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CLIENT INFORMATION <br />450 <br />Orange County Sheriff-Coroner <br />Attn: Lesley Trejo <br />1071 W Santa Ana Blvd <br />County of Orange Health Care Agency <br />PUBLIC HEALTH LABORATORY <br />PATIENT INFORMATION <br />NAME: Gonzalez, Jessica <br />BIRTHDATE: <br />AGE: 35 years <br />RICHARD C. ALEXANDER <br />Laboratory Director <br />ORDER INFORMATION . ·- <br />MAN: 1000-13-2724 <br />OPI: 13-02615-BB <br />PHYSICIAN: <br />Santa Ana, CA•Califomia 92703 GENDER: Female ACCESSION #: 13-1n-01ss <br />S E R O L O G Y <br />Hepatitis B Surface Antigen Testing <br />Collection Date: June 26, 2013 <br />Procedure <br /> <br />Hepatitis C Testing <br />Collection Date: June 26, 2013 <br />Procedure <br /> <br /> <br /> <br />1729 W 171h Street > Santa Ana o California o 92706 v MAIN (714) 834-8385 v FAX (714) 834-7968 1/3JI ~JI.. <br />Printed: 6/28/2013 3:10·50 PM '-..L)