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DIVISION OF EMPLOYMENT SERVICES <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS <br />Name: Tamara Kvckelhahn <br />Name of Contractor: Pacific Cleaning Services <br />Contractor Number: <br />Date: 3/15/201 1 <br />The Contractor shall insert in the space provided below the site(s) expected to be used <br />for the performance of work under the contract covered by the certification: <br />Place of Performance (include street address, city, county, state, zip code for each site): <br />Pacific Cleaningg Services <br />1220 Villacge Wav #A <br />Santa Ana, CA 92701 <br />EXHIBIT D