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ItLEItVFELID) ER APPENDIX C APPLICATION FOR AUTHORIZATION TO USE LIMITED SOIL SAMPLING AND ANALYSIS FORMER UNDERGROUND STORAGE TANK AREA DELTA COLLEGE PROPOSED MICROSCOPY TECHNOLOGY CENTER 5151 PACIFIC AVENUE STOCKTON,CALIFORNIA File Number: 20-0232-01 Report Date: December 6,2001 TO: Kleinfelder,Inc. 2825 East Myrtle St. Stockton,California 95205-4794 Telephone: (209)948-1345 FacsirUc: (209)948-0621 To Whom It May Concern: Applicant understands and agrees that the above-referenced report for the subject site is a copyrighted document,that Kleinfelder,Inc.,is the copyright owner and that unauthorized use or copying of the document is strictly prohibited without the express written permission of Kleinfelder,Inc. Applicant understands that Kleinfelder,Inc.,may withhold such permission at its sole discretion,or grant such permission upon such terms and conditions as it deems acceptable. Applicant agrees to accept the contractual terms and conditions between Klcinfelder,Inc. and Hakeem,Ellis,Simonelli& Marengo originally negotiated for preparation of this report. Use of this report without permission releases Kleinfeldcr,Inc.its owners,employees and subcontractors from any liability that may arise from use of this document. To be Completed by Applicant omF—Y ame rmt; atne l re5s) ( ity, tate, ,tp ttt e eep one { ax} ( aye By: Approval of Original Client tent ignattve ate ( ten[Name an Tttle) For Kleinfelder,Inc.'s Use Only Approved for re-use with additional fee of S Approved for re-use with applicant's agreement to following conditions: Applicant agrees to above terms and understands that findings discussed in report were based on available information and site conditions as noted at time of work. Disapproved,report needs to be updated Ey: Date: em a er, nc. anager) 20-0232-01/201 1 R 1514 Copyright 2001 Kleinfelder, Inc. Page C-1 December 6,2001