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ft <br /> �! k'q KI_ EINFELDER <br /> APPENDIX C It <br /> APPLICATION FOR AUTHORIZATION TO USE <br /> _ LIMITED SOILD SAMPLING AND ANALYSIS l <br /> FORMER STORAGE TANK AREA l <br /> ' 3132 FARMINGTON ROAD <br /> STOCKTON,CALIFORNIA' <br /> s. File Number.: 20-4659-01.EOI s Report Date: November 28,2001 <br /> TO: Kleinfelder,Inc. <br /> 2825 East Myrtle St. <br /> Stockton,California 95205-4794 R <br /> Telephone: (209)948-1345 <br /> Facsimile: (209)948-0621 <br /> To Whom It May Concern: t <br /> Applicant understands and agrees that the above-referenced report for the subject site is a copyrighted document,that <br /> Kleinfelder,Inc.,is the copyright owner and that unauthorized use or copying of the document is strictly prohibited without the <br /> express written permission of Kleinfelder,Inc. Applicant understands that Kleinfelder,Inc.,may withhold such permission at its <br /> sole discretion,or grant such permission upon such terms and conditions as it deems acceptable. <br /> f Applicant agrees to accept the contractual terms and conditions between Kleinfelder,Inc.and B&B Equipment Company <br /> ( ! originally negotiated for preparation of this report. Use of this report without permission releases Kleinfelder,Inc. its owners, <br /> employees and subcontractors from any liability that may arise from use of this document. <br /> `I <br /> To be Completed by Applicant <br /> E� <br /> mpany acne) (Print ame <br /> (AddCess (Signature) <br /> (City,State,Zip) h (title) <br /> 'I <br /> (Telephone) ax Il ate <br /> Approval of Original Client <br /> r By: <br /> 4f <br /> (client cgnatu a ate <br /> (Client Name and Title) <br /> For Kleinfelder,Inc.'s Use Only <br /> Approved for re-use with additional fee of S <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 work. °f <br /> Disapproved,report needs to be updated <br /> By: Date: <br /> {. (Kleinfelder,Inc.Manager) -.i <br /> �r <br /> 20-4659-01.EO1/2011R1442 Page C-1 <br /> Copyright 2000 Kleinfelder,Inc. November 28,2001 <br /> fi <br />