This government document is issued by Drug and Alcohol Programs for use in Pennsylvania
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https://www.google.com/url?client=internal-element-cse&cx=007572080359491747877:ug3qpcrqbm4&q=https://www.ddap.pa.gov/Agency%2520Forms/Licensure/Statement%2520of%2520Compliance%2520Form.pdf&sa=U&ved=2ahUKEwi-ibvvqPGFAxXVhP0HHS25DPs4HhAWegQIAxAB&usg=AOvVaw0iftNHOpOzVq12jfO0D7KM