HomeMy WebLinkAboutDAQ-2024-0112481
DAQC-1070-24
Site ID 12825 (B5)
MEMORANDUM
TO: CEM FILE – UTAH ASSOCIATED MUNICIPAL POWER SYSTEMS (UAMPS)
– Nebo Power Generating Station
THROUGH: Harold Burge, Major Source Compliance Section Manager
FROM: Rob Leishman, Environmental Scientist
DATE: October 18, 2024
SUBJECT: Source: Nebo Power Generating Station Natural Gas Turbine Generator
Contact: Dave Gammell (Plant Manager) – 801-925-4012
Cheyney Guymon – 801-794-2950
Location: 1265 Bamberger Road, Payson, Utah County, UT
Test Contractor: Montrose Air Quality Services, LLC
FRS ID#: UT0000004904900234
Permit/AO#: Title V operating permit 4900234004 dated January 18, 2022
Subject: Review of RA/PST Protocol dated October 10, 2024
On October 10, 2024, DAQ received a protocol for a RA/PST (relative accuracy/performance
specification test) of the UAMPS Nebo Power Generating Station in Payson, UT. Testing will be
performed on December 3, 2024, to determine the relative accuracy of the O2, NOx, and CO monitoring
systems.
PROTOCOL CONDITIONS:
1. RM 3A used to determine dry molecular weight of the gas stream: OK
2. RM 7E used to determine NOx concentrations of emissions: OK
3. RM 10 used to determine CO concentrations of emissions: OK
4. RM 19 used to determine volumetric flow: OK
DEVIATIONS: No deviations were noted in the protocol.
CONCLUSION: The protocol appears to be acceptable.
RECOMMENDATION: Send attached protocol review and test date confirmation notice.
1 8 2
Source Test Plan for the 2024 Relative Accuracy
Test Audit
Utah Associated Municipal Power Systems
(UAMPS)
Nebo Power Generating Station
GE Frame 7E AIHRSG Gas-Fired Turbine (EU #2)
New CEMS Ceftification
Payson, Utah
Prepared For:
UAMPS
155 North 400 West, Suite 480
Salt Lake City, Utah 84103
Prepared By:
Montrose Air Quality Services, LLC
6823 South 3600 West
Spanish Fork, Utah 84660
For Submission To:
State of Utah DEQ, Division of Air Quality
195 North 1950 West
Salt Lake City, UT 84116
Document Number: GPOS1AS-O46248-PP-922
Proposed Test Date: December 3, 2024
Test PIan Submittal Date: September 3O, 2024
M MoNrrygIF
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DEPARIMENT OF
ENVIHONMENIAL OUALITY
ocT - 9 2024
DIVISION OF AIR OUAUTY
Review and Ceftification
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:September 30,204
Name: Joby Dunmire Title: Reporting/eC Specialist III
I have reviewed, technically and editorially, details, calculations, results, conclusions, and
other appropriate written materials contained herein. I hereby certify that, to the best of my
knowledge, the presented material is authentic, accurate, and conforms to the requirements
of the Montrose Quality Management System and ASTM D7036-O4.
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signaturet -Ii*r.. \l\ur-rkrr".' Date:September 30,2024
Beckie Hawkins District Manager
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1.0
Table of Contents
Paoe
2.O
Introduction ........................:.. ' " " " " " " " 5
1.1 Summary of Test Program """""""' 5
1.2 Applicable Regulations and Emission Limits """ 6
1.3 Key Personnel........... """""""""" 7
Plant and Sampling Location Descriptions.......''.... """"""""" 8
2.L Process Description, Operation, and Control Equipment .."""""' """' B
2.2 CEMS Description """""' 9
2.3 Flue Gas Sampling Location """""" 9
2,4 Operating Conditions and Process Data...... """10
Sampling and Analytical Procedures.'....... """""""""'13
3.1 Test Methods........'... ""'13
3.1.1 EPA Methods 3A,7E, and 10, Determination of Oxygen, Nitrogen Oxides,
and Carbon Monoxide Concentrations in Emissions from Stationary Sources
(Instrumental Analyzer Procedure).............. """""13
3.1.2 EpA Method 19, Determination of Nitrogen Oxide and Carbon Monoxide
Emission Rates ""'L4
Quality Assurance and Reporting.......'... """"""""'15
4.1 QA Audits. """15
4.2 Quality Control Procedures """"""'15
4,2.1 Equipment Inspection and Maintenance """"""""15
4.2.2 Audit SamPles """'15
4.3 Data Analysis and Validation """""15
4.4 Sampte Identification and Custody ....'."""""'16
4.5 Quality Statement """"'16
4.6 Reporting """'16
4.6.1 Example Report Format """"'16
4.6.2 Example Presentation of Test Results..........'... """'17
List of Appendices
A Supporting Information """""19
A.1 Units and Abbreviations.'.........' """""""""'20
A.2 Accreditation Information/Certifications """""28.S" Site Specific Safety Plan.....'... """'31
3.0
4.O
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List of Tables
1-1 Summary of Test Program and Proposed Schedule ...................5
1-2 Summary of Part 60/75 M Requirements - Nebo EU #2 .......... 6
1-3 Test Personnel and Responsibilities.... ......7
2-1 CEMS Information ................... 9
2-2 Sampling Location............. ...... 9
4-1 Example Nitrogen Oxide (ppmvd) RATA Results - Nebo EU #2....... ...........18
List of Figures
3-1 US EPA Methods 3A,7E, and 10 Sampling Train ........ ............14
4-L Typical Report Format .....,,....L7
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1.O Introduction
1.1 Summary of Test Program
Utah Association of Municipal Power Systems (UAMPS) contracted Montrose Air Quality
Services, LLC (Montrose) to perform a RATA on the recently installed CEMS associated with
GE Frame 7EA w/HSRG Unit, natural gas-fired, combined-cycle, stationary, combustion
turbine (identified as emission unit EU #2) al the Nebo Power Generating Station located in
Payson, Utah.
The tests are conducted to determine compliance with the applicable RA requirements listed
in State of Utah Department of Environmental Quality (UDEQ), Division of Air Quality Title V
Operating Permit No. 4900234OO4, dated January L8, 2022,40 CFR 60 Apoendix B and 40
CFR Part 75. Aopendix A.
The specific objectives are to:
. Determine the M for the new Oz, NOx, and CO CEMS installed to monitor the
emissions from Nebo EU #2 to meet initial certification requirements.
. 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
To simplify this test plan, a list of Units and Abbreviations is included in Appendix A.
Throughout this test plan, chemical nomenclature, acronyms, and repofting units are not
defined. Please refer to the list for specific details.
EPA 3A, 7E,
10, 19
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L.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 M requirements are presented in Table 1-2.
Table 1-2
Summary of Paft 6fl175 RA Requirements - Nebo EV #2
1 Alternate is for low emitter (average NOx RM concentrations are < 250 ppm, or average NOx RM emission rates
are 3 0.200 lblMMBtu)
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Nitrogen Oxides (NOx as NOz)
3 2O.0o/o of RM or < 10.0olo of AS
Carbon Monoxide (CO)
S 10o/o of RM or S 5olo of AS or < 5 ppmvd CO
Orygen (Oz)
Annual: S 7.5o/o of RM or *, 0.7o/o OzApp. B Sect. 2.3.1.2
Semiannual: S 10.0olo of RM or * 1.0olo OzApp. A Sect. 3.3.3
Nitrogen Oxides (NOx as I{Oz)
App. B Sect. 2.3.1.2 Annual: 3 7.5o/o of RM or * 0.015 lblMMBtul
Semiannual: S 10.00/o of RM or + 0.020
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1.3 Key Personnel
A list of project participants is included below:
Facility Information
Source Location: UAMPS
Nebo Power Generating Station
1255 N. Bamberger Road
Payson, Utah 84651
Project Contact: Dave Gammell
Role: Plant Manager
Company: UAMPS
Telephone: 801-925-4012
Email: dgammell@uamps.com
Agency Information
Regulatory Agenry: 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 Qualiff Services, LLC
Contact: BeckieHawkins
Title: DistrictManager
Telephone: 8OL-372-7O49
Email: BeHawkins@montrose-env.com
Table 1-3 details the roles and responsibilities of the test team.
Table 1-3
Test Personnel and Responsibilities
Cheyney Guymon
ClienVField Project Manager
801-362-4978
ChGuvmon @ montrose-env.com
Facility interface, test crew coordination
Preparation, support PM
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2.O Plant and Sampling Location Descriptions
2.L Process Description, Operation, and Control
Equipment
Turbines are stationary, internal combustion engines that operate with rotary rather
than reciprocating motion. Gas turbines are essentially composed of three major
components: compressor, combustor, and power turbine. In the compressor section,
ambient air is drawn in and compressed up to 30 times ambient pressure and
directed to the combustor section where fuel is introduced, ignited, and burned.
Combustors can either be annular, can-annular, or silo. An annular combustor is a
doughnut-shaped, single, continuous chamber that encircles the turbine in a plane
perpendicular to the airflow. Can-annular combustors are like the annular; however,
they incorporate several can-shaped combustion chambers rather than a single
continuous chamber. Annular and can-annular combustors are based on aircraft
turbine technology and are Wpically used for smaller scale applications, A silo
(frame-type) combustor has one or more combustion chambers mounted external to
the gas turbine body. Silo combustors are typically larger than annular or can-
annular combustors and are used for larger scale applications.
This GE Frame 7EAIHSRG (EU #2) is a combined-cycle gas turbine (CCGT) plant.
The gas turbine generator generates electricity and the waste heat from the gas
turbine is used to make steam to generate additional electricity via a steam turbine;
this last step enhances the efficiency of electricity generation.
Hot gases from the combustion section are diluted with additional air from the
compressor section and directed to the power turbine section at temperatures up to
2600 degrees Fahrenheit. Energy from the hot exhaust gases, which expand in the
power turbine section, are recovered in the form of shaft horsepower. More than 50
percent of the shaft horsepower is needed to drive the internal compressor and the
balance of recovered shaft horsepower is available to drive an external load. Gas
turbines may have one, two, or three shafts to transmit power between the inlet air
compression turbine, the power turbine, and the exhaust turbine. The heat content
of the exhaust gases exiting the turbine can either be discarded without heat
recovery (simple cycle); recovered with a heat exchanger to preheat combustion air
entering the combustor (regenerative cycle); recovered in a heat recovery steam
generator to raise process steam, with or without supplementary firing
(cogeneration); or recovered, with or without supplementary firing, to raise steam
for a steam turbine Rankine cycle (combined rycle or repowering).
The primary pollutants from gas turbine engines are nitrogen oxides (NOx), carbon
monoxide (CO), and to a lesser extent, volatile organic compounds (VOC). Particulate
matter (PM) is also a primary pollutant for gas turbines using liquid fuels. Nitrogen oxide
formation is strongly dependent on the high temperatures developed in the combustor.
Carbon monoxide, VOC, hazardous air pollutants (HAP), and PM are primarily the result of
incomplete combustion. Trace to low amounts of HAP and sulfur dioxide (SOz) are emitted
from gas turbines. Ash and metallic additives in the fuel may also contribute to PM in the
exhaust. Oxides of sulfur (SOx) will only appear in a significant quantity if heavy oils are
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fired in the turbine. Emissions of sulfur compounds, mainly SOz, ?r€ directly related to the
sulfur content of the fuel.
2.2 CEMS DescriPtion
A new continuous emissions monitoring system (CEMS) has been installed on the EU #2
exhaust stack. The CEMS configurations include a diluent gas oxygen (Oz) analyzer, a
nitrogen oxide (NOx) analyzer, a carbon monoxide (CO) analyzer, and a data acquisition and
handling system (DAHS). Only the analyzers are being replaced; the existing DAHS
remains the same.
The new CEMS analyzers information is presented in Table 2-1.
Table 2-1
CEMS Information
2.3 FIue Gas SamPling Location
Actual stack measurements, number of traverce points, and location of traverse points will
be evaluated in the field as part of the test program. Table 2-2 presents the anticipated
stack measurements and traverse points for the sampling location listed.
Table 2-2
Sampllng Location
Sample location measurements are verified in the field to conform to EPA Method 1.
Acceptable ryclonic flow conditions are confirmed prior to testing using EPA Method 1,
Section 11.4.
s74.5 / 2.90
Gaseous: Based on
Results of 3-pt
Stratification Test
L,225.5 / 6.20EU #2
Exhaust Stack
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2.4 Operating Conditions and Process Data
Emission tests will be performed while the source/unit and air pollution control devices are
operating at the conditions required by 40 CFR Part 75 (i.e,, entirely within the "normal"
load range) and 40 CFR Part 50 (i.e., greater than 50o/o of full load)'
Plant personnel are responsible for establishing the test conditions and collecting all
applicable unit-operating data. Data collected includes the following parameters:
. Relevant CEMS data
. Unit Load, MW
2,5 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.
2.5,1 Safety Responsibilities
Planning
. 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.
. We must reach an agreement on the proper use of client emergency services
and ensure that proper response personnel are available, as needed.
. 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.
. Montrose will provide a list of equipment being brought to the site, if required
by the client.
Project Day
. Montrose personnel will arrive with the appropriate training and credentials
for the activities they will be performing and the equipment that they will
operate.
. 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.
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. 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.
. We will follow client direction regarding driving safety, safe work permitting,
staging of equipment, and other crafts or work in the area.
. As per 40 CFR Part 60 Subpart A, Section 60.8, the facility must provide the
following provisions at each sample location:
. Sampling ports, which meet EPA minimum requirements for testing. The
caps should be removed or be hand-tight.
. Safe sampling platforms.
. Safe access to the platforms and test ports, including any scaffolding or
man lifts.
. Sufficient utilities to perform all necessary testing.
. Montrose will use the client communication system, as directed, in case of
plant or project emergency.
. 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
. Montrose personnel will report any process concerns, incidents or near misses
to the Client Sponsor prior to leaving the site.
. Montrose will clean up our work area to the same condition as it was prior to
our arrival.
. 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.
2.5.2 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:
. All regulatory required policies/procedures and training for OSHA, EPA and
FMCSA
. Medical monitoring, as necessary
. Use of Personal Protective Equipment (PPE) and chemical detection equipment
. Hazard communication
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. Pre-test and daily toolbox meetings
. Continued evaluation of work and potential hazards
. Near-miss and incident repofting 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".
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3.O 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 Methods 3A, 78, and 1O, Determination of oxygen,
Nitrogen Oxides, and Carbon Monoxide Concentrations in
Emissions from Stationary Sources (Instrumental Analyzer
Procedure)
Concentrations of Oz, NOx, and CO are measured simultaneously using EPA Methods 3A,7E,
and 10, which are instrumental test methods. Conditioned gas is sent to a series of
analyzers to measure the gaseous emission concentrations. The performance requirements
of the method must be met to validate the data.
peftinent information regarding the performance of the method is presented below:
. A dry extractive sampling system is used to repoft emissions on a dry
basis.
. A paramagnetic analyzer is used to measure Oz.
. A chemiluminescent analyzer is used to measure NOx.
. A gas filter correlation nondispersive infrared analyzer is used to
measure CO.
. The alternative NOx converter efficienry test described in EPA Method
7E Section 16.2 may be used (bag procedure).
. Anticipated calibration span values are O-2Lo/o Oz, 0-25 ppmvd NOx,
and 0- 25 PPmvd CO
. Prior to conducting the MTA testing, a stratification traverse of the
effluent gas will be conducted. If the three (3) traverse points
(located L6.7o/o,50o/o, ?nd 83.3olo of the inside diameter traverse line)
show that the effluent gas at each point does not very by * 5.0
percent of the mean concentration or + 0.5 ppm (whichever is less
restrictive), the gas stream is considered not stratified, and the use of
a single point may be used for sampling.
. Minimum Required Sample Duration: 21 minutes
The typical sampling system is detailed in Figure 3-1.
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Figure 3-1
US EPA Methods 3At 7E, and 1O Sampling Train
3.1.2 EPA Method 19, Determination of Nitrogen Oxide and Carbon
Monoxide Emission Rates
EPA Method 19 is a manual method used to determine NOx and CO emission rates, in units
of lb/hr, from the measurement of the heat input rate, stack concentration of Oz, and an F
factor, The metered fuel flow rate is recorded during each test period. Typically, fuel flow
rates are reported in scflhr or lblhr.
Pertinent information regarding the performance of the method is presented below:
. F factor is the oxygen-based F factor, dry basis (Fa)
. F factor is the published source-based F factor in EPA Method 19,
Table 19-2
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SIGNAL
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MmffiEilMvlvE8
ffiMffiffifttroo{TuvlE
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ffiNilPBM^mMMffi4VAE
HEATEO
SAMPLE
UNE
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4.O Quality Assurance and Reporting
4.L 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 peform 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
repofted and addressed through the corrective action system.
4.2.t Equipment Inspection and Maintenance
Each piece of field equipment that requires calibration is assigned a unique identification
number to atlow 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"forthis project are29.92
inches of mercury and 58 oF.
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4,4 Sample Identification and Custody
No samples are required to be recovered for this test program.
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 D7O36'O4 (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 (A2lX). 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 unceftainty 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.L 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 Repofting
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 repofts 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
present copies of the intermediate calculations and example calculations, raw field data,
laboratory analysis data, process data, and equipment calibration data.
4.6.t 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 repoft.
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L7 of 46 GP08 1AS-04 6248-PP-922
Cover Page
Ceftification of Repoft
of Contents
1.0 Introduction
Plant and Sampling Location Descriptions
Sampling and Analytical Procedures
Test Discussion and Results
Intemal QA/QC Activities
0
3.0
.0
5.0
D
E
Field Data and Calculations
Facility CEMS and Process Data
Laboratory Analysis Data
Qua lity Assura nce/Quality Control
Regulatory Information
Figure 4-1
Typical Repoft Format
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 CEMS parameter/set
of units and compare them to their respective M requirements.
18 of 45 G P08 1AS-046248-PP-922
Table 4-1
Example Nitrogen Oxide (ppmvd) RATA Results - Nebo EU #2
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1 xx/xx/xxxx xxxx-xxxx xx xx xx x xx
2 xx/xx/xxxx xxxx-xxxx XX xx xx x xx
3 xxlxx/xxxx xxxx-)oofi XX XX xx x xx
4 xx/xx/xxxx xxxx-xxxx XX xx XX x xx
5 xx/xx/xxxx xxxx-nofi xx xx xx x XX
6 xxlxx/xxxx xxxx-xxxx xx xx xx x xx
7 xxlxx/xxxx xxxx-xxxx xx xx XX x xx
8 xx/xxlxxxx xxxx-xxxx xx XX xx x xx
9 xx/xx/xxxx xxxx-xxxx XX xx xx x xx
10 xx/xx/xxxx xxxx-xxxx xx xx xx X xx
11 xxlxx/xxxx xxxx-xxxx xx xx XX x xx
t2 xx/xx/xxxx xxxx-xxxx XX XX xx x xx
Averages xx XX XX xx
Applicable Standard (AS)XX ppmvd
Standard Deviation XX ppmvd
Confi dence Coefficient (CC)xx ppmvd
Bias AdJustment Factor (BAF)xx
Unit Load xx MW
RA based on mean RM value XX o/o
RA based on AS xx o/o
RA based on difference plus CC xx ppmvd
RA based on absolute difference xx ppmvd
19 of 46 GP08 1AS-04 6248-PP -922,
Appendix A
Supporting Information
G P08 1AS-04 6"48-PP -922
Appendix A.t
Units and Abbreviations
GP08 1AS-04 6248-PP-922
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6 f,l?.,NT+g'S.E
@Xo/o 02
lccl
ldloc
oF
oR
" Hzo
't3.6
AH
AP
e
1.rs
Pa
P*
acfm
,\
A
Btu
Bm
ca
Cers
Cor,
cf or ft3
cfm
Cc.,
cM
cm or m3
Cr',ll
co
cp
ca
CS
cs
cv
D
dcf
dcm
Dn
D"
dscf
dscfm
dscm
Fd
fpm
fps
ft
#
s
gal
gr
UNITS OF MEASUREMENT
conected to X% o4ygen (conected for dilution air)
absolute value of the confidence coefficient
absolute value of the mean differences
degrees Celsius
degrees Fahrenheit
degrees Rankine
inches of water column
specific gravity of mercury
pressure drop across orifice meter, inches H2O
velocity head of stack gas, inches H2O
total sampling time, minutes
microgram
density of acetone, mg/ml
density of water, 0.9982 g/ml or 0.002201 lb/ml
actual cubic feet of gas per minute at stack conditions
cross-sectional area of nozle, #
cross-sectional area of stack, square feet (ff)
British thermal unit
proportion by volume of water vapor in gas stream
particulate matter concentration in stack gas, gr/acf
average unadjusted gas concentration, ppmv
measured concentration of calibration gas, ppmv
cubic feet
cubic feet per minute
average gas concentration adjusted for bias, ppmv
average of initial and final system bias check responses ftom upscale calibration gas, ppmv
cubic meters
actual concentration of the upscale calibration gas, ppmv
average of initial and final system bias check responses from low-level calibration gas, ppmv
pitot tube coefficient
particulate matter concentration in stack gas, gr/dscf
calibration span, % or ppmv
measured concentration of calibration gas, ppmv
manufactured certified concentration of calibration gas, ppmv
drift assessment, % of sPan
dry cubic feet
dry cubic meters
diameter of nozzle, inches
diameter of stack, inches
dry standard cubic feet
dry standard cubic feet Per minute
dry standard cubic meters
F-factor, dscf/MMBtu of heat inPut
feet per minute
feet per second
feet
square feet
gram
gallons
grains (7000 grains per pound)
22 of 46 G P08 1AS-046248-PP -92'2
6/'i\ I+?N,I*9"IF,
gr/dscf
hr
I
in
k
K
K3
]q
kg
Kp
kwscfh
I
lb/hr
lb/MMBtu
lpm
m
M
m'
ma
Md
meq
mg
Mg
min
ml or mL
mm
MM
MMBtu/hr
mn
mol
mol. wt. or MW
M"
MW
n
ng
nm
Nm3
E'I bar
ps
Ps
Dlm
ppb
PPbv
ppbvd
ppm
ppmv
ppmvd
ppmvw
Ps
psi
psia
PSig
UNITS OF MEASUREMENT
grains per dry standard cubic feet
hour
percent of isokinetic samPling
inch
kilo or thousand (metric units, multiply by 103)
kelvin (temPerature)
conversion factor 0.0154 gr/mg
conversion factor 0.002668 ((in. Hgxft3))/((mlX'R))
kilogram
pitot tube constant (85.49 fUsec)
thousand wet standard cubic feet per hour
liters
pounds per hour
pounds per million Btu
liters per minute
meter or milli
thousand (English units) or mega (million, metric units)
cubic meters
mass of residue of acetone after evaporation, mg
molecular weight of stack gas; dry basis, lb/lb-mole
milliequivalent
milligram
megagram (106 grams)
minute
milliliter
millimeter
million (English units)
million Btu per hour
total amount of particulate matter collected, mg
mole
molecular weight
molecular weight of stack gas; wet basis, lb/lb-mole
molecular weight or megawatt
number of data Points
nanogram
nanometer
normal cubic meter
barometric Pressure, inches Hg
picogram
stack static pressure, inches H2O
barometric pressure of dry gas meter, inches Hg
parts per billion
parts per billion, bY volume
parts per billion by volume, dry basis
parts per million
parts per million, bY volume
parts per million by volume, dry basis
parts per million by volume, wet basis
absolute stack gas pressure, inches Hg
pounds Per square inch
pounds per square inch absolute
pounds per square inch gauge
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I23 of 46 G PO8 1AS-04 6248-PP -922
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t UNITS OF MEASUREMENT
standard absolute pressure, 29'92 inches Hg
volumetric flow rate, actual conditions, acfm
volumetric flow rate, standard conditions, scfm
volumetric flow rate, dry standard conditions, dscfm
idealgas constant 21.85 ((in. Hsl (fftry(Cnl (lbmole))
post-run sYstem bias check, % of sPan
pre-run sYstem bias check, % of sPan
standard cubic feet
standard cubic feet Per hour
standard cubic feet Per minute
standard cubic meters
standard cubic meters Per hour
second
square feet
standard
metric ton (1000 kg)
t-value
absolute average ambient temperature, oR (+459'67 for English)
absolute average dry gas meter temperature, oR (+459'67 for English)
ton = 2000 Pounds
tons per hour
tons perYear
absoiute average stack gas meter temperature, oR (+459'67 for English)
absolute temperature at standard conditions
volt
volume of acetone blank' ml
volume of acetone used in wash, ml
total volume H2O collected in impingers and silica gel' grams
volume of gas sampled through dry gas meter, ft3
volume of gas measured by the dry gas meter, conected to standard conditions, dscf
strack gas volume samPled, acf
volume cotlected at stack conditions through nozzle, act
average stack gas velocity, feet per second
volume of water vapor condensed, conected to standard conditions, scf
volume of water vapor in gas sampled from impingers, scf
volume of water vapor in gas sampled from silica gel' scf
watt
weight of residue in acetone wash, mg
total weight of imPingers, grams
total weight of silica gel' grams
dry gas meter calibration fac{or, dimensionless
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Psu
Q.
Qs
Qsu
R
SBnn"t
SBr
scf
scfh
scfrn
scm
scmh
sec
sf, sq. ft., or d
std
t
T o.srs
Ta
Tm
ton or t
tph or tons/hr
tpy or tons/Yr
T8
T"ta
V
%
V"*
V"v.
Vnr(std)
vm
vn
vs
Vqdstd)
V*i("ta)
V' 6g1sto1
W
w"
Wr,r,p
Wss
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I 24 of 46 G P0 8 1 AS - 04 6248 -PP -922
64\ I,I?N,I+P.I"E,
AAS
ACDP
ACE
AD
ADL
AETB
AS
ASTM
BACT
BDL
BHP
BIF
BLS
cc
CD
CE
CEM
CEMS
CERMS
CET
CFR
CGA
CHNOS
CNCG
CO
coc
COMS
CPM
CPMS
CT
CTM
cTo
CVAAS
Do
DE
Dioxins
DLL
DNCG
ECD
EIT
ELCD
EMPC
EPA
EPRI
ES
ESP
EU
FCCU
FGD
FI
FIA
FID
FPD
FPM
ABBREVIATIONS
atomic absorption spectroscoPY
air contaminant discharge Permit
analyzer calibration enor, percent of span
absolute difference
above detection limit
Air Emissions Testing BodY
applicable standard (emission limit)
American Society For Testing And Materials
best achievable control technology
below detection limit
brake horsepower
boiler and industrial fumace
black liquor solids
confidence coefficient
calibration dffi
calibration enor
continuous emissions monitor
continuous emissions monitoring system
continuous emissions rate monitoring system
calibration enor test
Code of Federal Regulations
cylinder gas audit
elemental analysis for determination of C, H, N, O, and S content in fuels
concentrated non-condensable gas
catalytic oxidizer
chain of custody
continuous opacity monitoring system
condensable particulate matter
continuous parameter monitoring system
combustion turbine
conditional test method
catalytic thermal oidizer
cold vapor atomic absorption spectroscopy
equivalent diameter
destruction efficiency
polychlori nated dibenzo-p-dioxins (PCDDS)
detection level limited
dilute non-condensable gas
electron capture detector
Engineer ln Training
electrolytic conductivity detector (hall detector)
estimated maximum possible concentration
US Environmental Protection Agency
Electric Power Research lnstitute
emission standard (applicable limit)
electrostatic precipitator
emission unit
fluid catalytic cracking unit
flue gas desulfurization
flame ionization
fl ame ionization analyzer
fl ame ionization detector
flame photometric detector
fi lterable particulate matter
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I25 of 46 G P08 1AS-04 6248-PP -922
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I FTIR
FTPB
FTRB
Furans
GC
GC/MS
GFAAS
GFC
GHG
HAP
HC
HHV
HPLC
HRGC/HRMS
HRSG
tc
ICAP
ICPCR
ICP-MS
IR
rso
KW
LFG
LHV
LPG
MACT
MDI
MDL
MNOC
MRL
MS
NA
NCASI
NCG
ND
NDIR
NESHAP
NG
NIOSH
NIST
NMC
NMOC
Nt\A/OC
NPD
NSPS
OSHA
PAH
PCB
PCWP
PE
PFAS
PI
PID
PM
ABBREVIATIONS
Fourier-transform infrared spectroscopy
field train proof blank
field train recovery blank
polychlorinated dibenzoturans (PCDFS)
gas chromatograPhY
gas chromatography/mass spectroscopy
graphite fu mace atomic absorption spectroscopy
gas filter conelation
greenhouse gas
hazardous air Pollutant
hydrocarbons
higher heating value
high performance liquid chromatography
high-resolution gas chromatography/high-resolution mass spectroscopy
heat recovery steam generator
ion chromatograPhY
inductivety-coupled argon plasma emission spectroscopy
ion chromatography with a post-column reactor
inductively coupled plasma-mass spectroscopy
infrared radiation
lntemational Standards Organization
kilowafts
landfill gas
lower heating value
liquified petroleum gas
maximum achievable control technology
methylene diPhenYl diisoryanate
method detection limit
maximum normal operating conditions
method reporting limit
mass spectrometry
not applicable or not available
National Council For Air And Steam lmprovement
non-condensable gases
not detected
nondispersive infrared
National Emissions Standards For Hazardous Air Pollutants
natural gas
National lnstitute For Occupational Safety And Health
National lnstitute Of Standards And Technology
non-methane cutter
non-methane organic comPounds
non-methane volatile organic compounds
nitrogen phosphorus detector
New Source Performance Standards
Occupational Safety And Health Administration
polycyclic aromatic hydrocarbons
polychlorinated biphenyl compounds
plywood and composite wood products
Professional Engineer
per- and polyfluoroalkyl substances (PFAS)
photoionization
photoionization detector
particulate matter
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I 26 of 46 G P08 lAS-04 6248-PP -922
^/i\
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PMro
PMz.s
POM
PS
PSD
PSEL
PST
PTE
PTM
oA/oc
QI
QSTI
RA
RAA
RACT
RATA
RCTO
RICE
RM
RTO
SAM
SCD
SCR
SD
Semi-VOST
SRM
TAP
TBD
TCA
TCD
TGNENMOC
TGNMOC
TGOC
THC
Trc
TO
TO
TPM
TSP
TTE
ULSD
UV
VE
voc
VOST
WC
WWTP
ABBREVIATIONS
particulate matter less than 10 microns in aerodynamic diameter
particulate matter less than 2.5 microns in aerodynamic diameter
polycyclic organic matter
performance specifi cation
particle size distribution
plant site emission limits
performance specifi cation test
permanent total enclosure
performance test method
quality assurance and quality control
Qualified lndividual
Qualified Source Testing Individual
relative accuracy
relative accuracy audit
reasonably available control technology
relative accuracy test audit
rotary concentrator thermal oxidizer
stationary reciprocating internal combustion engine
reference method
regenerative thermal oxidizer
sulfuric acid mist
sulfur chemiluminescent detector
selective catalytic reduction system
standard deviation
semi-volatile organic compounds sample train
standard reference material
toxic air pollutant
to be determined
thermal conductivi$ analyzer
thermal conductivity detector
total gaseous non-ethane non-methane organic compounds
total gaseous non-methane organic compounds
total gaseous organic compounds
total hydrocarbons
tentatively identifi ed compound
thermal oxidizer
toxic organic (as in EPA Method TO-15)
total particulate matter
total suspended particulate matter
temporary total enclosure
ultra-low sulfur diesel
ultraviolet radiation range
visible emissions
volatile organic compounds
volatile organic sample train
water column
waste water treatment plant
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I27 of 46 G P08 1AS-04 6248-PP -922
H2
Hzo
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Ag silver
As arsenic
Ba
Be
c
cd
CdS cadmium sulfide
CH2O formaldehYde
CH3CHO acetaldehYde
CftOH methanol
CHa methane
QHrO ethYlene oxide
CzHo ethane
CaH4O acrolein
CaH6O proPionaldehYde
CsHa propane
C6H5OH phenol
Clz chlorine
ClO2 chlorine dioxide
CO carbon monoxide
Co
Coz
Cr
Cu
cobalt
carbon dioxide
chromium
c!pper
barium
beryllium
carbon
cadmium
CHEMICAL NOMENCLATURE
Se selenium
SOz sultur dioide
SOg sulfur trioxide
SO, sulfur oxides
TCDD tetrachlorodibenzodioxinTCDF tetrachlorodibenzofuran
TGOC total gaseous organic concentration
THC total hYdrocarbons
Tl thallium
TRS total reduced sulfur compounds
Zn zinc
EtO ethylene oxide
EIOH ethyl alcohol (ethanol)
hydrogen
water
HtOz hydrogen Peroxide
HzS hYdrogen sulfide
H2SO4 sulturic acid
HCI hydrogen chloride
Hg mercuryIPA isoProPYl alcohol
MDI methylene diphenyl diisocyanate
MeCl2 methYlene chloride
MEK methYl ethYl ketone
MeOH methanolMn manganeseN2 nitrogen
NHs ammonia
Ni nickelNO nitric oxide
NOz nitrogen dioxide
NO, nitrogen oxides
02 orygen
P phosPhorus
Pb leadPCDD polychlorinated dibenzo-pdioxins
PCDF polychlorinated dibenzofurans
28 of 46 G P08 1AS-04 6248-PP -922
Appendix A.2
Accreditation Informatio n / Certifications
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Appendix rrs"
Site Specific Safety Plan
G P08 1AS - 04 6248 -PP -922
M MOi{TROSE
SITE SAFETY PLAN BOOKLET
Project: PRoJ-046248
Customer: UAMPS
Location: Pavson. Utah
Units: GE Frame 7EA/HRSG Gas-Firec
Client Project Manager: Chevnev Guvmon
Revision Date: June 29th,2023
33 of 46 GP08 1AS-04 6248-PP -922
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Page 1 of2
site safety Plan and JHA Purpose and lnstructions
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 hlzards 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 saf![ 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 phylical and health hazards and determining how the hazards will be managed.
Additionally, t-he SSP will help each crew manage the safety of the employees by providing
"r"rg"n"y procedures and information. The booklet contains a several safety forms that may
be required in the field.
lnstructions
The SSP consists of the following:
1. A pre-Mobilization Test plan - To be completed in it's entirety by the client project Manager
prior to the test.
2. A Job HazardAnalysis is a standardized, two-page, fillable form that is used to evaluated the
taspsite's particular hazards and controls. The form also includes a daily toolbox topic and
daily hazaid review with sign off by the team. The client Project Manager is responsible to
complete the JHA form through section 8. Upon arrival at the test site, the team will review the
form for accuracy, making any corrections required and complete the remainder of the JHA.
Section g will require at least three tasks, hazards and controls be identified for the project.
Each team member has the option to discuss making changes or adding to the JHA and must
sign on the Job HazardAnalysis form in agreement and sign in Section 10. The JHA is to be
modified when conditions change. A toolbox meeting with a daity topic in addition to a review of
the hazard analysis is required daily for the duration of the test. An additional sheet of paper
with the toolbox topic and signatures can be added to the SSP packet.
3. Hazard Control Matrix - contains useful information on both engineering and
administrative controls that a crew can use to reduce or eliminate the hazards they have
observed plus applicable PPE that may be required.
4. Emergency Action Plan - The Job Supervisor/ Client Project Manager (CPM) will complete
the EmJrgenty Action Plan form and ensure that all employees are familiar with the facility
em"rg"nJy and evacuation procedures, assembly/ rally points, alert systems, and signals prior
to woik commencing. ln 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, signed, and posted.
5. Additional Forms, as aPPlicable
a. MEWP Lift lnsPection Form
b. Heat Stress Prevention Form Based on Heat lndex
c. Extended Hours Form
34 of 46
AQS-FRM-1.13R1
G P08 1AS-04 6248-PP -927
Av^., Mt)N lR(-)\t
Page2of 2
Site Safety Plan and JHA Purpose and lnstructions
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
G P0 8 1AS- 04 6248 -PP -92235 of 46
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Page I of 2
PRE-MOBI LIZATION TEST IN FORMATION
Source Tvpe: New Source: _ Revisit: X Prj#/Date/Tes6' PROJ-039393/5/29I24ICG & JA
CoalFired Electric Utility:
-
Ethanol Plant:
-
Chemical Mfg. of
CemenULime Kiln Plant
-
Specialty Mfg. of: Other: Gas-Fired Turbine
Anticipated Effluent Composition - check all that apply and fill in expected concentration in ppm/%
aztrtrrl
CO NOx SOz VOC other
lf other, explain: < 10 ppm Co; <10 ppm Nox; 15% 02
Flammable: Toxic: Corrosive: Dust:
Engineering Controls to be lmplemented:
PROJECT NAMULOCATION:pROJECT g. PROJ-046248
TEST DATEl Dec.3,2024 pROJECT MANAGER: Cheyney Guymon
TEST SCOpE; New CEMS Certification - GE Frame 7EA'IHRSG Gas-Fired Turbine EU #2 RATA
SITE CONTACT: Name; Dave G"Tr9!1 Contact phone: 801-9254012
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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 21Oto 450 450 to 950 above 950 other
lf other, explain:
Approximate Duct Pressure, (iwg):
?trtrtr
-3 -3 to +3 +3 to +7 above +7 other
lf other,
n
below
explain: _
36 of 46
AQS-FRM-1.17
GP08 1AS-04 6248 -PP -922
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Page2of 2
Sampling Location: Stack Port _
Approximate Sampling Platform Height, (ft)
n
below 6
lf other, explain:
E
50 to 100
Duct Port _
tr
above 100
tr
6to50
Access and Protection:
Elevators:Ladders: X
Guardrails: X Toe plate:
-Other:
lvl(.)Nlhrrri
PRE.MOBILIZATION TEST I N FORMATION
tr
other
MEWP Lift: _ Scaffold:
-
Equipment Hoist:
-Engineered Tie Off Points:
-
Heat Shield:
-
Describe how equipment will be mobilized to the sampling location:
Hoisted or hand canied
Additional lnformatlon:I
I
Effluent Chemical Requlatory Limits
Gas Name Chemical
Formula
Ca! OSHA PEL1
(ppm)
Cal OSHA
STEL2
(oom)
NIOSH REL
TWA3 (ppm)
Cal OSHA
Gelllng
{oom)
IDLH.
(ppm)
Carbon Monoxide co 25 200 35 200 1,200
Nitric Oxide NO,25 ND5 25 ND 100
Sulfur Dioxide SOz 2 5 2 ND 100
Hvdrooen Chloride HCr 0.3 2 ND 2 50
Hydrogen Sulfide HzS 10 15 10 (10 min.)c 50 100
)alifomia Accupational Safety and Health Administration (OSHA) Permissible Exposure Limit (PEL) based on an l-hour shifr;
2: Cal OSHA Shorl-term Exposure Umit (STEL) based on a 15-minute peiod;
3: National tnstitute for Occupational Safety aid Health (NIOSH) Reammended Exposurc Umit (REL) Time-weighted Avenge (TWA) based
on an 8-hour shift;
4: lmmediately Dangerous to Life or Health (IDLH);
5: Not Defined (ND);
C: Ceiling Linit' - Maximum allowable human exposure timit for an airbome or gaseous substance, which is nof to bo exceeded, even
momentaily.
Date: September 30, 2024
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Reviewed by:
AQS-FRM-1.17
G P08 1AS-04 6248-PP -922
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Joby Dunmire
37 of 46
Date:
3lient UAMPS Contact Name 0d6 Gammoll Date Deember 3, 2024
Facilitv PqEon, Ulah SSP Writer PM
IClient Rep I '
Job Preparatlon
ft .too Site Walk Through Completed ! site Specific Training Complete
fl Sate Work Permit Received from Client
lf the heat lndex ls expected to be above 91', flll out the Heat Stress Preventlon Form'
1of3Job Hazard AnalYsis
Glasses[SafetyToeShoe/Boot[HearingProtection!SafetySpotter
E Hi-Ms Vests E Hamess/Lanyard* [ Goggles E Personal Monitor Type:
E Metatarsal Guards E Hot Gloves EJ Face Shield E Respirator Type:
E Nomex/FRC E Other PPE:
AQS.FRM-1.18
GP08 1AS-04 6248-PP -922
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Facillty lnformation/Emergoncy Preparedness
lf non.emergency medical attontion is needed, call: AXIoM #: 877-502-9466.
Plant Emergency #
EMS Location
Certified First Aid Person:
Evacuation Routes Rally Point
Severe Weather Shelter Location Eye Wash & Safety Shower Location
Operational: EYes EI No
lnformatlon: (llst tYPe):
Stack Gas femp. ff1 Stack Gas Press. ('H2O) Stack Gas Components:
stack Gas tnhatation poter[iiF E]Yes E tto tf y"r, ""ilot ry?z4rd-q!9ntl99l9:-
Rlsk
El time Pressure
E Lack of procedures
E Monolonous
E Remote Work Location
E Extreme temps, wind >30mph
E first Oay back afier time off
E > 12 hrshift
E Personal illnessffatigue
EI Wo*ing > 8 consecutive da),s
E Vague work guidance
E other:E uutttpte joo locations
Hazards
Dust Hazards
Thermal Bum
Electrical Hazards
lnadequate Lighting
Slip and Trip
Hand Protection
Secondary Permits
Working from Heights
See also Sect T
Electrical
Liftng
Respiratory
See also Sect. 8
Hazards for Consideration
Hazard Gontrols
fl Dust Mask E Goggles E other:
E Hot Gloves El Heat Shields fl ottrer Protective Clothing:
El Connections Protected from Elemenb E Extemal GFCI E Other:
El Xe nating Requirement E lntrinsically Safe Requirement
E] lnstall Temporary Lighting I Headlamps
I Housekeeping E Banicade Area EI other:
.'ral E etecE Cut Resistant Gloves E Pinch Pts. EI General E Electrical ! lmpact Resistant
E other:
E Hot wort E Confined space fl Excavation
E faning objects E Fa[ protection E Orop zone protection I etatform load ratings
E ScafotO inspection E Ladder inspection E Banicades for equipment
E Exposed wire/connector E] Verity equipment groundinS tr] Arc Flash
I Crane lift plan E] R6ging inspection E tag lines used E xoiss in place
E Unexpected exposure E Chemical E Dust (combustible) E PEL provided
E cartridoes or supplied air available E] Gas detection
38 of 46
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Additlonal Work Place Hazards
Job Hazard Analysis 2of3 t
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Crltlcal Procedures - check all that apply -'indicates additional form must be completed or collected from client
E Heat Stress Prevention' Et Confined Space* E MEWP* E Roof Work E ScaftotO
EICotO Weather Work I Hazardous Energy Control- E Exposure Monitoring f] Other:
From Helghts
Fall Protection
Fal ling Objects Protectlon
Fall Hazard Communication
iE fixeO Guardrails/Toe boards E fatt Prevention PPE Waming Line System
i E ganicaOing tr Netting fl House Keeping flTethered Tools E Catctr Blanket or Tarp
i E AdjacenVOverhead Workers E Contractor Contact E Client Contact
8.
9.
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AQS.FRM-1.18
G P08 1AS-04 6248 -PP -9 22
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Other Considerations
Environmental Hazards - Weather Forccast
E] HeaUCotd EUigntning E Rain E Snow E lce E Tomado EIWind Spoed
Steps for Mitigation:
rctrical Safety Planning
plantHookup: Ettov fl22ol24ov E +aov E Generator ElHardwiredintopanel
Electrical Classified Area: flYes ! No Trailer Grounded: E Yes EI t'to Plug Type
Electrical Hook Up Responsibility:
Llst of Hazardous Chemicals
E Acetone Ef nitric Rciu
Lrrngr unemlgat:';
E Hydrogen Peroxide f] compressed Gases
El Hexane ESufuric Acid E lsopropyl Alcohol E Flammable Gas
fl Toluene E Hydrochloric Acid E uquiO Nitrogen f] Non-Flammable Gas
tl gzs E carbon Monoide
Steps for Mitigation:
fildlife/Fauna in Area
f] Poison ruv E Poison oak Elnsects:IWildlife:
Personnel M known allergies to bees stings or other allergens? ! Yes E]tto
Observed Hazards and Mitlgation
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Job Hazard Analysis 3 of 3
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I AQS-FRM-1.18
G P08 1AS-04 6248-PP -922
JHA REVIEW: CrPw Names & Signatures
Prlnted Name Slqnature Date Prlnted Name Slqnature Date
Dailv JHA Meetins & Review
Items to revlew:
o Change in conditions o Extended work hours o Daily Safety Topic
e New workers or conhctors r Occunence of near misses or injuries
lniilating domonstrates that slte conditions and hazards have not changed from ihe origlna! SSP. lf changes did occur, make the
noceasary updates to thls JHA and add notes as applicable in Section 9'
Day Dlscusslon Toplc lnltlals
2
3
4
5
6
7
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The Job supewlsor/ cllent proJect Manager (cpM) wlll ensure that all employees are famtllar wlth the faclllty emergency and evacuatlon
procedures, a$embly/ rally polnts, alert systems, and signals prior to work commencing. ln the event of an emergenry sltua0on/
evacuailon, the Job supeMior/ GpM trlll malntaln a roster and be responslble for accoJnung for all employees' The Job supervlsor/
GpM wlll ensure that thls Emergenry Acfion Plan Form ls completed, communicated to alt employees, and posted'
.uou must follow lhe cllent's emergency actlon plan flrct, and notify your supervisor lmmodlately'
.lf incident ls tife threatenlng, GALL 911 IMMEDIATELLY
.Enon{morgoncymodlcal "tt*tfon l" neodod, ""tt AXOU M"dl""l ffi
/aY-, MtlN lR()lt Page 7 of 2
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1 MEG Job Supervisor/ CPM's Name:
MEG Job Supervisor/ CPM's Telephone Number:2
MEG Job Safety Supervisor (if applicable):3
4 MEG Job Safety Supervisor's Telephone N!'nqg!
5 Plant's Emergency Telephone Number:
Loca! Hospital/ Cllnic Telephone Number:6
7 Emergency OPs Radio Ghannel:
Ptanfs #l Contact Person's Name:8
I Plant's #l Gontact Person's Telephone Number:
10 Plant's #2 Gontact Penson's Name:
11 Plant's #2 Contact Person's Telephone Number:
12 Designated Assembly Point Location:
13 Evacuation Routes:
14 Severe Weather Shelter Location:
15 Eye Wash and Safety Shower Location:
16 The Flrst Aid Kit ls Located:
17 Ihe Fire Extinguisher is Located:
AQS-FRM-1.11 47 of 46 G P08 1AS-04 6248-PP'922
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EMERGENCY EVACUATION AND ASSEMBLY MAP
Page 2 of 2
1 Facility Name:
2 Facllity Alarm (Clrcle):YES or NO
3
Alarm Tones:
CHEMICAU
SHELTER.IN.PUCE: ;
EVACUA
tt?r.,ED.
4 Designated Shelter(s) Description:
5 Deslgnated Assembly Polnt(s) Description:
N*4,Y
s
EMERGENCYACTION PIAN FORM AND EVACUATION ASSEMBLY MAP REVIEW: Crew Names and Signatures
Printed Ndme:Signature:Dote:Printed Name:Sianature:Date:
AQS.FRM.1.11
42 of 46 G P08 1AS-04 6248-PP -922
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Page 1 of 1
Daily MEWP Lift lnspection Form
All checks must be completed prior to each work shift, before operation of the MEWP lift. This checklist must be used
atthe beginning of each shift or following 6 to 8 hours of use.
MEWP Lift Model #:Serial Number:
Make:Rented or Owned:
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Yes No N/A
ntrtr
trn!
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. Check Yes" if an item is adequate, operational, and safe.. Check "No" to indicate that a repair or other conective action is required prior to use.
. Check "N/A" to indicate "Not Applicable.'
Items to be lnspected
1. All MEWP lift components are in working condition (i.e. no loose or missing parts, tom or
loose hoses, etc.) - if something can be easily loosened by hand then it is not sufficient.
2. Hydraulic fluid level is sufficient, with the platform fully lowered
3. Hydraulic system pressure (see manufacturer specs) is acceptable'- lf 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. Waming and instructional labels are legible and secure, and load capacity is clearly marked.
10. Manufacture/s lnstruction Manual is present inside the bucket
1 1. Base controls (switches and push buttons) can be propedy 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 otherwlse speclfied by manufac'turer
recommendations.
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DN
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Operator Name & Signature Location Date
TGround Control Name & Signature Location Date
Harness lnspections:I
Printed Name Signature Date I
Printed Name Signature Date
IPrinted Name Signature
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Date
AQS.FRM-1.16
G P08 1AS-04 6248-PP -922 I
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/Aaf MoNTROSE Page 1 of 1
Extended Hours SafetY Audit
Project Number:Date:Time:
When a project is expected to extend past a 14-hour work day, this form must be completed to evaluate
the condition of the crew, and the safety of the work environment.
permission to proceed into extended work hours must come from a District Manager (DM) or RegionalVice
president (RVP). Technical RVPs can authorize moving fonruard, if they are in the field or if they are
managing the Project.
1. Hold test crew meetino Test crew initials:
The test leader should look for signs of the following in their crews:
. lnitability. Lack of motivation. Headaches. Giddiness
. Fatigue. Depressionr Reduced alertness, lack of concentration and
memory
The test leader should assess the environmental and hazardous concems:
a
a
a
Temperature and weather
Lighting
Working from Heights
Hoisting
PPE (i.e. respirators, etc.)
Pollutant concentration in ambient air (SOz,
HzS, ect.)
a
a
a
Notitu DM or RVP
The PM must contact either the DM or RVP to discuss the safety issues that may arise due to the
extended work period. lf the DM is the acting PM on the job site, they must contact the RVP.
During this time, they can come to an agreement on how to proceed. ltemsto discuss include:
a
a
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Reason for extended hours
Reason for delay
Production limitations
lmpending Weather
Contact the client
The pM, DM or RVP must discuss with client any identified safety concems, the client's needs and
mutually agree on how to proceed. Discussion should also include the appropriate rest period
needed before the next day's work shift can begin. The DM and/or a RVP must be informed on the
finaldecision.
FlnalOutcome:
Approver:
OOlAS-SAFETY-FM-3
G P08 lAS-04 6248-PP -92244 of 46
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Page 1 of 1
Heat Stress Prevention Form
This form is to be used when the Expected Heat lndex is above 91" F, and is to be kept with project
documentation.
Proiect Manager (PM):Eroected Hioh Temp:
Date(s):Eroected Heat lndex:
Review the signs of Heat Exhaustion and Heat Stroke
lf Heat lndex is above 91' F:. provide cold water and/or sports drinks to allfield staff (avoid caffeinated drinks and energy
drinks which can increase core temperature).
o Bring no less than one gallon of water per employee
r If employee(s) are dehydrated, on blood pressure medication or not acclimated to heat,
ensure they are aware of the heightened risk for heat illness. Provide cool head bands/vestsietc.. Have ice available to employees. lmplement work shift rotations and breaks, particularly for employees working in direct
sunlight.r provide as much shade at the jobsite as possible, including tarps, tents or other acceptable
temPorary structures.r pM should interview each field staff periodically to evaluate for signs of heat illness
lf Heat lndex is above 103' F:. Employees must stop for drinks and breaks every hour (about 4 cups/hour)
. Employees are not permitted to work alone for more than one hour at a time without a
break offering shade and drinks. Employees should wear cool bands and vests if working outside more than one hour at a
time. PM should interview each field staff every 2 hours to evaluate for signs of heat illness
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Falnt or dizzy headache
Excessive sweatlnS No sweatlnB
,";;t':-$*,:t".ri-;=
ffiI :=r-.r"=o
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OOlAS-SAFETY-FM.s
G P08 1AS-04 6248-PP -922
This is the Last Page of This Document
If you have any questions, please contact one of the following
individuals by email or Phone.
Name: Cheyney Guymon
Title: Field Project Manager
Region: Great Plains Region, Utah Office
Email : chguymon@montrose-env.com
Phone: B0 t-362-4978
Name:
Title:
Region:
Email:
Phone:
Beckie Hawkins
District Manager
Great Plains Region, Utah Office
behawki ns@ montrose-env. com
80L-794-2950
OcI - 9 2024
DEPARTMENT OF
ENVIRONMENTAL OUALIry
D]VISION OF AIR OUALITY
46 of 46 GP08 1AS-046248-PP -922