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PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG -FREE <br />WORKPLACE REQUIREMENTS <br />Name: The Cambodian Family <br />Date: 03/16/2022 <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 />The Cambodian Family, 1626 E. 4th Street, Santa Ana, CA 92701 <br />36 <br />