Emission Reduction Plan

Which Plan Year Are You Submitting For?

Plan Year

July 1, 2018 - June 30, 2019 (FY18-19)

Mailing Address (All correspondence will go to this address)

Name of Recipient	---
Mailing Address (Street, Suite, City, State, Zip)	---

Employee Transportation Coordinator (ETC)

ETC Name	---
ETC Title	---
ETC Email	---
ETC Phone	---
Best way to reach me	---
Please upload a scanned copy of your ETC certification	---
Who provided the ETC certification?	---
Date of ETC Certification	---

Highest Ranking Official

Highest Ranking Official Name	---
Highest Ranking Official Title	---
Highest Ranking Official Email	---
Highest Ranking Official Phone	---

Overview

Which industry best describes your organization?	Retail
How many total employees do you have for all worksites in Santa Monica?	46

Worksite #1

Business Name	---
DBA Name	---
Site ID	---
Address (Street, Suite, City, Zip)	---
How many employees work at this location?	---
How many of the employees working at this location live in Santa Monica?	---

Add another worksite

Would you like to add a second worksite?

No

Add another worksite

Would you like to add a third worksite?

No

Which transit lines stop with in 1/4 mile or 3 blocks from your worksite?

Big Blue Bus	1, Rapid 10
Metro	Expo Rail

Applicability

Do you have 50 or more employees?

No

Survey Week

Survey Start Date	---
Survey End Date	---

Minimum Survey Response Rate

How many employees arrive or depart in the Morning Commute Window?	---
How many employees arrive or depart in the Evening Commute Window?	---

Average Vehicle Ridership Target

What is your AVR target?

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