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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 /> 'Son Joaquin County CLIA ID 05DO643989 <br /> Public Health Services <br /> health grows here Harmeet Kaur Ph.D, HCLD(ABB) <br /> Submitter:San Joaquin County Environmental Health Patient Name: Bonnie Plants, Sample Tap,Well Front of House <br /> 1868 E. Hazelton Ave, STOCKTON, CA 95205 DOB: 00/00/0000 Gender: U Patient ID: <br /> 2094683420 Patient Address:23575 E. Milton Rd., LINDEN, CA 95236 <br /> Ordering Provider: Kang, Jasjit Race: Ethnicity: <br /> Ordering Provider NPI: ` County of Residence: San Joaquin <br /> Collection Date/Time: 01/09/2023 10:30 <br /> Received Date/Time: 01/09/2023 11:35 Sample ID: 2300330 <br /> Approval Date/Time: 01/10/2023 15:42 <br /> Comments: Water Source: Private Potable Water <br /> Chlorine: NIA <br /> Collected by: M.Suszycki <br /> Sample#2024546 <br /> cc:SJC Environmental Health Unit#5 <br /> Water Colilert Approval Dateltime: Order Status: Final <br /> 01110/2023 15:42 <br /> RESULT <br /> MICROBIOLOGY FINDINGS <br /> Colilert PA total Total Coliform Absent <br /> PA E. coli Absent <br /> REPRINT: 01/10/2023 16:51 Page: 1 of 1 <br />