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Arlington Mobile Food Truck Permit Application

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Arlington Mobile Food Truck Permit Application Powered By Docstoc
					                                                      Office Use Only
Date Received _____/_____/_____                   _____________
                                                  By:                  Date Approved _____/_____/_____            By: ____________
Comp # _______________                Element Type: _____________________                Entered By: ________________________
Annual Permit Fee: ______________                Check #: ___________      Receipt #: ___________         AMANDA #: ___________



  Permit Application for Mobile Food Truck
               101 W. Abram Street • Arlington, Texas 76004 • 817-459-6502 • www.ArlingtonTX.gov/health/applications.html


                      NOTE: This application must be filled out completely. Application for a permit to operate
                      does not guarantee that a permit will be granted. Application approval is based upon
                      compliance of the Mobile Food Unit (MFU) with state and local health requirements.

 Mobile Vendor Business Name
 Mobile Vendor Owner                                                              Phone
 Mobile Vendor Responsible Party                                                  Phone
 Residence Address
     City                                                                         State                       Zip Code
 E-mail address                                                                   Hours of operation:
 Type of Permit:              (     ) Annual                                      (       ) Temporary
 Date and Location of Event (Temporary Permit Only):
 Type of Vehicle:             (     ) Truck            (Specify)
     Make                                              Model                      Year                        Color
 Drivers License #                       State         License Plate #                      State VIN#:
 Name of Commissary
     Address
     City                                                                         State                       Zip Code
 Phone                                                 Owner/Manager’s Name

 LP-gas:    q Yes      q No

NOTE: The MFU must be inspected to be eligible to receive a permit. The permit is valid for only MFUs and no external
appurtenances such as a tent or stage. The permit expiration date is indicated on the permit. The permit fees are as follows:
Fee Schedule:         Annual Permit (valid for one year) – $450
                      Temporary Permit (valid for single event) - $140 + $5 per day
                      Annual Fire Department Safety Inspection (LP-gas only) – $50
                      Re-inspection – $150
A MOBILE FOOD TRUCK CANNOT OPERATE IN THE CITY OF ARLINGTON UNLESS THE FOLLOWING THREE CONDITIONS ARE SATISFIED:
   1. The MFU has a valid Mobile Food Truck Permit issued by the City and complies with all applicable laws and regulations;
   2. The MFU is operated on City property or a Major Sports Complex. Food trucks cannot park on City right-of-way unless
      closed with approval of the Arlington Police Department; and
   3. The MFU is operated in association with a Special Event with the permission of the Special Event organizer.

I attest that the information provided above is true and accurate. I agree to comply with the City of Arlington Health Code
and understand that failure to do so may result in suspension or revocation of the permit. I further understand that the
permit is granted to the above listed owner(s) and is not transferable and that these fees are non-refundable.


           ______________________________________________________                          ________________________________
                    Signature of Applicant                                                         Date
                 Required Documents Checklist
    Vendor            Staff          Proof of Texas sales and use tax permit
                                     Copy of Current Driver’s License and Vehicle Insurance and Registration
                                     Mobile Food Unit Physical Inspection Checklist
                                     Mobile Food Vendor Responsibilities
                                     Notary Statement and Commissary Responsibilities
                                     Certification in Jurisdiction of Commissary
                                     Arlington Fire Department Inspection Report




 When your MFU meets all of the
 requirements, bring the mobile unit
 to 101 West Abram Street, in order
 to have the vehicle inspected.


Inspections are conducted Tuesday
and Thursday morning between
8:30 a.m. and 9:30 a.m.

If the unit passes inspection, a permit
will be issued.

If the unit does not meet the require-
ments, an additional inspection must
be made and a re-inspection fee will
be assessed.




              101 W. Abram Street • Arlington, Texas 76004 • 817-459-6502 • www.ArlingtonTX.gov/health/applications.html
Mobile Food Unit Physical Inspection Checklist
q License Plate - Present and current                               q Splash Guard – A splash guard may be required
                                                                      between hand sink and ware washing sink to prevent
q State Inspection - Present and current                              possible contamination
q Wastewater Capacities – Wastewater tank must be                   q Hot Water Heater – Water heating device present and
  sized with a minimum capacity of 15% larger than                    secured in unit
  potable water tank’s capacity
                                                                    q Light Shields – All lighting must have protective
q Water Tank Security – All tanks must be permanently                 covers or shields in place to prevent contamination
  mounted to unit                                                     from possible breakage
q Wastewater Tank Clean-out Valve – Clean-out valve                 q Cold Hold Unit – Mechanical cooler/refrigerator
  must be located on the exterior of unit; diameter of                present in unit; it is highly recommended that unit
  clean out must be 1” in diameter or larger and may                  is equipped with commercial refrigeration unit;
  not be the same size as clean water fill up valve;                  residential refrigeration units often lack the capability
  clean-out valve must be located at height below                     to maintain food items at appropriate temperature in
  clean water fill up valve                                           the MFU operating environment
q Clean Water Tank Fill Valve – Fill valve must be                  q Cleanable Surfaces – All interior surfaces must be
  located on exterior of unit; fill valve must be located             constructed of smooth, durable, easily cleanable,
  at height above waste water clean-out valve; fill valve             non-absorbent materials
  may not be the same size as waste water clean-out
  valve                                                             q Physical Condition – No conditions present which
                                                                      may pose a risk to food or personal safety i.e. floors,
q Hand Washing Sink – Hand wash sink with soap and                    walls, ceilings, etc…
  towels present and available for convenient use
                                                                    q Personal Hygiene – Clean outer clothing, hair
q Ware Wash Sink – 3-compartment wash sink                            restraints, smoking and drinking prohibited
  present; fill faucet able to reach all compartment
  for filling; compartments capable of holding water;               q Other Operations – Cleaning supplies properly stores,
  compartments must be large enough to fully                          trash and refuse, itinerary, food handler cards
  submerge all food contact wares requiring washing

*This checklist is solely intended to provide guidance in adherence to the Texas Food Establishment Rules and City of
Arlington ordinances. This guidance is not all inclusive of the rules and regulations pertaining to MFUs.




             101 W. Abram Street • Arlington, Texas 76004 • 817-459-6502 • www.ArlingtonTX.gov/health/applications.html
             Mobile Food Vendor Responsibilities
1. NO HOME PREPARED FOOD MAY BE SERVED                               8. WATER/UTILITIES: All MFU that are required to
   TO THE PUBLIC.                                                       have water supplies must have properly designed
                                                                        waste water holding tanks of a 15% greater capacity
2. THE USE OF EXTERNAL FOOD PREPARATION                                 than the hot and cold water supply. The holding
   AND STORAGE EQUIPMENT IS NOT ALLOWED.                                tank must be permanently installed in the unit and
   All equipment must be contained within or on the                     equipped with a drain valve to empty the tank on
   MFU and must be properly enclosed.                                   the outside of the vehicle. Leaking wastewater tanks
                                                                        may result in permit suspension. At no time during
3. COMMISSARY USE: Report to your Commissary
                                                                        operation is the mobile unit to be attached to a water
   to service your MFU. Food and supplies should be
                                                                        hose or any other permanent water supply. Also,
   stored here as well. The Commissary Log Sheet
                                                                        permanent utilities (i.e. gas, electrical) may not be
   will be maintained at the facility and be presented
                                                                        attached to the MFU at any time.
   annually for permit renewal.
                                                                     9. HOT AND COLD WATER: If the MFU operation
4. REFRIGERATION AND HEATING: You must have
                                                                        requires hot and cold water, it must be supplied
   adequate hot and cold food storage facilities to
                                                                        and working at all times during operation. Failure to
   maintain food products at the required temperatures.
                                                                        comply may result in permit suspension.
   Hot foods must be held at 135 degrees F or above.
   Cold foods must be stored at 41 degrees F or below.               10. HANDWASHING: Soap and single use paper
                                                                       towels must be supplied to the hand sink at all times.
5. THERMOMETER: Metal stem dial thermometers
   with a range of -40 degrees F to 400 degrees F must               11. CERTIFIED FOOD MANAGER / FOOD HANDLER:
   be provided on MFUs on which food is prepared in                     MFUs are required to have at least (1) one State
   order to monitor food temperatures. Locate additional                of Texas food manager certificate and all other
   thermometers in all refrigeration units.                             employees registered as food handlers within 30
                                                                        days of employment.
6. LABELING: All prepackage foods must have
   complete and proper labels.

7. MOBILITY: The health authority may prohibit
   alteration, removal, attachments, placement or
   change in, under, or upon the MFU establishment
   that would prevent or otherwise reduce ready
   mobility.




I have read and understand the items of responsibility listed above, and I agree to comply with all of the requirements.




        ______________________________________________________                            ________________________________
                Signature of Mobile Food Unit Owner/Operator                                       Date




              101 W. Abram Street • Arlington, Texas 76004 • 817-459-6502 • www.ArlingtonTX.gov/health/applications.html
Notary Statement and Commissary Responsibilities
These documents are used to state that the MFU uses the facility as its base of operation. This statement should
also indicate that the central preparation facility has the proper wastewater capabilities for the type of food the MFU
will be preparing.

1. All MFUs must be stored at a Commissary.                          8. Health Services as a Food Manufacturer if the
                                                                        establishment does either of the following:
2. The Commissary must furnish written approval to
   the owner of the MFU at the time of the MFUs initial                     a. Prepare and package products sold by the
   permitting and permit renewal.                                              MFU.
                                                                            b. Prepare the product for the MFU, even if the
3. The Commissary must allow the MFU owner to                                  vendor actually labels the products.
   bring the MFU to the establishment for servicing as
   needed.                                                           9. Food Product labels must contain the following
4. Grease Trap/Interceptor (Arlington): Yes No                          information:
   Industrial Waste Permit # (if applicable)                                a. Name and address of manufacturer.
   ____________________                                                     b. The common name of the product.
5. The Commissary must allow all food storage.                              c. A list of all the ingredients in the product from
                                                                               the most prevalent to the least prevalent.
6. The Commissary must allow all food held overnight
   to be stored at their location.                                          d. The net weight of the product.

7. The Commissary must store all equipment and
   supplies of the MFU.


I ______________________________________________________ have read and understand the items of
       Commissary Owner or Responsible Party (Print)


responsibility listed above and agree to comply with all of the requirements. I give permission to


________________________________________________ to use my establishment,
      Mobile Food Vending Unit owner/operator


____________________________________________ located at _______________________________________
       Name of Commissary Establishment                     Address of Commissary Establishment


as a central preparation facility for the mobile food vending unit.




         ___________________________________________________                              ______________________________
               Signature of Commissary Owner or Responsible Party                               Date



        Phone Number: _______________________________________




              101 W. Abram Street • Arlington, Texas 76004 • 817-459-6502 • www.ArlingtonTX.gov/health/applications.html
STATE OF TEXAS                    )
                                  )
COUNTY OF TARRANT                 )


Before me on this day, personally appeared _________________________________________________, owner or
                                                        (Individual’s name)

responsible party of ___________________________________________, known to me (or proven to me) to be the
                            (Name of Commissary)

person whose name is subscribed to the foregoing “Sworn Statement of Commissary Use (City of Arlington only)”
and acknowledged to me that he/she executed the same.




                                                              _______________________________________________
                                                                       Notary Public, State of Texas



NOTARY SEAL                                                   My Commission Expires: ___________________, 20_____
(ink stamp only)




Certification in Jurisdiction of Commissary
MFUs are required to document on a log sheet the dates and times that service visits are conducted to the approved
Commissary. This includes re-stocking the MFU, obtaining fresh water and discarding waste water. This log sheet
shall be maintained at the Commissary and be presented to any health official upon request and during permit
renewal. If using an approved liquid waste hauler, copies of trip tickets will be required to be presented during
routine inspections and at permit renewal. A sample log sheet has been provided. This item is NOT required during
the initial permitting process.

If the Commissary is located outside of the jurisdiction of the City of Arlington, the Health Authority in that jurisdiction
must complete the following certification:


                             __________________________________________________
                                           Name of Food Establishment


I certify that the above establishment is currently approved to operate as a food establishment under my jurisdiction.


_________________________________________________
 Signature of Health Officer/Authority


___________________________________________________                             Permit Number __________________________
 Jurisdiction


_________________________________________________
 Phone Number



              101 W. Abram Street • Arlington, Texas 76004 • 817-459-6502 • www.ArlingtonTX.gov/health/applications.html
Arlington Fire Department Inspection Report
An Arlington Fire Department inspection must be conducted and passed. All MFUs require an inspection by the Fire
Department; however, only those utilizing LP-gas for commercial cooking will be assessed a Fire Department Safety
Inspection fee. A Fire Department official will be available at the same location that Health Department inspections
will be conducted; however, you must schedule the inspection by calling 817-459-5539.

q An Operational Permit is required for a MFU using                  q “No Smoking” signs approved by the Fire Marshal
  any amount of LP-gas for commercial cooking. Any                      shall be visible near propane containers.
  other MFU at the same property address will be
  required to have their own individual permit.                      q A Type K portable extinguisher shall be carried in
                                                                       the MFU when deep-fry cooking involves vegetable
q An approved inspection sticker valid for 12 months                   oils or animal oils. All fire extinguishers shall have
  must be displayed on all LP-gas appliances (Stoves,                  current annual inspection date tags.
  Fryers, etc.) indicating that a licensed LP-gas
  company has inspected the equipment, excluding                     q An approved ventilation system shall be installed
  LP Gas cylinders. Present a valid receipt for gas                    over cooking equipment. Hoods shall be operated at
  inspection.                                                          the required rate of air movement. Classified grease
                                                                       filters shall be in place and cleaned as needed.
q All LP-gas containers shall be limited to 60 pounds
  gas capacity. Two 30-lb containers may be manifold                 q The operator of an MFU that uses any amount of
  when equipment is approved in advance. When                          LP-gas to prepare food shall not operate such unit
  the project requires a greater amount of LP-gas for                  within 60 feet of another MFU, except at festivals or
  a specific appliance, a 100-pound cylinder may be                    events approved by the Fire Marshal.
  used when approved in advance.

q All LP-gas containers (empty or full) shall be secured
  in an upright position in such a manner as not to
  fall over. All MFUs shall be positioned in a manner
  that will reduce the exposure of the LP-gas cylinder
  to vehicle impact. Do not park MFUs with LP-gas
  cylinders facing oncoming traffic. Always utilize
  available protection for LP-gas cylinders such as
  fences or barricades.



COMMENTS:




             101 W. Abram Street • Arlington, Texas 76004 • 817-459-6502 • www.ArlingtonTX.gov/health/applications.html
                             Mobile Food Truck
                         Frequently Asked Questions

Can I set up my food truck in Arlington?                             How do I acquire a permit to operate my food truck
                                                                     in Arlington?
On February 19, 2013, the City Council adopted a
new common business practice in response to a                        The three-step process involves the following:
community interest to offer more food choices while                     1. Visit www.ArlingtonTX.gov/health/applications.html
also protecting the viability of existing restaurants. The                 to download the Mobile Food Truck Permit
City currently allows mobile food catering trucks or hot                   Application or visit the One Start Development
trucks to operate citywide, however, prohibits them from                   Center on the 2nd floor of City Hall, 101 W. Abram
being stationary for more than thirty minutes. The pilot                   Street and ask for the Mobile Food Truck Permit
program would allow permitted mobile food trucks to                        Application.
remain stationary for the event and require an invitation
by the special event organizer. The City would also                     2. When your MFU meets all of the requirements,
have the flexibility to allow them to operate on City                      bring the mobile unit to 101 West Abram Street, in
owned property in association with a sponsored event.                      order to have the vehicle inspected. Inspections
                                                                           are conducted Tuesday and Thursday morning
                                                                           between 8:30 a.m. and 9:30 a.m. If the unit
Where can I set up my food truck for business?                             passes inspection, a permit will be issued. If the
                                                                           unit does not meet the requirements, an additional
Approval is based upon compliance of the Mobile Food                       inspection must be made and a re-inspection
Unit (MFU) with state and local health requirements. A                     fee will be assessed. A temporary permit may be
food truck cannot operate in the City of Arlington unless                  issued the day of the event with advance notice.
the following three conditions are satisfied:                           3. Set up for business in accordance with conditions
  1. The MFU has a valid Mobile Food Truck Permit                          outlined in the permit application.
     issued by the City and complies with all applicable
     laws and regulations;
                                                                     What is the Mobile Food Truck Permit Application fee?
  2. The MFU is operated on City property or a Major
     Sports Complex. Food trucks cannot park on City                   Annual Permit
     right-of-way unless closed with approval of the                   (valid for one year) . . . . . . . . . . . . .$450
     Arlington Police Department; and
                                                                       Temporary Permit
  3. The MFU is operated in association with a Special
                                                                       (valid for single event) . . . . . . . . . . .$140 + $5 per day
     Event with the permission of the Special Event
     organizer.                                                        Annual Fire Department
                                                                       Safety Inspection (LP-gas only) . . .$50
                                                                       Re-inspection . . . . . . . . . . . . . . . . .$150
Can I set up my food truck for catering at a private
party on private residential property?
                                                                     Where do I send my concerns about potential
Not under the current ordinance.                                     unsanitary conditions of a food truck?

                                                                     Contact the Community Development and Planning
                                                                     Department, 817-459-6502.




              101 W. Abram Street • Arlington, Texas 76004 • 817-459-6502 • www.ArlingtonTX.gov/health/applications.html

				
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