# ICR Number XXXX.XX Plant ID: Insert Plant ID

OMB Control Number: XXXX-XXXX Plant Name: Insert Plant Name

Expiration Date: mm/dd/yyyy

Section Title Tab Name

Part G Instructions

Part G Section 1

Part G Section 2

Part G Section 3

Part G Section 4

Part G Section 5

Part G Sampling Results

Part G Comments Part G Comments Leachate Sample Collection Instructions

Sample Collection Information

Laboratory Analytical Data Form Waste Information Leachate Generated from Ponds/Impoundments and

Landfills Table of Contents

Leachate Collection Steam Electric Questionnaire

Second FRN Version Draft

PART G - LEACHATE SAMPLING DATA FOR PONDS/IMPOUNDME NTS AND LANDFILLS

Part G Instructions

Version: February 22, 2010

# Steam Electric Questionnaire Part G. Instructions



# Plant ID: Insert Plant ID

Plant Name: Insert Plant Name

PART G. LEACHATE SAMPLING DATA FOR PONDS/IMPOUNDMEN TS AND

LANDFILLS

Use the Part G Comments tab to do the following: prov ide additional information as

requested in certain questions within Part G; indicate a typical data (e.g.,if the analytical

data provided from the sample collection is not represen tative of normal operations);

and note methods used to make best engineering estimates in the event that exact data

are not available. INSTRUCTIONS

Complete Part G of the questionnaire for your plant. As you are completing the

electronic form, note the following: When you enter y our plant name and plant ID on the

Part G TOC tab, all name and ID fields throughout Pa rt G will automatically populate.

Refer to the overall questionnaire instructions, the gl ossary, and the acronym list for

assistance with completing Part G.

Please provide all free response answers in the highligh ted yellow areas. Throughout

Part G, you may need to make copies of certain sections/qu estions. Instructions are

provided throughout Part G regarding making copies. No te that pond/impoundment unit

and landfill names must be populated on the copied tab or section, located in the upper

right corner under "Plant ID" and "Plant Name", in o rder to correlate the requested

information with the pond/impoundment or landfill.

Sampling data and the completed Part G of the quest ionnaire shall be submitted

to EPA no later than 120 calendar days after receiv ing the questionnaire.

A company or plant may be exempt from the leachate sam ple collection (Question G3-

1). Please refer to Question G1-1 and the "Applicabil ity" section located in the "Part G

Section 3" tab to determine if you are exempt and ho w to submit a written explanation.

Version: February 22, 2010Steam Electric QuestionnairePart G. Leachate Sampling Data for Ponds/Impoundmentsand LandfillsPart:GSection Title:Instructions:CBI? G1-1.(Skip to next Questionnaire Part)1. Leachate CollectionPart G requestsleachatesampling data forpond/impoundmentunits andlandfillsused for the storage, treatment, and/ordisposal ofresiduesor by-products (orsludgesor water streams containing the residues or by-products) from thecombustion of coal or petroleum coke, including, but not limited to,fly ash,bottom ash, boiler slag, or flue gasdesulfurization (FGD) system residues. This includes liquid-borne material and solid material.Insert Plant IDInsert Plant NamePlant ID:Plant Name:(Skip to Section 2)Isleachatecurrently collected from anypond/impoundmentand/orlandfill, including those located on non-adjoiningproperty, that contains residues or by-products from the combustion of coal or petroleum coke? Pleasesee the glossary for acomplete definition ofleachate, which includes the terms seepage, leak, and leakage.YesNoYesG-1Version: February 22, 2010Steam Electric QuestionnairePart G. Leachate Sampling Data for Ponds/Impoundments and LandfillsPart:GSection Title:Instructions:CBI? G2-1.CBI? G2-2.CBI? G2-3.CBI? G2-4.(Provide ONLY untreatedmonitoring data as described in Question G3-1)(Continue)(Skip to Section 3. Provide ONLY untreated monitoring data as described in Question G3-1.)Is the leachate combined with other waste streams prior to treatment?(Provide treatedand untreatedmonitoring data as described in Question G3-1)(Provide treatedand untreatedmonitoring data as described in Question G3-1)Insert Plant IDInsert Plant NameInsert IDPlant ID:Plant Name:Pond/Impoundment Unit or Landfill ID:2. Leachate Generated from Ponds/Impoundments and Landfills(Continue)Is all collected leachate transported off site fortreatment and/or disposal?Is the collected leachate from this pond/impoundment unit or landfill that is not transferred off sitecurrently treated?Make copies of Section 2 (Questions G2-1 through G2-4) for eachpond/impoundmentunit andlandfill, including those located on non-adjoiningproperty, used for the storage, treatment, and/or disposal ofresiduesor by-products (orsludgesor water streams containing the residues or byproducts) from the combustion of coal or petroleumcoke, including, but not limited to,fly ash,bottom ash, boiler slag, or flue gas desulfurization(FGD) system residues. This includes liquid-bornematerial and solid material. Enter the pond/impoundment unit or landfill ID in the space providedabove (use pond/impoundment unit and landfill IDs assigned in Table A-4 and Table A-6). Please provide all free response answers in thehighlighted yellow areas.Make a copy of Section 2 for each pond/impoundmentunit and landfill, including those located on non-adjoining property, using the "Copy Section 2"button below.(Continue)(Skip to Section 3. Provide ONLY untreated monitoring data as described in Question G3-1.)(Skip to Section 5)Isleachatecurrently collected from this pond/impoundment unit or landfill (excluding leachate returned to the pond/impoundment from which itoriginated)?NOTE: "Treatment" refers to the removal of specificpollutants or process wastewater constituents other than suspended solids. Refer toFigure G-1 below to help determine the leachate sample collection requirements for this pond/impoundment or landfill.YesNoYesNoNoYes, combined with ONLY runoff or other stormwaterYes, combined with process wastewater other than runoff/stormwaterYesYesYesCopy Section 2YesNoYesG-2Version: February 22, 2010Steam Electric QuestionnairePart G. Leachate Sampling Data for Ponds/Impoundments and LandfillsFigure G-1. Leachate Collection Decision TreeG-3Version: February 22, 2010Steam Electric QuestionnairePart G. Leachate Sampling Data for Ponds/Impoundmentsand LandfillsPart:GSection Title:G3-1.• Metals (total recoverable; antimony,arsenic, beryllium, cadmium,chromium, cobalt, copper, lead,manganese, molybdenum, nickel,selenium, silver, thallium, vanadium,and zinc)EPA Method 200.8• Metals (total recoverable: aluminum,barium, boron, calcium, iron,magnesium, sodium, tin, andtitanium)EPA Method 200.7 or 200.8• Mercury EPA Method 1631E• Chlorides 40 CFR Part 136-approved• Sulfates 40 CFR Part 136-approved• Total dissolved solids (TDS) 40 CFR Part 136-approved• Total suspended solids (TSS) 40 CFR Part 136-approved• pH 40 CFR Part 136-approvedThe following analytes and analytical methods must be used for the sample analysis:Each company or plant is responsible for identifying andcontracting an analytical laboratory to perform the analyses.Plant ID:Plant Name:Insert Plant IDInsert Plant Name3. Leachate Sample Collection InstructionsOVERVIEW OF THE SAMPLE COLLECTIONThe samples should be collected as detailed in these instructions. In general, samples should be collected as grab samples (i.e.,composite samples are not required). The plant should collect samples from each leachate collection point for eachpond/impoundment and landfill. If the plant determines that a sample from one or more collection points are representative of anindividual pond/impoundment or landfill, then the plant may simply collect the representative sample(s). Theplant should collectsamples from each sampling location once per week for four consecutive weeks, or as soon thereafter as sufficient leachate isavailable for collection.Sampling data and the completed Part G of the questionnaire shall be submitted to EPA no later than 120 calendar days afterreceiving the questionnaire.Collect process wastewater samples of untreatedand/or treatedleachatestreams generated frompond(s)/impoundment(s)andlandfill(s)used for the storage, treatment, or disposal ofresiduesor by-products (orsludgesor water streams containing the residuesor by-products) from the combustion of coal or petroleumcoke, including, but not limited to,fly ash,bottom ash, boiler slag, or flue gasdesulfurization (FGD) system residues (this includes liquid-borne material and solid material).G-4Version: February 22, 2010Steam Electric QuestionnairePart G. Leachate Sampling Data for Ponds/Impoundmentsand LandfillsJezebele AliceaUS EPAEngineering and Analysis DivisionMail Code: 4303T1200 Pennsylvania Avenue, N.W.Washington, DC 20460alicea.jezebele@epa.govSAMPLE LOCATION• Must have data from leachate generated from each pond/impoundment and landfill where leachate is collected;• Must have at least four samples of untreatedand/or treatedleachate, where each sample is collected at least fivedays apart; and• Must have tested for every analyte listed above using the specified analytical methods.Collect untreatedand/or treatedleachate samples from each pond/impoundment unit and landfill for which you responded "yes" inQuestion G2-1.If the pond/impoundment unit and/or landfill has multiple collection points, the untreatedsample may be collected from a commonheader area, if applicable. If there is not a commonheader area for the pond/impoundment or landfill, the plant may select one of thecollection points that is "representative" of the pond/impoundment or landfill from which to collect the sample.If warranted due to thecharacteristics of the pond/impoundment or landfill, theplant may need to collect samples from more than one collection point to obtainrepresentative samples. If the plant collects the samples from one ”representative” collection point, describe how the company or plantdetermined the collection point is “representative” of all of the collection points in the “Part G Comments” tab located at the end of PartG.2. The plant personnel are unable to collect the samples safely.If you believe you are exempt, you must submit a written explanation justifying one or both of these two circumstanceswithin two weeks after receiving the questionnaireby e-mail (preferred) or mailed to:EPA will then determine if the plant is exempt fromthe leachate sample collection requirement. If the plant can provide previouslycollected leachate characterization data, then the plantshould skip Section 4 (Questions G4-1 and G4-2) and continue to Section 5(Question G5-1). Also, the plant must provide the leachate sampling data in Table G-4 found in the "Part GSampling Results" tab. Ifthe plant cannot collect the samples safely, then the plant should complete Question G4-1, then continue to Section 5 (Question G5-1).The untreatedleachate samples must be collected directly from theleachate collection systemor holding tank prior to any form oftreatment. The treatedleachate samples must be collected from the effluent from a leachate treatment system that is designed for thepurpose of removing pollutants or process wastewater constituents, other than suspended solids, prior todischargeor comminglingwith other process wastewaters.A plant may be exempt from the leachate sample collection (and skip to Question G3-2) if one of these two circumstances is true:1. The plant can provide previously collected leachate characterization data if it fulfills the following data requirements:APPLICABILITYG-5Version: February 22, 2010Steam Electric QuestionnairePart G. Leachate Sampling Data for Ponds/Impoundmentsand LandfillsCBI? G3-2.CBI? G3-3.SAMPLE FREQUENCYCollect one sample of untreatedleachate (and one sample of treatedleachate if appropriately identified by responses in Question G2-4) once per week for four weeks, or as soon thereafteras sufficient leachate is available for collection, from each pond/impoundmentunit and landfill. Please note that the samples must be collected at least five days after the previous sample was collected. If thepond/impoundment or landfill does not generate leachate weekly, please collect the samples as soon as the leachate is generated, butallow at least five days between samples.Please attach an aerial photograph or drawing showingthe entire waste management unit (i.e., pond/impoundment unit or landfill) thatshows the boundaries and identifies all leachate collection points and the active and inactive areas of the pond/impoundment or landfill.Also, indicate the leachate sample location(s) used for this sample collection in the aerial photograph or drawing of thepond/impoundment unit or landfill.Please identify the leachate sample locations used for this sample collection in the block diagram previously requested in Question F4-2.QUALITY ASSURANCE/QUALITY CONTROLExample 2: If a plant collects both untreatedand treatedleachate from both a pond/impoundment unit and a landfill, andeach separately has a single leachate collection point andthey have separate treatment systems, the plant is required tocollect a total of sixteen samples.Follow the method-specified quality assurance/quality control analyses and attach a data review summary once the analyses arecomplete.SAMPLE ANALYSESAfter receiving the analytical results from the laboratory, enter the analytical data into the “Part G Sampling Results” tab. Report allresults. Identify results that are less than themethod detection limit(MDL), and results that are between the detection andreportinglimits.Example1: If a plant collects only untreatedleachate from a pond/impoundment unit, and the samples are obtained from asingle leachate collection point, the plant is requiredto collect a total of four samples.YesYesI have attached the aerial photographI did not attach the aerial photograph. Explain why:G-6Version: February 22, 2010Steam Electric QuestionnairePart G. Leachate Sampling Data for Ponds/Impoundmentsand LandfillsPlant ID: Insert Plant IDPlant Name: Insert Plant NamePart:GSection Title:Instructions:G4-1.Pond/ImpoundmentUnit or Landfill ID (UseIDs from Tables A-4and A-6)Sample CollectionLocation DescriptionDate of SampleCollection(mm/dd/yyyy)CBI?Leachate Treatment System ID:CBI?Leachate Treatment System ID:CBI?Leachate Treatment System ID:CBI?Leachate Treatment System ID:CBI?Leachate Treatment System ID:Common header areaTable G-1. Sample Collection InformationIn Table G-1, provide a description of the sample collection location, the date the sample was collected, the flow rate of the leachatestream from the collection point (select the units of theflow rate), and identify if the leachate stream is treatedor untreated. If theleachate sample is treated, provide the leachate treatment system ID previously identified in Table F-4.Sample Collection Location1/25/2010ExampleComplete Table G-1 for eachpond/impoundmentunit andlandfillthat requiresleachatesampling and is used for the storage, treatment,and/or disposal ofresiduesor by-products (orsludgesor water streams containing the residues or by-products)from the combustion ofcoal or petroleum coke, including, but not limited to,fly ash,bottom ash, boiler slag, or flue gas desulfurization (FGD) systemresidues.This includes liquid-borne material and solid material.Enter the pond/impoundment unit or landfill ID inthe first column of Table G-1 (usepond/impoundment unit and landfill IDs assigned in Table A-4 and Table A-6). Please provide all free response answers in thehighlighted yellow areas.Collect daily rainfall data starting two weeks prior tocollection of the first sample through the day of thelast sample collected and enter thedate and inches of rainfall in Table G-2.4. Sample Collection InformationYesYesYesYesYesUntreated pond/impoundmentSelectSelectSelectSelectG-7Version: February 22, 2010Steam Electric QuestionnairePart G. Leachate Sampling Data for Ponds/Impoundmentsand LandfillsCBI? G4-2.Date Inches of RainfallDate Inches of RainfallTable G-2. Rainfall DataIn Table G-2, provide the inches of rainfall accumulatedat the plant on a daily basis starting two weeks priorto the collection of the firstleachate sample through the last day of sample collection.YesG-8Version: February 22, 2010Steam Electric QuestionnairePart G. Leachate Sampling Data for Ponds/Impoundmentsand LandfillsPlant ID:Plant Name:Part:GSection Title:Instructions:G5-1.Pond/ImpoundmentUnit or Landfill ID(Use IDs from TablesA-4 and A-6)Capped orUncapped?CBI?tonstonstonstonstonstonstonstonstonsCBI?tonstonstonstonstonstonstonstonstonsCBI?tonstonstonstonstonstonstonstonstonsCBI?tonstonstonstonstonstonstonstonstonsCBI?tonstonstonstonstonstonstonstonstonsInsert Plant IDInsert Plant Name5. Waste InformationComplete Table G-3 for eachpond/impoundmentunit andlandfill, inluding those located on non-adjoining property,that is used for the storage, treatment, and/or disposal ofresiduesor by-products (orsludgesor water streams containing the residues or by-products) from the combustion of coal or petroleum coke, including, but not limited to,fly ash,bottom ash, boiler slag, or flue gas desulfurization (FGD) system residues. This includes liquid-borne materialand solid material. Enter the pond/impoundment unit or landfill ID inthe first column of Table G-3 (use pond/impoundmentunit and landfill IDs assigned in Table A-4 and Table A-6). Please provide all free response answersin the highlighted yellowareas.Make a copy of Section 5 to complete as many tablesas needed to provide information for all pond/impoundment units and landfills, including those located on non-adjoiningproperty, using the "Copy Section 5" button below.Table G-3. Waste InformationIn Table G-3, indicate all process wastes, residuesor by-products that are stored, treated, and/or disposed of in each pond/impoundment unit and/or landfill [Check all that apply]. Ifthe landfill is partially capped, complete two rows, one for the amount of waste under the capped portion of the landfill and one for the amount of wasteunder the uncappedportionof the landfill. Please provide any additional wastes not listed by selecting “Other” and specifyingthe process waste, residue, or by-product in the highlighted yellow space provided.Complete as many rows of the table as needed to represent all pond/impoundment units and landfills atthe plant. If more rows are needed, make additionalcopies of Table G-3 andcomplete as many tables as needed to provide information for all pond/impoundment units and landfillsidentified in Table A-4 and A-6.Type and Amount of WasteFly ashBottom ashBioler slagFGD Calcium Sulfate (Gypsum)FGD Calcium Sulfate - Not PozzolonicFGD Pozzolonic MaterialOther:Other:Other:FGD Calcium Sulfate (Gypsum)FGD Calcium Sulfate - Not PozzolonicFGD Pozzolonic MaterialFGD Calcium Sulfate (Gypsum)FGD Calcium Sulfate - Not PozzolonicFGD Pozzolonic MaterialFGD Calcium Sulfate (Gypsum)FGD Calcium Sulfate - Not PozzolonicFGD Pozzolonic MaterialFGD Calcium Sulfate (Gypsum)FGD Calcium Sulfate - Not PozzolonicFGD Pozzolonic MaterialOther:Other:Other:Other:Other:Other:Other:Other:Other:Other:Other:Other:Fly ashBottom ashBioler slagFly ashBottom ashBioler slagFly ashBottom ashBioler slagFly ashBottom ashBioler slagYesYesYesYesYesOther:Closed/CappedActive/UncappedClosed/CappedActive/UncappedClosed/CappedActive/UncappedClosed/CappedActive/UncappedClosed/CappedActive/UncappedCopy Section 5G-9Version: February 22, 2010Steam Electric QuestionnairePart G. Leachate Sampling Data for Ponds/Impoundments and LandfillsPlant ID:Insert Plant IDPlant Name:Insert Plant NamePond/Impoundment Unit or Landfill ID:Insert IDSample Collection Location:Part:GSection Title:Instructions:CBI?Name of Analyte CAS NumberConcentration(μg/L)MethodDetection Limit(MDL) (μg/L)Reporting Limit(μg/L) Qualifiers for the MeasurementOther:Other:Other:Other:Other:Other:Other:Other:Other:7440-70-2CalciumBoron7440-43-9Cadmium7440-42-8Analytical MethodUsedBarium 7440-39-3Beryllium 7440-41-7Antimony 7440-36-0Arsenic 7440-38-2Laboratory Analytical Data FormComplete Table G-4 for each untreatedand treatedsample collection locations. Enter the pond/impoundment unit or landfill ID (use pond/impoundment unit andlandfill IDsassigned in Table A-4 and Table A-6) and the sample collection location (identified previously in Table G-1)in the spaces provided above. Also, identify the nameof theanalytical laboratory that conducted the analyses and provide the sample collection location description previously identified in Table G-1. Report all results. Identify results thatare less than themethod detection limit(MDL), and results that are between the detection andreporting limits. Please provide all free response answers in the highlightedyellow areas.Make a copy of Sampling Results Table for the each pond/impoundment unit and landfill chosen for the leachatesample collection using the "Copy Sampling Results Table"button below.Aluminum 7429-90-5Example - Arsenic 7440-38-2 3502 10Detected in laboratory blank at lessthan 5 times the sample resultTable G-4. Leachate Sampliing Analytical Data FormName of analytical laboratory:Sample collection location description:YesCopy Sampling Results TableData review summary attached.SelectSelectSelectSelectSelectSelectSelectSelectSelectSelectG-10Version: February 22, 2010Steam Electric QuestionnairePart G. Leachate Sampling Data for Ponds/Impoundments and LandfillsOther:Other:Other:Other:Other:Other:Other:Other:Other:Other:Other:Other:Other:Other:Other:Other:Other:Other:Other:Other:Other:Other:Other:7439-97-6No CAS7440-31-57440-32-67440-62-27440-66-67440-22-47440-23-5No CAS7440-28-07439-95-47439-98-77440-02-07782-49-2No CASNo CASNo CAS7440-47-37440-48-47440-50-87439-89-67439-92-17439-95-4ChloridesTotal dissolved solids (TDS)Total suspened solids (TSS)pHTitaniumVanadiumZincMercurySodiumSulfateThalliumTinMolybdenumNickelSeleniumSilverIronLeadMagnesiumManganeseChromiumCobaltCopperSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectG-11Version: February 22, 2010Steam Electric QuestionnairePart G. Leachate Sampling Data for Ponds/Impoundmentsand LandfillsPlant Name: Insert Plant IDPlant ID: Insert Plant NamePart:GSection Title:Part G CommentsInstructions:Question NumberCBI?CBI?CBI?CBI?CBI?CBI?CBI?CBI?CBI?CBI?CBI?Cross reference your comments by question number and indicate the confidential status of your comment by checking the boxnext to "Yes" under "CBI?" (Confidential Business Information).CommentYesYesYesYesYesYesYesYesYesYesYesG-12Version: February 22, 2010Steam Electric QuestionnairePart G. Leachate Sampling Data for Ponds/Impoundmentsand LandfillsCBI?CBI?CBI?CBI?CBI?CBI?CBI?CBI?CBI?CBI?CBI?CBI?CBI?CBI?YesYesYesYesYesYesYesYesYesYesYesYesYesYesG-13Version: February 22, 2010