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|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||906|1|||||||||||K-1|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||10|1|10|2|10|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||828|1|||||||||||K-4|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||9|1|9|2|9|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||517|1|||||||||||B27|Classroom||||1047||8376||||||||||||||||||||||||||||||||||||||||||||||||||23||||||Devine Devine Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||N/A|each room||0|1|||||||||||10A|Vice Principal||||176||1408||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||4||||||Devine Devine Retest ||0|1|0|0|20|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||594|1|||||||||||29|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||930|1|||||||||||30|Classroom||||836||6688||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Devine Retest ||8|1|8|2|8|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||890|1|||||||||||101|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||9|1|9|2|9|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||63|1|||||||||||102|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Devine Retest ||1|1|1|0|21|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||954|1|||||||||||103|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||10|1|10|3|10|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||907|1|||||||||||105|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||10|1|10|2|10|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||988|1|||||||||||106|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||11|1|11|3|11|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||959|1|||||||||||107|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||10|1|10|3|10|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||620|1|||||||||||208|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||N/A|each room||0|1|||||||||||208A|Nurse's Office||||176||1408||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Devine Retest ||0|1|0|0|0|0|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||695|1|||||||||||209|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||930|1|||||||||||210|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||10|1|10|2|10|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||887|1|||||||||||211|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||9|1|9|2|9|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||751|1|||||||||||212|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||8|1|8|2|8|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||955|1|||||||||||213|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||10|1|10|3|10|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||950|1|||||||||||214|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||10|1|10|3|10|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||0|1|||||||||||316|Classroom||||880||7040||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||20||||||Devine Devine Retest ||0|1|0|0|20|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||361|1|||||||||||317|Classroom||||484||3872||||||||||||||||||||||||||||||||||||||||||||||||||11||||||Devine Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||588|1|||||||||||318|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||341|1|||||||||||319|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||483|1|||||||||||320|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||5|1|5|2|5|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||743|1|||||||||||321|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||8|1|8|2|8|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||877|1|||||||||||322|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||9|1|9|2|9|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||642|1|||||||||||323|Classroom||||748||5984||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||818|1|||||||||||324|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||9|1|9|2|9|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||809|1|||||||||||325|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||9|1|9|2|9|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||565|1|||||||||||326|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||698|1|||||||||||327|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||7|1|7|2|7|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||151|1|||||||||||328|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Devine Retest ||2|1|2|1|22|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||0|1|||||||||||329|Classroom||||264||2112||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||Devine Devine Retest ||0|1|0|0|20|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||0|1|||||||||||2121|Storage||||399||3192||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||9||||||Devine Devine Retest ||0|1|0|0|20|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||2451|1|||||||||||-|Auditorium||||3520||28160||||||||||||||||||||||||||||||||||||||||||||||||||80||||||Devine Devine Retest ||5|1.06|5.3|2|5|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||N/A|each room||0|1|||||||||||-|Counselor Office||||220||1760||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||Devine Devine Retest ||0|1|0|0|20|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||N/A|each room||0|1|||||||||||-|Gym||||3872||30976||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||88||||||Devine Devine Retest ||0|1.06|0|0|20|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||634|1|||||||||||-|Kitchen||||880||7040||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Devine Retest ||5|1|5|2|5|2|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||865|1|||||||||||-|Library||||1675||13400||||||||||||||||||||||||||||||||||||||||||||||||||38||||||Devine Devine Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||N/A|each room||0|1|||||||||||-|Main Office||||308||2464||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||7||||||Devine Devine Retest ||0|1|0|0|20|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||N/A|each room||0|1|||||||||||-|Principal Office||||160||1280||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Devine Devine Retest ||0|1|0|0|20|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||House Fan|each room||970|1|||||||||||-|SEL Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||10|1|10|3|10|3|
Import|Phila-Schools|4/20/2021|Randolph Blankenburg Elementary Middle School House fan Abated|14|||||N/A|each room||0|1|||||||||||-|Staff Lounge||||399||3192||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||9||||||Devine Devine Retest ||0|1|0|0|20|3|