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12/7/2017 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNgZVz4jYNyfc58IEr-kuwnYLGqJIOly3DPIlXVPTt6_FeG_TN66YRYvOA 2/6 <br />Please complete this form to create an ePermitting account for <br />submittal of annual reports and fees. You will receive an email with <br />your login information within one business day. <br />Occidental Oil Shale, Inc. <br />5 Greenway Plaza, Ste 110 <br />Houston <br />Texas <br />Name of Permittee or NOI Holder: * <br />Street Address: * <br />City: * <br />State: *