### 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

981 State Line Energy 3 

### bituminousFuel Type 2 Fuel Type 3 Other Fuel DescriptionEIA

Facility Code Facility Name Boiler ID Basis An alyte



### 981 State Line Energy 3 As Received Higher Heating Value 

### 981 State Line Energy 3 As Received % Moisture 

### 981 State Line Energy 3 As Received % Ash 

### 981 State Line Energy 3 As Received % Sulfur 

### 981 State Line Energy 3 Dry basis Higher Heating Value 

### 981 State Line Energy 3 Dry basis % Ash 

### 981 State Line Energy 3 Dry basis % Sulfur 

### 981 State Line Energy 3 Dry basis Antim ony 

### 981 State Line Energy 3 Dry basis Arsenic 

### 981 State Line Energy 3 Dry basis Bery llium 

### 981 State Line Energy 3 Dry basis Cadmium 

### 981 State Line Energy 3 Dry basis Chlorine 

### 981 State Line Energy 3 Dry basis Chromium 

### 981 State Line Energy 3 Dry basis Cobalt 

### 981 State Line Energy 3 Dry basis Fluorine 

### 981 State Line Energy 3 Dry basis Lead 

### 981 State Line Energy 3 Dry basis Manganese 

### 981 State Line Energy 3 Dry basis Mercury 

### 981 State Line Energy 3 Dry basis Nickel 

### 981 State Line Energy 3 Dry basis SeleniumAn alysis M ethod for each A nalyte

(example: ASTM D5865-04) 

### ASTM D2015 ASTM D-3173 ASTM D-3174 ASTM D 4239 ASTM D2015 ASTM D-3174 ASTM D 4239 SW 846 7041 SW 846 7060A SW 846 6010B SW 846 6010B ASTM D4208 SW 846 6010B SW 846 6010B ASTM D3761 SW 846 6010B SW 846 6010B EPA 7473 SW 846 6010B SW 846 7740EIA

Facility Code Facility

Name Boiler ID HA Ps Test Group 

### 981 State Line Energy 3 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 U3 4-6-10 

### 4/6/2010 4/6/2010 8653.00 Btu/lb U3 4-7-10 

### 4/7/2010 4/7/2010 8718.00 Btu/lb U3 4-8-10 

### 4/8/2010 4/8/2010 9207.00 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) 

### 26.99 5.38 0.36 11900 Btu/lb 7.37 0.49 26.76 5.18 0.39 11900 Btu/lb 7.07 0.53 22.59 5.78 0.4 11900 Btu/lb 7.47 0.52Chlorine

(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) 

### 144 ppm 0.106 ppm < 0.50 ppm 0.77 ppm < 5.00 113 ppm 0.078 ppm 20.6 ppm 1.1 ppm < 5.00 345 ppm 0.068 ppm < 0.50 ppm 1.4 ppm < 5.00Beryllium

Units Cadmium

(Dry Basis) Cadmium

Units Chromium

(Dry Basis) Chromium

Units Lead (Dry

Basis) Lead Units Manganese (Dry Basis) Manganese

Units 

### ppm < 1.00 ppm < 5.00 ppm < 5.00 ppm 21.6 ppm ppm < 1.00 ppm < 5.00 ppm < 5.00 ppm 23.1 ppm ppm < 1.00 ppm < 5.00 ppm < 5.00 ppm 15.7 ppmNickel (Dry

Basis) Nickel Units Selenium (Dry Basis) Selenium

Units Fluorine

(Dry Basis) Fluorine

Units Cobalt (Dry

Basis) Cobalt Units Total Moisture 

### < 5.00 ppm < 0.50 ppm 49.4 ppm < 5.00 ppm 11.95 < 5.00 ppm < 0.50 ppm 50.9 ppm < 5.00 ppm 11.65 < 5.00 ppm < 0.50 ppm 54 ppm < 5.00 ppm 9.05 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



### 7.37 72.12 72.12 7.03 1.03 0.49 7.07 72.14 72.14 6.96 1 0.53 7.47 72.49 72.49 6.9 1.05 0.52 Proximate Analy

ses, % by

wt Ultimate Analy ses, % by

wtOxygen



### 11.96 12.3 11.89EIA

Facility Code Facility

Name Boiler ID HA Ps Test Group 

### 981 State Line Energy 3 Dioxin/furan 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 U3 4-6-10 

### 4/6/2010 4/6/2010 8653.00 Btu/lb U3 4-7-10 

### 4/7/2010 4/7/2010 8718.00 Btu/lb U3 4-8-10 

### 4/8/2010 4/8/2010 9207.00 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) 

### 26.99 5.38 0.36 11900 Btu/lb 7.37 0.49 26.76 5.18 0.39 11900 Btu/lb 7.07 0.53 22.59 5.78 0.4 11900 Btu/lb 7.47 0.52Chlorine

(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) 

### 144 ppm 0.106 ppm < 0.50 ppm 0.77 ppm < 5.00 113 ppm 0.078 ppm 20.6 ppm 1.1 ppm < 5.00 345 ppm 0.068 ppm < 0.50 ppm 1.4 ppm < 5.00Beryllium

Units Cadmium

(Dry Basis) Cadmium

Units Chromium

(Dry Basis) Chromium

Units Lead (Dry

Basis) Lead Units Manganese (Dry Basis) Manganese

Units 

### ppm < 1.00 ppm < 5.00 ppm < 5.00 ppm 21.6 ppm ppm < 1.00 ppm < 5.00 ppm < 5.00 ppm 23.1 ppm ppm < 1.00 ppm < 5.00 ppm < 5.00 ppm 15.7 ppmNickel (Dry

Basis) Nickel Units Selenium (Dry Basis) Selenium

Units Fluorine

(Dry Basis) Fluorine

Units Cobalt (Dry

Basis) Cobalt Units 

### < 5.00 ppm < 0.50 ppm 49.4 ppm < 5.00 ppm < 5.00 ppm < 0.50 ppm 50.9 ppm < 5.00 ppm < 5.00 ppm < 0.50 ppm 54 ppm < 5.00 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



### 11.95 7.37 72.12 72.12 7.03 1.03 0.49 11.65 7.07 72.14 72.14 6.96 1 0.53 9.05 7.47 72.49 72.49 6.9 1.05 0.52 Proximate Analy

ses, % by

wt Ultimate Analy ses, % by

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

Oxygen 

### 11.96 12.3 11.89EIA

Facility Code Facility

Name Boiler ID HA Ps Test Group 

### 981 State Line Energy 3

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)Beryllium

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

wtEIA

Facility Code Facility

Name Boiler ID HA Ps Test Group 

### 981 State Line Energy 3

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)Beryllium

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 ppmUnits of Measure Tables: Please do not modify these tables, except to add your own unit of measure to the orangehightlighted cell, if necessary

.

Units of Measure - Cl, Fl % ppm