Laserfiche WebLink
DIVISION OF EMPLOYMENT SERVICES <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG-FREE <br />WORKPLACE REQUIREMENTS <br />Name: Coast Composites. Inc. <br />Name of Contractor: Marv Magallon <br />Contractor Number: <br />Date: 10/24/2012 <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 />Coast Composites. Inc. <br />1395 South Lvon Street <br />Santa Ana. CA 92705 <br />EXHIBIT D