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|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||956|1|||||||||||101|Classroom||||990||7920||||||||||||||||||||||||||||||||||||||||||||||||||22||||||Devine Brothers Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||407|1|||||||||||102|Classroom||||990||7920||||||||||||||||||||||||||||||||||||||||||||||||||22||||||Devine Brothers Devine Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||547|1|||||||||||103|Classroom||||730||5840||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||327|1|||||||||||104|Classroom||||796||6368||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||464|1|||||||||||105|Classroom||||730||5840||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||5|1|5|2|5|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||432|1|||||||||||106|Classroom||||796||6368||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Retest ||4|1|4|2|4|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||376|1|||||||||||107|Classroom||||730||5840||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||4|1|4|1|4|1|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||641|1|||||||||||108|Classroom||||676||5408||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||519|1|||||||||||109|Classroom||||730||5840||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||5|1|5|2|5|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||699|1|||||||||||110|Classroom||||676||5408||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Devine Retest ||8|1|8|2|8|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||685|1|||||||||||111|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||929|1|||||||||||112|Classroom||||930||7440||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||742|1|||||||||||113|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||8|1|8|2|8|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||705|1|||||||||||114|Classroom||||930||7440||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||712|1|||||||||||115|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||671|1|||||||||||117|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||713|1|||||||||||119|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||571|1|||||||||||121|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||400|1|||||||||||123|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||4|1|4|2|4|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||411|1|||||||||||201|Classroom||||816||6528||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Retest ||4|1|4|1|4|1|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||658|1|||||||||||202|Classroom||||816||6528||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||455|1|||||||||||203|Classroom||||816||6528||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Retest ||4|1|4|2|4|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||790|1|||||||||||204|Classroom||||816||6528||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||802|1|||||||||||205|Classroom||||816||6528||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||611|1|||||||||||206|Classroom||||816||6528||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||814|1|||||||||||207|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||8|1|8|2|8|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||320|1|||||||||||208|Classroom||||816||6528||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||653|1|||||||||||209|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||707|1|||||||||||211|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||649|1|||||||||||213|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||289|1|||||||||||214|Classroom||||540||4320||||||||||||||||||||||||||||||||||||||||||||||||||12||||||Devine Brothers Devine Retest ||4|1|4|2|4|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||730|1|||||||||||215|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||8|1|8|2|8|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||332|1|||||||||||216|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers Devine Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||364|1|||||||||||217|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||4|1|4|1|4|1|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||716|1|||||||||||218|Classroom||||676||5408||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Devine Retest ||8|1|8|2|8|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||672|1|||||||||||219|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||639|1|||||||||||220|Classroom||||676||5408||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||683|1|||||||||||222|Classroom||||540||4320||||||||||||||||||||||||||||||||||||||||||||||||||12||||||Devine Brothers Devine Retest ||9|1|9|2|9|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||633|1|||||||||||224|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||1,102.00|1|||||||||||226|Classroom||||540||4320||||||||||||||||||||||||||||||||||||||||||||||||||12||||||Devine Brothers Devine Retest ||15|1|15|3|15|3|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||477|1|||||||||||-|Art (Large)||||1258||10064||||||||||||||||||||||||||||||||||||||||||||||||||28||||||Devine Brothers Devine Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||AHU|each room||632|1|||||||||||-|Cafeteria||||2310||18480||||||||||||||||||||||||||||||||||||||||||||||||||42||||||Devine Brothers Devine Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||886|1|||||||||||-|Computer||||1440||11520||||||||||||||||||||||||||||||||||||||||||||||||||32||||||Devine Brothers Devine Retest ||5|1|5|2|5|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||426|1|||||||||||-|IMC||||2620||20960||||||||||||||||||||||||||||||||||||||||||||||||||28||||||Devine Brothers Devine Retest ||1|1.06|1.06|1|1|1|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||232|1|||||||||||-|Main Office||||275||2200||||||||||||||||||||||||||||||||||||||||||||||||||6||||||Devine Brothers Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||283|1|||||||||||-|Nurse's Office||||363||2904||||||||||||||||||||||||||||||||||||||||||||||||||8||||||Devine Brothers Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|3/18/2021|Henry W Lawton Elementary School|122|||||UV|each room||375|1|||||||||||-|Science (Large)||||1088||8704||||||||||||||||||||||||||||||||||||||||||||||||||24||||||Devine Brothers Devine Retest ||3|1|3|1|3|1|