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Report #5021 <br />Pagel <br />Date run SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Facility Information as of 7/24/2023 <br />Run by <br />7/24/2023 3:44:04PN <br />Account Balance as of 7/24/2023: $0.00 <br />Status <br />Active <br />VE <br />(Circle One) <br />Transfer to Active/Inactve <br />New Owner? Delete <br />I D <br />I D <br />Employee ID and Name <br />EE0004589 - KADEANNE LINHARES <br />EE0000009 - NICHOLAS LOEHRER <br />Program/Element and Description Record ID <br />1626- RESTAURANT/BAR 101 + SEATS PR0527839 <br />1919- HMBP-0O2 Only Food Facility 1 chem units PR0540286 <br />Record Selection Criteria: Facility ID <br />Owner ID <br />Owner Name <br />Owner DBA <br />Owner Address <br />Work/Business Phone <br />Alternative Phone <br />Mailing Address <br />Care of <br />FA0018871 <br />OW0026222 <br />MACALINO, EMMANUEL <br />STARS CASINO <br />2880 N TRACY BLVD <br />TRACY, CA 95376 <br />209-880-9790 <br />209-777-7777 <br />2880 N TRACY BLVD <br />TRACY, CA 95376 <br />MACALINO, EMMANUEL <br />1 OWNER FILE INFORMATION Number of facilities for this owner: <br />FACILITY FILE INFORMATION APN <br />Facility ID / CERS ID <br />Facility Name <br />Location <br />Phone <br />Mailing Address <br />Care of <br />FA0018871 10642270 <br />STARS CASINO <br />3170 NAGLEE Rd <br />TRACY, CA 95304 <br />209-777-7777 x <br />2880 N TRACY BLVD <br />TRACY, CA 95376 <br />MACALINO, EMMANUEL <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name <br />Title <br />Day Phone <br />Night Phone <br />CALCETO, MARILYN <br />CASINO SUPERVISOR <br />209-880-9790 <br />209-777-7777 <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Account ID <br />Mail Invoices to <br />Account Name <br />Email invoice to (up to 2 emails) <br />Email permit to (up to 2 emails) <br />AR0033548 <br />Account <br />STARS CASINO <br />mcalceta@starscasino.net <br />mcalceta@starscasino.net <br />BILLING and COMPLIANCE ACKNOWLEDGEMENT: I, the undersigned owner, operator or agent of same, acknowledge that all site, and/or project specific, PHS/EHD hourly charges associated with this facility <br />or activity will be billed to the party identified as the OWNER on this form. I also certify that all operations will be performed in accordance with all applicable Ordinance Codes and/or Standards and State and/or <br />Federal Laws. <br />APPLICANT'S SIGNATURE: <br />Program Records to be TRANSFERED: *$25.00 = Amount Paid <br />Water System to be TRANSFERED: Amount Paid <br />Payment Type Check Number <br />EHD Staff: V- L f'11eNA.(eZ15, Date -7 / 24/ 4g;kccount out: <br />COMMENTS: <br />2-ecAc. k-vvor.4e-, \Gk/ <br />Date 1 / 2.3 <br />Invoice #: 3 g <br />ifte.u.) jVWc <br />1/15/22 <br />Date <br />Received b <br />Date <br />Make changes/corrections in RED ink. <br />INFORMATION CHANGE (date) —7 • 24. 23 <br />OWNERSHIP CHANGE (date) <br />SSN / Fed Tax ID : <br />New Owner ID : <br />New Account ID: : <br />Mail Invoices to: Owner / Facility / Account <br />(Circle One) <br /> Date