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|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||101|Classroom||||696||5568||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||280|1|||||||||||106|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||313|1|||||||||||107|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||108|Classroom||||696||5568||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||109|Classroom||||672||5376||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||201|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||202|Classroom||||750||6000||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||306|1|||||||||||203|Classroom||||750||6000||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||371|1|||||||||||204|Lounge||||480||3840||||||||||||||||||||||||||||||||||||||||||||||||||10||||||Devine Brothers ||6|1|6|2|6|2| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||345|1|||||||||||205|Classroom||||912||7296||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||291|1|||||||||||206|School Store||||384||3072||||||||||||||||||||||||||||||||||||||||||||||||||8||||||Devine Brothers ||6|1|6|2|6|2| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||309|1|||||||||||207|Classroom||||750||6000||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||331|1|||||||||||208|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||303|1|||||||||||209|Classroom||||667||5336||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||292|1|||||||||||210|Classroom||||667||5336||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||211|Classroom||||672||5376||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||214|Security Office||||256||2048||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||301|Classroom||||696||5568||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||302|Classroom||||696||5568||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||301|1|||||||||||303|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||275|1|||||||||||304|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||297|1|||||||||||305|Classroom||||696||5568||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||284|1|||||||||||306|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||297|1|||||||||||307|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||317|1|||||||||||308|Classroom||||696||5568||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||272|1|||||||||||309|Classroom||||696||5568||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||293|1|||||||||||310|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||311|Art Room||||928||7424||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||21||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||314|Office||||256||2048||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||-|Boys Cafeteria||||851||6808||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||-|Counselors Office||||160||1280||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||-|Girls Cafeteria||||1728||13824||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||39||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||-|Gym||||1760||14080||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers ||0|1|0|0|0|0| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||270|1|||||||||||-|IMC-A||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||292|1|||||||||||-|IMC-B||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||283|1|||||||||||-|IMC-C||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||-|Main Office||||360||2880||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||-|Nurses Office||||256||2048||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|James Martin Alternative Middle Years Middle School|104||||||each room||0|1|||||||||||-|Teachers Lounge||||480||3840||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers ||0|1|0|0|0|0|