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|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||751|1|||||||||||B-1|Art||||754||6032||||||||||||||||||||||||||||||||||||||||||||||||||17||||||EMCOR ||7|1|7|2|7|2| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||1269|1|||||||||||1|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR ||14|1|14|3|14|3| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||1240|1|||||||||||2|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR ||13|1|13|3|13|3| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||344|1|||||||||||3|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR ||4|1|4|1|4|1| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||455|1|||||||||||4|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR ||5|1|5|2|5|2| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||1500|1|||||||||||5|Classroom||||196||1568||||||||||||||||||||||||||||||||||||||||||||||||||4||||||EMCOR ||57|1|57|5|57|5| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||479|1|||||||||||6|Classroom||||713||5704||||||||||||||||||||||||||||||||||||||||||||||||||16||||||EMCOR ||5|1|5|2|5|2| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||1470|1|||||||||||7|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR ||16|1|16|3|16|3| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||1454|1|||||||||||8|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR ||16|1|16|3|16|3| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||564|1|||||||||||9|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||EMCOR ||6|1|6|2|6|2| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||1739|1|||||||||||10|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR ||19|1|19|3|19|3| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||628|1|||||||||||11|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR ||7|1|7|2|7|2| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||829|1|||||||||||12|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||EMCOR ||9|1|9|2|9|2| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||0|1|||||||||||13|Library||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||0||||||EMCOR ||0|1|0|0|0|0| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||1302|1|||||||||||14|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR ||14|1|14|3|14|3| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||1044|1|||||||||||15|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR ||11|1|11|3|11|3| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||0|1|||||||||||16|Computer Lab||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||0||||||EMCOR ||0|1|0|0|0|0| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||548|1|||||||||||17|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR ||6|1|6|2|6|2| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||824|1|||||||||||18|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR ||9|1|9|2|9|2| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||869|1|||||||||||19|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR ||9|1|9|2|9|2| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||0|1|||||||||||20|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||0||||||EMCOR ||0|1|0|0|0|0| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||149|1|||||||||||21|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||EMCOR ||2|1|2|1|22|3| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||898|1|||||||||||22|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR ||10|1|10|2|10|2| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||210|1|||||||||||23|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||14||||||EMCOR ||2|1|2|1|2|1| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room|||1|||||||||||23A|-||||91||728||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||2||||||EMCOR |||1|0||20|3| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||0|1|||||||||||24|Classroom||||350||2800||||||||||||||||||||||||||||||||||||||||||||||||||0||||||EMCOR ||0|1|0|0|0|0| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room||0|1|||||||||||-|Cafeteria||||1,566||12528||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||35||||||EMCOR ||0|1|0|0|20|3| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room|||1|||||||||||-|Gym||||1,060||8480||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||24||||||EMCOR |||1|0||20|3| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room|||1|||||||||||-|Jugg Room||||195||1560||||||||||||||||||||||||||||||||||||||||||||||||||0||||||EMCOR |||1|0|||| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room|||1|||||||||||-|Main Office||||238||1904||||||||||||||||||||||||||||||||||||||||||||||||||0||||||EMCOR |||1|0|||| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room|||1|||||||||||-|Principals Office||||180||1440||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||4||||||EMCOR |||1|0||20|3| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room|||1|||||||||||-|Counselors Office||||162||1296||||||||||||||||||||||||||||||||||||||||||||||||||0||||||EMCOR |||1|0|||| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room|||1|||||||||||-|Psychologists Office||||99||792||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||2||||||EMCOR |||1|0||20|3| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room|||1|||||||||||-|Lounge||||266||2128||||||||||||||||||||||||||||||||||||||||||||||||||0||||||EMCOR |||1|0|||| Import|Phila-Schools|4/21/2021|Julia Ward Howe Academics Plus Elementary School|101|||||House Fan|each room|||1|||||||||||-|Security||||91||728||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||2||||||EMCOR |||1|0||20|3|