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' kF1 KLEINFELDER <br /> APPENDIX D <br /> APPLICATION FOR AUTHORIZATION TO USE <br />' REPORT <br /> GROUNDWATER SAMPLING <br /> THIRD QUARTER 2003 <br />' GENERAL MILLS FACILITY <br /> 2000 WEST TURNER ROAD <br /> LODI,CALIFORNIA <br />' File Number 28209 T03 Report Date December 29, 2003 <br /> TO Klemfelder, 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 Third Quarter 2003 Groundwater Sampling Report for the subject site <br /> is a copyrighted document, that Kleunfelder, Inc, is the copyright owner and that unauthorized use or copying of the <br /> report is strictly prolubited without the express written pernussion of Klemfelder, Inc Applicant understands that <br /> Kleinfelder, Inc , may withhold such permission at its sole discretion, or grant such permission upon such terms and <br /> ' 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 permission releases <br /> Kleinfelder,Inc its owners, employees and subcontractors from any liability that may apse 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 Klemfelder,Inc '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 <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 /> ' <br /> 28209 T03/ST03R1811 Page D-! <br /> December 29,2003 <br /> i0 2003 Kleinfelder, Inc <br />