Instructions for completing the Fuel Material Analysis Information

This Information Collection Request (ICR) spreadsheet is intended to collect information about chemical analyses 

used fossil fuel burning power plants. Constituents of concern are: mercury, chlorine, fluorine, and metals, such 

antimony, beryllium, cadmium, chromium, cobalt, lead, manganese, nickel, and selenium. This spreadsheet is in

be used for one boiler of one facility but is designed to allow multiple (up to 4) fuel analyses at that specific bo

number of analyses would coincide with one boiler where emissions testing for all 4 HAP surrogates were bein

Data for multiple boilers should be handled by using separate spreadsheets. Fields that are highlighted in yello

required fields. Green highlighted cells should be filled using the drop-down boxes, included. Gray fields are aut

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 worksh

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 Informatio

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: "A

04".

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

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 worksh

6. Select the HAPs Test Group (i.e., HAP surrogate) for which the tab's data reflects (orange highlighted cell)

7. Provide the Sample Number and Sample Date on the Fuels Sample Results worksheet. You must provide a min

composite samples consisting of 3 combined grab samples each, but you are not limited to that number if you ha

more.

8. Provide the results of the analyses for each constituent requested. Use the drop-down boxes to fill in the unit

measure.
Information

ormation about chemical analyses of fuels 

hlorine, fluorine, and metals, such as 

 selenium. This spreadsheet is intended to 

) fuel analyses at that specific boiler. This 

or all 4 HAP surrogates were being tested. 

Fields that are highlighted in yellow are 

xes, included. Gray fields are automatically 

 on the Boiler Information worksheet.

el column of the Boiler Information 

e Other Fuel Description column.

hods worksheet. For example: "ASTM D5865-

cklist worksheet (orange tab). If the units of

ease fill them in the blank, orange 

n the Fuels Sample Results worksheet.

range highlighted cell).

orksheet. You must provide a minimum of 3 

t limited to that number if you have collected 

down boxes to fill in the units of 
EIA Facility Code Facility Name Boiler ID

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1
Fuel Type 1 Fuel Type 2 Fuel Type 3

other
Other Fuel Description

Blend of ~80% Petcoke and ~20% Subbituminous Coal (by weight, as received)
EIA Facility Code Facility Name Boiler ID

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1
Basis Analyte

Analysis Method for each Analyte 

(example: ASTM D5865-04)

As Received Higher Heating Value

As Received % Moisture ASTM D-3173

As Determined % Ash ASTM D-5142

As Determined % Sulfur ASTM D-4239

Dry basis Higher Heating Value

Dry basis % Ash

Dry basis % Sulfur

Dry basis Antimony ASTM 6357

Dry basis Arsenic ASTM 6357

Dry basis Beryllium ASTM 3682

Dry basis Cadmium ASTM 6357

Dry basis Chlorine ASTM4208/300

Dry basis Chromium ASTM 6357

Dry basis Cobalt ASTM 6357

Dry basis Fluorine ASTM D-3761

Dry basis Lead ASTM 6357

Dry basis Manganese ASTM 6357

Dry basis Mercury ASTM D3684

Dry basis Nickel ASTM 6357

Dry basis Selenium EPA 6010
EIA Facility Code Facility Name Boiler ID HAPs Test Group

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1 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

Discrete Continuous Samples througout testing period 4/6/2010 4/13/2010 14058 Btu/lb

 Fuel Testing Results


metalic HAPs

% Moisture

(as 

received)

% Ash

(as 

received)

% Sulfur

(as 

received)

Higher 

Heating 

Value (HHV)

(Dry Basis) HHV Units

% Ash

(Dry Basis)

% Sulfur

(Dry Basis)

7.12 3.61 3.73


Chlorine

(Dry Basis)

Chlorine 

Units

Mercury

(Dry Basis)

Mercury

Units

Antimony

(Dry Basis)

Antimony

Units

Arsenic (Dry

Basis)

Arsenic 

Units

Beryllium 

(Dry Basis)

0.023 % 0.0595 μg/g 1 μg/g 2.1 μg/g <0.1


Beryllium 

Units

Cadmium 

(Dry Basis)

Cadmium 

Units

Chromium 

(Dry Basis)

Chromium 

Units

Lead (Dry

Basis) Lead Units

Manganese 

(Dry Basis)

Manganese 

Units

μg/g 0.2 μg/g 7.2 μg/g 2 μg/g <0.1 μg/g


Nickel (Dry

Basis) Nickel Units

Selenium 

(Dry Basis)

Selenium 

Units

Fluorine 

(Dry Basis)

Fluorine 

Units

Cobalt (Dry

Basis) Cobalt Units Total Moisture

155.7 μg/g <1.0 mg/Kg <.01 % 2.6 μg/g 7.12

Proximate Analys


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

Volatiles Ash Fixed Carbon Carbon Hydrogen Nitrogen Total Sulfur

18.06 3.61 76.22 81.01 3.47 1.59 3.73

Proximate Analyses, % by wt Ultimate Analyses, % by wt


Oxygen


EIA Facility Code Facility Name Boiler ID HAPs Test Group

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1 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

Discrete Continuous Samples througout testing period 4/6/2010 4/13/2010 14058 Btu/lb

 Fuel Testing Results


% Moisture

(as 

received)

% Ash

(as 

received)

% Sulfur

(as 

received)

Higher 

Heating 

Value (HHV)

(Dry Basis) HHV Units

% Ash

(Dry Basis)

% Sulfur

(Dry Basis)

7.12 3.61 3.73


Chlorine

(Dry Basis)

Chlorine 

Units

Mercury

(Dry Basis)

Mercury

Units

Antimony

(Dry Basis)

Antimony

Units

Arsenic (Dry

Basis)

Arsenic 

Units

Beryllium 

(Dry Basis)

0.023 % 0.0595 μg/g 1 μg/g 2.1 μg/g <0.1


Beryllium 

Units

Cadmium 

(Dry Basis)

Cadmium 

Units

Chromium 

(Dry Basis)

Chromium 

Units

Lead (Dry

Basis) Lead Units

Manganese 

(Dry Basis)

Manganese 

Units

μg/g 0.2 μg/g 7.2 μg/g 2 μg/g <0.1 μg/g


Nickel (Dry

Basis) Nickel Units

Selenium 

(Dry Basis)

Selenium 

Units

Fluorine 

(Dry Basis)

Fluorine 

Units

Cobalt (Dry

Basis) Cobalt Units

155.7 μg/g <1.0 mg/Kg <.01 % 2.6 μg/g


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

Total Moisture Volatiles Ash Fixed Carbon Carbon Hydrogen Nitrogen Total Sulfur

7.12 18.06 3.61 76.22 81.01 3.47 1.59 3.73

Proximate Analyses, % by wt Ultimate Analyses, % by wt


 basis (including ash).

Oxygen


EIA Facility Code Facility Name Boiler ID HAPs Test Group

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1 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

Discrete Continuous Samples througout testing period 4/6/2010 4/13/2010 14058 Btu/lb

 Fuel Testing Results


% Moisture

(as 

received)

% Ash

(as 

received)

% Sulfur

(as 

received)

Higher 

Heating 

Value (HHV)

(Dry Basis) HHV Units

% Ash

(Dry Basis)

% Sulfur

(Dry Basis)

7.12 3.61 3.73


Chlorine

(Dry Basis)

Chlorine 

Units

Mercury

(Dry Basis)

Mercury

Units

Antimony

(Dry Basis)

Antimony

Units

Arsenic (Dry

Basis)

Arsenic 

Units

Beryllium 

(Dry Basis)

0.023 % 0.0595 μg/g 1 μg/g 2.1 μg/g <0.1


Beryllium 

Units

Cadmium 

(Dry Basis)

Cadmium 

Units

Chromium 

(Dry Basis)

Chromium 

Units

Lead (Dry

Basis) Lead Units

Manganese 

(Dry Basis)

Manganese 

Units

μg/g 0.2 μg/g 7.2 μg/g 2 μg/g <0.1 μg/g


Nickel (Dry

Basis) Nickel Units

Selenium 

(Dry Basis)

Selenium 

Units

Fluorine 

(Dry Basis)

Fluorine 

Units

Cobalt (Dry

Basis) Cobalt Units Total Moisture

155.7 μg/g <1.0 mg/Kg <.01 % 2.6 μg/g 7.12

Proximate Analyses, 


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

Volatiles Ash Fixed Carbon Carbon Hydrogen Nitrogen Total Sulfur Oxygen

18.06 3.61 76.22 81.01 3.47 1.59 3.73

Proximate Analyses, % by wt Ultimate Analyses, % by wt


EIA Facility Code Facility Name Boiler ID HAPs Test Group

121050233 Tampa Electric Power Company, Polk Power Station Unit No. 1 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

Discrete Continuous Samples througout testing period 4/6/2010 4/13/2010 14058 Btu/lb

 Fuel Testing Results


% Moisture

(as 

received)

% Ash

(as 

received)

% Sulfur

(as 

received)

Higher 

Heating 

Value (HHV)

(Dry Basis) HHV Units

% Ash

(Dry Basis)

% Sulfur

(Dry Basis)

7.12 3.61 3.73


Chlorine

(Dry Basis)

Chlorine 

Units

Mercury

(Dry Basis)

Mercury

Units

Antimony

(Dry Basis)

Antimony

Units

Arsenic (Dry

Basis)

Arsenic 

Units

Beryllium 

(Dry Basis)

0.023 % 0.0595 μg/g 1 μg/g 2.1 μg/g <0.1


Beryllium 

Units

Cadmium 

(Dry Basis)

Cadmium 

Units

Chromium 

(Dry Basis)

Chromium 

Units

Lead (Dry

Basis) Lead Units

Manganese 

(Dry Basis)

Manganese 

Units

μg/g 0.2 μg/g 7.2 μg/g 2 μg/g <0.1 μg/g


Nickel (Dry

Basis) Nickel Units

Selenium 

(Dry Basis)

Selenium 

Units

Fluorine 

(Dry Basis)

Fluorine 

Units

Cobalt (Dry

Basis) Cobalt Units Total Moisture

155.7 μg/g <1.0 mg/Kg <.01 % 2.6 μg/g 7.12

Proximate Analys


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

Volatiles Ash Fixed Carbon Carbon Hydrogen Nitrogen Total Sulfur Oxygen

18.06 3.61 76.22 81.01 3.47 1.59 3.73

Proximate Analyses, % by wt Ultimate Analyses, % by wt


Units 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

bituminous 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

synfuel mg/g

petroleum coke μg/g

other mg/Kg

nit of measure to the orange hightlighted cell, if necessary.

Units of Measure - Cl, Fl

%

ppm