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|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||676|1|||||||||||108|Room||||676||5408||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Goldner Goldner Retest ||8|1|8|2|8|2| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Fan Coil Unit|each room||333|1|||||||||||109|Room||||714||5712||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Goldner Goldner Retest ||3|1|3|1|3|1| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||168|1|||||||||||110|Room||||1015||8120||||||||||||||||||||||||||||||||||||||||||||||||||11||||||Goldner Goldner Retest ||1|1|1|1|1|1| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||564|1|||||||||||130|Room||||630||5040||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Goldner Goldner Retest ||7|1|7|2|7|2| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||476|1|||||||||||131|Room||||580||4640||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Goldner Goldner Retest ||6|1|6|2|6|2| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||528|1|||||||||||132|Room||||580||4640||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Goldner Goldner Retest ||7|1|7|2|7|2| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||452|1|||||||||||133|Room||||469||3752||||||||||||||||||||||||||||||||||||||||||||||||||10||||||Goldner Goldner Retest ||7|1|7|2|7|2| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||496|1|||||||||||134|Room||||1015||8120||||||||||||||||||||||||||||||||||||||||||||||||||23||||||Goldner Goldner Retest ||4|1|4|1|4|1| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||304|1|||||||||||135|Room||||812||6496||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Goldner Goldner Retest ||3|1|3|1|3|1| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||424|1|||||||||||136|Room||||424||3392||||||||||||||||||||||||||||||||||||||||||||||||||9||||||Goldner Goldner Retest ||8|1|8|2|8|2| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||409|1|||||||||||203|Room||||600||4800||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Goldner Goldner Retest ||5|1|5|2|5|2| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||363|1|||||||||||204|Room||||667||5336||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Goldner Goldner Retest ||4|1|4|2|4|2| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||376|1|||||||||||205|Room||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Goldner Goldner Retest ||4|1|4|1|4|1| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||350|1|||||||||||206|Room||||810||6480||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Goldner Goldner Retest ||3|1|3|1|3|1| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||371|1|||||||||||207|Room||||783||6264||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Goldner Goldner Retest ||4|1|4|1|4|1| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Fan Coil Unit|each room||482|1|||||||||||210|Room||||1116||8928||||||||||||||||||||||||||||||||||||||||||||||||||25||||||Goldner Goldner Retest ||3|1|3|1|3|1| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||329|1|||||||||||211|Room||||957||7656||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Goldner Goldner Retest ||3|1|3|1|3|1| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||300|1|||||||||||221|Room||||580||4640||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Goldner Goldner Retest ||4|1|4|1|4|1| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||75|1|||||||||||222|Room||||580||4640||||||||||||||||||||||||||||||||||||||||||||||||||5||||||Goldner Goldner Retest ||1|1|1|0|1|0| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||523|1|||||||||||223|Room||||580||4640||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Goldner Goldner Retest ||7|1|7|2|7|2| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||717|1|||||||||||224|Room||||580||4640||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Goldner Goldner Retest ||9|1|9|2|9|2| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||250|1|||||||||||225|Room||||580||4640||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Goldner Goldner Retest ||3|1|3|1|3|1| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||163|1|||||||||||226|Room||||580||4640||||||||||||||||||||||||||||||||||||||||||||||||||10||||||Goldner Goldner Retest ||2|1|2|1|2|1| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||912|1|||||||||||-|Auditurium||||1050||8400||||||||||||||||||||||||||||||||||||||||||||||||||23||||||Goldner Goldner Retest ||7|1|7|2|7|2| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167|||||Univent|each room||969|1|||||||||||-|Gym||||2460||19680||||||||||||||||||||||||||||||||||||||||||||||||||55||||||Goldner Goldner Retest ||3|1|3|1|3|1| Import|Phila-Schools|3/18/2021|Parkway Northwest High School former Hill JE Hill Freedman|167||||||each room||0|1|||||||||||-|Main Office||||399||3192||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner Goldner Retest ||0|1|0|0|0|0|