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PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG -FREE <br />WORKPLACE REQUIREMENTS <br />Name: Aur_04 - gae, _ C�st C t, W.V.0 Ivy c L-- j r- <br />Date: 3/Z,' <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 />�uS� 5C1rootS <br />li_Pd[ � QVAcJ.VnkA aVe- <br />SC'ao4' CAga-Io\ <br />���Yes V•w� u�as - CoY po�r�--I� o-��'c� <br />1�--�SZ ��vd•��. �ovct CA a��-l3 <br />�R <br />