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|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||6957|1|||||||||||-|Auditorium||||4017||32136||||||||||||||||||||||||||||||||||||||||||||||||||91||||||Devine Brothers ||13|1.06|13.78|3|13|3| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||934|1|||||||||||-|Cafeteria||||1584||12672||||||||||||||||||||||||||||||||||||||||||||||||||36||||||Devine Brothers ||4|1|4|2|4|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||0|1|||||||||||-|Gym||||3872||30976||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||88||||||Devine Brothers ||0|1.06|0|0|20|3| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||991|1|||||||||||-|Library||||1739||13912||||||||||||||||||||||||||||||||||||||||||||||||||39||||||Devine Brothers ||4|1|4|2|4|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||557|1|||||||||||-|Basement Science Classroom||||1064||8512||||||||||||||||||||||||||||||||||||||||||||||||||24||||||Devine Brothers ||4|1|4|1|4|1| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||143|1|||||||||||-|Basement Storage||||396||3168||||||||||||||||||||||||||||||||||||||||||||||||||9||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||471|1|||||||||||-|Basement Boy's Bathroom||||528||4224||||||||||||||||||||||||||||||||||||||||||||||||||12||||||Devine Brothers ||7|1|7|2|7|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||434|1|||||||||||-|Basement Girl's Bathroom||||528||4224||||||||||||||||||||||||||||||||||||||||||||||||||12||||||Devine Brothers ||6|1|6|2|6|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||271|1|||||||||||101|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||312|1|||||||||||102|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||4|1|4|1|4|1| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||823|1|||||||||||1K1|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||9|1|9|2|9|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||51|1|||||||||||103|Classroom||||650||5200||||||||||||||||||||||||||||||||||||||||||||||||||3||||||Devine Brothers ||1|1|1|0|1|0| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||564|1|||||||||||104|Classroom||||650||5200||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers ||7|1|7|2|7|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||255|1|||||||||||105|Classroom||||616||4928||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||723|1|||||||||||106|Classroom||||616||4928||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers ||9|1|9|2|9|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||664|1|||||||||||107|Classroom||||616||4928||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers ||8|1|8|2|8|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||866|1|||||||||||208|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||10|1|10|2|10|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||751|1|||||||||||209|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||9|1|9|2|9|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||128|1|||||||||||210|Classroom||||652||5216||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Devine Brothers ||1|1|1|1|21|3| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||663|1|||||||||||211|Classroom||||616||4928||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers ||8|1|8|2|8|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||669|1|||||||||||212|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||8|1|8|2|8|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||694|1|||||||||||213|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||8|1|8|2|8|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||629|1|||||||||||214|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||7|1|7|2|7|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||279|1|||||||||||215|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||404|1|||||||||||316|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||5|1|5|2|5|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||0|1|||||||||||317|Classroom||||656||5248||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||577|1|||||||||||318|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||7|1|7|2|7|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||231|1|||||||||||319|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||726|1|||||||||||320|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||8|1|8|2|8|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||298|1|||||||||||321|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||511|1|||||||||||322|Classroom||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||5|1|5|2|5|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||702|1|||||||||||323|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||8|1|8|2|8|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||375|1|||||||||||324|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||4|1|4|2|4|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||623|1|||||||||||325|Classroom||||616||4928||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers ||8|1|8|2|8|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||557|1|||||||||||326|Classroom||||654||5232||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers ||6|1|6|2|6|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||525|1|||||||||||327|Classroom||||654||5232||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers ||6|1|6|2|6|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room||664|1|||||||||||328|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||8|1|8|2|8|2| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room|||1|||||||||||-|Principal Office||||108||864||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||2||||||Devine Brothers |||1|0||20|3| Import|Phila-Schools|4/28/2021|Amedee F Bregy Elementary Middle School|16|||||House Fan|each room|||1|||||||||||-|Nurse Office||||220||1760||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||Devine Brothers |||1|0||20|3|