New Hampshire



Granite State Clean Cities Coalition (GSCCC)

Alternative Fuel/Vehicle Questionnaire 2020

|Organization | |

|Applicant Contact Name | |

|Phone | |Email | |

|GSCCC Stakeholder? |Yes | |No | |

|NOTE: Report on vehicles operating IN New Hampshire during calendar year 2020 |

|1) Circle all that apply to your organization: |

| |

|Airport, Corporate Fleet, Delivery/Transport, Local Government, Maintenance, Off-road Vehicles, State Government, Police, School Bus, Shuttle/Taxi,|

|Transit, US Parks, USPS, Utility, Waste Haulers |

|2) Total # of vehicles in your organization (ALL vehicles): _________ |

|3) Indicate which of the following fuels and/or technologies your organization uses: |

| |

|BIODIESEL |

|B5 Biodiesel Blend |

|_____ # on-road LD vehicles using B5 _________ total gal used _____ # months using B5 |

|_____ # on-road HD vehicles using B5 _________ total gal used _____ # months using B5 |

|_____ # off-road vehicles using B5 _________ total gal used _____ # months using B5 |

|B20 Biodiesel Blend |

|_____ # on-road LD vehicles using B20 _________ total gal used _____ # months using B20 |

|_____ # on-road HD vehicles using B20 _________ total gal used _____ # months using B20 |

|_____ # off-road vehicles using B20 _________ total gal used _____ # months using B20 |

|B100 Biodiesel |

|_____ # on-road LD vehicles using B100 _________ total gal used _____ # months using B100 |

|_____ # on-road HD vehicles using B100 _________ total gal used _____ # months using B100 |

|_____ # off-road vehicles using B100 _________ total gal used _____ # months using B100 |

|Other Biodiesel Blends Specify percentage blend: ____________ |

|_____ # on-road LD vehicles using blend _________ total gal used _____ # months using blend |

|_____ # on-road HD vehicles using blend _________ total gal used _____ # months using blend |

|_____ # off-road vehicles using blend _________ total gal used _____ # months using blend |

| |

|COMPRESSED NATURAL GAS (CNG) |

|CNG (if bi-fuel, indicate how many) |

|_____ # on-road LD vehicles using CNG ________ total GGEs used |

|_____ # on-road HD vehicles using CNG ________ total GGEs used |

|_____ # off-road vehicles using CNG (indicate type of vehicle) ________ total GGEs used |

| |

|HYBRID/ELECTRIC |

|Hybrid Electric Vehicles (if Plug-in Hybrids, indicate how many) |

|_____# on-road hybrid electric LD vehicles (plug-in?) _______ estimated miles per year ______ kWh per year |

|_____# on-road hybrid electric HD vehicles (plug-in?) _______ estimated miles per year ______ kWh per year |

|_____# off-road hybrid electric vehicles (plug-in?) _______ estimated miles per year ______ kWh per year |

|Battery Electric Vehicles (for vehicles running only on battery power – for plug-in hybrids see above) |

|_____ # on-road LD Electric Vehicles _______ estimated miles per year ____ kWh per year |

|_____ # on-road HD Electric Vehicles _______ estimated miles per year ____ kWh per year |

|_____ # off-road Electric Vehicles _______ estimated miles per year ____ kWh per year |

| |

|PROPANE |

|Propane (if bi-fuel, indicate how many) |

|_____ # on-road LD vehicles using propane _______ total GGEs used |

|_____ # on-road HD vehicles using propane _______ total GGEs used |

|_____ # off-road vehicles using propane (indicate type of vehicle) _______ total GGEs used |

|HYDROGEN |

| |

|Hydrogen |

|_____ # on-road LD vehicles using hydrogen _____ # on-road HD vehicles using hydrogen |

|_____ # off-road vehicles using hydrogen _____ total kg used |

| |

| |

|4. Does your organization have an idling reduction policy? _____ Yes _____No. |

|If yes, explain: |

|5. Do your vehicles use any on-board idle reduction technology such as heaters, APUs, IdleRight, or other devices? _____ Yes _____No. |

|If yes, explain: |

|6. Is your organization reducing vehicle miles traveled through ridesharing/carpooling and/or telecommuting? _____Yes _____ No. If yes, explain: |

|7. Do your vehicles use any fuel economy measures such as low resistance tires and/or trailer aerodynamic packages? _____ Yes _____No |

|If yes, describe program. |

|8. Has your organization organized any events to promote AFV’s, EVs, fuel economy, idling reduction, or other emissions reduction strategies? _____ Yes |

|_____No. |

|If yes, please explain. |

|Abbreviations: |

|AFV= alternative fuel vehicle |

|EV = electric vehicles (including plug-in hybrid and full battery electric) |

|# = indicate number of vehicles |

|Gal = Gallon GGE = Gasoline gallon equivalent kWh= Kilowatt hours Kg= Kilograms |

|LD= Light-duty (less than 10,000 pounds) |

|HD= Heavy-duty (10,000 + pounds). Medium-duty vehicles are included in HD vehicle counts. |

|APU= Auxiliary Power Unit |

Submit your questionnaire via one of the following ways:

• Email: Jessica.Wilcox@des.

• Fax: (603) 271-1381, Attn: Jessica Wilcox

• Regular mail:

GSCCC c/o Jessica Wilcox

NHDES

29 Hazen Drive, Concord, NH 03302-0095

• Telephone: (603) 271-6751

THANK YOU!

Your information will be used in the aggregate to report New Hampshire’s use of alternative fuel and emissions reductions strategies to the Clean Cities program. Please contact Jessica Wilcox with questions or comments.

(603) 271-6751

Jessica.Wilcox@des.

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