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San Joaquin County Public Health Laboratory <br /> 1601 E. Hazelton Ave <br /> swCKTON.CA 95205 <br /> PH:209-465-3460,PAY:209-=16&0639 <br /> A sowJ nr„- CLIA ID 05DO643989 <br /> Public Health Services FLAP# 1892 <br /> Harm eet Kaur Ph.D, HCLD(ABB) <br /> Submitter:San Joaquin County Environmental Health Patient Name: G and H Dairy LLC, Well Head 16475 Brennan <br /> 1868 E. Hazelton Ave, STOCKTON, CA 95205 DOB: 01/01/1900 Gender: U Patient ID: <br /> 2094683120 Patient Address:16996 Sexton Rd, ESCALON, CA 95320 <br /> Collection Location:San Joaquin County Environmental Health <br /> Collection Location Address: 1868 E.Hazelton Ave Race: Ethnicity: <br /> STOCKTON, CA 95205 County of Residence San Joaquin <br /> Ordering Provider: Kang, Jasjit Sample ID:2504286 <br /> Ordering Provider NPI: ' <br /> Collection Date/Time:03131/2025 11:00 Comments: Chlorine: NA <br /> Received Date/Time:03/31/2025 13:54 Water Source: Private Potable Water <br /> Collected by:Aaron Gooderham <br /> Approval Date/Time:04/02/2025 10:08 Sample#2111816 <br /> cc: SJC Environmental Health Unit#2 <br /> Water Colilert Fipprova?�510 A81me: <br /> 01/02l�0_ Order Status: Final <br /> RESULT <br /> MICROBIOLOGY FINDINGS <br /> Colilert PA total Total Coliform Absent <br /> PA E. coli Absent <br /> REPRINT: 05/01/2025 10:10 Page: 1 of 1 <br />