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|4/5/2021|Alain Locke Elementary School|127|||||AHU|each room||2700|1|||||||||||-|Auditorium||||3658||29264||||||||||||||||||||||||||||||||||||||||||||||||||83||||||Devine Brothers Devine Brothers Retest ||6|1.06|6.36|2|6|2|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||AHU|each room||2014|1|||||||||||-|Gym/Cafeteria||||4464||35712||||||||||||||||||||||||||||||||||||||||||||||||||101||||||Devine Brothers Devine Brothers Retest ||3|1.06|3.18|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||585|1|||||||||||-|Library||||1352||10816||||||||||||||||||||||||||||||||||||||||||||||||||30||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||425|1|||||||||||-|Main Office||||1213||9704||||||||||||||||||||||||||||||||||||||||||||||||||27||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||0|1|||||||||||-|Principals Office||||384||3072||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||Devine Brothers Devine Brothers Retest ||0|1|0|0|20|3|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||421|1|||||||||||100|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||454|1|||||||||||101|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||4|1|4|2|4|2|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||425|1|||||||||||102|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||318|1|||||||||||103|Classroom||||432||3456||||||||||||||||||||||||||||||||||||||||||||||||||9||||||Devine Brothers Devine Brothers Retest ||6|1|6|2|6|2|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||405|1|||||||||||104|Classroom||||744||5952||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Brothers Retest ||4|1|4|2|4|2|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||453|1|||||||||||105|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||4|1|4|2|4|2|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||435|1|||||||||||107|Classroom||||1064||8512||||||||||||||||||||||||||||||||||||||||||||||||||24||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127||||||each room|||1|||||||||||108A|Office A Library||||156||1248||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Devine Brothers Devine Brothers Retest |||1|0||20|3|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127||||||each room|||1|||||||||||108B|Office B Library||||156||1248||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Devine Brothers Devine Brothers Retest |||1|0||20|3|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||428|1|||||||||||109|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||394|1|||||||||||111|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||330|1|||||||||||112|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||416|1|||||||||||113|Classroom||||980||7840||||||||||||||||||||||||||||||||||||||||||||||||||22||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||393|1|||||||||||115|Classroom||||1248||9984||||||||||||||||||||||||||||||||||||||||||||||||||26||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127||||||each room|||1|||||||||||116A|Counselor Office||||132||1056||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Devine Brothers Devine Brothers Retest |||1|0||20|3|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127||||||each room|||1|||||||||||116B|COVID Quarantine||||132||1056||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Devine Brothers Devine Brothers Retest |||1|0||20|3|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||321|1|||||||||||117|Classroom||||1440||11520||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||592|1|||||||||||200|Classroom||||875||7000||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||5|1|5|2|5|2|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||340|1|||||||||||201|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||341|1|||||||||||202|Classroom||||875||7000||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||485|1|||||||||||203|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||4|1|4|2|4|2|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||279|1|||||||||||204|Classroom||||875||7000||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||295|1|||||||||||205|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||0|1|||||||||||207A|Classroom||||168||1344||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Devine Brothers Devine Brothers Retest ||0|1|0|0|20|3|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||300|1|||||||||||207B|Classroom||||336||2688||||||||||||||||||||||||||||||||||||||||||||||||||7||||||Devine Brothers Devine Brothers Retest ||7|1|7|2|7|2|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||349|1|||||||||||208|Classroom||||1225||9800||||||||||||||||||||||||||||||||||||||||||||||||||23||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||348|1|||||||||||209|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||295|1|||||||||||210|Classroom||||480||3840||||||||||||||||||||||||||||||||||||||||||||||||||10||||||Devine Brothers Devine Brothers Retest ||5|1|5|2|5|2|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||360|1|||||||||||211|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||332|1|||||||||||212|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||297|1|||||||||||213|Classroom||||875||7000||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||419|1|||||||||||300|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||416|1|||||||||||301|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||375|1|||||||||||302|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||395|1|||||||||||303|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||398|1|||||||||||304|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||411|1|||||||||||305|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||205|1|||||||||||307A|Office||||336||2688||||||||||||||||||||||||||||||||||||||||||||||||||7||||||Devine Brothers Devine Brothers Retest ||5|1|5|2|5|2|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||0|1|||||||||||307B|Office||||168||1344||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Devine Brothers Devine Brothers Retest ||0|1|0|0|20|3|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||383|1|||||||||||308|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||365|1|||||||||||309|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||325|1|||||||||||310|Classroom||||875||7000||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||309|1|||||||||||311|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||419|1|||||||||||312|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room||346|1|||||||||||313|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/5/2021|Alain Locke Elementary School|127|||||UV|each room|||1|||||||||||-|Nurses office||||352||2816||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||Devine Brothers Devine Brothers Retest |||1|0||20|3|