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HomeMy WebLinkAboutDAQ-2024-0108481 DAQC-970-24 Site ID 12894 (B4) MEMORANDUM TO: STACK TEST FILE – STAKER PARSON – Huntington Asphalt and Aggregate Pit THROUGH: Rik Ombach, Minor Source Oil and Gas Compliance Section Manager FROM: Paul Bushman, Environmental Scientist DATE: September 26, 2024 SUBJECT: Source: One (1) Gencor 400 Drum Mix Hot Mix Asphalt Plant Location: Approximately 2 miles North and West of Huntington, UT Contact: Jeffery Cowlishaw: 385-405-4315 Tester: Montrose Air Quality Services, LLC Site ID #: 12894 Permit/AO #: Approval Order (AO) DAQE-AN128940010-19, dated March 14, 2019 Subject: Review of Pretest Protocol received September 24, 2024 On September 24, 2024, DAQ received a test notification for the testing of one (1) Gencor 400 Drum Mix Hot Mix Asphalt Plant located Approximately 2 miles North and West of Huntington on Highway 31 in Emery County, UT. Testing will be performed October 8, 2024, to determine compliance with the emission limits found in condition II.B.2.e of AO DAQE-AN128940010-19. PROTOCOL CONDITIONS: 1. RM 1 used to determine sample velocity traverses: OK 2. RM 2 used to determine stack gas velocity and volumetric flow rate: OK 3. RM 3 used to determine dry molecular weight of the gas stream: OK 4. RM 4 used to determine the moisture content within the gas stream: OK 5. RM 5 used to determine total particulate emissions: OK 6. RM 202 used to determine condensable PM10 emissions: OK DEVIATIONS: No deviations stated in the protocol. CONCLUSION: The protocol appears to be acceptable. RECOMMENDATION: Send protocol review and test date confirmation notice. ATTACHMENTS: Staker Parson pretest protocol and 30 day notification exemption request. Source Test Plan for 2024 Compliance Testing on the Gencor 400 Drum Mix Hot Mix Asphalt Plant Staker Parson Approximately 2 miles North and West of Huntington on Highway 31 Emery County, Utah Prepared For: Staker Parson 2350 South 1900 West Ogden, Utah 84401 Prepared By: Montrose Air Quality Services, LLC 6823 South 3600 West Spanish Fork, Utah 84660 For Submission To: State of Utah Department of Environmental Quality Division of Air Quality 195 North 1950 West Salt Lake City, Utah 84114-4820 Document Number: GP081AS-046104-PP-917 Proposed Test Date: October 8, 2024 Submittal Date: September 23, 2024 2 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah Review and Certification I certify that, to the best of my knowledge, the information contained in this document is complete and accurate and conforms to the requirements of the Montrose Quality Management System and ASTM D7036-04. Signature: Date: September 24, 2024 Name: Joby Dunmire Title: Reporting/QC Specialist III I have reviewed, technically and editorially, details and other appropriate written materials contained herein. I hereby certify that to the best of my knowledge the presented material is authentic and accurate and conforms to the requirements of the Montrose Quality Management System and ASTM D7036-04. Signature: Date: September 24, 2024 Name: Beckie Hawkins Title: District Manager 3 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah Table of Contents Section Page 1.0Introduction ........................................................................................................ 5  1.1Summary of Test Program ............................................................................. 5  1.2Applicable Regulations and Emission Limits ...................................................... 6  1.3Key Personnel .............................................................................................. 7  2.0Plant and Sampling Location Descriptions................................................................ 8  2.1Process Description, Operation, and Control Equipment ..................................... 8  2.2Flue Gas Sampling Location ........................................................................... 8  2.3Operating Conditions and Process Data ........................................................... 9  2.4Plant Safety ............................................................................................... 10 2.4.1Safety Responsibilities ........................................................................ 10 2.4.2Safety Program and Requirements ....................................................... 11  3.0Sampling and Analytical Procedures ..................................................................... 12  3.1Test Methods ............................................................................................. 12 3.1.1 EPA Method 1, Sample and Velocity Traverses for Stationary Sources ...... 12 3.1.2 EPA Method 2, Determination of Stack Gas Velocity and Volumetric Flow Rate (Type S Pitot Tube) .................................................................... 12 3.1.3 EPA Method 3, Gas Analysis for the Determination of Dry Molecular Weight 13 3.1.4 EPA Method 4, Determination of Moisture Content in Stack Gas ............... 13  3.1.5 EPA Methods 5 and 202, Determination of Particulate Matter from Stationary Sources and Dry Impinger Method for Determining Condensable Particulate Emissions from Stationary Sources ...................................... 14 3.1.6 EPA Method 9, Visual Determination of the Opacity of Emissions ............. 15  4.0Quality Assurance and Reporting .......................................................................... 17  4.1QA Audits .................................................................................................. 17 4.2Quality Control Procedures .......................................................................... 17  4.2.1Equipment Inspection and Maintenance ................................................ 17  4.2.2Audit Samples ................................................................................... 17 4.3Data Analysis and Validation ........................................................................ 17  4.4Sample Identification and Custody ................................................................ 18  4.5Quality Statement ...................................................................................... 18 4.6Reporting .................................................................................................. 18 4.6.1Example Report Format ...................................................................... 19 4.6.2Example Presentation of Test Results ................................................... 19  4 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah List of Appendices A Supporting Information ...................................................................................... 21  A.1 Units and Abbreviations.............................................................................. 22  A.2 Accreditation Information/Certifications ........................................................ 30 A.3 AO DAQE-AN128940010-19 ........................................................................ 32  “S” Field Work Safety Plan ....................................................................................... 46  List of Tables 1-1 Summary of Test Program and Proposed Schedule .................................................. 5  1-2 Reporting Units and Emission Limits ...................................................................... 6  1-3 Test Personnel and Responsibilities ....................................................................... 7  2-1 Sampling Location ............................................................................................... 9  4-1 Example Emissions Results - Gencor 400 TPH HMA Plant, Huntington, Utah ............. 20  List of Figures 3-1 EPA Methods 5/202 Sampling Train ..................................................................... 15  4-1 Typical Report Format ....................................................................................... 19  5 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah 1.0 Introduction 1.1 Summary of Test Program Staker Parson contracted Montrose Air Quality Services, LLC (Montrose) to perform a total suspended particulate matter (PM), particulate matter less than 10 microns in aerodynamic diameter (PM10) and visible emissions of opacity (VEOs) compliance emissions test program on the outlet of the Gencor 400 TPH Drum Mix Hot Mix Asphalt (HMA) Plant located at the Huntington Asphalt and Aggregate facility located near Huntington, Utah. The tests are being conducted to determine compliance with the emission limits listed in Approval Order (AO) DAQE-AN128940010-19, issued by the State of Utah Department of Environmental Quality, Division of Air Quality on March 14, 2019. A copy of the AO is attached as Appendix A-3. The specific objectives are to: x Measure emissions of PM/PM10 at the outlet of the Gencor 400 TPH Drum Mix HMA Plant, Drum Dryer, controlled by a baghouse. x Determine the opacity of emissions (VEOs) at the outlet of the Gencor 400 TPH Drum Mix HMA Plant, Drum Dryer, controlled by a baghouse. x Conduct the test program with a focus on safety. Montrose will provide the test personnel and the necessary equipment to measure emissions as outlined in this test plan. Facility personnel will provide the process and production data to be included in the final report. A summary of the test program and proposed schedule is presented in Table 1-1. Table 1-1 Summary of Test Program and Proposed Schedule Proposed Test Date(s) Unit ID/ Source Name Activity/Parameters Test Methods No. of Runs Duration (Minutes) October 8, 2024 Gencor 400 TPH Drum Mix HMA Velocity/Volumetric Flow Rate EPA 1, 2, 3A, 4 3 ~60 O2, CO2 EPA 3A 3 ~60 Moisture EPA 4 3 ~60 PM/PM10 EPA 5/202 3 ~60 Opacity EPA 9 3 ~6 To simplify this test plan, a list of Units and Abbreviations is included in Appendix A. Throughout this test plan, chemical nomenclature, acronyms, and reporting units are not defined. Please refer to the list for specific details. 6 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah 1.2 Applicable Regulations and Emission Limits The results from this test program are presented in units consistent with those listed in the applicable regulations or requirements. The reporting units and emission limits are presented in Table 1-2. Table 1-2 Reporting Units and Emission Limits Unit ID/ Source Name Parameter Reporting Units Emission Limit Emission Limit Reference Gencor 400 TPH Drum Mix HMA PM lb/hr virgin & RAP material 10.07 AN128940010- 19, §II.B.2.e. gr/dscf virgin & RAP material 0.020 PM10 lb/hr virgin & RAP material 8.05 gr/dscf virgin & RAP material 0.016 Opacity % 10 AN128940010- 19, §II.B.2.d. 7 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah 1.3 Key Personnel A list of project participants is included below: Facility Information Source Location: Staker Parson Huntington Asphalt and Aggregate Gencor 400 TPH Drum Mix HMA Plant About 2 miles North and West of Huntington on Highway 31 Emery County, Utah 84528 Project Contact: Jeffery Cowlishaw Role: Environmental Specialist Company: Staker Parson Telephone: 385-405-4315 Email: Jeffery.Cowlishaw@stakerparson.com Agency Information Regulatory Agency: State of Utah DEQ, Division of Air Quality Agency Contact: Chad Gilgen, Minor Source Compliance Telephone: 385-306-6500 Email: cgilgen@utah.gov Testing Company Information Testing Firm: Montrose Air Quality Services, LLC Contact: Beckie Hawkins Austin Tramell Title: District Manager Field Project Manager Telephone: 801-372-7049 801-794-2950 Email: BeHawkins@montrose-env.com AuTramell@montrose-env.com Table 1-3 details the roles and responsibilities of the test team. Table 1-3 Test Personnel and Responsibilities Role Primary Assignment Additional Responsibilities District Manager Coordinate Project Post-test follow up Field Project Manager Operate mobile lab Facility interface, test crew coordination Field Technician Execute stack platform responsibilities Preparation, support PM 8 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah 2.0 Plant and Sampling Location Descriptions 2.1 Process Description, Operation, and Control Equipment Asphaltic concrete paving is a mixture of well graded, high-quality aggregate and liquid asphaltic cement which is heated and mixed in measured quantities to produce bituminous pavement material. Aggregate constitutes 92 weight percent of the total mixture. Aside from the amount and grade of asphalt used, mix characteristics are determined by the relative amounts and types of aggregate used. A certain percentage of fine aggregate (% less than 74 micrometers in physical diameter) is required to produce good quality asphaltic concrete. The drum mix process simplifies the conventional process by using proportioning feed controls in place of hot aggregate storage bins, vibration screens, and the mixer. Aggregate is introduced near the burner end of the revolving drum mixer, and the asphalt is injected midway along the drum. A variable flow asphalt pump is linked electronically to the aggregate belt scales to control mix specifications. The hot mix is discharged from the revolving drum mixer into surge bins or storage bins. Emissions from the asphalt drum mixer are vented to a baghouse before being emitted to the atmosphere. The pressure drop across the baghouse will be maintained between 2 and 6 inches of water column. The estimated removal efficiency for the baghouse is 99+ percent for total suspended particulate material (and PM10). The Gencor 400 TPH Drum Mix HMA is limited to 728,000 tons of aphalt production per rolling 12-month period and 5,600 tons of asphalt per day. The static differential pressure across the baghouse must be maintained between 2.0 to 5.0 inches of water column on the pressure gauge. 2.2 Flue Gas Sampling Location Actual stack measurements, number of traverse points, and location of traverse points will be evaluated in the field as part of the test program. Table 2-1 presents the anticipated stack measurements and traverse points for the sampling locations listed. 9 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah Table 2-1 Sampling Location Sampling Location Stack Inside Diameter (in.) Distance from Nearest Disturbance Number of Traverse Points Downstream EPA “B” (in./dia.) Upstream EPA “A” (in./dia.) Gencor 400 TPH Drum Mix HMA 42 84.0/2 24.0/0.50 Isokinetic: 24 (12/port) Flow: 24 (12/port) Gaseous: Single point or 3-point short line The sample location is verified in the field to conform to EPA Method 1. Acceptable cyclonic flow conditions are confirmed prior to testing using EPA Method 1, Section 11.4. 2.3 Operating Conditions and Process Data Emission tests are performed while the source and air pollution control devices are operating at the conditions required by the permit. As per UDEQ AO DAQE-AN128940010- 19, “…for an existing source/emission point, the production rate during all compliance testing shall be no less than 90% of the maximum production achieved in the previous three (3) years. In all cases, when testing for PM10 emissions during manufacture of recycled asphalt, recycled asphalt shall be introduced into the plant at a rate no less than 15% of the plant production (i.e., if the plant is producing 300 tons per hour of finished product, then asphalt to be recycled shall be introduced into the plant at a rate no less than 45 TPH).” Plant personnel are responsible for establishing the test conditions and collecting all applicable unit-operating data. Data collected includes the following parameters: x Asphalt production rate, in tons per hour, at least once every 15 minutes. x The RAP percentage usage, at least once every 15 minutes. x The type of fuel combusted in the asphalt drum mixer. x The applicable emissions control device operating parameters at least once every 15 minutes, including, at a minimum, baghouse pressure drop, typically measured in inches of water (“ H2O). 10 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah 2.4 Plant Safety Montrose will comply with all safety requirements at the facility. The facility Client Sponsor, or designated point of contact, is responsible for ensuring routine compliance with plant entry, health, and safety requirements. The Client Sponsor has the authority to impose or waive facility restrictions. The Montrose test team leader has the authority to negotiate any deviations from the facility restrictions with the Client Sponsor. Any deviations must be documented. 2.4.1 Safety Responsibilities Planning x Montrose must complete a field review with the Client Sponsor prior to the project date. The purpose of the review is to develop a scope of work that identifies the conditions, equipment, methods, and physical locations that will be utilized along with any policies or procedures that will affect our work. x We must reach an agreement on the proper use of client emergency services and ensure that proper response personnel are available, as needed. x The potential for chemical exposure and actions to be taken in case of exposure must be communicated to Montrose. This information must include expected concentrations of the chemicals and the equipment used to identify the substances. x Montrose will provide a list of equipment being brought to the site, if required by the client. Project Day x Montrose personnel will arrive with the appropriate training and credentials for the activities they will be performing and the equipment that they will operate. x Our team will meet daily to review the Project Scope, Job Hazard Assessment, and Work Permits. The Client Sponsor and Operations Team are invited to participate. x Montrose will provide equipment that can interface with the client utilities previously identified in the planning phase and only work with equipment that our client has made ready and prepared for connection. x We will follow client direction regarding driving safety, safe work permitting, staging of equipment, and other crafts or work in the area. x As per 40 CFR Part 60 Subpart A, Section 60.8, the facility must provide the following provisions at each sample location: o Sampling ports, which meet EPA minimum requirements for testing. The caps should be removed or be hand-tight. o Safe sampling platforms. 11 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah o Safe access to the platforms and test ports, including any scaffolding or man lifts. o Sufficient utilities to perform all necessary testing. x Montrose will use the client communication system, as directed, in case of plant or project emergency. x Any adverse conditions, unplanned shutdowns or other deviations to the agreed scope and project plan must be reviewed with the Client Sponsor prior to continuing work. This will include any safe work permit and hazard assessment updates. Completion x Montrose personnel will report any process concerns, incidents or near misses to the Client Sponsor prior to leaving the site. x Montrose will clean up our work area to the same condition as it was prior to our arrival. x We will ensure that all utilities, connection points or equipment have been returned to the pre-project condition or as stated in the safe work permit. In addition, we will walk out the job completion with Operations and the Client Sponsor if required by the facility. 2.4.2 Safety Program and Requirements Montrose has a comprehensive health and safety program that satisfies State and Federal OSHA requirements. The program includes an Illness and Injury Prevention Program, site- specific safety meetings, and training in safety awareness and procedures. The basic elements include: x All regulatory required policies/procedures and training for OSHA, EPA and FMCSA x Medical monitoring, as necessary x Use of Personal Protective Equipment (PPE) and chemical detection equipment x Hazard communication x Pre-test and daily toolbox meetings x Continued evaluation of work and potential hazards x Near-miss and incident reporting procedures as required by Montrose and the Client Montrose will provide standard PPE to employees. The PPE will include but is not limited to; hard hats, safety shoes, glasses with side shields or goggles, hearing protection, hand protections, and fall protection. In addition, our trailers are equipped with four gas detectors to ensure that workspace has no unexpected equipment leaks or other ambient hazards. The detailed Site Safety Plan for this project is attached to this test plan in Appendix “S”. 12 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah 3.0 Sampling and Analytical Procedures 3.1 Test Methods The test methods for this test program have been presented in Table 1-1. Additional information regarding specific applications or modifications to standard procedures is presented below. 3.1.1 EPA Method 1, Sample and Velocity Traverses for Stationary Sources EPA Method 1 is used to assure that representative measurements of volumetric flow rate are obtained by dividing the cross-section of the stack or duct into equal areas, and then locating a traverse point within each of the equal areas. Acceptable sample locations must be located at least two stack or duct equivalent diameters downstream from a flow disturbance and one-half equivalent diameter upstream from a flow disturbance. 3.1.2 EPA Method 2, Determination of Stack Gas Velocity and Volumetric Flow Rate (Type S Pitot Tube) EPA Method 2 is used to measure the gas velocity using an S-type pitot tube connected to a pressure measurement device, and to measure the gas temperature using a calibrated thermocouple connected to a thermocouple indicator. Typically, Type S (Stausscheibe) pitot tubes conforming to the geometric specifications in the test method are used, along with an inclined manometer. The measurements are made at traverse points specified by EPA Method 1. The molecular weight of the gas stream is determined from independent measurements of O2, CO2, and moisture. The stack gas volumetric flow rate is calculated using the measured average velocity head, the area of the duct at the measurement plane, the measured average temperature, the measured duct static pressure, the molecular weight of the gas stream, and the measured moisture. Pertinent information regarding the performance of the method is presented below: x S-type pitot tube coefficient is 0.84. x Shortridge multimeter may be used to measure velocity. The typical sampling system is detailed as part of the EPA Method 5/202 sampling train in Figure 3-1. 13 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah 3.1.3 EPA Method 3, Gas Analysis for the Determination of Dry Molecular Weight EPA Method 3 is used to calculate the dry molecular weight of the stack gas by measuring the percent O2 and CO2 in the gas stream. A gas sample is extracted from the stack by one of the following methods: (1) single-point, grab sampling; (2) single-point, integrated sampling; or (3) multi-point, integrated sampling. The gas sample is analyzed for percent CO2 and percent O2 using either an Orsat or a Fyrite analyzer. Pertinent information regarding the performance of the method is presented below: x Method Options: o A Fyrite-type combustion gas analyzer is used to measure the analyte concentrations o An Orsat analyzer is used to measure the analyte concentrations o Single-point grab sampling is performed o Single-point integrated sampling is performed o Less than 28 L (1.0 ft3) is collected o Multi-point integrated sampling is performed x Target and/or Minimum Required Sample Duration: 60 minutes x Target and/or Minimum Recommended Sample Volume: 1.0 ft3 x Target Analytes: O2 and CO2 3.1.4 EPA Method 4, Determination of Moisture Content in Stack Gas EPA Method 4 is a manual method used to measure the moisture content of gas streams. Gas is sampled at a constant sampling rate through a probe and impinger train. Moisture is removed using a series of pre-weighed impingers containing methodology-specific liquids and silica gel immersed in an ice water bath. The impingers are weighed after each run to determine the percent moisture. Pertinent information regarding the performance of the method is presented below: x Condensed water is measured gravimetrically x Moisture sampling is performed as part of the EPA Method 5/202 sample trains x Since it is theoretically impossible for measured moisture to be higher than psychrometric moisture, the psychrometric moisture is also calculated, and the lower moisture value is used in the calculations x Target Sample Duration: 60 minutes x Minimum Required Sample Volume: 31.8 scf 14 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah As the EPA Method 5/202 sampling train will be used to collect moisture, sampling will not be constant; rather, sampling will be isokinetic as per the criteria set forth in EPA Methods 5/202. The typical sampling system is detailed as part of the EPA Method 5/202 sampling train in Figure 3-1. 3.1.5 EPA Methods 5 and 202, Determination of Particulate Matter from Stationary Sources and Dry Impinger Method for Determining Condensable Particulate Emissions from Stationary Sources EPA Methods 5 and 202 are manual, isokinetic methods used to measure FPM and CPM emissions. The methods are performed in conjunction with EPA Methods 1, 2, 3, and 4. The stack gas is sampled through a nozzle, probe, heated filter, unheated CPM filter, condenser, and impinger train. FPM is collected from the probe and heater filter. CPM is collected from the unheated CPM filter and the impinger train. The samples are analyzed gravimetrically. The sum of FPM and CPM represents TPM. The FPM, CPM, and TPM results are reported in emission concentration and emission rate units. Pertinent information regarding the performance of the method is presented below: x Glass sample nozzles and probe liners are used. x Condensed water is measured gravimetrically. x As an alternative to baking glassware, a field train proof blank sample may be recovered. x If no water is collected before the CPM filter, the post-test nitrogen purge will be omitted. x The post-test nitrogen purge may be performed using the sampling system meter box and vacuum pump. x The post-test nitrogen purge may be performed by passing nitrogen through the train under pressure. x Method 5/202 total PM results will be used to demonstrate compliance with the individual PM and PM10 emission limits. x Target Sample Duration: 60 minutes x Minimum Required Sample Volume: 31.8 dscf (0.90 dscm) x Method Options: o EPA Approved Alternative Method 009 (ALT-009) is used as an alternative to a two-point post-test meter box calibration. This procedure uses a calculation to check the meter box calibration factor rather than requiring a physical post-test meter box calibration using a standard dry gas meter. The average 15 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah calculated meter box percent (%) error must result in a percent error within ±5% of Y. If not, a full calibration is performed, and the results are presented using the Y factor that yields the highest emissions. The typical sampling system is detailed in Figure 3-1. Figure 3-1 EPA Methods 5/202 Sampling Train 3.1.6 EPA Method 9, Visual Determination of the Opacity of Emissions EPA Method 9 is used to observe the visual opacity of emissions (opacity). The observer stands at a distance sufficient to provide a clear view of the emissions with the sun oriented in the 140° sector to their back. The line of vision is perpendicular to the plume direction and does not include more than one plume diameter. Observations are recorded at 15- 16 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah second intervals and are made to the nearest 5% opacity. The qualified observer is certified according to the requirements of EPA Method 9, section 3.1. x Observations are attempted to be made during each concurrent particulate run, unless weather conditions are unfavorable. x Total Observation Period Duration: 6 minutes (40 CFR Part 60, Subpart I) 17 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah 4.0 Quality Assurance and Reporting 4.1 QA Audits Montrose has instituted a rigorous QA/QC program for its air quality testing. Quality assurance audits are performed as part of the test program to ensure that the results are calculated using the highest quality data available. This program ensures that the emissions data we report are as accurate as possible. The procedures included in the cited reference methods are followed during preparation, sampling, calibration, and analysis. Montrose is responsible for preparation, calibration, and cleaning of the sampling apparatus. Montrose will also perform the sampling, sample recovery, storage, and shipping. Approved contract laboratories may perform some of the preparation and sample analyses, as needed. 4.2 Quality Control Procedures Montrose calibrates and maintains equipment as required by the methods performed and applicable regulatory guidance. Montrose follows internal procedures to prevent the use of malfunctioning or inoperable equipment in test programs. All equipment is operated by trained personnel. Any incidence of nonconforming work encountered during testing is reported and addressed through the corrective action system. 4.2.1 Equipment Inspection and Maintenance Each piece of field equipment that requires calibration is assigned a unique identification number to allow tracking of its calibration history. All field equipment is visually inspected prior to testing and includes pre-test calibration checks as required by the test method or regulatory agency. 4.2.2 Audit Samples When required by the test method and available, Montrose obtains EPA TNI SSAS audit samples from an accredited provider for analysis along with the samples. Currently, the SSAS program has been suspended pending the availability of a second accredited audit sample provider. If the program is reinstated, the audit samples will be ordered. If required as part of the test program, the audit samples are stored, shipped, and analyzed along with the emissions samples collected during the test program. The audit sample results are reported along with the emissions sample results. 4.3 Data Analysis and Validation Montrose converts the raw field, laboratory, and process data to reporting units consistent with the permit or subpart. Calculations are made using proprietary computer spreadsheets or data acquisition systems. One run of each test method is also verified using a separate example calculation. The example calculations are checked against the spreadsheet results and are included in the final report. The “Standard Conditions” for this project are 29.92 inches of mercury and 68 °F. 18 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah 4.4 Sample Identification and Custody The on-site Field Project Manager will assume or assign the role of sample and data custodian until relinquishing custody. The sample custodian will follow proper custody procedures before departing from the test site including: x Assign the unique sample identification number to each sample. x Attach sample labels and integrity seals to all samples. x Complete COC form(s), ensuring that the sample identification numbers on the samples match the sample identification numbers on the COC. x Pack and store samples in accordance with the test method requirements in appropriate transport containers for protection from breakage, contamination, or loss. x Keep samples in a secure locked area if not in the direct presence of Montrose staff. The sample custodian will follow proper custody procedures upon arriving at the Montrose office including: x Remove samples and COC documents from vehicles and check into designated secure sample holding areas. x Store samples requiring additional measures such as refrigeration or dry ice appropriately. 4.5 Quality Statement Montrose is qualified to conduct this test program and has established a quality management system that led to accreditation with ASTM Standard D7036-04 (Standard Practice for Competence of Air Emission Testing Bodies). Montrose participates in annual functional assessments for conformance with D7036-04 which are conducted by the American Association for Laboratory Accreditation (A2LA). All testing performed by Montrose is supervised on site by at least one Qualified Individual (QI) as defined in D7036-04 Section 8.3.2. Data quality objectives for estimating measurement uncertainty within the documented limits in the test methods are met by using approved test protocols for each project as defined in D7036-04 Sections 7.2.1 and 12.10. Additional quality assurance information is included in the appendices. The content of this test plan is modeled after the EPA Emission Measurement Center Guideline Document (GD-042). 4.6 Reporting Montrose will prepare a final report to present the test data, calculations/equations, descriptions, and results. Prior to release by Montrose, each report is reviewed and certified by the project manager and their supervisor, or a peer. Source test reports will be submitted to the facility or appropriate regulatory agency (upon customer approval) within 30 days of the completion of the field work. The report will include a series of appendices to 19 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah present copies of the intermediate calculations and example calculations, raw field data, laboratory analysis data, process data, and equipment calibration data. 4.6.1 Example Report Format The report is divided into various sections describing the different aspects of the source testing program. Figure 4-1 presents a typical Table of Contents for the final report. Figure 4-1 Typical Report Format Cover Page Certification of Report Table of Contents Section 1.0 Introduction 2.0 Plant and Sampling Location Descriptions 3.0 Sampling and Analytical Procedures 4.0 Test Discussion and Results 5.0 Internal QA/QC Activities Appendices A Field Data and Calculations B Facility Process Data C Laboratory Analysis Data D Quality Assurance/Quality Control E Regulatory Information 4.6.2 Example Presentation of Test Results Table 4-1 presents the typical tabular format that is used to summarize the results in the final source test report. Separate tables will outline the results for each target analyte and compare them to their respective emissions limits. 20 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah Table 4-1 Example Emissions Results - Gencor 400 TPH HMA Plant, Huntington, Utah Parameter/Units Run 1 Run 2 Run 3 Average Date XX XX XX Time XX XX XX Process Data Throughput, ton/hr XX XX XX XX Hot Mix Temperature, °F Baghouse Static Pressure, “ H2O XX XX XX XX Sampling & Flue Gas Parameters O2, % volume dry XX XX XX XX CO2, % volume dry XX XX XX XX flue gas temperature, °F XX XX XX XX moisture content, % volume XX XX XX XX volumetric flow rate, dscfm XX XX XX XX PM/PM10 Concentration, gr/dscf XX XX XX XX Emission rate, lb/hr XX XX XX XX Opacity of Emissions Results Opacity, %XX XX XX XX 21 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah Appendix A Supporting Information 22 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah Appendix A.1 Units and Abbreviations 23 of 61 GP081AS-046104-PP-917                                            !  !" #$  %  &'() *      +$ *   *    , $ +-      ", $ .  *  ,  /    0    ,1 0%  % ,2(3341 2(222&1    *    "   5 6   77 ,  5 6    ",8    9  9     9%* *  % *   *       ", 1 5   :    ,** ;        ,**   '   *  <      :  ,** =      " *  *   ,**  '  =5       *   ,**       " *  %6    ,** **       *       ", 1  >   *, ** >       ,** ?         ,** ;     ,*      ;  77 ,  ;   ",            *         6  , 1==9   * *  *  *  *      8         @222 * *     24 of 61 GP081AS-046104-PP-917     1   *        A *   " *   ""     , *&2' B "  *    B'   2(2&CD 1 BD    2(22))4($ '1E! " "  B**      4C(D3 1  "%  %     *    1 * *  1==9  * * 9  *  *      =  F   ,   '         *  , =   %   "G ,16  8  8     =  &2)     H    == F  ==9 1 9 *     *     ,   (% ( =I   %  =  %   "G% ,16 =I   %    %     *       J'  -   *  , $ * *  - "  *  , $ -  *    , $ ** * *  ** * * , ** * *  ,  ** * *  ** * * , ** * *  ,  **% * *  ,%  -  "*  , $ * * * 8  * * * 8  * * * 8  25 of 61 GP081AS-046104-PP-917    -     *  ,3(3 $ K %  ,   , K %  ,     , K  %  ,      ,  !   &(4C($ '1E!  >9* 6   ",* >9* 6   ",*           *       *             *      ,8( (,  8        &222" L2(3@C 6 L      *   ,!MDC3()@ F L      *   ,!MDC3()@ F   N222*  *  1 *  *  1 *   L    "  *   ,!MDC3()@ F L   *          ?  ?   ", ?%    %, ?   $  *   ,  ? *     , ' ?        ,        ,  ? " * , ?     "    77 , ?   "  , *   ?%  % *   ,        , ?%  % * *  * , ?%  % * *   , I% I%       %, I*  %  * ,  I  %   ,  O      ,    26 of 61 GP081AS-046104-PP-917 55>   * *  * 5;-       *  5F 7     ,*   * 5;     5;H     5FL9 5 FL  9  5> **       5>L= 5 >   L  5 =  95L        9;H  %   9$-  "   *% 9A       9H> "8         ;     F     F=     F=>       F!=>         FL        !   !   <5    $J>       ,$,J,, >    J<    6        7     =>  *     -=   *   -=>  *      L     L=       L       7 ?55>  *   * *  * ; 8    ;F      ;  *    76*6  -;; ;HH     ;J<  6   F;   *     FAL F AL  FH;              F=-    *     F-5 P>F   -   5  F-!A F  -% !   A   F>    **   F>-     * *   FP  P     " <;    7  A  7  A5  7 7 A;  7    -;  *     -=   *     27 of 61 GP081AS-046104-PP-917   LA!   6    *  * L-9    * " L!9      "   *    7 -;  <    * <1=>    *1*  * < 55>  *     * *  * <      <$<    $5- 7  *  $    $$?     $-H *   8    * $!<1$!=> 6     *16  *  * $!><          A    * A5-    6*  * *  * A-!    *% * 6   A-6=>    * *6*  * A!       A> A  >    7  "I "%  H <   H$? %    H-< 8 *   =5L       =;A     *   =;H      =J   *     =!H    *  => *    J5  **    J5>A J   5 5 > A*    J< 6    J;    J;A! 6 *    JF>$5- J F>     $7 5 -   J<    JA>$ J A     * > 5 $   JA>L J A   >   5 L  J= 6   J= 6   *  J=? 6     *  J-;   **    J>-> J %>  -   >    >$5 * > 5 $  5    -5$ *     -9 *  * *  -I- *%  * % *    -F -  F - 5> * 6 * "  - 5> -A * 7  -A; * 7    -= *   28 of 61 GP081AS-046104-PP-917   -=&2 *     &2     -=(C *     (C     -= *  -> *   *   ->; *  7     ->FH *     ->L *   *    -LF *       -L= *       K51K 8    8   KA K A   K>LA K >  L  A   !5     !55      !5L     !5L5        !L           7 !AF     *      !=     !L         7 >5=    >;         >!           >;       > 6?>L  6   * *   >!=         L5-   *  L9;    L5     7 L;        L<JFJ=   6  6   *  L<J=   6   *  L<    *  L$     LA       * L    7 L   F-5=  L6&C L-=  *   L>-  *  *   LLF *      PH>;  6%     P?        ?F    ?    *  ?>L    *   I %  IIL- % %     * 29 of 61 GP081AS-046104-PP-917 5  >    5    >    9   >'    9   >        L;;    7       L;    7   >   L<        $    L$     $'$    L  $'$   L!>     *  $D   Q 7 $D     $)  '$D    '$) * *  '$4 * * )$C$ *                       ** F      F $   $   $% $  *   $>    $>D   $     $    A-5 * * =;A     *   =      =FB   "  = $   =   J   J$' J "  J    J     J         - **  -   -;; *    76*6   -; *    7  >        30 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah Appendix A.2 Accreditation Information/Certifications 31 of 61 GP081AS-046104-PP-917 Accredited Air Emission Testing Body A2LA has accredited MONTROSE AIR QUALITY SERVICES In recognition of the successful completion of the joint A2LA and Stack Testing Accreditation Council (STAC) evaluation process, this laboratory is accredited to perform testing activities in compliance with ASTM D7036:2004 - Standard Practice for Competence of Air Emission Testing Bodies. Presented this 27th day of February 2024. _______________________ Vice President, Accreditation Services For the Accreditation Council Certificate Number 3925.01 Valid to February 28, 2026 This accreditation program is not included under the A2LA ILAC Mutual Recognition Arrangement. American Association for Laboratory Accreditation 32 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah Appendix A.3 AO DAQE-AN128940010-19 33 of 61 GP081AS-046104-PP-917 DAQE-AN128940010-19 March 14, 2019 Nakeasha Scovill Nielson Construction Company 825 North Loop Road P.O. Box 620 Huntington, UT 84528 Dear Ms. Scovill: Re: Approval Order: Modification to Approval Order DAQE-AN128940008-12 Dated July 13, 2012 to Update Equipment Project Number: N12894-0010 The attached document is the Approval Order for the above-referenced project. Future correspondence on this Approval Order should include the engineer's name as well as the DAQE number as shown on the upper right-hand corner of this letter. The project engineer for this action is Sarah Foran, who may be reached at (801) 536-4233. Sincerely, Signed by Bryce C. Bird on March 14, 2019 Bryce C. Bird Director BCB:SF:sa cc: Southeastern Utah District Health Department 195 North 1950 West • Salt Lake City, UT Mailing Address: P.O. Box 144820 • Salt Lake City, UT 84114-4820 Telephone (801) 536-4000 • Fax (801) 536-4099 • T.D.D. (801) 903-3978 www.deq.utah.gov Printed on 100% recycled paper State of Utah GARY R. HERBERT Governor SPENCER J. COX Lieutenant Governor Department of Environmental Quality Alan Matheson Executive Director DIVISION OF AIR QUALITY Bryce C. Bird Director 34 of 61 GP081AS-046104-PP-917 STATE OF UTAH Department of Environmental Quality Division of Air Quality APPROVAL ORDER: Modification to Approval Order DAQE-AN128940008-12 Dated July 13, 2012 to Update Equipment Prepared By: Sarah Foran, Engineer Phone: (801) 536-4233 Email: sforan@utah.gov APPROVAL ORDER NUMBER DAQE-AN128940010-19 Date: March 14, 2019 Nielson Construction Company Huntington Asphalt and Aggregate Pit Source Contact: Nakeasha Scovill Phone: (801) 871-6704 Email: nakeasha.scovill@stakerparson.com Signed by Bryce C. Bird on March 14, 2019 Bryce C. Bird Director 35 of 61 GP081AS-046104-PP-917 Abstract Nielson Construction Company has requested a modification to AO DAQE-AN128940008-12 dated July 13, 2012, to update on-site equipment, equipment use, and the name of the site. Existing production limits are not changing. The existing generator use was reduced to emergency use only. The site is located in Emery County. Emery County is an attainment area of the NAAQS for all pollutants. NSPS 40 CFR 60 Subpart A, Subpart I, Subpart OOO, Subpart IIII; and MACT 40 CFR 63 Subpart A, and Subpart ZZZZ regulations apply to this source. NESHAP 40 CFR 61 regulations do not apply to this source. Title V of the 1990 CAA applies to this source, and this source is considered a Title V area source. The PTE, in TPY, will change as follows: PM10 = +1.57, PM2.5= -0.47, NOx = -6.97, SO2 = -0.07, CO = -1.08, VOC = +0.31, HAPs = +0.87, GHG = +854. The PTE, in TPY, will be: PM10 = 27.93, PM2.5 = 10.85, NOx = 20.47, SO2 = 21.12, CO = 48.84, VOC = 18.07, HAPs = 4.86, CO2e = 13,304. This air quality AO authorizes the project with the following conditions and failure to comply with any of the conditions may constitute a violation of this order. This AO is issued to, and applies to the following: Name of Permittee: Nielson Construction Company 825 North Loop Road P.O. Box 620 Huntington, UT 84528 Permitted Location: Huntington Asphalt and Aggregate Pit About 2 miles North and West of Huntington on Highway 31 Emery County, UT UTM coordinates: 499,460 m Easting, 4,356,380 m Northing, UTM Zone 12 UTM Datum: NAD83 SIC code: 1442 (Construction Sand & Gravel) Section I: GENERAL PROVISIONS I.1 All definitions, terms, abbreviations, and references used in this AO conform to those used in the UAC R307 and 40 CFR. Unless noted otherwise, references cited in these AO conditions refer to those rules. [R307-101] I.2 The limits set forth in this AO shall not be exceeded without prior approval. [R307-401] I.3 Modifications to the equipment or processes approved by this AO that could affect the emissions covered by this AO must be reviewed and approved. [R307-401-1] I.4 All records referenced in this AO or in other applicable rules, which are required to be kept by the owner/operator, shall be made available to the Director or Director's representative upon request, and the records shall include the two (2)-year period prior to the date of the request. Unless otherwise specified in this AO or in other applicable state and federal rules, records shall be kept for a minimum of two (2) years. [R307-401-8] I.5 At all times, including periods of start-up, shutdown, and malfunction, owners and operators shall, to the extent practicable, maintain and operate any equipment approved under this AO, including associated air pollution control equipment, in a manner consistent with good air pollution control practice for minimizing emissions. Determination of whether acceptable operating and maintenance procedures are being used will be based on information available to 36 of 61 GP081AS-046104-PP-917 DAQE-AN128940010-19 Page 3 the Director which may include, but is not limited to, monitoring results, opacity observations, review of operating and maintenance procedures, and inspection of the source. All maintenance performed on equipment authorized by this AO shall be recorded. [R307-401-4] I.6 The owner/operator shall comply with UAC R307-107. General Requirements: Breakdowns. [R307-107] I.7 The owner/operator shall comply with UAC R307-150 Series. Emission Inventories. [R307-150] I.8 The owner/operator shall submit documentation of the status of construction or modification to the Director within 18 months from the date of this AO. This AO may become invalid if construction is not commenced within 18 months from the date of this AO or if construction is discontinued for 18 months or more. To ensure proper credit when notifying the Director, send the documentation to the Director, attn.: NSR Section. [R307-401-18] Section II: SPECIAL PROVISIONS II.A The approved installations shall consist of the following equipment: II.A.1 Huntington Pit II.A.2 One (1) Gencor Drum Mix Asphalt Plant Rated Capacity: 400 tons per hour (TPH) Control Device: Baghouse NSPS Applicability: Subpart I II.A.3 One (1) Gencor Baghouse Type: Reverse Air Maximum Flow Rate: 89,217 ACFM Average Flow Rate: 49,133 ACFM NSPS Applicability: Subpart I II.A.4 Two (2) Asphalt Storage Silos Capacity: 150 Tons Each II.A.5 Liquid Asphalt Storage Tanks* One (1) Tank Capacity: 30,000 Gallons One (1) Split tank Capacity: 10,000 and 20,000 Gallons NSPS Applicability: Subpart I II.A.6 Hot Oil Heater Rating: 1.4 MMBtu/hr Fuel: Waste Oil NSPS Applicability: Subpart I II.A.7 One (1) 4-Bin Feeder* Capacity: 400 TPH NSPS Applicability: Subpart OOO II.A.8 One (1) 2-Bin Feeder* Capacity: 400 TPH NSPS Applicability: Subpart OOO 37 of 61 GP081AS-046104-PP-917 DAQE-AN128940010-19 Page 4 II.A.9 One (1) Lime Silo* Capacity: 45 Tons Control: Bin Vent NSPS Applicability: Subpart I II.A.10 2-Bin RAP Feeder* Capacity: 400 TPH NSPS Applicability: Subpart OOO II.A.11 Fly Ash Silo* Capacity: 150 Tons Control: Bin Vent NSPS Applicability: Subpart I II.A.12 One (1) Jaw Crusher* Capacity: 500 TPH NSPS Applicability: Subpart OOO II.A.13 Three (3) Cone Crushers* Capacity: 400 TPH NSPS Applicability: Subpart OOO II.A.14 Five (5) Triple-deck Screens* Size: 8' X 20' Each NSPS Applicability: Subpart OOO II.A.15 One (1) Scalper Screen* Size: 5' x 12' Each NSPS Applicability: Subpart OOO II.A.16 One (1) Hopper* Capacity: 400 TPH NSPS Applicability: Subpart OOO II.A.17 Two (2) Impact Crushers* Capacity: 400 TPH NSPS Applicability: Subpart OOO II.A.18 Associated Equipment Both aggregate and asphalt production equipment include: conveyors, drag elevator, weigh conveyors, stackers, loaders, and dozer, haul and water trucks II.A.19 One (1) Emergency Generator Rating: 800 kW Fuel: Diesel NSPS Applicability: Subpart IIII MACT Applicability: Subpart ZZZZ *Indicates new equipment 38 of 61 GP081AS-046104-PP-917 DAQE-AN128940010-19 Page 5 II.B Requirements and Limitations II.B.1 Site-wide Requirements II.B.1.a Unless otherwise specified in this AO, the owner/operator shall not allow visible emissions from any installation of this AO to exceed 20% opacity. [R307-201-3] II.B.1.a.1 Unless otherwise specified in this AO, opacity observations of emissions from stationary sources shall be conducted according to 40 CFR 60, Appendix A, Method 9. [R307-201-3] II.B.2 HMA Plant Requirements: II.B.2.a The owner/operator shall not produce more than 728,000 tons of asphalt per rolling 12-month period, and 5,600 tons of asphalt per day. [R307-401-8] II.B.2.a.1 To determine compliance with a rolling 12-month total, the owner/operator shall calculate a new 12-month total by the 20th day of each month using data from the previous 12 months. Records of production shall be kept for all periods when the plant is in operation. Production shall be determined by scale-house records or vendor receipts. The records of production shall be kept on a daily basis. [R307-401-8] II.B.2.a.2 The owner/operator shall weigh and account for all hot mix asphalt prior to the hot mix asphalt leaving the site. [R307-401-8] II.B.2.b The owner/operator shall only operate the asphalt plant for 16 hours per day from March through November. The owner/operator shall not operate the asphalt plant from December through February. [R307-401-8] II.B.2.b.1 Hours of operation shall be determined by supervisor monitoring and maintaining of an operations log. The records of operation shall be kept on a daily basis and shall include the time the asphalt plant starts operation, the time the asphalt plant ceases operation, and the total hours of operation for the day. [R307-401-8] II.B.2.c The owner/operator shall use a baghouse to control particulate emissions from the hot mix asphalt plant. All exhaust air from the drum mixer shall be routed through the baghouse before being vented to the atmosphere. [R307-401-8] II.B.2.c.1 The owner/operator shall maintain the static pressure differential across the baghouse between 2.0 to 5.0 inches of water column on the pressure gauge. [R307-401-8] II.B.2.c.2 The pressure gauge shall be located such that an inspector/operator can safely read the indicator at any time. The pressure gauge shall measure the pressure drop in one (1)-inch water column increments or less. The pressure gauge shall be calibrated according to the manufacturer's instructions at least once every 12 months. [R307-401-8] II.B.2.d The owner/operator shall not allow visible emissions from the baghouse on site to exceed 10% opacity. [R307-401-8] 39 of 61 GP081AS-046104-PP-917 DAQE-AN128940010-19 Page 6 II.B.2.e Emissions to the atmosphere from the indicated emission point shall not exceed the following rates and concentrations: Source: Gencor 400 TPH Hot Mix Asphalt Plant Baghouse Exhaust Stack Pollutant lb/hr grain/dscf (68oF, 29.92 in Hg) TSP (virgin & RAP) 10.07 0.020 PM10 (virgin & RAP) 8.05 0.016 [R307-401-8] II.B.2.e.1 Stack testing to show compliance with the emission limitations stated in the above condition shall be performed as specified below: Emission Point: Hot Mix Asphalt Plant Baghouse Exhaust Stack TSP (virgin & RAP): Initial Test Completed: 9/21/2011 PM10 (virgin & RAP): Test every five (5) years or sooner if directed by the Director. Tests may be required if the source is suspected to be in violation with other conditions of this AO. Compliance testing shall not be required for both virgin and recycled materials during the same testing period. Testing shall be performed for the product being produced during the time of testing. [R307-165] II.B.2.e.2 Notification: At least 30 days prior to conducting any emission testing required under any part of UAC, R307, the owner or operator shall notify the Director of the date, time and place of such testing and, if determined necessary by the Director, the owner or operator shall attend a pretest conference. A source test protocol shall be submitted to DAQ when the testing notification is submitted to the Director. The source test protocol shall be approved by the Director prior to performing the test(s). The source test protocol shall outline the proposed test methodologies, stack to be tested, and procedures to be used. A pretest conference shall be held, if directed by the Director. The pretest conference shall include representation from the owner/operator, the tester, and the Director. [R307-165] II.B.2.e.3 Sample Location: The emission point shall be designed to conform to the requirements of 40 CFR 60, Appendix A, Method 1, or other methods as approved by the Director. An Occupational Safety and Health Administration (OSHA)- or Mine Safety and Health Administration (MSHA)-approved access shall be provided to the test location. [R307-401-8] II.B.2.e.4 Volumetric Flow Rate: 40 CFR 60, Appendix A, Method 2 or other testing methods approved by the Director [R307-401-8] 40 of 61 GP081AS-046104-PP-917 DAQE-AN128940010-19 Page 7 II.B.2.e.5 PM10: For stacks in which no liquid drops are present, the following methods shall be used: 40 CFR 51, Appendix M, Methods 201 or 201a. The back half condensables shall also be tested using the method specified by the Director. All particulate captured shall be considered PM10. For stacks in which liquid drops are present, methods to eliminate the liquid drops should be explored. If no reasonable method to eliminate the drops exists, then the following methods shall be used: 40 CFR 60, Appendix A, Method 5, 5a, 5d, or 5e as appropriate. The back half condensables shall also be tested using the method specified by the Director. The portion of the front half of the catch considered PM10 shall be based on information in Appendix B of the fifth addition of AP-42 or other data acceptable to the Director. The back half condensables shall not be used for compliance demonstration but shall be used for inventory purposes. [R307-401-8] II.B.2.e.6 Calculations: To determine mass emission rates (lb/hr, etc.) the pollutant concentration as determined by the appropriate methods above shall be multiplied by the volumetric flow rate and any necessary conversion factors determined by the Director, to give the results in the specified units of the emission limitation. [R307-401-8] II.B.2.e.7 Existing Source Operation: For an existing source/emission point, the production rate during all compliance testing shall be no less than 90% of the maximum production achieved in the previous three (3) years. In all cases, when testing for PM10 emissions during manufacture of recycled asphalt, recycled asphalt shall be introduced into the plant at a rate no less than 15% of the plant production (i.e. if the plant is producing 300 tons per hour of finished product, then asphalt to be recycled shall be introduced into the plant at a rate no less than 45 TPH). [R307-401-8] II.B.3 Aggregate Pit Requirements: II.B.3.a The owner/operator shall not produce more than 624,000 tons of processed aggregate material and processed rotomill material combined per rolling 12-month period. [R307-401-8] II.B.3.a.1 To determine compliance with a rolling 12-month total, the owner/operator shall calculate a new 12-month total by the 20th day of each month using data from the previous 12 months. Records of production shall be kept for all periods when the plant is in operation. Production shall be determined by scale-house records or vendor receipts. The records of production shall be kept on a daily basis. [R307-401-8] II.B.3.a.2 The owner/operator shall weigh and account for all aggregate material prior to the aggregate material leaving the site. [R307-401-8] 41 of 61 GP081AS-046104-PP-917 DAQE-AN128940010-19 Page 8 II.B.3.b The owner/operator shall not operate the Aggregate Plant (including haul road use and storage pile loading or unloading) more than the allotted times for the following months: A. March through October: 16 hours per day B. November: 12 hours per day C. December through February: 8 hours per day [R307-401-8] II.B.3.b.1 Hours of operation shall be determined by supervisor monitoring and maintaining of an operations log. The records of operation shall be kept on a daily basis and shall include the time the aggregate processing plant starts operation, the time the aggregate processing plant ceases operation, and the total hours of operation for the day. [R307-401-8] II.B.3.c The owner/operator shall not allow visible emissions to exceed the following: A. Crushers - 12% B. Screens - 7% C. Conveyors - 7% [40 CFR 60 Subpart OOO, R307-401-8] II.B.3.d The owner/operator shall install water sprays on all crushers, all screens, all conveyor transfer points, and all conveyor drop points at each location to control emissions. Sprays shall operate as required to ensure the opacity limits in this AO are not exceeded. [R307-401-8] II.B.3.e The owner/operator shall perform monthly periodic inspections to check that water is flowing to discharge spray nozzles associated with each crusher, screen, and conveyor. If the owner/ operator finds that water is not flowing properly during an inspection of the water spray nozzles, the owner/operator shall initiate corrective action within 24 hours and complete corrective action as expediently as practical. [R307-401-8] II.B.3.e.1 Records of the water sprays inspections shall be kept and maintained in a logbook for all periods when the plant is in operation. The records shall include the following items: A. Date the inspections were made B. Any corrective actions taken C. Control mechanism used if sprays are not operating [40 CFR 60 Subpart OOO, R307-401-8] II.B.3.f The owner/operator shall conduct an initial performance test for all crushers, screens, and conveyor transfer points on site within 60 days after achieving the maximum production rate but not later than 180 days after initial start-up. Performance tests shall meet the limitations specified in Table 3 to Subpart OOO. Records of initial performance tests shall be kept and maintained on site for the life of the equipment. [40 CFR 60 Subpart OOO, R307-401-8] 42 of 61 GP081AS-046104-PP-917 DAQE-AN128940010-19 Page 9 II.B.3.f.1 Initial performance tests for fugitive emissions limits shall be conducted according to 40 CFR 60.675(c). The owner or operator may use methods and procedures specified in 40 CFR 60.675(e) as alternatives to the reference methods and procedures specified in 40 CFR 60.675(c). [40 CFR 60 Subpart OOO, R307-401-8] II.B.3.f.2 The owner/operator shall submit written reports to the Director of the results of all performance tests conducted to demonstrate compliance with the standards set forth in 40 CFR 60.672. [40 CFR 60 Subpart OOO, R307-401-8] II.B.4 Emergency Generator Engine Requirements: II.B.4.a The owner/operator shall not operate the emergency engine on site for more than 100 hours per rolling 12-month period during non-emergency situations. There is no time limit on the use of the engines during emergencies. [40 CFR 63 Subpart ZZZZ, R307-401-8] II.B.4.a.1 To determine compliance with a rolling 12-month total, the owner/operator shall calculate a new 12-month total by the 20th day of each month using data from the previous 12 months. Records documenting the operation of the emergency engine shall be kept in a log and shall include the following: A. The date the emergency engine was used B. The duration of operation in hours C. The reason for the emergency engine usage [40 CFR 63 Subpart ZZZZ, R307-401-8] II.B.4.a.2 To determine the duration of operation, the owner/operator shall install a non-resettable hour meter on the emergency engine. [40 CFR 63 Subpart ZZZZ, R307-401-8] II.B.5 All Haul Roads and Fugitive Dust Sources Requirements: II.B.5.a The owner/operator shall not allow visible emissions from haul roads and fugitive dust sources on site to exceed 20% opacity at all times. [R307-205-4] II.B.5.a.1 Visible emission determinations for fugitive dust emissions from haul-road traffic and mobile equipment in operational areas shall use procedures similar to Method 9. The normal requirement for observations to be made at 15-second intervals over a six (6)-minute period, however, shall not apply. Visible emissions shall be measured at the densest point of the plume but at a point not less than 1/2 vehicle length behind the vehicle and not less than 1/2 the height of the vehicle. [R307-205-4] II.B.5.b The owner/operator shall comply with the following to maintain the opacities listed in this AO: A. Paved Haul Roads: Sweep and flush with water. B. Unpaved Haul Roads and Operational Areas: Apply water applications and cover with road-base material. The owner/operator may stop applying water to haul roads and operational areas when the temperature is below freezing and may stop sweeping the paved haul roads when the haul roads are covered with snow or ice. [R307-401-8] 43 of 61 GP081AS-046104-PP-917 DAQE-AN128940010-19 Page 10 II.B.5.b.1 Records of sweeping and water application to all roads shall be kept for all periods when the plant is in operation. The records shall include the following items: A. Date and time treatments were made B. Number of treatments made and quantity of water applied C. Rainfall amount received, if any D. Records of temperature, if the temperature is below freezing E. Records shall note if the paved haul roads are covered with snow or ice. [R307-401-8] II.B.5.c The owner/operator shall comply with all applicable requirements of R307-205 for Fugitive Emission and Fugitive Dust sources on site. [R307-205] II.B.6 Fuel Requirements: II.B.6.a The owner/operator shall use natural gas, propane, fuel oil, on-specification used oil as defined in R315-15, or any combination thereof as fuel in the hot mix asphalt plants. [R307-401-8] II.B.6.b The sulfur content of any used fuel oil, fuel oil or diesel burned in the asphalt plant shall not exceed 0.5 percent by weight. The sulfur content of any diesel fuel consumed in any stationary engine on site shall not exceed 15 ppm. [R307-401-8, 40 CFR 63 Subpart ZZZZ, R307-401-8] II.B.6.b.1 The sulfur content shall be determined by ASTM Method D2880-71, D4294-89, or approved equivalent. Certification of used oil or diesel fuel shall be either by the owner/operator's own testing or by test reports from the diesel fuel marketer. [R307-401-8] Section III: APPLICABLE FEDERAL REQUIREMENTS In addition to the requirements of this AO, all applicable provisions of the following federal programs have been found to apply to this installation. This AO in no way releases the owner or operator from any liability for compliance with all other applicable federal, state, and local regulations including UAC R307. NSPS (Part 60), A: General Provisions NSPS (Part 60), I: Standards of Performance for Hot Mix Asphalt Facilities NSPS (Part 60), OOO: Standards of Performance for Nonmetallic Mineral Processing Plants NSPS (Part 60), IIII: Standards of Performance for Stationary Compression Ignition Internal Combustion Engines MACT (Part 63), A: General Provisions MACT (Part 63), ZZZZ: NESHAP for Stationary Reciprocating Internal Combustion Engines Title V (Part 70) Area Source 44 of 61 GP081AS-046104-PP-917 DAQE-AN128940010-19 Page 11 PERMIT HISTORY This AO is based on the following documents: Supersedes AO DAQE-AN128940008-12 dated July 13, 2012 Is Derived From NOI dated August 8, 2018 Incorporates Additional information dated September 11, 2018 Incorporates Additional Information dated September 26, 2018 Incorporates Additional Information dated November 5, 2018 Incorporates Additional Information dated January 3, 2019 ADMINISTRATIVE CODING The following information is for UDAQ internal classification use only: Emery County CDS B MACT (Part 63), Title V (Part 70) Area Source, Attainment Area, NSPS (Part 60) 45 of 61 GP081AS-046104-PP-917 DAQE-AN128940010-19 Page 12 ACRONYMS The following lists commonly used acronyms and associated translations as they apply to this document: 40 CFR Title 40 of the Code of Federal Regulations AO Approval Order BACT Best Available Control Technology CAA Clean Air Act CAAA Clean Air Act Amendments CDS Classification Data System (used by EPA to classify sources by size/type) CEM Continuous emissions monitor CEMS Continuous emissions monitoring system CFR Code of Federal Regulations CMS Continuous monitoring system CO Carbon monoxide CO2 Carbon Dioxide CO2e Carbon Dioxide Equivalent - 40 CFR Part 98, Subpart A, Table A-1 COM Continuous opacity monitor DAQ/UDAQ Division of Air Quality DAQE This is a document tracking code for internal UDAQ use EPA Environmental Protection Agency FDCP Fugitive dust control plan GHG Greenhouse Gas(es) - 40 CFR 52.21 (b)(49)(i) GWP Global Warming Potential - 40 CFR Part 86.1818-12(a) HAP or HAPs Hazardous air pollutant(s) ITA Intent to Approve LB/HR Pounds per hour MACT Maximum Achievable Control Technology MMBTU Million British Thermal Units NAA Nonattainment Area NAAQS National Ambient Air Quality Standards NESHAP National Emission Standards for Hazardous Air Pollutants NOI Notice of Intent NOx Oxides of nitrogen NSPS New Source Performance Standard NSR New Source Review PM10 Particulate matter less than 10 microns in size PM2.5 Particulate matter less than 2.5 microns in size PSD Prevention of Significant Deterioration PTE Potential to Emit R307 Rules Series 307 R307-401 Rules Series 307 - Section 401 SO2 Sulfur dioxide Title IV Title IV of the Clean Air Act Title V Title V of the Clean Air Act TPY Tons per year UAC Utah Administrative Code VOC Volatile organic compounds 46 of 61 GP081AS-046104-PP-917 Staker Parson, Huntington Asphalt and Aggregate Pit 2024 Compliance Source Test Plan, Gencor 400 TPH Drum Mix HMA Plant, Near Huntington, Utah Appendix “S” Field Work Safety Plan 47 of 61 GP081AS-046104-PP-917 SITE SAFETY PLAN BOOKLET Project: _____________________ Customer: ___________________ Location: ____________________ Units: _______________________ Client Project Manager: ______________________ Revision Date:June 29th, 2023 48 of 61 GP081AS-046104-PP-917 PROJ-046061 Mountain Cement Co. Laramie, Wyoming Kiln 1 & Kiln 2 PM, VEs and D/Fs Jeff Goldfine/Chris Wall Page 1 of 2 Site Safety Plan and JHA Purpose and Instructions Purpose Employee safety is the top priority of Montrose Environmental Group. All employees must be trained to assess and mitigate hazards. The District Manager and Project Manager are responsible to ensure all hazards have been properly identified and managed. All employees have Stop Work Authority in all situations where an employee feels they or their co-worker cannot perform a job safely or if there is a task for which they have not been adequately trained. The Site Safety Plan (SSP) has been developed to help assist Montrose test crews with identifying physical and health hazards and determining how the hazards will be managed. Additionally, the SSP will help each crew manage the safety of the employees by providing emergency procedures and information. The booklet contains a several safety forms that may be required in the field. Instructions The SSP consists of the following: communicated to all employees, signed, and posted. Supervisor/ CPM will ensure that this Emergency Action Plan Form is completed, CPM will maintain a roster and be responsible for accounting for all employees. The Job to work commencing. In the event of an emergency situation/ evacuation, the Job Supervisor/ emergency and evacuation procedures, assembly/ rally points, alert systems, and signals prior the Emergency Action Plan form and ensure that all employees are familiar with the facility 4. Emergency Action Plan -The Job Supervisor/ Client Project Manager (CPM) will complete observed plus applicable PPE that may be required. administrative controls that a crew can use to reduce or eliminate the hazards they have 3. Hazard Control Matrix - contains useful information on both engineering and with the toolbox topic and signatures can be added to the SSP packet. the hazard analysis is required daily for the duration of the test. An additional sheet of paper modified when conditions change. A toolbox meeting with a daily topic in addition to a review of sign on the Job Hazard Analysis form in agreement and sign in Section 10. The JHA is to be Each team member has the option to discuss making changes or adding to the JHA and must Section 9 will require at least three tasks, hazards and controls be identified for the project. form for accuracy, making any corrections required and complete the remainder of the JHA. complete the JHA form through section 8. Upon arrival at the test site, the team will review the daily hazard review with sign off by the team.The client Project Manager is responsible to task/site’s particular hazards and controls. The form also includes a daily toolbox topic and 2. A Job Hazard Analysis is a standardized, two-page, fillable form that is used to evaluated the prior to the test. 1. A Pre-Mobilization Test Plan – To be completed in it’s entirety by the client project Manager AQS-FRM-1.13R1 Extended Hours Formc. Heat Stress Prevention Form Based on Heat Indexb. MEWP Lift Inspection Forma. Additional Forms, as applicable5. 49 of 61 GP081AS-046104-PP-917 Page 2 of 2 Site Safety Plan and JHA Purpose and Instructions The SSP is a living document. The Project Manager should continually update their SSPs as new information and conditions change or if new hazards are presented. Each completed SSP should be maintained with the Test Plan in the office for a period of 3 years. There will be an audit process developed for the Site Safety Plans. AQS-FRM-1.13R1 50 of 61 GP081AS-046104-PP-917 Page 1 of 2 PRE-MOBILIZATION TEST INFORMATION Source Type: New Source: ____ Revisit: ____ Prj#/Date/Tech: __________________________ Coal Fired Electric Utility: ____ Ethanol Plant: ____ Chemical Mfg. of _________________________ Cement/Lime Kiln Plant: ____ Specialty Mfg. of: ___________ Other: _______________ Anticipated Effluent Composition – check all that apply and fill in expected concentration in ppm/% CO NOX SO2 VOC other If other, explain: _______________________________________________________ Flammable: _______ Toxic: ________ Corrosive: _______ Dust: __________ Engineering Controls to be Implemented: ______________________________________________________________________________________ __________________________________________________________________________________ Additional Safety Equipment Required: Personal gas monitors: ____ Respiratory Protection: Half Face____ Full Face____ HEPA Filters____ Supplied Air: _____ (Safety Dept. Approval) Approximate Flue Gas Temperatures, (F) below 210 210 to 450 450 to 950 above 950 other If other, explain: _______________________________________________________ Approximate Duct Pressure, (iwg): below -3 -3 to +3 +3 to +7 above +7 other If other, explain: _______________________________________________________ PROJECT NAME/LOCATION: ______________________ PROJECT #: ____________________ TEST DATE: ______________________ PROJECT MANAGER: ___________________ TEST SCOPE: _________________________________________________________________ SITE CONTACT: Name: _____________________ Contact Phone: _________________________ AQS-FRM-1.17 51 of 61 GP081AS-046104-PP-917 X PROJ-04061/12-24/JG or CW X Mountain Cement Company PROJ-046061 Dec. 9 through 13, 2024 Jeff Goldfine/Chris Wall PM, VEs, and PCDD/PCDF Testing on two Cement Kiln Exhausts Aaron Hoese 307-745-2640 Page 2 of 2 PRE-MOBILIZATION TEST INFORMATION Sampling Location: Stack Port ____ Duct Port ____ Approximate Sampling Platform Height, (ft) Effluent Chemical Regulatory Limits Gas Name Chemical Formula Cal OSHA PEL1 (ppm) Cal OSHA STEL2 (ppm) NIOSH REL TWA3 (ppm) Cal OSHA Ceiling (ppm) IDLH4 (ppm) Carbon Monoxide CO 25 200 35 200 1,200 Nitric Oxide NOx 25 ND5 25 ND 100 Sulfur Dioxide SO2 2 5 2 ND 100 Hydrogen Chloride HCl 0.3 2 ND 2 50 Hydrogen Sulfide H2S 10 15 10 (10 min.)C 50 100 California Occupational Safety and Health Administration (OSHA) Permissible Exposure Limit (PEL) based on an 8 -hour shift; 2: Cal OSHA Short-term Exposure Limit (STEL) based on a 15-minute period; 3: National Institute for Occupational Safety and Health (NIOSH) Recommended Exposure Limit (REL) Time-weighted Average (TWA) based on an 8-hour shift; 4: Immediately Dangerous to Life or Health (IDLH); 5: Not Defined (ND); C: Ceiling Limit - Maximum allowable human exposure limit for an airborne or gaseous substance, which is not to be exceeded, even momentarily. Prepared by: Date: Reviewed by: Date: ______________________________________________________________________________ ______________________________________________________________________________ Additional Information: ______________________________________________________________________________ ______________________________________________________________________________ Describe how equipment will be mobilized to the sampling location: Other:_____________________________________________________________________________ Guardrails: ____ Toe plate: ____ Engineered Tie Off Points: ____ Heat Shield: ____ Elevators: ____ Ladders: ____ MEWP Lift: ____ Scaffold: ____ Equipment Hoist: ____ Access and Protection: If other, explain: _______________________________________________________ below 6 6 to 50 50 to 100 above 100 other AQS-FRM-1.17 52 of 61 GP081AS-046104-PP-917 X X Hoisted or hand carried Joby Dunmire September 20, 2024 Job Hazard Analysis 1 of 3 1. Client Rep Job Preparation Job Site Walk Through Completed Site Specific Training Complete Safe Work Permit Received from Client 2.Facility Information/Emergency Preparedness If non-emergency medical attention is needed, call: AXIOM #: 877-502-9466. Plant Emergency # Certified First Aid Person: EMS Location Evacuation Routes Rally Point Severe Weather Shelter Location Eye Wash & Safety Shower Location Operational: Yes No Source Information: (list type): Stack Gas Temp. (oF)Stack Gas Press. ("H2O)Stack Gas Components: Stack Gas Inhalation Potential?Yes No If yes, see List of Hazard Chemicals. 3.Error Risk Time Pressure Remote Work Location > 12 hr shift Working > 8 consecutive days Lack of procedures Extreme temps, wind >30mph Personal illness/fatigue Vague work guidance Monotonous Activity First day back after time off Multiple job locations Other: 4.Physical Hazards Hazard Controls Dust Hazards Dust Mask Goggles Other: Thermal Burn Hot Gloves Heat Shields Other Protective Clothing: Electrical Hazards Connections Protected from Elements External GFCI Other: XP Rating Requirement Intrinsically Safe Requirement Inadequate Lighting Install Temporary Lighting Headlamps Slip and Trip Housekeeping Barricade Area Other: Hand Protection Cut Resistant Gloves Pinch Pts. General Electrical Impact Resistant Other: Potential Hazards for Consideration Secondary Permits Hot Work Confined Space Excavation Working from Heights Falling objects Fall protection Drop zone protection Platform load ratings See also Sect. 7 Scaffold inspection Ladder inspection Barricades for equipment Electrical Exposed wire/connector Verify equipment grounding Arc Flash Lifting Crane lift plan Rigging inspection Tag lines used Hoists in place Respiratory Unexpected exposure Chemical Dust (combustible) PEL provided See also Sect. 8 Cartridges or supplied air available Gas detection equipment 5.Required PPE Hard Hats Safety Glasses Safety Toe Shoe/Boot Hearing Protection Safety Spotter Hi-Vis Vests Harness/Lanyard*Goggles Personal Monitor Type: Metatarsal Guards Hot Gloves Face Shield Respirator Type: Nomex/FRC Other PPE: Client Contact Name Date Facility SSP Writer PM If the heat index is expected to be above 91°, fill out the Heat Stress Prevention Form. All hazards and mitigation steps must be documented. If this JHA does not cover all the hazards identified, use Section 9 to document that information. AQS-FRM-1.18 53 of 61 GP081AS-046104-PP-917 Mountain Cement Company Aaron Hoese December 19, 2024 Laramie, Wyoming Job Hazard Analysis 2 of 3 Additional Work Place Hazards 6.Critical Procedures – check all that apply – *indicates additional form must be completed or collected from client Heat Stress Prevention* Confined Space* Roof Work Scaffold Cold Weather Work Hazardous Energy Control* Other: 7.Working From Heights Fall Protection Fixed Guardrails/Toe boards Fall Prevention PPE Warning Line System Falling Objects Protection Barricading Netting House Keeping Tethered Tools Catch Blanket or Tarp Fall Hazard Communication Adjacent/Overhead Workers Contractor Contact Client Contact 8.Other Considerations Environmental Hazards - Weather Forecast Heat/Cold Lightning Rain Snow Ice Tornado Wind Speed Steps for Mitigation: Electrical Safety Planning Plant Hook up:110V 220/240V 480V Generator Hard wired into panel Electrical Classified Area: Yes No Trailer Grounded: Yes No Plug Type Electrical Hook Up Responsibility: List of Hazardous Chemicals Other Chemicals: Acetone Nitric Acid Hydrogen Peroxide Compressed Gases Hexane Sulfuric Acid Isopropyl Alcohol Flammable Gas Toluene Hydrochloric Acid Liquid Nitrogen Non-Flammable Gas H2S Carbon Monoxide Steps for Mitigation: Wildlife/Fauna in Area Poison Ivy Poison Oak Insects: Wildlife: Personnel w/ known allergies to bees stings or other allergens?Yes No 9.Observed Hazards and Mitigation Steps Task Potential Hazard(s) Steps for Mitigation ● 11 22 33 ● 11 22 33 ● 11 22 33 ● 11 22 33 Exposure Monitoring MEWP* AQS-FRM-1.18 54 of 61 GP081AS-046104-PP-917 Job Hazard Analysis 3 of 3 10.JHA REVIEW: Crew Names & Signatures 11.Daily JHA Meeting & Review Items to review: ● Change in conditions ● Extended work hours ● Daily Safety Topic ● New workers or contractors ● Occurrence of near misses or injuries Printed Name Signature 2 Discussion TopicDay Initialing demonstrates that site conditions and hazards have not changed from the original SSP. If changes did occur, make the necessary updates to this JHA and add notes as applicable in Section 9. Initials 9 8 7 6 3 Date Printed Name Signature Date 5 4 11 10 AQS-FRM-1.18 55 of 61 GP081AS-046104-PP-917 1 2 3 4 5 6 Local Hospital/ Clinic Telephone Number: 7 8 9 10 11 12 13 14 15 16 17 MEG Job Supervisor/ CPM's Telephone Number: Plant's #1 Contact Person's Name: Plant's #1 Contact Person's Telephone Number: MEG Job Safety Supervisor's Telephone Number: Plant's Emergency Telephone Number: Emergency Ops Radio Channel: The Fire Extinguisher is Located: Eye Wash and Safety Shower Location: The First Aid Kit is Located: Page 1 of 2 The Job Supervisor/ Client Project Manager (CPM) will ensure that all employees are familiar with the facility emergency and evacuation procedures, assembly/ rally points, alert systems, and signals prior to work commencing. In the event of an emergency situation/ evacuation, the Job Supervisor/ CPM will maintain a roster and be responsible for accounting for all employees. The Job Supervisor/ CPM will ensure that this Emergency Action Plan Form is completed, communicated to all employees, and posted. • You must follow the client’s emergency action plan first, and notify your Supervisor immediately. •If incident is life threatening, CALL 911 IMMEDIATELLY • If non-emergency medical attention is needed, call AXIOM Medical number: 877-502-9466. EMERGENCY ACTION PLAN FORM MEG Job Supervisor/ CPM's Name: MEG Job Safety Supervisor (if applicable): Evacuation Routes: Severe Weather Shelter Location: Plant's #2 Contact Person's Name: Plant's #2 Contact Person's Telephone Number: Designated Assembly Point Location: AQS-FRM-1.11 56 of 61 GP081AS-046104-PP-917 1 2 4 5 Signature: Date: Printed Name: Signature: Date: EVACUATE:____________________________________; OTHER:_______________________________________; Alarm Tones: EMERGENCY ACTION PLAN FORM AND EVACUATION ASSEMBLY MAP REVIEW: Crew Names and Signatures Printed Name: Draw the evacuation and assembly map here Page 2 of 2 EMERGENCY EVACUATION AND ASSEMBLY MAP 3 Designated Shelter(s) Description: Designated Assembly Point(s) Description: YES or NO Facility Name: Facility Alarm (Circle): FIRE:_________________________________________; CHEMICAL/ GAS:_______________________________; SHELTER-IN-PLACE:_____________________________; AQS-FRM-1.11 57 of 61 GP081AS-046104-PP-917 Serial Number: Make: Rented or Owned: x Check “Yes” if an item is adequate, operational, and safe. x Check “No” to indicate that a repair or other corrective action is required prior to use. x Check “N/A” to indicate “Not Applicable.” Yes No N/A ܆ ܆ ܆ 2. Hydraulic fluid level is sufficient, with the platform fully lowered ܆ ܆ ܆ 3. Hydraulic system pressure (see manufacturer specs) is acceptable. If the pressure is low, determine cause and repair in accordance with accepted procedures as outlined in service manual. ܆ ܆ ܆ 4. Tires and wheel lug nuts (for tightness) ܆ ܆ ܆ 5. Hoses and cables (i.e. worn areas or chafing) ܆ ܆ ܆ 6. Platform rails and safety gate (no damage present) ܆ ܆ ܆ 7. Pivot pins secure ܆ ܆ ܆ 8. Welds are not cracked and structural members are not bent or broken ܆ ܆ ܆ 9. Warning and instructional labels are legible and secure, and load capacity is clearly marked. ܆ ܆ ܆ 10. Manufacturer’s Instruction Manual is present inside the bucket ܆ ܆ ܆ 11. Base controls (switches and push buttons) can be properly operated ܆ ܆ ܆ 12. Platform conditions are safe (i.e. not slippery) ܆ ܆ ܆ 13. Fire extinguisher is present, mounted and fully charged, located inside the bucket ܆ ܆ ܆ 14. Headlights, safety strobe light and back-up alarm are functional ܆ ܆ ܆ 15. Workplace is free of hazards (overhead powerlines, obstructions, level surface, high winds, etc.) *Do not operate if winds are 20 mph, unless otherwise specified by manufacturer recommendations. ܆ ܆ ܆ Operator Name & Signature Location Date Ground Control Name & Signature Location Date Harness Inspections: Printed Name Signature Date Printed Name Signature Date Printed Name Signature Date Daily MEWP Lift Inspection Form Page 1 of 1 atthe beginning of each shift or following 6 to 8 hours of use. All checks must be completed prior to each work shift, before operation of the MEWP lift. This checklist must be used MEWP Lift Model #: loose hoses, etc.) – if something can be easily loosened by hand then it is not sufficient. 1.All MEWP lift components are in working condition (i.e. no loose or missing parts, torn or Items to be Inspected AQS-FRM-1.16 58 of 61 GP081AS-046104-PP-917