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San Joaquin County Public Health Laboratory <br /> 1601 E. Hazelton Ave <br /> STOCKTON,CA 95205 <br /> PH:209-468-3460,FAX:209-468-0639 <br /> San J�Quin coin*+ CL M !D 05DO643989 <br /> Public Health Services FLAP# 1892 <br /> Harmeef Kaur Ph.D, HCLD(A BB) <br /> Submitter:San Joaquin County Environmental Health Patient Name: Sterling Farms,Well Head <br /> 1868 E.Hazelton Ave, STOCKTON, CA 95205 DOB:01/01/1990 Gender: U Patient ID: <br /> 2094683420 Patient Address:22220 Hwy99 Frontage Rd,ACAMPO, CA <br /> 95220 <br /> Collection Location:San Joaquin County Environmental Health <br /> Collection Location Address: 1868 E.Hazelton Ave Race: <br /> STOCKTON, CA 95205 Ethnicity: <br /> County of Residence San Joaquin <br /> Ordering Provider:Gooderham, Aaron <br /> Ordering Provider NPI: 0000000000 Sample ID:2415411 <br /> Collection Date/Time: 1 2/1 8/2024 1 1:00 <br /> Received Date/Time: 1 2/1 8/2024 1 3:49 Comments: Chlorine: N/A <br /> Water Source: Public Potable Water <br /> Approval Date[Time: 12/19/2024 15:32 Collected by:AGooderham <br /> Sample#:2116868 <br /> cc: SJC Environmental Health Unit#5 <br /> Water Colilert Approval Dateltime: Order Status: <br /> 12/19/2024 15:32 <br /> RESULT <br /> MICROBIOLOGY FINDINGS <br /> Colilert PA total Total Coliform Absent <br /> PA E. coli Absent <br /> REPRINT: 12/20/2024 10:42 Page: 1 of 1 <br />