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|4/13/2021|General Philip Kearny Elementary School|108|||||UV|each room||0|1|||||||||||1|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Exhaust Report Retest ||0|1|0|0|0|0|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||UV|each room||900|1|||||||||||2|classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Chadwick Exhaust Report Retest ||9|1|9|2|9|2|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||UV|each room||1,129|1|||||||||||3|classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Chadwick Exhaust Report Retest ||11|1|11|3|11|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||UV|each room||1,177|1|||||||||||4|classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Chadwick Exhaust Report Retest ||11|1|11|3|11|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,118|1|||||||||||100|classroom||||750||6000||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Chadwick Exhaust Report Retest ||11|1|11|3|11|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,353|1|||||||||||101|classroom||||700||5600||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Exhaust Report Retest ||14|1|14|3|14|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,342|1|||||||||||103|classroom||||945||7560||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Exhaust Report Retest ||11|1|11|3|11|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,642|1|||||||||||105|classroom||||696||5568||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Exhaust Report Retest ||18|1|18|3|18|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||314|1|||||||||||107|classroom||||744||5952||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Chadwick Exhaust Report Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,129|1|||||||||||200|classroom||||696||5568||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Exhaust Report Retest ||12|1|12|3|12|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,048|1|||||||||||201|classroom||||696||5568||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Exhaust Report Retest ||11|1|11|3|11|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,034|1|||||||||||202|classroom||||783||6264||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Chadwick Exhaust Report Retest ||10|1|10|2|10|2|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,345|1|||||||||||203|classroom||||810||6480||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Exhaust Report Retest ||12|1|12|3|12|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,224|1|||||||||||204|classroom||||324||2592||||||||||||||||||||||||||||||||||||||||||||||||||7||||||Chadwick Exhaust Report Retest ||28|1|28|4|28|4|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,653|1|||||||||||207|classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Chadwick Exhaust Report Retest ||16|1|16|3|16|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,129|1|||||||||||300|classroom||||672||5376||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Exhaust Report Retest ||13|1|13|3|13|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||990|1|||||||||||301|classroom||||725||5800||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Chadwick Exhaust Report Retest ||10|1|10|3|10|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||623|1|||||||||||302|classroom||||783||6264||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Chadwick Exhaust Report Retest ||6|1|6|2|6|2|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||986|1|||||||||||303|classroom||||810||6480||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Exhaust Report Retest ||9|1|9|2|9|2|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,268|1|||||||||||305|classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Chadwick Exhaust Report Retest ||13|1|13|3|13|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,338|1|||||||||||306|classroom||||414||3312||||||||||||||||||||||||||||||||||||||||||||||||||9||||||Chadwick Exhaust Report Retest ||24|1|24|4|24|4|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,067|1|||||||||||307|classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Chadwick Exhaust Report Retest ||10|1|10|3|10|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||931|1|||||||||||308|classroom||||675||5400||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Exhaust Report Retest ||10|1|10|3|10|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,059|1|||||||||||309|classroom||||675||5400||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Exhaust Report Retest ||12|1|12|3|12|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,114|1|||||||||||310|classroom||||675||5400||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Exhaust Report Retest ||12|1|12|3|12|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,191|1|||||||||||311|classroom||||675||5400||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Exhaust Report Retest ||13|1|13|3|13|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||924|1|||||||||||312|classroom||||414||3312||||||||||||||||||||||||||||||||||||||||||||||||||9||||||Chadwick Exhaust Report Retest ||17|1|17|3|17|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,529|1|||||||||||312|classroom||||414||3312||||||||||||||||||||||||||||||||||||||||||||||||||9||||||Chadwick Exhaust Report Retest ||28|1|28|4|28|4|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room||1,386|1|||||||||||315|classroom||||702||5616||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Exhaust Report Retest ||15|1|15|3|15|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||RTU|each room||9,069|1|||||||||||-|Gym||||6100||48800||||||||||||||||||||||||||||||||||||||||||||||||||138||||||Chadwick Exhaust Report Retest ||11|1.06|11.66|3|11|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room|||1|||||||||||-|Main office||||340||2720||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||7||||||Chadwick Exhaust Report Retest |||1|0||20|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room|||1|||||||||||-|Principal office||||320||2560||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||7||||||Chadwick Exhaust Report Retest |||1|0||20|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108||||||each room|||1||||||||||||Cafeteria||||3240||25920||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||73||||||Chadwick Exhaust Report Retest |||1.06|0||20|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room|||1|||||||||||-|Auditorium||||3240||25920||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Exhaust Report Retest |||1.06|0||||
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108||||||each room|||1|||||||||||-|Faculty||||336||2688||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Exhaust Report Retest |||1|0||||
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room|||1|||||||||||-|Kitchen||||700||5600||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Exhaust Report Retest |||1|0||||
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room|||1|||||||||||-|Nurse||||171||1368||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Chadwick Exhaust Report Retest |||1|0||20|3|
Import|Phila-Schools|4/13/2021|General Philip Kearny Elementary School|108|||||House Fan|each room|||1|||||||||||-|Lunchroom||||3078||24624||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||69||||||Chadwick Exhaust Report Retest |||1.06|0||20|3|