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|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||227|1|||||||||||101|Classroom||||968||7744||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||477|1|||||||||||102|Classroom||||968||7744||||||||||||||||||||||||||||||||||||||||||||||||||22||||||Devine Brothers Part 2 Part 3 ||4|1|4|1|4|1| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||219|1|||||||||||103|Classroom||||889||7112||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||0|1|||||||||||104|Classroom||||963||7704||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Part 2 Part 3 ||0|1|0|0|0|0| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||268|1|||||||||||105|Classroom||||941||7528||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||293|1|||||||||||106|Classroom||||971||7768||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||444|1|||||||||||200|Classroom||||1394||11152||||||||||||||||||||||||||||||||||||||||||||||||||29||||||Devine Brothers Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||675|1|||||||||||200A|Classroom||||1235||9880||||||||||||||||||||||||||||||||||||||||||||||||||28||||||Devine Brothers Part 2 Part 3 ||4|1|4|2|4|2| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||514|1|||||||||||201|Classroom||||969||7752||||||||||||||||||||||||||||||||||||||||||||||||||22||||||Devine Brothers Part 2 Part 3 ||4|1|4|1|4|1| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||280|1|||||||||||202|Classroom||||969||7752||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||278|1|||||||||||203|Classroom||||971||7768||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||290|1|||||||||||204|Classroom||||971||7768||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||336|1|||||||||||205|Classroom||||955||7640||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Part 2 Part 3 ||3|1|3|1|3|1| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||278|1|||||||||||206|Classroom||||969||7752||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||285|1|||||||||||301|Classroom||||940||7520||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||795|1|||||||||||302|Classroom||||937||7496||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Part 2 Part 3 ||6|1|6|2|6|2| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||837|1|||||||||||303|Classroom||||933||7464||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Part 2 Part 3 ||7|1|7|2|7|2| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||357|1|||||||||||303A|Classroom||||463||3704||||||||||||||||||||||||||||||||||||||||||||||||||10||||||Devine Brothers Part 2 Part 3 ||6|1|6|2|6|2| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||406|1|||||||||||304|Classroom||||464||3712||||||||||||||||||||||||||||||||||||||||||||||||||10||||||Devine Brothers Part 2 Part 3 ||7|1|7|2|7|2| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||395|1|||||||||||305|Classroom||||967||7736||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Part 2 Part 3 ||3|1|3|1|3|1| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||906|1|||||||||||306|Classroom||||944||7552||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Part 2 Part 3 ||7|1|7|2|7|2| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126||||||each room|||1|||||||||||-|Main Office||||332||2656||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||7||||||Devine Brothers Part 2 Part 3 |||1|0||20|3| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126||||||each room|||1|||||||||||-|Principals Office||||262||2096||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||Devine Brothers Part 2 Part 3 |||1|0||20|3| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126||||||each room|||1|||||||||||-|Nurses Office||||269||2152||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||Devine Brothers Part 2 Part 3 |||1|0||20|3| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||AHU|each room||841|1|||||||||||-|Auditorium||||2847||22776||||||||||||||||||||||||||||||||||||||||||||||||||56||||||Devine Brothers Part 2 Part 3 ||2|1.06|2.12|1|2|1| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||AHU|each room||1,451.00|1|||||||||||-|Gym/Cafeteria||||2340||18720||||||||||||||||||||||||||||||||||||||||||||||||||53||||||Devine Brothers Part 2 Part 3 ||5|1|5|2|5|2| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||0|1|||||||||||-|North Stairwell||||168||1344||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Part 2 Part 3 ||0|1|0|0|0|0| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||0|1|||||||||||-|South Stairwell||||168||1344||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Part 2 Part 3 ||0|1|0|0|0|0| Import|Phila-Schools|4/12/2021|Lingelbach Elementary School|126|||||UV|each room||855|1|||||||||||-|Library||||2312||18496||||||||||||||||||||||||||||||||||||||||||||||||||52||||||Devine Brothers Part 2 Part 3 ||3|1|3|1|3|1|