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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: ~ ~ );~1t-<-7 "d <br />Name of Contractor: ~Ik...-- 51-- J6l Go- <br />Contractor Number: <br />Date: (.11(, J(J t <br />I I <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 /><{I; I <br />'lIb <br /> <br />N- <br />N. <br /> <br />D-r-~\N'6 . <br /> <br />rpe.....l""-rh.... I <br /> <br />St-.~. A-----, <br />S ~ 4-1--<-. <br /> <br />C-A <br />LA <br /> <br />1;)..74 , <br />1.2-74 I <br /> <br />EXHIBIT F <br />