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San Joaquin County Public Health Laboratory <br /> 1601 E. Hazelton Ave <br /> STOCKTON,CA 95205 <br /> AAA PH:209-468-3460,FAX:209-468-0639 <br /> 14 San Joaquin County FLAP# 1892 <br /> Public Health <br /> Harmeet Kaur Ph.D, HCLD(A BB) <br /> Submitter:San Joaquin County Environmental Health Patient Name:Vander Schaaf Dairy#1,Well Head Well#1 39- <br /> 1868 E.Hazelton Ave, STOCKTON, CA 95205 328 <br /> 2094683420 Patient ID: 25-248-0043 <br /> Collection Location Collect Location Address Single Line Patient Address:12739 S Murphy Rd, ESCALON, CA 95320 <br /> Collection Location Address: 1868 E.Hazelton Ave County of Residence San Joaquin <br /> STOCKTON, CA 95205 <br /> Ordering Provider: Kang, Jasjit Sample ID:2511267 <br /> Ordering Provider NPI: ` Comments: Chlorine: NIA <br /> Collection Date/Time:09/04/2025 09:15 Water Source: Private Potable Water <br /> Received DatelTime:09/04/2025 11:22 Collected by: Rena LeRoy <br /> Approval DatelTime:09/05/2025 13:50 Sample#2316016 <br /> cc: SJC Environmental Health Unit#2 <br /> Water Colilert Approval Dateltime: Order Status: <br /> 09/05/2025 13 50 <br /> RESULT <br /> MICROBIOLOGY FINDINGS <br /> Col ilert PA total Total Coliform Absent <br /> PA E. coli Absent <br /> REPRINT: 09/05/2025 14:46 Page: 1 of 1 <br />