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|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||101|Classroom||||750||6000||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Chadwick Devine Part 2 |||1|0||||
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||103|Classroom||||725||5800||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Chadwick Devine Part 2 |||1|0||20|3|
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||106|Nurse Office||||668||5344||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Chadwick Devine Part 2 |||1|0||20|3|
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||107|Classroom||||666||5328||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Chadwick Devine Part 2 |||1|0||||
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||109|IMC||||1,457||11656||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||33||||||Devine Chadwick Devine Part 2 |||1|0||20|3|
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||203|Classroom||||675||5400||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Chadwick Devine Part 2 |||1|0||20|3|
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||204|Classroom||||683||5464||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Chadwick Devine Part 2 |||1|0||20|3|
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||205|Classroom||||663||5304||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Chadwick Devine Part 2 |||1|0||20|3|
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||206|Classroom||||691||5528||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Chadwick Devine Part 2 |||1|0||||
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||207|Classroom||||672||5376||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Chadwick Devine Part 2 |||1|0||||
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||209|Classroom||||685||5480||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Chadwick Devine Part 2 |||1|0||20|3|
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||210|Classroom||||677||5416||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Chadwick Devine Part 2 |||1|0||||
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||303/304|Classroom||||1,253||10024||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||28||||||Devine Chadwick Devine Part 2 |||1|0||20|3|
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||305|Classroom||||675||5400||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Chadwick Devine Part 2 |||1|0||20|3|
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||306|Classroom||||692||5536||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Chadwick Devine Part 2 |||1|0||20|3|
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||307|Classroom||||670||5360||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Chadwick Devine Part 2 |||1|0||20|3|
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||310|Classroom||||1,065||8520||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Chadwick Devine Part 2 |||1|0||||
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||Annex 1|Classroom||||733||5864||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Chadwick Devine Part 2 |||1|0||20|3|
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||Annex 2|Classroom||||709||5672||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Chadwick Devine Part 2 |||1|0||20|3|
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||Annex 3|Classroom||||730||5840||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Chadwick Devine Part 2 |||1|0||||
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||Annex 4|Classroom||||707||5656||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Chadwick Devine Part 2 |||1|0||20|3|
Import|Phila-Schools|4/22/2021|Amy Northwest Levering Middle School|124||||||each room|||1|||||||||||Annex 5|Classroom||||723||5784||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Chadwick Devine Part 2 |||1|0||20|3|