Delaware County Health Department
Environmental Food Division
125 N. Mulberry St.
Muncie, IN 47305
(765) 747-7721
MOBILE FOOD UNIT QUESTIONNAIRE
1.
Will you be selling ONLY pre-packaged foods? Circle one: NO / YES
2.
How and where will you obtain potable water? Click or tap here to enter text.
3.
What are the water tank sizes?
☐Freshwater tank Click or tap here to enter text.
☐Wastewater tank Click or tap here to enter text.
4.
How will you provide water under pressure? Click or tap here to enter text.
5.
If operating when outside temperatures measure 32 degrees F or below, how will you prevent water tanks from freezing? Click or tap here to enter text.
6.
How will you maintain TCS foods below 41 degrees F or above 135 degrees F? Click or tap here to enter text.
7.
How and where will you dispose of wastewater and garbage? Click or tap here to enter text.
8.
Will you be catering from the mobile food unit? If so, explain. Click or tap here to enter text.
9.
Who is responsible for training employees about foodborne illness and employee health? Click or tap here to enter text.
10.
What food preparation and cooking will take place at commissary? Click or tap here to enter text.
11.
How will you obtain access to the commissary? Click or tap here to enter text.
12.
What food preparation will take place on the mobile unit? Click or tap here to enter text.
13.
What will you do with the leftover food at the end of the day? Click or tap here to enter text.
14.
Where will ice be obtained from? Click or tap here to enter text.
Please use the additional space below to provide any additional information regarding your mobile food operations. Click or tap here to enter text.
Print Name of Applicant/ Operator:
Click or tap here to enter text.
Signature of Applicant/Operator:
Click or tap here to enter text.