) 883-1122 for an inspection prior to the start of operation to determine compliance with the reviewed plans and specifications and with the requirements of the mobile Food Rules. Incomplete plans may be returned for completion.

Name of Business:
Address:			Phone #
	Number	Street	City	State	Zip Code
Name of Owner:
Address:			Phone #
	Number	Street	City	State	Zip Code
Contact Person:
Address:			Phone #
	Number	Street	City	State	Zip Code

Type of Construction:

New Mobile Food Unit:

Major Remodel:

Previously Licensed(*1):

Class (circle one):

I II III IV

Are you proposing to operate without a base of operation?

Plan Review approval should be sent to:

Owner:

Contact Person:

Expected date that the unit will be ready for a preoperational inspection:

_{Application is hereby made for plan review of the above Mobile Unit in compliance with the provisions of the Oregon} Administrative Rules, OAR Chapter 333 Division 162 requires that plans be submitted to the assistant director (authorized representative) and Environmental Health Specialist for review and commented on before construction, remodeling, or conversion is begun. Payment of the $____________________ plan review fee is hereby made with the understanding that OAR 333-162-0000 requires that plans be submitted for review when a food service facility is constructed or extensively remodeled. All construction must conform to OAR 333-162-0000 through 333-162-1020 as printed in the “Mobile Food Unit Rules” published by the Oregon Department of Human Services. And OAR 333-162-1010 requires that the food service facility be inspected prior to the start of operation to determine compliance with the reviewed plans and specifications and with the requirements of these rules. All information contained in this record is public. * Please refer to fee schedule or call our office for information regarding Plan Review fee.
_{Make Check Payable To:}	_{Klamath County Environmental Health}
Applicant’s Signature:				Date:

Print Name:

_{NOTE: THE FEE MUST ACCOMPANY THIS APPLICATION}
Fee Received:		Date:	By:
Check #:		Cash:	Receipt #:

(*1) Mobile Food Unit plan review fee and plans/drawings are not required if the unit was previously licensed in the State of Oregon and documentation of licensure approval is provided.

MOBILE FOOD UNIT PLAN REVIEW WORKSHEET

Please complete the questions on this worksheet that apply to your mobile food unit. Be as specific as possible.

1. List all menu items (including condiments).

2. Where will food be purchased?

3. Describe how and where foods will be cooked and prepared. Will any foods be prepared in advance? If so, please describe.

4. Describe how foods requiring cooling will be rapidly cooled on the unit? What will become of leftover foods?

5. How will hot and cold food temperatures be maintained on the unit?

6. Where is the commissary or warehouse located? Please submit a completed Mobile Food Unit Commissary Agreement if you are using a restaurant licensed by someone other than yourself. List the approximate time of day you will be using your commissary or warehouse.

7. What is the source of drinking water for use on the unit? Describe how water will be transported to the unit and how the water system is constructed. What is the size of the fresh water storage tank?

8. How will waste water be removed from the unit? Describe how waste water will be transported from the unit to the approved waste water disposal location. What is the size of the waste water storage tank? (The volume of the waste tank must be 10 to 15 percent greater than the volume of the fresh water storage tank.)

9. What is the power source for the mobile food unit? If electricity is required, how will the electrical supply be connected to the unit? Describe how foods will be transported to and from the unit and how hot and/or cold holding temperatures will be maintained during transit.

10. What type of handwashing system will be used on the unit? (A minimum of five gallons must be provided for handwashing.)

11. Describe how dishes and utensils will be washed. If dishes and utensils are washed on the unit, a minimum of 30 gallons of water must be provided for this purpose.

12. Describe how garbage will be stored and where it will be thrown away. What methods of insect and rodent control will be used in your unit?

13. Where is your restroom facility located?

14. Describe the type of overhead protection provided for your unit (ceilings, awnings, umbrellas, etc.)?

15. Where will the unit be cleaned? If you plan to wet mop the unit, where will you dispose of mop water?

MOBILE FOOD UNIT COMMISSARY AGREEMENT

Commissary agreements are valid for the calendar year (January 1^st through December 31^st) and must be renewed yearly. A commissary must be a licensed food service facility. A licensed food service facility will have a Health Department license or an Oregon Department of Agriculture license.

This agreement becomes invalid if the food service facility does not have a current license to operate. In the event this agreement for commissary usage is terminated or the food service facility does not have a current license, the mobile unit license is immediately suspended and all operations must cease until the operator obtains and submits a valid Commissary Agreement to Klamath County Environmental Health.

The licensee of the Commissary is responsible for all food service activities conducted by the mobile unit operator on the premise. The licensee of the licensed food service facility hereby agrees to provide access for usage as a Commissary to said Mobile Unit licensee for dishwashing and/or food preparation and storage required for the mobile unit operations. All information contained in this record is public.

MOBILE UNIT (Please Print)				LICENSED FOOD SERVICE FACILITY (Please Print)
Business Name:				Business Name:
Address:				Address:
Licensee Name:				Licensee Name:
Contact Person:				Contact Person:
Phone Number:				Phone Number:
Facility Number:				Facility Number:
				County Licensed In:

Check below the type of agreement:

		The licensee of the food service facility agrees to be responsible for commissary activities under the
		existing food service license. (No Fee)

		The licensee of the food service facility requests the mobile unit licensee to obtain an additional license for the
		commissary. (Mobile unit operator must submit a commissary licensing fee and application)

This agreement between the above parties is valid from		to		.
	Month/Day/Year		Month/Day/Year

Food service facility licensee /agent signature:		Date:

Please print name:

Mobile unit licensee Signature:		Date:

Please print name:

For Office Use Only

VERIFIED BY:		DATE:

MOBILE FOOD UNIT ITINERARY

AND OPERATING SCHEDULE

	I plan on operating at one location.

Location Address:
		Number	Street	City	Zip Code
	I plan on operating at multiple locations or on a route.

List all locations where you plan to operate. If operating on a fixed route or in multiple locations, indicate the approximate time (and dates, if applicable) you will be at each location. Attach additional sheets if necessary.

Operating Location	Approximate Time (Dates) at Location

APPLICATION FOR LICENSE

COMMISSARY, WAREHOUSE, VENDING MACHINE, MOBILE FOOD AND BEVERAGE UNITS

NAME OF BUSINESS:

FACILITY #:

OPERATING LOCATION(S) OR ROUTE:

( ) -

Number and Street

City

Zip

Bus. Ph. Number

Cell Ph. Number

BUSINESS IS OWNED BY:

(Individual) (Corporation)

BILLING ADDRESS:

( ) -

Number and Street

City

Zip

Bus. Ph. Number

Cell Ph. Number

NAME OF OPERATOR:

HAS THE COMPANY NAME OR MANAGEMENT

CHANGED IN PAST YEAR?

START DATE OF OPERATION (MONTH/YEAR):

YES NO

LICENSE PLATE #:

STATE:

VIN #:

NOTE: OAR 333-168-0000 REQUIRES LICENSED FOOD VENDING BUSINESS TO OPERATE FROM A LICENSED COMMISSARY, WAREHOUSE OR OTHER LICENSED FOOD SERVICE FACILITY.

# OF UNITS

LICENSE FEE

VENDING MACHINES

# OF UNITS

LICENSE FEE

COMMISSARIES

FOOD MERCHANDISERS (SANDWICHES, ETC.)

WAREHOUSES

SOFT DRINK MACHINES

MOBILE UNITS

HOT DRINK MACHINES (COFFEE, COCOA, ETC.)

MILK MACHINES (TYPE VENDING MILK ONLY)

ICE CREAM MACHINES

* ALL OTHER VENDING MACHINES EXCEPT THE ABOVE NOTED TYPES ARE EXEMPT FROM LICENSING

LOCATION OF EACH COMMISSARY

Number

Street

City

Zip Code

LOCATION OF EACH WAREHOUSE

Number

Street

City

Zip Code

LOCATION MOBILE UNIT STORED

OVERNIGHT

Number

Street

City

Zip Code

MAKE CHECK OR MONEY ORDER PAYABLE TO:

KLAMATH COUNTY ENVIRONMENTAL HEALTH

ALL LICENSES ISSUED UNDER THIS ACT SHALL TERMINATE AND BE RENEWABLE ON DECEMBER 31^ST OF EACH YEAR. IT IS AGREED THAT I WILL COMPLY WITH THE PROVISIONS OF CHAPTER 624, OREGON REVISED STATUTES, AND THE ADMINISTRATIVE RULES OF THE OREGON DEPARTMENT OF HUMAN SERVICES PERTAINING THERETO. LICENSE FEES ARE NOT REFUNDABLE. ALL INFORMATION CONTAINED IN THIS RECORD IS PUBLIC. * PLEASE REFER TO FEE SCHEDULE OR CALL OUR OFFICE FOR INFORMATION REGARDING LICENSE FEE.

Signature of Applicant (Owner)

Number and Street

City

State

Zip Code

Printed Name

Date

For Office Use Only

DATE APPLICATION RECEIVED:

FEE RECEIVED:

DATE FEE RECEIVED:

CHECK #:

CASH

FEE RECEIVED BY:

REMARKS:

MOBILE FOOD UNIT CHANGE OF OWNERSHIP FORM

Name of Business:

Name of Operator:

(Individual) (Corporation)

Class of Mobile Unit:

Class I

Class II

Class III

Class IV

Unit previously licensed in State of Oregon:

Yes

(If the unit was not previously licensed in the State of Oregon, a plan review must be submitted)

County mobile unit was licensed in:

Name of business it was licensed under:

License or Facility number:

Year unit was last licensed for:

Class unit was license for:

Class I

Class II

Class III

Class IV

(If the previous license cannot be verified, the mobile unit has been remodeled, or the class of mobile unit is changed, a plan review must be submitted)

List all menu items (including condiments, attach menu if available):



Where will food be purchased?


Where will food and/or single use items be stored? (If all items will not be stored on the unit, a warehouse or commissary will be required.)

Describe how and where foods will be cooked and prepared. Will any foods be prepared in advance? If so, please describe:


Describe how and where leftover foods will be cooled and stored for next day’s use:




Leftover foods will be:	Discarded daily	Cooled and stored for next day

Describe how and where dishes and utensils will be washed:

Describe how surfaces will be sanitized during operations on unit:

Name/Address and Location of Commissary (submit signed commissary agreement with application):

Name/Address and Location of Warehouse (submit a warehouse license fee if the location is not a licensed facility):

What is the source of water for the potable water tank on the unit?

How will wastewater be removed from the unit? Describe how wastewater will be transported from the unit to the approved wastewater disposal location:

Describe how handwashing will be done on unit: (A minimum of five gallons must be provided for handwashing.)

Describe how garbage will be stored and where it will be thrown away:

Where is the restroom facility for employees located?

Describe the type of overhead protection provided for your unit (ceilings, awnings, umbrellas, etc.)?

Food handler cards are required for all persons working in a mobile food unit, at the commissary or at the warehouse. Multnomah County Environmental Health must approve any changes in menu, structure or operations. This mobile unit and its operations must meet all the requirements applicable to mobile units in the Oregon Revised Statutes, Chapter 624 and the Oregon Administrative Rules, Chapter 333. This mobile unit must meet all local plumbing, electrical, building, fire or other codes that may be required. Health department approval does not imply that your unit meets other agency codes. All information contained in this record is public.

A pre-opening inspection must be conducted before the mobile unit may operate or for a license to be issued. Please call (541) 883-1122 to make an appointment for an inspection or if you have any questions.

Mobile unit licensee signature:

Date:

Print Name:

For Office Use Only
Approved by:	Date:	Facility #:

Make Check Payable To:

Klamath County Environmental Health

NOTE: THE FEE MUST ACCOMPANY THIS APPLICATION

_{Make Check Payable To:}

_{Klamath County Environmental
Health}

_{NOTE: THE FEE MUST
ACCOMPANY THIS APPLICATION}