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<br />DIVISION OF EMPLOYMENT SERVICES <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG-FREE WORKPLACE <br />REQUIREMENTS <br /> <br />Name: Rifka Hirsch <br /> <br />Name of Contractor: The Cambodian Family <br /> <br /> <br />Contractor Number: Federal ID 1195-3854831 <br /> <br /> <br />Date: June 28, 2006 <br /> <br />The Contractor shall insert in the space provided below the site(s) expected to be <br />used for the performance of work under the contract covered by the certification: <br /> <br />Place of Performance (include street address, city, county, state, zip code for each <br />site): <br /> <br />1111 E. Wakeham Ave., Ste. E, Santa Ana, CA 92705 (Orange County) <br /> <br />EXHIBIT F <br />