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-- 5 <br /> k" KLEI NFELDER <br /> APPLICATION FOR AUTHORIZATION TO USE <br /> Report <br /> Y" Semi-Annual 2002 Groundwater Sampling <br /> Former Underground Storage Tank Site <br /> H&H Engineering and Construction,Inc. <br /> 212 Industrial Drive <br /> Stockton,CA 95206 <br /> File Number 20443901E04 Report Date August 22, 2002 <br /> TO Kleinfelder, Inc <br /> 2825 East Myrtle St <br /> Stockton, California 95205-4794 <br /> Telephone (209) 948-1345 <br /> Fax (209)948-0621 <br /> To Whom It May Concern <br /> Applicant understands and agrees that the groundwater sampling report for the subject site is a copyrighted <br /> document, that Klemfelder, Inc, is the copyright owner and that unauthorized use or copying of the report is strictly <br /> prohibited without the express written permission of Kleinfelder, Inc Applicant understands that Kleinfelder, Inc, <br /> may withhold such permission at its sole discretion, or grant such permission upon such terms and conditions as it <br /> deems acceptable <br /> Applicant agrees to accept the contractual terms and conditions between KleinfeIder, Inc and Wilbur Ellis <br /> Company originally negotiated for preparation of this report Use of this document without permission releases <br /> Kleinfelder, Inc its owners, employees and subcontractors from any liability that may arise from use of this report <br /> • To be Completed by Applicant <br /> (Company Name) (Print Name) <br /> (Address) (Signature) <br /> (City, State,Zip) (title) <br /> (Telephone) (Fax) (date) <br /> Approval of Original Client <br /> By <br /> (Client Signature) (date) <br /> (Client Name and Title) <br /> For Kleinfelder, [nc 's use only <br /> Approved for re-use with additional fee of$ <br /> Approved for re-use with applicant s agreement to following conditions <br /> Applicant agrees to above terms and understands that findings discussed in report were based on available <br /> information and site conditions as noted at time of report <br /> Disapproved,report needs to be updated <br /> EY Date <br /> (Kleinfelder,Inc Manager) <br /> 20-4439-01 E04/ST02R397 Page D-1 <br /> Copyright 2002,Kleinfelder,Inc August 22,2002 <br />