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hTJ KLEI ,ti' FELDER APPLICATION FOR AUTHORIZATION TO USE LIivIITED SOIL SAMPLING AND ANALYSIS PROPOSED GLENBRIAR SCHOOL SITE WEST OF Mac.ARTHUR BOULEVARD AND SOUTH OF VALPICO ROAD TRACY.CALIFORNIA File Number: 20-4202-01.P02 Report Date: October 28, 1998 TO: Kleinfelder,Inc. 2825 East Myrtle St. Stockton,California 95205 Telephone: (209)948-1345 Fax: (209)948-0621 To Whom It May Concern: Applicant understands and agrees that the limited soil sampling and analysis 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 Kleinfelder,Inc.and Jefferson Unified School District,originally negotiated for preparation of this document. Use of this document without permission releases Kleinfelder,Inc. its owners,employees and subcontractors from any liability that may arise from use of this report. To be Completed by Applicant (Company Name) (Print Name) (Address) (Signature) 1' (City,State,Zip) (title) (Telephone) (Fax) (date) Approval of Original Client By: (Client Signature) (date) (Client Name and Title) 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 document's production Disapproved,report needs to be updated B` Date: (Kleinfelder, Inc. Manager) 20-4202-01.P02t2018R669 Page D-1 + Copyright 1998,Kleinfelder,Inc. October 28, 1995 1 L