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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 <br /> Public Health Services FLAP# 1892 <br /> Harmeet Kaur Ph.D, HCLD(ABB) <br /> Submitter:San Joaquin County Environmental Health Patient Name:Vander Schaaf Dairy#2,Well Head <br /> 1868 E.Hazelton Ave, STOCKTON, CA 95205 Patient ID: 22-332-0023 <br /> 2094683420 Patient Address:15355 S.Van Allen Road, ESCALON, CA 95320 <br /> Collection Location Collect Location Address Single Line <br /> Collection Location Address: 1868 E.Hazelton Ave County of Residence San Joaquin <br /> STOCKTON, CA 95205 <br /> Sample ID:2511528 <br /> Ordering Provider: Kang, Jasjit <br /> Ordering Provider NPI: * Comments: Chlorine: NIA <br /> Collection Date/Time:09/09/2025 09:39 Water Source: Public Potable Water <br /> Received Date/Time:09/09/202512:33 Collected 0 LeRoy <br /> Sample#2316014 <br /> Approval Date/Time:09/11/2025 07:51 cc: SJC Environmental Health Unit#2 <br /> Water Colilert Approval Date/time: Order Status: <br /> 09/11/2025 07:51 <br /> RESULT <br /> MICROBIOLOGY FINDINGS <br /> Col ilert PA total Total Coliform Absent <br /> PA E. coli Absent <br /> REPRINT: 09/11/2025 10:17 Page: 1 of 1 <br />