### In structions for completing the Fuel Material Analysis Information

This Information Collection Request (ICR) spreadsheet is intended to collect information about chemical analyses of fuels used fossil fuel burning power plants. Constituents of concern are: mercury, chlorine, fluorine, and metals, such as antimony, beryllium, cadmium, chromium, cobalt, lead, manganese, nickel, and selenium. This spreadsheet is intended to be used for one boiler of one facility but is designed to allow multiple (up to 4) fuel analyses at that specific boiler. Th is number of analyses would coincide with one boiler where emissions testing for all 4 HAP surrogates were being tested. Data for multiple boilers should be handled by using separate spreadsheets. Fields that are highlighted in yellow are required fields. Green highlighted cells should be filled using the drop

- down boxes, included. Gray fields are automatically filled from other fields.

Please name each resulting spreadsheet with the following naming convention: [FacilityID]_Unit_[BoilerID]_Fuels_Testing.xls (example: 8100_Unit_2_Fuels_Testing.xls).

Please refer to the following steps when using these spreadsheets.

1. Please enter the EIA Facility Code, Facility Name and Boiler ID of your boiler on the Boiler Information worksheet. 2. Please enter the test date on the Boiler Information worksheet. 3. Please choose the type of fuel being sampled using the drop

- down in the fuel column of the Boiler Information worksheet. If you choose "other", please provide a description of the fuel in the Other Fuel Description column. 4. Please provide the analysis method for each constituent in the Analysis Methods worksheet. For example: "ASTM D5865

- 04". 5. Please check the Units of Measure tables for HHV, Metals, and Cl/Fl in the Picklist worksheet (orange tab). If the units of

measure that you plan to report are not found in the Units of measure table, please fill them in the blank, orange highlighte d, cell in each table. This allows you to choose the units of measure in the Fuels Sample Results worksheet. 6. Select the HAPs Test Group (i.e., HAP surrogate) for which the tab's data reflects (o range highlighted cell)

. 7. Provide the Sample Number and Sample Date on the Fuels Sample Results worksheet. You must provide a minimum of 3 composite samples consisting of 3 combined grab samples each, but you are not limited to that number if you have collected

more. 8. Provide the results of the analyses for each constituent requested. Use the drop

- down boxes to fill in the units of

measure.

### EIA

Facility Code Facility Name Boiler ID Fuel Type 1

298 Lim estone LIM2 

## subbituminous

### Fuel Type 2 Fuel Type 3 Other Fuel Description



## lignite 55% PRB, 45% Lignite

### EIA Facility Code Facility Name Boiler ID Basis Analyte Analysis Method for each Analyte (example: ASTM D5865-04)


### 298 Limestone LIM2 As Received Higher Heating Value 

### 298 Limestone LIM2 As Received % Moisture 

### ASTM D3302 298 Limestone LIM2 As Received % Ash 

### 298 Limestone LIM2 As Received % Sulfur 

### 298 Limestone LIM2 Dry basis Higher Heating Value 

### ASTM D5865 298 Limestone LIM2 Dry basis % Ash 

### ASTM D5142 298 Limestone LIM2 Dry basis % Sulfur 

### ASTM D4239 298 Limestone LIM2 Dry basis Antimony 

### 298 Limestone LIM2 Dry basis Arsenic 

### 298 Limestone LIM2 Dry basis Beryllium 

### 298 Limestone LIM2 Dry basis Cadmium 

### 298 Limestone LIM2 Dry basis Chlorine 

### 298 Limestone LIM2 Dry basis Chromium 

### 298 Limestone LIM2 Dry basis Cobalt 

### 298 Limestone LIM2 Dry basis Fluorine 

### 298 Limestone LIM2 Dry basis Lead 

### 298 Limestone LIM2 Dry basis Manganese 

### 298 Limestone LIM2 Dry basis Mercury 

### 298 Limestone LIM2 Dry basis Nickel 

### 298 Limestone LIM2 Dry basis SeleniumEIA Facility Code Facility Name Boiler ID HAPs Test Group


### 298 Limestone LIM2

Sample Number (minimum of 3 composite samples) Test Start Date

(MM/DD/YYYY) Test Stop Date

(MM/DD/YYYY) Higher Heating Value (HHV) (as received) HHV Units % Moisture (as received) % Ash

(as received) % Sulfur

(as received) Higher

Heating Value (HHV) (Dry Basis) HHV Units % Ash (Dry Basis) 3 

### 4/22/2010 4/22/2010 29.98 10405 Btu/lb 3 4/22/2010 4/22/2010 31.37 10307 3 4/22/2010 4/22/2010 31.17 10752 Fuel Testing Results% Sulfur

(Dry Basis) Chlorine

(Dry Basis) Chlorine

Units Mercury

(Dry Basis) Mercury

Units Antimony

(Dry Basis) Antimony

Units Arsenic (Dry

Basis) Arsenic

Units Beryllium

(Dry Basis) Beryllium

Units Cadmium

(Dry Basis) Cadmium

Units Chromium

(Dry Basis) Chromium

Units Lead (Dry

Basis) Lead Units Manganese (Dry Basis)Note the Proximate/Ultimate data below should be recorded on a dry basis (including ash).

Manganese Units Nickel (Dry

Basis) Nickel Units Selenium (Dry Basis) Selenium

Units Fluorine

(Dry Basis) Fluorine

Units Cobalt (Dry

Basis) Cobalt Units Total Moisture Volatiles Ash Fixed Carbon Carbon Hydrogen 

### 13.18 41.55 17.8 40.65 62.79 4.39 13.62 42.58 14 43.42 61.31 4.09 13.81 43.68 13.23 43.09 64.3 4.31 Proximate Analyses, % by wt Ultimate Analyses, % by wtNote the Proximate/Ultimate data below should be recorded on a dry basis (including ash).

Nitrogen Total Sulfur Oxygen 

### 1.15 0.86 13.01 1.02 1.08 18.32 1.22 0.68 16.26 Ultimate Analyses, %

by wtEIA

Facility Code Facility

Name Boiler ID 

### HA Ps Test Group


## 298 Limestone LIM2

Sample Number (minimum of 3 composite samples) Test Start Date

(MM/DD/YYYY) Test Stop Date

(MM/DD/YYYY) Higher Heating

Value (HHV) (as received) HHV Units 

### Fuel Testing Results% Moisture

(as received) % A

sh (as received) % Sulfur

(as received) Higher

Heating Value (HHV) (Dry Basis) HHV Units % A sh (Dry Basis) % Sulfur

(Dry Basis)Chlorine

(Dry Basis) Chlorine

Units Mercury

(Dry Basis) Mercury

Units An timony

(Dry Basis) An timony

Units Arsenic (Dry

Basis) Arsenic

Units Bery llium

(Dry Basis)Bery llium

Units Cadmium

(Dry Basis) Cadmium

Units Chromium

(Dry Basis) Chromium

Units Lead (Dry

Basis) Lead Units Manganese (Dry Basis) Manganese

UnitsNickel (Dry

Basis) Nickel Units Selenium (Dry Basis) Selenium

Units Fluorine

(Dry Basis) Fluorine

Units Cobalt (Dry

Basis) Cobalt Units

### Note the Proximate/Ultimate data below should be recorded on a dry basis (including ash).

Total Moisture Volatiles As h Fixed Carbon Carbon Hydrogen Nitrogen Total Sulfur

Proximate A naly

ses, % by

wt Ultimate Analy ses, % by

wt

### Note the Proximate/Ultimate data below should be recorded on a dry basis (including ash).

OxygenEIA

Facility Code Facility

Name Boiler ID 

### HA Ps Test Group


## 298 Limestone LIM2

Sample Number (minimum of 3 composite samples) Test Start Date

(MM/DD/YYYY) Test Stop Date (MM/DD/YYYY) Higher Heating Value (HHV) (as received) HHV Units 

### Fuel Testing Results% Moisture

(as received) % A

sh (as received) % Sulfur

(as received) Higher

Heating Value (HHV) (Dry Basis) HHV Units % A sh (Dry Basis) % Sulfur

(Dry Basis)Chlorine

(Dry Basis) Chlorine

Units Mercury

(Dry Basis) Mercury

Units An timony

(Dry Basis) An timony

Units Arsenic (Dry

Basis) Arsenic

Units Bery llium

(Dry Basis)Bery llium

Units Cadmium

(Dry Basis) Cadmium

Units Chromium

(Dry Basis) Chromium

Units Lead (Dry

Basis) Lead Units Manganese (Dry Basis) Manganese

UnitsNickel (Dry

Basis) Nickel Units Selenium (Dry Basis) Selenium

Units Fluorine

(Dry Basis) Fluorine

Units Cobalt (Dry

Basis) Cobalt Units Total Moisture Proximate Analy

ses, % by

wt

### Note the Proximate/Ultimate data below should be recorded on a dry basis (including ash).

Volatiles As h Fixed Carbon Carbon Hydrogen Nitrogen Total Sulfur Oxygen Proximate Analy

ses, % by

wt Ultimate Analy ses, % by

wtEIA

Facility Code Facility

Name Boiler ID 

### HA Ps Test Group


## 298 Limestone LIM2

Sample Number (minimum of 3 composite samples) Test Start Date

(MM/DD/YYYY) Test Stop Date

(MM/DD/YYYY) Higher Heating Value (HHV) (as received) HHV Units 

### Fuel Testing Results% Moisture

(as received) % A

sh (as received) % Sulfur

(as received) Higher

Heating Value (HHV) (Dry Basis) HHV Units % A sh (Dry Basis) % Sulfur

(Dry Basis)Chlorine

(Dry Basis) Chlorine

Units Mercury

(Dry Basis) Mercury

Units An timony

(Dry Basis) An timony

Units Arsenic (Dry

Basis) Arsenic

Units Bery llium

(Dry Basis)Bery llium

Units Cadmium

(Dry Basis) Cadmium

Units Chromium

(Dry Basis) Chromium

Units Lead (Dry

Basis) Lead Units Manganese (Dry Basis) Manganese

UnitsNickel (Dry

Basis) Nickel Units Selenium (Dry Basis) Selenium

Units Fluorine

(Dry Basis) Fluorine

Units Cobalt (Dry

Basis) Cobalt Units Total Moisture Proximate Analy ses, % by

wt

### Note the Proximate/Ultimate data below should be recorded on a dry basis (including ash).

Volatiles As h Fixed Carbon Carbon Hydrogen Nitrogen Total Sulfur Oxygen Proximate Analy

ses, % by

wt Ultimate Analy ses, % by

wt

### Units of Measure Tables: Please do not modify these tables, except to add your own unit of measure to the orange hightlighted cell, if necessary.

Fuel Units of Measure - HHV Units of Measure - Cl, Fl anthracite Btu/lb % bituminous Btu/gallon ppm subbituminous lignite coal refuse (culm or gob) No.2 Fuel Oil (distillate) No.6 Fuel Oil (residual or bunker C) Units of Measure - Metals synfuel mg/g petroleum coke μg/g other mg/Kg