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<br />.< <br /> <br />DIVISION OF EMPLOYMENT SERVICES <br /> <br />PLACE OF PERFORMANCE <br /> <br />. FOR CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS <br /> <br />E:L~2tW' ~-~ L" L¥\A <br />Name of Contractor: ~ Id ,Ch..~\k:w';o L'D C <br /> <br />Name: <br /> <br />contractor'Number: <br /> <br />Date: <br /> <br /><2-(\- olf <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 /><2- (p LI <br /> <br />Performance (include street address, city, county, <br />site): <br /> <br />W' S~ 9.rt-'( ~)CA~{)3. <br /> <br />state, zip code <br /> <br />Place of <br />for each <br />