### Instructions for filling the Emission Test Template

This Information Collection Request (ICR) spreadsheet is intended to collect information about emission data from fossil fuel burning power plants and which test methods were used to do so for cases where the test methods are not currently supported by the Electronic Reporting Tool (ERT). This spreadsheet should only be used if the method is not in the ERT or if you do not have access to a lab which performs methods that are in the ERT. Constituents of concern are: Carbon Monoxide, Formaldehyde, Methane, Speciated Volatile Hazardous Air Pollutants (HAPs), Speciated Semi HAPs, Sulfur Dioxide, Oxygen, Carbon Dioxide, Hydrogen Cyanide, Nitrogen Oxides, Total Dissolved Solids (TDS), and Total Suspended Solids (TSS). You must complete 3 separate sampling events for each of the requested constituents. spreadsheet is intended to be used for one boiler of one facility. Data for multiple boilers should be handled by using separate copies of this spreadsheet. Fields shaded in yellow are required. All cells that are shaded in light green are populated using drop

- down lists. You do not need to populate cells shaded in gray, as they are automatically populated from the Boiler Information worksheet. Please Do Not modify the structure of this spreadsheet by adding or subtracting
rows, columns, cells. Please name each resulting spreadsheet with the following naming convention: [FacilityID]_Unit_[BoilerID]_EmisTestMethods.xls (example: 8100_Unit_2_EmisTestMethods.xls).

Please refer to the following steps when using these spreadsheets.

Boiler Information Worksheet

1. Please enter the EIA Facility Code, Facility Name and Boiler ID of your boiler on the Boiler Information worksheet. 2. Please enter the control device configuration.

Emission Data Worksheets

The emission data worksheets are provided for each constituent or constituent family required for this analysis. On each spreadsheet, you must enter boiler operating information during sampling, fuel input information, and emission test results. There are generally 1 to 3 emission test results records to be entered depending on the constituent or constituent family. For example, CO only requires 1 record with 3 sample events, while Mercury requires that you enter both Hg Hg +2 

### , or if the Ontario

- Hydro Method was used, you would need to enter Hg 0

### , HgP, and Hg Volatile Organic HAP and Speciated Semi

-Volatile Organic HAP worksheets allow you to use a drop Constituent field to define as many records as needed to record each HAP that you have results for. General instructions follow for these worksheets:

Boiler Operation Information

1. Please determine which units of measure (acfm or dscfm) were used for Exhaust Flow Rate and which units of measure (deg C or deg F) were used for Exhaust Temperature. Fill these units of measure into the Units of Measure field. 2. Please provide the values of all requested parameters for each of the 3 sample testing periods in the Sample 1, Sample 2, and Sample 3 fields

. 3. Please provide any other supporting information or comments in the Other Supporting Information field.

Fuel Information

1. Please enter what types of fuel are being used in your boiler using the drop

- downs in the Fuel Type Selection field. You may enter up to 4 fuel types. Then, enter the input rate of each fuel in the Sample 1, Sample 2, and Sample 3 fields. If you are not burning one or more of the fuel types entered in one or more samples, then enter an input rate of zero.

### If you are not burning one or more of the fuel types entered in one or more samples, then enter an input rate of zero. 2. Please enter the unit of measure using the drop down provided. 3. Please enter the test method used to determine the fuel input rate. 4. Please provide any other information that you feel may be important in the Other Supporting Information field.

Emission Data

1. Some constituents ask for the emission rate results of each of the 3 samples in two different units of measure, while others do not. If emission rate results are requested in two different units of measure (ex. lb/MMBtu (Pounds per million BTU) and ppmvd @ 7% O 2 

### (parts per million by volume dry basis at 7 percent oxygen)), you are required to provide both. 2. Please provide the test method used. This may or may not match the example given in the Test Method Used field. Please ensure that the name includes the owning organization of the test method (ex. U.S. EPA Method 0010). 3. Please provide any other information that you feel may be important in the Other Supporting Information field. 4. If data sheets and QA/QC documentation tables are provided for the test method you are entering data for please also enter these data.

### This Information Collection Request (ICR) spreadsheet is intended to collect information about emission data from fossil fuel burning power plants and which test methods were used to do so for cases where the test methods are not currently supported by the Electronic Reporting Tool (ERT). This spreadsheet should only be used if the method is not in the ERT or if you do not have access to a lab which performs methods that are in the ERT. Constituents of concern are: Carbon Monoxide, Formaldehyde, Methane, Speciated Volatile Hazardous Air Pollutants (HAPs), Speciated Semi

-Volatile Organic HAPs, Sulfur Dioxide, Oxygen, Carbon Dioxide, Hydrogen Cyanide, Nitrogen Oxides, Total Dissolved Solids (TDS), and Total Suspended Solids (TSS). You must complete 3 separate sampling events for each of the requested constituents. This spreadsheet is intended to be used for one boiler of one facility. Data for multiple boilers should be handled by using Fields shaded in yellow are required. All cells that are shaded in light green are down lists. You do not need to populate cells shaded in gray, as they are automatically populated

Please Do Not modify the structure of this spreadsheet by adding or subtracting Please name each resulting spreadsheet with the following naming convention: [FacilityID]_Unit_[BoilerID]_EmisTestMethods.xls (example: 8100_Unit_2_EmisTestMethods.xls).

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

The emission data worksheets are provided for each constituent or constituent family required for this analysis. On each spreadsheet, you must enter boiler operating information during sampling, fuel input information, and emission test results. There are generally 1 to 3 emission test results records to be entered depending on the constituent or constituent family. For example, CO only requires 1 record with 3 sample events, while Mercury requires that you enter both Hg 0 

### and , HgP, and Hg +2 

### . However, both the Speciated Volatile Organic HAP worksheets allow you to use a drop

- down provided in the Constituent field to define as many records as needed to record each HAP that you have results for. General instructions

1. Please determine which units of measure (acfm or dscfm) were used for Exhaust Flow Rate and which units of measure (deg C or deg F) were used for Exhaust Temperature. Fill these units of measure into the Units of Measure field. 2. Please provide the values of all requested parameters for each of the 3 sample testing periods in the Sample 1, Sample

3. Please provide any other supporting information or comments in the Other Supporting Information field.

downs in the Fuel Type Selection field. You may enter up to 4 fuel types. Then, enter the input rate of each fuel in the Sample 1, Sample 2, and Sample 3 fields. If you are not burning one or more of the fuel types entered in one or more samples, then enter an input rate of zero.

### If you are not burning one or more of the fuel types entered in one or more samples, then enter an input rate of zero.

4. Please provide any other information that you feel may be important in the Other Supporting Information field.

1. Some constituents ask for the emission rate results of each of the 3 samples in two different units of measure, while others do not. If emission rate results are requested in two different units of measure (ex. lb/MMBtu (Pounds per million (parts per million by volume dry basis at 7 percent oxygen)), you are required to provide both. 2. Please provide the test method used. This may or may not match the example given in the Test Method Used field. Please ensure that the name includes the owning organization of the test method (ex. U.S. EPA Method 0010). Please provide any other information that you feel may be important in the Other Supporting Information field. 4. If data sheets and QA/QC documentation tables are provided for the test method you are entering data for please alsoEIA

Facility Code Facility Name Boiler ID

997 Michigan City Unit 12Control Device Configuraton

Listed (by

boiler) in the Configuration Order Section of the Facility Unit Configurations Section of the Electronic ICRListed (by boiler) in the Configuration Order Section of the Facility Unit Configurations Section of the Electronic ICREIA

Facility Code Facility Name Boiler ID 997 Michigan City Unit 12

Parameter Sample 1 Sample 2 Sample 3 Date of Testing Steam Output (1000 lb/hr) Total Heat Input (MMBtu/hr) Basis (W et/Dry) Exhaust Steam % Moisture Exhaust Flow Rate (acfm or dscfm) Exhaust Temperature (deg C or deg F)

Fuel Type Selection Fuel Input Rate Sample 1 Fuel Input Rate

Sample 2 Fuel Input Rate

Sample 3

Emission Test Results CO Emission Rate Sample 1 (lb/MMBtu) CO Emission Rate Sample 1 (ppmvd @ 7% O2) CO Emission Rate Sample 2 (lb/MMBtu)Unit of Measure Other Supporting Information

1000 lb/hr MMBtu/hr N/A %

Unit of Measure Fuel Flow Me asurement Method Other Supporting

Information

CO Emission Rate Sample 2 (ppmvd @ 7% O2) CO Emission Rate Sample 3 (lb/MMBtu) CO Emission Rate Sample 3 (ppmvd @ 7% O2) Test Method Used (ex. U.S. EPA Method 10A) Other Supporting InformationEIA

Facility Code Facility Name Boiler ID 997 Michigan City Unit 12

Parameter Sample 1 Sample 2 Sample 3 Date of Testing Steam Output (1000 lb/hr) Total Heat Input (MMBtu/hr) Basis (W et/Dry) Exhaust Steam % Moisture Exhaust Flow Rate (acfm or dscfm) Exhaust Temperature (deg C or deg F)

Fuel Type Selection Fuel Input Rate Sample 1 Fuel Input Rate

Sample 2 Fuel Input Rate

Sample 3

Emission Test Results Formaldehyde Emission Rate Sample 1 (lb/MMBtu) Formaldehyde

Emission Rate Sample 1 (ppmvd @ 7% O2) Formaldehyde Emission Rate Sample 2 (lb/MMBtu)Unit of Measure Other Supporting Information

1000 lb/hr MMBtu/hr N/A %

Unit of Measure Fuel Flow Me asurement Method Other Supporting

Information

Formaldehyde Emission Rate Sample 2 (ppmvd @ 7% O2) Formaldehyde Emission Rate Sample 3 (lb/MMBtu) Formaldehyde

Emission Rate Sample 3 (ppmvd @ 7% O2) Test Method Used (ex. U.S. EPA Method 320)Other Supporting

InformationEIA

Facility Code Facility Name Boiler ID 997 Michigan City Unit 12

Parameter Sample 1 Sample 2 Date of Testing Steam Output (1000 lb/hr) Total Heat Input (MMBtu/hr) Basis (W et/Dry) Exhaust Steam % Moisture Exhaust Flow Rate (acfm or dscfm) Exhaust Temperature (deg C or deg F)

Fuel Type Selection Fuel Input Rate Sample 1 Fuel Input Rate Sample 2

Emission Test Results Methane Emission Rate Sample 1 (lb/MMBtu) Methane Emission Rate Sample 1 (ppmvd @ 7% O2)Sample 3 Unit of Measure Other Supporting Information

1000 lb/hr MMBtu/hr N/A %

Fuel Input Rate Sample 3 Unit of Measure Fuel Flow Measurement Method Other Supporting Information

Methane Emission Rate Sample 2 (lb/MMBtu) Methane Emission Rate Sample 2 (ppmvd @ 7% O2) Me thane Emission Rate Sample 3 (lb/MMBtu) Me thane Emission Rate Sample 3 (ppmvd @ 7% O2)Test Method Used

(ex. U.S. EPA Method 18) Other Supporting InformationEIA

Facility Code Facility Name Boiler ID 997 Michigan City Unit 12

Parameter Sample 1 Sample 2 Sample 3 Date of Testing Steam Output (1000 lb/hr) Total Heat Input (MMBtu/hr) Basis (W et/Dry) Exhaust Steam % Moisture Exhaust Flow Rate (acfm or dscfm) Exhaust Temperature (deg C or deg F)

Fuel Type Selection Fuel Input Rate Sample 1 Fuel Input Rate Sample 2 Fuel Input Rate Sample 3

Emission Test Results SO2 Emission Rate Sample 1 (lb/MMBtu) SO2 Emission Rate Sample 1 (ppmvd @ 7% O2) SO2 Emission Rate Sample 2 (lb/MMBtu)Unit of Measure Other Supporting Information

1000 lb/hr MMBtu/hr N/A %

Unit of Measure Fuel Flow Me asurement Method Other Supporting Information

SO2 Emission Rate Sample 2 (ppmvd @ 7% O2) SO2 Emission Rate Sample 3 (lb/MMBtu) SO2 Emission Rate Sample 3 (ppmvd @ 7% O2) Test Method Used (ex. U.S. EPA Method 6)Other Supporting

InformationEIA

Facility Code Facility Name Boiler ID 997 Michigan City Unit 12

Parameter Sample 1 Sample 2 Date of Testing 3/10/2010 3/11/2010 Steam Output (1000 lb/hr) 32,000 33,000 Total Heat Input (MMBtu/hr) 4,420 4,295 Basis (W et/Dry) Dry Dry Exhaust Steam % Moisture 7.08 6.92 Exhaust Flow Rate (acfm or dscfm) 1,196,818 1,202,596 Exhaust Temperature (deg C or deg F) 74 66

Fuel Type Selection Fuel Input Rate Sample 1 Fuel Input Rate Sample 2 bitum inous 4,420 4,295

Emission Test Results Total Vapor Phase Me rcury Emission Rate Sample 1 (lb/MMBtu) Total Vapor Phase

Me rcury Emission Rate Sample 2 (lb/MMBtu) 3.25E-06 3.66E-06



### Data Sheets and QA

/QC Documentation

trap ID Section 1 Run 1A 46459 328 Run 1B 65480 602 Run 2A 46409 369 Run 2B 65471 650 Run 3A 46428 382 Run 3B 68502 693

Start Run 1A 10-Mar 8:45 Run 1B 10-Mar 8:45 Run 2A 11-Mar 6:30 Run 2B 11-Mar 6:30 Summary of Hg Collected on Sorbent Traps via Method 30B

Run ID Appartioned Mass (ng)

Individual Sorbent Tube Emission Summary, Method 30B
Run ID Test Date Run TimeRun 3A 11-Mar 11:35

Run 3B 11-Mar 11:35 Averages

Average R Vol. diff (%)

94.349 -5.81%

94.349 0.17%

94.349 5.85%

% Lim it 1A 0.335365854 1B 0.099667774 2A 0.298102981 2B 0.092307692 3A 0.157068063 3B 0.25974026

Run ID Sorbent Trap Breakthrough (B) Summary of M30B Quality A ssurance Checks
Run ID Volum e Sam pled (dscm)

≤10% of Section 1 Hg

ma ss for Hg conc. >1
μg/dscm: or ≤20% of Section 1 for Hg conc. ≤1 μg/dscmSample 3 Unit of Measure Other Supporting Information 3/11/2010 33,000 1000 lb/hr Plant Data 4,335 MMBtu/hr Plant Data Dry N/A

6.52 % 1,197,709 dscfm 76 deg F

Fuel Input Rate Sample 3 Unit of Measure Fuel Flow Me asurement Method Other Supporting

Information 4,335 MMBtu/hr F-Factor From CEMS

Total Vapor Phase Me rcury Emission Rate Sample 3 (lb/MMBtu) Test Method Used (ex. U.S. EPA Method 30B) Other Supporting

Information 4.30E-06 U.S. EPA Method 30B

Total Mass (ng) Section 2 Sections 1+2 (ng) (ug)

1.1 329.1 0 329.1 0.3291 0.6 602.6 300 302.6 0.3026 1.1 370.1 0 370.1 0.3701 0.6 650.6 300 350.6 0.3506 0.6 382.6 0 382.6 0.3826 1.8 694.8 300 394.8 0.3948

Stop per tube per run per tube per run

10:45 3.38 3.38 10:45 3.11 3.11 8:36 3.76 3.76 8:36 3.56 3.56 Summary of Hg Collected on Sorbent Traps via Method 30B Initial Spike (ng) Total Non-spike

Individual Sorbent Tube Emission Summary, Method 30B Run Time Hg Emissions(lb/Tbtu) Hg Emissions (lb/hr)13:41 4.24 4.24 13:41 4.36 4.36 3.735 #DIV/0!

Lim it Abs. diff. % Lim it

C rec R (%) by Run R (%) by

program Lim it 4.160246533 ≥ 10 % RD mass for

Hg conc. >1 μg/dscm: or ≤ 20% RD or ≤ 0.2 μg/dscm abs.diff. for Hg conc. ≤1 μg/dscm 0.2 2.732240437 Summary of M30B Quality A ssurance Checks

≤ 20% of field recovery

test 0.27

94.31666667 Average Recovery

, between 85 and 115% Paired Trap Agreement (RD)

0.12 1.395348837

99.81

88.93 Measured Spike Recovery ( R )

94.21per tube per run

Hg Emissions (lb/yr)*#DIV/0!

99.794 94.23 89.023 Spiked 94.349 Average R

99.835 94.19 88.834 94.286 Non SpikedEIA

Facility Code Facility Name Boiler ID 997 Michigan City Unit 12

Parameter Sample 1 Sample 2 Date of Testing Steam Output (1000 lb/hr) Total Heat Input (MMBtu/hr) Basis (W et/Dry) Exhaust Steam % Moisture Exhaust Flow Rate (acfm or dscfm) Exhaust Temperature (deg C or deg F)

Fuel Type Selection Fuel Input Rate Sample 1 Fuel Input Rate Sample 2

Emission Test Results Me rcury Species Me rcury Emission Rate Sample 1 (lb/MMBtu) Hg 0 Hg +2 Hg PSample 3 Unit of Measure Other Supporting Information

1000 lb/hr MMBtu/hr N/A %

Fuel Input Rate Sample 3 Unit of Measure Fuel Flow Me asurement Method Other Supporting

Information

Me rcury Emission Rate Sample 2 (lb/MMBtu) Me rcury Emission Rate Sample 3 (lb/MMBtu) Test Method Used

(ex. ASTM Method D6784) Other Supporting InformationEIA

Facility Code Facility Name Boiler ID 997 Michigan City Unit 12

Parameter Sample 1 Sample 2 Date of Testing Steam Output (1000 lb/hr) Total Heat Input (MMBtu/hr) Basis (W et/Dry) Exhaust Steam % Moisture Exhaust Flow Rate (acfm or dscfm) Exhaust Temperature (deg C or deg F)

Fuel Type Selection Fuel Input Rate Sample 1 Fuel Input Rate Sample 2

Compound (use drop down to define for as many

rows as needed) Volatile Organic HAP Emission Rate Sample

1 (lb/MMBtu) Volatile Organic HAP

Emission Rate Sample

1 (ppmvd @ 7% O2) Speciated Volatile Organic HAP Emission DataSample 3 Unit of Measure Other Supporting Information

1000 lb/hr MMBtu/hr N/A %

Fuel Input Rate Sample 3 Unit of Measure Fuel Flow Me asurement Me thod Other Supporting

Information

Volatile Organic HAP Emission Rate Sample 2 (lb/MMBtu) Volatile Organic

HAP Emission Rate Sample 2 (ppmvd @ 7% O2) Volatile Organic HAP Emission Rate Sample 3 (lb/MMBtu) Volatile Organic

HAP Emission Rate Sample 3 (ppmvd @ 7% O2)Test Method Used Other Supporting InformationEIA

Facility Code Facility Name Boiler ID 997 Michigan City Unit 12

Parameter Sample 1 Sample 2 Date of Testing Steam Output (1000 lb/hr) Total Heat Input (MMBtu/hr) Basis (W et/Dry) Exhaust Steam % Moisture Exhaust Flow Rate (acfm or dscfm) Exhaust Temperature (deg C or deg F)

Fuel Type Selection Fuel Input Rate Sample 1 Fuel Input Rate Sample 2

Compound (use drop down to define for as many rows as needed) Semi-Volatile Organic HAP Emission Rate Sample 1 (lb/MMBtu) Semi-Volatile Organic HAP Emission Rate Sample 1 (ppmvd @ 7% O2) Am inoazobenzene Speciated Semi Volatile Organic HAP Emission DataSample 3 Unit of Measure Other Supporting Information

1000 lb/hr MMBtu/hr N/A %

Fuel Input Rate Sample 3 Unit of Measure Fuel Flow Measurement Me thod

Semi-Volatile Organic HAP Emission Rate Sample 2 (lb/MMBtu) Semi-Volatile Organic HAP Emission Rate Sample 2 (ppmvd @ 7% O2) Semi-Volatile Organic HAP Emission Rate Sample 3 (lb/MMBtu)Other Supporting Information

Semi-Volatile Organic HAP Emission Rate Sample 3 (ppmvd @ 7% O2) Test Method UsedOther Supporting InformationEIA

Facility Code Facility Name Boiler ID 997 Michigan City Unit 12

Parameter Sample 1 Sample 2 Sample 3 Date of Testing Steam Output (1000 lb/hr) Total Heat Input (MMBtu/hr) Basis (W et/Dry) Exhaust Steam % Moisture Exhaust Flow Rate (acfm or dscfm) Exhaust Temperature (deg C or deg F)

Fuel Type Selection Fuel Input Rate Sample 1 Fuel Input Rate Sample 2 Fuel Input Rate Sample 3

Emission Test Results Hydrogen Cyanide Emission Rate Sample 1 (lb/MMBtu) Hydrogen Cyanide

Emission Rate Sample 2 (lb/MMBtu) Hydrogen Cyanide

Emission Rate Sample 3 (lb/MMBtu)Unit of Measure Other Supporting Information

1000 lb/hr MMBtu/hr N/A %

Unit of Measure Fuel Flow Me asurement Me thod

Test Method Used (ex. U.S. EPA

Conditional Test Method 033) Other Supporting InformationOther Supporting InformationEIA

Facility Code Facility Name Boiler ID 997 Michigan City Unit 12

Parameter Sample 1 Sample 2 Date of Testing Steam Output (1000 lb/hr) Total Heat Input (MMBtu/hr) Basis (W et/Dry) Exhaust Steam % Moisture Exhaust Flow Rate (acfm or dscfm) Exhaust Temperature (deg C or deg F)

Fuel Type Selection Fuel Input Rate Sample 1 Fuel Input Rate Sample 2

Emission Test Results Constituent Consitutent Emission Rate Sample 1 (%)
O 2 CO 2Sample 3 Unit of Measure Other Supporting Information

1000 lb/hr MMBtu/hr N/A %

Fuel Input Rate Sample 3 Unit of Measure Fuel Flow Me asurement Method Other Supporting Information

Consitutent Emission Rate

Sample 2 (%) Consitutent Emission Rate Sample 3 (%) Test Method Used

(ex. U.S. EPA

Method 3B) Other Supporting InformationEIA

Facility Code Facility Name Boiler ID 997 Michigan City Unit 12

Parameter Sample 1 Sample 2 Date of Testing Steam Output (1000 lb/hr) Total Heat Input (MMBtu/hr) Basis (W et/Dry) Exhaust Steam % Moisture Exhaust Flow Rate (acfm or dscfm) Exhaust Temperature (deg C or deg F)

Fuel Type Selection Fuel Input Rate Sample 1 Fuel Input Rate Sample 2

Emission Test Results Constituent Nitrogen Oxides Emission Rate Sample 1 (lb/MMBtu) NO NO 2Sample 3 Unit of Measure Other Supporting Information

1000 lb/hr MMBtu/hr N/A %

Fuel Input Rate Sample 3 Unit of Measure Fuel Flow Measurement Method

Nitrogen Oxides Emission Rate

Sample 1 (ppmvd @ 7% O2) Nitrogen Oxides Emission Rate Sample 2 (lb/MMBtu) Nitrogen Oxides Emission Rate Sample 2 (ppmvd @ 7% O2)Other Supporting Information

Nitrogen Oxides Emission Rate

Sample 3 (lb/MMBtu) Nitrogen Oxides Emission Rate Sample 3 (ppmvd @ 7% O2) Test Method Used (ex. U.S. EPA

Method 7)Other Supporting

InformationEIA

Facility Code Facility Name Boiler ID 997 Michigan City Unit 12

Parameter Sample 1 Sample 2 Date of Testing Steam Output (1000 lb/hr) Total Heat Input (MMBtu/hr) Basis (W et/Dry) Exhaust Steam % Moisture Exhaust Flow Rate (acfm or dscfm) Exhaust Temperature (deg C or deg F)

Fuel Type Selection Fuel Input Rate Sample 1 Fuel Input Rate Sample 2

Emission Test Results Constituent Constituent Emission Rate Sample 1 (mg solids/liter) Total Dissolved Solids (TDS) Total Suspended Solids (TSS)Sample 3 Unit of Measure

1000 lb/hr MMBtu/hr N/A %

Fuel Input Rate Sample 3 Unit of Measure

Constituent Emission Rate

Sample 2 (mg solids/liter) Constituent Emission Rate Sample 3 (mg solids/liter)Other Supporting Information

Fuel Flow Measurement Method

Test Method Used (ex. Standard Test Method for Filterable and Nonfilterable Matter in Water ASTM D5907)Other Supporting

Information

Other Supporting Information