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10/28/2019 Annual Report ePermitting Change Form-Google Forms <br /> 4nnual Report ePermitting <br /> QUESTIONS RESPONSES <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Brown <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> David <br /> Email address of account administrator: <br /> The account administrator is responsible for providing the Division with a current email address for ePermitting correspondence.Please contact the <br /> Division if an existing administrator email requires updating. <br /> David.A.Brown2@shelI.com <br /> Telephone: <br /> 832 337 1250 <br /> Name(s) and Permit Number(s) of any additional person(s) to notify on annual report/map/fee <br /> due date(s): <br /> Samantha Baker <br /> ............................................................. <br /> Email address(es) of additional person(s) to notify on annual report/map/fee due date(s): <br /> Samantha.D.Baker@shell.com <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu 1_DFtSSwVHIfoeUraQePxvehJJac/edit#response=ACYDBNiYzLsZ71 Cw wKD3P-pv8N3L5q... 2/3 <br />