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|James G Blaine Elementary School|13|||||Air Handling Unit|each room||1104|1|||||||||||-|Gym / Cafe.||||3749||29992||||||||||||||||||||||||||||||||||||||||||||||||||73||||||Devine Brothers Retest 2nd Retest ||2|1.06|2.12|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Air Handling Unit|each room||577|1|||||||||||-|Auditorium||||3161||25288||||||||||||||||||||||||||||||||||||||||||||||||||38||||||Devine Brothers Retest 2nd Retest ||1|1.06|1.06|1|1|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||437|1|||||||||||100|Classroom||||1415||11320||||||||||||||||||||||||||||||||||||||||||||||||||29||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||684|1|||||||||||101|Classroom||||1476||11808||||||||||||||||||||||||||||||||||||||||||||||||||33||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||625|1|||||||||||102|Classroom||||1460||11680||||||||||||||||||||||||||||||||||||||||||||||||||33||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||461|1|||||||||||103|Classroom||||1465||11720||||||||||||||||||||||||||||||||||||||||||||||||||30||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||319|1|||||||||||104|Classroom||||856||6848||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||306|1|||||||||||105|Classroom||||655||5240||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers Retest 2nd Retest ||4|1|4|1|4|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||452|1|||||||||||106|Classroom||||921||7368||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Brothers Retest 2nd Retest ||4|1|4|1|4|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||274|1|||||||||||107|Classroom||||970||7760||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||251|1|||||||||||108|Custodial||||835||6680||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room|||1|||||||||||110|Nurse||||452||3616||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||10||||||Devine Brothers Retest 2nd Retest |||1|0||20|3|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||297|1|||||||||||200|Classroom||||947||7576||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||246|1|||||||||||201|Classroom||||649||5192||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||414|1|||||||||||202|Classroom||||936||7488||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||230|1|||||||||||203|Classroom||||937||7496||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||359|1|||||||||||204|Classroom||||958||7664||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||286|1|||||||||||205|Classroom||||937||7496||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||447|1|||||||||||206|Classroom||||952||7616||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Retest 2nd Retest ||4|1|4|1|4|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||291|1|||||||||||207|Classroom||||956||7648||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||314|1|||||||||||208|Classroom||||968||7744||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||349|1|||||||||||209|Classroom||||975||7800||||||||||||||||||||||||||||||||||||||||||||||||||22||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||236|1|||||||||||210|Classroom||||931||7448||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||287|1|||||||||||211|Classroom||||982||7856||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||362|1|||||||||||212|Classroom||||953||7624||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||296|1|||||||||||213|Classroom||||957||7656||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||378|1|||||||||||214|Classroom||||956||7648||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||288|1|||||||||||215|Classroom||||603||4824||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Devine Brothers Retest 2nd Retest ||4|1|4|1|4|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||406|1|||||||||||216|Classroom||||942||7536||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||407|1|||||||||||217|Classroom||||656||5248||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers Retest 2nd Retest ||5|1|5|2|5|2|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||332|1|||||||||||300|Classroom||||956||7648||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||333|1|||||||||||301|Classroom||||601||4808||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Devine Brothers Retest 2nd Retest ||4|1|4|2|4|2|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||249|1|||||||||||302|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||341|1|||||||||||303|Classroom||||859||6872||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||270|1|||||||||||304|Classroom||||863||6904||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||286|1|||||||||||305|Classroom||||862||6896||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||254|1|||||||||||306|Classroom||||861||6888||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||348|1|||||||||||307|Classroom||||865||6920||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||334|1|||||||||||308|Classroom||||859||6872||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||287|1|||||||||||309|Classroom||||972||7776||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||324|1|||||||||||310|Classroom||||852||6816||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||306|1|||||||||||311|Classroom||||958||7664||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||483|1|||||||||||312|Classroom||||950||7600||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Retest 2nd Retest ||4|1|4|1|4|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||460|1|||||||||||313|Classroom||||944||7552||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Retest 2nd Retest ||4|1|4|1|4|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||238|1|||||||||||314|Classroom||||951||7608||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||359|1|||||||||||315|Classroom||||667||5336||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Retest 2nd Retest ||4|1|4|2|4|2|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||315|1|||||||||||316|Classroom||||952||7616||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Retest 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room||288|1|||||||||||317|Classroom||||651||5208||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers Retest 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room|||1|||||||||||-|Main Office||||1235||9880||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||28||||||Devine Brothers Retest 2nd Retest |||1|0||20|3|
Import|Phila-Schools|3/18/2021|James G Blaine Elementary School|13|||||Unit Ventilator|each room|||1|||||||||||-|Principal||||361||2888||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||Devine Brothers Retest 2nd Retest |||1|0||20|3|