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Date run 5/1/2025 5:17:39PM <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Report 45021 <br />Run by Report <br />Facility Information as of 5/1/2025 <br /> Pagel <br />Record Selection Criteria: Facility ID FA0024657 <br />Make changes/corrections In RED ink. <br /> <br />INFORMATION CHANGE (date) <br /> <br />OWNERSHIP CHANGE (date) <br />OWNER FILE INFORMATION Number of facilities for this owner: FAO SSN / Fed Tax ID : <br />Owner ID 4020979 Case Number: New Owner ID : <br />Owner Name CHASE THE SMELL <br />Owner DBA CHASE THE SMELL <br />Owner Address <br />TRACY, CA 95376 <br />Work/Business Phone <br />Alternative Phone <br />Mailing Address 3243 HOLLY DR <br />TRACY, CA 95376 <br />Care of GULLATT, EUGENIA <br />FACILITY FILE INFORMATION APN 14310020 <br />Facility ID / CERS ID FA0024657 <br />Facility Name CHASE THE SMELL #98608K2 <br />Location 2900 E HARDING WAY <br />MODESTO, CA 95351 <br />Phone 510-830-5323 x <br />Mailing Address 3243 HOLLY DR <br />TRACY, CA 95376 <br />Care of GULLATT, EUGENIA <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name GULLATT, EUGENIA <br />Title <br />Day Phone 209-464-4570 x <br />Night Phone <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Account ID FA0024657 <br />Mail Invoices to <br />Account Name CHASE THE SMELL #98608K2 <br />Email invoice to (up to 2 emails) , <br />Email permit to (up to 2 emails) ; <br />Account Balance as of 5/1/2025: $273.00 <br />Program/Element and Description <br />1635- MOBILE FOOD PREPARATION UNIT (MFPU) <br />New Account ID: : <br />Mail Invoices to: Owner / Facility / Account <br />(Circle One) <br />Transfer to Active/InacNe <br />(Circle One) <br />Record ID Employee ID and Name Status New Owner? De ete <br />PR0543447 CMURO - Claudia Muro Active Y N A D <br />- Y N AID <br />BILLING and COMPLIANCE ACKNOVVLEDGEMENT: 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 or activity will <br />be billed lathe 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 Federal Laws. <br />APPLICANTS SIGNATURE: <br /> <br />Date <br /> <br />Program Records to be TRANSFERED: * $25.00 = Amount Paid Date / / <br />Water System to be TRANSFERED: Amount Paid Date / / <br />Payment Type Ceck Num r Received b <br />EHD Staff: . 4. ze. eZia Date S- / 1 / ,t grccount out: <br />COMMENTS: e <br />4,05 e a 2/ 441.( 4. <br />r C/O ed <br />Invoice #: <br />iarkeP*5 61104kr" a2OP 1/XI (Yr) <br />Date 5-1LS