mode|01.01 Project|01.02 Date|01.03 Building Name|01.04 Building Number|01.05 Street|01.06 City|01.07 State|01.08 Zip|02.01 Ventilation Type|02.02 HVAC Zone Name|02.03 HVAC Model Number|02.04 HVAC Fan Size CFM|02.05 Number of Rooms Serviced by this Zone|02.06 Total Cubic Feet Serviced By This Zone|02.07 List Room Survey Numbers|02.08 HVAC Zone a-AUC|02.09 HVAC Automated Alarms|02.10 Manual Dampers in Ducts|02.11 Thermostat Control by Users|02.12 Thermostat Locks Removed|02.13 Visible Vent Manually Controlled|02.14 System Fans on ALL the time|02.15 System Fans on when public is present|03.01 Number|03.02 Room Name|03.03 Length|03.04 Width|03.05 Height|03.06 Square Feet|03.07 SQFT Height|03.08 Cubic Feet|04.01 Number Of Windows|04.02 Windows Fully Open|04.03 Windows Not Blocked|04.04 Door Open|04.05 Door Not Blocked|04.06 w-AUC|05.01 Exhaust Fan Type|05.02 Number of Exhaust Fans|05.03 Intake Vents Fully Open|05.04 Intake Vents Not Blocked|05.05 Total Exhaust Fans CFM|05.06 Total Exhaust Fans fAUC|06.01 Forced Air Heating|06.02 Forced Air Heating Cooling|06.03 Forced Air Fan Option|06.04 Number of Exhaust Vents|06.05 Exhaust Vents Fully Open|06.06 Exhaust Vents Not Blocked|06.07 Number of Intake Vents|06.08 HVAC Intake Vents Fully Open|06.09 HVAC Intake Vents Not Blocked|06.10 Visual Streamers|06.11 t-AUC|06.12 a-AUC|07.01 Number of UV-C Fixtures|07.02 UV-C Model|07.03 UV-C Total Watts|07.04 UV-C eAUC|07.05 UV C Public View On/Off Indicators|07.07 UV-C Automated Alarms|08.01 Number of Far UV Fixtures|08.02 Far-UV Model|08.03 Far-UV Total Watts|08.04 Far-UV eAUC|08.05 Far UV Public View On/Off Indicators|08.06 Far UV Automated Alarms|09.01 Number of Air Sanitizers|09.02 Air Sanitizers Model|09.03 Air Sanitizers Total CFM|09.04 Air Sanitizers sAUC|09.05 Air Sanitizers Public View On/Off Indicators|09.06 Air Sanitizers Automated Alarms|10.01 Number of PCO/other units|10.02 PCO/other Model|10.03 Claimed effective ep AUC|10.04 Claimed effective ep AUC Test Authority|10.05 PCO/other units Total CFM|10.06 PCO/other units Public View On/Off Indicators|10.07 PCO/other units Automated Alarms|13.01 Occupancy Number|13.02 Room Occupancy Sign Posted|13.03 Public Present During Site Survey|13.04 Data Entered Directly Into Computer|13.05 Printout Attached To Paper Form|14.01 Notes and Observations|15.01 Inspector Name|15.02 Signature Date|16.01 Total AUC|16.02 Large Room Factor|16.03 Final AUC|16.04 Cert Level|16.05 Final AUC Mitigation|16.06 Cert Level Mitigation|16.07 Cert Level Controls Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Air Handling Unit|each room||2,417|1|||||||||||-|Auditorium||||3,234||25872||||||||||||||||||||||||||||||||||||||||||||||||||73||||||Chadwick Devine Devine Retest ||6|1.06|6.36|2|6|2| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Air Handling Unit|each room||322|1|||||||||||-|Gym/Cafeteria||||3,432||27456||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Devine Devine Retest ||1|1.06|1.06|0|1|0| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||161|1|||||||||||-|Main Ofiice||||468||3744||||||||||||||||||||||||||||||||||||||||||||||||||10||||||Chadwick Devine Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||452|1|||||||||||100|Classroom||||960||7680||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Devine Devine Retest ||4|1|4|1|4|1| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||480|1|||||||||||101|Classroom||||960||7680||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Devine Devine Retest ||4|1|4|1|4|1| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||509|1|||||||||||102|Classroom||||960||7680||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Devine Devine Retest ||4|1|4|1|4|1| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||409|1|||||||||||103|Classroom||||960||7680||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Devine Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||514|1|||||||||||104|Classroom||||960||7680||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Devine Devine Retest ||4|1|4|2|4|2| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||523|1|||||||||||105|Classroom||||960||7680||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Devine Devine Retest ||4|1|4|2|4|2| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||125|1|||||||||||106|Classroom||||782||6256||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||Chadwick Devine Devine Retest ||1|1|1|1|21|3| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||272|1|||||||||||107|Classroom||||380||3040||||||||||||||||||||||||||||||||||||||||||||||||||8||||||Chadwick Devine Devine Retest ||5|1|5|2|5|2| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||0|1|||||||||||108|Faculty Room||||104||832||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Devine Devine Retest ||0|1|0|0|0|0| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||485|1|||||||||||109|Classroom||||1,470||11760||||||||||||||||||||||||||||||||||||||||||||||||||32||||||Chadwick Devine Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||546|1|||||||||||200|Classroom||||912||7296||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Chadwick Devine Devine Retest ||4|1|4|2|4|2| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||607|1|||||||||||201|Classroom||||912||7296||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Chadwick Devine Devine Retest ||5|1|5|2|5|2| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||613|1|||||||||||202|Classroom||||936||7488||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Devine Devine Retest ||5|1|5|2|5|2| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||593|1|||||||||||203|Library||||1,080||8640||||||||||||||||||||||||||||||||||||||||||||||||||24||||||Chadwick Devine Devine Retest ||4|1|4|2|4|2| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||480|1|||||||||||204|Classroom||||912||7296||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Chadwick Devine Devine Retest ||4|1|4|1|4|1| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||182|1|||||||||||205|Classroom||||960||7680||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||21||||||Chadwick Devine Devine Retest ||1|1|1|1|21|3| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||317|1|||||||||||206|Classroom||||984||7872||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Devine Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||798|1|||||||||||207|Classroom||||456||3648||||||||||||||||||||||||||||||||||||||||||||||||||10||||||Chadwick Devine Devine Retest ||13|1|13|3|13|3| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||577|1|||||||||||208|Classroom||||960||7680||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Devine Devine Retest ||5|1|5|2|5|2| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||458|1|||||||||||209|Classroom||||960||7680||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Devine Devine Retest ||4|1|4|1|4|1| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||519|1|||||||||||210|Classroom||||960||7680||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Devine Devine Retest ||4|1|4|2|4|2| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||534|1|||||||||||211|Classroom||||1,008||8064||||||||||||||||||||||||||||||||||||||||||||||||||22||||||Chadwick Devine Devine Retest ||4|1|4|1|4|1| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||1,568|1|||||||||||212|Classroom||||960||7680||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Devine Devine Retest ||12|1|12|3|12|3| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||340|1|||||||||||214|Classroom||||960||7680||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Devine Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||617|1|||||||||||216|Classroom||||456||3648||||||||||||||||||||||||||||||||||||||||||||||||||10||||||Chadwick Devine Devine Retest ||10|1|10|3|10|3| Import|Phila-Schools|3/22/2021|Alexander Adaire Elementary School House Fan Abated Final Report|1|||||Unit Ventilator|each room||424|1|||||||||||218|Classroom||||782||6256||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Chadwick Devine Devine Retest ||4|1|4|2|4|2|