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|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||Main Building|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||Devine Main Building ABR |||1|0||||
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||AIr Handling Unit|each room||180|1|||||||||||101|Classroom||||520||4160||||||||||||||||||||||||||||||||||||||||||||||||||11||||||Devine Main Building ABR ||3|1|3|1|3|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||AIr Handling Unit|each room||122|1|||||||||||102|Classroom||||520||4160||||||||||||||||||||||||||||||||||||||||||||||||||8||||||Devine Main Building ABR ||2|1|2|1|2|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||AIr Handling Unit|each room||142|1|||||||||||103|Classroom||||520||4160||||||||||||||||||||||||||||||||||||||||||||||||||9||||||Devine Main Building ABR ||2|1|2|1|2|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||AIr Handling Unit|each room||527|1|||||||||||104|Classroom||||520||4160||||||||||||||||||||||||||||||||||||||||||||||||||11||||||Devine Main Building ABR ||8|1|8|2|8|2|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||63|1|||||||||||107|Classroom||||667||5336||||||||||||||||||||||||||||||||||||||||||||||||||4||||||Devine Main Building ABR ||1|1|1|0|1|0|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||235|1|||||||||||108|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Main Building ABR ||2|1|2|1|2|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||88|1|||||||||||111|Classroom||||378||3024||||||||||||||||||||||||||||||||||||||||||||||||||5||||||Devine Main Building ABR ||2|1|2|1|2|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||289|1|||||||||||201|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Main Building ABR ||3|1|3|1|3|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||327|1|||||||||||203|Classroom||||928||7424||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Main Building ABR ||3|1|3|1|3|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||286|1|||||||||||204|Classroom||||756||6048||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Main Building ABR ||3|1|3|1|3|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||303|1|||||||||||205|Classroom||||784||6272||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Main Building ABR ||3|1|3|1|3|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||296|1|||||||||||206|Classroom||||812||6496||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Main Building ABR ||3|1|3|1|3|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||309|1|||||||||||207|Classroom||||594||4752||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Devine Main Building ABR ||4|1|4|1|4|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||324|1|||||||||||208|Classroom||||748||5984||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Main Building ABR ||3|1|3|1|3|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||282|1|||||||||||209|Classroom||||1232||9856||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Main Building ABR ||2|1|2|1|2|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||327|1|||||||||||210|Classroom||||330||2640||||||||||||||||||||||||||||||||||||||||||||||||||7||||||Devine Main Building ABR ||7|1|7|2|7|2|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||326|1|||||||||||211|Classroom||||756||6048||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Main Building ABR ||3|1|3|1|3|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||0|1|||||||||||301|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Main Building ABR ||0|1|0|0|0|0|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||328|1|||||||||||302|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Main Building ABR ||4|1|4|1|4|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||281|1|||||||||||303|Classroom||||899||7192||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Main Building ABR ||2|1|2|1|2|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||280|1|||||||||||304|Classroom||||729||5832||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Main Building ABR ||3|1|3|1|3|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||324|1|||||||||||305|Classroom||||812||6496||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Main Building ABR ||3|1|3|1|3|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||285|1|||||||||||306|Classroom||||783||6264||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Main Building ABR ||3|1|3|1|3|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||279|1|||||||||||307|Classroom||||594||4752||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Devine Main Building ABR ||4|1|4|1|4|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||291|1|||||||||||308|Classroom||||782||6256||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Main Building ABR ||3|1|3|1|3|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||325|1|||||||||||309|Classroom||||638||5104||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Main Building ABR ||4|1|4|1|4|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||328|1|||||||||||310|Classroom||||638||5104||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Main Building ABR ||4|1|4|1|4|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||309|1|||||||||||311|Classroom||||756||6048||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Main Building ABR ||3|1|3|1|3|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||-|Main Office||||480||3840||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Main Building ABR |||1|0||||
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Univent|each room||173|1|||||||||||-|Principal's Office||||396||3168||||||||||||||||||||||||||||||||||||||||||||||||||9||||||Devine Main Building ABR ||3|1|3|1|3|1|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Active Pure|each room|||1|||||||||||-|Boys' Cafeteria ||||1,271||10168||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Active Pure|each room|||1|||||||||||-|Girls' Cafeteria||||943||7544||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||Annex|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||Devine Main Building ABR |||1|0||||
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||1|Classroom||||684||5472||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||2|Classroom||||1050||8400||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||23||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||3|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||18||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||4|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||5|Classroom||||1104||8832||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||25||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||6|Classroom||||700||5600||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||7|Classroom||||1050||8400||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||23||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||8|Classroom||||816||6528||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||18||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||9|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||10|Classroom||||875||7000||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||-|Lobby||||180||1440||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||4||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||-|Counselor Office||||108||864||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||2||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||-|Asst Principal's Office||||89||712||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||2||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160|||||Hydroxyl Unit|each room|||1|||||||||||-|Gym||||4328||34624||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||98||||||Devine Main Building ABR |||1.06|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||-|Nurse Open area (Office D) and Early Lit||||547||4376||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||12||||||Devine Main Building ABR |||1|0||20|3|
Import|Phila-Schools|4/29/2021|Olney Elementary School|160||||||each room|||1|||||||||||-| Conference room (medical waiting)||||141||1128||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Devine Main Building ABR |||1|0||20|3|