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DIVISION OF EMPLOYMENT SERVICES <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG-FREE <br />WORKPLACE REQUIREMENTS <br />Name: r �v,� w.e v� e ^ •F��r <br />Name of Contractor: nv—� e_ co«x_' <br />Contractor Number: <br />Date: <br />A -told -tx.z. <br />-- 3 - ")_ o \ <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 />O / <br />-rte <br />, <br />2215 <br />/Vnrth <br />21x019 <br />Dal/ <br />Saha <br />/brq <br />1, CA <br />g270& <br />EXHIBIT E <br />k_t5 <br />