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: <br />United States <br />Environmental Protection <br />Agency <br />United States <br />ENVIRONMENTAL PROTECTION AGENCY <br />Washington, D.C. 20460 <br />Laboratory DMR -QA Evaluation Study 31 <br />Laboratory Performance Evaluation <br />Office of Enforcement and Compliance Assurance <br />(These data are collected under the authority of the Federal Water Pollution Control Act.) <br />Due August <br />19, 2011 <br />NPDES Permittee Data Report Form <br />Attention: Follow the instructions on the previous NPDES Permit <br />page to complete this form and submit data for State Number <br />evaluation. CO C00047562 <br />Permitee name: Energy Fuels Resources•Ge p. <br />Current Permittee mailing address: 44 Union Blvd, Ste 600 <br />Lakewood, CO 80228 <br />Phone Number: - 503- 474-Z15 1 FAX Number: Zj03-Q70 Z lLf I <br />e -mail: y r0 g ers elne.c-t./ cue (5.Ge iv( <br />Permit Extension <br />For DMR -QA Study 31, conducted in 2011, the Permittee ensured that their laboratory(s) performing the required analyses: <br />Address: <br />e -mail: <br />Submitted Complete and Accurate <br />Received PT Samples: Data by July 1, 2011: <br />Yes El No El <br />Yes IE No El <br />Certification by Permit Holder or Authorized Representative <br />(as per 40 C.F.R. Part 122.22 - see instructions.) <br />Received a Graded Report by <br />July 22, 2011: <br />Yes Ei No El <br />I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a <br />system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the <br />person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete. Each reported value was produced from a single analytical run using <br />the analytical system that routinely performs these analyses to produce compliance monitoring data required under our National Pollutant <br />Discharge Elimination System (NPDES) permit. Neither I nor any of my subordinates compared our results with results from independent <br />analyses conducted by us or any other laboratory before we reported our results to the U.S. EPA. I am aware that there are significant <br />penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. <br />Name of Certifying Official: Zach Rogers Title: Environmental Engineer <br />Signature <br />Address, phone number an - mail of Certifying Official are required if different from above. <br />Date: <br />Phone No.: (303) 974 -2151 <br />EPA 6400 -01 Rev. 11 -10. Previous editions are obsolete. <br />Page 14 <br />