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<br />DIVISION OF EMPLOYMENT SERVICES <br /> <br />PLACE OF PERFORMANCE <br /> <br />FOR CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS <br /> <br />Name: U.eX/~t7f} /!me,-¡ÎYJ¡) £J;opLJrlun/Jz¡ <br />Name of Contractor: I-jar/-/ r)' f?d..5!rtJ <br /> <br />¡:; 1-1 17d¿¡ ftð /) <br /> <br />Contractor 'Number: <br /> <br />Date: <br /> <br />Jult¡ .<3/ ;¿ßtJ Y <br /> <br />The Contractor shall insert in the space provided below the site(s) expected <br />to be used for the performance of work under the contract convered by the <br />certification: <br /> <br />Place of Performance (include street address, city, county, state, zip code <br />for each site): <br /> <br />502 S. Ross St~eet <br /> <br />Santa Ana. CA 92701 <br /> <br />