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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 /> "°"�' ° FLAP# 1892 <br /> Public Health Services <br /> Harmeef Kaur Ph.D, HCLD(A BB) <br /> Submitter:San Joaquin County Environmental Health Patient Name: G and H Dairy,Well Head 16928 Van Allen <br /> 209-468-3420 Patient ID: 26-049-0041 <br /> Collection LocationSan Joaquin County Environmental Health Patient Address:16996 S Sexton Rd, Employee Housing, <br /> Collection Location Address: ESCALON, CA 95320 <br /> Ordering Provider: Kang, Jasjit County of Residence San Joaquin <br /> Ordering Provider NPI: " Sample ID:2605596 <br /> Collection Date/Time:04/28/2026 09:02 <br /> Received Date/Time:04/28/2026 09:54 Comments: Chlorine :N/A <br /> Approval DateMme:04/29/2026 12:31 Vlfater Source: Private Potable Water <br /> Collected : R.LeRoy <br /> Sample#2 04136 <br /> cc: SJC Environmental Health Unit#5 <br /> Water Colilert Approval Dateltime: Order Status: <br /> 04/29/2026 1231 <br /> RESULT <br /> TEST In Range Out of Range REFERENCE RANGE <br /> Colilert PA Total. Total Coliform Absent Total Coliform Absent <br /> Colilert PA E.coli. Absent Absent <br /> REPRINT: 04/29/2026 13:16 Page: 1 of 1 <br />