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3/1/23, 11:55 AM ePermitting Administrator Change Form <br /> ePermitting Administrator Change Form <br /> Email <br /> david_anderson@oxy.com <br /> C 0 L 0 0 A 0C) 00*61 <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of a -ral Resources <br /> Please complete this form to update the ePermitting Administrator for submittal of annual <br /> reports and fees. This form is for changing the name and/or email address of the administrator <br /> on existing ePermitting accounts. You will receive an email confirming your changes within two <br /> business days. <br /> Name of Permittee or N01 Holder: <br /> Oxy Oil Shale <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHlfoeUraQePxvehJJac/edit#response=ACYDBNgLltd6zlQCJf03hUfBg_XM4cO8P... 1/3 <br />