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DIVISION OF EMPLOYMENT SERVICES <br /> PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG-FREE <br />WORKPLACE REQUIREMENTS <br /> <br />Name: Pacific Coast Cabling, Inc. <br />Name ofContra~tor: Pacific Coast Cabling, Inc. <br /> 95-4141989 <br /> <br />Contractor Number: <br />Date: 12-5-03 <br /> <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 convered by the certification: <br /> <br />Place of Performance (include street address, city, county, state, zip code for each site): <br /> <br />The Depot at Santa Ana <br /> <br />1000 E. Santa Ana Blvd. <br /> <br />Santa Ana, CA 92701 <br /> <br /> <br />