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HomeMy WebLinkAboutDAQ-2025-0010791 DAQC-183-25 Site ID 12825 (B5) MEMORANDUM TO: CEM FILE – UTAH ASSOCIATED MUNICIPAL POWER SYSTEMS (UAMPS) THROUGH: Harold Burge, Major Source Compliance Section Manager FROM: Rob Leishman, Environmental Scientist DATE: February 18, 2025 SUBJECT: Source: Nebo Generating Facility Natural Gas Turbine Generator Contact: Dave Gammell (Plant Manager) – 801-925-4012 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 February 4, 2025 On February 4, 2025, DAQ received a protocol for a RA/PST (relative accuracy/performance specification test) of the UAMPS Nebo power station in Payson, UT. Testing will be performed on May 9, 2025, 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. ATTACHMENTS: UAMPS 2025 RATA Source Test Plan 1 8 2 Source Test Plan for the 2025 Relative Accuracy Test Audit Utah Associated Municipal Power Systems (UAMPS) Nebo Power Generating Station GE Frame 7EA/HRSG Gas-Fired Turbine (EU #2) New CEMS Certification 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: GP081AS-046248-PP-922-R1 Proposed Test Date: May 9, 2025 Test Plan Submittal Date: February 4, 2025 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan Review and Certification I certify that, to the best of my knowledge, the information contained in this document is complete and accurate and conforms to the requirements of the Montrose Quality Management System and ASTM D7036-04. Signature: Date:February 4, 2025 Name:Beckie Hawkins Title:District Manager 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 D7036-04. Signature:Date:February 4, 2025 Name:Joby Dunmire Title:Reporting/QC Specialist III 2 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan Table of Contents Section Page 1.0 Introduction ........................................................................................................5 1.1 Summary of Test Program.............................................................................5 1.2 Applicable Regulations and Emission Limits......................................................6 1.3 Key Personnel..............................................................................................7 2.0 Plant and Sampling Location Descriptions................................................................8 2.1 Process Description, Operation, and Control Equipment.....................................8 2.2 CEMS Description .........................................................................................9 2.3 Flue Gas Sampling Location ...........................................................................9 2.4 Operating Conditions and Process Data .........................................................10 3.0 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..................................................................................14 4.0 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 Sample 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........................................................2 “S” Site Specific Safety Plan.............................................................................3 3 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan List of Tables 1-1 Summary of Test Program and Proposed Schedule...................................................5 1-2 Summary of Part 60/75 RA 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 4-1 Typical Report Format .......................................................................................17 4 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan 1.0 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) at 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. 4900234004, dated January 18, 2022, 40 CFR 60 Appendix B and 40 CFR Part 75, Appendix A. The specific objectives are to: x Determine the RA for the new O2, NOX, and CO CEMS installed to monitor the emissions from Nebo EU #2 to meet initial certification requirements. x Conduct the test program with a focus on safety. Montrose will provide the test personnel and the necessary equipment to measure emissions as outlined in this test plan. Facility personnel will provide the process and production data to be included in the final report. A summary of the test program and proposed schedule is presented in Table 1-1. Table 1-1 Summary of Test Program and Proposed Schedule Proposed Test Date Unit ID/ Source Name Activity/Parameters Test Methods No. of Runs Duration (Minutes) May 9, 2025 Nebo EU #2 Perform O2, NOX and CO RATAs EPA 3A, 7E, 10, 19 9-12 21 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. 5 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan 1.2 Applicable Regulations and Emission Limits The results from this test program are presented in units consistent with those listed in the applicable regulations or requirements. The RA requirements are presented in Table 1-2. Table 1-2 Summary of Part 60/75 RA Requirements – Nebo EU #2 Parameter/Units Regulatory Reference Allowable Part 60 Nitrogen Oxides (NOx as NO2) ppmvd PS-2 ”RI50RU”RI$6 Carbon Monoxide (CO) ppmvd PS-4A ”RI50RU”RI$6RU”SSPYG&2 Part 75 Oxygen (O2) YROXPHGU\App. B Sect. 2.3.1.2 $QQXDO”RI50RU“22 YROXPHGU\App. A Sect. 3.3.3 6HPLDQQXDO”RI50RU“22 Nitrogen Oxides (NOx as NO2) lb/MMBtu App. B Sect. 2.3.1.2 $QQXDO”RI50RU“OE00%WX1 lb/MMBtu App. A Sect. 3.3.2 6HPLDQQXDO”RI50RU“ lb/MMBtu1 1 Alternate is for low emitter (average NOX 50FRQFHQWUDWLRQVDUH”SSPRUDYHUDJH12X RM emission rates DUH”OE00%WX 6 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan 1.3 Key Personnel A list of project participants is included below: Facility Information Source Location: UAMPS Nebo Power Generating Station 1265 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 Agency: State of Utah DEQ, Division of Air Quality Agency Contact: Chad Gilgen, Minor Source Compliance Telephone: 385-306-6500 Email: cgilgen@utah.gov Testing Company Information Testing Firm: Montrose Air Quality Services, LLC Contact: Beckie Hawkins Cheyney Guymon Title: District Manager Client/Field Project Manager Telephone: 801-372-7049 801-362-4978 Email: BeHawkins@montrose-env.com ChGuymon@montrose-env.com Table 1-3 details the roles and responsibilities of the test team. Table 1-3 Test Personnel and Responsibilities Role Primary Assignment Additional Responsibilities Client Project Manager Coordinate Project Post-test follow up Field Project Manager Operate mobile lab Facility interface, test crew coordination Field Technician Execute stack platform responsibilities Preparation, support PM 7 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan 2.0 Plant and Sampling Location Descriptions 2.1 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 typically 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 7EA/HSRG (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 cycle 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 (SO2) 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 8 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan fired in the turbine. Emissions of sulfur compounds, mainly SO2, are 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 (O2) 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 Analyzer Type Manufacturer Model No.Serial No. EU #2 NOX/O2 Teledyne T200MO2 2125 EU #2 CO Teledyne T300 6545 2.3 Flue Gas Sampling Location Actual stack measurements, number of traverse points, and location of traverse points will be evaluated in the field as part of the test program. Table 2-2 presents the anticipated stack measurements and traverse points for the sampling location listed. Table 2-2 Sampling Location Sampling Location Stack Inside Diameter (in.) Distance from Nearest Disturbance Number of Traverse Points Downstream EPA “B” (in. / dia.) Upstream EPA “A” (in. / dia.) EU #2 Exhaust Stack 198 1,225.5 / 6.20 574.5 / 2.90 Gaseous: Based on Results of 3-pt Stratification Test Sample location measurements 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. 9 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan 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 60 (i.e., greater than RIIXOOORDG  Plant personnel are responsible for establishing the test conditions and collecting all applicable unit-operating data. Data collected includes the following parameters: x Relevant CEMS data x 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 x Montrose must complete a field review with the Client Sponsor prior to the project date. The purpose of the review is to develop a scope of work that identifies the conditions, equipment, methods, and physical locations that will be utilized along with any policies or procedures that will affect our work. x We must reach an agreement on the proper use of client emergency services and ensure that proper response personnel are available, as needed. x The potential for chemical exposure and actions to be taken in case of exposure must be communicated to Montrose. This information must include expected concentrations of the chemicals and the equipment used to identify the substances. x Montrose will provide a list of equipment being brought to the site, if required by the client. Project Day x Montrose personnel will arrive with the appropriate training and credentials for the activities they will be performing and the equipment that they will operate. x Our team will meet daily to review the Project Scope, Job Hazard Assessment, and Work Permits. The Client Sponsor and Operations Team are invited to participate. 10 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan x Montrose will provide equipment that can interface with the client utilities previously identified in the planning phase and only work with equipment that our client has made ready and prepared for connection. x We will follow client direction regarding driving safety, safe work permitting, staging of equipment, and other crafts or work in the area. x As per 40 CFR Part 60 Subpart A, Section 60.8, the facility must provide the following provisions at each sample location: x Sampling ports, which meet EPA minimum requirements for testing. The caps should be removed or be hand-tight. x Safe sampling platforms. x Safe access to the platforms and test ports, including any scaffolding or man lifts. x Sufficient utilities to perform all necessary testing. x Montrose will use the client communication system, as directed, in case of plant or project emergency. x Any adverse conditions, unplanned shutdowns or other deviations to the agreed scope and project plan must be reviewed with the Client Sponsor prior to continuing work. This will include any safe work permit and hazard assessment updates. Completion x Montrose personnel will report any process concerns, incidents or near misses to the Client Sponsor prior to leaving the site. x Montrose will clean up our work area to the same condition as it was prior to our arrival. x We will ensure that all utilities, connection points or equipment have been returned to the pre-project condition or as stated in the safe work permit. In addition, we will walk out the job completion with Operations and the Client Sponsor if required by the facility. 2.5.2 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: x All regulatory required policies/procedures and training for OSHA, EPA and FMCSA x Medical monitoring, as necessary x Use of Personal Protective Equipment (PPE) and chemical detection equipment x Hazard communication 11 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan x Pre-test and daily toolbox meetings x Continued evaluation of work and potential hazards x Near-miss and incident reporting procedures as required by Montrose and the Client Montrose will provide standard PPE to employees. The PPE will include but is not limited to; hard hats, safety shoes, glasses with side shields or goggles, hearing protection, hand protections, and fall protection. In addition, our trailers are equipped with four gas detectors to ensure that workspace has no unexpected equipment leaks or other ambient hazards. The detailed Site Safety Plan for this project is attached to this test plan in Appendix “S”. 12 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan 3.0 Sampling and Analytical Procedures 3.1 Test Methods The test methods for this test program have been presented in Table 1-1. Additional information regarding specific applications or modifications to standard procedures is presented below. 3.1.1 EPA Methods 3A, 7E, and 10, Determination of Oxygen, Nitrogen Oxides, and Carbon Monoxide Concentrations in Emissions from Stationary Sources (Instrumental Analyzer Procedure) Concentrations of O2, 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. Pertinent information regarding the performance of the method is presented below: x A dry extractive sampling system is used to report emissions on a dry basis. x A paramagnetic analyzer is used to measure O2. x A chemiluminescent analyzer is used to measure NOX. x A gas filter correlation nondispersive infrared analyzer is used to measure CO. x The alternative NOX converter efficiency test described in EPA Method 7E Section 16.2 may be used (bag procedure). x Anticipated calibration span values are 0-21O2, 0-25 ppmvd NOX, and 0- 25 ppmvd CO x Prior to conducting the RATA testing, a stratification traverse of the effluent gas will be conducted. If the three (3) traverse points ORFDWHGDQGRIWKHLQVLGHGLDPHWHUWUDYHUVHOLQH  VKRZWKDWWKHHIIOXHQWJDVDWHDFKSRLQWGRHVQRWYHU\E\“ SHUFHQWRIWKHPHDQFRQFHQWUDWLRQRU“SSP ZKLFKHYHULVOHVV restrictive), the gas stream is considered not stratified, and the use of a single point may be used for sampling. x Minimum Required Sample Duration: 21 minutes The typical sampling system is detailed in Figure 3-1. 13 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan Figure 3-1 US EPA Methods 3A, 7E, and 10 Sampling Train O2 AND/OR CO2 ANALYZER NOx ANALYZER Exhaust Exhaust CO ANALYZER Exhaust SIGNAL SIGNAL SIGNAL Sample / Calibration Gas Sample / Calibration Gas Sample / Calibration Gas DATA OUTPUT DAS “ANALYZER” ROTAMETERS WITH FLOW CONTROL VALVES SAMPLE CONDITIONING SYSTEM WITH PUMP CALIBRATION GAS LINE STACKGAS STACKWALL HEATED SAMPLE LINE HEATEDFILTER "SAMPLE” AND “BY-PASS" ROTAMETERS WITH FLOW CONTROL VALVES THREE WAY VALVE BY-PASS “BIAS” ROTAMETER WITH FLOW CONTROL VALVES EPA ProtocolCalibration Gases MASS FLOW CONTROLLER / CALIBRATION GAS MANIFOLD 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 O2, and an F factor. The metered fuel flow rate is recorded during each test period. Typically, fuel flow rates are reported in scf/hr or lb/hr. Pertinent information regarding the performance of the method is presented below: x F factor is the oxygen-based F factor, dry basis (Fd) x F factor is the published source-based F factor in EPA Method 19, Table 19-2 14 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan 4.0 Quality Assurance and Reporting 4.1 QA Audits Montrose has instituted a rigorous QA/QC program for its air quality testing. Quality assurance audits are performed as part of the test program to ensure that the results are calculated using the highest quality data available. This program ensures that the emissions data we report are as accurate as possible. The procedures included in the cited reference methods are followed during preparation, sampling, calibration, and analysis. Montrose is responsible for preparation, calibration, and cleaning of the sampling apparatus. Montrose will also perform the sampling, sample recovery, storage, and shipping. Approved contract laboratories may perform some of the preparation and sample analyses, as needed. 4.2 Quality Control Procedures Montrose calibrates and maintains equipment as required by the methods performed and applicable regulatory guidance. Montrose follows internal procedures to prevent the use of malfunctioning or inoperable equipment in test programs. All equipment is operated by trained personnel. Any incidence of nonconforming work encountered during testing is reported and addressed through the corrective action system. 4.2.1 Equipment Inspection and Maintenance Each piece of field equipment that requires calibration is assigned a unique identification number to allow tracking of its calibration history. All field equipment is visually inspected prior to testing and includes pre-test calibration checks as required by the test method or regulatory agency. 4.2.2 Audit Samples When required by the test method and available, Montrose obtains EPA TNI SSAS audit samples from an accredited provider for analysis along with the samples. Currently, the SSAS program has been suspended pending the availability of a second accredited audit sample provider. If the program is reinstated, the audit samples will be ordered. If required as part of the test program, the audit samples are stored, shipped, and analyzed along with the emissions samples collected during the test program. The audit sample results are reported along with the emissions sample results. 4.3 Data Analysis and Validation Montrose converts the raw field, laboratory, and process data to reporting units consistent with the permit or subpart. Calculations are made using proprietary computer spreadsheets or data acquisition systems. One run of each test method is also verified using a separate example calculation. The example calculations are checked against the spreadsheet results and are included in the final report. The “Standard Conditions” for this project are 29.92 inches of mercury and 68 °F. 15 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan 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 D7036-04 which are conducted by the American Association for Laboratory Accreditation (A2LA). All testing performed by Montrose is supervised on site by at least one Qualified Individual (QI) as defined in D7036-04 Section 8.3.2. Data quality objectives for estimating measurement uncertainty within the documented limits in the test methods are met by using approved test protocols for each project as defined in D7036-04 Sections 7.2.1 and 12.10. Additional quality assurance information is included in the appendices. The content of this test plan is modeled after the EPA Emission Measurement Center Guideline Document (GD-042). 4.6 Reporting Montrose will prepare a final report to present the test data, calculations/equations, descriptions, and results. Prior to release by Montrose, each report is reviewed and certified by the project manager and their supervisor, or a peer. Source test reports will be submitted to the facility or appropriate regulatory agency (upon customer approval) within 30 days of the completion of the field work. The report will include a series of appendices to present copies of the intermediate calculations and example calculations, raw field data, laboratory analysis data, process data, and equipment calibration data. 4.6.1 Example Report Format The report is divided into various sections describing the different aspects of the source testing program. Figure 4-1 presents a typical Table of Contents for the final report. 16 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan Figure 4-1 Typical Report Format Cover Page Certification of Report Table of Contents Section 1.0 Introduction 2.0 Plant and Sampling Location Descriptions 3.0 Sampling and Analytical Procedures 4.0 Test Discussion and Results 5.0 Internal QA/QC Activities Appendices A Field Data and Calculations B Facility CEMS and Process Data C Laboratory Analysis Data D Quality Assurance/Quality Control E Regulatory Information 4.6.2 Example Presentation of Test Results Table 4-1 presents the typical tabular format that is used to summarize the results in the final source test report. Separate tables will outline the results for each CEMS parameter/set of units and compare them to their respective RA requirements. 17 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan Table 4-1 Example Nitrogen Oxide (ppmvd) RATA Results - Nebo EU #2 Run No.Date Time RM CEMS Difference Run used (Y or N) Unit Load (MW) 1 XX/XX/XXXX XXXX-XXXX XX XX XX X XX 2 XX/XX/XXXX XXXX-XXXX XX XX XX X XX 3 XX/XX/XXXX XXXX-XXXX XX XX XX X XX 4 XX/XX/XXXX XXXX-XXXX XX XX XX X XX 5 XX/XX/XXXX XXXX-XXXX XX XX XX X XX 6 XX/XX/XXXX XXXX-XXXX XX XX XX X XX 7 XX/XX/XXXX XXXX-XXXX XX XX XX X XX 8 XX/XX/XXXX 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 XX/XX/XXXX XXXX-XXXX XX XX XX X XX 12 XX/XX/XXXX XXXX-XXXX XX XX XX X XX Averages XX XX XX XX Applicable Standard (AS)XX ppmvd Standard Deviation XX ppmvd Confidence Coefficient (CC)XX ppmvd Bias Adjustment Factor (BAF)XX Unit Load XX MW RA based on mean RM value XX  RA based on AS XX  RA based on difference plus CC XX ppmvd RA based on absolute difference XX ppmvd 18 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan Appendix A Supporting Information 19 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan Appendix A.1 Units and Abbreviations 20 of 44 GP081AS-046248-PP-922-R1                                            !  !" #$  %  &'() *      +$ *   *    , $ +-      ", $ .  *  ,  /    0    ,1 0%  % ,2(3341 2(222&1    *    "   5 6   77 ,  5 6    ",8    9  9     9%* *  % *   *       ", 1 5   :    ,** ;        ,**   '   *  <      :  ,** =      " *  *   ,**  '  =5       *   ,**       " *  %6    ,** **       *       ", 1  >   *, ** >       ,** ?         ,** ;     ,*      ;  77 ,  ;   ",            *         6  , 1==9   * *  *  *  *      8         @222 * *     21 of 44 GP081AS-046248-PP-922-R1     1   *        A *   " *   ""     , *&2' B "  *    B'   2(2&CD 1 BD    2(22))4($ '1E! " "  B**      4C(D3 1  "%  %     *    1 * *  1==9  * * 9  *  *      =  F   ,   '         *  , =   %   "G ,16  8  8     =  &2)     H    == F  ==9 1 9 *     *     ,   (% ( =I   %  =  %   "G% ,16 =I   %    %     *       J'  -   *  , $ * *  - "  *  , $ -  *    , $ ** * *  ** * * , ** * *  ,  ** * *  ** * * , ** * *  ,  **% * *  ,%  -  "*  , $ * * * 8  * * * 8  * * * 8  22 of 44 GP081AS-046248-PP-922-R1    -     *  ,3(3 $ K %  ,   , K %  ,     , K  %  ,      ,  !   &(4C($ '1E!  >9* 6   ",* >9* 6   ",*           *       *             *      ,8( (,  8        &222" L2(3@C 6 L      *   ,!MDC3()@ F L      *   ,!MDC3()@ F   N222*  *  1 *  *  1 *   L    "  *   ,!MDC3()@ F L   *          ?  ?   ", ?%    %, ?   $  *   ,  ? *     , ' ?        ,        ,  ? " * , ?     "    77 , ?   "  , *   ?%  % *   ,        , ?%  % * *  * , ?%  % * *   , I% I%       %, I*  %  * ,  I  %   ,  O      ,    23 of 44 GP081AS-046248-PP-922-R1 55>   * *  * 5;-       *  5F 7     ,*   * 5;     5;H     5FL9 5 FL  9  5> **       5>L= 5 >   L  5 =  95L        9;H  %   9$-  "   *% 9A       9H> "8         ;     F     F=     F=>       F!=>         FL        !   !   <5    $J>       ,$,J,, >    J<    6        7     =>  *     -=   *   -=>  *      L     L=       L       7 ?55>  *   * *  * ; 8    ;F      ;  *    76*6  -;; ;HH     ;J<  6   F;   *     FAL F AL  FH;              F=-    *     F-5 P>F   -   5  F-!A F  -% !   A   F>    **   F>-     * *   FP  P     " <;    7  A  7  A5  7 7 A;  7    -;  *     -=   *     24 of 44 GP081AS-046248-PP-922-R1   LA!   6    *  * L-9    * " L!9      "   *    7 -;  <    * <1=>    *1*  * < 55>  *     * *  * <      <$<    $5- 7  *  $    $$?     $-H *   8    * $!<1$!=> 6     *16  *  * $!><          A    * A5-    6*  * *  * A-!    *% * 6   A-6=>    * *6*  * A!       A> A  >    7  "I "%  H <   H$? %    H-< 8 *   =5L       =;A     *   =;H      =J   *     =!H    *  => *    J5  **    J5>A J   5 5 > A*    J< 6    J;    J;A! 6 *    JF>$5- J F>     $7 5 -   J<    JA>$ J A     * > 5 $   JA>L J A   >   5 L  J= 6   J= 6   *  J=? 6     *  J-;   **    J>-> J %>  -   >    >$5 * > 5 $  5    -5$ *     -9 *  * *  -I- *%  * % *    -F -  F - 5> * 6 * "  - 5> -A * 7  -A; * 7    -= *   25 of 44 GP081AS-046248-PP-922-R1   -=&2 *     &2     -=(C *     (C     -= *  -> *   *   ->; *  7     ->FH *     ->L *   *    -LF *       -L= *       K51K 8    8   KA K A   K>LA K >  L  A   !5     !55      !5L     !5L5        !L           7 !AF     *      !=     !L         7 >5=    >;         >!           >;       > 6?>L  6   * *   >!=         L5-   *  L9;    L5     7 L;        L<JFJ=   6  6   *  L<J=   6   *  L<    *  L$     LA       * L    7 L   F-5=  L6&C L-=  *   L>-  *  *   LLF *      PH>;  6%     P?        ?F    ?    *  ?>L    *   I %  IIL- % %     * 26 of 44 GP081AS-046248-PP-922-R1 5  >    5    >    9   >'    9   >        L;;    7       L;    7   >   L<        $    L$     $'$    L  $'$   L!>     *  $D   Q 7 $D     $)  '$D    '$) * *  '$4 * * )$C$ *                       ** F      F $   $   $% $  *   $>    $>D   $     $    A-5 * * =;A     *   =      =FB   "  = $   =   J   J$' J "  J    J     J         - **  -   -;; *    76*6   -; *    7  >        27 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan Appendix A.2 Accreditation Information/Certifications 28 of 44 GP081AS-046248-PP-922-R1 Accredited Air Emission Testing Body A2LA has accredited MONTROSE AIR QUALITY SERVICES In recognition of the successful completion of the joint A2LA and Stack Testing Accreditation Council (STAC) evaluation process, this laboratory is accredited to perform testing activities in compliance with ASTM D7036:2004 - Standard Practice for Competence of Air Emission Testing Bodies. Presented this 27th day of February 2024. _______________________ Vice President, Accreditation Services For the Accreditation Council Certificate Number 3925.01 Valid to February 28, 2026 This accreditation program is not included under the A2LA ILAC Mutual Recognition Arrangement. American Association for Laboratory Accreditation 29 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan Appendix “S” Site Specific Safety Plan 30 of 44 GP081AS-046248-PP-922-R1 SITE SAFETY PLAN BOOKLET Project: _____________________ Customer: ___________________ Location: ____________________ Units: _______________________ Client Project Manager: ______________________ Revision Date:June 29th, 2023 31 of 44 GP081AS-046248-PP-922-R1 PROJ-046248 UAMPS Payson, Utah GE Frame 7EA/HRSG Gas-Fired Cheyney Guymon Page 1 of 2 Site Safety Plan and JHA Purpose and Instructions Purpose Employee safety is the top priority of Montrose Environmental Group. All employees must be trained to assess and mitigate hazards. The District Manager and Project Manager are responsible to ensure all hazards have been properly identified and managed. All employees have Stop Work Authority in all situations where an employee feels they or their co-worker cannot perform a job safely or if there is a task for which they have not been adequately trained. The Site Safety Plan (SSP) has been developed to help assist Montrose test crews with identifying physical and health hazards and determining how the hazards will be managed. Additionally, the SSP will help each crew manage the safety of the employees by providing emergency procedures and information. The booklet contains a several safety forms that may be required in the field. Instructions The SSP consists of the following: communicated to all employees, signed, and posted. Supervisor/ CPM will ensure that this Emergency Action Plan Form is completed, CPM will maintain a roster and be responsible for accounting for all employees. The Job to work commencing. In the event of an emergency situation/ evacuation, the Job Supervisor/ emergency and evacuation procedures, assembly/ rally points, alert systems, and signals prior the Emergency Action Plan form and ensure that all employees are familiar with the facility 4. Emergency Action Plan -The Job Supervisor/ Client Project Manager (CPM) will complete observed plus applicable PPE that may be required. administrative controls that a crew can use to reduce or eliminate the hazards they have 3. Hazard Control Matrix - contains useful information on both engineering and with the toolbox topic and signatures can be added to the SSP packet. the hazard analysis is required daily for the duration of the test. An additional sheet of paper modified when conditions change. A toolbox meeting with a daily topic in addition to a review of sign on the Job Hazard Analysis form in agreement and sign in Section 10. The JHA is to be Each team member has the option to discuss making changes or adding to the JHA and must Section 9 will require at least three tasks, hazards and controls be identified for the project. form for accuracy, making any corrections required and complete the remainder of the JHA. complete the JHA form through section 8. Upon arrival at the test site, the team will review the daily hazard review with sign off by the team.The client Project Manager is responsible to task/site’s particular hazards and controls. The form also includes a daily toolbox topic and 2. A Job Hazard Analysis is a standardized, two-page, fillable form that is used to evaluated the prior to the test. 1. A Pre-Mobilization Test Plan – To be completed in it’s entirety by the client project Manager AQS-FRM-1.13R1 Extended Hours Formc. Heat Stress Prevention Form Based on Heat Indexb. MEWP Lift Inspection Forma. Additional Forms, as applicable5. 32 of 44 GP081AS-046248-PP-922-R1 Page 2 of 2 Site Safety Plan and JHA Purpose and Instructions The SSP is a living document. The Project Manager should continually update their SSPs as new information and conditions change or if new hazards are presented. Each completed SSP should be maintained with the Test Plan in the office for a period of 3 years. There will be an audit process developed for the Site Safety Plans. AQS-FRM-1.13R1 33 of 44 GP081AS-046248-PP-922-R1 Page 1 of 2 PRE-MOBILIZATION TEST INFORMATION Source Type: New Source: ____ Revisit: ____ Prj#/Date/Tech: __________________________ Coal Fired Electric Utility: ____ Ethanol Plant: ____ Chemical Mfg. of _________________________ Cement/Lime Kiln Plant: ____ Specialty Mfg. of: ___________ Other: _______________ Anticipated Effluent Composition – check all that apply and fill in expected concentration in ppm/% CO NOX SO2 VOC other If other, explain: _______________________________________________________ Flammable: _______ Toxic: ________ Corrosive: _______ Dust: __________ Engineering Controls to be Implemented: ______________________________________________________________________________________ __________________________________________________________________________________ Additional Safety Equipment Required: Personal gas monitors: ____ Respiratory Protection: Half Face____ Full Face____ HEPA Filters____ Supplied Air: _____ (Safety Dept. Approval) Approximate Flue Gas Temperatures, (F) below 210 210 to 450 450 to 950 above 950 other If other, explain: _______________________________________________________ Approximate Duct Pressure, (iwg): below -3 -3 to +3 +3 to +7 above +7 other If other, explain: _______________________________________________________ PROJECT NAME/LOCATION: ______________________ PROJECT #: ____________________ TEST DATE: ______________________ PROJECT MANAGER: ___________________ TEST SCOPE: _________________________________________________________________ SITE CONTACT: Name: _____________________ Contact Phone: _________________________ AQS-FRM-1.17 34 of 44 GP081AS-046248-PP-922-R1 X PROJ-039393/5/29/24/CG & JA Gas-Fired Turbine < 10 ppm CO; <10 ppm NOx; 15% O2 UAMPS PROJ-046248 May 9, 2025 Cheyney Guymon New CEMS Certification - GE Frame 7EA/HRSG Gas-Fired Turbine EU #2 RATA Dave Gammell 801-925-4012 Page 2 of 2 PRE-MOBILIZATION TEST INFORMATION Sampling Location: Stack Port ____ Duct Port ____ Approximate Sampling Platform Height, (ft) Effluent Chemical Regulatory Limits Gas Name Chemical Formula Cal OSHA PEL1 (ppm) Cal OSHA STEL2 (ppm) NIOSH REL TWA3 (ppm) Cal OSHA Ceiling (ppm) IDLH4 (ppm) Carbon Monoxide CO 25 200 35 200 1,200 Nitric Oxide NOx 25 ND5 25 ND 100 Sulfur Dioxide SO2 2 5 2 ND 100 Hydrogen Chloride HCl 0.3 2 ND 2 50 Hydrogen Sulfide H2S 10 15 10 (10 min.)C 50 100 California Occupational Safety and Health Administration (OSHA) Permissible Exposure Limit (PEL) based on an 8-hour shift; 2: Cal OSHA Short-term Exposure Limit (STEL) based on a 15-minute period; 3: National Institute for Occupational Safety and Health (NIOSH) Recommended Exposure Limit (REL) Time-weighted Average (TWA) based on an 8-hour shift; 4: Immediately Dangerous to Life or Health (IDLH); 5: Not Defined (ND); C: Ceiling Limit - Maximum allowable human exposure limit for an airborne or gaseous substance, which is not to be exceeded, even momentarily. Prepared by: Date: Reviewed by: Date: ______________________________________________________________________________ ______________________________________________________________________________ Additional Information: ______________________________________________________________________________ ______________________________________________________________________________ Describe how equipment will be mobilized to the sampling location: Other:_____________________________________________________________________________ Guardrails: ____ Toe plate: ____ Engineered Tie Off Points: ____ Heat Shield: ____ Elevators: ____ Ladders: ____ MEWP Lift: ____ Scaffold: ____ Equipment Hoist: ____ Access and Protection: If other, explain: _______________________________________________________ below 6 6 to 50 50 to 100 above 100 other AQS-FRM-1.17 35 of 44 GP081AS-046248-PP-922-R1 X X Hoisted or hand carried Joby Dunmire September 30, 2024 Job Hazard Analysis 1 of 3 1. Client Rep Job Preparation Job Site Walk Through Completed Site Specific Training Complete Safe Work Permit Received from Client 2.Facility Information/Emergency Preparedness If non-emergency medical attention is needed, call: AXIOM #: 877-502-9466. Plant Emergency # Certified First Aid Person: EMS Location Evacuation Routes Rally Point Severe Weather Shelter Location Eye Wash & Safety Shower Location Operational: Yes No Source Information: (list type): Stack Gas Temp. (oF)Stack Gas Press. ("H2O)Stack Gas Components: Stack Gas Inhalation Potential?Yes No If yes, see List of Hazard Chemicals. 3.Error Risk Time Pressure Remote Work Location > 12 hr shift Working > 8 consecutive days Lack of procedures Extreme temps, wind >30mph Personal illness/fatigue Vague work guidance Monotonous Activity First day back after time off Multiple job locations Other: 4.Physical Hazards Hazard Controls Dust Hazards Dust Mask Goggles Other: Thermal Burn Hot Gloves Heat Shields Other Protective Clothing: Electrical Hazards Connections Protected from Elements External GFCI Other: XP Rating Requirement Intrinsically Safe Requirement Inadequate Lighting Install Temporary Lighting Headlamps Slip and Trip Housekeeping Barricade Area Other: Hand Protection Cut Resistant Gloves Pinch Pts. General Electrical Impact Resistant Other: Potential Hazards for Consideration Secondary Permits Hot Work Confined Space Excavation Working from Heights Falling objects Fall protection Drop zone protection Platform load ratings See also Sect. 7 Scaffold inspection Ladder inspection Barricades for equipment Electrical Exposed wire/connector Verify equipment grounding Arc Flash Lifting Crane lift plan Rigging inspection Tag lines used Hoists in place Respiratory Unexpected exposure Chemical Dust (combustible) PEL provided See also Sect. 8 Cartridges or supplied air available Gas detection equipment 5.Required PPE Hard Hats Safety Glasses Safety Toe Shoe/Boot Hearing Protection Safety Spotter Hi-Vis Vests Harness/Lanyard*Goggles Personal Monitor Type: Metatarsal Guards Hot Gloves Face Shield Respirator Type: Nomex/FRC Other PPE: Client Contact Name Date Facility SSP Writer PM If the heat index is expected to be above 91°, fill out the Heat Stress Prevention Form. All hazards and mitigation steps must be documented. If this JHA does not cover all the hazards identified, use Section 9 to document that information. AQS-FRM-1.18 36 of 44 GP081AS-046248-PP-922-R1 UAMPS Dave Gammell May 9, 2025 Payson, Utah Job Hazard Analysis 2 of 3 Additional Work Place Hazards 6.Critical Procedures – check all that apply – *indicates additional form must be completed or collected from client Heat Stress Prevention* Confined Space* Roof Work Scaffold Cold Weather Work Hazardous Energy Control* Other: 7.Working From Heights Fall Protection Fixed Guardrails/Toe boards Fall Prevention PPE Warning Line System Falling Objects Protection Barricading Netting House Keeping Tethered Tools Catch Blanket or Tarp Fall Hazard Communication Adjacent/Overhead Workers Contractor Contact Client Contact 8.Other Considerations Environmental Hazards - Weather Forecast Heat/Cold Lightning Rain Snow Ice Tornado Wind Speed Steps for Mitigation: Electrical Safety Planning Plant Hook up:110V 220/240V 480V Generator Hard wired into panel Electrical Classified Area: Yes No Trailer Grounded: Yes No Plug Type Electrical Hook Up Responsibility: List of Hazardous Chemicals Other Chemicals: Acetone Nitric Acid Hydrogen Peroxide Compressed Gases Hexane Sulfuric Acid Isopropyl Alcohol Flammable Gas Toluene Hydrochloric Acid Liquid Nitrogen Non-Flammable Gas H2S Carbon Monoxide Steps for Mitigation: Wildlife/Fauna in Area Poison Ivy Poison Oak Insects: Wildlife: Personnel w/ known allergies to bees stings or other allergens?Yes No 9.Observed Hazards and Mitigation Steps Task Potential Hazard(s) Steps for Mitigation ● 11 22 33 ● 11 22 33 ● 11 22 33 ● 11 22 33 Exposure Monitoring MEWP* AQS-FRM-1.18 37 of 44 GP081AS-046248-PP-922-R1 Job Hazard Analysis 3 of 3 10.JHA REVIEW: Crew Names & Signatures 11.Daily JHA Meeting & Review Items to review: ● Change in conditions ● Extended work hours ● Daily Safety Topic ● New workers or contractors ● Occurrence of near misses or injuries Printed Name Signature 2 Discussion TopicDay Initialing demonstrates that site conditions and hazards have not changed from the original SSP. If changes did occur, make the necessary updates to this JHA and add notes as applicable in Section 9. Initials 9 8 7 6 3 Date Printed Name Signature Date 5 4 11 10 AQS-FRM-1.18 38 of 44 GP081AS-046248-PP-922-R1 1 2 3 4 5 6 Local Hospital/ Clinic Telephone Number: 7 8 9 10 11 12 13 14 15 16 17 MEG Job Supervisor/ CPM's Telephone Number: Plant's #1 Contact Person's Name: Plant's #1 Contact Person's Telephone Number: MEG Job Safety Supervisor's Telephone Number: Plant's Emergency Telephone Number: Emergency Ops Radio Channel: The Fire Extinguisher is Located: Eye Wash and Safety Shower Location: The First Aid Kit is Located: Page 1 of 2 The Job Supervisor/ Client Project Manager (CPM) will ensure that all employees are familiar with the facility emergency and evacuation procedures, assembly/ rally points, alert systems, and signals prior to work commencing. In the event of an emergency situation/ evacuation, the Job Supervisor/ CPM will maintain a roster and be responsible for accounting for all employees. The Job Supervisor/ CPM will ensure that this Emergency Action Plan Form is completed, communicated to all employees, and posted. • You must follow the client’s emergency action plan first, and notify your Supervisor immediately. •If incident is life threatening, CALL 911 IMMEDIATELLY • If non-emergency medical attention is needed, call AXIOM Medical number: 877-502-9466. EMERGENCY ACTION PLAN FORM MEG Job Supervisor/ CPM's Name: MEG Job Safety Supervisor (if applicable): Evacuation Routes: Severe Weather Shelter Location: Plant's #2 Contact Person's Name: Plant's #2 Contact Person's Telephone Number: Designated Assembly Point Location: AQS-FRM-1.11 39 of 44 GP081AS-046248-PP-922-R1 1 2 4 5 Signature: Date: Printed Name: Signature: Date: EVACUATE:____________________________________; OTHER:_______________________________________; Alarm Tones: EMERGENCY ACTION PLAN FORM AND EVACUATION ASSEMBLY MAP REVIEW: Crew Names and Signatures Printed Name: Draw the evacuation and assembly map here Page 2 of 2 EMERGENCY EVACUATION AND ASSEMBLY MAP 3 Designated Shelter(s) Description: Designated Assembly Point(s) Description: YES or NO Facility Name: Facility Alarm (Circle): FIRE:_________________________________________; CHEMICAL/ GAS:_______________________________; SHELTER-IN-PLACE:_____________________________; AQS-FRM-1.11 40 of 44 GP081AS-046248-PP-922-R1 Serial Number: Make: Rented or Owned: x Check “Yes” if an item is adequate, operational, and safe. x Check “No” to indicate that a repair or other corrective action is required prior to use. x Check “N/A” to indicate “Not Applicable.” Yes No N/A ܆ ܆ ܆ 2. Hydraulic fluid level is sufficient, with the platform fully lowered ܆ ܆ ܆ 3. Hydraulic system pressure (see manufacturer specs) is acceptable. If the pressure is low, determine cause and repair in accordance with accepted procedures as outlined in service manual. ܆ ܆ ܆ 4. Tires and wheel lug nuts (for tightness) ܆ ܆ ܆ 5. Hoses and cables (i.e. worn areas or chafing) ܆ ܆ ܆ 6. Platform rails and safety gate (no damage present) ܆ ܆ ܆ 7. Pivot pins secure ܆ ܆ ܆ 8. Welds are not cracked and structural members are not bent or broken ܆ ܆ ܆ 9. Warning and instructional labels are legible and secure, and load capacity is clearly marked. ܆ ܆ ܆ 10. Manufacturer’s Instruction Manual is present inside the bucket ܆ ܆ ܆ 11. Base controls (switches and push buttons) can be properly operated ܆ ܆ ܆ 12. Platform conditions are safe (i.e. not slippery) ܆ ܆ ܆ 13. Fire extinguisher is present, mounted and fully charged, located inside the bucket ܆ ܆ ܆ 14. Headlights, safety strobe light and back-up alarm are functional ܆ ܆ ܆ 15. Workplace is free of hazards (overhead powerlines, obstructions, level surface, high winds, etc.) *Do not operate if winds are 20 mph, unless otherwise specified by manufacturer recommendations. ܆ ܆ ܆ Operator Name & Signature Location Date Ground Control Name & Signature Location Date Harness Inspections: Printed Name Signature Date Printed Name Signature Date Printed Name Signature Date Daily MEWP Lift Inspection Form Page 1 of 1 atthe beginning of each shift or following 6 to 8 hours of use. All checks must be completed prior to each work shift, before operation of the MEWP lift. This checklist must be used MEWP Lift Model #: loose hoses, etc.) – if something can be easily loosened by hand then it is not sufficient. 1.All MEWP lift components are in working condition (i.e. no loose or missing parts, torn or Items to be Inspected AQS-FRM-1.16 41 of 44 GP081AS-046248-PP-922-R1 Page 1 of 1 001AS-SAFETY-FM-3 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 Regional Vice President (RVP). Technical RVPs can authorize moving forward, if they are in the field or if they are managing the project. 1.Hold test crew meeting Test crew initials: The test leader should look for signs of the following in their crews: x Irritability x Lack of motivation x Headaches x Giddiness x Fatigue x Depression x Reduced alertness, lack of concentration and memory The test leader should assess the environmental and hazardous concerns: x Temperature and weather x Lighting x Working from Heights x Hoisting x PPE (i.e. respirators, etc.) x Pollutant concentration in ambient air (SO2, H2S, ect.) x Reason for extended hours x Reason for delay ƒProduction limitations x Impending Weather 3.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 final decision. Final Outcome: Approver: During this time, they can come to an agreement on how to proceed. Itemsto discuss include: extended work period. If the DM is the acting PM on the job site, they must contact the RVP. The PM must contact either the DM or RVP to discuss the safety issues that may arise due to the Notify DM or RVP2. 42 of 44 GP081AS-046248-PP-922-R1 Page 1 of 1 001AS-SAFETY-FM-5 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 project documentation. Project Manager (PM): Expected High Temp: Date(s): Expected Heat Index: 1. Review the signs of Heat Exhaustion and Heat Stroke 2. If Heat Index is above 91° F: x 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 employee x 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 x Provide cool head bands/vests/etc. x Have ice available to employees x Implement work shift rotations and breaks, particularly for employees working in direct sunlight. x Provide as much shade at the jobsite as possible, including tarps, tents or other acceptable temporary structures. x PM should interview each field staff periodically to evaluate for signs of heat illness 3. If Heat Index is above 103° F: x Employees must stop for drinks and breaks every hour (about 4 cups/hour) x Employees are not permitted to work alone for more than one hour at a time without a break offering shade and drinks x Employees should wear cool bands and vests if working outside more than one hour at a time x PM should interview each field staff every 2 hours to evaluate for signs of heat illness 43 of 44 GP081AS-046248-PP-922-R1 Utah Association of Municipal Power Systems (UAMPS), Payson, Utah2025 Nebo Power Generating Station EU #2 New CEMS Certification RATA Test Plan 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: 801-362-4978 Name: Beckie Hawkins Title: District Manager Region: Great Plains Region, Utah Office Email: behawkins@montrose-env.com Phone: 801-794-2950 44 of 44 GP081AS-046248-PP-922-R1