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f <br /> 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( CLIA !D 05DO643989 <br /> Public Health Services FLAP# 1892 <br /> 1,.of IAg,°.• a^,° Harmeet Kaur Ph.D, HCLD(ABB) <br /> Submitter:San Joaquin County Environmental Health Patient Name:Zuckerman Heritage 39 316, Sample Tap <br /> 1868 E.Hazelton Ave, STOCKTON, CA 95205 DOB:01/01/1900 Gender: U Patient ID: <br /> 2094683420 Patient Address:Mc Donald Island, Labor Camp, Stockton, CA <br /> Ordering Provider:Sangalang, Scott Race: Ethnicity: <br /> Ordering Provider NPI: Scott Sangalang County of Residence San Joaquin <br /> Collection Date/Time:05102/202410:10 <br /> Received Date/Time:05/02/2024 12:17 Sample ID:2405409 <br /> Approval Date/Time:05/03/2024 13:15 <br /> Comments: Chlorine: NA <br /> Water Source: Private Potable Water <br /> Collected by:Naseem <br /> Sample#2116873 <br /> cc: SJC Environmental Health Unit#5 <br /> Water Colilert Approval Date/time: Order Status: <br /> 05/03/2024 13:15 <br /> RESULT <br /> MICROBIOLOGY FINDINGS <br /> Colilert PA total Total Coliform Absent <br /> PA E. coli Absent <br /> REPRINT: 05/03/2024 15:55 Page: 1 of 1 <br />