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Q �1-1oS` 1bZY1 <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 /> Son Joaquin co„nri CLIA ID 05DO643989 <br /> Public Health Services FLAP# 1892 <br /> -1" ,: Harmeef Kaur Ph.D, HCLD(ABB) <br /> Submitter:San Joaquin County Environmental Health Patient Name: Sambado#2, Wellhead <br /> 1868 E.Hazelton Ave, STOCKTON, CA 95205 DOB:01/01/1900 Gender: U Patient ID: <br /> 2094683420 Patient Address:15294 Eight Mile Rd., LINDEN, CA 95236 <br /> Ordering Provider:Sangalang, Scott Race: Ethnicity: <br /> Ordering Provider NPI: Scott Sangalang County of Residence San Joaquin <br /> Collection Date/Time:04/02/2024 12:30 Sample ID:2404033 <br /> Received Date/Time:04/02/2024 15:31 <br /> Approval Date/Time:04/04/2024 09:19 Comments: Chlorine: NA <br /> Water Source: Public Potable Water <br /> Collected by:Aaron Gooderham <br /> Sample ID:2117367 <br /> Water Colilert Approval Dateltime: Order Status: <br /> 04/04/2024 09:19 <br /> RESULT <br /> MICROBIOLOGY FINDINGS <br /> Colilert PA total Total Coliform Absent <br /> PA E. coli Absent <br /> REPRINT: 04/04/2024 11:51 Page: 1 of 1 <br />