DAQ-2024-006983

1

DAQC-257-24
Site ID 10238 (B5)
MEMORANDUM

TO: CEM FILE – PACIFICORP – Huntington Plant

THROUGH: Harold Burge, Major Source Compliance Section Manager

FROM: Rob Leishman, Environmental Scientist

DATE: March 14, 2024

SUBJECT: Source: Huntington Power Plant Units 1 and 2
Contact: Russ Wilson – 435-687-4331
Terry Guthrie – 435-687-4334
Location: Huntington Canyon, Emery County, UT
Test Contractor: Montrose Air Quality Services, LLC
FRS ID#: UT00000049001501001
Permit/AO#: Title V operating permit #1501001005, dated January 22, 2020
Last revised August 26, 2021
Subject: Review of RA/PST Protocol dated February 20, 2024

On February 26, 2024, DAQ received a protocol for a RA/PST (relative accuracy/performance
specification test) of the Pacificorp Huntington Plant Units 1 and 2 in Huntington, UT. Testing will be
performed on April 9th and 10th, 2024, to determine the relative accuracy of the O2, CO2, NOX, SO2, and
CO monitoring systems.

PROTOCOL CONDITIONS:

1. RM 1 used to determine sample velocity traverses: OK
2. RM 2G/H used to determine stack gas velocity and volumetric flow rate: OK
3. RM 3A used to determine dry molecular weight of the gas stream: OK
4. RM 4 used to determine moisture content: OK
5. RM 6C used to determine SO2 emissions: OK
6. RM 7E used to determine NOX concentrations of emissions: OK
7. RM 10 used to determine CO concentrations of emissions: OK
8. RM 19 used to determine volumetric flow: OK
DEVIATIONS: No deviations were noted.

CONCLUSION: The protocol appears to be acceptable.

RECOMMENDATION: Send attached protocol review and test date confirmation notice.

1 8 2
YrisJngo,s"P
Huntlngton Power Plant
6 miles west of Huntinglon, Wah on Hwy. 31
P.O. tux680
Huntirytorl Utan AISZA urAH DEPARTMENT oF
ENVIRONMENTAL OUAIJTY
February 20,2Il,24 f [b , L
Mr. Bryce Bird, Dlrec{or
State of UhhDlvisionofAirQuality DIVISION OF AIR QUALIT\,Department of Environmental Quallty
195 North 1950 West
Salt Lake City, Utah U11+482O
Attn: Rob Leishman
Re: Notlflcation of the Annua! Quallty Assurancc Retatlve Accuracy Teot Audlt on the
Gontlnuous Emhslon tonltorlng Systerns at PactflGorp's Huntlngfion plant Un]ts I and 2
Dear Mr. Bird:
Please be informed, the Huntington plant ls scheduling the annual quallty assurance Relatfue Accuracy
Test Attdits (RATA) on the Continuous Emlssion Monitoring Systems (dEMS) on units 1 and Z. Th;
testlng is scheduled to begin April 9, 2024. Testing willfollowihe scheduli listed-below.
Huntlngton UnlE I & 2 RATATettng Schedute - Ap:ll2024
Unlt Date Tlme Test
Load
Target
(ilWg)
Load
Rangc
(tlwg)
Load
Separatlon
(rw)
1 41912024
07:00{0:00 Lout/Mid Load Flor RATA 191 80-212 TI/A
09:00-09:30 Raise to Hlgh Load
09:30-10:30 Stmtlffcation Test .168 3//-!520 lrl/A
10:3G18:fl)High Load Gas/Flow RATA 488 3//-{520 110
2 u10t2024
07:0G09:00 Lor/Mid Load Flow RATA 188 80-209 N/A
09:fi){O:30 Raise to High Load
09:30-10:30 Stratification Test 459 338€10 N/A
10:3G18:00 High Load Gas/Flo,v RATA 459 348-510 108
Note: Tlme arc apprcxlmate and subJcc{ to change.
Enclosed for your review is the testlng protocol that will be followed by the stack testing t6am, i[ontros€
Air Quality Servlces.
S.hould yorfrave any questions regarding this testing schedule, please contac,t Terry Guthrle, Hunter andHuntington Plant Environmentral Manager at (435) Oe7-4334 or niyself at (4gS)fiT4211.
ri
Hunk and HunUngton Plent Marnglng Dlre6r
Rsoporuible Oficlal
Endosurec - Sourco Tect Plan, An24 Rddve Amracy Teet Audfir, Unlt I and Z, paolfiCorp HuntrgbnPoircr Plant
oc: Yqrn Joun Kfn - EPA Rsglon Vlll
Tom Wrcomb - ErMmnmentd Serylcoe - 210 NTO
Teny G-uffi -Hunbr andHunfipton plart Envlrmmenh! Managpr
Rngs Wlbon - Huntingbn Plant Fles
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Source Test Plan
2024 Relative Accuracy Test Audits
Unit 1 and Unit 2
PacifiCorp
Huntington Power Plant
Huntington, Utah
Prepared For:
PacifiCorp
L4O7 W North Temple, Suite 210
Salt Lake City, Utah 84116
Prepared By:
Montrose Air Quali$ Services, LLC
990 West 43rd Avenue
Denver, CO 80211
For Submission To:
Utah Division of Air Quality
195 North 1950 West
Salt Lake City, UT 84116
Document Number: GPO43AS-O36878-PP-AO7
Proposed Test Dates: April 9 - 10, 2024
Submittal Date: May 25t 2024
MUN IRU5Lffr\
[inH OTPARTMENT OF
ENVIRONMENTAL OUALITY
FEB 26 2tlll
DI\/ISION OF AIR OUALITY
r,; l
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.
2lt2l2o24
Tltle: eA/eC Analyst
I have reviewed, technically and editorially, details and other appropriate written materlals
contained herein. I hereby ceftify that to the best of my knowledge the presented material
is authentic and accurate and conforms to the requlrements of the Montrose Quality
Management System and ASTM D7036-04.
Slgnature:
Name:
Name:Tim Wojtach
Date:
Title:
21L212024
-7./'/1
sisnature - . .-,/7 1?4 'r' Date:/.- :_. _ \ / "__
,/.
Account Manager
G P043AS-036878-PP-807 Page 2 of 47
Table of Contents
Section Paqe
1.0 Introduction........ .......... 5
1.1 Summary of Test Program ...........,........ 5
7,2 Applicable Regulations and Emission Limits .....,. 6
1.3 Key Personnel........... ........... 8
2.0 Plant and Sampling Location Descriptions............., .................. 9
2,L Process Description, Operation, and Control Equipment ............. ....... 9
2.2 CEMS Description ...........9
2.3 Flue Gas Sampling Locations ................10
2.4 Operatlng Conditions and Process Data....... .....10
2.5 Plant Safety .............,....10
2.5.1 Safety Responsibilities..... ....................11
2.5.2 Safety Program and Requirements .........12
3.0 Sampling and Analytical Procedures ........13
3,1 Test Methods........... ....................13
3.1.1 EPA Method 2G .......... .........13
3.1.2 EPA Method 4............. .........15
3.1.3 EPA Methods 3A, 6C, 7E, and 10 ........... ................16
3.2 Process Test Methods............ ........18
4.0 Quality Assurance and Reporting..... ......,18
4.t QA Audits.. .........18
4.2 Quality Control Procedures ............18
4.2.1 Equipment Inspection and Maintenance............. ...................18
4.2.2 Audit Samples .........18
4.3 Data Analysis and Validation ...........19
4.4 Sample Identificatlon and Custody .................19
4.5 Quality Statement ...........19
4.6 Reportlng ..........'...... .....19
4.6.1 Example Report Format .........20
4.6.2 Example Presentatlon of Test Resu|ts.............. ,......2L
List of Appendices
Appendix A Supporting Information ......... ...................22
Appendix A.1 Units and Abbrevlations ....................23
Appendix A.2 Accreditation Information/Certifications ........... .................31
Appendix "S" Field Work Safety P1an......... ..................33
GP043AS-036878-PP-807 Page 3 of 47
List of Tables
Table 1-1 Summary of Test Program and Proposed Schedule... ....... 5
Table 1-2 Reporting Units and Applicable Standards........... .,.........6
Table 1-3 Summary of Part 60175 RA Requirements....... .,....7
Table 1-4 Test Personnel and Responsibllltles.... ...........8
Table 2-1 CEMS Information............. ........... 9
Table 2-2 Sampling Locations............ .........10
Table 4-1 Example NOx (lb/mmBtu) RATA Results - Unit Name .....2L
List of Figures
Figure 3-2 EPA Method 4 Sampling Train........ .............15
Figure 3-3 EPA Methods 3A, 6C, 7E, and 10 Sampling Train ..........t7
Figure 4-1 Typlcal Repoft Format ....,..........20
GP043AS-036878-PP-807 Page 4 of 47
X ,1 Surmrinary of lest FroS;F arffi
PacifiCorp contracted Montrose Air Quality Services, LLC (Montrose) to perform a RATA
program at Huntington Power Plant located near Huntington, Utah. Testing will be
conducted in accordance with the testing requirements of Utah Department of
Environmental Quality (UDEQ) Operating Permit 1501001004 and (as applicable) 40 CFR
Parts 60 and 75.
The specific objectives are to:
. Pefform annual Relative Accuracy Test Audits (RATAs) on the Continuous
Emission Monitoring Systems (CEMS) installed on Units I and 2
. 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
Propocod Load Acttvlty/i;;i;;t sourcc , lsval leioirn l.r,, ilo. ol i PoFtSonTgtllGthoda iRunr'" ! (fil0rrtGr,
>5 min
>5 min
21 min
>5 min
>5 min
21 min
Low/Midx Volumetric Flow Rate RATA EPA 1, 2GlH,3, 4 9-724/9/2024 Unit 1 High Volumetric Flow Rate RATA EPA 1, 2G1H,3,4 9-72High COz, SOz, NOx, CO RATAs EPA 34, 6C,7E, L0 9-L2
Low/Mid* Volumetric Flow Rate MTA EPA 1, zG/H,3, 4 9-L24lt0/2024 Unit 2 High Volumetric Flow Rate RATA EPA 1, 2G/H,3, 4 g-Lz
High COz, SOz, NO,, CO MTAs EPA 3A, 6C,7E, L0 9-L2
*Load levels for the flow RATAs will be determined based on a load analysis that will be run a few weeks before the
RATA as required by 40 CFR 75 App F 62.3.1.3(3).
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.
G P043AS-03687 I -PP -807 Page 5 of 47
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L.2 Applicable Regulations and Emission Limits
The results from this test program are presented in units conslstent wlth those llsted ln the
applicable regulations or requirements. The reportlng unlts and emlssion limits are
presented in Table 1-2.
Table 1-2
Rcportlng Unltr and Appllcablc Standardc
SOz, NOx, CO
GPO43AS-036878-PP-807 Page 6 of 47
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The RA requirements are presented in Table 1-3.
Tablc 1-3
c) Altemate ls for low flow (RM measul€ments are < 10.0 fps)
(2) Alternate is for low emltter (average SOe or NOx RM concentratlons are s 250 ppm, or average NOx RM emission
rates are s 0.200 lblMMBtu)
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Summaly of Part 60175 RA Rcqulrcm€nts
Part 6O
Sulfur Dloxlde (SOz)
1blhr PS-6 3 ZO.OVo of RM or S 10.0olo of AS
I{ltrogen Oxldec (l{Or as I{Oz)
tblhr PS-5 3 2O.Oo/o of RM or < 10.0olo of AS
Garton llonoxlde (GO)
ppmvw PS-4A 3 t0o/o of RM or 5 596 of AS or ldl + CC S 5 ppmvd CO
tblhr PS-6 3 2O.Oolo of RM or S 10.0% of AS
lblmmBtu PS-6 S 2O.Oo/o of RM or S 10.07o of AS
Part 75
Carbon Dioxldc (COz)
96 volume wet App. B Sect. 2.3.1.2 Annual: 3 7.5o/o of RM or * O,7o/o COz
9o volume wet App. A Sect.3.3.3 Semlannual: 3 10,0olo of RM or * 1.0olo COz
Yolumctrlc Flow
wscfrr App. B Sect. 2.3.1.2 Annuaf : S 7.5o/o of RM or + !.$ $s(r)
wscfrr App. A Sect.3.3.4 Semlannual: 3 10.09o of RM or * 2.0 frs(r)
Sulfur Dioxlde (SOe)
ppmvw App. B Sect. 2.3.1.2 Annual: 3 7.50yo of RM or * 12 ppm SO2G)
ppmvw App.A Sect. 3.3.1 Semlannual: S 10.07o of RM or + 15.0 ppm SOz(2)
Nltrogcn Oxldcr (NOr ar NOz)
lb/MMBtu App. B Sect. 2.3.1.2 Annual: 3 7.5o/o of RM or + 0.015 lblqmgtutzl
lblMMBtu App. A Sect.3.3.2 Semlannual: 3 10.09o of RM or + 0.020 lbltUUgtutzl
GPO43AS-O36878-PP-807 PageT of 47
1.3 Key Personnel
A list of project partlcipants ls included below:
Facility Information
Source Location: PacifiCorp
Huntlngton Wyoming Plant
8 Miles West of Huntington on Hwy 31
Huntington, Utah 84528
Tom Wiscomb
Sr. Environmental Advisor
PacifiCorp
[phone]
Tom. Wiscom b@pacifi corp.com
Utah Department of Air Quality
Rob Leishman
(801) s36-4438
[e-mail]
Russell Willson
Senior Environmental Analyst
PaciflCorp
(43s) 687-433t
Russel l. Wi I lson@Pacifi Corp.com
Testlng Gompany Information
Testing Firm: Montrose Air Quality Services, LLC
Contact: Craig Kormylo
Title: District Manager
Telephone: [phone]
Email: [e-mail]
Table 1-4 details the roles and responsibilities of the test team.
Table 1-4
Test Personne! and Responsibilities
Project Contact:
Role:
Company:
Telephone:
Email:
Agency Information
Regulatory Agency:
Agenry Contact:
Telephone:
Emall:
Facility interface, test crew coordinatlon
Preparation, support PM
G P043AS -036878-PP-807 Page 8 of 47
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2.O Plant and Sampling Location Descriptions
2.L Process Description, Operation, and Control
Equipment
The Huntlngton Plant comprises two pulverized coal-fired boilers. Huntington Unlt #1 Is
equipped wlth low-NO, burners and overflre alr for nltrogen oxides (NO,) control, a flue gas
desulfurlzatlon (FGD) scrubber for sulfur dloxlde (SOz) control and pulse-Jet fabrlc fllters for
partlculate matter (PM) control. Huntington Unlt #2 is equipped with low-Nox burners and
overflre alr for NOx control, an FGD scrubber for SOz control and pulse-jet fabric fllterc for
PM control.
2.2 CEMS Description
The CEMS analyzers are presented ln Table 2-1.
Table 2-l
CEITIS Informatlon
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Unit 1
Flow Teledyne Monltor Labs Model 150 136
COz Thermo Flsher Model 4101Q-ACN 133
SOz Thermo Flsher Model 43IQ-CAN 131
NO,Thermo Flsher Model 42|Q-ACANN L32
co Thermo Flsher Model 48|Q-CAN
Hg Thermo Flsher Model 801
Unlt 2
Flow Teledyne Monltor Labs Model 150 236
COz Thermo Flsher Model 4101Q-CAN 234
SOz Thermo Flsher Model 43|Q-CAN 23t
NOr Thermo Flsher Model 42IQ-ACANN 232
co Thermo Flsher Model 48|Q-ACN
H9 Thermo Fisher Model 801
GP043AS-036878-PP-807 Page 9 of 47
2.:* FlLre Gas Sarupting [-$e.atic]r"is
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 2-2 presents the anticipated
stack measurements and traverse points for the sampling locations listed.
Table 2-2
Sampling Locations
i
lSrmpllng
Looatlon
Unit 1
Unit 2
Dlrtrnca ffom llcend i
Dlrturbancs
Strd( Inddc Down.tr.am
Dlamctcr EPA oB" Uprtflilm EPA ' llumbcr of Travcrtc
i (tn.) (ln./dta.) i *A" ttn,./dla,) potntr
323.3 2sB6 t8 6 47 t z E:I #,!i'J""J'
322.7 2s8z t8 6 4s t 2 ::X #,!irJ"",{,
Sample location(s) are 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.
L,4 CIperatirrg ("ortdftForrs' rr[:ic !,]rc]r.ess r.tata
Emission tests are performed while the source/units and air pollution control devices are
operating at the conditions required by the applicable regulation. The units are tested when
operating at greater than 50% of rated capacity, as required by 40 CFR Part 60 or within
the load levels required by 40 CFR Part 75.
Plant personnel are responsible for establishing the test conditions and collecting all
applicable unit-operating data. Data collected includes the following parameters:
. Unit load (MW)
. Relevant CEMS Parameters
2,S Plant bafet"y
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.
GP043AS-036878-PP-807 Page 70 of 47
.,,5, tr t:afie'luy f.l esirorrgih[][tie:g;
Planning
o 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
o 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
o Montrose personnel will arrive with the appropriate training and credentials
for the activities they will be performing and the equipment that they will
operate
o 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.
o 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
o 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
o Safe access to the platforms and test ports, including any scaffolding or
man lifts
o Sufficient utilities to perform all necessary testing
o 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
GP043AS-036878-PP-807 Page tL of 47
to continuing work. This will include any safe work permit and hazard
assessment updates.
Completion
Montrose personnel will repoft 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.
2.3"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-
speclfic safety meetings, and training in safety awareness and procedures. The basic
elements include:
o All regulatory required policies/procedures and training for OSHA, EPA and
FMCSA
o Medical monitoring, as necessary
. Use of Personal Protective Equipment (PPE) and chemical detection equlpment
. Hazard communication
o Pre-test and daily toolbox meetings
o Continued evaluation of work and potential hazards
. Near-miss and incident repofting procedures as required by Montrose and the
Client
Montrose wlll 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 protectlon, 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".
GP043AS-036878-PP-807 Page !2 of 47
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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 speciflc applications or modificatlons to standard procedures ls
presented below,
3.1,1 EPA Method 2G, Determination of Stack Gas Velocity and
Volumetric Flow Rate with Two-Dimensional Probes
EPA Method 2G is used to measure the veloclty pressure and the yaw angle of the flow
velocity vector ln a stack or duct using a 2-D probe. Alternatively, these measurements are
made by operating one of the three-dimenslonal (3-D) probes described in Method 2F, ln
yaw determination-only mode. From these measurements and a determination of the stack
gas density, the average near-axial velocity of the stack gas is calculated. The near-axial
velocity accounts for the yaw, but not the pitch, component of flow. The average gas
volumetric flow rate in the stack or duct is then determined from the average near-axlal
veloclty.
Pertinent information regarding the pefformance of the method ls presented below:
. Target andlor Minlmum Required Sample Duration: >5 minutes
The typical sampling system is detailed in Figure 3-1.
GP043AS-036878-PP-807 Page 13 of 47
FIGURE 3-1
US EPA METHOD 2 SAMPLING TRAIN
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GP043AS-036878-PP-807 Page L4 of 47
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3.L.2 EPA Methsd 4
Determination of Moisture Content in Stack Gas
EPA Method 4 is a manual, non-isokinetic method used to measure the molsture 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.
The typical sampling system is detailed in Figure 3-2.
Figure 3-2
EPA Method 4 Sampling Train
i
SAIIIPI.E LINE
(st.nd,/dlip)
THERMOCOTJPLESII
BY.PASSVATVEtop*,u) VACUUMGAU
iIiANOi'ETER -+
GP043AS-036878-PP-807 Page 15 of47
3.1.3 EPA Methods 3A, 6C, 7E, and 1O
Determination of Oxygen, Carbon Dioxide, Sulfur Dioxide, Nitrogen Oxides,
and Carbon Monoxide Concentrations in Emissions from Stationary Sources
(lnstrumental Analyzer Procedures)
Concentrations of Oz, COz, SOz, NOx, and CO are measured simultaneously using EPA
Methods 3A, 6C, 7E, and 10, which are instrumental test methods. Conditioned gas is sent
to a series of analyzers to measure the gaseous emission concentrations. The peformance
requirements of the method must be met to validate the data.
Pertinent information regarding the performance of the method is presented below:
o Method Options:
o Sampllng is performed using a dilution probe
o NO and NOz are measured separately and summed to report NOx
emissions
o The alternatlve NOx conv€rt€r efficiency test described in EPA Method 7E
Section 16.2 may be used (bag procedure)
o Gas stratification testing ls performed across a grid of 12 points
determined using EPA Method 1 in accordance with 40 CFR Part 60.
Aopendix B. PS2 68.1.3.2 and 40 CFR Part 75. Aooendlx A. 66.5.6.1.
Stratification testing is performed for two minutes per traverse polnt in
accordance with 40 CFR Part 75, Appendix A, 66.5.6.1(c). If diluent and
pollutant concentrations are within 5olo of their mean concentrations,
subsequent gas RATA testing is performed at a single point in the stack as
allowed by 40 CFR Paft 60. Appendix B. PS2 68.1.3.2 and 40 CFR Part 75.
Apoendix A 66.5.6.3(b). If diluent and pollutant concentrations are within
10o/o of their mean concentrations, RATA testing is pefformed at three
points located 0.4 meter, 1.0 meter and 2.0 meters from the stack wall,
as requlred by 40 CFR Part 60. Apoendix B. PS2 68.1.3.2 and 40 CFR Part
75, Appendix A, 66.5.6.1(a).
The typical sampling system is detailed in Figure 3-3.
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GP043AS-036878-PP-807 Page 16 of 47
Flgure 3-3
EPA Methods 3A, 6Ct7e, and 1O Sampllng Train
GP043AS-036878-PP-807 Page t7 of 47
3.2 Process Test Methods
The applicable regulations do not require process samples to be collected during this test
program,
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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 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.
,q".7,1 rr:q[{iprrretrt }ri$ip€,r.]t,Ior, ancl Marnie**r,n cq
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 Atrrlit Sarrrtp:les
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 paft 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
repofted along with the emissions sample results.
GP043AS-036878-PP-807 Page LB of 47
4,3 Data Analysis and Validation
Montrose converts the raw field, laboratory, and process data to reporting units consistent
with the permit or subpaft. 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 oF.
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 D7036-04 (Standard
Practice for Competence of Air Emission Testing Bodies). Montrose participates in annual
functional assessments for conformance with D7O36-O4 which are conducted by the
American Association for Laboratory Accreditation (A21-A). All testing performed by Montrose
is supervised on site by at least one Qualified Individual (QI) as defined in D7035-04
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 7.2.1and 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 repoft to present the test data, calculations/equations,
descriptions, and results. Prior to release by Montrose, each repoft is reviewed and ceftified
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
25 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.
GP043AS-036878-PP-807 Page t9 of 47
4.6.1 Example Report Format
The report is divided into various sections describlng 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 Repot Format Cover Page
of Repoft
of Contents
1.0 Introduction
Plant and Sampling Location Descrlptions
Sampling and Analytical Procedures
Test Discussion and Results
Internal QA/QC Activities
.0
.0
.0
5.0
Field Data and Calculations
Facility CEMS and Process Data
Laboratory Analysls Data
Quality Assura nce/QualiW Control
Regulatory Information
GP043AS-036878-PP-807 Page 20 of 47
t1
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4.6,2 Example Presentation of Test Results
Table 4-1 presents the typlcal tabular format that ls used to summarlze the results in the
flnal source test repoft. Separate tables wlll outllne the results for each CEMS parameter/set
of units and compare them to thelr respectlve RA requlrements.
Tablc 4-1
Example NOx (lblmmBtu) RATA Recults - Unlt Name
1 xv)o(/rfim(noil-xxxx xx xx xx x xx
2 )ovxx/xxxx xxxx-xxxx xx xx xx x xx
3 xx/xx/xxxx xxxx-xxxx xx xx xx x xx
4 xvxvxxxx xxxx-xxxx xx )o(xx x xx
5 xvxx/xxxx xxxx-xxxx xx xx xx x xx
6 xvxx/xnfi xxxx-xxxx xx xx xx x xx
7 xv)ouxxxx xxxx-xxxx xx xx xx x xx
I xvlovxno(xxxx-xxxx xx xx xx x xx
9 xvnvnoo(xxxx-xxxx xx xx xx x xx
10 xv)oux)oo(xxxx-xxxx xx xx xx x xx
11 xvxx/xxn(xrcfi-xxxx xx xx xx x xx
L2 xv)ovxx)o(xxxx-xxxx xx xx xx x XX
Averages xx xx xx x xx
Appllcable Standad (AS)xx units
Standard Deviation xx
Conftdence Coefficient (CC)xx
Bias AdJustment Factor (BAF)xx
Unlt Load xx units
RA based on mean RM value xx olo
RA based on AS xx olo
RA based on dlfference plus CC xx unlts
RA based on absolute difference xx unlts
GP043AS-036878-PP-807 Page 2L ot 47
Appendix A
Supporting Information
i
I
," I
i
Appendix A.1
Units and Abbreviations
I
60 tf?N,I+gLH
UNITS AND ABBREVIATIONS
@Xo/o 02 corrected to X% oxygen (corrected for dilution air)
lCCl absolute value of the confidence coefficient
ldl absolute value of the mean differencesoC degrees CelsiusoF degrees FahrenheitoR degrees Rankine
" HzO inches of water column
13.6 specific gravity of mercury
AH pressure drop across orifice meter, inches H2O
AP velocity head of stack gas, inches H2O
e total sampling time, minutes
Ug microgram
Pa density of acetone, mg/ml
P* density of water, 0.9982 g/ml or 0.002201 lb/ml
acfm actual cubic feet of gas per minute at stack conditions
An cross-sectional atea of nozzle, ff
As cross-sectional area of stack, square feet (ft')
Btu British thermal unit
B*. proportion by volume of water vapor in gas stream
Ca particulate matter concentration in stack gas, gr/acf
Cn e average unadjusted gas concentration, ppmv
Cot, measured concentration of calibration gas, ppmv
cf or ft3 cubic feet
cfi"n cubic feet per minute
co". average gas concentration adjusted for bias, ppmv
Cv average of initial and final system bias check responses from upscale calibration gas, ppmv
cm or m3 cubic meters
Cr',rr actual concentration of the upscale calibration gas, ppmv
Co average of initial and final system bias check responses from lowJevel calibration gas, ppmv
Cp pitot tube coefficient
Cs particulate matter concentration in stack gas, gr/dscf
CS calibration span, % or ppmv
Cs measured concentration of calibration gas, ppmv
Cv manufactured certified concentration of calibration gas, ppmv
D drift assessment, % of spandcf dry cubic feet
dcm dry cubic meters
Dn diameter of nozzle, inches
Ds diameter of stack, inches
dscf dry standard cubic feet
dscfrn dry standard cubic feet per minutedscm dry standard cubic meters
Fd F-factor, dscf/MMBtu of heat input
fpm feet per minutefps feet per second
ft feet
# square feet
gram
gallonsgr grains (7000 grains per pound)gr/dscf grains per dry standard cubic feet
s
gal
hr
GP043AS-036878-PP-807 Page 24 of 47
64\ lYlgllT+gp.H
UNITS AND ABBREVIATIONS
I percent of isokinetic sampling
in inch
k kilo or thousand (metric units, multiply Oy 103;
K kelvin (temperature)
K3 conversion factor 0.0154 gr/mg
& conversion factor 0.002668 ((in. HgXft'))/((ml)('R))
kg kilogram
lq pitot tube constant (85.49 fVsec)
kwscfh thousand wet standard cubic feet per hour
I liters
lb/hr pounds per hour
lb/MMBtu pounds per million Btu
lpm liters per minute
m meter or milli
M thousand (English units) or mega (million, metric units)
m3 cubic meters
ma mass of residue of acetone after evaporation, mg
Md molecular weight of stack gas; dry basis, lb/lb-mole
meq milliequivalent
mg milligram
Mg megagram (106 grams)
min minute
ml or mL milliliter
mm millimeter
MM million (English units)
MMBtu/hr million Btu per hour
mn total amount of particulate matter collected, mg
mol mole
mol. wt. or MW molecularweight
Ms molecular weight of stack gas; wet basis, lb/lb-mole
MW molecular weight or megawatt
n number of data points
ng nanogram
nm nanometer
Pb", barometric pressure, inches Hg
pg picogram
Ps stack static pressure, inches H2O
Pm barometric pressure of dry gas meter, inches Hg
ppb parts per billionppbv parts per billion, by volumeppbvd parts per billion by volume, dry basisppm parts per millionppmv parts per million, by volumeppmvd parts per million by volume, dry basisppmvw parts per million by volume, wet basis
Ps absolute stack gas pressure, inches Hg
psi pounds per square inchpsia pounds per square inch absolutepsig pounds per square inch gauge
Pr,o standard absolute pressure, 29.92 inches Hg
Q" volumetric flow rate, actual conditions, acfm
Q. volumetric flow rate, standard conditions, scfrn
Qsta volumetric flow rate, dry standard conditions, dscfm
R ideal gas constant 21.85 ((in. Hg) (ft3)y(('R) (lbmole))
GP043AS-036878-PP-807 Page 25 of 47
64\ l*?.N,T+gLH
UNITS AND ABBREVIATIONS
SBnnal post-run system bias check, % of span
SBi pre-run system bias check, % of span
scf standard cubic feet
scfh standard cubic feet per hour
scftn standard cubic feet per minutescm standard cubic meters
scmh standard cubic meters per hour
sec second
sf, sq. ft., or ft2 square feet
std standard
t metric ton (1000 kg)
T o.gzs t-value
T" absolute average ambient temperature, oR (+459.67 for English)
Tm absolute average dry gas meter temperature, oR (+459.67 for English)
ton or t ton = 2000 pounds
tph or tons/hr tons per hour
tpy or tons/yr tons per year
Ts absolute average stack gas meter temperature, oR (+459.67 for English)
Tsro absolute temperature at standard conditions
Va volume of acetone blank, ml
V"* volume of acetone used in wash, ml
Vr. total volume HrO collected in impingers and silica gel, grams
Vm volume of gas sampled through dry gas meter, ftr
Vm(std) volume of gas measured by the dry gas meter, corrected to standard conditions, dscf
Vm stack gas volume sampled, acf
Vn volume collected at stack conditions through nozzle, act
Vs average stack gas velocity, feet per second
Vwclsrol volume of water vapor condensed, corrected to standard conditions, scf
Vwilstol volume of water vapor in gas sampled from impingers, scf
Vwss(std) volume of water vapor in gas sampled from silica gel, scf
W watt
Wa weight of residue in acetone wash, mg
Wmp total weight of impingers, grams
Wss total weight of silica gel, grams
Y dry gas meter calibration factor, dimensionless
GPO43AS-036878-PP-807 Page 26 of 47
6 AtgN,r+gp.H
ACRONYMS
AAS atomic absorption spectroscopyACDP air contaminant discharge permitACE analyzer calibration error, percent of spanAD absolute differenceADL above detection limitAETB Air Emissions Testing BodyAS applicable standard (emission limit)ASTM American Society For Testing And MaterialsBACT best achievable control technologyBDL below detection limitBHP brake horsepowerBIF boiler and industrial furnaceBLS black liquor solidsCC confidence coefficientCD calibration driftCE calibration errorCEM continuous emissions monitorCEMS continuous emissions monitoring systemCERMS continuous emissions rate monitoring systemCET calibration error testCFR Code of Federal RegulationsCGA cylinder gas auditCHNOS elemental analysis for determination of C, H, N, O, and S content in fuelsCNCG concentrated non-condensable gasCO catalytic oxidizerCOC chain of custodyCOMS continuous opacity monitoring systemCPM condensible particulate matterCPMS continuous parameter monitoring systemCT combustion turbineCTM conditional test methodCTO catalytic thermal oxidizerCVAAS cold vapor atomic absorption spectroscopyDe equivalent diameter
DE destruction efficiencyDioxins polychlorinated dibenzo-p{ioxins (pcdd's)DLL detection level limitedDNCG dilute non-condensable gasECD electron capture detectorEIT Engineer ln TrainingELCD electoconductivity detector (hall detector)EMPC estimated maximum possible concentrationEPA US Environmental Protection AgencyEPRI Electric Power Research lnstituteES emission standard (applicable limit)ESP electrostatic precipitator
EU emission unitFCCU fluid catalytic cracking unitFGD flue gas desulfurizationFl flame ionizationFIA flame ionization analyzerFID flame ionization detectorFPD flame photometric detectorFPM filterable particulate matterFTIR Fourier-transform infrared spectroscopyFTPB field train proof blankFTRB field train recovery blankFurans polychlorinated dibenzofurans (pcdfs)GC gas chromatography
GP043AS-036878-PP-807 page 27 of 47
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ACRONYMS
GC/MS gas chromatography/mass spectroscopy
GFAAS graphite furnace atomic absorption spectroscopy
GFC gas filter correlation
GHG greenhouse gas
HAP hazardous air pollutant
HC hydrocarbons
HHV higher heating value
HPLC high performance liquid chromatography
HRGC/HRMS high-resolution gas chromatography/high-resolution mass spectroscopy
HRSG heatrecoverysteam generator
lC ion chromatography
ICAP inductively-coupled argon plasmography
ICPCR ion chromatography with a post-column reactor
ICP-MS inductively coupled plasma-mass spectroscopy
lR infrared radiation
ISO lnternational Standards OrganizationkW kilowatts
LFG landfillgas
LHV lower heating value
LPG liquified petroleum gas
MACT maximum achievable control technology
MDI methylene diphyenyl diisocyanate
MDL method detection limit
MNOC maximum normal operating conditions
MRL method reporting limit
MS mass spectrometry
NA not applicable or not available
NCASI National Council ForAirAnd Steam lmprovement
NCG non-condensable gases
ND notdetected
NDIR nondispersive infrared
NESHAP National Emissions Standards For Hazardous Air Pollutants
NG natural gas
NIOSH National lnstitute For Occupational Safety And Health
NIST National lnstitute Of Standards And Technology
NMC non-methane cutter
NMOC non-methane organic compounds
NMVOC non-methane volatile organic compoundsNPD nitrogen phosphorus detector
NSPS New Source Performance Standards
OSHA Occupational Safety And Health Administration
PAH polycyclic aromatic hydrocarbons
PCB polychlorinated biphenyl compounds
PCWP plywood and composite wood products
PE Professional EngineerPFAS per- and polyfluoroalkyl substances (PFAS)
Pl photoionization
PID photoionization detectorPM particulate matter
PMro particulate matter less than 10 microns in aerodynamic diameter
PMz s particulate matter less than 2.5 microns in aerodynamic diameter
POM polycyclic organic matter
PS performance specification
PSD particle size distributionPSEL plant site emission limits
PST performance specification test
PTE permanent total enclosure
PTM performance test method
GP043AS-036878-PP-807 Page 28 of 47
6C l*?NI+gp.H
ACRONYMS
QA/OC quality assurance and quality controlQl Qualified Individual
QSTI Qualified Source Testing lndividualRA relative accuracyRAA relative accuracy audit t
RACT reasonably available control technologyRATA relative accuracy test auditRCTO rotary concentrator thermal oxidizerRICE stationary reciprocating internal combustion engineRM reference methodRTO regenerative thermal oxidizerSAM sulturic acid mistSCD sulfur chemiluminescent detectorSCR selective catalytic reduction systemSD standard deviationSemi-VOST semivolatile organic compounds sample trainSRM standard reference materialTAP toxic air pollutant
TBD to be determinedTCA thermal conductivity analyzerTCD thermal conductivity detectorTGNENMOC total gaseous non-ethane non-methane organic compoundsTGNMOC total gaseous non-methane organic compoundsTGOC total gaseous organic compoundsTHC total hydrocarbonsTIC tentatively identified compoundTO thermal oxidizerTO toxic organic (as in EPA Method TO-15)TPM total particulate matterTSP total suspended particulate matterTTE temporary total enclosureULSD ultra-low sulfur dieselUV ultraviolet radiation rangeVE visible emissionsVOC volatile organic compoundsVOST volatile organic sample trainWC water columnWWTP waste water treatment plant
GP043AS-036878-PP-807 Page 29 of 47
Se
Soz
Sog
SO*
TCDD
TCDF
TGOC
THC
TI
TRS
Zn
Ag silver
As arsenic
Ba barium
Be beryllium
C carbon
Clz
H2
Hzo
N2
NH:
Ni
66 lt?,N,T+gLE
Cd cadmium
CdS cadmium sulfide
CH2O formaldehyde
CH3CHO acetaldehyde
CH3OH methanol
CHo methane
C2H4O ethylene oxide
CzHe ethane
CaH4O acrolein
CaH6O propionaldehyde
CgHr propane
C6H5OH phenol
ClO2 chlorine dioxide
CO carbon monoxideCo cobalt
COz carbon dioxide
Cr chromiumCu copperEtO ethylene oxideEIOH ethyl alcohol (ethanol)
hydrogen
water
HzO, hydrogen peroxide
HzS hydrogen sulfide
H2SO4 sulfuric acid
HCI hydrogen chlorideHg mercuryIPA isopropyl alcoholMDI methylene diphyenyl diisocyanate
MeCl2 methylene chloride
MEK methyl ethyl ketoneMeOH methanolMn manganese
nitrogen
ammonia
nickelNO nitric oxide
NO, nitrogen dioxide
Nq nitrogen oxides
02 oxygen
P phosphorus
Pb lead
PCDD polychlorinated dibenzo-p-dioxinsPCDF polychlorinated dibenzofurans
antimony
CHEMICAL NOMENCLATURE
selenium
sulfur dioxide
sulfur trioxide
sulfur oxides
tetrach lorod ibenzodioxi n
tetrach lorod ibenzof u ran
total gaseous organic concentration
total hydrocarbons
thallium
total reduced sulfur compounds
zinc
GP043AS-036878-PP-807 Page 30 of 47
Appendix A.2
Accreditation Informatio n I Certifications
-
$;Ae
Accredited Air Emission Testing Body
A2LA hos occredited
MONTROSE AIR QUALITY SERVICES
ln recognition of the successful completion of lhe joint A2LA ond Stock Testing Accredilotion Council (STAC)
evoluolion process, lhis loborolory is occrediled to perform testing octivities in complionce with
ASTM D7036:2004 - Stondord Proclice for Competence of Air Emission Tesling Bodies.
PresenteQ this 4tt'doy of Febrvory 2022.
Vice Presidenl, Accreditolion Services
For the Accreditotion Council
Certificole Number 3925.01
Volid io Februory29,2024
This arcreditation progrann is not includcd undcr the A2LA ILAC Mutt^cal Recognition Arrangement.
GP043AS-036878-PP-807
Americon Associofio n for Loborofory Accreditotion
Page 32 ot 47
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Appendix *S"
Field Work Safety Plan
6ft MqNTHIH
SITE SAFETY PLAN BOOKLET
Project:
Gustomer:
Location:
i Units:
i
Client Project Manager:
Revision Date: January 21,2022
I ePo43AS-o36B7B-PP-807 Page 34 of 47
'*t , ltr(- itrr t lr\ I rt
Page 1 of2
Site Safety Plan and JHA Purpose and !nstructions
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.
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 Hazard Analysis is a standardized, two-page, fillable form that is used to evaluated the
tasUsite's particular hazards and controls. The form also includes a daily toolbox topic and
daily hazard 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 9 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 Hazard Analysis form in agreement and sign in Section 10. The JHA is to be
modified when conditions change. A toolbox meeting with a daily 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 Emergency Action Plan form and ensure that all employees are familiar with the facility
emergency and evacuation procedures, assembly/ rally points, alert systems, and signals prior
to work 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
AOS-FRM.1.13R1
Page 35 of 47GP043AS-036878-PP-807
ri
$viMtlNIRUSI:Page2ot2
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
Page 36 of 47GP043AS-036878-PP-807
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Page 1 of2
PRE.MOBILIZATION TEST INFORMATION
Source Tvpe: New Source: _ Revisit: _ Prj#lDateffech:
Coal Fired Electric Utility: _ Ethanol Plant: _ Chemical Mfg. of
CemenULime Kiln Plant: _ Specialty Mfg. of:Other:
Anticipated Effluent Composition - check all that apply and fill in expected concentration in ppm/%
n
SOz
tr
voc
tr
other
lf other, explain:
Flammable:
PROJECT NAME/LOCATI ON:
TEST DATE:
PROJECT #:
PROJECT MANAGER:
TEST SCOPE:
SITE CONTACT: Name:Contact Phone:
tr
NOx
Toxic: Corrosive: Dust:
Engineering Controls to be lmplemented:
tr
co
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
lf other, explain:
Approximate Duct Pressure, (iwg):
-3 -3 to +3 +3 to +7
trtr tr
above
lf other, explain
AQS-FRM-1.17
tr
tr
below
:
u
other
G P043AS-03587 I -PP -807
+7
Page37 of 47
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Page 2 ot 2
PRE.MOBILIZATION TEST INFORMATION
Sampling Location: Stack Port _ Duct Port _
Approximate Sampling Platform Height, (ft)
tr
below 6
lf other, explain:
trtrtrtr
6 to 50 50 to 100 above 100 other
Access and Protection:
Elevators: _ Ladders: _ MEWP Lift: _ Scaffold: _ Equipment Hoist: _
Guardrails: _ Toe plate: _ Engineered Tie Off Points: _ Heat Shield: _
Other:
Describe how equipment will be mobilized to the sampling location:
Additional lnformation :
Effluent Chemical Reoulatorv Limits
Gas Name Chemical
Formula
Cal OSHA PELI
(ppm)
3al OSHA
STEL2
(oom)
NIOSH REL
TWA3 (ppm)
Cal OSHA
Ceiling
(oom)
IDLHl
(ppm)
3arbon Monoxide CO 25 200 35 200 1,200
Nitric Oxide NO,25 ND5 25 ND 100
Sulfur Dioxide SOz 2 5 2 ND 100
Hvdroqen Chloride HCt 0.3 2 ND 2 50
Hydrogen Sulfide HzS 10 15 10 (10 min.)c 50 100
)alifomia Occupational Safety and Heafth Administation (OSHA) Permissible Exposurc Limit (PEL) based on an ?-hour shift;
2: Cal OSHA Short-term Exposurc Linit (STEL) based on a 1s-minute peiod;
3: National lnstrtuie for Occupational Safety and Health (NIOSH) Recommended Exposure Linit (REL) Time-weighted Avenge (TWA) based
on an 8-hour shift;
4: lmmediately Dangercus to Life or Health (IDLH);
5: Not Defined (ND);
C: Ceiling Limit - Maximum allowable human exposure limit for an aibome or gaseous su0sfance, which is not to be exceeded, even
momentaily.
Prepared by:
Reviewed by:
Date:
Date:
AQS-FRM-1.17
GP043AS-036878-PP-807 Page 38 of 47
Client ]ontacl Name Date
Facilitv 3SP Writer PM
Client Rep I
Job Preparation
Job Site Walk Through Completed
Safe Work Permit Received from Clienl
J
Site Specific Training Complete
lf the heat index is expected to be above 91', fill out the Heat Stress Prevention Form.
a, rit ,,\ I ir\, \l Job Hazard Analysis
Risk
Time Pressure Remote Work Location > 12 hr shift Working > 8 consecutive days
Lack of procedures Extreme temps, wind >30mph Personal illnesslfatigue Vague work guidance
Monotonous Ac{ivity First day back after time off job locations Other:
1of3
1.
2.
3.
4.
lnformation/Emergency Preparedness
lf non-emergency medical attention is needed, call: AXIOM #: 877-502-9466.
Plant Emergency# Certified FirstAid Person:
EMS Location Evacuation Routes Rally Point
Severe Weather Shelter Location Eye Wash & Safety Shower Location
Yes No
lnformation: (list type) :
Stack Gas Temp. (oF) Stack Gas Press. ("HrO) Stack Gas Components:
Stack Gas lnhalation Potential? Yes No lf ves. see List of Hazard Chemicals.
Hazards Hazard Controls
Dust Mask ! Goggles El Other:Dust Hazards
Thermal Burn
Eleclrical Hazards
lnadequate Lighting
Slip and Trip
Hand Proteciion
E Hot Gloves E] Heat Shields E Other Protective Clothing:
El Connections Protected from Elements fl External GFCI Other:
E Xe Rating Requirement ! lntrinsically Safe Requirement
! lnstall Temporary Lighting fl Headlamps
! Housekeeping E Barricade Area E Other:
E cut Resistant Gloves El Pinch fts. E General Etectrical ff trp""t R""i"t"rt
E other:
Potential Hazaids for Consideration
Secondary Permits ! El not Work E Confined Space I Excavation
working from Heights ! [ ralting ouleas E Fa[ protec{ion E orop zone protection f] ehfform load ratingsSeealsoSectT i f]ScafoUinspeclion Ladderinspection EBarricadesforequipment
Electrical i E exposea wire/connecior EI Veriry equipment grounding E] Arc Flash
Lifting i ! Crane lifi plan E Rigging inspection E fag tines used El Hoists in place
Respiratory i E Unexpected exposure E Ctremicat E Dust (combustible) El PEL provided
See also Sect. I i E C"rtriOoes or suoolied air available detedion
PPE
E Hi-vis vests
El Metatarsal Guards
ENomex/FRC
E Harness/Lanyard'
E Hot Gtoves
E other PPE:
fJ Goggles
E Face Shield
! Hearing Protection
L] Personal Monitor Type:
E Respirator Type:
Hard Hats I Safety Glasses I Safety Toe Shoe/Boot Spotter
AQS-FRM.1.1
Page 39 of 47G P043AS-036878 -PP-807
,*. ,\lr ' \ t l'.\ rl
Additional Wo* Place Hazards
Job Hazard Analysis
ritical Procedures - check all that apply - *indicates additional form must be completed or collected from client
E Heat Stress Prevention. E Confined Space* E MEWP. El Roof Work E ScattotO
f] CotO Weather Work I Hazardous Energy Controt' ! Exposure Monitoring E Other:
From Heights
Fall Protection iI Fixed Guardrails/Toe boards E Fall Prevention PPE Warning Line System
Falling Objects Protection ! EI Barricaoing tr Netting ! House Keeping flTethered Tools E Catch Blanket or Tarp
Fall Hazard Communication i tr AdjacenUOverhead Workers I Contraclor Contact E] Ctient Contacl
2of3
6.
7.
8.Other Considerations
Environmental Hazards - Weather Forecast
f] Heaucold Etigtrtning E Rain E Snow E] tce E rornado E wind speed
Steps for Mitigation:
Electrical Safety Planning
Plant Hook up: E t t Ov D 22ol24}v E +eOv f] cenerator E Hard wired into panet
Electrical Classified Area: EYes I No Trailer Grounded: E Yes E ruo plug Type
Electrical Hook Up Responsibility:
ist of Hazardous Chemicals
E Acetone E NitricAcid
Other Chemicals:
! Hydrogen Peroxide E Compressed Gases
E Hexane E Sufuric Acid E lsopropyl Alcohol I Flammable Gas
E Toluene E Hydrochloric Acid E LiquiO Nitrogen ! Non-Flammable Gas
E nzs E carbon Monoxide
Steps for Mitigation:
fildlife/Fauna in Area
E Poison tuy E Poison Oak f]tnsects:IWildlife:
Personnel W known allergies to bees stings or other allergens? f] Yes E tto
Hazards and
ask
1
2
3
1
2
3
1
2
3
'l
2
3
1
2
3
1
2
3
,|
2
3
I
2
3
AQS-FRM-1.1
Page 40 of 47GP043AS-03687 g-PP -807
IHA REVIEW: Crew Names & Signatures
Printed Name Signature Date Printed Name SiEnature Date
*. :)1'r\ | i"\ rl Job Hazard Analysis 3of3
11
AQS-FRM-1.18
Page 4l of 47
JHA Meetins & Review
Items to review:
r Change in conditions o Extended work hours o Daily Safety Topic
o New workers or contractors r Occurrence of near misses or injuries
lnitialing demonstrates that site conditions and hazards have not changed from the original SSP. lf changes did occur, make the
updates to this JHA and add notes as applicable in Section 9.
Day Discussion Topic lnitials
2
3
4
5
6
7
8
9
t0
11
GP043AS-036878-PP-807
,1}, \l( r,\ I lrl r rI
Poge 1 of 2
EMERGENCY ACTION PLAN FORM
The Job Supervisor/ Client Prolect illanager (CPil) will ensure that all employees are famitiar wlth the facility emergency and evacuagonprocedures' assembly/ rally polnts, alert systems, and slgnals prlor to work commencing. ln the event of an emergency sltuagon/
evacuation' the Job Supervisor/ CPM wlll malntaln a roster and be responslble for accountlng for alt employess. The Job Superuisor/CP[l wlll ensure that this Emergency Action Plan Form ls completod, communlcated to all employees, and posted.
'Mou must follow the client's emergency actlon plan tirst, and notlfy your Supervisor lmmediately..lf lncldent ls llis threatenlng, CALL 911 IUMED|ATELLY
'1, non-emergsncy medical attention is needed, call AXIOM Meclical number: 877-502-9466.
AQS-FRM-1.11
GP043AS-036878-PP-807
1 MEG Job Supervisor/ CPM's Name:
2 MEG Job Supervisor/ CPM's Telephone Number:
3 MEG Job Safety Supervisor (if appticabte):
4 MEG Job Safety Supervisor's Telephone Number:
5 Plant's Emergency Telephone Number:
6 Local Hospital/ Clinic Telephone Number:
7 Emergency Ops Radio Channel:
I Plant's #l Contact Pelson's Name:
9 Plant's #1 Contact Person's Telephone Number:
t0 Plant's #2 Contact Person's Name:
11 Plant's #2 Contact Petson's Telephone Number:
l2 Designated Assembly Point Location:
13 Evacuation Routes:
14 Severe Weather Shelter Location:
15 Eye Wash and Safety Shower Location:
16 The First Aid Kit is Located:
17 The Fire Extinguisher is Located:
Page 42 of 47
lJt\r\li/,\lh\l\l
AQS-FRM-1.11
GP043AS-036878-PP-807
EMERGENCY EVACUATION AND ASSEMBLY MAP
Poge 2 of 2
1 Facility Name:
2 Facility Alarm (Circle):YES or NO
3
Alarm Tones:TER.IN-PI/,CE: ,
EB;
4 Designated Shelter(s) Description:
5 Designated Assembly Point(s) Description:
N*+,
s
Draw the eyacuation and assemblv mao here
EMERGENCY ACTION PIAN FORM AND EVACUATION ASSEMBTY MAP REVIEW: Crew Names and Signatures
Printed Nome:Sionature:Date:Printed Nome:Sianature: Date:
Page 43 of 47
,*,ivI t .1 r\ i l\t \|
Page 1 of 1
Daily MEWP Lift lnspection Form
All checks must be completed prior to each work shift, before operation of the MEV/P 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:
. Check'Yes' if an item is adequate, operational, and safe.. Check "No' to indicate that a repair or other corrective 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 orloose 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 manufaclurer 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 instruclional labels are legible and secure, and load capacity is clearly marked.
10. Manufacturer's lnstruction 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 powedines, obstructions, level surface, high winds,
etc.) 'Do not operate if winds are 20 mph, unless othenvise specified by manufacturcr
recommendations.
Yes
n
tr
n
n
n
tr
tr
tr
D
tr
!
tr
tr
tr
tr
N/A
tr
tr
tr
No
x
tr
n
trtr
NI
!tr
trtr
ntr
trD
rn
ntr
trn
trtr
trtr
ntr
Operator Name & Signature Location Date
Ground Control Name & Signature Location Date
Harness lnspections:
Printed Name Signature Date
Printed Name Signature Date
Printed Name
GP043AS-036878-PP-807
Date
AQS-FRM-1.16
Page 44 of 47
Signature
evlr MUN i RUsb
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 fonuard, if they are in the field or if they are
managing the project.
1. Hold test crew meetinE Test crew initiats:
The test leader should look for signs of the following in their crews:
o lrritabilityo Lack of motivation. Headaches. Giddiness
. Fatigue. Depression
r Reduced alertness, lack of concentration and
memory
The test leader should assess the environmental and hazardous concerns:
. Temperature and weather . Hoistingo Lighting o PPE (i.e. respirators, etc.). Working from Heights o Pollutant concentration in ambient air (SOz,
HzS, ect.)
Notifv 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
t
a
Reason for extended hours
Reason for delay
Production lim itations
lmpending Weather
Contact the client
The PM, DM or RVP must discuss with client any identified safety concerns, 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.
FinalOutcome:
Approver:
2.
3.
OOlAS-SAFEry-FM.3
Page 45 of 47GP043AS-036878-PP-807
t
1.
2.
Page 1 of 1
Heat Stress Prevention Form
This form is to be used when the Expected Heat Index is above 91" F, and is to be kept with protect
documentation.
Proiect Manaqer (PM):Exoected Hioh Temo:
Date(s):Expected 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 all field staff (avoid caffeinated drinks and energy
drinks which can increase core temperature).
o Bring no less than one gallon of water per employeeo lf 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/vests/etc.o Have ice available to employees. lmplement work shift rotations and breaks, particularly for employees working in direct
sunlight.. Provide as much shade at the jobsite as possible, including tarps, tents or other acceptable
temporary structures.. 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
3.
""-'::,"^':.:",^"-1J-
OOlAS-SAFEry-FM-5
Page 46 of 47GP043AS-036878-PP-807
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: Craig Kormylo
Title: District Manager
Region: USA - Stack - Great Plains - Operations
Email : [e-mail]
Phone: [phone]
Name: Glen Capra
Title: Vice President
Region: USA - Stack
Email : [e-mail]
Phone: (sLZ) 772-6450
t tAH DEPABTIvIENT OF
ENVIRONMENTAL QUALIry
FEB 2 6 2C24,
DIVISION OF AIR QUAUTY
GPO43AS-036878-PP-807 Page 47 of 47