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DIVISION OF EMPLOYMENT SERVICES <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG -FREE <br />WORKPLACE REQUIREMENTS <br />Name: SONNY THOMAS <br />Name of EMPLOYER: PRIME TECH CABINETS INC <br />Agreement Number: <br />Date: <br />The EMPLOYERshallinsert in the space provided below the site(s) expected to be used for the <br />- performance of work under the Agreement covered by the certification: <br />Place of Performance (include street address, city, county, state, zip code for each site): <br />Name PRIME TECH CABINETS, INC.. <br />Street Address 2215 S. STANDARD AVE. <br />City CA Zip Code SANTA ANA, CA 92707 <br />EXHIBIT D <br />