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APPENDIX G APPLICATION FOR AUTHORIZATION TO USE FORM GROUNDWATER MONITORING WELL INSTALLATION SAMPLING AND REPORT TRADEWAY CHEVROLET 1460 EAST YOSEMITE AVENUE MANTECA, CALIFORNIA File Number: 20-3978-03.CHEV TO: Kleinfelder, Inc. 2825 East Myrtle Street Stockton, CA 95205-4794 (209)948-1345 (209) 948-0621 (Fax) To Whom It May Concern: K4 K L E I N F E L D E R Report Date: July 1, 2002 Applicant understands and agrees that the above -referenced Report 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 AKF Development, LLC, originally negotiated for preparation of this document. Use of this work product 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) (Address) (City, State, Zip) (Print Name) (Signature) (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 preparation Disapproved, report needs to be updated By: Date: (Kleinfelder, Inc. Manager) 20-3978-03.CHEV / ST02RI I I Page G-1 Copyright 2002 Kleinfelder, Inc. July 1, 2002