### Instructions for filling in the Emission Test Template

This Information Collection Request (ICR) spreadsheet is intended to collect information about emission data from fossil fuel burning power plants and which test methods were used to do so for cases where the test methods are not currently supported by the Electronic Reporting Tool (ERT). This spreadsheet should only be used if the method is not in the ERT or if you do not have access to a lab which performs methods that are in the ERT. You must complete at least 3 separate runs or sampling events for each of the requested constituents. This spreadsheet is intended to be used for one boiler of one facility. Data for multiple boilers should be handled by using separate copies of this spreadsheet. yellow are required. All cells that are shaded in green are populated using drop

- down lists. You do not need to populate cells shaded in gray, as they are automatically populated from the Boiler Information worksheet. resulting spreadsheet with the following naming convention: [FacilityID]_Unit_[BoilerID]_EmisTestMethods.xls (example: 8100_Unit_2_EmisTestMethods.xls).

Please refer to the following steps when using these spreadsheets.

Boiler Information Worksheet

1. Please enter the EIA Facility Code, Facility Name and Boiler ID of your boiler on the Boiler Information worksheet. 2. Please enter the control device configuration.

Emission Data Worksheets

The emission data worksheets are provided for each constituent or constituent family required for this analysis. On each spreadsheet, you must enter boiler operating information during sampling, fuel input information, and emission test results. There are generally 1 to 3 emission test results records to be entered depending on the constituent or constituent family. For example, CO only requires 1 record with 3 sample events, while Mercury requires that you enter both Hg Hg +2 

### , or if the Ontario

- Hydro Method was used, you would need to enter Hg 0

### , HgP, and Hg Volatile Organic HAP and Speciated Semi

-Volatile Organic HAP worksheets allow you to use a drop Constituent field to define as many records as needed to record each HAP that you have results for. General instructions follow for these worksheets:

Boiler Operation Information

1. Please provide the values of all requested parameters for each of test run/sample. 2. Please provide any other supporting information or comments in the Other Supporting Information field.

Fuel Information

1. Please enter what types of fuel are being used in your boiler using the drop

- downs in the Fuel Type Selection field. You may enter up to 4 fuel types. If you are not burning one or more of the fuel types entered in one or more samples, then enter an input rate of zero. 2. Please enter the unit of measure using the drop down provided. 3. Please enter the test method used to determine the fuel input rate. 4. Please provide any other information that you feel may be important in the Other Supporting Information field.

Emission Data

### 1. Some constituents ask for the emission rate results of each run in two different units of measure, while others do not. If emission rate results are requested in two different units of measure (ex. lb/MMBtu (Pounds per million BTU) and ppmvd @ 7% O 2 

### (parts per million by volume dry basis at 7 percent oxygen)), you are required to provide both. 2. Please provide the test method used. This may or may not match the example given in the Test Method Used field. Please ensure that the name includes the owning organization of the test method (ex. U.S. EPA Method 0010). 3. Please provide any other information that you feel may be important in the Other Supporting Information field. 4. If data sheets and QA/QC documentation tables are provided for the test method you are entering data for please also enter these data.

### This Information Collection Request (ICR) spreadsheet is intended to collect information about emission data from fossil fuel burning power plants and which test methods were used to do so for cases where the test methods are not currently supported by the Electronic Reporting Tool (ERT). This spreadsheet should only be used if the method is not in the ERT or if you do not have access to a lab which performs methods that are in the ERT. You must complete at least 3 separate This spreadsheet is intended to be used for one boiler of one facility. Data for multiple boilers should be handled by using separate copies of this spreadsheet. Fields shaded in down lists. You do not need to populate cells shaded in gray, as they are automatically populated from the Boiler Information worksheet. Please name each resulting spreadsheet with the following naming convention: [FacilityID]_Unit_[BoilerID]_EmisTestMethods.xls

1. Please enter the EIA Facility Code, Facility Name and Boiler ID of your boiler on the Boiler Information worksheet.

The emission data worksheets are provided for each constituent or constituent family required for this analysis. On each spreadsheet, you must enter boiler operating information during sampling, fuel input information, and emission test results. There are generally 1 to 3 emission test results records to be entered depending on the constituent or constituent family. For example, CO only requires 1 record with 3 sample events, while Mercury requires that you enter both Hg 0 

### and , HgP, and Hg +2 

### . However, both the Speciated Volatile Organic HAP worksheets allow you to use a drop

- down provided in the Constituent field to define as many records as needed to record each HAP that you have results for. General instructions

2. Please provide any other supporting information or comments in the Other Supporting Information field.

downs in the Fuel Type Selection field. You may enter up to 4 fuel types. If you are not burning one or more of the fuel types entered in one or more samples,

4. Please provide any other information that you feel may be important in the Other Supporting Information field.

### 1. Some constituents ask for the emission rate results of each run in two different units of measure, while others do not. If emission rate results are requested in two different units of measure (ex. lb/MMBtu (Pounds per million BTU) and

(parts per million by volume dry basis at 7 percent oxygen)), you are required to provide both. 2. Please provide the test method used. This may or may not match the example given in the Test Method Used field. Please ensure that the name includes the owning organization of the test method (ex. U.S. EPA Method 0010). 3. Please provide any other information that you feel may be important in the Other Supporting Information field. 4. If data sheets and QA/QC documentation tables are provided for the test method you are entering data for please alsoEIA

Facility Code Facility Name Boiler ID Gibson Station Unit 4Control Device ConfiguratonEIA

Facility Code Facility Name Boiler ID 0 Gibson Station Unit 4

Run Number Test Start Date Test Start TimeMe asured Value (ppm) Test End Time Test End DateBasis (Wet or Dry) Test Method Used Data Flag (ADL, BDL, DDL) CO Emission Test ResultsTest Method Comments lb/mmBtu ppmdv @ 7% O 2 Calculated Emission RateSteam Output (1000 lb/hr) Total Heat Input (mmBtu/hr) Flue Gas Moisture (%)Flue Gas CO 2(%) Flue Gas O 2(%) Flue Gas Flow Rate (dscfm)Fuel Input Rate Fuel Type

Flue Gas Temperature (F) Fuel #1Units of Measure Me asurement Method Fuel Input Rate Fuel #1Fuel Type Units of Measure Me asurement Method Fuel #2Fuel Input Rate Fuel Type Units of Measure Fuel #3Me asurement Method Fuel Input Rate Fuel Type Fuel #4Units of Measure Me asurement Method Fuel #4 Other Supporting InformationEIA

Facility Code Facility Name Boiler ID 0 Gibson Station Unit 4

Run Number Test Start Date Test Start Time Test End DateMe asured Value (ppm) Basis (Wet or Dry) Test Method Used Data Flag (ADL, BDL, DDL) Test End Time Formaldehyde Emission Test ResultsTest Method

Comments lb/mmBtu ppmdv @ 7% O 2 Calculated Emission Rate Steam Output (1000 lb/hr) Total Heat Input

(mmBtu/hr)Fuel Input Rate Fuel Type Units of Me asure Flue Gas Moisture (%) Flue Gas

CO 2(%) Flue Gas

O 2(%) Flue Gas Flow

Rate (dscfm) Flue Gas

Temperature (F) Fuel #1Me asurement

Method Fuel Input

Rate Fuel Type Units of Me asure Me asurement

Me thod Fuel Input

Rate Fuel Type Units of

Me asure Fuel #2 Fuel #3Me asurement

Method Fuel Input

Rate Fuel Type Units of

Me asure Me asurement

Me thod Fuel #4 Other Supporting InformationEIA

Facility Code Facility Name Boiler ID 0 Gibson Station Unit 4

Run Number Test Start Date Test Start TimeMe asured Value (ppm) Basis (Wet or Dry) Me thane Emission Test Results
Test End Time Test End DateTest Method Used Data Flag (ADL, BDL, DDL) Test Method Comments lb/mmBtu Me thane Emission Test Results Calculated Emission Rateppmdv @ 7% O 2 Flue Gas O 2(%) Flue Gas

Flow Rate (dscfm) Calculated Emission Rate Steam Output (1000 lb/hr) Total Heat

Input (mmBtu/hr) Flue Gas

Moisture (%) Flue Gas CO 2(%)Fuel Input Rate Fuel Type Units of

Me asure Me asurement

Me thod Fuel

Input Rate Fuel Type Units of

Me asure Flue Gas Temperat ure (F) Fuel #1 Fuel #2Me asurement

Method Fuel

Input Rate Fuel Type Units of

Me asure Me asurement

Me thod Fuel

Input Rate Fuel Type Units of

Me asure Fuel #4 Fuel #3Me asurement

Method Other Supporting InformationEIA

Facility Code Facility Name Boiler ID 0 Gibson Station Unit 4

Run Number Test Start Date Test Start Time Test End DateMe asured Value (ppm) Basis (Wet or Dry) Test Method Used SO 2Emission Test Results Test End TimeData Flag (ADL,

BDL, DDL) Test Method

Comments lb/mmBtu ppmdv @ 7% O 2 Calculated Emission Rate Steam Output (1000 lb/hr)Fuel Input Rate Fuel Type Flue Gas Temperature (F) Fuel #1 Flue Gas O 2(%) Flue Gas

Flow Rate (dscfm) Total Heat Input (mmBtu/hr) Flue Gas

Moisture (%) Flue Gas

CO 2(%)Units of

Me asure Me asurement

Method Fuel Input

Rate Fuel Type Units of

Me asure Me asurement

Me thod Fuel Input

Rate Fuel Type Fuel #1 Fuel #2 Fuel #3Units of

Me asure Me asurement

Method Fuel Input

Rate Fuel Type Units of Me asure Me asurement

Me thod Fuel #4 Fuel #3Other Supporting InformationEIA

Facility Code Facility Name Boiler ID 0 Gibson Station Unit 4

Run Number Test Start Date Test Start TimePlease note QA/QC documentation starting in Column "AI"

Me asured Value (μg/dscm) Basis (Wet or Dry) Test End Date Test End Time Total Vapor Phase Mercury Emission Test ResultsPlease note QA/QC documentation starting in Column "AI"

Test Method Used Data Flag (ADL, BDL, DDL) Test Method

Comments (lb/mmBtu) Steam Output (1000 lb/hr) Total Vapor Phase Mercury Emission Test ResultsFuel Input Rate

Total Heat Input (mmBtu/hr) Flue Gas CO 2(%) Flue Gas Moisture (%) Flue Gas

O 2(%) Flue Gas

Flow Rate (dscfm) Flue Gas

Temperature (F)Fuel Type Units of Me asure Me asurement

Method Fuel Input

Rate Fuel Type Units of

Me asure Me asurement

Me thod Fuel Input

Rate Fuel #1 Fuel #2Fuel Type Units of Me asure Me asurement

Method Fuel Input

Rate Fuel Type Units of Me asure Me asurement

Me thod Fuel #3 Fuel #4QA /QC Documentation

Trap ID Section 1

Ma ss (ng) Section 2

Ma ss (ng) Total

Ma ss (ng) Initial

Spike (ng) Total NonSpike (ng) Other Supporting InformationSample

Volume (dscm) Volume

Difference (%) Volume Diff. Limit Breaktrough

(%) Breaktrough

Limit Concentration

(μg/dscm) Trap ID

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! ≤ 20% of field recovery test ≤10% of Section 1 Hg

ma ss for Hg conc. >1
μg/dscm: or ≤ 20% of Section Trap #1Section 1

Ma ss Section 2

Ma ss Total

Ma ss Initial

Spike Total NonSpike Sample

Volume Volume

Difference (%) Volume Diff. Limit

≤ 20% of field recovery test Trap #2Breaktrough (%) Breaktrough Limit Concentration

(μg/dscm) Ab s. diff. RD (%) Limit C rec

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! ≥ 10 % RD mass for Hg conc. >1 μg/dscm: or
≤ 20% RD or ≤ 0.2 μg/dscm abs.diff. for Hg conc. ≤1 ≤10% of Section 1 Hg mass for Hg conc. >1
μg/dscm: or ≤ 20% of Section 1 for Hg conc. ≤1 Me asured Spike Recovery ( R ) Paired Trap Agreement (RD)R (%) by

Run Ravg(%) Limit

Average Recovery

, between 85 and 115% Me asured Spike Recovery ( R )

#DIV/0!EIA

Facility Code Facility Name Boiler ID 0 Gibson Station Unit 4

Run Number Test Start Date Test Start TimeMe asured Hg 0Value (μg/dscm) Me asured Hg +2Value (μg/dscm) Test End Time Test End DateMe asured Hg PValue

(μg/dscm) Basis (Wet or Dry) Test Method Used Data Flag (ADL, BDL, DDL) Total Vapor Phase Mercury Emission Test ResultsTest Method

Comments Total Mercury (lb/mmBtu) Flue Gas CO 2(%) Steam Output (1000 lb/hr) Total Heat

Input (mmBtu/hr) Flue Gas

Moisture (%)Fuel Input Rate Fuel Type Units of Me asure Me asurement

Me thod Fuel #1 Flue Gas O 2(%) Flue Gas

Flow Rate (dscfm) Flue Gas

Temperature (F)Fuel Input Rate Fuel Type Units of Me asure Me asurement

Me thod Fuel Input

Rate Fuel Type Units of Me asure Me asurement

Me thod Fuel #2 Fuel #3Fuel Input

Rate Fuel Type Units of Me asure Me asurement

Me thod Other Supporting Information Fuel #4EIA

Facility Code Facility Name Boiler ID 0 Gibson Station Unit 4

Speciated Volatile Organic HAP Emission Data

Methyl chloride 1 5/1/2010 Methyl chloride 2 5/1/2010 Methyl chloride 3 5/2/2010 Acetaldehyde 1 5/3/2010 Acetaldehyde 2 5/3/2010 Acetaldehyde 3 5/4/2010

Compound (use drop down to define for as many rows as

needed) Run Number Test Start DateMe asured Value (μg/m3) 10:00 AM 5/1/2010 12:00 PM 2:00 PM 5/1/2010 5:00 PM 10:00 AM 5/2/2010 12:00 PM 10:00 AM 5/1/2010 12:00 PM 2:00 PM 5/1/2010 5:00 PM 10:00 AM 5/2/2010 12:00 PM Test Start Time Test End Date Test End TimeFootnotes:

* Front half fraction contains filter, cyclone, and cartridge ** Back half fraction contains condensate, solvent, impingers

Basis Test Method Used Data Flag (ADL, BDL, DDL) Front Half Mass (ng)Back Half Mass (ng) Total Mass (ng) Test Method Comments lb/mmBtu Calculated Emission Rateug/dscm @ 7% O2 Calculated Emission Rate Steam Output (1000 lb/hr) Total Heat Input (mmBtu/hr) Flue Gas Moisture (%)Flue Gas CO 2(%) Flue Gas O 2(%) Flue Gas Flow Rate (scfm) Flue Gas Temperature (F)Fuel Input Rate Fuel Type Units of Measure Me asurement Method Fuel #1Fuel Input Rate Fuel Type Units of Measure Me asurement Method Fuel #2Fuel Input Rate Fuel Type Units of Measure Me asurement Method Fuel #3Fuel Input Rate Fuel Type Units of Measure Me asurement Method Fuel #4Other Supporting

InformationEIA

Facility Code Facility Name 0 Gibson Station

Speciated Semi-Volatile Organic HAP Emission Data

Anthracene 1 Anthracene 2 Anthracene 3 Pyrene 1 Pyrene 2 Pyrene 3

Compound (use drop down to define for as many rows as

needed) Run NumberBoiler ID

Unit 4

5/1/2010 10:00 AM 5/1/2010

5/1/2010 2:00 PM 5/1/2010 5/2/2010 10:00 AM 5/2/2010 5/3/2010 10:00 AM 5/1/2010 5/3/2010 2:00 PM 5/1/2010 5/4/2010 10:00 AM 5/2/2010 Test Start Date Test Start Time Test End DateFootnotes: * Front Half Composite contains particulate filter, front half of the filter holder, and probe solvent rinses ** Back Half Composite contains XAD-2 resin tube, back half of the filter holder, and coil condenser solvent rinses *** Condensate Composite contains condensate and Impinger contents and the glassware solvent rinses

Me asured Value (μg/m3) Basis (Wet or Dry)
12:00 PM 5:00 PM 12:00 PM 12:00 PM 5:00 PM 12:00 PM Test End Time* Front Half Composite contains particulate filter, front half of the filter holder, and probe solvent rinses ** Back Half Composite contains XAD-2 resin tube, back half of the filter holder, and coil condenser solvent rinses *** Condensate Composite contains condensate and Impinger contents and the glassware solvent rinses

Test Method Used Data Flag (ADL, BDL, DDL) Front Half mass* (ng) Semi-Volatile Organic HAP Emission Test ResultsBack Half mass* (ng) Condensate Mass*** (ng) Total Composite (ng) Semi-Volatile Organic HAP Emission Test ResultsTest Method Comments lb/mmBtu ug/dscm @ 7% O2 Calculated Emission RateSteam Output (1000 lb/hr) Total Heat Input (mmBtu/hr) Flue Gas Moisture (%)Flue Gas CO 2(%) Flue Gas O 2(%) Flue Gas Flow Rate (scfm)Fuel Input Rate Fuel Type

Flue Gas Temperature (F) Fuel #1Units of Measure Me asurement Method Fuel Input Rate Fuel #1Fuel Type Units of Measure Me asurement Method Fuel #2Fuel Input Rate Fuel Type Units of Measure Fuel #3Me asurement Method Fuel Input Rate Fuel Type Fuel #4Units of Measure Me asurement Method Fuel #4 Other Supporting InformationEIA

Facility Code Facility Name Boiler ID

0 Gibson Station Unit 4

1 6/16/2010 14:30 6/16/2010 2 6/16/2010 16:39 6/16/2010 3 6/16/2010 18:27 6/16/2010 Run Number Test Start Date Test Start Time Test End DateMe asured Value (ppm) Basis (Wet or Dry) Test Method Used
16:13 [<0.0229] Dry U.S. EPA Conditional Test Method 033 (CTM-033) 18:05 [<0.0909] Dry U.S. EPA Conditional Test Method 033 (CTM-033) 19:43 [<0.0231] Dry U.S. EPA Conditional Test Method 033 (CTM-033) Hydrogen Cyanide Emission Test Results Test End TimeData Flag (ADL,

BDL, DDL) Test Method

Comments MDL RL based on MDL [<2.236E-05] 14.6 13.33 MDL RL based on MDL [<8.829E-05] 14.6 13.33 MDL RL based on MDL [<2.245E-05] 14.6 13.33 Calculated Emission Rate (lb/mmBtu) Flue Gas Moisture (%) Flue Gas CO 2(%) Steam Output (1000 lb/hr) Total Heat

Input (mmBtu/hr)Fuel Input Rate Fuel Type Units of Me asure Me asurement

Me thod Fuel Input

Rate 6.15 1,383,770 128.7 6.11 1,400,506 128.4 6.13 1,385,705 128.8 Flue Gas Temperature (F) Fuel #1 Flue Gas O 2(%) Flue Gas

Flow Rate (dscfm)Fuel Type Units of Me asure Me asurement

Method Fuel Input Rate Fuel Type Units of Me asure Me asurement

Me thod Fuel Input

Rate Fuel #2 Fuel #3Fuel Type Units of Me asure Me asurement

Method Fuel #4 Other Supporting InformationEIA

Facility Code Facility Name Boiler ID

0 Gibson Station Unit 4

Run Number Test Start Date Test Start Time Test End DateMe asured Value (ppm) Basis (Wet or Dry) Test Method Used Test End Time Hydrogen Chloride Emission Test ResultsData Flag (ADL,

BDL, DDL) Test Method

Comments Hydrogen Chloride Emission Test Results Steam Output (1000 lb/hr) Total Heat

Input (mmBtu/hr) Calculated Emission Rate (lb/mmBtu) Flue Gas Moisture (%) Flue Gas CO 2(%)Fuel Input Rate Fuel Type Units of Me asure Me asurement

Me thod Fuel Input

Rate Flue Gas Flow Rate (dscfm) Flue Gas

Temperature (F) Fuel #1 Flue Gas O 2(%)Fuel Type Units of Me asure Me asurement

Method Fuel Input Rate Fuel Type Units of Me asure Me asurement

Me thod Fuel Input

Rate Fuel #2 Fuel #3Fuel Type Units of Me asure Me asurement

Method Fuel #4 Other Supporting InformationEIA

Facility Code Facility Name Boiler ID

0 Gibson Station Unit 4

Run Number Test Start Date Test Start Time Test End DateMe asured Value (ppm) Basis (Wet or Dry) Test Method Used Hydrogen Flouride Emission Test Results Test End TimeData Flag (ADL,

BDL, DDL) Test Method

Comments Calculated

Emission Rate (lb/mmBtu) Flue Gas Moisture (%) Hydrogen Flouride Emission Test Results Steam Output (1000 lb/hr) Total Heat

Input (mmBtu/hr)Fuel Input Rate Fuel Type Units of Me asure Me asurement

Me thod Flue Gas Temperature (F) Fuel #1 Flue Gas CO 2(%) Flue Gas

O 2(%) Flue Gas

Flow Rate (dscfm)Fuel Input

Rate Fuel Type Units of Me asure Me asurement

Method Fuel Input Rate Fuel Type Units of Me asure Me asurement

Me thod Fuel #2 Fuel #3Fuel Input

Rate Fuel Type Units of Me asure Me asurement

Method Fuel #4 Other Supporting InformationEIA

Facility Code Facility Name Boiler ID 0 Gibson Station Unit 4

Run Number Test Start Date Test Start TimeMe asured NO (ppm) Test End Time Test End DateMe asured NO 2(ppm) Basis (Wet or Dry) Test Method Used NO XEmission Test ResultsData Flag (ADL, BDL, DDL) Test Method Comments (lb/mmBtu) Total NO XCalculated Emission Rateppmdv @ 7% O 2 Flue Gas O 2(%) Calculated Emission Rate Steam Output (1000 lb/hr) Total Heat Input

(mmBtu/hr) Flue Gas

Moisture (%) Flue Gas

CO 2(%)Fuel Input Rate Fuel Type Units of Me asure Me asurement

Me thod Fuel Input

Rate Flue Gas Temperature (F) Fuel #1 Flue Gas Flow Rate (dscfm)Fuel Type Units of Me asure Me asurement

Method Fuel Input

Rate Fuel Type Units of Me asure Me asurement

Me thod Fuel Input

Rate Fuel #2 Fuel #3Fuel Type Units of Me asure Me asurement

Method Fuel #4 Other Supporting InformationEIA

Facility Code Facility Name Boiler ID 0 Gibson Station Unit 4

Run Number Test Start Date Test Start TimeTotal Dissolved Solids (mg solids/liter) Total Suspended Solids (mg solids/liter) Test End Time Test End DateTest Method Used Data Flag (ADL, BDL, DDL) Constisuent Emission Test ResultsTest Method Comments Fuel Input Rate Flue Gas Temperat ure (F) Flue Gas Flow Rate (dscfm) Steam Output (1000 lb/hr) Total Heat Input

(mmBtu/hr)Fuel Type Units of Me asure Me asurement

Method Fuel Input Rate Fuel Type Units of Me asure Me asurement

Me thod Fuel Input Rate Fuel #1 Fuel #2Fuel Type Units of Me asure Me asurement

Method Fuel Input

Rate Fuel Type Units of

Me asure Me asurement

Me thod Fuel #4 Fuel #3Other Supporting Information