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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 /> San Joaquin Count) ELAP# 1892 <br /> Public Health Services <br /> 1,—,. Harmeef Kaur Ph.D, HCLD(A BB) <br /> Submitter:San Joaquin County Environmental Health Patient Name:Vanderschaaf Dairy#2, Well Head <br /> 1868 E.Hazelton Ave, STOCKTON, CA 95205 Patient ID: 25-253-3835 <br /> 2094683420 Patient Address:15355 S Van Allen Rd, 39-364, ESCALON, CA <br /> 95320 <br /> Collection Location Collect Location Address Single Line <br /> Collection Location Address: 1866 E.Hazelton Ave County of Residence San Joaquin <br /> STOCKTON, CA 95205 <br /> Ordering Provider: LeRoy, Rena Sample ID:2611529 <br /> Ordering ProviderNPI: ********** <br /> Collection DatefTime:09/09/2025 10:20 Comments: Chlorine: NIA <br /> Water Source: Private Potable Water <br /> Received Date/Time:09/09/2025 12:33 Collected by: R Leroy <br /> Approval DateiTime:09/11/2025 07:51 Sample#:2316015 <br /> Cc: SJC Environmental Health Unit#2 <br /> Water Colllert Approval Date/time: Order Status: <br /> 09/11/2025 07:51 <br /> RESULT <br /> MICROBIOLOGY FINDINGS <br /> Colilert PA total Total Coliform Absent <br /> PA E. coli Absent <br /> REPRINT: 09/11/2025 10:17 Page: 1 of 1 <br />