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San Joaquin County Public Health Laboratory <br /> 1601 E. Iluelton Ave <br /> STOCKTON,CA 95205 <br /> PH:209-468-3460,FAX:209-468-0639 <br /> Son J000w.-Counr, <br /> CLlA ID 05D0643989 <br /> I Public Health Services FLAP# 1892 <br /> - Harmeet Kaur Ph.q HCLD(A BB <br /> Submitter:San Joaquin County Environmental Health Patient Name: Ripon Farms, Well Head,Sample A <br /> 1868 E.Hazelton Ave,STOCKTON, CA 95205 DOB:01/01/1990 Gender:U Patient ID: <br /> 2094683420 Patient Address:23531 Jack Tone Rd, 95366 <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:LeRoy, Rena Sample ID:2509299 <br /> Ordering ProviderNPI: <br /> Collection Date/Time:07/21/2025 13:50 Comments: Chlorine: NIA <br /> Received DateMme:07/21/2025 15:03 Water Source: Private Potable Water <br /> Collected by:RLeRoy <br /> Approval Date/Mme:07/23/2025 09:20 Sample#:2207586 <br /> Cc: SJC Environmental Health Unit#5 <br /> Water Colllert Approval Date/true: Order Status: <br /> 07/23/2025 09:20 <br /> RESULT <br /> MICROBIOLOGY FINDINGS <br /> Colilert PA total Total Coliform Absent <br /> PA E. coli Absent <br /> REPRINT:07/23/2025 11:39 Page: 1 of 1 <br />