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USEPA <br />DMR -QA 31 <br />NPDES PERMITTEE <br />DATA REPORT FORM <br />A Waters Company <br />Permit #: <br />Permittee Name: Energy Fuels <br />USEPA NPDES C00047562 <br />©� eMMEUl ■ 1110111 <br />Facility Address: Whirlwind Project <br />30100 5/10 Road <br />City: Gateway <br />Phone Number: 303- 974 -2140 <br />1 <br />E -mail address: zrogers @energyfuels.com <br />Permit Ext: <br />State: CO <br />Fax Number: 303 - 974 -2141 <br />Postal Code: 81522 <br />For DMR -OA Study 31, conducted in 2011, the Permittee ensured that their laboratory(s) performing the required analyses: <br />Submitted Complete and Accurate Data <br />by July 1, 2011 <br />Yes 2 No ❑ Yes rgi No <br />Received PT Samples <br />Certification by Permit Holder or Authorized Representative <br />(as per 40 C.F.R. Section 122.22) <br />1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that <br />qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly <br />responsible for gathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. Each reported value was <br />produced from a single analytical run using the analytical system that rountinely performs these analyses to produce compliance monitoring data required under our National <br />Pollutant Discharge Elimination System (NPDES) Permit. Neither I nor any of my subordinates compared our results from independent analyses conducted by us or any <br />other laboratory before we reported our results to the USEPA. I am aware that there are significant penalties for submitting false information, including the possibility of fine <br />and imprisonment for knowing violations. <br />Name of <br />Certifying Official: Zach Rogers <br />Signature: <br />Mailing Address: (4 Unlo <br />(enter only if different <br />from address above) <br />Suite 600 <br />Phone Number: 303 - 974 -2140 <br />City: Lakewood <br />L <br />1G <br />1 <br />1 <br />State: CO <br />Title: Environmental Engineer <br />Received a Graded Report by July <br />22, 2011 <br />Yes L3.1 No ❑ <br />Date Signed: <br />Postai Code: 80228 <br />E -mail address: zrogers @energyfuels.com <br />/ 10 / 2011 <br />Please make corrections in boxes above <br />