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KLEINFELDER <br /> APPENDIX D <br /> APPLICATION FOR AUTHORIZATION TO USE <br /> REPORT <br /> GROUNDWATER SAMPLING <br /> FOURTH QUARTER 2003 <br /> GENERAL MILLS FACILITY <br /> 2000 WEST TURNER ROAD <br /> LODI, CALIFORNIA <br />' File Number 28209 T03 Report Date February 3, 2004 <br /> TO Kleinfelder, Inc <br />' 2825 East Myrtle Street <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 Fourth Quarter 2003 Groundwater Sampling Report for the subject <br /> site is a copyrighted document, that Klemfelder, Inc , is the copyright owner and that unauthorized use or copying of <br /> the report is strictly prohibited without the express written perrrussion of Klemfelder, Inc Applicant understands <br /> that Klemfelder, Inc , may withhold such permission at its sole discretion, or grant such permission upon such terms <br /> and conditions as it deems acceptable <br /> Applicant agrees to accept the contractual terms and conditions between Kleinfelder, Inc and General Mills <br /> Inc , originally negotiated for preparation of this report Use of this document without permassnon 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, Inc 's use only <br /> Approved for re-use with additional fee of$ <br /> Approved far 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 <br /> available information and site conditions as noted at time of the report <br /> Disapproved, report needs to be updated <br /> By Date <br /> (Kleinfelder,Inc Manager) <br /> 28209 T03lST04R157 Page D-I <br /> 0 2004 Kleinfelder, Inc February 3,2004 <br />