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r <br /> 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 /> Saa Joagwn county CLIA ID 05DO643989 <br /> Public Health Services FLAP# 1892 <br /> Harmeet Kaur PhD, HCLD(ABB) <br /> Submitter:San Joaquin County Environmental Health Patient Name: Quaresma Raymond and Sue Dairy, Sample Tap <br /> 1868 E.Hazelton Ave, STOCKTON, CA 95205 DOB:01/01/1900 Gender: U Patient ID: <br /> 2094683420 Patient Address:26290 Union Rd, Labor Camp, MANTECA, CA <br /> 95337 <br /> Ordering Provider:Sangalang, Scott <br /> Race: Ethnicity: <br /> Ordering Provider NPI: Scott Sangalang County of Residence San Joaquin <br /> Collection Date/Time:05/01/2024 10:40 <br /> Received Date/Time:05/01/2024 15:11 Sample ID:2405325 <br /> Approval DateMme:05/03/2024 08:26 <br /> Comments: Chlorine: NA <br /> Water Source: Private Potable Water <br /> Collected :Naseem <br /> Sample#2 09652 <br /> cc: SJC Environmental Health Unit#5 <br /> Water Colilert Approval Datettime: Order Status: <br /> 05/03/2024 08:26 <br /> RESULT <br /> MICROBIOLOGY FINDINGS <br /> Colilert PA total Total Coliform Absent <br /> PA E. coli Absent <br /> REPRINT: 05/03/2024 12:29 Page: 1 of 1 <br />