Mobile Food Facility (MFF), Vending Machine (VM), Compact Mobile Food Facility (CMFO Cart) Application Form (Oakland, California)

This is the official Mobile Food Facility (MFF), Vending Machine (VM), Compact Mobile Food Facility (CMFO Cart) Application Form from Alameda County Department of Environmental Health. You can fill it in its original layout in your browser or with an AI assistant, then download it to review, sign and submit to the agency.

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Form details

Issuer: Alameda County Department of Environmental Health
Jurisdiction: Oakland, California
Type: Food truck and mobile vending permits
Questions: 214
Last mapping review: 2026-10-02

Official blank PDF from Alameda County Department of Environmental Health ↗

What this form asks

Contact Name
Contact Email
Contact Cell Phone
Business Owner Name (Sole Proprietor, LLC, Inc.)
Business Owner Phone
Business Owner Address/City/State/Zip Code
Business Mailing Address
Business Email
Name of the Business
Vehicle Owner Name
Vehicle Make & Year
License Plate
VIN #
Owner CDL#/Valid Government I.D.#
Any Current/Expired CA County Health Permit for Vehicle
Business Owner Print Name
Date Signed (date)
Permit Category (check one, A-H) (choose one)
Consult ($174) (checkbox)
Box E. One Single Event: Name and Date of the Event
Electrical Outlet/Restroom Agreement: Address Location for the Electrical Outlet
Electrical Outlet/Restroom Agreement: Address Location for the Restroom
Electrical Outlet/Restroom Agreement: Print Name of Person Authorized to Give Permission
Menu Item 1: Food/Beverage Item
Menu Item 1: All Ingredients (multiline)
Menu Item 1: Prepared in the Commissary Kitchen? (Y/N)
Menu Item 1: Prepared on the Vehicle? (Y/N)
Menu Item 2: Food/Beverage Item
Menu Item 2: All Ingredients (multiline)
Menu Item 2: Prepared in the Commissary Kitchen? (Y/N)
Menu Item 2: Prepared on the Vehicle? (Y/N)
Menu Item 3: Food/Beverage Item
Menu Item 3: All Ingredients (multiline)
Menu Item 3: Prepared in the Commissary Kitchen? (Y/N)
Menu Item 3: Prepared on the Vehicle? (Y/N)
Menu Item 4: Food/Beverage Item
Menu Item 4: All Ingredients (multiline)
Menu Item 4: Prepared in the Commissary Kitchen? (Y/N)
Menu Item 4: Prepared on the Vehicle? (Y/N)
Menu Item 5: Food/Beverage Item
Menu Item 5: All Ingredients (multiline)
Menu Item 5: Prepared in the Commissary Kitchen? (Y/N)
Menu Item 5: Prepared on the Vehicle? (Y/N)
Menu Item 6: Food/Beverage Item
Menu Item 6: All Ingredients (multiline)
Menu Item 6: Prepared in the Commissary Kitchen? (Y/N)
Menu Item 6: Prepared on the Vehicle? (Y/N)
Menu Item 7: Food/Beverage Item
Menu Item 7: All Ingredients (multiline)
Menu Item 7: Prepared in the Commissary Kitchen? (Y/N)
Menu Item 7: Prepared on the Vehicle? (Y/N)
Menu Item 8: Food/Beverage Item
Menu Item 8: All Ingredients (multiline)
Menu Item 8: Prepared in the Commissary Kitchen? (Y/N)
Menu Item 8: Prepared on the Vehicle? (Y/N)
1. How will you prevent cross contamination when customers use their own refillable cups, mugs, containers or plates? (multiline)
2. kW Power Rating, Make and Model of Your Generator
3. How many employees work with food?
3. Do they all have food handler cards?
3. Have they been trained to do assigned duties?
3. Have you designated a person in charge during operations?
4a. Where is the food purchased from, including ice?
4b. Where will the waste water tanks and steam table be emptied?: At home (checkbox)
4b. Where will the waste water tanks and steam table be emptied?: At the commissary every day (checkbox)
4b. Where will the waste water tanks and steam table be emptied?: Any drain near where we operate (checkbox)
4c. Portable equipment used on the MFF: Microwave (checkbox)
4c. Portable equipment used on the MFF: Toaster (checkbox)
4c. Portable equipment used on the MFF: Blender (checkbox)
4c. Portable equipment used on the MFF: Coffee Maker (checkbox)
4c. Portable equipment used on the MFF: Knives (checkbox)
4c. Portable equipment used on the MFF: Cutting Board (checkbox)
4c. Portable equipment used on the MFF: Induction Burner (checkbox)
4c. Portable equipment used on the MFF: Rice Cooker (checkbox)
4c. Portable equipment used on the MFF: Slicer (checkbox)
4c. Portable equipment used on the MFF: Tortilla Press (checkbox)
4c. Portable equipment used on the MFF: Electric Mixer (checkbox)
4c. Portable equipment used on the MFF: Mixing Bowl (checkbox)
4c. Portable equipment used on the MFF: Other (checkbox)
4c. Portable equipment: Other (specify)
4d. Cleaning food-contact surfaces that cannot go to the 3-compartment sink: Wipe with a towel (checkbox)
4d. Cleaning food-contact surfaces that cannot go to the 3-compartment sink: Use approved clean in place procedures (checkbox)
4d. Cleaning food-contact surfaces that cannot go to the 3-compartment sink: It is not necessary (checkbox)
4e. How will the potable water tank be sanitized?: Add soap to the tank (checkbox)
4e. How will the potable water tank be sanitized?: Add sanitizing solution to the tank using approved methods (checkbox)
4e. How will the potable water tank be sanitized?: Add hot water to the tank (checkbox)
4f. How and where will you clean the MFF?: At home (checkbox)
4f. How and where will you clean the MFF?: Using mops and brooms at the commissary (checkbox)
4f. How and where will you clean the MFF?: With water, once a month (checkbox)
4g. When is it safe for an ill employee to return to work?: When the employee says they feel better (checkbox)
4g. When is it safe for an ill employee to return to work?: When the employee no longer has symptoms (checkbox)
4g. When is it safe for an ill employee to return to work?: If the employees have seen a doctor (checkbox)
4h. How will you verify food temperatures?: By touching the pot (checkbox)
4h. How will you verify food temperatures?: By tasting it (checkbox)
4h. How will you verify food temperatures?: By using a probe thermometer (checkbox)
4i. How will you verify sanitizer concentration?: Using proper test strips (checkbox)
4i. How will you verify sanitizer concentration?: Smelling the sanitizer (checkbox)
4i. How will you verify sanitizer concentration?: Checking the sanitizer temperature (checkbox)
4j. How will you set up the 3-compartment sink?: Scrape, stack, rinse (checkbox)
4j. How will you set up the 3-compartment sink?: Wash, rinse, dry (checkbox)
4j. How will you set up the 3-compartment sink?: Wash, rinse, sanitize (checkbox)
4k. Where will you keep copies of food handler cards?: In a folder, easily accessible (checkbox)
4k. Where will you keep copies of food handler cards?: In the glove compartment (checkbox)
4k. Where will you keep copies of food handler cards?: Copies are not needed (checkbox)
4l. What will you do if your generator breaks down?: Close, store food safely, & get the generator fixed (checkbox)
4l. What will you do if your generator breaks down?: Keep working (checkbox)
4l. What will you do if your generator breaks down?: Hope the inspector does not come today (checkbox)
4m. What will you do if there is no water from the faucets?: Buy bottled water (checkbox)
4m. What will you do if there is no water from the faucets?: Close & return to the commissary for water (checkbox)
4m. What will you do if there is no water from the faucets?: Sell prepackaged food (checkbox)
4n. Where will you store clean and dirty cloth towels?: I do not need towels (checkbox)
4n. Where will you store clean and dirty cloth towels?: Designate a container and a laundry bag (checkbox)
4n. Where will you store clean and dirty cloth towels?: On the floor (checkbox)
4o. Where will the produce be washed?: At home (checkbox)
4o. Where will the produce be washed?: At the commissary (checkbox)
4o. Where will the produce be washed?: On the truck (provide procedure) (checkbox)
4p. What will you do with left-over hot food at closing?: Put it in containers for tomorrow (checkbox)
4p. What will you do with left-over hot food at closing?: Cool it and reheat it for tomorrow (checkbox)
4p. What will you do with left-over hot food at closing?: Discard it (checkbox)
4q. Where will potentially hazardous food be stored?: In an approved refrigerator (checkbox)
4q. Where will potentially hazardous food be stored?: On the counter, if still frozen (checkbox)

…and 94 more.

Review, sign and submit

PaperPorter fills the form but does not submit it or approve anything. Signatures, initials and staff-only areas are left for the right person. Confirm current fees, attachments and filing instructions with Alameda County Department of Environmental Health.

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Frequently asked questions

Does PaperPorter submit this form?

No. You download the completed PDF, then review, sign and submit it to Alameda County Department of Environmental Health yourself.

Can I fill it without an AI assistant?

Yes. Fill it in your browser and download the completed PDF. An assistant such as ChatGPT or Claude can also ask you the questions and fill it for you.