Fillable Form 87: MFF CATEGORY B & D SELF (Sacramento County, California)

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Form 87: MFF CATEGORY B & D SELF (Sacramento County, California)

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Environmental Management Department
Protecting Public Health and the Environment
11080 White Rock Road, Ste. 200, Rancho Cordova CA 95670
(
916)
87
5-8440 ● emd.saccounty.net
MFF CATEGORY B & D SELF INSPECTION CHECKLIST
Category B:
Co
mpleted new doubledsided “Commissary Verification Form” (Signed by Commissary owner)
Co
mpleted “Cleaning and Sanitizing Procedure Form”
Co
mpleted “Restroom Verification Letter” if the MFF is parked at one location for more than 1 hour
Structural Requirements:
Insi
gnia from Department of Housing and Community Development if occupiable
Iden
tification of business and address on the cart/truck
Mechanical
refrigeration unit capable of keeping all Potentially Hazardous Foods at 41°F or below
(monitoring thermometer required in refrigeration unit)
Power source for refrigerator
Hot ho
lding unit (steam table, hot case, etc.) capable of keeping food items at 135
°
F or above
Fully fu
nctional and accessible handwashing sink:
Liquid soap in dispenser Paper towels in dispenser Hot water at 100°F-108°F
Fully fu
nctional warewashing sink: (
See MFF classification packet for specific information)
Hot water at least 120°F Plugs to fill the sinks Detergent Sanitizer Sanitizer test strips
Funct
ional mechanical ventilation with clean filters
Functional w
ater heater
Functional and filled potab
le water tank (at least 5 gallons)
Functional w
aste water tank (at least 7.5 gallons), no leaks
Safety equi
pment:
Fire extinguisher First aid kit.
No
more than 1 ancillary piece of equipment (ice chest etc.)
Food compartment for all open food items and overhead protection
If occupiable, an unobstructed
height over the aisle way portion of the unit of at least 74 inches from
floor to ceiling and minimum of 30 inches of unobstructed horizontal
aisle space (required for new
permits only)
Commissary Requirements:
MFF operates out of an approved Commissary where MFF does:
Food preparation Potable water supply Overnight parking Electrical hook up Warewashing
Food storage Supplies storage Waste tank/Sewage disposal facility Waste grease removal
Required Equipment/Utensils:
Accurate probe
thermometer (0-220°F). for MFFs with potentially hazardous foods
Suitable utensils (i.e. deli tissue, spatulas, tongs or dispensing equipment)
Approved potable
water hose
Approved waste water hose if needed to get rid of waste water
Employee knowledge/health:
Food safety certificate if MFF handles opened, potentially hazardous foods
Food handler ca
rds for all employees
Category D:
Co
mpleted new doubledsided “Commissary Verification Form” (Signed by Commissary owner)
Co
mpleted “Restroom Verification Letter” if the MFF is parked at one location for more than 1 hour
Structural Requirements:
Insi
gnia from Department of Housing and Community Development if occupiable
Iden
tification of business and address on the cart/truck.
Mechanical
refrigeration unit capable of keeping all Potentially Hazardous Foods at 41°F or below
(monitoring thermometer required in refrigeration unit)
Power source for refrigerator
Hot ho
lding unit (steam table, hot case, etc.) capable of keeping food items at 135
°
F or above
Fully fu
nctional and accessible handwashing sink:
Liquid soap in dispenser Paper towels in dispenser Hot water at 100°F-108°F
Fully fu
nctional warewashing sink:
Hot water at least 120°F Plugs to fill the sinks Detergent Sanitizer Sanitizer test strips
Funct
ional mechanical ventilation with clean filters
Funct
ional water heater (min. capacity of 4 gallons)
Functional and filled p
otable water tank (at least 30 gallons)
Functional w
aste water tank (at least 45 gallons), with cap and no leaks
Safety equi
pment:
Fire extinguisher First aid kit.
Full en
closure (screens provided and intact without holes)
Floor, walls and ceiling smooth, easily cleanable, in good
repair
Self
-closing employee entrance doors
No
more than 1 ancillary piece of equipment (ice chest etc.)
If occupiable, an unobstructed
height over the aisle way portion of the unit of at least 74 inches from
floor to ceiling and minimum of 30 inches of unobstructed horizontal
aisle space (required for new
permits only)
Commissary Requirements:
MFF operates out of an approved Commissary where MFF does:
Food preparation Potable water supply Overnight parking Electrical hook up Warewashing
Food storage supplies storage Waste tank/Sewage disposal facility Waste grease removal
Required Equipment/Utensils:
Accurate p
robe thermometer (0-220°F)
Suitable utensils (i.e. deli tissue, spatulas, tongs or dispensing equipment)
Approved potable
water hose
Approved waste water hose if needed to get rid of waste water
Employee
knowledge/health:
Food safety certificate
Food handler ca
rds for all employees
W:\Data\EH-PROGRAMS & PROJECTS\MFF AND TFF WORKING FOLDERS\MFFs\MFF FORMS & HANDOUTS (UPDATED)\WORD DOCS\OPERATOR - MFF CAT B&D CHECKLIST 12 1 16.docx
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Form 87: MFF CATEGORY B & D SELF (Sacramento County, California)

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Completed 15 June 2021

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