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|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117||||||each room||LaBrum Retest|1||||||||||||LaBrum Building|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| |||1|0||||
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||391|1|||||||||||102|Classroom||||875||7000||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||230|1|||||||||||102A|Classroom||||578||4624||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||0|1|||||||||||103|Classroom||||910||7280||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||20||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||622|1|||||||||||104|Classroom||||612||4896||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Devine Brothers ||8|1|8|2|8|2|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||150|1|||||||||||105|Classroom||||1152||9216||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||26||||||Devine Brothers ||1|1|1|0|21|3|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||320|1|||||||||||106|Classroom||||342||2736||||||||||||||||||||||||||||||||||||||||||||||||||7||||||Devine Brothers ||7|1|7|2|7|2|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||221|1|||||||||||107|Classroom||||1044||8352||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||23||||||Devine Brothers ||2|1|2|1|22|3|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||362|1|||||||||||201|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||267|1|||||||||||202|Classroom||||782||6256||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||245|1|||||||||||203|Classroom||||884||7072||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||20||||||Devine Brothers ||2|1|2|1|22|3|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||240|1|||||||||||204|Classroom||||1116||8928||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||25||||||Devine Brothers ||2|1|2|1|22|3|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||311|1|||||||||||205|Classroom||||900||7200||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||583|1|||||||||||206|Classroom||||858||6864||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers ||5|1|5|2|5|2|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||340|1|||||||||||207|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||462|1|||||||||||208|Classroom||||816||6528||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers ||4|1|4|2|4|2|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||410|1|||||||||||209|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||4|1|4|2|4|2|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||327|1|||||||||||210|Classroom||||888||7104||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||390|1|||||||||||212|Classroom||||875||7000||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||336|1|||||||||||213|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||366|1|||||||||||214|Classroom||||828||6624||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||0|1|||||||||||-|Admin  ||||286||2288||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||450|1|||||||||||-|Cafeteria||||2765||22120||||||||||||||||||||||||||||||||||||||||||||||||||30||||||Devine Brothers ||1|1.06|1.06|1|1|1|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117||||||each room||0|1|||||||||||-|Gym||||5248||41984||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers ||0|1.06|0|0|0|0|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||538|1|||||||||||-|Library||||2016||16128||||||||||||||||||||||||||||||||||||||||||||||||||35||||||Devine Brothers ||2|1|2|1|2|1|
Import|Phila-Schools|4/20/2021|John Hancock Demonstration Middle School General J Harry LaBrum Campus|117|||||UV|each room||0|1|||||||||||-|Nurse's Room||||550||4400||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||12||||||Devine Brothers ||0|1|0|0|20|3|