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Costco 658 Marbet #2 <br /> Cosmos, • avenue <br /> Canteen Corp Modesto <br /> 9/15/2020 install date <br /> COMO Avenue C Site Survey IPriori.Aimtiesto utilize <br /> N7009E U existing vending space <br /> Please be thorough and provide all information 2 limited disruption <br /> of breakroom <br /> Micro-Market Install Date: 911512020 3-Document <br /> WHMGR name who <br /> Date Surveyed: 562020 you worked with Warehouse Breabroom Change Request <br /> 4.Obtain WHMGR <br /> Operator: Canteen CorplModesto,CA pulse on any <br /> adjustments to <br /> Surveyed By: Lal:liaira breakroom-No <br /> driving <br /> Warehouse Name: 658 Tracy requirements <br /> Warehouse Street: 25862 S Schulte Ct S.Please write legibly <br /> 6.Define sink Site Name&Number Tracy 658 <br /> Warehouse City,State,Zip: Tracy,CA,95377 placement on hand <br /> drawing ipossible <br /> Site Population: 244(2019) health department Completion Bv 9/15/2020 <br /> requirementt <br /> Warehouse Contact: Alexis Fog <br /> Warehouse Phone Number: 209.830-5340 Request Overview: <br /> Room Measurements Relocate Lockers and Verify Electical <br /> Ceiling Height 9T" Breakroom lst or 2nd Floor <br /> Vending on Site? Current Vending Location <br />