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Sau Joaquin County Public 1Icalth Laboratory <br /> 1601 E. Hazelton Ave <br /> STOC KTON,CA 95205 <br /> PI-1:209-468-3-160,FAX:209--IGS-0639 <br /> CLIA ID 05D0643989 <br /> Public Health Services FLAP# 1892 <br /> Harmeet Kaur Ph.D. HCLD(ABB) <br /> Submitter:San Joaquin County Environmental Health Patient Name: G and H Dairy LLC, Kitchen Faucet 16880 Van <br /> 1868 E. Hazelton Ave. STOCKTON, CA 95205 Allen <br /> 2094683420 DOB: 01/01/1900 Gender: U Patient ID: <br /> 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 /> STOC KTON. CA 95205 <br /> County of Residence San Joaquin <br /> Ordering Provider: Kang, Jasjit <br /> Ordering Provider NPI: ' Sample ID:2504288 <br /> Collection DatelTime:03/31/2025 10:30 <br /> Comments: Chlorine: NA <br /> Received Date/Time:03/31/2025 13:54 <br /> Water Source: Private Potable Water <br /> Approval Date/Time:04/02/2025 09:49 Collected by Aaron Gooderham <br /> Sample"2310161 <br /> cc: SJC Environmental Health Unit#2 <br /> Water Colilert Approval Date/time: Order Status: <br /> 04/02/2025 09 4 9 <br /> RESULT <br /> MICROBIOLOGY FINDINGS <br /> Colilert PA total Total Coliform Present <br /> PA E. coli Absent <br /> REPRINT: 05/01/2025 10:01 Page: 1 of 1 <br />