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|4/8/2021|William Loesche Elementary School|128||||||each room|||1||||||||||||Devine Brothers 2nd Retest||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||Devine Brothers Devine Brothers Retest |||1|0||||
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||286|1|||||||||||100|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||282|1|||||||||||101|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||82|1|||||||||||102|Classroom||||784||6272||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||Devine Brothers Devine Brothers Retest ||1|1|1|0|21|3|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||288|1|||||||||||103|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||0|1|||||||||||104|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Devine Brothers Retest ||0|1|0|0|0|0|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||300|1|||||||||||105|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||288|1|||||||||||107|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||213|1|||||||||||108|Classroom||||1122||8976||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||25||||||Devine Brothers Devine Brothers Retest ||1|1|1|1|21|3|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||185|1|||||||||||109|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||12||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||156|1|||||||||||110|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Devine Brothers Devine Brothers Retest ||1|1|1|1|21|3|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||190|1|||||||||||111|Classroom||||882||7056||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||20||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|22|3|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||285|1|||||||||||112|Classroom||||729||5832||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||258|1|||||||||||200|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||292|1|||||||||||201|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||283|1|||||||||||202|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||158|1|||||||||||203|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Devine Brothers Devine Brothers Retest ||1|1|1|1|21|3|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||262|1|||||||||||204|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||205|1|||||||||||205|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|22|3|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||153|1|||||||||||206|Classroom||||476||3808||||||||||||||||||||||||||||||||||||||||||||||||||10||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||297|1|||||||||||207|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||210|1|||||||||||208|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||150|1|||||||||||208A|Classroom||||252||2016||||||||||||||||||||||||||||||||||||||||||||||||||5||||||Devine Brothers Devine Brothers Retest ||4|1|4|2|4|2|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||184|1|||||||||||209|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|22|3|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||193|1|||||||||||210|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||12||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||142|1|||||||||||211|Classroom||||783||6264||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||Devine Brothers Devine Brothers Retest ||1|1|1|1|21|3|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||267|1|||||||||||212|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||280|1|||||||||||214|Classroom||||1212||9696||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||268|1|||||||||||215|Classroom||||1232||9856||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||415|1|||||||||||216|Classroom||||756||6048||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers Devine Brothers Retest ||4|1|4|2|4|2|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||276|1|||||||||||217|Classroom||||841||6728||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||144|1|||||||||||218|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Devine Brothers Devine Brothers Retest ||1|1|1|1|21|3|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||106|1|||||||||||219|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Devine Brothers Devine Brothers Retest ||1|1|1|0|21|3|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||246|1|||||||||||220|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||140|1|||||||||||221|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||9||||||Devine Brothers Devine Brothers Retest ||1|1|1|1|1|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||106|1|||||||||||222|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||7||||||Devine Brothers Devine Brothers Retest ||1|1|1|0|1|0|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||175|1|||||||||||223|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||11||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||94|1|||||||||||224|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||6||||||Devine Brothers Devine Brothers Retest ||1|1|1|0|1|0|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||242|1|||||||||||A-1|Classroom||||884||7072||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||254|1|||||||||||A-2|Classroom||||884||7072||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||298|1|||||||||||A-3|Classroom||||884||7072||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||281|1|||||||||||A-4|Classroom||||884||7072||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||0|1|||||||||||-|A-wing Mech. Rm||||358||2864||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Devine Brothers Retest ||0|1|0|0|0|0|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||AHU|each room||0|1|||||||||||-|Auditorium||||3600||28800||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Devine Brothers Retest ||0|1.06|0|0|0|0|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||314|1|||||||||||B-1|Classroom||||806||6448||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||311|1|||||||||||B-2|Classroom||||806||6448||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||300|1|||||||||||B-3|Classroom||||806||6448||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||313|1|||||||||||B-4|Classroom||||806||6448||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||287|1|||||||||||B-5|Classroom||||806||6448||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||297|1|||||||||||B-6|Classroom||||905||7240||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||285|1|||||||||||B-7|Classroom||||905||7240||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||304|1|||||||||||B-8|Classroom||||905||7240||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Brothers Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||282|1|||||||||||B-9|Classroom||||905||7240||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||0|1|||||||||||-|Backstage||||180||1440||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Devine Brothers Retest ||0|1|0|0|0|0|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||172|1|||||||||||-|Backstage Dressing Rm.||||252||2016||||||||||||||||||||||||||||||||||||||||||||||||||5||||||Devine Brothers Devine Brothers Retest ||5|1|5|2|5|2|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||AHU|each room||0|1|||||||||||-|Cafeteria||||5540||44320||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||125||||||Devine Brothers Devine Brothers Retest ||0|1.06|0|0|20|3|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||AHU|each room||0|1|||||||||||-|GYM||||4496||35968||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Devine Brothers Retest ||0|1.06|0|0|0|0|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||0|1|||||||||||-|Library||||1131||9048||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Devine Brothers Retest ||0|1|0|0|0|0|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||292|1|||||||||||-|Main Office||||992||7936||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Brothers Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV|each room||94|1|||||||||||-|Nurse's Office||||706||5648||||||||||||||||||||||||||||||||||||||||||||||||||6||||||Devine Brothers Devine Brothers Retest ||1|1|1|0|1|0|
Import|Phila-Schools|4/8/2021|William Loesche Elementary School|128|||||UV |each room||148|1|||||||||||-|Principal's Office||||308||2464||||||||||||||||||||||||||||||||||||||||||||||||||7||||||Devine Brothers Devine Brothers Retest ||4|1|4|1|4|1|