OMB No. 2010-0032

Performance Track Membership Renewal Application 2004 Firestone Agricultural Tire Company A070012

		Baseline	Future
4a	Please provide information for these calendar years.	2003	2006
4b	What units are you using to quantify this indicator?	Pounds
4c	List the baseline annual quantity of the indicator and the annual quantity you are commited to achieve by the future year. Future commitments should not reflect projected changes in production.	198,880	0

5	Does the quantity presented in the future quantity column represent an actual goal or a normalized goal?	Actual goal
6	Whether your goal is actual or normalized, in your annual performance reports you will need to provide normalizing factors and normalized quantities of your annual data. (This provides information on changes in eco-efficiency at your facility). Your environmental performance for this commitment should be normalized based on the facility’s productive output or, where necessary, on a substitute for production. Please briefly describe your intended basis for normalizing, e.g., gallons of chemical product produced; dollars of sales adjusted for inflation and weighted based on percentage of waste stream produced; number of households served.	Rubber production
7a	Are you subject to Federal, State, Tribal, or local regulatory requirements for this indicator?	No
7b	If yes, please list those requirements, including the quantitative limits and compliance deadlines that apply to you. Explain how your commitment exceeds requirements.

Commitment 2

1a	What category have you selected from the Environmental Performance Table?	Air Emissions
1b	What indicator have you selected from the Environmental Performance Table?	Emissions of Toxics
1c	Does your commitment include everything covered by the indicator (e.g., all VOCs, all non-hazardous waste), or a specific substance or component (e.g., ethane, cardboard)? All measurements should represent the performance level for the indicator across the entire facility. For many indicators, however, you may choose to focus your commitment on a specific subset of the indicator, e.g. a specific material, a specific group of toxic air emissions, a particular waste component, a specific VOC, etc.	Specific
	If your commitment is to a specific substance or component, please provide additional detail on your indicator (e.g., specific chemical to be reduced, specific waste component).	Eliminate Hazardous Air Pollutant (HAP )Emissions from striping and marking inks used at the facility. The striping and marking inks are used to identify tires and tire components before, during and after production.
1d	What activities or process changes do you plan to undertake at your facility to accomplish your commitment (e.g., technology changes in a particular process line, employee training)?	Product reformulation - the 9 striping and marking inks utilized at the facility will be reformulated such that they no longer contain hexane, ethylbenzene or xylene (all three are HAPs).
2	Are you proposing this as a regional challenge commitment? (Regions 1, 2 and 6 only)	No
3a	Is this indicator considered significant in your EMS?	Yes
3b	If no, please explain why you believe this indicator should be included as a performance commitment.

		Baseline	Future
4a	Please provide information for these calendar years.	2003	2006
4b	What units are you using to quantify this indicator?	Tons
4c	List the baseline annual quantity of the indicator and the annual quantity you are commited to achieve by the future year. Future commitments should not reflect projected changes in production.	0.24	0.00

5	Does the quantity presented in the future quantity column represent an actual goal or a normalized goal?	Actual goal
6	Whether your goal is actual or normalized, in your annual performance reports you will need to provide normalizing factors and normalized quantities of your annual data. (This provides information on changes in eco-efficiency at your facility). Your environmental performance for this commitment should be normalized based on the facility’s productive output or, where necessary, on a substitute for production. Please briefly describe your intended basis for normalizing, e.g., gallons of chemical product produced; dollars of sales adjusted for inflation and weighted based on percentage of waste stream produced; number of households served.	Tire and tire component production
7a	Are you subject to Federal, State, Tribal, or local regulatory requirements for this indicator?	Yes
7b	If yes, please list those requirements, including the quantitative limits and compliance deadlines that apply to you. Explain how your commitment exceeds requirements.	Tire MACT - under the tire MACT do not have to eliminate the use/emission of HAPs, therefore this commitment exceeds the MACT requirements.

Commitment 3

1a	What category have you selected from the Environmental Performance Table?	Waste
1b	What indicator have you selected from the Environmental Performance Table?	Non-Hazardous Waste Generation
1c	Does your commitment include everything covered by the indicator (e.g., all VOCs, all non-hazardous waste), or a specific substance or component (e.g., ethane, cardboard)? All measurements should represent the performance level for the indicator across the entire facility. For many indicators, however, you may choose to focus your commitment on a specific subset of the indicator, e.g. a specific material, a specific group of toxic air emissions, a particular waste component, a specific VOC, etc.	Specific
	If your commitment is to a specific substance or component, please provide additional detail on your indicator (e.g., specific chemical to be reduced, specific waste component).	Reduce the generation and subsequent landfilling of carbon black, a non-hazardous waste by 80%.
1d	What activities or process changes do you plan to undertake at your facility to accomplish your commitment (e.g., technology changes in a particular process line, employee training)?	Reuse and recycling back into the process
2	Are you proposing this as a regional challenge commitment? (Regions 1, 2 and 6 only)	No
3a	Is this indicator considered significant in your EMS?	Yes
3b	If no, please explain why you believe this indicator should be included as a performance commitment.

In the table below, please enter your facility's amount of non-hazardous waste, broken down by waste management method. Please enter both the amounts that you manage currently and that you intend to manage in 2006. "Waste" is defined as all materials that are sent off-site that are neither product nor product packaging.

Is the goal of your non-hazardous waste commitment to reduce non-hazardous waste, to improve methods of waste management, or a combination of both?		Reduce Non-Hazardous Waste
4a	Please provide information for these calendar years.	Baseline: 2003	Future: 2006
4b	Method of Waste Management	How much of your waste is handled using each management method?
		Baseline	Future	Units
Landfill		394,800	78,960	Pounds
Total Non-Hazardous Solid Waste		197.40	39.48	Tons

5	Does the quantity presented in the future quantity column represent an actual goal or a normalized goal?	Actual goal
6	Whether your goal is actual or normalized, in your annual performance reports you will need to provide normalizing factors and normalized quantities of your annual data. (This provides information on changes in eco-efficiency at your facility). Your environmental performance for this commitment should be normalized based on the facility’s productive output or, where necessary, on a substitute for production. Please briefly describe your intended basis for normalizing, e.g., gallons of chemical product produced; dollars of sales adjusted for inflation and weighted based on percentage of waste stream produced; number of households served.	Tire production (adjusted weight warehoused) and shipout rubber
7a	Are you subject to Federal, State, Tribal, or local regulatory requirements for this indicator?	Yes
7b	If yes, please list those requirements, including the quantitative limits and compliance deadlines that apply to you. Explain how your commitment exceeds requirements.	Special Waste Permit - 1.8 million pounds per year. Special waste includes banbury sludge, process fines and carbon black. The commitment exceeds requirements because FSAG will reduce the generation of carbon black waste via reuse and recycling rather than landfilling this waste.

Commitment 4

1a	What category have you selected from the Environmental Performance Table?	Energy Use
1b	What indicator have you selected from the Environmental Performance Table?	Total (non-transportation) Energy Use
1c	Does your commitment include everything covered by the indicator (e.g., all VOCs, all non-hazardous waste), or a specific substance or component (e.g., ethane, cardboard)? All measurements should represent the performance level for the indicator across the entire facility. For many indicators, however, you may choose to focus your commitment on a specific subset of the indicator, e.g. a specific material, a specific group of toxic air emissions, a particular waste component, a specific VOC, etc.	All
1d	What activities or process changes do you plan to undertake at your facility to accomplish your commitment (e.g., technology changes in a particular process line, employee training)?	Reduce energy consumption by 1.5%; the energy reduction projects may include: insulation projects, process changes, conservation projects, machine improvements, installation of variable speed drives, seasonal preparations, etc.
2	Are you proposing this as a regional challenge commitment? (Regions 1, 2 and 6 only)	No
3a	Is this indicator considered significant in your EMS?	Yes
3b	If no, please explain why you believe this indicator should be included as a performance commitment.

Is the goal of your energy use commitment to reduce total energy use, to use or invest in renewable energy fuel sources, or a combination of both?		Reduce Total Energy Use
4a Please provide information for these calendar years.		Baseline: 2003	Future: 2006
4b Type of Energy		How much energy of each type does your facility use?
		Baseline	Future	Units
Energy Generated Off-Site	Electricity	1,251,983	1,233,203	MMBtus
	Steam
	Total Energy Generated Off-Site	1,251,983.00	1,233,203.00	MMBtus
Sources of Energy Generated On-Site	Coal
	Natural Gas	1,379,835	1,359,137	MMBtus
	Crude Oil
	Fuel Oil
	Diesel
	Propane/LPG
	Gasoline
	Hydrogen Powered Fuel Cells
	Natural Gas / Methane Powered Fuel Cells
	Biomass
	Solar
	Wind
	Landfill Gas
	Geothermal
	Hydroelectric
	Other Fuel or Source Specify:
	Total Energy Generated On-Site	1,379,835.00	1,359,137.00	MMBtus
Total Renewable Energy Use *calculated		45,071.39	44,395.31	MMBtus
Total Non-Renewable Energy Use *calculated		2,586,746.61	2,547,944.69	MMBtus
Total Energy Use		2,631,818.00	2,592,340.00	MMBtus
Metric Tons of CO2 Equivalents		401,255.45	395,236.53	MTCO2E
Metric Tons of CO2 Equivalents Offset Through Purchases of Electricity from Renewable Off-Site Sources				MTCO2E
Net Metric Tons of CO2 Equivalents		401,255.45	395,236.53	MTCO2E

5	Does the quantity presented in the future quantity column represent an actual goal or a normalized goal?	Normalized goal (i.e. indexed to level of business in baseline year)
6	Whether your goal is actual or normalized, in your annual performance reports you will need to provide normalizing factors and normalized quantities of your annual data. (This provides information on changes in eco-efficiency at your facility). Your environmental performance for this commitment should be normalized based on the facility’s productive output or, where necessary, on a substitute for production. Please briefly describe your intended basis for normalizing, e.g., gallons of chemical product produced; dollars of sales adjusted for inflation and weighted based on percentage of waste stream produced; number of households served.	Production data (i.e. monthly adjusted weight of tires into the warehouse + rubber shipped to other facilities) and Heating/Cooling Degree Days (HDD/CDD)
7a	Are you subject to Federal, State, Tribal, or local regulatory requirements for this indicator?	No
7b	If yes, please list those requirements, including the quantitative limits and compliance deadlines that apply to you. Explain how your commitment exceeds requirements.

Attachments (if applicable) :

Section E: Self-Certification of Continued Program Participation On behalf of Firestone Agricultural Tire Company, I certify that: I have read and agree to the terms and conditions for Membership Renewal and Participation in the National Environmental Performance Track, as specified in the National Environmental Performance Track Program Guide and in the Renewal Application Instructions; I have personally examined and am familiar with the information contained in this Renewal Application. The information contained in this Renewal Application is, to the best of my knowledge and based on reasonable inquiry, true, accurate, and complete, and I have no reason to believe the facility would not meet all program requirements; My facility has an environmental management system (EMS), as defined in the Performance Track EMS requirements, including systems to maintain compliance with all applicable Federal, State, tribal, and local environmental requirements in place at the facility, and the EMS will be maintained for the duration of the facility's participation in the program My facility has conducted an objective assessment of its compliance with all Federal, State, tribal, and local environmental requirements, and the facility has corrected all identified instances of potential or actual noncompliance; Based on the foregoing compliance assessment and subsequent corrective actions (if any were necessary), my facility is, to the best of my knowledge and based on reasonable inquiry, currently in compliance with applicable Federal, State, tribal, and local environmental requirements. I agree that EPA's decision whether to accept participants into or remove them from the National Environmental Performance Track is wholly discretionary, and I waive any right that may exist under any law to challenge EPA's acceptance or removal decision. I am the senior facility manager and fully authorized to execute this statement on behalf of the corporation or other legal entity whose facility is applying to this program.

Signature/Date:	______________________________________________________
Name:	Mr.  John W. Poage
Title:	Plant Engineer
Phone Number:	515-243-1211 x5461
E-Mail Address:	poagejohn@firestoneag.com
Facility Name:	Firestone Agricultural Tire Company
Facility Street Address:	Second Avenue & Hoffman Road DesMoines, IA 50313
Mailing Address:
Address cont:
City, State Zip:	,
Member ID#:	A070012