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VOLUNTARY IDLING PROGRAM ANNUAL REPORT
State Form 53903 (4-09)

OFFICE OF POLLUTION PREVENTION AND TECHNICAL ASSISTANCE Southwest Regional Office Sr. Environmental Manager PO Box 128 Petersburg, IN 47567-0127 Telephone: (888) 672-8323

SECTION 1

PARTNER INFORMATION

Partner Name Phone Number E-mail Address
SECTION 2

Contact Person

REPORT QUESTIONS

1) 2) 3) 4) 5) 6) 7) 8)

How many vehicles did you operate on December 31, of last year? How many vehicles did you operate on December 31, of the previous year? How many vehicle miles did your fleet travel in the past calendar year? How many vehicle miles did your fleet travel in the previous calendar year? How many gallons of diesel fuel did your fleet use in the past calendar year? How many gallons of diesel fuel did your fleet use in the previous calendar year? How many gallons of gasoline did your fleet use in the past calendar year? How many gallons of gasoline did your fleet use in the previous calendar year?

9) OPTIONAL: What actions have you taken to encourage your business partners to eliminate unnecessary and excessive idling?

10) OPTIONAL: What strategies have been most effective for you in reducing fuel consumption?

11) OPTIONAL: What information, services or programs can IDEM offer to assist you in eliminating unnecessary and excessive idling and reducing fuel consumption?