# MEMORANDUM

To: Jim Eddinger, U.S. Environmental Protection Agency, OAQPS (D243-01)

From: Susan McClutchey and Graham Gibson, ERG

Date: April 2010

Subject: Data Dictionary for Boiler, Pr ocess Heater, and Other Combustion Unit

Survey Databases

1.0 INTRODUCTION

This memo serves as a Data Element Dictionary for the databases containing

responses from boilers and in-direct fired pr ocess heaters at major and area sources of

Hazardous Air Pollutant (HAP) emissions. Reponses to the 2008 Combustion Survey

and 2009 Boiler and Process Heater Test Plan are included in the databases 1,2



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Combustion unit and facility level data are located in the database entitled Survey

Database containing Results of the 2008 Ques tionnaire for Boilers, Process Heaters, &

Other Combustion Unit s (ICR No. 2286.01) 3 

# . All emission test, emission monitoring,

fuel analysis, and data reported in the 2009 Test Plan are located in the database entitled

Emissions Database for Boilers and Process Heaters Containing Stack Test, CEM, &

Fuel Analysis Data Reported under IC R No. 2286.01 & ICR No. 2286.03 (version 5) 4



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Data from facilities respondi ng to the survey have since notified EPA that the entire

facility or a particular unit w ithin a facility are or will be permanently shut down prior to

the compliance date for the NESHAP, data pert aining to these facilities or units were

excluded from these databases. This memo documents the database structure and format

and describes the information contained in each database.

In order to analyze the survey response data, it was necessary to standardize some

fields to ensure uniformity in calculating emissions and costs. The standardization

process involved retaining the original surv ey response data while adding new fields in

which the original data were manipulated as needed. Appendices A and B note those

# fields added to the raw survey response data during the standardization process for each

database. The processes used to standard ize survey response data are described in

another memorandum 5



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This memorandum is divided into the following sections:

1.0 Introduction

2.0 Database Description

3.0 References

Appendix A: Mapping of Da tabase Table Fields in the Survey Results Database

Appendix B: Mapping of Database Table Fields in the Emissions Database

Appendix C: 2008 Questionnaire Excel Templates

Appendix D: 2009 Test Plan Excel Templates

# 2.0 DATABASE DESCRIPTION

2.1 File Format

A computer program was developed to c onvert data submitted in seven separate

Microsoft ® Excel survey template files into a Microsoft ®Access database. The Excel

templates used to report da ta in the 2008 Questionnaire ar e shown in Appendix C. The

Excel templates used to report data in the 2009 Test Plan are shown in Appendix D. Two

databases were created, one to hold facility and unit level information and the other to

hold emissions test, emissions monitoring, and fu el analysis data. The databases contain

23 separate data tables to summarize info rmation on the facility, combustion unit design

and operations, fuels and materi als combusted in the unit, air pollution control devices,

stack configurations, emission test data, continuous emissions monitoring (CEM) data,

fuel analysis data, good combustion practices , and permitted and regulatory limits data.

Within each of the 23 data tables, each r ecord is assigned to a unique identifier

called a Facility ID. The Facil ity ID begins with a two-le tter state abbreviation and an

abbreviated facility name (i.e., AKDoyon). This identifier relates each record to a unique

facility.

Twenty of the data tables contain a s econd unique identifier called a Combustor

ID or Unit ID. The Combustor ID was provi ded by each respondent and this identifier

relates each record to a unique combustion uni t in the database. Some of the Combustor

ID identifiers represent multiple combusti on units. In these cases, the records are

representing data from more than one combus tion unit, such as units at common stack or

small gas units that were reported in aggregate.

The remaining two data tables do not contai n data aggregated at the unit-level.

Records within the Data: Fuel Analysis and Data: Fuel Analysis Background tables are

provided at the facility level and they are assigned to a unique Facility ID.

2.2 Database Table Structure

The tables providing basic unit and facility level information such as unit design

and operation, and materials combusted in th e unit are located in a Survey Results

Database. The fields within each table in this database are described in detail in

# Appendix A. The tables providing emissi ons test, emissions monitoring, and fuel

analysis data are located in a Consolidated Emissions Database. The fields within each

table in this database are desc ribed in detail in Appendix B.

CEMS data are provided in two data ta bles. These data summarize information

collected from the “CEMSSpreadsheet.xls” and “Small Gas CEMS Spreadsheet.xls”

Microsoft ® Excel template files fr om the 2008 Combustion Survey and the

“CEMSTemplate.xls” Microsoft ® Excel te mplate file from the 2009 Test Plan.

 Data: CEMS Table : This table contains 30 days of reported CEM data for CO,

SO2, NOx, and Particulate Matter for uni que combinations of Facility and

Combustor IDs. Additionally, this tabl e contains the single highest opacity

reading within the 30 day period. This da ta table is located in the Emissions

Database and includes data from both the 2008 Combustion Survey and 2009 Test

Plan.

 Data: CEMS Backgrnd Table : This table gives background information for the

CEM emissions, including fuel, operating rate , and controls. Records within this

table are related to the Data: CEMS Tabl e using the FacilityID, CombustorID and

Pollutant Name data fields. This data table is located in the Survey Results

Database and includes data from both the 2008 Combustion Survey and 2009 Test

Plan.

Results of Emissions Test Data are provi ded in the following three data tables.

These data summarize information collected from the “EmissionTestSpreadsheet.xls” and

“Small Gas Emission Test Spreadsheet.xls” Microsoft ® Excel template files from the

2008 combustion survey, and the “EmissionsTestTemplate_BLR.xls” Microsoft ® Excel

template file from the 2009 Test Plan. Record s within the three emi ssion test tables are

related using the Facility ID, Combustor ID, Test ID, and Source Tab data fields.

 Data: EmissionsTest Table : This table contains em ission test data including

pollutant names, reported emission values and corresponding units of measure, as

well as standardized emission concentra tions and emission rates to consistent

units of measure. This table also incl udes information on test methods used for

each pollutant, whether the test was c onducted upstream or downstream of the

control device, and any reported notes about th e test. This data table is located in

the Emissions Database and includes data from both the 2008 Combustion Survey

and 2009 Test Plan.

#  Data: EmissionsTest Background Info Table: This table contains operating

parameter and exhaust data corresponding to each test run of the reported

emission test results in the Data: EmissionsTest Table. The parameters included

in this table are steam output rate and tota l heat input value. Total heat input rates

were reported in units of mmBtu/hr. If em ission test results were reported in units

of concentration, this table also cont ains exhaust characteristics including:

flowrate, basis of flowrate measurement (w et or dry), temperature, and moisture

content. If the reported emission concentr ations were adjusted to certain O2 or

CO2 levels, these adjustments were also noted in this table. This data table is

located in the Survey Results Database and includes data from both the 2008

Combustion Survey and 2009 Test Plan.

 Data: EmissionsTest Fuel Data Table: This table contai ns data on types of fuels

and fuel input rates used during each repor ted emission test. Fu el input rates have

been standardized to units of mmBtu/hr, wh en possible. This da ta table is located

in the Survey Results Database and in cludes data from both the 2008 Combustion

Survey and 2009 Test Plan.

 Data: Emissions Test and CEMS Installed Table: The table contains StartupFuel

and Fuel data for individual combustion un its, as well as reporting the availability

of emission tests for the unit. The table also lists the pollutants for which CEM is

installed for the unit, as well as details about the regulatory requirements for

CEM, and ability to record or save the data gathered. Th is data table is located in

the Survey Results Database and incl udes data from the 2008 Combustion Survey

only.

 Data: FuelAnalysis Table: This table provides the analysis of any fuel (excluding

natural gas, propane, liquefied petroleum ga s and refinery gas) combusted in units

included in the database. This table links to other database tables using Facility

ID, CombustorID, Control Device and SampleID . This data table is located in the

Emissions Database and includes data from both the 2008 Combustion Survey

and 2009 Test Plan.

 Data: Total Metals Emissions Table: This table contains calculated total metals

emission data from the Data: EmissionsTest table for a unique emission test from

a specific Facility ID and Combustor ID co mbination. This table is located in the

Emissions Database. The methods used to develop this table are detailed in

another memorandum 5



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 Data: Total PCDD/PCDF Emi ssions (TEQ & Total Mass) Table: This table

contains calculated and reported tota l mass and toxic equivalent (TEQ)

dioxin/furan emissions data from the Data: EmissionsTest table for a unique

emission test from a specific Facility ID and Combustor ID combination. This

table is located in the Em issions Database. The met hods used to develop this

table are detailed in another memorandum 5



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# All of the permitted and regulatory emission limits reported in the

“PermittedandRegulatoryLimits.xls” combustion survey Microsoft ® Excel template file

are contained in the following data table:

 Data: Regulatory and Permit Limits Table: This table lists permitted emission

limits reported for any of the combustion units in the database. Also noted is the

fuel associated with the limit, and oxyge n or carbon dioxide d ilutions associated

with the limit. Each record in this database represents a unique combination of

FacilityID, UnitID and Pollutant. The record s in this table are related to records

in other tables using the F acilityID and CombustorID fiel ds. This data table is

located in the Survey Results Database and includes data from the 2008

Combustion Survey only.

All of the characteristic s reported in the “AnswerK ey.xls” combustion survey

Microsoft ® Excel template file are contained in the following eight data tables. Six of

these tables are related using the Facility ID and CombustorID data fields. The

remaining two tables are related using the Faci lity ID. The tables are discussed in the

order the data was reported in the “A nswerKey.xls” spreadsheet template.

 Data: Facility Table: This table contains facility information for all facilities with

combustion units represented in the da tabase. Physical address, contact

information, designation of major or ar ea source of HAP, and basic facility

economic data are included in the table. The FacilityID field is the primary key,

which links the table to others in the data base. This data table is located in the

Emissions and Survey Results Databases and includes data from the 2008

Combustion Survey only.

 Data: GCP and Combustion Controls Table: This table records good combustion

practices and combustion c ontrol devices associated with combustion units

included in the database. It links to ot her tables using the FacilityID and UnitID

fields. This table includes data repor ted on small gas-fired boilers and process

heaters reported in section II.A of the AnswerKey.xls template spreadsheet, as

well as on larger units reporte d in section II-B.3b-4 of th e template spreadsheet.

The field SourceTab provides an indica tion of what section of the template

spreadsheet each data record came from. Th is data table is located in the Survey

Results Database and includes data from the 2008 Combustion Survey only.

 Data: Unit Design/Operation Table: This table include s all the available details

about the design and operating parameters for the combustion units contained in

the database. This includes the size, capacity, fuel, applicability of New Source

Performance Standards, the primary and additional uses of the unit and the unit

design. Records within this table are rela ted to records in other tables using the

# FacilityID and UnitID fields. Because not all respondents answered all sections

of the AnswerKey.xls template spreadsheet, this table was considered to be the

most complete inventory of units that were required to answer Section II.B of the

template spreadsheet. This data table is located in the Survey Results Database

and includes data from the 2008 Combustion Survey only.

 Data: Control Device Table : This table contains details about add-on air

pollution control devices associated with combustion units in the Data: Unit

Design/Operation Table. Additional information contained in the table includes

control device upgrade information, and the presence of continuous parameter

monitoring systems. The records in this ta ble are related to other tables using the

FacilityID and CombustorID fields. This data table is located in the Survey

Results Database and includes data from the 2008 Combustion Survey only.

 Data: Stack Table: This table gives details about the stack configuration for each

combustion unit responding to Section II.B of the survey. It shows which units

utilize a single stack, and which use a co mmon stack or multiple stacks. The table

links to other tables with the Facility ID and UnitID fields. This data table is

located in the Survey Results Database and includes data from the 2008

Combustion Survey only.

 Data: Materials Combusted Table: This table cont ains information about the

fuels and other materials combusted in each combustion unit listed in the

database. The data include related star tup fuels, hours of operation, heat input,

and permit limits associated with each type of fuel or material. Each record in

this database represents a unique combination of FacilityID, UnitID,

CommonStartupFuel, CommonFue l, and CommonNRC fuel. Records within this

table can be related to other unit and fu el-specific data using any of the three

common fuel fields and the Facility ID. Th is data table is located in the Survey

Results Database and includes data from the 2008 Combustion Survey only.

 Data: Emissions Test And CEMS Installed Table: This table contains information

about whether or not an em ission test was conducted, th e location of the emission

test, and whether or not continuous emission monitors or THC monitors are

installed on the unit. Ea ch record in this database represents a unique

combination of FacilityID and UnitID. This data table is located in the Survey

Results Database and includes data from the 2008 Combustion Survey only.

 Data: Non-Fossil Fuels Table: This table contai ns information about units

burning non-fossil fuels. It includes an identification of the non-fossil fuel, an

alternative disposal method if the material could not be burned, and compliance

costs associated with a S ection 129 rule if the non-fo ssil fuel would cause a unit

to be regulated as a Commercial Industrial Solid Waste Incinerator. Each record

in this database represents a unique combination of FacilityID, UnitID and

NonFossilFuel. Records within this tabl e can be related to other unit and fuelspecific data using the NonFossilFuel field a nd the Facility ID. This data table is

# located in the Survey Results Database and includes data from the 2008

Combustion Survey only.

 Data: FuelAnalysis Background Information Table: This table lists all nongaseous fuels or material combusted at each facility in the database. Also

included is information on the origin of the fuel/material and an indication of

whether or not a fuel analysis was repor ted by the survey re spondent. The table

links to the rest of the database using th e FacilityID field. This data table is

located in the Survey Results Database and includes data from the 2008

Combustion Survey only.

The 2009 Test Plan requested some additional information that was not reported

in the 2008 Combustion Survey. This additiona l data consisted of 30-day process, fuel

usage, control device operation, and hour ly emissions monitoring data. For each

combustion unit that reported data as a part of this test plan, the identical Facility ID and

Unit ID used from the 2008 Combustion Surv ey corresponding to that same unit was

used in each of the following tables. Thirty -day process, fuel, and control information

were reported in the “30DayProcessInfor mationTemplate.xls” Microsoft ® Excel

template file. Thirty-day monitoring data was reported in the

“CO&HCMonitoringTemplate.xls” Mi crosoft ® Excel template file.

 Data: 30day Control Table: This table provides operating data for any add-on air

pollution control devices associated with combustion units in the Data: Unit

Design/Operation Table that were a part of the 2009 Test Plan. Control device

data included operating parameters such as pressure drops and voltages.

Operations data were provide d for a 30-day interval. This data table is located in

the Emissions Database and includes data from the 2009 Test Plan only.

 Data: 30day Fuel Table: This table provide s data on fuels combusted in

combustion units in the Data: Unit Design/Operation Table that were a part of the

2009 Test Plan. Fuel data included the type of fuel and th e corresponding heat

input. Fuel data were provide d for a 30-day interval. This data table is located in

the Emissions Database and includes data from the 2009 Test Plan only.

 Data: 30day Process Table: This table provides process data for combustion

units in the Data: Unit Design/Operation Table that were a part of the 2009 Test

Plan. Process data included physical pr operties of process exhaust, such as

effluent flowrates and temp eratures. Process data were provided for a 30-day

interval. This data table is located in the Emissions Database and includes data

from the 2009 Test Plan only.

#  Data: CO and THC CEMS Table: This table provides 30-day emissions

monitoring data for carbon monoxide (C O), THC, methane, and non-methane

hydrocarbons for unique combinations of Fac ility and Combustor IDs. This data

differs from the monitoring data reported in the 2008 Combustion Survey in that

data is reported in hourly increments ove r a span of 30 days, rather than just a

single daily average. This data table is located in the Emissions Database and

includes data from the 2009 Test Plan only.

 Data: CO and THC CEMS Backgrnd Table: This table gives background

information for the 30-day emissions monitoring, including fuel, operating rate,

and controls. Records within this table are related to the Data: CEMS Table using

the FacilityID and CombustorID data fields . Records within this table are related

to the Data: CO and THC CEMS Table using the FacilityID, CombustorID and

Source Tab data fields. This data table is located in the Emissions Database and

includes data from the 2009 Test Plan only.

2.3 LOOKUP and Inventory Tables

Lookup tables were generated to aid in the standardization of data reported in the

2008 Combustion Survey and 2009 Test Plan. Th e inventory table is a list of each unique

boiler and process heater at a major source of HAP for which data was reported to the

survey. The data in these tables is a combin ation of reported and st andardized data. The

fields in these tables are not mapped in an Appendix to this document since each table is

detailed in other memoranda 5,6



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 LOOKUP: Common Fuels Table: This table provides a standard naming

convention for all fuels reported in the data bases. This table is located in the

Survey Results Database. The methods used to develop this table are discussed in

another memorandum 5



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 LOOKUP: Control Devices Table: This table pr ovides a standard naming

convention for all control devices reported in the databases. This table is located

in the Survey Results Database. The me thods used to develop this table are

discussed in another memorandum 5



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 LOOKUP: Design Capacity Conversions Table: This table provides the

equations used to standardize design capacitie s and other fuel inputs. This table is

located in the Survey Results Database. The methods used to develop this table

are discussed in another memorandum 5



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 LOOKUP: F-Factors Table: This table provides an F-Factor for each fuel

reported in the database. F-factors were not available for all reported fuels. This

# table is located in the Surv ey Results Database. The methods used to develop this

table are discussed in another memorandum 5



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 LOOKUP: Fuel Input Conversions/HHVs Table: This table provides the

equations used to standardize higher hea ting values into a form suitable for fuel

analysis conversions. This table is locat ed in the Survey Results Database. The

methods used to develop this table are discussed in another memorandum 5



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 LOOKUP: Pollutant Molecular Weights Table: This table contains the molecular

weights for pollutants for which emissions data were reported. Molecular weights

were necessary for some emission conversions. This table is located in the

Survey Results Database. The methods used to develop this table are discussed in

another memorandum 5



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 LOOKUP: Toxic Equivalency Factors Table: This tabl e contains the toxic

equivalency factors used to standardize toxic equivalent dioxin/furan emissions.

This table is located in the Emissions Data base. The methods used to develop this

table are discussed in another memorandum 5



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 LOOKUP: Unit Conversions Table: This table contai ns the equations used to

standardize all emissions data. This ta ble is located in the Survey Results

Database. The methods used to devel op this table are discussed in another

memorandum 5



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 Inventory: Major Source Boilers & Process Heaters Table: This ta ble contains an

inventory of operational major source boile rs and process heaters that initially

reported data in the 2008 Questionnaire. Th is table is located in both the Survey

Results and Emissions Databases. The methods used to develop this database are

detailed in another memorandum 6



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3.0 REFERENCES

1. U.S. Environmental Protection Agenc y. 2008 Questionnaire for Boilers, Process

Heaters, Incinerators and Othe r Combustion Units (ICR No. 2286.01, OMB

Control No. 2060-0616, EPA Form No. 5900-122)

2. U.S. Environmental Protection Agency. 2009 Test Plan for Boilers and Process

Heaters ICR No. 2286.03, OMB Contro l No. 2060-0616, EPA Form No. 5900-

122

3. Survey Database containing Results of the 2008 Questionnaire for Boilers,

Process Heaters, & Other Co mbustion Units (ICR No. 2286.01).

# 4. Emissions Database for Boilers and Pro cess Heaters Containing Stack Test, CEM,

& Fuel Analysis Data Reported under ICR No. 2286.01 & ICR No. 2286.03

(version 5).

5. Gibson, G., ERG. Standardization of Reported Data from the Questionnaire for

Boilers, Process Heaters, Incinerators and Other Combustion Units, April 2010.

6. Gibson, G. and A. Singleton, ERG. Deve lopment of Baseline Emission Factors

for Boilers and Process Heaters at Co mmercial, Industrial and Institutional

Facilities. April 2010.Appendix A-1: Field Mappingfor theData: CEMS BackgrndTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.CombustorIDThis contains a unique identifier assigned to each combustion unit. For units with an identifier representing multiple combustion units a note is provided inthe IDNote fieldSource This field identifies the source of the data as CEMS or SmallGasCEMS.PollutantThis field identifies the pollutant being monitored as CO, NOx, SO2, Opacity, or PM.TypControl This field contains the Control Device Configuration for 30-day CEMS period (drop-down menu provided)*Standardized TypControlThis is a post-submittal field which standardizes the terms used for pollution control devices.TypOpRate This field contains the typical operating rate during the 30-day CEMS period (MMBtu/hr)UpsetsDuringTypOperations This field gives space for a description of any operational upsets during 30-day CEMS period.TypFuel This field gives the typical fuel mix utilized during 30-day CEMS period*Common Fuel This post-submittal field shows the standardized fuel type for TypFuel.F-Factor This post-submittal field contains the F-Factor needed to convert CO or PM to standard units.TypFuelRate This field contains the typical fuel rate during the CEMS period.TypFuelRateUnits This field gives the units for typical fuel rate.MaxFuel This field gives the fuel Maximum 6-minute average.*Common MaxFuel This post-submittal field shows the standardized fuel type for MaxFuel.MaxFuelRate This field gives the fuel rate at Maximum 6-minute average.MaxFuelRateUnitsThis field gives the units for the fuel rate at Maximum 6-minute average.UpsetsDuringMaxOperations This field gives space for a description of any operational upsets during maximum 6-minute period.MaxControl This field gives the control device configuration used during the maximum 6-minute average.MaxOpRate This field provides the operating rate during the maximum 6-minute average.Original CombustorID This is a post-submittal QA field showing the original Unit ID.Note This field provides space for additional information.* These fields have been added to the database to allow the survey data to be standardized to ensure uniformity in emission andcost calculations.Page 1 of 29Appendix A-2: Field Mappingfor theData: Control DeviceTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.UnitIDThis contains a unique identifier assigned to each combustion unit. For units with an identifier representing multiple combustion units a note is provided inthe IDNote fieldControlDevice This field indicates the presense of an add-on pollution control device.*Standardized ControlDeviceThis is a post-submittal field which standardizes the terms used for pollution control devices.YearInstalled This field gives the installation year of control device.Upgrade This field indicates if the control device has been upgraded. (Yes=True/No=False)UpgradeCompliance This field indicates if the control device was upgraded to comply with 40 CFR 63 Subpart DDDDD. (Yes=True/No=False)RemovedAdded If the control device was upgraded, this field indicates if the original was removed or upgraded (Yes=True/No=False)PriorDevice If upgraded, this field identifies the prior device. (drop-down menu provided)*Standardized PriorDeviceThis is a post-submittal field which standardizes the terms used for the pollution control devices used prior to current controls.upgradedate_currentdevice This field gives the date of upgrade to current device.upgradedate_piordevice This field gives the date of original device installation (mm/yyyy).CommonControl This field indicates if the control device is used for multiple combustion units? (Yes=True)CommonControlUnits This field gives the control units utilizing the control device, if yes is answered in the CommonControl field.CPMS_None This field indicates if there is No Continuous Parameter Monitoring System (CPMS).CPMS_PressureDrop This field gives the CPMS measures pressure drop.CPMS_FlowRate This field gives the CPMS measures flowrate.CPMS_VoltageThis field gives the CPMS Voltage measurement.CPMS_OtherThis field indicates if there is another CPMS parameter being measured.CPMS_OtherExp This field allows space to explain the CPMS parameter referred to in the CPMS_Other field.Original UnitID This is a post-submittal QA field showing the original Unit ID.Note This field provides space for additional information.* These fields have been added to the database to allow the survey data to be standardized to ensure uniformity in emission andcost calculations.Page 2 of 29Appendix A-3: Field Mappingfor theData: Emissions Test And CEMS InstalledTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.UnitIDThis contains a unique identifier assigned to each combustion unit. For units with an identifier representing multiple combustion units a note is provided inthe IDNote fieldStartupFuel This field shows the fuel used to start the unit.Fuel Shows the main fuel burned in the combustion unit.EmissionTest This field indicates the availability of an emission test. (Yes=True/No=False)EmissionTestLoc This field indications the location where available emission test occurred.SO2_Test This field indicates the presense of an SO2 CEM. (Yes=True/No=False)SO2_MonitorThis field indicates whether or not SO2 is monitored for Regulatory Purposes. (Yes=True/No=False)SO2_Record This field indicates if the SO2 CEMS is recorded. (Yes=True/No=False)SO2_Save This field indicates if the SO2 CEMS data are saved (Yes=True/No=False)NOx_Test This field indicates if there is a NOx CEM installed. (Yes=True/No=False)NOx_MonitorThis field indicates if NOx is monitored for Regulatory Purposes (Yes=True/No=False)NOx_Record This field indicates if the NOx CEMS data are recorded. (Yes=True/No=False)NOx_Save This field indicates if the NOx CEMS data are saved. (Yes=True/No=False)CO_Test This field indicates the presense of an CO CEM. (Yes=True/No=False)CO_MonitorThis field indicates if CO is monitored for Regulatory Purposes. (Yes=True/No=False)CO_Record This field indicates if the CO CEMS data are recorded? (Yes=True/No=False)CO_Save This field indicates if the CO CEMS data are saved? (Yes=True/No=False)O2_Test This field indicates the presense of an O2 CEM installed? (Yes=True/No=False)O2_MonitorThis field indicates if the O2 is monitored for Regulatory Purposes (Yes=True/No=False)O2_Record This field indicates if O2 CEMS data are recorded? (Yes=True/No=False)O2_Save This field indicates that O2 CEMS data are saved? (Yes=True/No=False)PM_TestThis field indicates the presense of PM CEM. (Yes=True/No=False)PM_MonitorThis field indicates if PM is monitored for regulatory purposes. (Yes=True/No=False)PM_Record This field indicates if PM CEMS data are recorded? (Yes=True/No=False)PM_Save This field indicates if PM CEMS data are saved? (Yes=True/No=False)VOC_Test This field indicates the presense of a VOC CEM? (Yes=True/No=False)VOC_MonitorThis field states if VOC is monitored for regulatory purposes. (Yes=True/No=False)VOC_Record This field indicates if the VOC CEMS data are recorded? (Yes=True/No=False)VOC_Save This field indicates if the VOC CEMS data are saved? (Yes=True/No=False)Original UnitID This is a post-submittal QA field showing the original Unit ID.Note This field provides space for additional information.Page 3 of 29Appendix A-4: Field Mappingfor theData: EmissionsTest Background InfoTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.CombustorID_commonThis contains a unique identifier assigned to each combustion unit. For units with an identifier representing multiple combustion units a note is provided inthe IDNote fieldControlDevice This identifier lists any add-on Pollution Control Device.*Standardized ControlDeviceThis is a post-submittal field which standardizes the terms used for pollution control devices.TestID This field contains an identifying sample number for tracking emission test results.TestDate_common This field shows the date of the emission test.Steam This field reports the steam output rate from the combustion unit at the time of the emission test.SteamUnit This field gives the steam output rate unit.SteamUnitOther This field provides space for steam output rate alternative unit information. Should correspond to an "Other" response in the "Steam Unit" field.*Standardized Steam This post-submittal field converts steam output to standard units.*Standardized Steam UnitThis post-submittal field shows the standardized steam output unit (1000 lb/hr)SteamLocation This field indicates if testing was done either upstream or downstream of control device.SteamNote This field provides space for additional information on steam output.THI_Value This value gives the total heat input.THI_Unit This field reports the unit for the total heat input.*Standardized THI_ValueThis post-submittal field converts total heat input to standard units.*Standardized THI_UnitThis post-submittal field shows the standardized THI unit. (mmBtu/hr)THI_UnitOther This field provides space for total heat input alternative unit information. Should correspond to an "Other" response n the "THI_Unit"THI_Location This field Indicates if testing is done upstream or downstream or control device.THI_Note This field provides space for additional total heat input information.DryOrWet This field indicates the basis on which testing is measured, wet or dry.DryOrWetNote This field provides space for additional basis information.CO2_Value This field gives the CO2 emission value for the Test ID.CO2_Unit This field provides the unit related to the CO2 pollutant value.CO2_Method This field idicates the CO2 Test Method used to determine the CO2 value.CO2_Location This field indicates if CO2 sample taken before or after control device.CO2_Note This field provides space for additional CO2 emission informationO2_Value This field gives the O2 emission value for the Test ID.*Standardized O2_ValueThis field is a post-submittal field converting O2 emissions to a numeric value with standard units.O2_Unit This field provides the unit related to the O2 emission value.O2_Method This field indicates the O2 Test Method used to determine the O2 value.O2_Location This field indicates if the O2 sample was taken before or after control device.O2_Note This field provides space for additional O2 Information.Moisture This field gives the percent of moisture in the exhaust.*Standardized_MoistureThis post-submittal field converts the moisture value to standardized units of percent.MoistureNote This field provides space for additional moisture information.ExhaustFlow This field gives the exhaust flow rate.*Standardized_ExhaustFlowThis post-submittal field converts the exhaust flowrate to a standard unit.Page 4 of 29Appendix A-4: Field Mappingfor theData: EmissionsTest Background InfoTableField Name Description*Standardized_ExhaustFlowUnitThis post-submittal field shows the standardized unit for the exhaust flowrate (dscfm).ExhaustFlowUnitThis field gives the original exhaust flowrate units.ExhaustFlowNote This field provides space for additional exhaust flowrate information.ExhaustTemp This field gives the exhaust temperature.*Standardized_ExhaustTempThis post-submittal field converts the exhaust temperature to a standard unit.*Standardized_ExhaustTempUnitThis post-submittal field shows the standardized exhaust temp unit (F).ExhaustTempUnitThis field provides the original unit for Exhaust TemperatureExhaustTempNote This field provides space for additional exhaust temperature information.SourceTab This field identifies the EmissionTestSprdsheet tab of the 2008 Combustion Survey Emission Test in which the data originated.Original CombustorID_common This is a post-submittal QA field showing the original Unit ID.Note This field provides space for additional information.* These fields have been added to the database to allow the survey data to be standardized to ensure uniformity in emission andcost calculations.Page 5 of 29Appendix A-5: Field Mappingfor theData: EmissionsTest Fuel DataTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.CombustorID_commonThis contains a unique identifier assigned to each combustion unit. For units with an identifier representing multiple combustion units a note is provided inthe IDNote fieldTestID This field contains an identifying sample number for tracking emission test results.TestDate_common This field shows the date of the emission test.FuelParameter_Type This field identifies the parameter type being recorded.*Common Fuel This post-submittal field shows the standardized fuel name.FuelParameter_TypeOtherThis field identifies the other parameter type.FuelParameter_Value This field gives the numerical value of the parameter type being detailed.FuelParameter_UnitThis field provides the unit for the parameter value chosen from menu.*Standardized Fuel RateThis post-submittal field shows the fuel rate converted to standard units.*Standardized Fuel Rate UnitsThis post-submittal field shows the standard fuel rate units. (Mbtu/hr)FuelParameter_UnitOther This field provides alternative parameter value unit information. Should correspond to an "Other" response in the "FuelParameter_Unit" field.FuelParameter_Method This field provides the method used to determine the parameter value.FuelParameter_Note The field provides space for additional parameter information.SourceTab This field identifies the EmissionTestSprdsheet tab of the 2008 Combustion Survey Emission Test in which the data originated.Original CombustorID_common This is a post-submittal QA field showing the original Unit ID.Note This field provides space for additional information.* These fields have been added to the database to allow the survey data to be standardized to ensure uniformity in emission andcost calculations.Page 6 of 29Appendix A-6: Field Mappingfor theData: FacilityTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.Facility Name This field gives the name of the facility responding to the survey.2a_Phys_Address This field gives the facility's physical street address.2b_Phys_CityThis field gives the facility's physical city.2c_Phys_State This field gives the facility's physical state.2d_Phys_Zip This field gives the facility's physical zip code.2e_Phys_CountyThis field gives the facility's physical county.3a_ContactName This field provides the first and last name of facility contact3b_ContactTitle This field provides the professional title of contact person.3c_Telephone This field provides the contact person phone number with extension.3d_FaxThis field lists the fax number for the contact person.3e_E-mail This field gives the e-mail address for contact person.4_FacilityLegalNameThis field contains the legal name of the facility, if different form the name given in the "Facility Name" field. If the field is left null, it is updated postsubmittal to Facility ID.5_AffectedSectorThis field indicates if the affected sector is public, private, or not-for-profit.6_MajororArea This field indicates if the facility is major source of HAPs. (True=Major/False=Area)7a1_NumberCompanyEmployeesThis field provides the number of employees in the company. This field only needs to be answered if the affected sector is private.7a2_NumberFacilityEmployeesThis field provides the number of employees at the facility. This field only needs to be answered if the affected sector is private.7b1_Population This field gives the population of local public entity. This field only needs to be answered if the affected sector is public8_Small EntityThis field answers the question "Is this facility a small entity?" with Yes, No, or Unknown.9_NAICS This field gives the 3-digit NAICS.Page 7 of 29Appendix A-7: Field Mappingfor theData: FuelAnalysis Background InformationTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.Fuel_Material This field lists the fuel or material for which analysis is included.*Common Fuel This post-submittal field shows the standardized fuel name.FM_originate This field indicates the origin of fuel or material as either on-site or off-site.FM_analysisavailableThis field indicates the availability of fuel analysis. (True=available)* These fields have been added to the database to allow the survey data to be standardized to ensure uniformity in emission andcost calculations.Page 8 of 29Appendix A-8: Field Mappingfor theData: GCP and CombustionControlsTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.UnitIDThis contains a unique identifier assigned to each combustion unit. For units with an identifier representing multiple combustion units a note is provided inthe IDNote fieldAirTrimControl This field describes the Air Trim Control - Oxygen, Carbon Monoxide, Neither or UnknownUnitNumber This field gives the number of units associated with the UnitID.ScheduledTuneUp This field reports if tune ups are scheduled. (True=Yes/False=No)ScheduledTuneUp_freq This field reports the frequency of tune-ups.FuelSystemInspectClean This field reports if the fuel system is subject to inspection/cleaning. (True=Yes/False=No)FuelSystemInspectClean_freq This field reports the frequency of Fuel System Inspection/Cleaning.SurfaceInspectCleanRecondition This field reports if surface inspection/cleaning/reconditioning is done. (True=Yes/False=No)SurfaceInspectCleanRecondition_freq This field reports the frequency of Surface Inspection/Cleaning/Reconditioning.CkElectricalandCombCtrl This field reports if electrical and combustion control checks are done. (True=Yes/False=No)CkElectricalandCombCtrl_freq This field reports the frequency of Electrical and Combustion Control Checks.TestExhaustGases This field reports if there is testing of exhaust gases. (True=Yes/False=No)TestExhaustGases_freq This field reports the frequency of Exhaust Gas Testing.COlevelAdjustment This field reports if CO levels are adjusted. (True=Yes/False=No)ValveInspection This field reports if valves are inspected. (True=Yes/False=No)ValveInspection_freq This field reports the frequency of Valve Inspections.RefractoryInspection This field reports if refractory inspections are performed. (True=Yes/False=No)RefractoryInspection_freq This field reports the frequency of Refractory Inspection.FanCleanInspect This field reports fan cleaning/inspection. (True=Yes/False=No)FanCleanInspect_freq This field reports the frequency of Fan Cleaning/Inspection.FeedWaterInspect This field reports the inspection of feed water. (True=Yes/False=No)FeedWaterInspect_freq This field reports the frequency of Feed Water Inspection.GCP_OpTrainRecord This field reports if a Good Combustion Practices Operation Training Record is kept. (True=Yes/False=No)GCP_OpTrainRecord_freq This field reports the frequency of Good Combustion Practices Operation Training Recordkeeping.GCP_MaintenanceKnowledgeThis field reports the use of Good Combustion Practices Maintenance Knowledge. (True=Yes/False=No)GCP_MaintenanceKnowledge_freq This field reports the frequency of utilizing GCP Maintenance Knowledge.GCP_MaintenancePractices This field reports the us of Good Combustion Practices Maintenance Practices. (True=Yes/False=No)GCP_MaintenancePractices_freq This field reports the frequency with which GCP Maintenance Practices are used.GCP_FuelAirRatio This field reports the use of Good Combustion Practices Fuel/Air Ratios. (True=Yes/False=No)GCP_FuelAirRatio_freq This field reports the frequency with which GCP Fuel/Air Ratio is checked.GCP_AutoO2andCOtrimcontrols This field reports the use of Good Combustion Practices Auto O2 and CO trim controls. (True=Yes/False=No)GCP_FurnaceResTimeandTemp This field reports the use of Good Combustion Practices Furnace Residence Time and Temperature. (True=Yes/False=No)GCP_FurnaceResTimeandTemp_freq This field reports the frequency with which GCP Furnace Residence Time and Temperature are checked.GCP_FuelQualandHandling This field reports the use of Good Combustion Practices Fuel Quality and Handling. (True=Yes/False=No)GCP_FuelQualandHandling_freq This field reports the frequency of using GCP Fuel Quality and Handling procedures.Page 9 of 29Appendix A-8: Field Mappingfor theData: GCP and CombustionControlsTableField Name DescriptionGCP_LiquidAtomization This field reports the use of Good Combustion Practices Proper Liquid Atomization. (True=Yes/False=No)GCP_LiquidAtomization_freq This field reports the frequency of GCP Liquid AtomizationGCP_FuelDistributionCombZone This field reports the use of Good Combustion Practices Proper Fuel Distribution Combustion Zone. (True=Yes/False=No)GCP_FuelDistributionCombZone_freq This field reports the frequency of GCP Fuel Distribution Combustion ZoneGCP_CombustionAirDistribution This field reports the use of Good Combustion Practices Combustion Air Distribution (True=Yes/False=No)GCP_CombustionAirDistribution_freq This field reports the frequency with which GCP Combustion Air Distribution is used.GCP_FlyAshReinjection This field reports the use of Good Combustion Practices Fly Ash Reinjection. (True=Yes/False=No)GCP_DrierFuel This field reports on the Good Combustion Practices of using drier fuel. (True=Yes/False=No)GCP_FuelDistributioninFireboxThis field reports on the Good Combustion Practice of proper Fuel Distribution. (True=Yes/False=No)GCP_Co-firing This field reports on the Good Combustion Practice of Co-Firing fuels (True=Yes/False=No)GCP_lowNOxBurners This field reports on the Good Combustion Practice using Low Nox Burners (True=Yes/False=No)AdjustmentsThis field reports the adjustment of CO, CO2, or other gas necessary to calculate combustion efficiency and make necessary adjustments to thecombustion system.COLimit_UnitandCorrectionThis field reports the CO limit applicable to the unit or group of units.GasFuelThis field reports the fuel combusted in the unit or group of units.AverageTimeThis field reports the averaging time for the CO limit.AverageTimeOtherThis field reports if other information was entered about the CO limit averaging time.SourceTab Indicates the Survey AnswerKey tab in which the data originatedOriginal UnitID This is a post-submittal QA field showing the original Unit ID.Note This field provides space for additional information.Page 10 of 29Appendix A-9: Field Mappingfor theData: Materials CombustedTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.UnitIDThis contains a unique identifier assigned to each combustion unit. For units with an identifier representing multiple combustion units a note is provided inthe IDNote fieldStartupFuel This field lists any alternative fuel used at startup for the combustion unit.*Common StartupFuel This post-submittal field gives the standardized startup fuel type.Startups This field indicates the number of unit startups per year.StartupLength This field gives the typical length of startup time in hours.Fuel This field lists the fuels or materials combusted by the unit.*Common Fuel This post-submittal field shows the standardized fuel name.DirectlyFedTo This field indicates where the fuel is fed. The answers include "B" for boiler, "P" for process heater, "G" for gasifier, or "O" for other combustion unit.FuelUsagePattern This field shows if the pattern of fuel usage is seasonal or annual.HoursPerYearThis field gives the unit operation hours per year.HeatMin This field gives the Minimum Heat Input in mmBtu/hr for the unit.HeatMaxThis field gives the Maximum Heat Input in mmBtu/hr for the unit.HeatMean This field gives the Mean Heat Input in mmBtu/hr for the unit.PermitLimitValue This field lists the permitted limit value.PermitLimitUnitThis field gives the unit associated with the permit limit value.NRC_Fuel This field shows fuels that are occassionally, but not routinely combusted.*Common NRC_Fuel This post-submittal field gives the standardized NRC fuel type.NRC_DirectlyFedTo This field indicates where fuel is fed. The answers include "B" for boiler, "P" for process heater, "G" for gasifier, or "O" for other combustion unit.NRC_Conditions This field indicates the conditions which lead to the combustion of fuels not routinely combusted.NRC_HoursPerYearThis field provides the hours of fuels not routinely combusted burned per year.NRC_HeatMin This field gives the Minimum Heat Input of fuel not routinely combusted in mmBtu/hr.NRC_HeatMaxThis field gives the Maximum Heat Input of fuel not routinely combusted in mmBtu/hr.NRC_HeatMean This field gives the Mean Heat Input of fuel not routinely combusted in mmBtu/hr.NRC_PermitLimitValue This field lists the permitted limit value associated with the NRC.NRC_PermitLimitUnitThis field gives the unit associated with the NRC permit limit value.UnitIDChange (oldvalue) This post-submittal QA field shows the original Unit ID.Note This field provides space for additional information.* These fields have been added to the database to allow the survey data to be standardized to ensure uniformity in emission andcost calculations.Page 11 of 29Appendix A-10: Field Mappingfor theData: Non-Fossil FuelsTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.UnitIDThis contains a unique identifier assigned to each combustion unit. For units with an identifier representing multiple combustion units a note is provided inthe IDNote fieldNonFossilFuelUnits This field indicates the units that fire non-fossil fuels.NonFossilFuel This field gives the name of the non-fossil fuel burned.*Common Fuel This post-submittal field shows the standardized fuel name.HandlingMethod This field describes the alternative disposal method for non-fossil fuel if not combusted.CompensatoryFuel This field describes the fuel used to compensate if the facility is not able to burn non-fossil fuel.CompensateForLostHeat This field describes the alternative to compensate for lost heat if non-fossil fuel isn't combusted.StopCombustingNFF This field shows if the facility would be forced to stop burning non-fossil fuel if subject to Sectioln 129 CISWI. (True=Yes/False=No)CoststoComplywith129 This field lists the additional costs to comply with 129.CostComponents This field provides space to list the additional cost components necessary to comply with 129.Original UnitID This is a post-submittal QA field showing the original Unit ID.Note This field provides space for additional information.* This field has been added to the database to allow the survey data to be standardized to ensure uniformity in emission and cost calculations.Page 12 of 29Appendix A-11: Field Mappingfor theData: Regulatoryand Permit LimitsTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.CombustorIDThis contains a unique identifier assigned to each combustion unit. For units with an identifier representing multiple combustion units a note is provided inthe IDNote fieldPollutantThis field identifies the Permitted Pollutant described in the record.EL This field gives the Numerical Emission Limit.EL_Units This field gives the Emission Limit Units as lb/mmBtu or Other.EL_Units_OtherThis field provides space to give Other Limit Units, where applicable.EL_FuelAssoc This field indicates the fuel associated with the Emission Limit.AveragingTime This field gives the averaging time for the limit, such as hourly, 30-day average, etc.O2orCO2Concentration This field contains the standardized oxygen concentration.EL_ReflectDDDDD This field indicates emission limits that reflect DDDDD. (True=Yes/False=No)Note This field provides space for additional InformationPage 13 of 29Appendix A-12: Field Mappingfor theData: StackTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.UnitIDThis contains a unique identifier assigned to each combustion unit. For units with an identifier representing multiple combustion units a note is provided inthe IDNote fieldSingleStackThis field indicates if the stack is used by a single combustion unit. (True=Yes/False=No)CommonStack This field indicates if the stack is used by multiple combustion units. (True=Yes/False=No)OtherCombustionUnits This field provides a list of other combustions units using a stack, if it is a common stack. Should correspond to a "Yes" in the Common Stack field.MultipleStacks This field indicates the use of multiple stacks by a single combustion unit. (True=Yes/False=No).Page 14 of 29Appendix A-13: Field Mappingfor theData: Unit Design/OperationTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.UnitIDThis contains a unique identifier assigned to each combustion unit. For units with an identifier representing multiple combustion units a note is provided inthe IDNote field*Classification This post-submittal QA field identifies the combustion device as a boiler, process heater, incinerator, generator, kiln or other.YearInstalled This field gives the year the combustion device was installed.CapacityThis field lists the Heat Input value for the combustion unit.CapacityUnitThis field gives the Heat Input value units.*Standardized CapacityThis post-submittal field contains the Heat Input value converted to standardized units.*Standardized CapacityUnitThis post-submittal field lists the Heat Input unit for the Standardized Capacity field.Fuel This field gives the type of fuel used in the combustion device.HeatReleaseRate This field lists the Heat Release Rate in units of Btu per cubic foot.NSPS This field indicates if the unit is subject to New Source Performance Standards. (True=Yes/False=No).NSPSYearThis field gives the year in which the combustion unit is subject to New Source Performance Standards. Should correspond to a"Yes" response in theNSPS field.PCD_SteamGen This field indicates that the unit's primary use is steam generation. (True=Yes/False=No)PCD_SpaceHeatThis field indicates that the unit's primary use is space heat generation. (True=Yes/False=No)PCD_ProcessHeat This field indicates that the unit's primary use is process heat generation. (True=Yes/False=No)PCD_ElectricityGen This field indicates that the unit's primary use is electricity generation. (True=Yes/False=No)PCD_WasteIncineration This field indicates that the unit's primary use is waste incineration. (True=Yes/False=No)PCD_Cogen This field indicates that the unit's primary use is co-generation. (True=Yes/False=No)PCD_Other This field indicates that the unit has another primary use besides those listed. (True=Yes/False=No)PCD_OtherExp This field provides space to explain the unit's secondary use. Should correspond to a "Yes" response in the "PCD_Other" field.ACD_SteamGen This field indicates that the unit's secondary use is steam generation. (True=Yes/False=No)ACD_SpaceHeatThis field indicates that the unit's secondary use is space heat generation. (True=Yes/False=No)ACD_ProcessHeat This field indicates that the unit's secondary use is process heat generation. (True=Yes/False=No)ACD_ElectricityGen This field indicates that the unit's secondary use is electricity generation. (True=Yes/False=No)ACD_WasteIncineration This field indicates that the unit's secondary use is waste incineration. (True=Yes/False=No)ACD_Cogen This field indicates that the unit's secondary use is co-generation. (True=Yes/False=No)ACD_Other This field indicates that the unit has another secondary use besides those listed. (True=Yes/False=No)ACD_OtherExp This field provides space to explain the unit's primary use. Should correspond to a "Yes" response in the "ACD_Other" field.Blr_Package This field indicates that the combustion device is a shop erected package boiler.Blr_FieldErected This field indicates that the combustion device is field erected.Blr_ModularThis field indicates that the combustion device was erected partly in a shop and partly in the field.Blr_WaterTube This field indicates that the combustion device is a water tube boiler.Blr_FireTube This field indicates that the combustion device is a fire tube boiler.Blr_Hybrid This field indicates that the combustion device is a hybrid boiler.Blr_HybridWater This field indicates that the combustion device is a hybrid water tube boiler.Blr_HybridFire This field indicates that the combustion device is a hybrid fire tube boiler.Blr_Tangential This field indicates that the combustion device is a boiler with tangential suspension firing.Blr_WallFired This field indicates that the combustion device is a boiler with wall-fired suspension firing.Page 15 of 29Appendix A-13: Field Mappingfor theData: Unit Design/OperationTableField Name DescriptionBlr_Combo This field indicates that the combustion device is a boiler with a combination of suspension firing and grate-firing.Blr_OtherSuspension This field indicates that the combustion device is a boiler with another form of suspension firing.Blr_OtherSuspensionExp This field explains the suspension firing method utilized by the boiler.BlrStokerThis field indicates that the combustion device is a stoker solid-fuel boiler.BlrStoker_SpreaderThis field indicates that the combustion device is a spreader-stoker solid-fuel boiler.BlrStoker_MassFeed This field indicates that the combustion device is a mass feed solid-fuel boiler.BlrStoker_ManualFeed This field indicates that the combustion device is a manual-feed solid-fuel boiler.BlrStoker_Other This field indicates that the combustion device is a stoker boiler of another type.BlrStoker_OtherExp This field provides space to explain the type of stoker solid-fuel boiler. Should correspond to a "Yes" response in the "BlrStoker_Other" field.Blr_FluidBed This field indicates that the combustion device is a fluidized-bed solid-fuel boiler.Blr_FluidBed_Circulating This field indicates that the combustion device is a circulating fluidized-bed solid-fuel boiler.Blr_FluidBed_Bubbling This field indicates that the combustion device is a bubbling fluidized-bed solid-fuel boiler.Blr_PulverizedCoal This field indicates that the combustion device is a pulverized coal solid-fuel boiler.Blr_Cyclone This field indicates that the combustion device is a cyclone boiler.BlrOtherUnit_FuelCell This field indicates that the combustion device is a fuel-cell solid-fuel boiler.BlrOtherUnit_SuspBurnerThis field indicates that the combustion device is a suspension burner solid-fuel boiler.BlrOtherUnit_SlopedGrate This field indicates that the combustion device is a sloped grate solid-fuel boiler.BlrOtherUnit_DutchOven This field indicates that the combustion device is a dutch oven solid-fuel boiler.BlrOtherUnit_GasifierThis field indicates that the combustion device is a gasifier solid-fuel boiler.BlrOtherUnit_OtherThis field indicates that the combustion device is another type of solid-fuel boiler.BlrOtherUnit_OtherExp This field provides space to explain the type of solid-fuel boiler. Should correspond to a "Yes" responsein the "BlrOtherUnit" fieldPH_Package This field indicates if the unit is a shop-erected process heater package unit. (True=Yes/False=No).PH_FieldErected This field indicates if the unit is a field-erected process heater. (True=Yes/False=No).PH_FireTube This field indicates if the unit is a fire-tube process heater. (True=Yes/False=No).PH_WaterTube This field indicates if the unit is a water-tube process heater. (True=Yes/False=No).PH_ThermalOil This field indicates if the unit is a thermal oil process heater. (True=Yes/False=No).PH_OtherUnitThis field indicates that the unit is another type of process heater. (True=Yes/False=No)PH_OtherUnitExp This field provides space to explain the type of process heater. Should correspond to a "Yes" response in the "PH_OtherUnit" field.PH_FuelCell This field indicates if the unit is a fuel cell process heater. (True=Yes/False=No).PH_SuspBurnerThis field indicates if the unit is a suspension burner process heater. (True=Yes/False=No).PH_SlopedGrate This field indicates if the unit is a slope grateprocess heater. (True=Yes/False=No).PH_DutchOven This field indicates if the unit is a dutch oven process heater (True=Yes/False=No).PH_GasifierThis field indicates if the unit is a gasifier process heater. (True=Yes/False=No).PH_OtherFiring This field indicates if the unit is an unlisted type of process heater. (True=Yes/False=No).PH_OtherFiringExp This field provides space to explain how the process heater is fired. Should correspond to a "Yes" response in the "PH_OtherFiring" field.OC_NaturalDraft This field indicates if the combustion unit utilizes natural draft. (True=Yes/False=No).OC_ForcedDraft This field indicates if the combustion unit utilizes forced draft. (True=Yes/False=No).OC_DryerThis field indicates if the combustion unit is a dryer. (True=Yes/False=No).OC_Heater This field indicates if the combustion unit is a heater. (True=Yes/False=No).Page 16 of 29Appendix A-13: Field Mappingfor theData: Unit Design/OperationTableField Name DescriptionOC_Kiln This field indicates if the combustion unit is a kiln. (True=Yes/False=No).OC_Engine This field indicates if the combustion unit is an engine. (True=Yes/False=No).OC_Other This field indicates if the combustion unit is another type of unit. (True=Yes/False=No).OC_OtherExp This field provides space to explain the type of combustion unit. Should correspond to a "Yes" response in the "OC_OtherUnit" field.OperationHours This field gives operation hours for the combustion unit, in hr/yrDutyCycleThis field indicates if the unit duty cycle is base-loaded, load following or standby.Seasonal This field indicates if the combustion unit operates seasonally.Unit ID Changed This post-submittal QA field indicates that the Unit ID was corrected.Original Unit ID This is a post-submittal QA field showing the original Unit ID.Note This field provides space for additional information.* This field has been added to the database to allow the survey data to be standardized to ensure uniformity in emission and cost calculations.Page 17 of 29Appendix B-1: Field Mappingfor theData: 30dayControlTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.CombustorID_common This contains a unique identifier assigned to each combustion unit.Date This field identifies the Date (mm,dd,yy) for CEMS daily average emission data point for most recent 30-day periodControlDevice This identifier lists any add-on Pollution Control Device.ControlDevice_OtherExp This field identifies if other control device information was entered.InletTemp This field identifies the inlet templerature to the control device.InletTemp_UnitThis field identifies the inlet temperature units of measure.OutletTemp This field identifies the outlet templerature from the control device.OutletTemp_Unit This field identifies the outlet temperature units of measure.InjectionLocation This field identifies the location of sorbent injection for treatment of exhaust gas.InletVoltage This field identifies the inlet voltage to an electrostatic precipitator.OutletVoltage This field identifies the outlet voltage from an electrostatic precipitator.InletSecCurrentThis field identifies the inlet secondary current to an electrostatic precipitator.OutletSecCurrent This field identifies the outlet secondary current from an electrostatic precipitator.ControlDevice_Note This field provides space for additional information.PressureDrop This field identifies the pressure drop across a control device.SorbentInjRate This field identifies the rate at which sorbent is injected.SorbentInjRate_UnitThis field identifies the units for the rate of sorbent injection.SorbentInjRate_Unit_OtherThis field identifies if other sorbent injection rate unit information was entered.ScrubberLiquor_pH This field identifies the pH of the wet scrubber liquor.ScrubberLiquor_Rate This field identifies the wet scrubber liquor flow rate.AmmoniaSlip This field identifies the ammonia slip for SCR and SNCR, in ppm.ReagentType This field identifies the reagent for SCR or SNCR, urea or ammonia.OtherMonitorParameter_Type This field identifies other control device parameters not identified in the templates.OtherMonitorParameter_Value This field identifies numeric values accompanying the other monitoring parameter types.OtherMonitorParameter_UnitThis field identifies units of measure for the numeric values acocmpanying the other monitoring parameter types.SourceTab This field indicates the 30DayProcessInformationTemplate tab in which the data originatedPage 18 of 29Appendix B-2: Field Mappingfor theData: 30dayFuelTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.CombustorID_common This contains a unique identifier assigned to each combustion unit.Date This field identifies the Date (mm,dd,yy) for CEMS daily average emission data point for most recent 30-day periodFuel_Number This field lists the number of the fuel entered into the 30DayProcessInformationTemplate.Fuel This field lists the fuel or material for which analysis is included.Fuel_OtherThis field identifies if other fuel information was entered.Fuel_Rate This field identifies the fuel input rate.Fuel_Rate_UnitThis field identifies the unit of measure accompanying the fuel input rate.Fuel_Rate_Unit_OtherThis field identifies if other fuel input rate unit of measure information was entered.SourceTab This field indicates the 30DayProcessInformationTemplate tab in which the data originatedPage 19 of 29Appendix B-3: Field Mappingfor theData: 30dayProcessTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.CombustorID_common This contains a unique identifier assigned to each combustion unit.Date This field identifies the Date (mm,dd,yy) for CEMS daily average emission data point for most recent 30-day periodTHI This value gives the total heat input.Steam This value gives the steam output.Exhaust_Flow This field gives the exhaust flow rate.Exhaust_Flow_UnitThis field gives the original exhaust flowrate units.Exhaust_Temp This field gives the exhaust temperature.Exhaust_Temp_UnitThis field provides the original unit for Exhaust TemperatureO2_% This field gives the O2 concentration in the exhaust.Moisture_% This field gives the moisture concentration in the exhaust.Note This field provides space for additional information.SourceTab This field indicates the 30DayProcessInformationTemplate tab in which the data originatedPage 20 of 29Appendix B-4: Field Mapping for the Data: CEMS TableField NameDescription*Major Source? This post-submittal field shows whether the facility is an area source or major source.*Classification This post-submittal field shows the classification of the unit.*Data Source This post-submittal field shows the data-gathering phase from which the data was received.FacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.CombustorIDThis contains a unique identifier assigned to each combustion unit. For units with an identifier representing multiple combustion units a note is provided inthe IDNote fieldSource This field identifies the source of the data as CEMS or SmallGasCEMS.PollutantThis field identifies the pollutant being monitored as CO, NOx, SO2, Opacity, or PM.Date This field identifies the Date (mm,dd,yy) for CEMS daily average emission data point for most recent 30-day periodEmission_Numerical This field contains the emission numerical value for CEMS daily average emission data point for most recent 30-day periodEmission_Unit This field has the units for CEMS daily average emission data point for most recent 30-day periodCorrection This field has the pertinent dilutant gas needed to correct the emissions. i.e. 3% Oxygen.*Standardized Emission_Numerical This post-submittal field gives the submitted emission data in terms of standardized units.*Standardized Emission _Unit This post-submittal field gives the standardized units which correspond to the standardized numerical emission, either lb/MMBtu or ppb @ 3% O2.Conversion EqUsed This post-submittal field identifies the equation used to convert the received emission data to standard units.*F-Factor Standardized ValueThis post-submittal field provides the F-Factor needed to convert data into standard units.*F-Factor Standardized Unit This post-submittal field gives the standardized units which correspond to the standardized numerical emission, either lb/MMBtu or ppb @ 3% O2.F-Factor Equation Used This post-submittal field identifies the F-Factor equation used to convert the received emission data tostandard units.MaxEmission_Numerical This field contains the maximum emission numerical value for CEMS daily average emission data point for most recent 30-day periodMaxEmission_UnitThis field contains the maximum emission units for CEMS daily average emission data point for most recent 30-day periodMaxCorrection This field has the pertinent dilutant gas needed to correct the emissions. i.e. 3% Oxygen*StandardizedMaxEmission_Numerical This post-submittal field gives the submitted maximum emission data in terms of standardized units.*Standardized MaxEmission_Unit This post-submittal field gives the standardized units which correspond to the standardized max numerical emission, either lb/MMBtu or ppb @ 3% O2.*Max Conversion Equation Used This post-submittal field identifies the equation used to convert the received max emission data to standard units.*F-Factor MaxEmission_Numerical This post-submittal field provides the F-Factor needed to convert max emission data into standard units.*F-Factor MaxEmission_Unit This post-submittal field gives the standardized units which correspond to the standardized max numerical emission, either lb/MMBtu or ppb @ 3% O2.*F-Factor MaxEmission Eq Used This post-submittal field identifies the F-Factor equation used to convert the received max emission data to standard units.Note This field provides space for additional information.*Cleaned Control Device This post-submittal field identifies all control devices employed during the monitoring period.*Total Baseline Control This post-submittal field identifies the total baseline level of control during the monitoring period.*Fuel This post-submittal field identifies all fuels combusted during the monitoring period.*Fuel Source This post-submittal field identifies the source of the fuel information.*Coal % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting coal.*Bagasse % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting bagasse.*Wet Biomass % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting wet biomass.Page 21 of 29Appendix B-4: Field Mapping for the Data: CEMS TableField NameDescription*Dry Biomass % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting dry biomass.*Heavy Liquid % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combustingheavy liquid.*Light Liquid % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combustinglight liquid.*Gas 1% This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting gas 1.*Gas 2% This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting gas 2.*Other % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting other.*Waste % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting waste.*25% Fuel CatThis post-submittal field contains the fuel category assigned to the data point based on the fuel percentage fields, using a 25% threshold.*10% Fuel CatThis post-submittal field contains the fuel category assigned to the data point based on the fuel percentage fields, using a 10% threshold.Heat_InputThis field identifies the total heat input to the combustion unit for each monitoring period (mmBtu/hr)Steam This field identifies the total steam output from the combustion unit for each monitoring period (1000 lb/hr)CombUnit_Op_IndicatorThis field identifies if the combustion unit was in a period of startup, shutdown, malfunction, or normal operation.CEMS_Op_IndicatorThis field identifies if the monitor experienced a malfunction.SourceTab This field indicates the CEMSSpreadsheet tab in which the data originated*Test Burning Proposed OptionWaste? This post-submittal field notes if the emissions data corresponds to combusting a fuel classified as a solid waste underthe proposed definition.*Test Burning Alternative OptionWaste? This post-submittal field notes if the emissions data corresponds to combusting a fuel classified as a solid waste underthe alternative definition.*Alternative Waste Inventory? This post-submittal field notes if thes combustion unit would be reclassified as a waste-burning unit under the alternative solid waste definition.* These fields have been added to the database to allow the survey data to be standardized to ensure uniformity in emission andcost calculations.Page 22 of 29Appendix B-5: Field Mappingfor theData: CO and THC CEMSTableField Name Description*Major Source? This post-submittal field shows whether the facility is an area source or major source.*Classification This post-submittal field shows the classification of the unit.*Data Source This post-submittal field shows the data-gathering phase from which the data was received.SourceTab This field indicates the COandHCMonitoringTemplate tab in which the data originatedFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.CombustorID This contains a unique identifier assigned to each combustion unit.Date This field identifies the Date (mm,dd,yy,hh) for CEMS daily average emission data point for most recent 30-day periodTHC This field contains the monitored emission value for total hydrocarbons (ppm)*THC (ppm@3%O2) This post-submittal field contains the standardized total hydrocarbon emissions (ppm @ 3% O2)*THC Equation Used This post-submittal shows the equation ID used to standardized the reported emission dataCH4 This field contains the monitored emission value for methane (ppm)*CH4 (ppm@3%O2) This post-submittal field contains the standardized methane emissions (ppm @ 3% O2)*CH4 Equation Used This post-submittal shows the equation ID used to standardized the reported emission dataNon_CH4_HC This field contains the monitored emission value for non-methane hydrocarbons (ppm)*Non_CH4_HC (ppm@3%O2) This post-submittal field contains the standardized non-methane hydrocarbon emissions (ppm @ 3% O2)*Non_CH4_HC Equation Used This post-submittal shows the equation ID used to standardized the reported emission dataCO This field contains the monitored emission value for carbon monoxide (ppm)*CO (ppm@3%O2) This post-submittal field contains the standardized carbon monoxide emissions (ppm @ 3% O2)*CO Equation Used This post-submittal shows the equation ID used to standardized the reported emission dataO2_in_Stack This field indicates the percent oxygen in the exhaust during the monitoring period.Heat_InputThis field indicates the heat input to the combustion unit during the monitoring period (mmBtu/hr)Steam This field indicates the steam output from the combustion unit during the monitoring period (1000 lb/hr)CombUnit_Op_IndicatorThis field identifies if the combustion unit was in a period of startup, shutdown, malfunction, or normal operation.THC_Op_Indicator This field identifies if the monitor experienced a malfunction.CO_Op_Indicator This field identifies if the monitor experienced a malfunction.*Alternative Waste Inventory? This post-submittal field notes if thes combustion unit would be reclassified as a waste-burning unit under the alternative solid waste definition.*Test Burning Alternative OptionWaste? This post-submittal field notes if the emissions data corresponds to combusting a fuel classified as a solid waste underthe alternative definition.*Test Burning Proposed OptionWaste? This post-submittal field notes if the emissions data corresponds to combusting a fuel classified as a solid waste underthe proposed definition.* These fields have been added to the database to allow the survey data to be standardized to ensure uniformity in emission andcost calculations.Page 23 of 29Appendix B-6: Field Mappingfor theData: CO and THC CEMS BackgrndTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.CombustorID This contains a unique identifier assigned to each combustion unit.TypFuel This field lists the fuel or material combusted during the CEM analysis.TypFuel_OtherThis field identifies if other fuel information was entered.TypFuelRate This field identifies the fuel input rate.TypFuelRateUnits This field identifies the unit of measure accompanying the fuel input rate.TypFuelRateUnits_OtherThis field identifies if other fuel input rate unit of measure information was entered.SourceTab This field indicates the COandHCMonitoringTemplate tab in which the data originatedPage 24 of 29Appendix B-7: Field Mappingfor theData: EmissionsTestTableField Name Description*Major Source? This post-submittal field shows whether the facility is an area source or major source.*Classification This post-submittal field shows the classification of the unit.*Data Source This post-submittal field shows the data-gathering phase from which the data was received.SourceTab This field indicates the EmissionTestSprdsheet tab in which the data originatedFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.CombustorID_commonThis contains a unique identifier assigned to each combustion unit. For units with an identifier representing multiple combustion units a note is providedin the IDNote fieldTestID This field contains an identifying sample number for tracking emission test results.TestDate_common This field contains the date of emission testPollutant_Name This field shows the name of the pollutant being testedPollutant_Value This field shows the pollutant value submitted originally, which is non-numeric.*Pollutant_Value Numeric This field is a numeric post-submittal QA field created to allow calculations using the pollutant value.Non-Detect? This post-submittal field identifies non-detect results.*ND Detection Limit This field gives the detection limit for the pollutant represented in the record.Pollutant_Units This field shows the units for pollutant value.Pollutant_UnitsOther This filed offers pollutant alternative unit information. Should correspond to an "Other" response n the Parameter_Units.*Standardized Detection Limit This post-submittal field reports the non-detect detection limit in standardized units.*Standardized Detection Limit Units This post-submittal field gives the units in which the standardized detection limit is reported.Pollutant_Average This field gives the average pollutant value.*Standardized Pollutant_Value This post-submittal QA field contains a standardized pollutant value.*Standardized Pollutant_Units This field includes a post-submittal QA field showing pollutant standardized unit.*Conversion Eq Used This field shows a post-submittal QA field identifying the equation used to convert pollutant value to standard unit*F-Factor Standardized Value This post-submittal field provides the F-Factor needed to convert the pollutant into standard units.*F-Factor Standardized Unit This post-submittal field gives the standardized units which correspond to the standardized numerical emission, either lb/MMBtu or ppb @ 3% O2.*F-Factor Equation Used This post-submittal field identifies theF-Factor equation used to convert the received emission data tostandard units.Pollutant_Method This field identifies the Pollutant Test Method used.Pollutant_Location This field indicates if the sample taken before or after control device*Upstream/Downstream? This post-submittal field standardizes the sampling location (upstream, downstream, or unknown).Pollutant_Note This field provides space for additional supportive information regarding the pollutantOriginal CombustorID_common This is a post-submittal QA field showing the original Unit ID.Note This field provides space for additional information.*Cleaned Control Device This post-submittal field identifies all control devices employed during the emission test.*Total Baseline Control This post-submittal field identifies the total baseline level of control during the emission test.*Control Source This post-submittal field identifies the source of the control device information.*Fuel This post-submittal field identifies all fuels combusted during the emission test.*Fuel Source This post-submittal field identifies the source of the fuel information.*Coal % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting coal.*Bagasse % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting bagasse.*Wet Biomass % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting wet biomass.*Dry Biomass % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting dry biomass.*Heavy Liquid % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combustingheavy liquid.Page 25 of 29Appendix B-7: Field Mappingfor theData: EmissionsTestTableField Name Description*Light Liquid % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combustinglight liquid.*Gas 1% This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting gas 1.*Gas 2% This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting gas 2.*Other % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting other.*Waste % This post-submittal field contains the percentage of the combustion unit's heat input that is due to combusting waste.*25% Fuel Cat This post-submittal field contains the fuel category assigned to the data point based on the fuel percentage fields, using a 25% threshold.*10% Fuel Cat This post-submittal field contains the fuel category assigned to the data point based on the fuel percentage fields, using a 10% threshold.Total_Solids This field indicates the total solids recirculated from wet scrubber liquid.Total_Solids_Unit This field shows the units of measure for the total solids recirculation.Total_Solids_Method This field shows the method used to measure the total solids recirculation.Total_Solids_Location This field shows the location where total solids recirculation was measured.Total_Solids_Note This field provides space for additional supportive information regarding total solids recirculation.Dissolved_Solids This field indicates the total dissolved solids recirculated from wet scrubber liquid.Dissolved_Solids_Unit This field shows the units of measure for the total dissolved solids recirculation.Dissolved_Solids_Method This field shows the method used to measure the total dissolved solids recirculation.Dissolved_Solids_Location This field shows the location where total dissolved solids recirculation was measured.Dissolved_Solids_Note This field provides space for additional supportive information regarding total dissolved solids recirculation.Suspended_Solids This field indicates the total suspended solids recirculated from wet scrubber liquid.Suspended_Solids_Unit This field shows the units of measure for the total suspended solids recirculation.Suspended_Solids_Method This field shows the method used to measure the total suspended solids recirculation.Suspended_Solids_Location This field shows the location where total suspended solids recirculation was measured.Suspended_Solids_Note This field provides space for additional supportive information regarding total suspended solids recirculation.Recirc_Flowrate This field indicates the recirculation flowrate of the wet scrubber liquid.Recirc_Flowrate_UnitThis field shows the units of measure for the recirculation flowrate.Recirc_Flowrate_Method This field shows the method used to measure the recirculation flowrate.Recirc_Flowrate_Location This field shows the location where recirculation flowrate was measured.Recirc_Flowrate_Note This field provides space for additional supportive information regarding recirculation flowrate.Sample Half This denotes specific information on front or back half measurements as reported in the ERT.*Combustor Design This post-submittal field notes the combustor design of the combustion unit.*Multiple Combustors? This post-submittal field notes where the CombustorID is indicative of multiple combustion units.*Alternative Waste Inventory? This post-submittal field notes if thes combustion unit would be reclassified as a waste-burning unit under the alternative solid waste definition.*Test Burning Alternative OptionWaste? This post-submittal field notes if the emissions data corresponds to combusting a fuel classified as a solid waste underthe alternative definition.*Test Burning Proposed OptionWaste? This post-submittal field notes if the emissions data corresponds to combusting a fuel classified as a solid waste underthe proposed definition.* These fields have been added to the database to allow the survey data to be standardized to ensure uniformity in emission andcost calculations.Page 26 of 29Appendix B-8: Field Mappingfor theData: FuelAnalysisTableField Name DescriptionFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.Fuel_Material This field lists the fuel or material for which analysis is included.Fuel_Material_OtherThis field identifies if other fuel information was entered.*Common Fuel This post-submittal field shows the standardized fuel name.FM_analysiswithEmissionTestThis field indicates if the fuel or material analysis was completed in conjunction with an emission test. (True=Yes/False=No)CombustorID_commonThis contains a unique identifier assigned to each combustion unit and matches the ID in the EmissionsTest table . For units with an identifier representingmultiple combustion units a note is provided in the IDNote fieldSampleID This identifier gives the sample number associated with the analysis.TestDate_common This field gives the date the analysis was performed.FuelSampleDate This field gives the date the fuel sample was taken.Basis This field indicates if fuel basis is As received or DryParameter_Name This field names the parameter of either Higher Heating Value (HHV) or Compound.Parameter_Value This field contains the value of either HHV or Compound as text.Parameter_Units This field gives the units of either HHV or Compound.Parameter_UnitsOther The field provides space to list units of HHV or Compound if "other" is indicated as units.Parameter_TestMethod This field lists the method used to analyze HHV or Compound.*CorrectedParameter_Units This field gives the standard units for HHV or Compound. (Btu/lb, Btu/gal or Btu/scf)*ParameterValueNumeric This post-submittal field provides a numeric version of the reported parameter value.*ParameterValueisNonDetectThis post-submittal field identifies non-detect results.*StdParameterConc(mgperg dry) This post-submittal field converts the reported pollutant concentrations to a standardized concentration (mg/g).*StdParameterNote This field provides space for additional information.*StandardizedHHV(mmBtuperlbdrybasis) This post-submittal field provides a standardized heating value for the specific test run (mmBtu/lb).*HHVNote This field provides space for additional information.*StdFuelBased EF (lbpermmBtu) This post-submittal field standardizes the concentrations into a heat input-based emission factor(lb/mmBtu).*StdParameter for EF This post-submittal field standardizes the parameter name.*StdFuelBased EF note This field provides space for additional information.SourceTab This field indicates the FuelAnalysisSpreadsheet tab in which the data originated*Data Source This post-submittal field shows the data-gathering phase from which the data was received.*Proposed Option Waste? This post-submittal field notes if the fuel analysis data corresponds to a fuel classified as a solid waste under the proposed definition.*Alternative Option Waste? This post-submittal field notes if the fuel analysis data corresponds to a fuel classified as a solidwaste under the alternative definition.* These fields have been added to the database to allow the survey data to be standardized to ensure uniformity in emission andcost calculations.Page 27 of 29Appendix B-9: Field Mappingfor theData: Total Metals EmissionsTableField Name Description*Data Source This post-submittal field shows the data-gathering phase from which the data was received.Source Tab This field indicates the EmissionTestSprdsheet tab in which the data originatedFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.CombustorID_common This contains a unique identifier assigned to each combustion unit.TestID This field contains an identifying sample number for tracking emission test results.TestDate_common This field contains the date of emission test*Total Metals This post-submittal field presents the calculated total metals emission value for the test run.*Total Metals UnitThis post-submittal field presents the unit of measure for the total metals emission value.*Has ND Data? This post-submittal field indicates if non-detect data was included in the total metals value.Note This field provides space for additional information.Test Method This field identifies the Pollutant Test Method used.*Alternative Waste Inventory? This post-submittal field notes if thes combustion unit would be reclassified as a waste-burning unit under the alternative solid waste definition.*Test Burning Alternative OptionWaste? This post-submittal field notes if the emissions data corresponds to combusting a fuel classified as a solid waste underthe alternative definition.*Test Burning Proposed OptionWaste? This post-submittal field notes if the emissions data corresponds to combusting a fuel classified as a solid waste underthe proposed definition.* These fields have been added to the database to allow the survey data to be standardized to ensure uniformity in emission andcost calculations.Page 28 of 29Appendix B-10: Field Mappingfor theData: Total PCDD/PCDF Emissions(TEQ & Total Mass)TableField Name Description*Data Source This post-submittal field shows the data-gathering phase from which the data was received.Source Tab This field indicates the EmissionTestSprdsheet tab in which the data originatedFacilityID This identifier relates each record to a unique facility using a two-letter state abbreviation and abbreviated facility name.CombustorID_common This contains a unique identifier assigned to each combustion unit.TestID This field contains an identifying sample number for tracking emission test results.TestDate_common This field contains the date of emission test*Reported Value This post-submittal field contains the reported total mass dioxin/furan emission value for the test run, if applicable.*Calculated ValueThis post-submittal field contains the calculated total mass dioxin/furan emission value for the test run, if applicable.*Total Mass PCDD/PCDF This post-submittal field contains the total mass dioxin/furan emission value for the test run.*Total Mass PCDD/PCDF UnitThis post-submittal field contains the units of measure for the total mass dioxin/furan emission value.*Total Mass PCDD/PCDF Source This post-submittal field states whether the total mass dioxin/furan value is the reported or calculated value.*Has Total Mass ND Data? This post-submittal field states if the total mass dioxin/furan value contains non-detect data.*TEQ PCDD/PCDF This post-submittal field contains the TEQ dioxin/furan emission value for the test run.*TEQ PCDD/PCDF UnitThis post-submittal field contains the units of measure for TEQ mass dioxin/furan emission value.*Has TEQ ND Data? This post-submittal field states if the TEQ dioxin/furan value contains non-detect data.Note This field provides space for additional information.*Alternative Waste Inventory? This post-submittal field notes if thes combustion unit would be reclassified as a waste-burning unit under the alternative solid waste definition.*Test Burning Alternative OptionWaste? This post-submittal field notes if the emissions data corresponds to combusting a fuel classified as a solid waste underthe alternative definition.*Test Burning Proposed OptionWaste? This post-submittal field notes if the emissions data corresponds to combusting a fuel classified as a solid waste underthe proposed definition.* These fields have been added to the database to allow the survey data to be standardized to ensure uniformity in emission andcost calculations.Page 29 of 29

# APPENDIX C

2008 QUESTIONNAIRE EXCEL TEMPLATESICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011Survey Question:Part I(Questions on this worksheet start on page 3 of the surveyoverview document)Worksheet Title:Facility Level DataWho Should Complete this Spreadsheet?Spreadsheet Instructions:1. Name of facility:facility name here2. Complete street address of facility (physical location):a. Addressb. Cityc. Stated. Zipe. County3. Facility contact:a. Name (First Name, Last Name)b. Titlec. Telephone number and ext.d. Fax Numbere. E-mail Address4. If not the same as question #1, provide the legal nameof the owner of this facility:5. Is the owner of this facility a private enterprise,not-for-profit, or a public sector entity? (select one)Any facility that receives the Section 114 letter that still has boilers*, process heaters*, othercombustion units*, or incinerators* in operation.ICR Number 2286.01OMB Control Number:2060-0616Expiration Date: 08/31/2011EPA Form No. 5900-122Please answer these questions for the facility listed in the Section 114 letter you received in themail. If you received more than one Section 114 letter for multiple facilities, you must create aseparate answer keyspreadsheet file for each facility.Private EnterpriseNot-for-ProfitPublic SectorOwner Type(select)ICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/20116. Is your facility a major source* of HAP?7. Size of EntityNotes:Peach shaded cells indicate areas where the user will enter a response* Indicates a definition of the term is available in the Survey Overview DocumentNow Proceed to Worksheet II.A.1 (boiler group) in the Survey9. Select the facility’s primary NAICS.The primary NAICS code represents the line of business that generates the most income for the facility.7a1. If a private company owns the facility, please enter the approximate number of employeesof the business enterprise thatownsthis facility, including where applicable, the parent companyand all subsidiaries, branches, and unrelated establishments owned by the parent company:7a2. If a private company owns the facility, please enter the number of employees at this facility:7b1. If the public sector owns the facility, what is the population of the local government entity(city, county, town, school district, special district) that owns the facility?8. Is the legal owner a small entity* as defined by the Regulatory Flexibility Act?Go to this website for help determining small entity status:http://www.sba.gov/idc/groups/public/documents/sba_homepage/serv_sstd_tablepdf.pdfYesNoMajor Source(select)(select)(select)YesNoDon't KnowSmall Entity(select)ICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011SurveyQuestion:Part II.A Question 1 (Questions on this worksheet start on page 4 of the survey overview document)ICR Number 2286.01Worksheet Title:Design, Operating, and Air Pollution Control Device Data for Small Gas-fired* BoilersOMB Control Number: 2060-0616EPA Form No. 5900-122Who ShouldComplete thisSpreadsheet?Facilities that have small gas-fired* boilersExpiration Date: 08/31/2011Facility Name (name of facility will automatically be linked to the name you provided in Part I):Group ID associated with this similar group of small gas-fired* boilers:1. Please provide a brief inventory of each similar group of small gas fired boilers:a. Enter the number of gas fired boilers inthis group with less than or equal to 10 million Btu/hr (mmBtu/hr)heat input design capacity:frequency:frequency:frequency:frequency:If this option is checked, indicate what level the CO is adjusted to:frequency:Inspection and repair of all valves (relief, safety, hydraulic, pneumatic, etc.).b. Please classify any tune-up practices performed onthis group of boilers along with the corresponding frequency. Tune-up practices include activities that involve checkingthe unit’s combustion processes and adjusting as needed:Using the scheduled tune-up and procedures provided by the boiler manufacturer.Inspection and cleaning, as necessary, of fireside and water-side surfaces.Inspecting, cleaning and/or reconditioning of fuel systems.facility name hereChecking all electrical and combustion control systems.Testing of exhaust gases (CO, CO2, other) as necessary to calculate combustion efficiency and makenecessary adjustments to the combustion system.frequency:(select)(select)(select)(select)(select)(select)Spreadsheet Instructions:Complete this worksheet for each similar group of small gas-fired boilers. If you have more than one similar group of gas-firedboilers, you may copy and paste this worksheet to document eachunique group of units. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in4. Click OK.5. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.The facility ID will automatically be linked to the new worksheet, based on your response in Part I. Please indicate a new combustor ID in each copied worksheet. When complete,e-mail this spreadsheet along with all other completed spreadsheets tcombustionsurvey@erg comSpreadsheet Instructions:Complete this worksheet for each similar group of small gas-fired boilers. If you have more than one similar group of gas-firedboilers, you may copy and paste this worksheet to document eachunique group of units. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in4. Click OK.5. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.The facility ID will automatically be linked to the new worksheet, based on your response in Part I. Please indicate a new combustor ID in each copied worksheet. When complete,e-mail this spreadsheet along with all other completed spreadsheets tcombustionsurvey@erg comICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011frequency:frequency:frequency:frequency:frequency:frequency:frequency:frequency:frequency:frequency:frequency:d. If any of these boilers is subject to a CO limit, please provide the numerical limit with units.CO numerical limit with units and correction:(e.g. 400 ppm at 3% O2 dry, lb/mmBtu heat input, or other (please specify)Fuel associated with numerical limit (select from list):Corresponding Averaging Time for CO limit:if CO averaging time is 'other', please specify:Now Proceed to Worksheet Part II.A.2 (heater group)Inspection and repair of refractories.Cleaning/reconditioning and inspecting the feedwater system.Using up to date operating procedures, training, recordkeepingMonitoring furnace residence time and temperatureFuel quality and proper fuel handling (including monitoring quality, periodic sampling and analysis, fuelsupplier certification, if used)Proper fuel distribution in the combustion zoneMaintenance knowledge (including training on applicable equipment and procedures)Maintenance practices including maintenance procedures and recordkeepingc. Please classify any good combustion practices performed on this group of boilers, along with the corresponding frequency of each practice:Cleaning and inspecting fan housing, blades, and inlet screens.Fuel/air ratio periodic checksAutomatic O2/CO trim control systems (check if controls are installed)Low NOx burners (check if burners are installed)Combustion air distribution based on observations with periodic or continuous adjustments(select)(select)(select)(select)(select)(select)(select)(select)(select)(select)(select)(select)30-day rolling averagehourlyotherAveraging Time

# ICR Number 2286.01

OMB Control Number: 2060-0616

Expiration Date: 08/31/2011



# Survey

Question: Part II.A Question 2 (Questions on this worksheet start on page 4 of the survey overview document) ICR Number 2286.01

Worksheet Title: Design, Operating, and Air Pollution Control Device Data for Small Gas-fired* Process Heaters OMB Control Number: 2060-0616

EPA Form No. 5900-12 2

Who Should

Complete this

Spreadsheet? Facilities that have small gas-fired* process heaters Expiration Date: 08/31/2011

Facility Name (name of facility will automatically be linked to the name you provided in Part I): facility name here

Group ID associated with this similar group of small gas-fired* process heaters:

1. Please provide a brief inventory of each similar group of small gas fired process heaters:



# a. Enter the number of gas fired process heaters in this group with less than or equal to 10 million Btu/hr

(mmBtu/hr) heat input design capacity:

frequency:

frequency:

frequency:

frequency:

If this option is checked, indicate what level the CO is adjusted to:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

d. If any of these process heaters is subject to a CO limit, please provide the numerical limit with units.

CO numerical limit with units and correction:

(e.g. 400 ppm at 3% O2 dry, lb/mmBtu heat input, or other (please specify)

Fuel associated with numerical limit (select from list):

Corresponding Averaging Time for CO limit:

if CO averaging time is 'other', please specify:

Now Proceed to Worksheet Part II.A3-4 Combustion air distribution based on observations with periodic or continuous adjustments

Low NOx burners (check if burners are installed) Automatic O 2 

# /CO trim control systems (check if controls are installed)

Monitoring furnace residence time and temperature

Fuel quality and proper fuel handling (including monitoring quality, periodic sampling and analysis, fuel supplier

certification, if used)

Proper fuel distribution in the combustion zone Using up to date operating procedures, training, recordkeeping

Maintenance knowledge (including training on applicable equipment and procedures)

Maintenance practices including maintenance procedures and recordkeeping

Fuel/air ratio periodic checks Inspection and repair of refractories.

Cleaning and inspecting fan housing, blades, and inlet screens.

c. Please classify any good combustion practices performe d on this group of process heaters, along with the corresponding frequency of each practice: Checking all electrical and combustion control systems.

Testing of exhaust gases (CO, CO 2 

# , other) as necessary to calculate combustion efficiency and make

necessary adjustments to the combustion system. frequency: 2



# Inspection and repair of all valves (relief, safety, hydraulic, pneumatic, etc.). b. Please classify any tune-up practices performed on this group of process heaters along with the corresponding frequency. Tune-up practices include activities that involve checkin g

the unit’s combustion processes and adjusting as needed:

Using the scheduled tune-up and procedures provided by the process heater manufacturer.

Inspection and cleaning, as necessary, of fireside and process material-side surfaces.

Inspecting, cleaning and/or reconditioning of fuel systems. (select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

30-day rolling average hourly other Averaging Time 

# Spreadsheet Instructions:

Complete this worksheet for each similar group of small gas-fired process heaters. If you have more than one similar group of g as-fired boilers, you may copy and paste this worksheet to document each

unique group of units. To copy and paste a worksheet, follow these steps:

1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...

2. In the pop-up window, check the box next to "Create a copy"

3. Under "Before Sheet", select the name of the current sheet you are working in

4. Click OK.

5. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.

(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)

If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to c opy a worksheet.

The facility ID will automatically be linked to the new worksheet, based on your response in Part I. Please indicate a new comb ustor ID in each copied worksheet. When complete,

e-mail this spreadsheet along with all other completed spreadsheets to combustionsurvey@erg.com.ICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011Survey Question:Part II.A Questions 3 and 4 (Questions on this worksheet start on page 5 of the survey overview document)ICR Number 2286.01Worksheet Title:Link to Emission Test Data and CEM Data for Small Gas-fired* Process HeatersOMB Control Number: 2060-0616EPA Form No. 5900-122Who ShouldComplete thisSpreadsheet?Facilities that have small gas-fired* process heatersExpiration Date: 08/31/2011SpreadsheetInstructions:This page provides an overview of the two linked spreadsheets that you will use to provide emissions test data and CEM data.After clicking on the links below, you will download the spreadsheets and complete them for each similar group of small gasfired boilers or process heaters.You may copy and paste this worksheet for additional boiler groups.Facility Name (name of facility will automatically be linked to the name you provided in Part I):facility name herehttp://survey.erg.com/ss/wsb.dll/s/7g8d/SmallGasEmissionsTestSpreadsheet.xlshttp://survey.erg.com/ss/wsb.dll/s/7g8d/SmallGasCEMSSpreadsheet.xlsIf yes to Question 5, proceed to Worksheet Part II.B.1-2.II.A Design, Operating, Air Pollution Control Device, and Emission Data for Small Gas-Fired* Boilers or Process HeatersIf no to Question 5, you are done with the survey. Please review your answers and submit your response to combustionsurvey@erg.com by the deadlinelisted in the Section 114 letter.EPA is not requesting actual test reports at this time; however we reserve the right to request actual copies in the future. EPA will also accept other supporting emissiontest data to document any earlier emission tests on the unit with similar controls and fuels. You may also submit a spreadsheetof any other information available relativeto trials or tests of emission control methods or R&D efforts. The Agency is requesting these data only as they may already beavailable; no additional sampling oranalyses are required to provide these data. The answer key for providing emission test data from small gas-fired* boilers andprocess heaters is available at this WebSite:3. For each small gas-fired* boiler or process heater, provide the results of the most recent stack test data for each of the pollutants listed in the emissiontest spreadsheet by completing the spreadsheet linked below.4. For each small gas-fired* boiler or process heater provide the daily averages of continuous emissions monitor (CEM) data forCO and appropriateadjustments for O2 or other diluent gas. EPA is also requesting corresponding CEM data for NOx in order to evaluate the relationship of low NOx units andCO emissions.If available, these data are requested for the most recent 30 days of operation, and the highest single dailyaverage for CO emissions within the most recent calendaryearof CEM data. You should exclude data from the averages if they are from periods of start-up, shutdown, or malfunctions. The answer key for providing CEM data isavailable at this Web-site:5. Do you have any boilers, process heaters, incinerators, or other combustion units at your facility (excluding small gas-fired boilers or process heaters)?YesAny other combustion units?No

# ICR Number 2286.01

OMB Control Number: 2060-0616

Expiration Date: 08/31/2011



# Survey Question: ICR Number 2286.01

Worksheet Title: Unit Design, and Operating Data OMB Control Number: 2060-0616

EPA Form No. 5900-12 2

Who Should Complete this Spreadsheet? Expiration Date: 08/31/2011

1. General Information



# facility name here

a. Combustion device ID:

b. Year built: (YYYY)

c. Design capacity (heat input) value:

d. Fuel type associated with design capacity (heat input) value:

If other, please specify:



# e. Design capacity units:

If other, please specify:



# f. Furnace heat release rate (Btu/ft 3 

# ):

g. Is the unit subject to NSPS?

h. If yes, indicate the year of NSPS:

i. Primary use of combustion device (check all that apply):

steam generation

space heat

process heat

electricity generation

waste incineration

cogeneration

Other (please explain):

j. Additional uses of combustion device (check all that apply):

steam generation

space heat

process heat

electricity generation

waste incineration

cogeneration

Other (please explain):

k. For boilers only, check all that apply (several may apply to your unit):

k.1 Erection Design

Package (shop erected)

Field Erected

Modular (part shop erected and part field erected)

k.2 Unit Design

Water tube

Fire tube

Hybrid (if hybrid is selected, check the appropriate subtype)

main combustion zone design is watertube

main combustion zone design is firetube

k.3 Suspension Firing

tangential

wall-fired Part II.B Questions 1 and 2

(Questions on this worksheet start on page 6 of the survey overview document)

Facility that has any boilers*, process heaters*, or other combustion units* that do not qualify as small gasfired* boilers and process heaters or incinerators*

Facility Name: (name of facility will automatically be linked to the name you provided in Part I)

Yes

No Subject to NSPS

(select) 

# Spreadsheet Instructions:

Complete this worksheet for each individual combustion unit. Sections II.B through II.C have been designed to request answers a bout a particular combustion unit before moving on to other combustion units at the

facility. Once you complete this question sequence for one unit, you will repeat the question sequence for other units. To repe at the question sequence, you may copy and paste this worksheet to document each

unique unit. To copy and paste a worksheet, follow these steps:

1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...

2. In the pop-up window, check the box next to "Create a copy"

3. Under "Before Sheet", select the name of the current sheet you are working in

4. Click OK.

5. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.

(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)

If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to c opy a worksheet.

The facility ID will automatically be linked to the new worksheet, based on your response in Part I. Please indicate a new comb ustor ID in each copied worksheet. When complete, e-mail this spreadsheet along with

all other completed spreadsheets to: combustionsurvey@erg com

# ICR Number 2286.01

OMB Control Number: 2060-0616

Expiration Date: 08/31/2011



# combination of suspension firing and grate firing (i.e., oil and bark)

# ICR Number 2286.01

OMB Control Number: 2060-0616

Expiration Date: 08/31/2011



# other (please explain)

l. For solid-fuel* boilers only, check all that apply (several may apply to your unit):

Stoker:

spreader

mass feed

manual feed

other (please specify):

Fluidized Bed:

circulating

bubbling

Pulverized Coal

Cyclone

Other:

fuel cells

suspension burners

sloped-grate

dutch oven

gasifier

Other not listed (please specify):

m. For process heaters* only, check all that apply:

Erection Design:

Package (shop erected)

Field Erected

Unit Design:

Fire tube

Water tube

Thermal oil heaters

Other (please explain):

Firing Mechanism

Fuel cells

Suspension burners

Sloped-grate

Dutch oven

Gasifier

Other not listed (please specify):

n. For other combustion units* only, check all that apply:

Draft Configuration:

Natural draft

Forced draft

Unit Type:

Dryer

Kiln

Heater

Engine

Other not listed (please specify):

2. Operating Parameters



# a. Hours of Operation (hr/yr) Typical:

(hours per year excludes periods of start-up, shutdown, and malfunction)

b. Duty Cycle:

c. Is the operation seasonal*?

Now Proceed to Worksheet Part II.B.3a Base-loaded

Load following

Standby Duty Cycle

Yes

No SeasonalICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011Survey Question:ICR Number 2286.01Worksheet Title:Who Should Complete this Spreadsheet?3. Air Pollution ControlFacility Name (from Part I): Combustion device ID:a1. Control device currently installed:a2. Yearcontroldeviceinstalled:a3. Has anupgrade/modificationbeen made to thecontrol devicesince it wasinstalled?a4. Was an upgrade/modification/ installation/replacement of this controldevice made in order tocomply with the nowvacated 40 CFR 63Subpart DDDDD?(If no, skip to a9.)a5. If yes to a4, wasthe prior controldevice removed,added to, or modifiedto the current controldevice?a6. If yes to a4, what was the control device prior to theupgrade/modification/installation/replacement made inpreparation of compliance with 40 CFR 63 Subpart DDDDD?a7. If yes to a4,provide themonth and yearthat theupgrade/modification/replacement tothe controldevice wasmade:a8. If yes to a4,provide the datewhen the controldevice selected ina6 was installed orlast upgraded/modified(whichever date ismost recent):a9. Is the control device used as acommon control device for morethan one combustion unit?a10. What, if any, Continuous Parameter Monitoring Systems (CPMS)* areinstalled for this control device? (check all that apply)If 'other' control device is selected, please specify:If 'other' control device is selected, please specify:If 'other' control device is selected, please specify:If 'other' control device is selected, please specify:Specify the control device type using the descriptions provided in the drop-down menus.facility name herePart II.B Question 3a(Questions on this worksheet start on page 8 of the survey overview document)Add-On Air Pollution Control Device DataFacility that has any boilers*, process heaters*, or other combustion units* that do not qualify as small gas-fired* boilersand process heaters or incinerators*OMB Control Number:2060-0616EPA Form No. 5900-122a. In the matrix below, please list alladd-oncontrol devices, in the order contacted by the exhaust.You will identify good combustion practices used and combustion controls in the next worksheet, II-B.3b-4.2ndControlDevice:1stControlDevice:year2year1mm/yyyymm/yyyymm/yyyy mm/yyyyYour responses should include information devices considered integral to your combustion unit (such as mechanical collectors) as well as add-on control devices.You will first be asked to list all control devices, in the order contacted by the exhaust, and then you will be asked to identify good combustion practices used, followed by combustion controls.Expiration Date: 08/31/2011YesNoUpgradeYesNo(go to a9)DDDDD UpgradeCommon Control DeviceNot CommonYes (Please specify units):(select)(select)YesNoUpgradeYesNo(go to a9)DDDDD UpgradeCommon Control DeviceNot CommonYes (Please specify units):(select)(select)RemovedAdded toPrior deviceModifiedRemovedAdded toPrior deviceModifiednone installedpressure dropflow rate enteringor exitingthe control deviceOther (Please specify):Voltage and secondarycurrent(or totalpower input)to the control devicenone installedpressure dropflow rate enteringor exitingthe control deviceOther (Please specify):Voltage and secondarycurrent(or totalpower input)to the control deviceSpreadsheet Instructions:Complete this worksheet for each individual combustion unit. Sections II.B through II.C have been designed to request answers about a particular combustion unit before moving on to other combustion unitsat the facility. Once you complete this question sequence for one unit, you will repeat the question sequence for other units.To repeat the question sequence, you may copy and paste this worksheet todocument each unique unit. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in4. Click OK.5. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.The facility ID will automatically be linked to the new worksheet, based on your response in Part I. Please indicate a new combustor ID in each copied worksheet. When complete, e-mail this spreadsheetalong with all other completed spreadsheets to: combustionsurvey@erg comICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011a1. Control device currently installed:a2. Yearcontroldeviceinstalled:a3. Has anupgrade/modificationbeen made to thecontrol devicesince it wasinstalled?a4. Was an upgrade/modification/ installation/replacement of this controldevice made in order tocomply with the nowvacated 40 CFR 63Subpart DDDDD?(If no, skip to a9.)a5. If yes to a4, wasthe prior controldevice removed,added to, or modifiedto the current controldevice?a6. If yes to a4, what was the control device prior to theupgrade/modification/installation/replacement made inpreparation of compliance with 40 CFR 63 Subpart DDDDD?a7. If yes to a4,provide themonth and yearthat theupgrade/modification/replacement tothe controldevice wasmade:a8. If yes to a4,provide the datewhen the controldevice selected ina6 was installed orlast upgraded/modified(whichever date ismost recent):a9. Is the control device used as acommon control device for morethan one combustion unit?a10. What, if any, Continuous Parameter Monitoring Systems (CPMS)* areinstalled for this control device? (check all that apply)3rdControlDevice:If 'other' control device is selected, please specify:If 'other' control device is selected, please specify:4thControlDevice:If 'other' control device is selected, please specify:If 'other' control device is selected, please specify:5thControlDevice:If 'other' control device is selected, please specify:If 'other' control device is selected, please specify:6thControlDevice:If 'other' control device is selected, please specify:If 'other' control device is selected, please specify:7thControlDevice:If 'other' control device is selected, please specify:If 'other' control device is selected, please specify:8thControlDevice:If 'other' control device is selected, please specify:If 'other' control device is selected, please specify:9thControlDevice:If 'other' control device is selected, please specify:If 'other' control device is selected, please specify:10thControlDevice:If 'other' control device is selected, please specify:If 'other' control device is selected, please specify:mm/yyyymm/yyyymm/yyyyyear8year7year9year10mm/yyyymm/yyyymm/yyyy mm/yyyymm/yyyymm/yyyymm/yyyymm/yyyymm/yyyymm/yyyymm/yyyymm/yyyymm/yyyyyear6year4year5year3YesNoUpgradeYesNo(go to a9)DDDDD UpgradeCommon Control DeviceNot CommonYes (Please specify units):(select)(select)YesNoUpgradeYesNo(go to a9)DDDDD UpgradeCommon Control DeviceNot CommonYes (Please specify units):(select)(select)YesNoUpgradeYesNo(go to a9)DDDDD UpgradeCommon Control DeviceNot CommonYes (Please specify units):YesNoUpgradeYesNo(go to a9)DDDDD UpgradeCommon Control DeviceNot CommonYes (Please specify units):YesNoUpgradeYesNo(go to a9)DDDDD UpgradeCommon Control DeviceNot CommonYes (Please specify units):YesNoUpgradeYesNo(go to a9)DDDDD UpgradeCommon Control DeviceNot CommonYes (Please specify units)YesNoUpgradeYesNo(go to a9)DDDDD UpgradeCommon Control DeviceNot CommonYes (Please specify units)YesNoUpgradeYesNo(go to a9)DDDDD UpgradeCommon Control DeviceNot CommonYes (Please specify units)(select)(select)(select)(select)(select)(select)(select)(select)(select)(select)(select)(select)RemovedAdded toPrior deviceModifiedRemovedAdded toPrior deviceModifiedRemovedAdded toPrior deviceModifiedRemovedAdded toPrior deviceModifiedRemovedAdded toPrior deviceModifiedRemovedAdded toPrior deviceModifiedRemovedAdded toPrior deviceModifiedRemovedAdded toPrior deviceModifiednone installedpressure dropflow rate enteringor exitingthe control deviceOther (Please specify):Voltage and secondarycurrent(or totalpower input)to the control devicenone installedpressure dropflow rate enteringor exitingthe control deviceOther (Please specify):Voltage and secondarycurrent(or totalpower input)to the control devicenone installedpressure dropflow rate enteringor exitingthe control deviceOther (Please specify):Voltage and secondarycurrent(or totalpower input)to the control devicenone installedpressure dropflow rate enteringor exitingthe control deviceOther (Please specify):Voltage and secondarycurrent(or totalpower input)to the control devicenone installedpressure dropflow rate enteringor exitingthe control deviceOther (Please specify):Voltage and secondarycurrent(or totalpower input)to the control devicenone installedpressure dropflow rate enteringor exitingthe control deviceOther (Please specify):Voltage and secondarycurrent(or totalpower input)to the control devicenone installedpressure dropflow rate enteringor exitingthe control deviceOther (Please specify):Voltage and secondarycurrent(or totalpower input)to the control devicenone installedpressure dropflow rate enteringor exitingthe control deviceOther (Please specify):Voltage and secondarycurrent(or totalpower input)to the control device

# ICR Number 2286.01

OMB Control Number: 2060-0616

Expiration Date: 08/31/2011



# Survey Question: ICR Number 2286.01

Worksheet Title: OMB Control Number: 2060-0616

EPA Form No. 5900-12 2

Who Should

Complete thi s

Sp r eads h eet? Expiration Date: 08/31/2011

3. Air Pollution Control



# Facility Name (from Part I): facility name here Combustion device ID:

b. Is oxygen or carbon monoxide used for boiler/process heater combustion air trim control?

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

frequency:

4. Stack



# a. Does combustion unit emit through its own single stack*?

b. Does combustion unit emit through a common stack*?

c. Does combustion unit emit through multiple stacks*? Part II.B Questions 3b, c, d and 4

(Questions on this worksheet start on page 9 of the survey overview document)

Combustion air distribution based on observations with periodic or

continuous adjustments Monitoring furnace residence time and temperature Automatic O 2 

# /CO trim control systems (check if installed) Fuel/air ratio periodic checks Cleaning and inspecting fan housing, blades, and inlet screens

Using up to date operating procedures, training, recordkeeping Cleaning/reconditioning and inspecting the feedwater system

Fuel quality and proper fuel handling (including monitoring quality, periodic sampling and

analysis, fuel supplier certification, if used) d. Please classify any good combustion practices performed on this combustion unit, along with the corresponding frequency (i.e ., daily, monthly, quarte

semiannually, annually, every two years, every five years or longer) of each practice: Facility that has any boilers*, process heaters*, or other combustion units* that do not qualify as small gas-fired* boilers an d process

heaters or incinerators*

combustion of drier fuel (check if practice is used) If this option is checked, indicate what level the CO is adjusted to:

Inspection and repair of all valves (relief, safety, hydraulic, pneumatic, etc.) Combustion Controls and Good Combustion Practices Air Pollution Control Device Data

Maintenance practices including maintenance procedures and recordkeeping Maintenance knowledge (including training on applicable equipment and procedures) Using the scheduled tune-up and procedures provided by the boiler manufacturer

Inspection and cleaning, as necessary, of fire-side, water-side, and/or process material

side surfaces

Inspecting, cleaning and/or reconditioning of fuel systems

Checking all electrical and combustion control systems

Testing of exhaust gases (CO, CO 2 

# , other) as necessary to calculate combustion

efficiency and make necessary adjustments to the combustion system.

Inspection and repair of refractories

Now Proceed to Worksheet Part II-C b1. If yes to b, list quantity and category of all other combustion units venting to this common stack:

(example: 2 coal fired boilers venting to common stack)

Proper liquid atomization

co-firing (check if co-firing is used to improve combustion)

low NOx burners (check if installed) Proper fuel distribution in the combustion zone

fly ash reinjection (check if reinjection is used)

better fuel distribution in firebox (check if fuel distribution is adjusted) (select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

(select)

Yes No Own Stack

Yes No Common Stack

Yes No Multiple Stacks 

# Spreadsheet Instructions:

Complete this worksheet for each individual combustion unit. Sections II.B through II.C have been designed to request answers a bout a particular combustion unit before moving on to other

combustion units at the facility. Once you complete this question sequence for one unit, you will repeat the question sequence for other units. To repeat the question sequence, you may copy and

paste this worksheet to document each unique unit. To copy and paste a worksheet, follow these steps:

1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...

2. In the pop-up window, check the box next to "Create a copy"

3. Under "Before Sheet", select the name of the current sheet you are working in

4. Click OK.

5. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.

(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)

If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to c opy a worksheet.

The facility ID will automatically be linked to the new worksheet, based on your response in Part I. Please indicate a new comb ustor ID in each copied worksheet. When complete, e-mail this

s p readsheet alon g with all other com p leted s p readsheets to: combustionsurve y@ er g .co m

c. Please classify any tune-up practices performed on this combustion unit along with the corresponding frequency (i.e., daily, monthly, quarterly,

semiannually, annually, every two years, every five years or longer). Tune-up practices include activities that involve checkin g the unit’s

combustion processes and adjusting as needed:ICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011SurveyQuestion:Worksheet Title:Who ShouldComplete thisSpreadsheet?Facility that has any boilers*, process heaters*, or other combustion units* thatdo not qualify as small gas-fired* boilers and process heaters or incinerators*Facility Name:facility name hereCombustor ID:You will be asked to enter each fuel/material combusted in the combustion unit in the following order:Start-up* fuel/materialIndividual and co-fired fuels/material combusted during normal operationAdditional Fuels/Materials that are not routinely combusted (including fuels that are fired on an intermittent basis)1. If start-up* fuel is different than normal fuel, please answer question 1 parts a, b, and c, otherwise proceed to question 2:a. Select start-up* fuel/material:If 'other' is selected for start-up fuel, please specify:b. Number of start-ups per yearc. Typical length of time for start-up (hours)2. Fuels/Materials Combusted During Normal Operation:Permitted LimitHeat Input (mmBtu/hr)ICR Number 2286.01OMB Control Number:2060-0616EPA Form No. 5900-122Expiration Date:08/31/2011Part II.C Questions 1 to 5(Questions on this worksheet start on page 10 of the survey overview document)Fuels/Materials burned in the Combustion Unit(select)Spreadsheet Instructions:Complete this worksheet for each individual combustion unit. You may reference Appendix C of the survey overview document to identify what fuel category your specific fuel typebelongs to. Sections II.B through II.C have been designed to request answers about a particular combustion unit before movingon to other combustion units at the facility. Onceyou complete this question sequence for one unit, you will repeat the question sequence for other units. To repeat the questionsequence, you may copy and paste this worksheetto document each unique unit. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in4. Click OK.5. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.The facility ID will automatically be linked to the new worksheet, based on your response in Part I. Please indicate a new combustor ID in each copied worksheet. When complete,e-mail this spreadsheet along with all other completed spreadsheets to: combustionsurvey@erg comPlease complete the table below in the answer key for each fuel or combination of fuels fired in the combustion unit. You willprovide the name of the material, the minimum, maximum andannual or seasonal average heat input of the fuel used in the combustion unit.In the example below, this boiler fires bituminous coal, and plant-based agricultural residue. The agricultural residue is fired seasonally.Use the fuel categories from the dropdown menus to respond. Select the fuel category that is most specific to your fuel/material based on the table in Appendix C of the survey overviewdocument. For example, "landfill gas (LFG)" is more useful than "waste-gas"; "bituminous coal" or "anthracite coal" is more useful than "coal". If you specific fuel type is not listed inAppendix C, then you should select “other solid”, “other liquid”, or “other gas” and provide a brief name for the specific fueltype.ICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011Min Max Mean Value Units2a.2b. 2c. 2d. 2e. 2f. 2g. 2h. 2i.Example:Bituminous CoalBA 8200 100 175 110 100 ton/dayPlant- Based Agricultural ResidueBS1000 25 50 32If 'other' fuel type is selected, please specify below:If 'other' fuel type is selected, please specify below:If 'other' fuel type is selected, please specify below:If 'other' fuel type is selected, please specify below:If 'other' fuel type is selected, please specify below:If 'other' fuel type is selected, please specify below:If 'other' fuel type is selected, please specify below:If 'other' fuel type is selected, please specify below:If 'other' fuel type is selected, please specify below:If 'other' fuel type is selected, please specify below:6thFuel:5thFuel:4thFuel:3rdFuel:2ndFuel:1stFuel:Is fuel/material feddirectly to boiler (B),process heater (P),other combustion unit(O)or fed to a gasifierlocated upstream (G)?Is this fuel/ materialused seasonally (S)*or annually (A)?Hours usedper yearFuel/Material56123467thFuel:68thFuel:69thFuel:610thFuel:(select)(select)(select)(select)(select)(select)(select)(select)(select)(select)ICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011If 'other' fuel type is selected, please specify below:If 'other' fuel type is selected, please specify below:If 'other' fuel type is selected, please specify below:If 'other' fuel type is selected, please specify below:If 'other' fuel type is selected, please specify below:3. Fuels/Materials NOT Routinely Combusted (including fuels that are fired on an intermittent basis)Min Max MeanValue Units3a. 3b. 3c. 3d. 3e. 3f. 3g. 3h. 3i.Example:Wood: Unadulterated Timber BAgriculturalresidue isunavailable duringpart of seasonaloperation 200 25 50 38If 'other' fuel type is selected, please specify below:If 'other' fuel type is selected, please specify below:2nd Fuel(not routinelycombusted):1st Fuel(not routinelycombusted):DescribeConditions forFuel UseHours usedper yearPlease complete the table below in the answer key. This table is similar to question 2 above, however it applies to fuels/materials NOT routinely fired in the combustion unit.An example response is shown below.Heat Input (mmBtu/hr) Permitted LimitIs fuel/material feddirectly to boiler (B),process heater (P),other combustion unit(O)or fed to a gasifierlocated upstream (G)?Fuel/Material611thFuel:612thFuel:613thFuel:614thFuel:615thFuel:(select)(select)(select)(select)(select)(select)(select)ICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011If 'other' fuel type is selected, please specify below:3rd Fuel(not routinelycombusted):(select)ICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011If 'other' fuel type is selected, please specify below:If 'other' fuel type is selected, please specify below:4b. If yes to question 4a above, please listwhere the available test report occurred not the equipment arrangement:5a. Is CEM Installed for this pollutant?5b. Is CEM Installedfor RegulatoryPurposes?5c. Can CEM databe recorded?5d. Can CEMdata besaved?SO2NOxCOO2(or other diluent gas)PMVOC or hydrocarbon monitor5. Answer the following questions for each continuous emission monitor (CEM)* installed on this unit:4a. Do you have an emission test report available for this unit?(EPA is not requesting actual test reports at this time; however we reserve the right to request actual copies in the future.)Now Proceed to Worksheet Part II-C.6-104th Fuel(not routinelycombusted):5th Fuel(not routinelycombusted):YesNoEmission Test Availablededicated control device, single dedicated stackcommon control device, single stackdedicated control device, multiple stackscommon control device, multiple stacksTest LocationOther (please explain):(select)(select)ICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011Survey Question:Part II-C Questions 6 to 11(Questions on this worksheet start on page 11 of the surveyoverviewdocument)Worksheet Title:Fuels/Materials burned in the Combustion UnitWho Should Complete this Spreadsheet?Facility Name:facility name hereCombustor ID:6. Does this boiler, process heater, or other combustion unit at yourfacility fire any non-fossil or other* fuels/materials?(a) Select non-fossil fuel from listICR Number 2286.01OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011(Please answer questions 7 and 8 separately for each non-fossil fuel burned. Your answers for questions 7 to 9 are non-binding.)Facility that has any boilers*, process heaters*, or other combustion units* that do not qualify as small gas-fired* boilers and processheaters or incinerators*p g y p ( ) ( ), ppYesNo (Skip to question 9)Non-fossil or other* fuels/materialsSpreadsheet Instructions:Complete this worksheet for each individual combustion unit. You mayreference Appendix C of the surveyoverview document to identifywhat fuel categoryyour specific fuel type belongs to. Sections II.B through II.C have beendesigned to request answers about a particular combustion unit before moving on to other combustion units at the facility. Onceyou complete this question sequence for one unit, you will repeat the question sequence for otherunits. To repeat the question sequence, you may copy and paste this worksheet to document each unique unit. To copy and paste aworksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in4. Click OK.5. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.The facility ID will automatically be linked to the new worksheet, based on your response in Part I. Please indicate a new combustor ID in each copied worksheet. When complete, e-mail this spreadsheet along with all othercompleted spreadsheets to: combustionsurvey@erg.comICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011If 'other' fuel type is selected, please specify below: If 'other' fuel type is selected, please specify below: If 'other' fuel type is selected, please specify below:If 'other' alternative handling method, please specify below: If 'other' alternative handling method, please specify below: If 'other' alternative handling method, please specify below:8. If the unit were to stop burning this non-fossil or other* fuel/material in your combustion unit(s), how would you compensate for the lost heating value?(b) Check corresponding alternative method(s)for handling this non-fossil fuel or other material.Would your boilers or process heaters likely stop combusting these non-fossil or other materials if continuing to burn these materials would result in the unit being subject to 129 instead of 112?(select)3rd non-fossil fuel:YesNo1st non-fossil fuelUnknownYesNo2nd non-fossil fuelUnknownYesNo3rd non-fossil fuelUnknownAlternative Disposal Method - 3rd non-fossil fuelSend to a landfill off-siteDispose through local trash collectionVent to atmosphereSend to waste water treatment plantContract for special disposal serviceSell to a processor for making a productSell to off-site facility for use as a fuelDispose on-siteStop purchasing material from 3rd partyDon't knowNo other alternative currently availableShut down facilityother (please specify):1st non-fossil fuel(select)2nd non-fossil fuel(select)3rd non-fossil fuel(select)(select)1st non-fossil fuel:(select)2nd non-fossil fuel:Alternative Disposal Method - 1st non-fossil fuelSend to a landfill off-siteDispose through local trash collectionVent to atmosphereSend to waste water treatment plantContract for special disposal serviceSell to a processor for making a productSell to off-site facility for use as a fuelDispose on-siteStop purchasing material from 3rd partyDon't knowNo other alternative currently availableShut down facilityother (please specify):Alternative Disposal Method - 2nd non-fossil fuelSend to a landfill off-siteDispose through local trash collectionVent to atmosphereSend to waste water treatment plantContract for special disposal serviceSell to a processor for making a productSell to off-site facility for use as a fuelDispose on-siteStop purchasing material from 3rd partyDon't knowNo other alternative currently availableShut down facilityother (please specify):ICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/201110. Sections II.B and II.C are now complete for this Combustion Unit ID.Do you have another boiler, process heater, or other combustion unit you need to add to this survey?If Yes, re-start at part II.BOtherwise proceed to part II.D.9. What additional annualized costs would you incur for this unit to comply with Section 129 CISWI rule as compared to the vacated Boiler MACT? Your answer is non-binding.(b) Indicate the cost components evaluated in your cost estimate range provided in question 13a:(a) Choose appropriate cost range.YesNoAnother Combustion Unit?(select)ICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011SurveyQuestion:ICR Number 2286.01WorksheetTitle:OMB Control Number:2060-0616Who ShouldComplete thisSpreadsheet?Expiration Date:08/31/2011SpreadsheetInstructions:Now Proceed to Worksheet Part III1. Provide the results of the most recent stack test data for each of the pollutants listed in the emission test spreadsheet bycompleting and e-mailing the Excel spreadsheet linked below tocombustionsurvey@erg.com. EPA is not requesting actual test reports at this time; however we reserve the right to request actual copies in the future. EPA will also accept other supportingemission test data to document any earlier emission tests on the unit with similar controls and fuels. You may also submit a spreadsheet of any other information available relative to trials ortests of emission control methods or R&D efforts. The Agency is requesting these data only as they may already be available; no additional sampling or analyses are required to provide thesedata. The answer key for providing emission test data is available at this Web-site:2. Provide the daily averages of continuous emissions monitor (CEM) data for NOx, SO2, CO, O2(or other diluent gas), PM and 6-minute averages for opacity, if available for the most recent30 days of operation, and the highest single daily average (highest single 6-minute average for opacity) data point within themost recent calendar year of CEM data. You should exclude datafrom the averages if they are from periods of start-up, shutdown, or malfunctions. You can submit this data by completing the CEM data spreadsheet and e-mailing it tocombustionsurvey@erg.com. The answer key for providing CEM data is available at this Web-site:http://survey.erg.com/ss/wsb.dll/s/7g8d/EmissionTestSpreadsheet.xls3. Provide a summary of permitted or regulatory emission limits, if applicable to your unit for each pollutant listed in the Permitted and Regulatory Emission Limit Worksheet. If the unit doesnot have a limit for a given unit, you may leave this entry blank. You can submit this data by completing the permitted and regulatory spreadsheet and e-mailing it tocombustionsurvey@erg.com. The answer key for providing permitted and regulatory limits is available at this Web-site:http://survey.erg.com/ss/wsb.dll/s/7g8d/CEMSSpreadsheet.xlshttp://survey.erg.com/ss/wsb.dll/s/7g8d/PermittedandRegulatoryLimits.xlsThis page provides an overview of the three linked spreadsheets that you will use to provide emissions test data, CEM data,and Regulatory and permitted emission limits. After clicking on the links below, you will download the spreadsheets andcomplete them for each similar group of small gas-fired boilers or process heaters.Facility that has any boilers*, process heaters*, or other combustion units* that do not qualify as small gas-fired*boilers and process heaters or incinerators*Link to Emission Test Data, CEM Data and Permitted and Regulatory Limit DataPart II.D(Questions on this worksheet start on page 13 of the survey overview document)ICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011Survey Question:Part III(Questions on this worksheet start on page 13 of the survey overviewICR Number 2286.01Worksheet Title:Fuel/Material Data and Link to Fuel Analysis SpreadsheetOMB Control Number:2060-0616EPA Form No. 5900-122Who Should Complete this Spreadsheet?Facility that has any boilers*, process heaters*, or other combustion units*that do not qualify as small gas-fired* boilers and process heaters orincinerators*Expiration Date:08/31/2011http://survey.erg.com/ss/wsb.dll/s/7g8d/FuelAnalysis.xlsFacility Name:facility name here1. Fuel/Material Description(make selections consistent with fuel/material in Part II.C.2.)2. Where does fuel/material originate?3. Is a fuel/materialanalysisprovided by a fuelsupplier or conducted onsite available?If 'other' fuel is selected, please specify:If 'other' fuel is selected, please specify:1stFuel:2ndFuel:On-site*Off-siteBoth (i.e., some bark from on-site combined with some bark generated off-site)Origin of FuelYesNoAnalysis AvailableOn-site*Off-siteBoth (i.e., some bark from on-site combined with some bark generated off-site)Origin of FuelYesNoAnalysis Available(select)(select)Spreadsheet Instructions:This page asks basic questions about any of the fuels (excluding natural gas, propane, liquefied petroleum gas, and refinery gas) burned in any of the boilers, process heaters, or other combustion units. If any of yourboilers, process heaters, or other combustion units other than small gas-fired boilers or process heaters covered under surveyPart II.A or incinerators covered under survey part IV burn any other fuels other than the10 fuels listed above, you may copy and paste this worksheet to answer questions about these fuels. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in4. Click OK.5. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.For Question 3 below:If you have a fuel/material analysis available, provide the results of the most recent fuel/materials analysis for all fuels and materials (excluding natural gas, propane, liquefied petroleum gas,and refinery gas) combusted on-site in combustion units. Use the fuel categories from the list below, when available. Select the ‘other’ fuel description only if the fuel burned in the unit(s) is not on the list. If ‘other’ isselected please provide a brief name for this fuel. Select the most descriptive name as possible. For example, "landfill gas(LFG)" is more useful than "waste-gas"; "bituminous coal" or "anthracite coal" is more usefulthan "coal".Please e-mail an electronic copy of the fuel analysis to combustionsurvey@erg.com. The fuel analysis should be formatted according to the linked Excel spreadsheet below. Please identify the fuel name, facility name,and combustor ID consistently with how you answered Parts I and II. You may also provide a summary of any earlier fuel analyses, as long as these are representative of fuels/materials still used in the boiler/processheater. The answer keyforprovidingfuel analysis data is available at this Web-site:ICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/20111. Fuel/Material Description(make selections consistent with fuel/material in Part II.C.2.)2. Where does fuel/material originate?3. Is a fuel/materialanalysisprovided by a fuelsupplier or conducted onsite available?If 'other' fuel is selected, please specify:If 'other' fuel is selected, please specify:If 'other' fuel is selected, please specify:If 'other' fuel is selected, please specify:If 'other' fuel is selected, please specify:If 'other' fuel is selected, please specify:If 'other' fuel is selected, please specify:If 'other' fuel is selected, please specify:10thFuel:Now Proceed to Worksheet Part IV.A.13rdFuel:4thFuel:5thFuel:7thFuel:6thFuel:8thFuel:9thFuel:On-site*Off-siteBoth (i.e., some bark from on-site combined with some bark generated off-site)Origin of FuelYesNoAnalysis AvailableOn-site*Off-siteBoth (i.e., some bark from on-site combined with some bark generated off-site)Origin of FuelYesNoAnalysis AvailableOn-site*Off-siteBoth (i.e., some bark from on-site combined with some bark generated off-site)Origin of FuelYesNoAnalysis Available(select)(select)(select)(select)(select)(select)(select)(select)On-site*Off-siteBoth (i.e., some bark from on-site combined with some bark generated off-site)Origin of FuelYesNoAnalysis AvailableOn-site*Off-siteBoth (i.e., some bark from on-site combined with some bark generated off-site)Origin of FuelYesNoAnalysis AvailableOn-site*Off-siteBoth (i.e., some bark from on-site combined with some bark generated off-site)Origin of FuelYesNoAnalysis AvailableOn-site*Off-siteBoth (i.e., some bark from on-site combined with some bark generated off-site)Origin of FuelYesNoAnalysis AvailableOn-site*Off-siteBoth (i.e., some bark from on-site combined with some bark generated off-site)Origin of FuelYesNoAnalysis AvailableIf any of your boilers, process heaters, or other combustion units other than small gas-fired boilers or process heaters covered under survey Part II.A or incinerators coveredunder survey part IV burn any other fuels other than the 10 fuels listed above, you may copy and paste this worksheet to answerquestions about these fuels. Follow theSpreadsheet Instructions box to copy this worksheet.

# ICR Number 2286.01

OMB Control Number: 2060-0616

Expiration Date: 08/31/2011



# Survey Question:

Worksheet Title: Incinerator Data

Who Should Complete this

Spreadsheet?

1. Unit Data



# Facility Name (from Part I): facility name here

a. Combustion device ID:

b. Unit Design Information (check all that apply):

single batch fed

starved air

fixed hearth

rotary hearth

intermittent batch fed

excess air

rotary kiln

moving grate

continuously fed

single chamber

multi-chamber/afterburner

spreader stoker

other (please specify)

c. Manufacturer:

d. Model Number:

e. Installation Date:

f. Dates/descriptions of major renovations:

g1. Design Capacity:

g2. Design Capacity Units:

units, if other:

h1. Typical Hours Operated, Per Year:

h2. Typical Hours Per day:

Now Proceed to Worksheet Part IV.A.2 Part IV Question 1

(Questions on this worksheet start on page 14 of the survey overview document)

Facility that has any incinerators* ICR Number 2286.01

OMB Control Number:

2060-0616

EPA Form No. 5900-122

Expiration Date:

08/31/2011

T ons of waste per da y

Other (please specify): Design Capacity Units 

# Spreadsheet Instructions:

Complete this section for each incinerator* at your facility. If you do not have any incinerators at your facility, you are don e with the survey. Please review your answers and submit your

response to EPA by the deadline listed in the Section 114 letter. If you have more than one incinerator at your facility, you w ill repeat the question sequence for other incinerators. To repeat

the question sequence, you may copy and paste this worksheet to document each unique unit. To copy and paste a worksheet, follo w these steps:

1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...

2. In the pop-up window, check the box next to "Create a copy"

3. Under "Before Sheet", select the name of the current sheet you are working in

4. Click OK.

5. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) after the name indicates how many copies of the worksheet have

been copied and inserted.)

If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to c opy a worksheet.

The facility ID will automatically be linked to the new worksheet, based on your response in Part I. Please indicate a new comb ustor ID in each copied worksheet. When complete, e-mail this

spreadsheet along with all other completed spreadsheets to: combustionsurvey@erg.comICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011Survey Question:Worksheet Title:Air Pollution Control Device and Equipment Modifications at IncineratorsWho ShouldComplete thisSpreadsheet?Facility Name:facility name hereCombuster ID:Type:YearInstalled: Manufacturer: Model No.:Percent ofincineratoroperating timethat controldevice isoperated:Controldevice airflow capacity(typically inacfm):Date controldevice(s)were lastmodified,repaired, orrebuilt(mm/yyyy):Annual hours ofcontrol devicedowntime forrepairs andmaintenance: Is control device shared with other equipment?What were theinstalled capitalcosts of the controldevice? ($, year)What are theannualoperatingcosts?($,year)Wetscrubberpressuredrop (in.H2O):Fabric filterair-to-clothratio:Other (pleasespecify):When were themodificationsmade?Briefly describethe type ofmodifications.Do you have information on the costs ofthe modifications?Question#: a1. a2. a3. a4. a5. a6. a7. a8. a9. b1. b2. c1. c2. c3. d1. d2. d3.If 'other' control device is selected, please specify:If yes, please identify the other equipment that isrouted to the same control device:(If you answered “Yes”, please attach acopy of the cost information)If 'other' control device is selected, please specify:If yes, please identify the other equipment that isrouted to the same control device:(If you answered “Yes”, please attach acopy of the cost information)If 'other' control device is selected, please specify:If yes, please identify the other equipment that isrouted to the same control device:(If you answered “Yes”, please attach acopy of the cost information)2. Air Pollution Control Device and Equipment Modifications Information1stControl Device:(a) Is your incinerator equipped with an air pollution control device (e.g. wet scrubber, fabric filter, electrostatic precipitator)?If yes, please specify the type and provide any details as specified below for each control device:If your unit is equipped with acontrol device, please list theapplicable operating parameters:If you have made modifications to the incinerator(s) to reduceemissions:$0 $0 0 0 yyyymm/yyyy 0.0000.00 0.00 mm/yyyy 0.000.000.00yyyy0.00 0.00 mm/yyyy 0.00yyyy$0 $0 0 0$0 $0 02ndControl Device:3rdControl Device:Part IV Question 2(Questions on this worksheet start on page 14 of the surveyICR Number 2286.01OMB Control Number:2060-0616EPA Form No. 5900-122Expiration Date:08/31/2011Facility that has any incinerators*YesShared control deviceNo(select)YesInfo on costs of modificationsNoYesShared control deviceNo(select)YesInfo on costs of modificationsNoYesShared control deviceNo(select)YesInfo on costs of modificationsNoSpreadsheet Instructions:Complete this section for each incinerator* at your facility. If you do not have any incinerators at your facility, you are done with the survey. Please review youranswers and submit your response to EPA by the deadline listed in the Section 114 letter. If you have more than one incineratorat your facility, you will repeatthe question sequence for other incinerators. To repeat the question sequence, you may copy and paste this worksheet to document each unique unit. To copyand paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in4. Click OK.5. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.The facility ID will automatically be linked to the new worksheet, based on your response in Part I. Please indicate a new combustor ID in each copiedworksheet. When complete, e-mail this spreadsheet along with all other completed spreadsheets to: combustionsurvey@erg.comICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011Type:YearInstalled: Manufacturer: Model No.:Percent ofincineratoroperating timethat controldevice isoperated:Controldevice airflow capacity(typically inacfm):Date controldevice(s)were lastmodified,repaired, orrebuilt(mm/yyyy):Annual hours ofcontrol devicedowntime forrepairs andmaintenance: Is control device shared with other equipment?What were theinstalled capitalcosts of the controldevice? ($, year)What are theannualoperatingcosts?($,year)Wetscrubberpressuredrop (in.H2O):Fabric filterair-to-clothratio:Other (pleasespecify):When were themodificationsmade?Briefly describethe type ofmodifications.Do you have information on the costs ofthe modifications?If 'other' control device is selected, please specify:If yes, please identify the other equipment that isrouted to the same control device:(If you answered “Yes”, please attach acopy of the cost information)If 'other' control device is selected, please specify:If yes, please identify the other equipment that isrouted to the same control device:(If you answered “Yes”, please attach acopy of the cost information)If 'other' control device is selected, please specify:If yes, please identify the other equipment that isrouted to the same control device:(If you answered “Yes”, please attach acopy of the cost information)If 'other' control device is selected, please specify:If yes, please identify the other equipment that isrouted to the same control device:(If you answered “Yes”, please attach acopy of the cost information)If 'other' control device is selected, please specify:If yes, please identify the other equipment that isrouted to the same control device:(If you answered “Yes”, please attach acopy of the cost information)If 'other' control device is selected, please specify:If yes, please identify the other equipment that isrouted to the same control device:(If you answered “Yes”, please attach acopy of the cost information)If 'other' control device is selected, please specify:If yes, please identify the other equipment that isrouted to the same control device:(If you answered “Yes”, please attach acopy of the cost information)Now Proceed to Worksheet Part IV.A.3-5$0 $00.00 0.00 mm/yyyy 0.00 $0 $0 0$0$06thControl Device:yyyy00.00 0.00 mm/yyyy 0.0000.000$0yyyy$0 $0 0$00000.00 0.00 mm/yyyy 0.000.00 0.00 mm/yyyy$010thControl Device:4thControl Device:5thControl Device:0.00 0.00 mm/yyyy 0.000 0 yyyy7thControl Device:0.00 0.00 mm/yyyy 0.00 $09thControl Device:0.00 0.00 mm/yyyy8thControl Device:yyyyyyyyyyyyyyyy$0 $0 0 0000.00YesShared control deviceNoYesInfo on costs of modificationsNoYesShared control deviceNoYesInfo on costs of modificationsNoYesShared control deviceNoYesInfo on costs of modificationsNoYesShared control deviceNo(select)YesInfo on costs of modificationsNoYesShared control deviceNo(select)YesInfo on costs of modificationsNoYesShared control deviceNoYesInfo on costs of modificationsNoYesShared control deviceNo(select)(select)(select)(select)(select)YesInfo on costs of modificationsNo

# ICR Number 2286.01

OMB Control Number: 2060-0616

Expiration Date: 08/31/2011



# Survey Question:

Worksheet Title : Waste Segregation or Recycling Practices at Facilities with Incinerators

Who Should Complete this

Spreadsheet?

3. Waste Segregation or Recycling Practices



# Facility Name (from Part I): facilit y name her e

a. Combustion device ID:

a. Does the facility currently employ waste segregation or recycling practices that reduce the volume of waste being incinerate d?

b. When were waste segregation

practices begun? (mm/yyyy)

c. What types of materials are segregated from the waste stream? (please check all that apply)

paper/cardboard

glass

plastics

batteries

fluorescent light bulbs

other metal containing materials

(please list):

other chlorine containing materials

(please list):

other (please list):

d. What is done with the materials that are segregated from the waste stream?

e. Estimate the current cost of your waste segregation/recycling program (please indicate whether cost estimate is per month, q uarter, or year).

per

4. Emission Test Data



# a. Has emissions testing ever been conducted on this unit?

5. Do you have another incinerator unit you need to add to this survey? 

# Part IV Questions 3, 4 and 5

(Questions on this worksheet start on page 15 of the survey ICR Number 2286.01

OMB Control Number:

2060-0616

EPA Form No. 5900-122

Expiration Date:

08/31/2011 

# Facility that has any incinerators*

Yes Waste Segregation or Recycling

No (go to question 4.)

Yes Emissions Data on Waste Segregation

No (select)

Yes Emissions Tests

No

Yes No Another Incinerator Unit? 

# Spreadsheet Instructions:

Complete this section for each incinerator* at your facility. If you do not have any incinerators at your facility, you are don e with the survey. Please review your answers and submit

your response to EPA by the deadline listed in the Section 114 letter. If you have more than one incinerator at your facility, you will repeat the question sequence for other

incinerators. To repeat the question sequence, you may copy and paste this worksheet to document each unique unit. To copy and paste a worksheet, follow these steps:

1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...

2. In the pop-up window, check the box next to "Create a copy"

3. Under "Before Sheet", select the name of the current sheet you are working in

4. Click OK.

5. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.

(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)

If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to c opy a worksheet.

The facility ID will automatically be linked to the new worksheet, based on your response in Part I. Please indicate a new comb ustor ID in each copied worksheet. When complete, email this spreadsheet along with all other completed spreadsheets to: combustionsurvey@erg.com

f. Do you have any emissions test data that would show the effects of segregating materials from the waste stream (e.g., test d ata before and after

waste se g re g ation practices be g an ) ? If y es, please mail complete copies of the test reports and an y anal y ses of the impact of waste se g re g ation on

emissions to the EPA address provided in your Section 114 letter.

If Yes, repeat part IV for another unit by following the copy paste instructions at the top of this sheet. Otherwise you are do ne with the survey. Please

review your answers and submit your response to EPA by the deadline listed in the Section 114 letter. b. If so, please provide complete copies of the test reports that document all emission testin g that has been conducted in the last 10 y ears. You ma y provide

electronic versions of the test reports in lieu of mailing paper copies to the EPA address provided in your Section 114 letter.Survey Question:Part II.A Question 3 (Questions on this worksheet start on page 5 of the survey overview document)Worksheet Title:Organic HAP and CO Emission Test Data for Small Gas-Fired* Boilers or Process HeatersWho Should Complete this Spreadsheet?Facilities with small gas-fired* boilers or process heatersFacility Name:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determine thefuel input (e.g., F-factor, gas fuel meter, boiler efficiencycalculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yyyy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)(select fuel type)(select fuel input units)(select fuel type)(select fuel input units)(select fuel type)(select fuel input units)Emission Dataacetaldehyde(select emission rate units)benzene(select emission rate units)formaldehyde(select emission rate units)toluene(select emission rate units)xylenes(select emission rate units)CO(select emission rate units)Other Operating Parameters During Test (These parameters are only required if emission units are provided in units of concentration)Dry or Wet BasisWet or Dry% O2 or other diluent gas (necessary only if CO emission data is provided)If other diluent gas, please specify gas in this cellExhaust Stream %MoistureExhaust Flowrateacfm or dscfmExhaust TemperatureC or FNotes:ICR Number 2286.01OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Peach shaded cells indicate areas where the user will enter a response* Indicates a definition of the term is available in the Survey Overview DocumentEnter numerical value when available. Ifthe test results are below detection limit,please note the detection limit in brackets(e.g., [< 0.010]).Spreadsheet Instructions:You should provide the most recent data available for each pollutant at any similar group of small gas-fired* boilers or process heaters. EPA encourages you to provide the results of more than onetest, in order to allow us to assess intra-unit variability. You may copy and paste this worksheet to a new worksheet within this file. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have beencopied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When complete, e-mail this spreadsheet along with all other completedspreadsheets to combustionsurvey@erg.com.Select the applicable gaseous fuel types used during emission test from the drop down menus and enter their corresponding fuelinput rates below. If you combust something other than liquefied petroleum gas,natural gas, propane, or refinery gas in this combustion unit you should enter that emission test data in the spreadsheet associated with survey question II.D.Survey Question:Part II.A Question 3 (Questions on this worksheet start on page 5 of the survey overview document)Worksheet Title:PAH Emission Test Data for Small Gas-Fired* Boilers* or Process Heaters*Who Should Complete this Spreadsheet?Facilities with small gas-fired* boilers or process heatersFacility Name:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determinethe fuel input (e.g., F-factor, gas fuel meter, boilerefficiency calculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yyyy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Total Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)(select fuel type)(select fuel input units)(select fuel type)(select fuel input units)(select fuel type)(select fuel input units)Emission Data7-PAH*(select emission rate units)15-PAH**(select emission rate units)Other Operating Parameters During Test (These parameters are only required if emission units are provided in units of concentration)Dry or Wet BasisWet or DryExhaust Stream %MoistureExhaust Flowrateacfm or dscfmExhaust TemperatureC or FNotes:Peach shaded cells indicate areas where the user will enter a response* Indicates a definition of the term is available in the Survey Overview DocumentICR Number 2286.01OMB Control Number: 2060-0616Expiration Date: 08/31/2011Enter numerical value when available. Ifthe test results are below detection limit,please note the detection limit in brackets(e.g., [< 0.010]).Spreadsheet Instructions:You should provide the most recent data available for each pollutant at any similar group of small gas-fired* boilers or process heaters. EPA encourages you to provide the results of more than one test, in order to allow usto assess intra-unit variability. You may copy and paste this worksheet to a new worksheet within this file. To copy and pastea worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When complete, e-mail this spreadsheet along with all other completed spreadsheets tocombustionsurvey@erg.com.Select the applicable gaseous fuel types used during emission test from the drop down menus and enter their corresponding fuelinput rates below. If you combust something other than liquefied petroleum gas,natural gas, propane, or refinery gas in this combustion unit you should enter that emission test data in the spreadsheet associated with survey question II.D.*7-PAH means: benz(a)anthracene, benzo(a)pyrene, benzo(b)fluoranthene, benzo(k)fluoranthene, chrysene, dibenz(a,h)anthracene, and indeno(1,2,3-cd)pyrene** 15-PAH means acenaphthene, acenaphthylene, anthracene, benzo(a)anthracene, benzo(a)pyrene, benzo(b)fluoranthene, benzo(g,h,i)perylene, benzo(k)fluoranthene, dibenzo(a,h)anthracene,dibenzofuran, fluoranthene, fluorene, Indeno(1,2,3-cd)pyrene, phenanthrene, and pyrene)ICR Number 2286.01OMB Control Number: TBDExpiration Date: xx/xx/xxxxSurvey Question:Part II.A Question 4 (Question starts on page 5 of survey overview document)Worksheet Title:CO (and Corresponding NOx) CEM Data for Small Gas-Fired* Boilers* or Process Heaters*Who Should Complete this Spreadsheet?Facilities with small gas-fired* boilers or process heaters that have CO CEM data available.A.Facility Name:B.Combustor ID:C.Control Device Configuration during 30 day period:D.Typical Operating Rate during 30 day period (mmBtu/hr):E.Were there any operational upsets or other conditionsyou want to explain during this 30-day period?Fuel 1(select from dropdown)Fuel 1 InputRate Fuel 1 Input Rate UnitsFuel 2(select from dropdown)Fuel 2 InputRate Fuel 2 Input Rate UnitsFuel 3(select from dropdown) Fuel 3 Input Rate Fuel 3 Input Rate UnitsFuel 4(select from dropdown) Fuel 4 Input Rate Fuel 4 Input Rate UnitsF.(select fuel type) (select fuel input units) (select fuel type) (select fuel input units) (select fuel type) (select fuel input units) (select fuel type) (select fuel input units)If other fuel type list below: If other units list below:If other fuel type list below: If other units list below:If other fuel type list below: If other units list below:If other fuel type list below: If other units list below:G.Date(mm/dd/yy)CO EmissionsNumericalValue CO Emission UnitCorrection (i.e. 3% O2 or otherdiluent gas)NOxEmissionsNumericalValue NOx Emission UnitDay 1Day 2Day 3Day 4Day 5Day 6Day 7Day 8Day 9Day 10Day 11Day 12Day 13Day 14Day 15Day 16Day 17Day 18Day 19Day 20Day 21Day 22Day 23Day 24Day 25Day 26Day 27Day 28Day 29Day 30H.Single highest daily average for CO emissions withinthe most recent calendar year of dataI.Control Device Configuration at maximum CO DailyAverage:J.Operating Rate at maximum CO daily average(mmBtu/hr):Fuel 1(select from dropdown)Fuel 1 InputRate Fuel 1 Input Rate UnitsFuel 2(select from dropdown)Fuel 2 InputRate Fuel 2 Input Rate UnitsFuel 3(select from dropdown) Fuel 3 Input Rate Fuel 3 Input Rate UnitsFuel 4(select from dropdown) Fuel 4 Input Rate Fuel 4 Input Rate UnitsK.Fuel Mix at maximum CO daily average:(select fuel type) (select fuel input units) (select fuel type) (select fuel input units) (select fuel type) (select fuel input units) (select fuel type) (select fuel input units)If other fuel type list below: If other units list below:If other fuel type list below: If other units list below:If other fuel type list below: If other units list below:If other fuel type list below: If other units list below:L.Were there any operational upsets or other conditionsyou want to explain during this maximum daily averageemission rate?Notes:ICR Number 2286.01OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011* Indicates a definition of the term is available in the Survey Overview DocumentCEM Daily Average Emission Data Points From Most Recent 30-day Operating PeriodIf the control device configuration, fuel mix, or operating rate for the single highest CO daily average differs from what wasdescribed for the 30-day period, please update in cells below if known, otherwise you may leave this section blank:Typical Fuel Mix During 30 day period:(only fuel mixes containing natural gas, propane, liquefiepetroleum gas, and refinery gas are eligible to complete thisworksheet. If you fire other fuels in combination with thesefuels you should complete the spreadsheet corresponding tosurvey question II.D.)Peach shaded cells indicate areas where the user will enter a responseSpreadsheet Instructions:Complete this worksheet for available CEM data for CO at each small gas-fired boiler or process heater. You should provide CEMresults for the most recent 30 day operating period, as well as thehighest daily average during the most recent calendar year. If available, you should also report corresponding NOx data so thatEPA can evaluate the relationship between low NOx requirements andCO emissions. If you have a summary of CEM data that contains the same information in another spreadsheet format, you can submit the CEM data summary in an alternative format.To provide CEM data for more than one boiler, process heater or other combustion device at your facility, you may copy and paste this worksheet to a new worksheet within this file. Please indicatethe appropriate facility name at the top of each worksheet. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When complete, e-mail this spreadsheet along with all other completedspreadsheets to combustionsurvey@erg.com.Survey Question:Part II.D Question 1 (questions on this worksheet start on page 12 of the survey overview document)Worksheet Title:Dioxin Furans HAP Emission Test DataWho Should Complete this Spreadsheet?Facility Name:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determinethe fuel input (e.g., F-factor, gas fuel meter, boilerefficiency calculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yyyy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Total Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cellEmission DataDioxin/Furans(Select Emission Units)Indicate basis here by enteringTM, TEQ, Other (total mass, toxicequivalent concentration, other)here:Other Operating Parameters During Test (These parameters are only required if emission units are provided in units of concentration)Dry or Wet BasisWet or DryExhaust Stream %MoistureExhaust Flowrateacfm or dscfmExhaust TemperatureC or FNotes:Enter numerical value when available. Ifthe test results are below detection limit,please note the detection limit in brackets(e.g., [< 0.010]).Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below.You may enter up to 15 fuel types fired during the test.Peach shaded cells indicate areas where the user will enter a response* Indicates a definition of the term is available in the Survey Overview Document(Select Control Configuration)(you may enter control device as listed in questions II.B.3.a1 or II.B.3.a6, or other (with description), if thecontrol device during the test was not listed in the survey section II.B.3)Facilities with Boilers*, Process Heaters*, or Other Combustion Units* (excluding small-gas fired boilers and processheaters and incinerators) that have Dioxin or Furans Emission Test Data Available.ICR Number 2286.01OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Spreadsheet Instructions:You should provide the most recent data available for each pollutant at each combustion unit (excluding small gas fired boilersand process heaters that were covered under Part II.A and Incinerators covered under Part IV).EPA encourages you to provide the results of more than one test, in order to allow us to assess intra-unit variability. You maycopy and paste this worksheet to a new worksheet within this file. To copy and paste a worksheet,follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When complete, e-mail this spreadsheet along with all other completed spreadsheets tocombustionsurvey@erg.com.Survey Question:Part II.D Question 1 (questions on this worksheet start on page 12 of the survey overview document)Worksheet Title:PAH Emission Test DataWho Should Complete this Spreadsheet?Facility Name:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determinethe fuel input (e.g., F-factor, gas fuel meter, boilerefficiency calculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yyyy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Total Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cellEmission Data7-PAH*(select emission rate units)15-PAH**(select emission rate units)Other Operating Parameters During Test (These parameters are only required if emission units are provided in units of concentration)Dry or Wet BasisWet or DryExhaust Stream %MoistureExhaust Flowrateacfm or dscfmExhaust TemperatureC or FNotes:(you may enter control device as listed in questions II.B.3.a1 or II.B.3.a6, or other (with description), if thecontrol device during the test was not listed in the survey section II.B.3)* Indicates a definition of the term is available in the Survey Overview DocumentEnter numerical value when available. Ifthe test results are below detection limit,please note the detection limit in brackets(e.g., [< 0.010]).Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below.You may enter up to 15 fuel types fired during the test.Peach shaded cells indicate areas where the user will enter a response(Select Control Configuration)Facilities with Boilers*, Process Heaters*, or Other Combustion Units* (excluding small-gas fired boilers and processheaters and incinerators) that have PAH Emission Test Data Available.ICR Number 2286.01OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Spreadsheet Instructions:You should provide the most recent data available for each pollutant at each combustion unit (excluding small gas fired boilersand process heaters that were covered under Part II.A and Incinerators covered under Part IV).EPA encourages you to provide the results of more than one test, in order to allow us to assess intra-unit variability. You maycopy and paste this worksheet to a new worksheet within this file. To copy and paste a worksheet,follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When complete, e-mail this spreadsheet along with all other completed spreadsheets tocombustionsurvey@erg.com.*7-PAH means: benz(a)anthracene, benzo(a)pyrene, benzo(b)fluoranthene, benzo(k)fluoranthene, chrysene, dibenz(a,h)anthracene, and indeno(1,2,3-cd)pyrene** 15-PAH means acenaphthene, acenaphthylene, anthracene, benzo(a)anthracene, benzo(a)pyrene, benzo(b)fluoranthene, benzo(g,h,i)perylene, benzo(k)fluoranthene, dibenzo(a,h)anthracene,dibenzofuran, fluoranthene, fluorene, Indeno(1,2,3-cd)pyrene, phenanthrene, and pyrene)Survey Question:Part II.D Question 1 (questions on this worksheet start on page 12 of the survey overview document)Worksheet Title:Organic HAP and CO Emission Test DataWho Should Complete this Spreadsheet?Facility Name:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determinethe fuel input (e.g., F-factor, gas fuel meter, boilerefficiency calculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yyyy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify here:(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cellEmission Dataacetaldehyde(select emission rate units)benzene(select emission rate units)formaldehyde(select emission rate units)toluene(select emission rate units)xylenes(select emission rate units)CO(select emission rate units)Other Operating Parameters During Test (These parameters are only required if emission units are provided in units of concentration)Dry or Wet BasisWet or Dry% O2 or other diluent gas (necessary only if CO emission data is provided)If other diluent gas, please specify gas in this cellExhaust Stream %MoistureExhaust Flowrateacfm or dscfmExhaust TemperatureC or FNotes:Facilities with Boilers*, Process Heaters*, or Other Combustion Units* (excluding small-gas fired boilers and process heaters andincinerators) that have Organic HAP and CO Emission Test Data Available.ICR Number 2286.01OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011* Indicates a definition of the term is available in the Survey Overview Document(Select Control Configuration)Enter numerical value when available. Ifthe test results are below detection limit,please note the detection limit in brackets(e.g., [< 0.010]).Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below.You may enter up to 15 fuel types fired during the test.Peach shaded cells indicate areas where the user will enter a response(you may enter control device as listed in questions II.B.3.a1 or II.B.3.a6, or other (with description), if thecontrol device during the test was not listed in the survey section II.B.3)Spreadsheet Instructions:You should provide the most recent data available for each pollutant at each combustion unit (excluding small gas fired boilersand process heaters that were covered under Part II.A and Incinerators covered under Part IV). EPAencourages you to provide the results of more than one test, in order to allow us to assess intra-unit variability. You may copy and paste this worksheet to a new worksheet within this file. To copy and paste a worksheet, followthese steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When complete, e-mail this spreadsheet along with all other completed spreadsheets tocombustionsurvey@erg.com.Survey Question:Worksheet Title:Who Should Complete this Spreadsheet?Facility Name:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determinethe fuel input (e.g., F-factor, gas fuel meter, boilerefficiency calculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yyyy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Total Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cellEmission DataHydrogen Chloride (HCl)(select emission rate units)Hydrogen Flouride (HF)(select emission rate units)Chlorine (Cl2)(select emission rate units)Other Operating Parameters During Test (These parameters are only required if emission units are provided in units of concentration)Dry or Wet BasisWet or DryExhaust Stream %MoistureExhaust Flowrateacfm or dscfmExhaust TemperatureC or FNotes:* Indicates a definition of the term is available in the Survey Overview DocumentEnter numerical value when available. Ifthe test results are below detection limit,please note the detection limit in brackets(e.g., [< 0.010]).Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below.You may enter up to 15 fuel types fired during the test.Peach shaded cells indicate areas where the user will enter a response(you may enter control device as listed in questions II.B.3.a1 or II.B.3.a6, or other (with description), if thecontrol device during the test was not listed in the survey section II.B.3)(Select Control Configuration)Inorganic HAP Emission Test DataFacilities with Boilers*, Process Heaters*, or Other Combustion Units* (excluding small-gas fired boilers and processheaters and incinerators) that have HCl, CL2, or HF Emission Test Data Available.Part II.D Question 1 (questions on this worksheet start on page 12 of the survey overview document)ICR Number 2286.01OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Spreadsheet Instructions:You should provide the most recent data available for each pollutant at each combustion unit (excluding small gas fired boilersand process heaters that were covered under Part II.A and Incinerators covered under Part IV).EPA encourages you to provide the results of more than one test, in order to allow us to assess intra-unit variability. You maycopy and paste this worksheet to a new worksheet within this file. To copy and paste a worksheet,follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When complete, e-mail this spreadsheet along with all other completed spreadsheets tocombustionsurvey@erg.com.Survey Question:Part II.D Question 1 (questions on this worksheet start on page 12 of the survey overview document)Worksheet Title:PM and Metals Emission Test DataWho Should Complete this Spreadsheet?Facility Name:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determinethe fuel input (e.g., F-factor, gas fuel meter, boilerefficiency calculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Total Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cellEmission DataMercury (Hg)(select emission rate units)Arsenic (As)(select emission rate units)Beryllium (Be)(select emission rate units)Cadmium (Cd)(select emission rate units)Chromium (Cr)(select emission rate units)Lead (Pb)(select emission rate units)Manganese (Mn)(select emission rate units)Nickel (Ni)(select emission rate units)Selenium (Se)(select emission rate units)Particulate Matter (front half)(select emission rate units)Particulate Matter (total, including condensibles) (select emission rate units)Other Operating Parameters During Test (These parameters are only required if emission units are provided in units of concentration)Dry or Wet BasisWet or DryExhaust Stream %MoistureExhaust Flowrateacfm or dscfmExhaust TemperatureC or FNotes:Enter numerical value when available. Ifthe test results are below detection limit,please note the detection limit inbrackets(e.g., [< 0.010]).Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below.You may enter up to 15 fuel types fired during the test.Peach shaded cells indicate areas where the user will enter a response* Indicates a definition of the term is available in the Survey Overview Document(Select Control Configuration)(you may enter control device as listed in questions II.B.3.a1 or II.B.3.a6, or other (with description), if thecontrol device during the test was not listed in the survey section II.B.3)Facilities with Boilers*, Process Heaters*, or Other Combustion Units* (excluding small-gas fired boilers and process heatersand incinerators) that have PM or Metals Emission Test Data Available.ICR Number 2286.01OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Spreadsheet Instructions:You should provide the most recent data available for each pollutant at each combustion unit (excluding small gas fired boilersand process heaters that were covered under Part II.A and Incinerators covered under Part IV).EPA encourages you to provide the results of more than one test, in order to allow us to assess intra-unit variability. You maycopy and paste this worksheet to a new worksheet within this file. To copy and paste aworksheet, follow these steps1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When complete, e-mail this spreadsheet along with all other completed spreadsheets tocombustionsurvey@erg.com.

# Survey Question: 

# Part II.D Question 2 (Questions start on page 13 of the survey overview document)

Worksheet Title: 

# CO CEM Data

Who Should Complete this

Spreadsheet?

A. Facility Name:

B. Combustor ID:

C. Control Device

Configuration during 30 day

period (select from

dropdown): (Select Control Configuration)

D. Typical Operating Rate

during 30 day period

(mmBtu/hr):

E. Were there any operational

upsets or other conditions

you want to explain during

this 30-day period?

Fuel 1

(select from dropdown) Fuel 1 Input Rate Fuel 1 Input Rate Units Fuel 2

(select from dropdown) Fuel 2 Input Rate Fuel 2 Input Rate Units Fuel 3

(select from dropdown) Fuel 3 Input

Rate Fuel 3 Input Rate Units

F. Typical Fuel Mix During 30

day period: (Select Fuel Type) (select fuel input units) (Select Fuel Type) (select fuel input units) (Select Fuel Type) (select fuel input units)

If other fuel type list below: If other units list below: If other fuel type list below: If other units list below: If other fuel t ype list below: If other units list below:

G.

Date

(mm/dd/yy) Emission

Numerical Value Emission Unit Correction (i.e. 3% O2 or other

diluent gas)

Day 1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7

Day 8

Day 9

Day 10

Day 11

Day 12

Day 13

Day 14

Day 15

Day 16

Day 17

Day 18

Day 19

Day 20

Day 21

Day 22

Day 23

Day 24

Day 25

Day 26

Day 27

Day 28

Day 29

Day 30

H. Single highest daily average

emission data point within

the most recent calendar

year of data

I. Control Device

Configuration at maximum

daily average: (Select Control Device Configuration)

J. Operating Rate at maximum

daily average (mmBtu/hr):

Fuel 1

(select from dropdown) Fuel 1 Input Rate Fuel 1 Input Rate Units Fuel 2

(select from dropdown) Fuel 2 Input Rate Fuel 2 Input Rate Units Fuel 3

(select from dropdown) Fuel 3 Input

Rate Fuel 3 Input Rate Units

K. Fuel Mix at maximum daily

average: (Select Fuel Type) (select fuel input units) (Select Fuel Type) (select fuel input units) (Select Fuel Type) (select fuel input unit s)

If other fuel type list below: If other units list below: If other fuel type list below: If other units list below: If other fuel t ype list below: If other units list below:

L. Were there any operational

upsets or other conditions

you want to explain during

this maximum daily average

emission rate? If the control device configuration, fuel mix, or operating rate for the single highest daily average differs from what was des cribed for the 30-day period,

please update in cells below if known, otherwise you may leave this section blank: 

# ICR Number 2286.01

OMB Control Number: 2060-0616

EPA Form No. 5900-122

Expiration Date: 08/31/2011

CEM Daily Average Emission Data Points From Most Recent 30-day Operating Period 

# Facilities with Boilers*, Process Heaters*, or Other Combustion Units* (excluding small-gas fired boilers

and process heaters) that have CO CEM data available.



# Spreadsheet Instructions:

Complete this worksheet for available CEM data for CO at each boiler, process heater, or other combustion unit (excluding small gas-fired boiler or process heaters). You should provide CEM results for

the most recent 30 day operating period, as well as the highest daily average during the most recent calendar year. If you have a summary of CEM data that contains the same information in another

spreadsheet format, you can submit the CEM data summary in an alternative format.

To provide CEM data for more than one boiler, process heater or other combustion device at your facility, you may copy and past e this worksheet to a new worksheet within this file. Please indicate the

appropriate facility name at the top of each worksheet. To copy and paste a worksheet, follow these steps:

1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...

2. In the pop-up window, check the box next to "Create a copy"

3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.

4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.

(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)

If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to c opy a worksheet.

Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When compl ete, e-mail this spreadsheet along with all other completed spreadsheets

to combustionsurvey@erg.com.

# Survey Question: 

# Part II.D Question 2 (Questions start on page 13 of the survey overview document)

Worksheet Title: 

# NOx CEM Data

Who Should Complete this

Spreadsheet?

A. Facility Name:

B. Combustor ID:

C. Control Device

Configuration during 30 day

period (select from

dropdown): (Select Control Device Configuration)

D. Typical Operating Rate

during 30 day period

(mmBtu/hr):

E. Were there any operational

upsets or other conditions

you want to explain during

this 30-day period?

Fuel 1

(select from dropdown) Fuel 1 Input Rate Fuel 1 Input Rate Units Fuel 2

(select from dropdown) Fuel 2 Input Rate Fuel 2 Input Rate Units Fuel 3

(select from dropdown) Fuel 3 Input

Rate Fuel 3 Input Rate Units

F. Typical Fuel Mix During 30

day period: (select fuel type) (select fuel input units) (select fuel type) (select fuel input units) (select fuel type) (select fuel input unit s)

If other fuel type list below: If other units list below: If other fuel type list below: If other units list below: If other fuel t ype list below: If other units list below:

G.

Date

(mm/dd/yy) Emission

Numerical Value Emission Unit Correction (i.e. 3% O2 or other

diluent gas)

Day 1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7

Day 8

Day 9

Day 10

Day 11

Day 12

Day 13

Day 14

Day 15

Day 16

Day 17

Day 18

Day 19

Day 20

Day 21

Day 22

Day 23

Day 24

Day 25

Day 26

Day 27

Day 28

Day 29

Day 30

H. Single highest daily average

emission data point within

the most recent calendar

year of data

I. Control Device

Configuration at maximum

daily average: (Select Control Device Configuration)

J. Operating Rate at maximum

daily average (mmBtu/hr):

Fuel 1

(select from dropdown) Fuel 1 Input Rate Fuel 1 Input Rate Units Fuel 2

(select from dropdown) Fuel 2 Input Rate Fuel 2 Input Rate Units Fuel 3

(select from dropdown) Fuel 3 Input

Rate Fuel 3 Input Rate Units

K. Fuel Mix at maximum daily

average: (select fuel type) (select fuel input units) (select fuel type) (select fuel input units) (select fuel type) (select fuel input unit s)

If other fuel type list below: If other units list below: If other fuel type list below: If other units list below: If other fuel t ype list below: If other units list below:

L. Were there any operational

upsets or other conditions

you want to explain during

this maximum daily average

emission rate? 

# ICR Number 2286.01

OMB Control Number: 2060-0616

EPA Form No. 5900-122

Expiration Date: 08/31/2011



# Facilities with Boilers*, Process Heaters*, or Other Combustion Units* (excluding small-gas fired boilers

and process heaters) that have NOx CEM data available.

CEM Daily Average Emission Data Points From Most Recent 30-day Operating Period

g p g gg y g

was described for the 30-day period, please update in cells below if known, otherwise you may leave this section

blank: 

# Spreadsheet Instructions:

Complete this worksheet for available CEM data for NOx at each boiler, process heater, or other combustion unit (excluding smal l gas-fired boiler or process heaters). You should provide CEM results for

the most recent 30 day operating period, as well as the highest daily average during the most recent calendar year. If you have a summary of CEM data that contains the same information in another

spreadsheet format, you can submit the CEM data summary in an alternative format.

To provide CEM data for more than one boiler, process heater or other combustion device at your facility, you may copy and past e this worksheet to a new worksheet within this file. Please indicate the

appropriate facility name at the top of each worksheet. To copy and paste a worksheet, follow these steps:

1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...

2. In the pop-up window, check the box next to "Create a copy"

3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.

4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.

(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)

If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to c opy a worksheet.

Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When compl ete, e-mail this spreadsheet along with all other completed spreadsheets

to combustionsurvey@erg com

# Survey Question: 

# Part II.D Question 2 (Questions start on page 13 of the survey overview document)

Worksheet Title: 

# SO2 CEM Data

Who Should Complete this

Spreadsheet?

A. Facility Name:

B. Combustor ID:

C. Control Device

Configuration during 30 day

period (select from

dropdown): (Select Control Device Configuration)

D. Typical Operating Rate

during 30 day period

(mmBtu/hr):

E. Were there any operational

upsets or other conditions

you want to explain during

this 30-day period?

Fuel 1

(select from dropdown) Fuel 1 Input Rate Fuel 1 Input Rate Units Fuel 2

(select from dropdown) Fuel 2 Input Rate Fuel 2 Input Rate Units Fuel 3

(select from dropdown) Fuel 3 Input

Rate Fuel 3 Input Rate Units

F. Typical Fuel Mix During 30

day period: (select fuel type) (select fuel input units) (select fuel type) (select fuel input units) (select fuel type) (select fuel input unit s)

If other fuel type list below: If other units list below: If other fuel type list below: If other units list below: If other fuel t ype list below: If other units list below:

G.

Date

(mm/dd/yy) Emission

Numerical Value Emission Unit Correction (i.e. 3% O2 or other

diluent gas)

Day 1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7

Day 8

Day 9

Day 10

Day 11

Day 12

Day 13

Day 14

Day 15

Day 16

Day 17

Day 18

Day 19

Day 20

Day 21

Day 22

Day 23

Day 24

Day 25

Day 26

Day 27

Day 28

Day 29

Day 30

H. Single highest daily average

emission data point within

the most recent calendar

year of data

I. Control Device

Configuration at maximum

daily average: (Select Control Device Configuration)

J. Operating Rate at maximum

daily average (mmBtu/hr):

Fuel 1

(select from dropdown) Fuel 1 Input Rate Fuel 1 Input Rate Units Fuel 2

(select from dropdown) Fuel 2 Input Rate Fuel 2 Input Rate Units Fuel 3

(select from dropdown) Fuel 3 Input

Rate Fuel 3 Input Rate Units

K. Fuel Mix at maximum daily

average: (select fuel type) (select fuel input units) (select fuel type) (select fuel input units) (select fuel type) (select fuel input unit s)

If other fuel type list below: If other units list below: If other fuel type list below: If other units list below: If other fuel t ype list below: If other units list below:

L. Were there any operational

upsets or other conditions

you want to explain during

this maximum daily average

emission rate? 

# Facilities with Boilers*, Process Heaters*, or Other Combustion Units* (excluding small-ga s

fired boilers and process heaters) that have SO2 CEM data available. ICR Number 2286.01

OMB Control Number: 2060-0616

EPA Form No. 5900-122

Expiration Date: 08/31/2011

CEM Daily Average Emission Data Points From Most Recent 30-day Operating Period

g p g gg y g

was described for the 30-day period, please update in cells below if known, otherwise you may leave this section

blank: 

# Spreadsheet Instructions:

Complete this worksheet for available CEM data for SO2 at each boiler, process heater, or other combustion unit (excluding smal l gas-fired boiler or process heaters). You should provide CEM results for

the most recent 30 day operating period, as well as the highest daily average during the most recent calendar year. If you have a summary of CEM data that contains the same information in another

spreadsheet format, you can submit the CEM data summary in an alternative format.

To provide CEM data for more than one boiler, process heater or other combustion device at your facility, you may copy and past e this worksheet to a new worksheet within this file. Please indicate the

appropriate facility name at the top of each worksheet. To copy and paste a worksheet, follow these steps:

1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...

2. In the pop-up window, check the box next to "Create a copy"

3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.

4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.

(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)

If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to c opy a worksheet.

Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When compl ete, e-mail this spreadsheet along with all other completed spreadsheets

to combustionsurvey@erg.com.

# Survey Question: 

# Part II.D Question 2 (Questions start on page 13 of the survey overview document)

Worksheet Title: 

# Opacity COMS Data

Who Should Complete this

Spreadsheet?

A. Facility Name:

B. Combustor ID:

C. Control Device

Configuration during 30 day

period (select from

dropdown): (Select Control Device Configuration)

D. Typical Operating Rate

during 30 day period

(mmBtu/hr):

E. Were there any operational

upsets or other conditions

you want to explain during

this 30-day period? If yes,

please explain briefly.

Fuel 1

(select from dropdown) Fuel 1 Input Rate Fuel 1 Input Rate Units Fuel 2

(select from dropdown) Fuel 2 Input Rate Fuel 2 Input Rate Units Fuel 3

(select from dropdown) Fuel 3 Input

Rate Fuel 3 Input Rate Units

F. Typical Fuel Mix During 30

day period: (select fuel type) (select fuel input units) (select fuel type) (select fuel input units) (select fuel type) (select fuel input unit s)

If other fuel type list below: If other units list below: If other fuel type list below: If other units list below: If other fuel t ype list below: If other units list below:

G. Submit 6-minute averages for Opacity for the most recent 30-day operating period. You may submit this data in any spreadsheet format so that it can be analyzed.

H. Single highest six-minute

average emission data point

within the most recent

calendar year of data

I. Control Device

Configuration at maximum 6

- minute average: (Select Control Device Configuration)

J. Operating Rate at maximum

6-minute average

(mmBtu/hr):

Fuel 1

(select from dropdown) Fuel 1 Input Rate Fuel 1 Input Rate Units Fuel 2

(select from dropdown) Fuel 2 Input Rate Fuel 2 Input Rate Units Fuel 3

(select from dropdown) Fuel 3 Input

Rate Fuel 3 Input Rate Units

K. Fuel Mix at maximum 6-

minute average: (select fuel type) (select fuel input units) (select fuel type) (select fuel input units) (select fuel type) (select fuel input unit s)

If other fuel type list below: If other units list below: If other fuel type list below: If other units list below: If other fuel t ype list below: If other units list below:

L. Were there any operational

upsets or other conditions

you want to explain during

this maximum 6-minute

average emission rate? 

# Facilities with Boilers*, Process Heaters*, or Other Combustion Units* (excluding small-ga s

fired boilers and process heaters) that have Opacity COM data available. ICR Number 2286.01

OMB Control Number: 2060-0616

EPA Form No. 5900-122

Expiration Date: 08/31/2011

g p g gg y g

from what was described for the 30-day period, please update in cells below if known, otherwise you may leave this

section blank: 

# Spreadsheet Instructions:

Complete this worksheet for available CEM data for Opacity at each boiler, process heater, or other combustion unit (excluding small gas-fired boiler or process heaters).

You should provide CEM results for the most recent 30 day operating period, as well as the highest 6-minute average during the most recent calendar year. If you have a

summary of CEM data that contains the same information in another spreadsheet format, you can submit the CEM data summary in an alternative format.

To provide CEM data for more than one boiler, process heater or other combustion device at your facility, you may copy and past e this worksheet to a new worksheet wit

this file. Please indicate the appropriate facility name at the top of each worksheet. To copy and paste a worksheet, follow th ese steps:

1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...

2. In the pop-up window, check the box next to "Create a copy"

3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.

4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.

(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)

If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to c opy a worksheet.

Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When compl ete, e-mail this spreadsheet along with all

other completed spreadsheets to combustionsurvey@erg.com.

# Survey Question: 

# Part II.D Question 2 (Questions start on page 13 of the survey overview documen t

Worksheet Title: 

# PM CEM Data

Who Should Complete this

Spreadsheet?

A. Facility Name:

B. Combustor ID:

C. Control Device

Configuration during 30 day

period (select from

dropdown): (Select Control Device

Configuration)

D. Typical Operating Rate

during 30 day period

(mmBtu/hr):

E. Were there any operational

upsets or other conditions

you want to explain during

this 30-day period?

Fuel 1

(select from dropdown) Fuel 1 Input Rate Fuel 1 Input Rate Units Fuel 2

(select from dropdown) Fuel 2 Input Rate Fuel 2 Input Rate Units Fuel 3

(select from dropdown) Fuel 3 Input

Rate Fuel 3 Input Rate Units

F. Typical Fuel Mix During 30

day period: (select fuel type) (select fuel input units) (select fuel type) (select fuel input units) (select fuel type) (select fuel input unit s)

If other fuel type list below: If other units list below: If other fuel type list below: If other units list below: If other fuel t ype list below: If other units list below:

G.

Date

(mm/dd/yy) Emission

Numerical Value Emission Unit Correction (i.e. 3% O2 or other

diluent gas)

Day 1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7

Day 8

Day 9

Day 10

Day 11

Day 12

Day 13

Day 14

Day 15

Day 16

Day 17

Day 18

Day 19

Day 20

Day 21

Day 22

Day 23

Day 24

Day 25

Day 26

Day 27

Day 28

Day 29

Day 30

H. Single highest daily

average emission data point

within the most recent

calendar year of data

I. Control Device

Configuration at maximum

daily average: (Select Control Device

Configuration)

J. Operating Rate at maximum

daily average (mmBtu/hr):

Fuel 1

(select from dropdown) Fuel 1 Input Rate Fuel 1 Input Rate Units Fuel 2

(select from dropdown) Fuel 2 Input Rate Fuel 2 Input Rate Units Fuel 3

(select from dropdown) Fuel 3 Input

Rate Fuel 3 Input Rate Units

K. Fuel Mix at maximum daily

average: (select fuel type) (select fuel input units) (select fuel type) (select fuel input units) (select fuel type) (select fuel input unit s)

If other fuel type list below: If other units list below: If other fuel type list below: If other units list below: If other fuel t ype list below: If other units list below:

L. Were there any operational

upsets or other conditions

you want to explain during

this maximum daily

average emission rate? CEM Daily Average Emission Data Points From Most Recent 30-day Operating Period

was described for the 30-day period, please update in cells below if known, otherwise you may leave this section

blank: 

# ICR Number 2286.01

OMB Control Number: 2060-0616

EPA Form No. 5900-122

Expiration Date: 08/31/2011 

# Facilities with Boilers*, Process Heaters*, or Other Combustion Units* (excluding small-gas fired boilers

and process heaters) that have PM CEM data available.



# Spreadsheet Instructions:

Complete this worksheet for available CEM data for PM at each boiler, process heater, or other combustion unit (excluding small gas-fired boiler or process heaters). You should provide CEM results

for the most recent 30 day operating period, as well as the highest daily average during the most recent calendar year. If you have a summary of CEM data that contains the same information in an o

spreadsheet format, you can submit the CEM data summary in an alternative format.

To provide CEM data for more than one boiler, process heater or other combustion device at your facility, you may copy and past e this worksheet to a new worksheet within this file. Please indicate the

appropriate facility name at the top of each worksheet. To copy and paste a worksheet, follow these steps:

1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...

2. In the pop-up window, check the box next to "Create a copy"

3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.

4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.

(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)

If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to c opy a worksheet.

Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When compl ete, e-mail this spreadsheet along with all other completed

spreadsheets to combustionsurvey@erg comSurvey Question:Part II.D Question 3 (Questions start on page 13 of survey overview document)Worksheet Title:Who Should Complete this Spreadsheet?Facility Name:Combustor ID:Parameter Numerical Limit Emission LimitUnitsOther EmissionLimit (PleaseExplain)Fuel Associatedwith LimitAveraging Time O2 or Other Diluent GasConcentration (% andname of gas)Does Permitted Limitreflect the vacated SubpartDDDDD in the permit?Note(i.e., 30 dayrolling average,daily, hourly)(O2 or other diluent gasconcentration is onlynecessary when reporting alimit for CO)(Y/N)For all pollutants, provide anyother information supportinginformation you think is necessaryabout this limit.Hydrogen Chloride (HCl) SelectSelectMercury (Hg) SelectSelectArsenic (As) SelectSelectBeryllium (Be) SelectSelectCadmium (Cd) SelectSelectChromium (Cr) SelectSelectLead (Pb) SelectSelectManganese (Mn) SelectSelectNickel (Ni) SelectSelectSelenium (Se) SelectSelectParticulate Matter (front half) SelectSelectParticulate Matter (total, including condensibles) SelectSelectCOSelectSelectDioxin/Furans SelectSelectIndicate basis here by entering TM, TEQ,Other (total mass, toxic equivalentconcentration, other) here:SO2 SelectNOx SelectOpacitySelectNotes:Peach shaded cells indicate areas where the user will enter a response* Indicates a definition of the term is available in the Survey Overview DocumentPermitted or Regulatory Emission LimitFacilities with any non-small gas-fired* boilers, process heaters, or other combustion units* that have permitted orregulatory limits for any of the pollutants listed in the table below.Permitted and Regulatory Limits for non-Small Gas-Fired* Boilers*, Process Heaters* or Other Combustion Units*ICR Number 2286.01OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Spreadsheet Instructions:Copy and paste this worksheet for combustion ID at the facility that has a permitted or regulatory emission limit for any of the pollutants listed below. You may copy and paste thisworksheet to a new worksheet within this file. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When complete, e-mail this spreadsheet along with all othercompleted spreadsheets to combustionsurvey@erg.com.ICR Number 2286.01OMB Control Number: TBDExpiration Date: XX/XX/XXXXSurvey Question:Part III (Questions start on page 13 of survey overview document)Worksheet Title:Fuel/Material AnalysisWho Should Complete thisSpreadsheet?Facility Name:Fuel/Material(select from list):(Select Y or N)Combustor ID:Test Date: (mm/dd/yyyy)Sample #1 Sample #2 Sample #3 Sample #4 Sample #5 Sample #6 Sample #7 Sample #8 Sample #9 Sample #10 Units Other Units DescriptionSelect appropriate unitfrom list. If other isselected please describeunits in column NFuel/Material Sample Date(mm/dd/yyyyHigher Heating Value(Select HHV units)% Moisture%% Ash%% Sulfur%Higher Heating Value(Select HHV units)% Moisture%% Ash%% Sulfur%Chlorine (Cl)(Select Units)Mercury (Hg)(Select Units)Arsenic (As)(Select Units)Beryllium (Be)(Select Units)Cadmium (Cd)(Select Units)Chromium (Cr)(Select Units)Lead (Pb)(Select Units)Manganese (Mn)(Select Units)Nickel (Ni)(Select Units)Selenium (Se)(Select Units)* Indicates a definition of the term is available in the Survey Overview DocumentPeach shaded cells indicate areas where the user will enter a responseNotes:ICR Number 2286.01OMB Control Number:2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Dry basisParameterTest MethodAs ReceivedWas fuel analysis was conducted in conjunction with an emissiontest provided in Section II.D?(Yes or No)You may provide up to 10 fuel samples for the fuel type selected in cell C20. To provide more than 10 fuel samples you must make a copy of this worksheet.Facilities with boilers*, process heaters*, or other combustion units* that combust anything other than natural gas,refinery gas, liquefied petroleum gas or propane.Other Fuel/Material Description:(select)If yes, please indicate the following parameters:Spreadsheet Instructions:Provide the results of the most recent fuel/materials analysis for all fuels and materials (excluding natural gas, propane, liquefied petroleum gas, and refinery gas) combusted on-site in boilers,process heaters, or other combustion units. You may submit an analysis done on-site or an analysis provided by the fuel supplier. Use the fuel categories from the list below, when available. Selectthe ‘other’ fuel description only if the fuel burned in the unit(s) is not on the list. If ‘other’ is selected please provide abrief name for this fuel. Select the most descriptive name as possible. Forexample, "landfill gas (LFG)" is more useful than "waste-gas"; "bituminous coal" or "anthracite coal" is more useful than "coal".You should provide the most recent data available at for each fuel. EPA encourages you to provide the results of more than fuelanalysis, as long as these are representative of fuels/materials stillused in the boiler/process heater.To provide a fuel analysis for more than one type of fuel used in a boiler, process heater or other combustion device at your facility, you may copy and paste this worksheet to a new worksheet withinthis file. Please indicate the appropriate facility name at the top of each worksheet. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)If you need further guidance, please see Appendix B1 on the survey overview document for more detailed instructions of how to copy a worksheet.Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When complete, e-mail this spreadsheet along with all other completedspreadsheets to combustionsurvey@erg.com.

# APPENDIX D

2009 TEST PLAN EXCEL TEMPLATESWorksheet Title:CO CEMS DataWho Should Complete thisSpreadsheet?A.Facility ID:B.Combustor ID:Fuel 1(select from dropdown) Fuel 1 Input Rate Fuel 1 Input Rate UnitsFuel 2(select from dropdown) Fuel 2 Input Rate Fuel 2 Input Rate UnitsFuel 3(select from dropdown)Fuel 3 InputRate Fuel 3 Input Rate UnitsC.Typical Fuel Mix During 30day period:(Select Fuel Type)(select fuel input units)(Select Fuel Type) (select fuel input units) (Select Fuel Type) (select fuel input units)If other fuel type list below: If other units list below: If other fuel type list below: If other units list below: If other fuel type list below: If other units list below:Date CO Reading O2 level inexhaust gas (%)Heat Input Steam Output CombustionUnit OperationsIndicatorCO CEMS OperationsIndicatorDay/Month/Year(DD/MM/YYYY)(ppm) (mmBtu/hr) (1000 lb steam per hour) (note periods of start-up,Shutdown, malfunctions, ornormal operation)(note periods wheremonitor was notoperational)DD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Facilities that are reporting CEMS data from a CEMS meeting Performance Specification - 4 Requirements in lieuof conducting a CO emission test.CO CEM Data for 30-day PeriodEnter the Facility ID from your Section 114 Letter HereEnter the Combustor ID from your Section 114 Letter HereSpreadsheet Instructions:Report the results of CO CEM data for at each boiler or process heater listed in your Section 114 letter.To provide CEM data for more than a 30 day period, or for more than one boiler or process heater, you may copy and paste this worksheet to a new worksheet within this file. Please indicate the appropriatefacility name at the top of each worksheet. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.Worksheet Title:NOx CEMS DataWho Should Complete thisSpreadsheet?A.Facility ID:B.Combustor ID:Fuel 1(select from dropdown) Fuel 1 Input Rate Fuel 1 Input Rate UnitsFuel 2(select from dropdown) Fuel 2 Input Rate Fuel 2 Input Rate UnitsFuel 3(select from dropdown)Fuel 3 InputRate Fuel 3 Input Rate UnitsC.Typical Fuel Mix During 30day period:(Select Fuel Type)(select fuel input units)(Select Fuel Type) (select fuel input units) (Select Fuel Type) (select fuel input units)If other fuel type list below: If other units list below: If other fuel type list below: If other units list below: If other fuel type list below: If other units list below:Date NOx Reading O2 level inexhaust gas (%)Heat Input Steam Output CombustionUnit OperationsIndicatorNOx CEMS OperationsIndicatorDay/Month/Year(DD/MM/YYYY)(ppm) (mmBtu/hr) (1000 lb steam per hour) (note periods of start-up,Shutdown, malfunctions, ornormal operation)(note periods wheremonitor was notoperational)DD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Facilities that are reporting CEMS data from a CEMS meeting Performance Specification - 2 Requirements in lieuof conducting a NOx emission test.NOX CEM Data for 30-day PeriodEnter the Facility ID from your Section 114 Letter HereEnter the Combustor ID from your Section 114 Letter HereSpreadsheet Instructions:Report the results of NOx CEM data for at each boiler or process heater listed in your Section 114 letter.To provide CEM data for more than a 30 day period, or for more than one boiler or process heater, you may copy and paste this worksheet to a new worksheet within this file. Please indicate the appropriatefacility name at the top of each worksheet. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.Worksheet Title:SO2 CEMS DataWho Should Complete thisSpreadsheet?A.Facility ID:B.Combustor ID:Fuel 1(select from dropdown) Fuel 1 Input Rate Fuel 1 Input Rate UnitsFuel 2(select from dropdown) Fuel 2 Input Rate Fuel 2 Input Rate UnitsFuel 3(select from dropdown)Fuel 3 InputRate Fuel 3 Input Rate UnitsC.Typical Fuel Mix During 30day period:(Select Fuel Type)(select fuel input units)(Select Fuel Type) (select fuel input units) (Select Fuel Type) (select fuel input units)If other fuel type list below: If other units list below: If other fuel type list below: If other units list below: If other fuel type list below: If other units list below:Date SO2 Reading O2 level inexhaust gas (%)Heat Input Steam Output CombustionUnit OperationsIndicatorSO2 CEMS OperationsIndicatorDay/Month/Year(DD/MM/YYYY)(ppm) (mmBtu/hr) (1000 lb steam per hour) (note periods of start-up,Shutdown, malfunctions, ornormal operation)(note periods wheremonitor was notoperational)DD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYDD/MM/YYYYICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Facilities that are reporting CEMS data from a CEMS meeting Performance Specification - 2 Requirements in lieuof conducting a SO2 emission test.SO2 CEM Data for 30-day PeriodEnter the Facility ID from your Section 114 Letter HereEnter the Combustor ID from your Section 114 Letter HereSpreadsheet Instructions:Report the results of SO2 CEM data for at each boiler or process heater listed in your Section 114 letter.To provide CEM data for more than a 30 day period, or for more than one boiler or process heater, you may copy and paste this worksheet to a new worksheet within this file. Please indicate the appropriatefacility name at the top of each worksheet. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.Worksheet Title:CO and HC Monitoring DataWho Should Complete thisSpreadsheet?A.Facility ID:B.Combustor ID:Fuel 1(select from dropdown) Fuel 1 Input Rate Fuel 1 Input Rate UnitsFuel 2(select from dropdown) Fuel 2 Input Rate Fuel 2 Input Rate UnitsFuel 3(select from dropdown)Fuel 3 InputRate Fuel 3 Input Rate UnitsFuel 4(select from dropdown) Fuel 4 Input Rate Fuel 4 Input Rate UnitsC.Typical Fuel Mix During 30day period:(Select Fuel Type)(select fuel input units)(Select Fuel Type) (select fuel input units) (Select Fuel Type) (select fuel input units) (Select Fuel Type) (select fuel input units)If other fuel type list below: If other units list below: If other fuel type list below: If other units list below: If other fuel type list below: If other units list below: If other fuel type list below: If other units list below:D.Time THC Reading CH4Reading(ppm)Non-CH4HC Residue CO O2 level in exhaustgas (%)Heat Input Steam Output CombustionUnit OperationsIndicatorTHC MonitorOperations IndicatorCO CEMS Operations IndicatorDD: HH:MM (ppm) (ppm) (ppm) Level (mmBtu/hr) (1000 lb steam per hour) (note periods ofstart-up,Shutdown,malfunctions, ornormaloperation)(note periods wheremonitor was notoperational)(note periods where monitor was notoperational)DD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMDD: HH:MMICR Number2286.01OMB Control Number:2060-0616EPA Form No.5900-122Expiration Date:08/31/2011Facilities with Boilers or Process Heaters that were select to conduct 30-day CO/THC variability monitoring.CO CEM and THC Monitoring Data for 30-day Variability MonitoringEnter the Facility ID from your Section 114 Letter HereEnter the Combustor ID from your Section 114 Letter HereSpreadsheet Instructions:Report the results of CO CEM data and THC analyzer data for at each boiler or process heater listed in your Section 114 letter.To provide CEM data for more than a 30 day period, or for more than one boiler or process heater, you may copy and paste this worksheet to a new worksheet within this file. Please indicate theappropriate facility name at the top of each worksheet. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name.(The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.

# Worksheet Title: 

# Dioxin Furans HAP Emission Test Data

Who Should Complete this Spreadsheet?

Facility Name:

Combustor ID:

Control Device Configuration:



# ParameterSample #1Sample #2Sample #3Test Average 

# UnitsUnits OtherDescription 

# Test Method Used Test Location Note

Select appropriate unit from

list. If other is selected please

describe units in column H at

right. Enter the name of the Test Method used.

For Fuel input rates, enter the method used to determine th e

fuel input (e.g., F-factor, gas fuel meter, boiler efficiency

calculation) Indicate whether the test

occurred upstream or

downstream of a control

device(s) For all pollutants, provide any other

information supporting information you

think is necessary about this test report.

Sample Date (mm/dd/yyyy)

Required Operating Parameters During Test

Steam Output (1000 lb/hr) (for boilers only) (select heat output units)

Total Heat Input (mmBtu/hr) (select heat input units)

(select fuel type) (select fuel input units)

If other fuel type is selected please specify in this cell

(select fuel type) (select fuel input units)

If other fuel type is selected please specify in this cell

(select fuel type) (select fuel input units)

If other fuel type is selected please specify in this cell

(select fuel type) (select fuel input units)

If other fuel type is selected please specify in this cell

(select fuel type) (select fuel input units)

If other fuel type is selected please specify in this cell

(select fuel type) (select fuel input units)

If other fuel type is selected please specify in this cell

(select fuel type) (select fuel input units)

If other fuel type is selected please specify in this cell

(select fuel type) (select fuel input units)

If other fuel type is selected please specify in this cell

(select fuel type) (select fuel input units)

If other fuel type is selected please specify in this cell

(select fuel type) (select fuel input units)

If other fuel type is selected please specify in this cell

(select fuel type) (select fuel input units)

If other fuel type is selected please specify in this cell

(select fuel type) (select fuel input units)

If other fuel type is selected please specify in this cell

(select fuel type) (select fuel input units)

If other fuel type is selected please specify in this cell

(select fuel type) (select fuel input units)

If other fuel type is selected please specify in this cell

(select fuel type) (select fuel input units)

Dioxin/Furans

2,3,7,8-TCDD 

# ng/dscm @ 7% O2

Other TCDD 

# ng/dscm @ 7% O2

1,2,3,7,8 PeCDD 

# ng/dscm @ 7% O2

Other PeCDD 

# ng/dscm @ 7% O2

1,2,3,4,7,8 HxCDD 

# ng/dscm @ 7% O2

1,2,3,6,7,8 HxCDD 

# ng/dscm @ 7% O2

1,2,3,7,8,9 HxCDD 

# ng/dscm @ 7% O2

Other HxCDD 

# ng/dscm @ 7% O2

1,2,3,4,6,7,8 HpCDD 

# ng/dscm @ 7% O2

Other HpCDD 

# ng/dscm @ 7% O2

1,2,3,4,6,5,7,8 OCDD 

# ng/dscm @ 7% O2

2,3,7,8-TCDF 

# ng/dscm @ 7% O2

Other TCDF 

# ng/dscm @ 7% O2

1,2,3,7,8 PeCDF 

# ng/dscm @ 7% O2

2,3,4,7,8 PeCDF 

# ng/dscm @ 7% O2

Other PeCDF 

# ng/dscm @ 7% O2

1,2,3,4,7,8 HxCDF 

# ng/dscm @ 7% O2

1,2,3,6,7,8 HxCDF 

# ng/dscm @ 7% O2

1,2,3,7,8,9 HxCDF 

# ng/dscm @ 7% O2

2,3,4,6,7,8 HxCDF 

# ng/dscm @ 7% O2

Other HxCDF 

# ng/dscm @ 7% O2

1,2,3,4,6,7,8 HpCDF 

# ng/dscm @ 7% O2

1,2,3,4,7,8,9 HpCDF 

# ng/dscm @ 7% O2

Other HpCDF 

# ng/dscm @ 7% O2

1,2,3,4,6,5,7,8 OCDF 

# ng/dscm @ 7% O2

TOTAL 

# ng/dscm @ 7% O2

Other Operating Parameters During Test

Exhaust Stream %Moisture 

# %

Exhaust Flowrate (select flowrate units)

Exhaust Temperature (select temperature units)



# Notes: Enter numerical value when available. If

the test results are below detection limit,

please note the detection limit in brackets

(e.g., [< 0.010]).

Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below. You may enter up to 15 fuel types fired during the test.



# Peach shaded cells indicate areas where the user will enter a response

* Indicates a definition of the term is available in the Survey Overview Document Enter all installed air pollution control devices here Enter the Facility ID from your Section 114 Letter Here

Enter the Combustor ID from your Section 114 Letter Here 

# Facilities with Boilers or Process Heaters that were selected to test for Dioxins/Furans ICR Number 2286.03

OMB Control Number: 2060-0616

EPA Form No. 5900-122

Expiration Date: 08/31/2011



# Spreadsheet Instructions:

You should report the reults of your emission test here. If you submit more than one test for the units at the same facility, you may copy and paste this worksheet to a new worksheet within this file. To copy and paste a

worksheet, follow these steps :

1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...

2. In the pop-up window, check the box next to "Create a copy"

3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.

4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)

When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Encl osure 1 to the Section 114 letter.Worksheet Title:Formaldehyde Emission Test Results TemplateWho Should Complete this Spreadsheet?Facility ID:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determine thefuel input (e.g., F-factor, gas fuel meter, boiler efficiencycalculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yyyy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify here:(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)Formaldehydeppm @ 7% O2Other Operating Parameters During TestExhaust Stream %Moisture%Exhaust Flowrate(select flowrate units)Exhaust Temperature(select temperature units)Notes:Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below.You may enter up to 15 fuel types fired during the test.Peach shaded cells indicate areas where the user will enter a responseEnter the Facility ID from your Section 114 Letter HereFacilities with Boilers or Process Heaters that were selected to test for formaldehyde.ICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Enter all installed air pollution control devices hereEnter the Combustor ID from your Section 114 Letter HereEnter numerical value when available. Ifthe test results are below detection limit,please note the detection limit in brackets(e.g., [< 0.010]).Spreadsheet Instructions:You should report the reults of your emission test here. If you submit more than one test for the units at the same facility, you may copy and paste this worksheet to a new worksheet within this file. To copy and paste a worksheet,follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.Worksheet Title:Methane Emission Test Results TemplateWho Should Complete this Spreadsheet?Facility ID:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determine thefuel input (e.g., F-factor, gas fuel meter, boiler efficiencycalculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yyyy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify here:(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)Methaneppm @ 7% O2Other Operating Parameters During TestExhaust Stream %Moisture%Exhaust Flowrate(select flowrate units)Exhaust Temperature(select temperature units)Notes:Facilities with Boilers or Process Heaters that were selected to test for MethaneICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below.You may enter up to 15 fuel types fired during the test.Peach shaded cells indicate areas where the user will enter a responseEnter numerical value when available. Ifthe test results are below detection limit,please note the detection limit in brackets(e.g., [< 0.010]).Enter the Facility ID from your Section 114 Letter HereEnter the Combustor ID from your Section 114 Letter HereEnter all installed air pollution control devices hereSpreadsheet Instructions:You should report the results of your emission test here. If you submit more than one test for the units at the same facility,you may copy and paste this worksheet to a new worksheet within this file. To copy and paste a worksheet,follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.Worksheet Title:Total HydroCarbons Emission Test Results TemplateWho Should Complete this Spreadsheet?Facility ID:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determine thefuel input (e.g., F-factor, gas fuel meter, boiler efficiencycalculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yyyy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify here:(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)Total Hydrocarbons (THC)ppm @ 7% O2Other Operating Parameters During TestExhaust Stream %Moisture%Exhaust Flowrate(select flowrate units)Exhaust Temperature(select temperature units)Notes:Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below.You may enter up to 15 fuel types fired during the test.Peach shaded cells indicate areas where the user will enter a responseEnter numerical value when available. Ifthe test results are below detection limit,please note the detection limit in brackets(e.g., [< 0.010]).Enter the Facility ID from your Section 114 Letter HereEnter the Combustor ID from your Section 114 Letter HereEnter all installed air pollution control devices hereFacilities with Boilers or Process Heaters that were selected to test for THC that do not use Method 25A.ICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Spreadsheet Instructions:You should report the results of your emission test here. If you submit more than one test for the units at the same facility,you may copy and paste this worksheet to a new worksheet within this file. To copy and paste a worksheet,follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.Worksheet Title:Carbon Monoxide Alternate Emission Test Results TemplateWho Should Complete this Spreadsheet?Facility ID:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determine thefuel input (e.g., F-factor, gas fuel meter, boiler efficiencycalculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yyyy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify here:(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)Carbon Monoxide (CO)ppm @ 7% O2Other Operating Parameters During TestExhaust Stream %Moisture%Exhaust Flowrate(select flowrate units)Exhaust Temperature(select temperature units)Notes:Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below.You may enter up to 15 fuel types fired during the test.Peach shaded cells indicate areas where the user will enter a responseEnter numerical value when available. Ifthe test results are below detection limit,please note the detection limit in brackets(e.g., [< 0.010]).Enter the Facility ID from your Section 114 Letter HereEnter the Combustor ID from your Section 114 Letter HereEnter all installed air pollution control devices hereFacilities on the Boilers, Process Heaters test plan that were selected to test for CO that do not use Method 10 to test for COICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Spreadsheet Instructions:You should report the results of your emission test here. If you submit more than one test for the units at the same facility,you may copy and paste this worksheet to a new worksheet within this file. To copy and paste a worksheet,follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.Worksheet Title:NOx Alternate Emission Test Results TemplateWho Should Complete this Spreadsheet?Facility ID:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determine thefuel input (e.g., F-factor, gas fuel meter, boiler efficiencycalculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yyyy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify here:(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)Oxides of Nitrogen (NOx)ppmvd @ 7% O2Other Operating Parameters During TestExhaust Stream %Moisture%Exhaust Flowrate(select flowrate units)Exhaust Temperature(select temperature units)Notes:Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below.You may enter up to 15 fuel types fired during the test.Peach shaded cells indicate areas where the user will enter a responseEnter NOx concentration value in dry partsper million volume (ppmvd) corrected to7% oxygen. If the test results are belowdetection limit, please note the detectionlimit in brackets(e.g., [< 0.010]).Enter the Facility ID from your Section 114 Letter HereEnter the Combustor ID from your Section 114 Letter HereEnter all installed air pollution control devices hereFacilities on the Boiler and Process Heater test plan that were selected to test for NOx that do not use Method 7E to test forNoxICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Spreadsheet Instructions:You should report the results of your emission test here. If you submit more than one test for the units at the same facility,you may copy and paste this worksheet to a new worksheet within this file. To copy and paste a worksheet,follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.Worksheet Title:Carbon Monoxide Alternate Emission Test Results TemplateWho Should Complete this Spreadsheet?Facility ID:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determine thefuel input (e.g., F-factor, gas fuel meter, boiler efficiencycalculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yyyy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify here:(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)Sulfur Dioxide (SO2)ppmvd @ 7% O2Other Operating Parameters During TestExhaust Stream %Moisture%Exhaust Flowrate(select flowrate units)Exhaust Temperature(select temperature units)Notes:Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below.You may enter up to 15 fuel types fired during the test.Peach shaded cells indicate areas where the user will enter a responseEnter the Facility ID from your Section 114 Letter HereFacilities on the Boiler and Process Heater test plan that were selected to test for SO2 that do not use Method 6C to test forSO2ICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Enter the Combustor ID from your Section 114 Letter HereEnter all installed air pollution control devices hereEnter SO2 concentration value in dry partsper million volume (ppmvd) corrected to7% oxygen. If the test results are belowdetection limit, please note the detectionlimit in brackets(e.g., [< 0.010]).Spreadsheet Instructions:You should report the results of your emission test here. If you submit more than one test for the units at the same facility,you may copy and paste this worksheet to a new worksheet within this file. To copy and paste a worksheet,follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.Worksheet Title:Selected Metals Emission Test DataWho Should Complete this Spreadsheet?Facility ID:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determinethe fuel input (e.g., F-factor, gas fuel meter, boilerefficiency calculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Total Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cellEmission DataAntimony (Sb)lb/mmBtuArsenic (As)lb/mmBtuBeryllium (Be)lb/mmBtuCadmium (Cd)lb/mmBtuChromium (Cr)lb/mmBtuCobalt (Co)lb/mmBtuLead (Pb)lb/mmBtuManganese (Mn)lb/mmBtuMercury (Hg)lb/mmBtuNickel (Ni)lb/mmBtuPhosphorus (P)lb/mmBtuSelenium (Se)lb/mmBtuOther Operating Parameters During TestExhaust Stream %Moisture%Exhaust Stream % CO2 or O2(sel exhaust O2/CO2 level)Exhaust Flowrate(select flowrate units)Exhaust Temperature(select temperature units)Notes:Enter numerical value when available. Ifthe test results are below detection limit,please note the detection limit inbrackets(e.g., [< 0.010]).Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below.You may enter up to 15 fuel types fired during the test.Peach shaded cells indicate areas where the user will enter a responseEnter the Facility ID from your Section 114 Letter HereEnter the Combustor ID from your Section 114 Letter HereEnter all installed air pollution control devices hereFacilities with units on the Boilers, Process Heaters test plan that were selected to test for Metals that do not use Method 29totest for Metals or Method 101A for HgICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Spreadsheet Instructions:You should report the results of your emission test here. If you submit more than one test for the units at the same facility,you may copy and paste this worksheet to a new worksheet within this file. To copy and paste aworksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.Worksheet Title:HCl Alternate Emission Test Results TemplateWho Should Complete this Spreadsheet?Facility ID:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determinethe fuel input (e.g., F-factor, gas fuel meter, boilerefficiency calculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yyyy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Total Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cellEmission DataHydrogen Chloride (HCl)lb/mmBtuHydrogen Fluoride (HF)lb/mmBtuOther Operating Parameters During TestExhaust Stream %Moisture%Exhaust Stream % CO2 or O2(sel exhaust O2/CO2 level)Exhaust Flowrate(select flowrate units)Exhaust Temperature(select temperature units)Notes:Enter numerical value when available. Ifthe test results are below detection limit,please note the detection limit in brackets(e.g., [< 0.010]).Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below.You may enter up to 15 fuel types fired during the test.Peach shaded cells indicate areas where the user will enter a responseEnter the Combustor ID from your Section 114 Letter HereEnter all installed air pollution control devices hereFacilities on the Boilers and Process Heaters test plan that were selected to test for HCl that do not use Method 26A to testfor HCl or HFICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Enter the Facility ID from your Section 114 Letter HereSpreadsheet Instructions:You should report the results of your emission test here. If you submit more than one test for the units at the same facility,you may copy and paste this worksheet to a new worksheet within this file. To copy and paste aworksheet, follow these steps1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.Worksheet Title:Filterable PM Emission Test DataWho Should Complete this Spreadsheet?Facility ID:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Other DescriptionTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determinethe fuel input (e.g., F-factor, gas fuel meter, boilerefficiency calculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Total Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cellEmission DataParticulate Matter (PM2.5)lb/mmBtuParticulate Matter (PM) filterablelb/mmBtuSolids Data(These parameters are only required from stacks with entrained water droplets)Total Solids from Wet Scrubber Recirculation Liquid mg solids/literTotal Dissolved Solids from Wet Scrubber Recirculation Liquid mg solids/literTotal Suspended Solids from Wet Scrubber Recirculation Liquid mg solids/literScrubber recirculation liquid flow rateliter/minOther Operating Parameters During TestExhaust Stream %Moisture%Exhaust Stream % CO2 or O2(sel exhaust O2/CO2 level)Exhaust Flowrate(select flowrate units)Exhaust Temperature(select temperature units)Notes:Enter numerical value when available. Ifthe test results are below detection limit,please note the detection limit in brackets(e.g., [< 0.010]).Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below.You may enter up to 15 fuel types fired during the test.Peach shaded cells indicate areas where the user will enter a responseEnter the Facility ID from your Section 114 Letter HereEnter the Combustor ID from your Section 114 Letter HereEnter all installed air pollution control devices hereFacilities with units on the Boilers, Process Heaters testplan that were selected to test for filterable PM or PM2.5 that use do not useMethod 5 or Method 17ICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Spreadsheet Instructions:You should report the results of your emission test here. If you submit more than one test for the units at the same facility,you may copy and paste this worksheet to a new worksheet within this file. To copy and paste aworksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.Worksheet Title:Condensable PM Emission Test DataWho Should Complete this Spreadsheet?Facility ID:Combustor ID:Control Device Configuration:Parameter Sample #1 Sample #2 Sample #3 Test AverageUnits Units Othe r Descriptio nTest Method Used Test Location NoteSelect appropriate unit fromlist. If other is selected pleasedescribe units in column H atright.Enter the name of the Test Method used.For Fuel input rates, enter the method used to determinethe fuel input (e.g., F-factor, gas fuel meter, boilerefficiency calculation)Indicate whether the testoccurred upstream ordownstream of a controldevice(s)For all pollutants, provide any otherinformation supporting information youthink is necessary about this test report.Sample Date (mm/dd/yy)Required Operating Parameters During TestSteam Output (1000 lb/hr) (for boilers only)(select heat output units)Total Heat Input (mmBtu/hr)(select heat input units)(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cell(select fuel type)(select fuel input units)If other fuel type is selected please specify in this cellEmission DataCondensable Particulate Matterlb/mmBtuOther Operating Parameters During TestExhaust Stream %Moisture%Exhaust Stream % CO2 or O2(sel exhaust O2/CO2 level)Exhaust Flowrate(select flowrate units)Exhaust Temperature(select temperature units)Notes:Facilities with units on the Boilers, Process Heaters test plan that were selected to test for condensable PMICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Enter the Facility ID from your Section 114 Letter HereEnter the Combustor ID from your Section 114 Letter HereEnter all installed air pollution control devices hereEnter numerical value when available. Ifthe test results are below detection limit,please note the detection limit inbrackets(e.g., [< 0.010]).Select the fuel types used during emission test from the drop down menus and enter their corresponding fuel input rates below.You may enter up to 15 fuel types fired during the test.Peach shaded cells indicate areas where the user will enter a responseSpreadsheet Instructions:You should report the results of your emission test here. If you submit more than one test for the units at the same facility,you may copy and paste this worksheet to a new worksheet within this file. To copy and paste a worksheet,follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.ICR Number 2286.01OMB Control Number: TBDExpiration Date: XX/XX/XXXXWorksheet Title:Fuel/Material AnalysisWho Should Complete thisSpreadsheet?Facility ID:Fuel/Material(select from list):Sample #1 Sample #2 Sample #3 Sample #4 Sample #5 Sample #6 Sample #7 Sample #8 Sample #9 Sample #10 Sample #11 Sample #12 Units Other Units DescriptionSelect appropriate unitfrom list. If other isselected please describeunits in column NCombustor ID:Enter the CombustorID from your Section114 Letter HereEnter the CombustorID from your Section114 Letter HereEnter the CombustorID from your Section114 Letter HereEnter theCombustor IDfrom yourSection 114Enter theCombustor IDfrom yourSection 114Enter theCombustor IDfrom yourSection 114Enter theCombustor IDfrom yourSection 114Enter theCombustor IDfrom yourSection 114Enter theCombustor IDfrom yourSection 114Enter theCombustor ID fromyour Section 114Letter HereEnter theCombustor ID fromyour Section 114Letter HereEnter theCombustor ID fromyour Section 114Letter HereWhat Test was this Fuel Analysisin Conjunction with?List CorrespondingTest Method HereList CorrespondingTest Method HereList CorrespondingTest Method HereFuel/Material Sample Date(mm/dd/yyyy)Basis (Select Basis) (Select Basis) (Select Basis) (Select Basis) (Select Basis) (Select Basis) (Select Basis) (Select Basis) (Select Basis) (Select Basis) (Select Basis) (Select Basis) (Select HHV units)Moisture Content%HHV(Select HHV units)Sulfur (S)(Select Units)Nitrogen (N)(Select Units)Chlorine (Cl)(Select Units)Fluorine (F)(Select Units)Mercury (Hg)(Select Units)Antimony (Sb)(Select Units)Arsenic (As)(Select Units)Beryllium (Be)(Select Units)Cadmium (Cd)(Select Units)Chromium (Cr)(Select Units)Cobalt (Co)(Select Units)Lead (Pb)(Select Units)Manganese (Mn)(Select Units)Nickel (Ni)(Select Units)Phosphorus (P)(Select Units)Selenium (Se)(Select Units)* Indicates a definition of the term is available in the Survey Overview DocumentThree Composite Samples During Stack TestRemaining Fuel Samples to Assess VariabilityPeach shaded cells indicate areas where the user will enter a responseNotes:ICR Number 2286.03OMB Control Number:2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011ParameterTest MethodEnter the Facility ID from your Section 114 Letter HereFacilities with boilers and process heaters that were selected to conduct Fuel AnalysisOther Fuel/Material Description:(select)Spreadsheet Instructions:You should report the results of your emission test here. If you submit more than one test for the units at the same facility,you may copy and paste this worksheet to a new worksheet within this file. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.Worksheet Title:Boiler and Process Heater 30-Day Process Data TemplateWho ShouldComplete thisSpreadsheet?Facility ID:Enter the Facility ID from your Section 114 Letter HereCombustor ID:Enter the Combustor ID from your Section 114 Letter HereDate Total Heat InputSteam Output(for boilers only) Exhaust Flow Exhaust Flow UnitsExhaustTemperatureExhaustOxygenExhaustMoisturemm/dd/yy (mmBtu/hr) (1000 lb/hr) acfm or dscfm C or F % %1select units select units2select units select units3select units select units4select units select units5select units select units6select units select units7select units select units8select units select units9select units select units10select units select units11select units select units12select units select units13select units select units14select units select units15select units select units16select units select units17select units select units18select units select units19select units select units20select units select units21select units select units22select units select units23select units select units24select units select units25select units select units26select units select units27select units select units28select units select units29select units select units30select units select unitsDayICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Facilities on the Boiler and Process Heater test plan that were selected to conduct a stack test.ExhaustTemperatureDaily Average Boiler or Process Heater ParametersNote onProcessParametersSpreadsheet Instructions:You should report daily averages for 30 days of unit process data here. The 30 day period shall include the dates of any stacktesting and fuelanalysis data. The 30 day period can consist of days before and/or after the stack test. You should select the same 30-day period to report all typesof required process data and control device monitoring parameters. If you are required to conduct tests at more than one unit at the same facility,you may copy and paste this worksheet to a new worksheet within this file. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicateshow many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section114 letter.

# Worksheet Title: 

# Boiler and Process Heater 30-Day Fuel Feed Data Templat e

Who Should Complete this Spreadsheet?

Facility ID:

Combustor ID:



# Day

mm/dd/yy

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell

(select fuel type) (select fuel input units) (select fuel type) (select fuel

input units) (select fuel type) (select fuel input

units)

If other fuel type is selected please specify in this cell If other fuel type is selected please specify in this cell If other fu el type is selected please specify in this cell Fuel Type Fuel Type Fuel Feed

Rate Fuel Type Fuel Feed Rate Fuel Feed Rate 

# Fuel 1 Fuel 2 Fuel 3

1 Date Other Fuel

Feed Units

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30 

# Enter the Facility ID from your Section 114 Letter Here

Enter the Combustor ID from your Section 114 Letter Here

Daily Average Fuel Feed Rates Daily Average Fuel Feed Rates Daily Average Fuel Feed Rates ICR Number 2286.03

OMB Control Number: 2060-0616

EPA Form No. 5900-122

Expiration Date: 08/31/2011



# Facilities on the Boiler and Process Heater test plan that were selected to conduct a stack test.

Fuel Feed Rate Units Other Fuel

Feed Units Fuel Feed

Rate Units Other Fuel

Feed Units Fuel Feed Rate

Units 

# Spreadsheet Instructions:

You should report daily averages for 30 days of fuel feed rate data here. The 30 day period shall include the dates of any stac k testing and fuel analysis data. The 30 day period can consist of days before and/or after the stack test.

You should select the same 30-day period to report all types of required process data and control device monitoring parameters. If you are required to conduct tests at more than one unit at the same facility, you may copy and paste

this worksheet to a new worksheet within this file. To copy and paste a worksheet, follow these steps:

1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...

2. In the pop-up window, check the box next to "Create a copy"

3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.

4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) after the name indicates how many copies of the worksheet have been copied and inserted.)

When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Encl osure 1 to the Section 114 letter.Worksheet Title:Boiler and Process Heater 30-Day ESP Control Device Parameter Data TemplateWho Should Completethis Spreadsheet?Facility ID:Combustor ID:Control Device:Day DateInlet VoltageOutletVoltageInlet Secondary Current(Amperage)OutletSecondaryCurrent(Amperage)mm/dd/yyC or F C or F V V milliamperes (MA)milliamperes(MA)1select units select units2select units select units3select units select units4select units select units5select units select units6select units select units7select units select units8select units select units9select units select units10select units select units11select units select units12select units select units13select units select units14select units select units15select units select units16select units select units17select units select units18select units select units19select units select units20select units select units21select units select units22select units select units23select units select units24select units select units25select units select units26select units select units27select units select units28select units select units29select units select units30select units select unitsDaily Average ESP Operating ParametersNote on ESPParameters(select ESP type)Facilities on the Boiler and Process Heater test plan that were selected to conduct a stack test and have anESP installed on the combustion unit.Enter the Facility ID from your Section 114 Letter HereESP Inlet Temperature ESP Outlet TemperatureEnter the Combustor ID from your Section 114 Letter HereSpreadsheet Instructions:You should report daily averages for 30 days of ESP control device operating parameter data here. The 30 day period shall include thedates of any stack testing and fuel analysis data. The 30 day period can consist of days before and/or after the stack test. You shouldselect the same 30-day period to report all types of required process data and control device monitoring parameters. If you arerequired toconduct tests at more than one unit at the same facility, you may copy and paste this worksheet to a new worksheet within thisfile. To copyand paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe nameindicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to theSection 114 letter.Worksheet Title:Boiler and Process Heater 30-Day Fabric Filter Control Device Parameter Data TemplateWho Should Completethis Spreadsheet?Facility ID:Combustor ID:Control Device:Day DatePressuredropmm/dd/yyC or F C or F(inches watercolumn)1select units select units2select units select units3select units select units4select units select units5select units select units6select units select units7select units select units8select units select units9select units select units10select units select units11select units select units12select units select units13select units select units14select units select units15select units select units16select units select units17select units select units18select units select units19select units select units20select units select units21select units select units22select units select units23select units select units24select units select units25select units select units26select units select units27select units select units28select units select units29select units select units30select units select unitsNote on FF ParametersFabric Filter Inlet Temperature Fabric Filter Outlet TemperatureDaily Average Fabric Filter Operating Parameters(select type of fabric filter)ICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Facilities on the Boiler and Process Heater test plan that were selected to conduct a stack testand have a fabric filter installed on the combustion unit.Enter the Combustor ID from your Section 114 Letter HereEnter the Facility ID from your Section 114 Letter HereSpreadsheet Instructions:You should report daily averages for 30 days of Fabric Filter control device operating parameter data here. The 30 day periodshall include the dates of any stack testing and fuel analysis data. The 30 day period can consist of days before and/or afterthestack test. You should select the same 30-day period to report all types of required process data and control device monitoringparameters. If you are required to conduct tests at more than one unit at the same facility, you may copy and paste thisworksheet to a new worksheet within this file. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline inEnclosure 1 to the Section 114 letter.Worksheet Title:Boiler and Process Heater 30-Day Sorbent Injection Control Device Parameter Data TemplateWho Should Completethis Spreadsheet?Facility ID:Combustor ID:Control Device:Injection Location:Day DateSorbentInjectionRate Sorbent Injection Rate Unitsmm/dd/yyC or F C or F gpm or lb/Mmacf1select units select units select units2select units select units select units3select units select units select units4select units select units select units5select units select units select units6select units select units select units7select units select units select units8select units select units select units9select units select units select units10select units select units select units11select units select units select units12select units select units select units13select units select units select units14select units select units select units15select units select units select units16select units select units select units17select units select units select units18select units select units select units19select units select units select units20select units select units select units21select units select units select units22select units select units select units23select units select units select units24select units select units select units25select units select units select units26select units select units select units27select units select units select units28select units select units select units29select units select units select units30select units select units select unitsDaily Average Sorbent Injection Operating ParametersNote on Sorbent Inj. ParametersOther SorbentInj. Rate UnitsICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Facilities on the Boiler and Process Heater test plan that were selected to conduct a stack test and have sorbent injection installed onthe combustion unit.If Duct Injection, InletTemperature If Duct Injection, Outlet TemperatureEnter the Combustor ID from your Section 114 Letter HereEnter the Facility ID from your Section 114 Letter Here(select injection type)(select injection location)If other injection type specified,enter here:Spreadsheet Instructions:You should report daily averages for 30 days of sorbent injection control device operating parameter data here. The 30 day period shall include the dates of any stacktesting and fuel analysis data. The 30 day period can consist of days before and/or after the stack test. You should select thesame 30-day period to report all types ofrequired process data and control device monitoring parameters. You should make a copy of this worksheet for each separate control device or each separate. Tocopy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copiesof the worksheet have been copied and inserted.)When complete, submit this spreadsheet alongwith all other files for this facilityaccordingto the procedures outline in Enclosure 1 to the Section 114 letter.Worksheet Title:Boiler and Process Heater 30-Day Wet Scrubber Control Device Parameter Data TemplateWho Should Completethis Spreadsheet?Facility ID:Combustor ID:Control Device:Day DatePressuredropScrubberLiquor pHScrubberLiquor FlowRatemm/dd/yyC or F C or F(inches watercolumn)gallons perminute1select units select units2select units select units3 select units select units4select units select units5 select units select units6select units select units7 select units select units8select units select units9 select units select units10select units select units11 select units select units12select units select units13 select units select units14select units select units15 select units select units16select units select units17 select units select units18select units select units19 select units select units20select units select units21 select units select units22select units select units23 select units select units24select units select units25 select units select units26select units select units27 select units select units28select units select units29 select units select units30select units select units(select scrubber type)Daily Average Wet Scrubber Operating ParametersNote on Wet ScrubberParametersICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Facilities on the Boiler and Process Heater test plan that were selected to conduct a stack test and have a wet scrubberinstalled on the combustion unit.Wet Scrubber Inlet Temperature Wet Scrubber Outlet TemperatureEnter the Combustor ID from your Section 114 Letter HereEnter the Facility ID from your Section 114 Letter HereIf other scrubber type specified,enter here:Spreadsheet Instructions:You should report daily averages for 30 days of wet scrubber control device operating parameter data here. The 30 day period shall include the datesof any stack testing and fuel analysis data. The 30 day period can consist of days before and/or after the stack test. You should select the same 30-day period to report all types of required process data and control device monitoring parameters. If you are required to conduct tests at more than oneunit at the same facility, you may copy and paste this worksheet to a new worksheet within this file. To copy and paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicateshow many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114Worksheet Title:Boiler and Process Heater 30-Day SCR or SNCR Control Device Parameter Data TemplateWho Should Completethis Spreadsheet?Facility ID:Combustor ID:Control Device:Reagent TypeDay DateAmmoniaSlipmm/dd/yyC or F C or F(ppm)1select units select units2select units select units3 select units select units4select units select units5 select units select units6select units select units7 select units select units8select units select units9 select units select units10select units select units11 select units select units12select units select units13 select units select units14select units select units15 select units select units16select units select units17 select units select units18select units select units19 select units select units20select units select units21 select units select units22select units select units23 select units select units24select units select units25 select units select units26select units select units27 select units select units28select units select units29 select units select units30select units select unitsEnter the Facility ID from your Section 114 Letter HereNote on Control Device ParametersICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Facilities on the Boiler and Process Heater test plan that were selected to conduct a stack test and have SCR or SNCR control devices installed on thecombustion unit.Control Device Inlet Temperature Control Device Outlet TemperatureDaily Average SCR or SNCR Control Device Operating Parameters(select reagent)(select control device)Enter the Combustor ID from your Section 114 Letter HereSpreadsheet Instructions:You should report daily averages for 30 days of SCR or SNCR control device operating parameter data here. The 30 day period shall include the dates of any stack testing and fuel analysisdata. The 30 day period can consist of days before and/or after the stack test. You should select the same 30-day period to report all types of required process data and control devicemonitoring parameters. If you are required to conduct tests at more than one unit at the same facility, you may copy and pastethis worksheet to a new worksheet within this file. To copyand paste a worksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet havebeen copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.Worksheet Title:Boiler and Process Heater 30-Day Other Control Device Parameter Data TemplateWho Should Completethis Spreadsheet?Facility ID:Combustor ID:Control Device:Day Datemm/dd/yy123456789101112131415161718192021222324252627282930Daily Average Control Device Operating ParametersEnter Name ofMonitoredparameter here.Monitored Parameter #5Enter Name ofMonitoredparameter here.Units for MonitoredParameterMonitored Parameter #3Enter Name ofMonitoredparameter here.Units forMonitoredParameterMonitored Parameter #4ICR Number 2286.03OMB Control Number: 2060-0616EPA Form No. 5900-122Expiration Date: 08/31/2011Facilities on the Boiler and Process Heater test plan that were selected to conduct a stack test and have control devices otherthan wet scrubbers, sorbent injection, fabric filters or electrostaticprecipitators installed on the combustion unit.Enter the Facility ID from your Section 114 Letter HereEnter Name of Monitoredparameter here.Units for MonitoredParameterMonitored Parameter #1 Monitored Parameter #2Enter Name ofMonitoredparameter here.Units for MonitoredParameterUnits for MonitoredParameterEnter the Combustor ID from your Section 114 Letter HereIf other control device specified,enter here:(select control device)Spreadsheet Instructions:You should report daily averages for 30 days of any monitored parameters on other control devices as is appropriate for a particular type of control device. If you will report opacity data as a parameter see the opacity dat in this worksheetfor directions. The 30 day period shall include the dates of any stack testing and fuel analysis data. The 30 day period can consist of days before and/or after the stack test. You should select the same 30-day period to report all types ofrequired process data and control device monitoring parameters. If you are required to conduct tests at more than one unit at the same facility, you may copy and paste this worksheet to a new worksheet within this file. To copy and pasteaworksheet, follow these steps:1. On the worksheet you want to copy, select Edit>>Move or Copy Sheet...2. In the pop-up window, check the box next to "Create a copy"3. Under "Before Sheet", select the name of the current sheet you are working in and then Click OK.4. The copied worksheet will be inserted and named according to the current worksheet with a (#) after the name. (The (#) afterthe name indicates how many copies of the worksheet have been copied and inserted.)When complete, submit this spreadsheet along with all other files for this facility according to the procedures outline in Enclosure 1 to the Section 114 letter.