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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 /> c San Jo quin Countj CL IA ID 05D0643989 <br /> Public Health Services FLAP# 1892 <br /> - „o.:.. Harmeef Kaur Ph.D, HCLD(ABB) <br /> Submitter:San Joaquin County Environmental Health Patient Name: Frank Rocha Dairy, Domestic Well <br /> 1868 E.Hazelton Ave, STOCKTON, CA 95205 DOB:01/01/1900 Gender: U Patient ID: <br /> 2094683420 Patient Address:23243 Lone Tree, 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:Sangalang, Scott Sample ID:2511115 <br /> Ordering Provider NPI: Scott Sangalang <br /> Collection DatelTime:09102t202512:32 Comments: Chlorine: NIA <br /> Water Source: Public Potable Water <br /> Received DateMme:09/02/202510:30 Collected by: R LeRoy <br /> Approval Date/Time:09/03/2025 14:35 Sample#:2307158 <br /> Cc: San Joaquin Environmental Health Unit#2 <br /> Water Colilert Approval ateltime: Order Status: <br /> RESULT <br /> MICROBIOLOGY FINDINGS <br /> Colilert PA total Total Coliform Absent <br /> PA E. coli Absent <br /> REPRINT: 09/04/2025 12:13 Page: 1 of 1 <br />