Consumer Health and Food Safety Division
Pima County Health Department
3950 S. Country Club Road, Suite 2301
Tucson, AZ 85714
Phone (520) 724-7908
Fax (520) 724-9597
Email: chfs@pima.gov
Mobile Food Establishment (MFE) Supplement Application
Pima County Food Code 8-201.11 requires prepared plans and specification for review and approval before (A) the
construction of a food establishment; (B) the conversion of an existing structure for use as a food establishment; or (C) the
remodeling of a food establishment or a change of type of food establishment or food operation. The plan review fee for
mobile food establishments is $230.00.
Facility ID#:
New Remodel Change of Ownership
Beverage Cart (Coffee, Lemonade, etc.) Corn Roaster Kettle Corn Shaved Ice
Hot Dog Cart Full Menu with BBQ unit
Name of Mobile Food Establishment: ______________________________________________________________
Name of Owner: ________________________________________________________________________________
Owners Mailing Address: __________________________________________________________________________
Owners Email Address: ___________________________________________________________________________
Owners Telephone: ______________________________________________________________________________
Applicants name and relationship to owner
(self, manager, architect kitchen designer, etc.) if different from above:
______________________________________________________________________________________________
Applicants Mailing Address: _______________________________________________________________________
Applicants Email Address: _________________________________________________________________________
Applicants Telephone: ____________________________________________________________________________
Projected date for start of construction of MFE (if applicable): _________________________________________
Projected date for completion of construction of MFE (if applicable): ___________________________________
Plans and Fee received by: _______________________________________ Date: _________________________
Plan Review#:
Oce Use Only
Check each box if you have submitted the following documents:
The following documents must be enclosed for review:
Submit menu or complete listing of all foods and beverage items to be served.
Plan of mobile food establishment (MFE) drawn to scale (minimum of 1” = 1’) showing location of equipment,
counters, plumbing, mechanical ventilation (hood and windows), the location of all electrical components. i.e.
batteries, generators, etc. and openings (doors and windows).
Plumbing layout showing the location of the fresh water supply lines, hot and cold water lines, water pumps
(with gallons per minute flow rate), and wastewater line connections must be identified. All sinks must be
identified on the plans (i.e. hand wash sinks, 3-compartment). The fresh water tank and the wastewater tank must
be identified. Include dimensions of the tanks to verify the volume of each tank or copies of the manufacturers
specification, technical or catalog descriptions. Identify overflow vents or tubes.
Other items required for review:
Finish schedules for the interior of the mobile food establishment including floors, walls, ceilings, coved juncture
bases, counters, tables, etc., to be completed below and submitted with this packet.
Auxiliary equipment such as ice chests, barbecue units. salsa bars, etc. used for storage and/or food preparation
must be represented on the plan
Wastewater disposal will be at this address: _______________________________________________________
Finish Schedule
Applicants must indicate the materials that will be used in each area listed below:
Area: Kitchen/Cooking Area
Floor _________________________________________________________________________________________
Base (floor/wall juncture) __________________________________________________________________________
Walls _________________________________________________________________________________________
Ceiling ________________________________________________________________________________________
The Person In Charge (PIC) as referenced in the Food Code sections, 2-101.11, 2-102.11, 2-103.11, 2-201.11 will be
responsible for the overall operation of the MFE. The PIC shall demonstrate to the Regulatory Authority knowledge of
food borne disease prevention and the requirements of the Food Code as it pertains to their own food operation. The
PIC shall be responsible for having employees report them information about their health and activities as they relate
to diseases that are transmissible through food.
In addition, the menu and manner for transportation, storage, cooking, preparation, and service of food and beverage
items must be specifically identified and evaluated by the Regulatory Authority. Any changes to the menu must be
submitted to and approved by the Regulatory Authority prior to operation.
1. Food Preparation:
A. Explain how cross contamination of foods will be prevented during, preparation, holding and storage of food.
______________________________________________________________________________________________
______________________________________________________________________________________________
B. Explain how food contact surfaces and utensils will be cleaned and sterilized and how often?
______________________________________________________________________________________________
______________________________________________________________________________________________
C. What happens to foods that are leftover at the end of the day? __________________________________________
______________________________________________________________________________________________
D. Explain the process, time-frames and temperatures of reheating food? ____________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
2. Cooling:
A. Which menu items are cooked and then cooled for later service? ________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
B. Explain the process, time-frames and temperatures of cooling foods: ______________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
C. How are cooling temperatures monitored? __________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
3. Personnel:
A. What will be used to avoid direct bare hand contact of ready-to-eat foods? ________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
B. Describe your written or verbal policy to exclude or restrict food employees who are ill and list the symptoms that
should prevent the employee from working with food:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
4. Food Source:
A. List where you obtain all of your menu items and where food preparation will take place: _____________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
B. List time(s) that pre-preparation will occur: __________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
5. Cold Storage:
A. What is the maximum temperature that food are to be held cold? ________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
6. Hot Holding:
A. Adequate and approved hot holding equipment must be available (if applicable). What is the minimum tempera-
ture that foods are to be held hot?
______________________________________________________________________________________________
______________________________________________________________________________________________
STATEMENT: I hereby certify that the above information is correct. I fully understand that any deviation from the
above without prior approval from Consumer Health and Food Safety is prohibited and it may result in the closure of
my operation.
Signature of Owners or Responsible Representative(s) __________________________________________________
Date: ________________________________________________________________________________________
Approval of these plans and specifications by Pima County Health Department does not indicate compliance with
any other code, law or regulation that may be required - federal, state or local. It further does not constitute endorse-
ment or acceptance of the completed establishment (structure or equipment).
A nal inspection of the establishment with equipment in place will be necessary to determine if it complies
with the local and state laws governing food service establishments.
MFE Supplement 4684 171227 DB
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