### Instructions for completing the Fuel Material Analysis Information

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

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

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

Please refer to the following steps when using these spreadsheets.

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

- down in the fuel column of the Boiler Information worksheet. If you choose "other", please provide a description of the fuel in the Other Fuel Description column. 4. Please provide the analysis method for each constituent in the Analysis Methods worksheet. For example: "ASTM D5865 04". 5. Please check the Units of Measure tables for HHV, Metals, and Cl/Fl in the Picklist worksheet (orange tab). If the units

measure that you plan to report are not found in the Units of measure table, please fill them in the blank, orange highlighted, cell in each table. This allows you to choose the units of measure in the Fuels Sample Results worksheet. 6. Select the HAPs Test Group (i.e., HAP surrogate) for which the tab's data reflects (o range highlighted cell) 7. Provide the Sample Number and Sample Date on the Fuels Sample Results worksheet. You must provide a minimum of 3 composite samples consisting of 3 combined grab samples each, but you are not limited to that number if you have collected

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

- down boxes to fill in the units of

measure.

### Information

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

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

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

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

measure that you plan to report are not found in the Units of measure table, please fill them in the blank, orange highlighted, cell in each table. This allows you to choose the units of measure in the Fuels Sample Results worksheet. range highlighted cell)

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

down boxes to fill in the units ofEIA

Facility Code Facility Name Boiler ID Fuel Type 1

50974 Cogentrix Scrubgrass Generating Unit 1/2 

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

### waste coalEIA

Facility Code Facility Name Boiler ID Basis An alyte



### 50974 Cogentrix Scrubgrass Generating Unit 1/2 As Received Higher Heating Value 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 As Received % Moisture 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 As Received % Ash 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 As Received % Sulfur 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis Higher Heating Value 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis % Ash 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis % Sulfur 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis Antim ony 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis Arsenic 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis Bery llium 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis Cadmium 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis Chlorine 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis Chromium 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis Cobalt 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis Fluorine 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis Lead 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis Manganese 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis Mercury 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis Nickel 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Dry

basis SeleniumAn alysis M ethod for each A nalyte

(example: ASTM D5865-04) 

### ASTM D5863 ASTM D2961 D3302 D3174 ASTM D3174 ASTM D4239 Method B ASTM D5863 ASTM D3174 ASTM D4239 Method B ASTM D3683 D3684 D3684 (Modified) ASTM D3683 D3684 D3684 (Modified) ASTM D3683 D3684 D3684 (Modified) ASTM D3683 D3684 D3684 (Modified) ASTM D4208 ASTM D3683 D3684 D3684 (Modified) ASTM D3683 D3684 D3684 (Modified) ASTM D3761 ASTM D3683 D3684 D3684 (Modified) ASTM D3683 D3684 D3684 (Modified) ASTM D3683 D3684 D3684 (Modified) ASTM D3683 D3684 D3684 (Modified) ASTM D3683 D3684 D3684 (Modified)EIA

Facility Code Facility

Name Boiler ID HA Ps Test Group 

### 50974 Cogentrix Scrubgrass GeneratingUnit 1/2 Mercury and non-mercury metalic HAPs

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

(MM/DD/YYYY) Test Stop Date

(MM/DD/YYYY) Higher Heating Value (HHV) (as received) HHV Units Run #1 

### 3/22/2010 3/22/2010 6902.00 Btu/lb Run #2 3/22/2010 3/22/2010 6655.00 Btu/lb Run #3 3/22/2010 3/22/2010 6670.00 Btu/lb Fuel Testing Results

### Mercury and non-mercury metalic HAPs

% Moisture (as received) % A

sh (as received) % Sulfur

(as received) Higher

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

(Dry Basis) 

### 8.58 43.01 3.05 7550 Btu/lb 47.04 3.34 7.89 44.72 3.2 7226 Btu/lb 48.56 3.47 8.82 42.42 2.93 7315 Btu/lb 46.53 3.22Chlorine

(Dry Basis) Chlorine

Units Mercury

(Dry Basis) Mercury

Units An timony

(Dry Basis) An timony

Units Arsenic (Dry

Basis) Arsenic

Units Bery llium

(Dry Basis) 

### 679.43 ppb <4.98 PPM 21.65 ppm <0.04 874.24 ppb <4.99 PPM 20.19 ppm <0.04 492.84 ppb <4.99 PPM 24.35 ppm <0.04Bery llium

Units Cadmium

(Dry Basis) Cadmium

Units Chromium

(Dry Basis) Chromium

Units Lead (Dry

Basis) Lead Units Manganese (Dry Basis) Manganese

Units 

### ppm <0.05 ppm 67.3 ppm 60.2 ppm 74.4 ppm ppm <0.05 ppm 63.1 ppm 65.6 ppm 68 ppm ppm <0.05 ppm 61.6 ppm 55.3 ppm 83 ppmNickel (Dry

Basis) Nickel Units Selenium (Dry Basis) Selenium

Units Fluorine

(Dry Basis) Fluorine

Units Cobalt (Dry

Basis) Cobalt Units Total Moisture 

### 22.4 ppm 4.97 ppm 42.5 ppm 0 19.8 ppm 4.68 ppm 38.4 ppm 0 20.1 ppm 4.42 ppm 36.5 ppm 0 Proximate Analy

ses, % by

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

Volatiles As h Fixed Carbon Carbon Hydrogen Nitrogen Total Sulfur 

### 19.8 47.04 33.16 42.5 2.81 1.07 3.34 19.32 48.56 32.12 39.46 2.66 0.62 3.47 18.11 46.53 35.36 41.97 2.49 0.69 3.22 Proximate Analy

ses, % by

wt Ultimate Analy ses, % by

wtOxygen



### 3.24 5.23 5.1EIA

Facility Code Facility

Name Boiler ID HA Ps Test Group 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Acid gas HAPs

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

(MM/DD/YYYY) Test Stop Date

(MM/DD/YYYY) Higher Heating

Value (HHV) (as received) HHV Units Run #1 

### 3/23/2010 3/23/2010 6279.00 Btu/lb Run #2 

### 3/23/2010 3/23/2010 6114.00 Btu/lb Run #3 

### 3/23/2010 3/23/2010 6009.00 Btu/lb Fuel Testing Results% Moisture

(as received) % A

sh (as received) % Sulfur

(as received) Higher

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

(Dry Basis) 

### 8.58 45.88 2.84 6868 Btu/lb 50.19 3.1 8.24 47.11 2.81 6664 Btu/lb 51.35 3.06 8.13 48.25 3.09 6541 Btu/lb 52.52 3.37Chlorine

(Dry Basis) Chlorine

Units Mercury

(Dry Basis) Mercury

Units An timony

(Dry Basis) An timony

Units Arsenic (Dry

Basis) Arsenic

Units Bery llium

(Dry Basis) 

### 0.11 % 944 ppm 0.11 %Bery llium

Units Cadmium

(Dry Basis) Cadmium

Units Chromium

(Dry Basis) Chromium

Units Lead (Dry

Basis) Lead Units Manganese (Dry Basis) Manganese

UnitsNickel (Dry

Basis) Nickel Units Selenium (Dry Basis) Selenium

Units Fluorine

(Dry Basis) Fluorine

Units Cobalt (Dry

Basis) Cobalt Units 

### 157 ppm 147 ppm 196 ppmNote the Proximate/Ultimate data below should be recorded on a dry basis (including ash).

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



### 0 19.44 50.19 30.37 39.11 2.66 1.01 3.1 0 19.57 51.35 29.08 37.86 2.66 1.01 3.06 0 19.53 52.52 27.95 37.68 2.61 0.95 3.37 Proximate A naly

ses, % by

wt Ultimate Analy ses, % by

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

Oxygen 

### 3.93 4.06 2.87EIA

Facility Code Facility

Name Boiler ID HA Ps Test Group 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2 Non-dioxin/furan organic HAPs

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

(MM/DD/YYYY) Test Stop Date (MM/DD/YYYY) Higher Heating Value (HHV) (as received) HHV Units Run #1 

### 3/24/2010 3/24/2010 6419.00 Btu/lb Run #2 

### 3/24/2010 3/24/2010 6575.00 Btu/lb Run #3 

### 3/24/2010 3/24/2010 6664.00 Btu/lb Fuel Testing Results% Moisture

(as received) % A

sh (as received) % Sulfur

(as received) Higher

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

(Dry Basis) 

### 10.13 41.7 2.57 7143 Btu/lb 46.41 2.87 9.74 41.21 2.64 7285 Btu/lb 45.66 2.92 9.1 43.14 2.79 7331 Btu/lb 47.46 3.07Chlorine

(Dry Basis) Chlorine

Units Mercury

(Dry Basis) Mercury

Units An timony

(Dry Basis) An timony

Units Arsenic (Dry

Basis) Arsenic

Units Bery llium

(Dry Basis)Bery llium

Units Cadmium

(Dry Basis) Cadmium

Units Chromium

(Dry Basis) Chromium

Units Lead (Dry

Basis) Lead Units Manganese (Dry Basis) Manganese

UnitsNickel (Dry

Basis) Nickel Units Selenium (Dry Basis) Selenium

Units Fluorine

(Dry Basis) Fluorine

Units Cobalt (Dry

Basis) Cobalt Units Total Moisture 

### 0 0 0 Proximate Analy

ses, % by

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

Volatiles As h Fixed Carbon Carbon Hydrogen Nitrogen Total Sulfur Oxygen 

### 16.16 46.41 37.43 42.99 2.11 1.06 2.87 4.56 16.2 45.66 38.14 43.71 2.09 1.02 2.92 4.6 17.95 47.46 34.59 41.77 2.39 1.05 3.07 4.26 Proximate Analy

ses, % by

wt Ultimate Analy ses, % by

wtEIA

Facility Code Facility

Name Boiler ID HA Ps Test Group 

### 50974 Cogentrix Scrubgrass Generating Unit 1/2

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

(MM/DD/YYYY) Test Stop Date

(MM/DD/YYYY) Higher Heating Value (HHV) (as received) HHV Units Fuel Testing Results% Moisture

(as received) % A

sh (as received) % Sulfur

(as received) Higher

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

(Dry Basis)Chlorine

(Dry Basis) Chlorine

Units Mercury

(Dry Basis) Mercury

Units An timony

(Dry Basis) An timony

Units Arsenic (Dry

Basis) Arsenic

Units Bery llium

(Dry Basis)Bery llium

Units Cadmium

(Dry Basis) Cadmium

Units Chromium

(Dry Basis) Chromium

Units Lead (Dry

Basis) Lead Units Manganese (Dry Basis) Manganese

UnitsNickel (Dry

Basis) Nickel Units Selenium (Dry Basis) Selenium

Units Fluorine

(Dry Basis) Fluorine

Units Cobalt (Dry

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

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

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

ses, % by

wt Ultimate Analy ses, % by

wtUnits of Measure Tables: Please do not modify these tables, except to add your own unit of measure to the

Fuel Units of Measure - HHV anthracite Btu/lb bitum inous Btu/gallon subbituminous lignite coal refuse (culm or gob) No.2 Fuel Oil (distillate) No.6 Fuel Oil (residual or bunker C) Units of Measure - Metals sy nfuel mg /g petroleum coke μg/g other mg /Kg ppm ppbUnits of Measure Tables: Please do not modify these tables, except to add your own unit of measure to the orange hightlighted cell, if necessary

.

Units of Measure - Cl, Fl % ppm