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PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG -FREE <br />WORKPLACE REQUIREMENTS <br />Santa Ana Elks Lodge #794 <br />2/25/2022 <br />The Contractor shall insert in the space provided below the site(s) expected to be used for the <br />performance of work under the contract covered by the certification: <br />Place of Performance (Include street address, city, county, state, zip code for each site): <br />1751 S Lyon Street <br />Santa Ana, California 92705 <br />Authorized Signature <br />