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KLEIN FELDER <br /> APPENDIX D <br /> APPLICATION FOR AUTHORIZATION TO USE <br /> REPORT <br /> GROUNDWATER SAMPLING <br /> THIRD QUARTER 2002 <br />' GENERAL MILLS FACILITY <br /> 2000 WEST TURNER ROAD <br /> LODI,CALIFORNIA <br /> File Number 18748 T02 Report Date December 3, 2002 <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 third quarter groundwater sampling report for the subject site is a <br />' copyrighted document, that Kleinfelder, Inc , is the copyright owner and that unauthorized use or copying of the <br /> report is strictly prohibited without the express written permission of Kleinfelder, 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 percussion 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 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 /> Klemfelder, Inc Manager) <br /> 18748 T02/ST02R795 Page D-1 <br />' C 2012 Klemfelder, Inc December 3,2002 <br />