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DIVISION OF EMPLOYMENT SERVICES <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG -FREE <br />WORKPLACE REQUIREMENTS <br />Name: Katharyn O. Muniz <br />Name of Contractor: Orange Countv Conservation Corps <br />02 <br />Contractor Number: A-20 <br />Date: July 1 2020 - June 30 2021 <br />The Contractor shall insert in the space provided below the site(s) expected to be used <br />for the 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 />1853 N. Raymond Ave. Anaheim CA 92801 <br />Address <br />EXHIBIT G <br />