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DIVISION OF EMPLOYMENT SERVICES <br /> <br /> PLACE OF PERFORMANCE <br /> <br />FOR CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS <br /> <br />Name: <br /> <br />Shawna Smith <br /> <br /> Taller San Jose <br /> <br />Name of Contractor: <br />Contractor Number: <br /> <br />Date: June 3, 2002 <br /> <br />A2002-094 <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 />810 N. Poinsettia <br /> <br />Santa Ana, CA 92701 <br /> <br /> <br />