Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENTDate Run <br />Run Bx <br />Facility Information as of 8/3/2026 <br />FA0003104Record Selection Criteria:Facility ID <br />OWNER FILE INFORMATION <br />FACILITY FILE INFORMATION APN <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />StatusRecord IDProgram Element and Description <br />Active, billableGFAHMY2 - GFAHMY1635 - MOBILE FOOD PREPARATION UNIT (MFPU)PR2500267 <br />J.DateAPPLICANT'S SIGNATURE: <br />/LDateAmount Paid ‘ $25.00 = Program Records to be TRANSFERRED: <br />J.Amount Paid DateWater System to be TRANSFERRED: <br />Received by Payment Type <br />EHD Staff: <br />COMMENTS:INVOICE #: <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 or activity <br />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 Federal Laws. <br />8/3/2026 5:24:04 PM <br />GFAHMY2 <br />Report 5021 <br />Page 1 <br />Emergency Contact GURPAL MAAN <br />Title FACILITY OWNER <br />Primary Phone 2096342000 <br />Secondary Phone 2096788497 <br />Make changes/corrections in RED ink. <br />INFORMATION CHANGE (date) <br />OWNERSHIP CHANGE (date) <br />SSN / Fed Tax ID : <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />New Owner ID: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />^gmail.com <br />(Circle One) <br />Active/lnactive/Delete <br />A I D <br />Facilitv Owner Number 4571470 <br />Facilitv Owner Name GURPAL MAAN <br />Facility Owner DBA ROYAL CHAAT #4TJ1379 <br />Facility Owner Address 1464 SHEARWATER DR <br />PATTERSON, CA 95363 <br />Work/Business Phone 2096342000 <br />Alternate Phone 2096788497 <br />Mailing Address 1464 SHEARWATER DR <br />PATTERSON, CA 95363 <br />Care of GURPAL MAAN <br />Facility ID/ CERS ID FA0003104 <br />Facility Name ROYAL CHAAT #4TJ1379 <br />Facility Address 145 S KILROY RD <br />TURLOCK, CA 95380 <br />Phone 2096342000 <br />Mailing Address 1464 SHEARWATER DR <br />PATTERSON, CA 95363 <br />Care of GURPAL MAAN I <br />Transfer to <br />New Owner? <br />Y N <br />Accounts Receivable ID 4571468 <br />Mail Invoices to GURPAL MAAN <br />Contact Name ROYAL CHAAT #4TJ1379 <br />Email invoice to (up to 2 emails) royahhaatpattersoi <br />Email permit to (up to 2 emailsV / <br />Account Balance as of 8/3I/2026: $285. <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES <br />g' 2 <br />Employee ID and Name '—> / <br /> Date / ~7 / <br /> Check Number <br />—-j— Date Account out: <br />KECE <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />AUG 0 4 2026