Performance Testing for Stationary Source Air Emissions — Forms
The Performance Test Program maintains forms related to performance testing to assist facilities and test consultants in meeting the requirements of Minnesota Rules:
Test Report Forms
Operating Data Forms
The appropriate operating data form is required as part of a complete test report and only provides a summary of the operating conditions during the performance test. Emission unit and control equipment operating conditions must be recorded for each run and averaged over three runs to provide a final average value over the performance test. Additional and more detailed records are required to meet the requirements of Minn. R. 7017.2035 Readings of discrete data from monitoring instruments must be recorded at least every 15 minutes, or other reasonable time interval as approved, during the test. Strip charts or retrieved electronic data from continuous monitors must be included in the test report and summarized on one of the appropriate forms below.
Combustion Sources (aq-f6-04)
Process Sources (aq-f6-05)
Waste Combustors (aq-f6-06)
Asphalt Plants (aq-f6-03)
Test Report Certification Form
All performance test reports must be certified pursuant to Minn. R. 7017.2040 using the certification form below. Any test report that lacks certification will not be accepted.
Test Report Certification (aq-f6-02)
Complete Submittals Forms
The CD submittal form below will help you to submit your CD test report copy correctly. The Facility Name, AQ File Number, Source Designator as listed in the permit (EU00X, SV00X, CE00X, GP00X, etc.) and Test Date must be included on the face of the CD. The Performance Test Report Completeness Criteria form is a checklist that you may use to ensure that your test report includes all required information.
Test Report CD/Microfiche Submittal (aq-f6-07)
Performance Test Report Completeness Criteria (aq-f6-01)
Performance Test Frequency Form
While some permits require initial performance testing only, others specify that the facility must submit a Testing Frequency Plan. A testing frequency plan’s purpose is to identify the frequency at which the emission unit will be tested in the future. This requirement may be found in the facility permit. The performance test frequency form was created to aid in the development of a performance test frequency plan proposal by the facility and to aid in the review of the proposal by the MPCA.
Performance Test Frequency Form (aq-f6-13)
Expedited Review Request Form
The MPCA strives for timely review and processing of all performance test reports. Performance test reports are processed during regular working hours on a first come, first served basis. There are some instances, however, where a project is particularly time sensitive or where the cost of waiting for the normal review and approval process would greatly exceed the cost of paying for an expedited review. The expedited review program provides another option for those who are faced with that situation. If you are interested in the expedited review program you will find more information in the document below.
Expedited Review Request with Introduction (aq-f8-exp01)
Periodic Reporting Forms
The following forms may be required to be submitted for quarterly, semi-annual and/or annual reporting. Please consult your air permit to determine which forms and frequencies are required.
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Air Quality Reporting Form Checklist for Routine Submittals (PDF Version) (aq-f6-aqrf) -
Excess Emissions Reporting Form (PDF Version) (aq-f6-drf1) 
DRF-2: Deviations Identified by Periodic Monitoring Systems or Through Recordkeeping (aq-f6-drf2)
CR-04: Annual Compliance Certification Report (aq-f6-cr04)
CAP-CR-04: Annual Compliance Certification Report for Capped Permits (aq-f6-capcr04)
PRF-1: Semi-Annual Reporting Form For Plant-wide Applicability Limits (aq-f6-prf01)
MGCR-04: Part 70 Manufacturing General Permit Annual Compliance Certification Report (aq-f6-mgcr04)
