Laserfiche WebLink
<br />DIVISION OF EMPLOYMENT SERVICES <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG-FREE WORKPLACE <br />REQUIREMENTS <br /> <br />Name: ~ ~'-~~~~. <br />Name of Contractor: ~ C~ ('-t\~~A~ ~~C- <br />Contractor Number: ~. ~. -c:\-'2 (L. <br />Date: \ \:) \ \ \ "4:'T1 <br />\ \: <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 />sitel: <br /> <br />2215 Broadway <br /> <br />Santa Ana, CA 92705 <br />