Small Gas Emissions Data Questionnaire Linked Spreadsheet 030308

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Overview

PAH
Organic HAP and CO

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Sheet 1: PAH

	You should provide the most recent data available at for each pollutant for any similar group of small gas-fired* boilers or process heaters . To provide the results of more than one test, you may copy and paste this worksheet. Please indicate the appropriate facility name and combustor ID represented by the test at the top of each worksheet. When complete, e-mail this spreadsheet to [email protected].
Facility Name:
Combustor ID:
Control Device Configuration:
Parameter	Sample #1	Sample #2	Sample #3	Test Average	Steam Output (1000 lb/hr)	Unitsa	Units Other Description	Test Method Used	Test Location	Note
	Enter numerical value when available. If the test results are below detection limit, please note the detection limit in brackets (e.g., [< 0.010]).					Select appropriate unit from list. If other is selected please describe units in column H at right.		Enter the name of the Test Method used.	Indicate whether the test occurred upstream or downstream of a control device(s)	For all pollutants, provide any other information supporting information you think is necessary about this test report.
Sample Date (mm/dd/yyyy)
Required Operating Parameters During Test
Fuel 1 Input Rate
Fuel 2 Input Rate
Fuel 3 Input Rate
Fuel 4 Input Rate (insert rows for additional fuels as necessary)
Emission Data
7-PAH*
15-PAH**
Other Operating Parameters During Test	(These parameters are only required if emission units are provided in units of concentration)
Dry or Wet Basis						Wet or Dry
% CO2
% O2
Exhaust Stream %Moisture
Exhaust Flowrate						acfm or dscfm
Exhaust Temperature						C or F
*7-PAH means: benz(a)anthracene, benzo(a)pyrene, benzo(b)fluoranthene, benzo(k)fluoranthene, chrysene, dibenz(a,h)anthracene, and indeno(1,2,3-cd)pyrene
** 15-PAH means acenaphthene, acenaphthylene, anthracene, benzo(a)anthracene, benzo(a)pyrene, benzo(b)fluoranthene, benzo(g,h,i)perylene, benzo(k)fluoranthene, dibenzo(a,h)anthracene, dibenzofuran, fluoranthene, fluorene, Indeno(1,2,3-cd)pyrene, phenanthrene, and pyrene)

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Sheet 2: Organic HAP and CO

	You should provide the most recent stack test data available at for each pollutant at each boiler or process heater (excluding small gas fired units that were covered under Part II.A). To provide the results of more than one test, you may copy and paste this worksheet. Please indicate the appropriate facility name and combustor ID at the top of each worksheet. When complete, e-mail this spreadsheet to [email protected].
Facility Name:
Combustor ID:
Control Device Configuration:
Parameter	Sample #1	Sample #2	Sample #3	Test Average	Steam Output (1000 lb/hr)	Unitsa	Units Other Description	Test Method Used	Test Location	Note
	Enter numerical value when available. If the test results are below detection limit, please note the detection limit in brackets (e.g., [< 0.010]).					Select appropriate unit from list. If other is selected please describe units in column H at right.		Enter the name of the Test Method used.	Indicate whether the test occurred upstream or downstream of a control device(s)	For all pollutants, provide any other information supporting information you think is necessary about this test report.
Sample Date (mm/dd/yyyy)
Required Operating Parameters During Test
Fuel 1 Input Rate
Fuel 2 Input Rate
Fuel 3 Input Rate
Fuel 4 Input Rate (insert rows for additional fuels as necessary)
Emission Data
acetaldehyde
benzene
formaldehyde
toluene
xylenes
CO
Other Operating Parameters During Test	(These parameters are only required if emission units are provided in units of concentration)
Dry or Wet Basis						Wet or Dry
% CO2
% O2
Exhaust Stream %Moisture
Exhaust Flowrate						acfm or dscfm
Exhaust Temperature						C or F