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xW <br /> LAB ��+ AN/A$LTYQSIS MAR 1 2.1915 <br /> u IRA1 a SAN JOAOUIN LOCAL HEALTH DISTRICT <br /> 1 \ P.O Boz 4009 <br /> L ED BPGk31 1601 E. Hazelton Ave . Stockton. Ca. 95101 <br /> 1 10 ML SAMPLE PER TUBE WATER ANALYSIS <br /> GAS IN Nfl5 1 7 3 < $ <br /> PRESUMPTIVE Re A(I({1255 All InciumeS To <br /> TEST DIVISION OF ENVIRONMENTAL HEALTFJ <br /> CONFIRMED 24 ❑ ROUTINE Id"REOUEST ❑ RECHECK <br /> TEST <br /> D'FUBLIC ❑ PRIVATE .eSflOkioR Water <br /> FECAL COLI N ❑ Raw&udece ❑ <br /> COMPLETED <br /> Witte! <br /> PQIVBICIAN(NAME AND ADDRESS) SAMPLING POINTpV e O <br /> a� <br /> TYPE <br /> OR <br /> PRINT <br /> Ste. <br /> SAMPLE NO. <br /> DATE B HOUR OBTAINED <br /> LAB FORM 9 SANITARIAN DILUTION <br /> ` /-A 0 Ci <br />