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|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||37|1|||||||||||B24|Classroom||||130||1040||||||||||||||||||||||||||||||||||||||||||||||||||2||||||Devine Brothers Part 2 ||2|1|2|1|2|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||120|1|||||||||||B26|Classroom||||216||1728||||||||||||||||||||||||||||||||||||||||||||||||||4||||||Devine Brothers Part 2 ||4|1|4|2|4|2| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||483|1|||||||||||B28|Classroom||||722||5776||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Part 2 ||5|1|5|2|5|2| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||1,065.00|1|||||||||||106|Classroom||||806||6448||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Part 2 ||10|1|10|2|10|2| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||310|1|||||||||||108|Classroom||||842||6736||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Part 2 ||3|1|3|1|3|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||311|1|||||||||||109|Classroom||||759||6072||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers Part 2 ||3|1|3|1|3|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||305|1|||||||||||110|Classroom||||693||5544||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Part 2 ||3|1|3|1|3|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||220|1|||||||||||113|Classroom||||222||1776||||||||||||||||||||||||||||||||||||||||||||||||||5||||||Devine Brothers Part 2 ||7|1|7|2|7|2| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||285|1|||||||||||117|Classroom||||741||5928||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Part 2 ||3|1|3|1|3|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||329|1|||||||||||118|Classroom||||759||6072||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers Part 2 ||3|1|3|1|3|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||315|1|||||||||||119|Classroom||||683||5464||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Part 2 ||3|1|3|1|3|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||0|1|||||||||||123|Classroom||||150||1200||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Part 2 ||0|1|0|0|0|0| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||73|1|||||||||||125|Classroom||||209||1672||||||||||||||||||||||||||||||||||||||||||||||||||4||||||Devine Brothers Part 2 ||3|1|3|1|3|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||13|1|||||||||||126|Classroom||||99||792||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Part 2 ||1|1|1|0|1|0| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||14|1|||||||||||127|Classroom||||99||792||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Part 2 ||1|1|1|1|1|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||10|1|||||||||||128|Classroom||||99||792||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||2||||||Devine Brothers Part 2 ||1|1|1|0|21|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||84|1|||||||||||129|Classroom||||291||2328||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||Devine Brothers Part 2 ||2|1|2|1|22|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||302|1|||||||||||131|Classroom||||694||5552||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Part 2 ||3|1|3|1|3|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||0|1|||||||||||133|Classroom||||644||5152||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Devine Brothers Part 2 ||0|1|0|0|20|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||330|1|||||||||||134|Classroom||||683||5464||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Part 2 ||4|1|4|1|4|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||491|1|||||||||||201|Classroom||||875||7000||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Part 2 ||4|1|4|2|4|2| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||74|1|||||||||||202|Classroom||||324||2592||||||||||||||||||||||||||||||||||||||||||||||||||4||||||Devine Brothers Part 2 ||2|1|2|1|2|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||0|1|||||||||||208|Classroom||||842||6736||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Devine Brothers Part 2 ||0|1|0|0|20|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||0|1|||||||||||209|Classroom||||759||6072||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||Devine Brothers Part 2 ||0|1|0|0|20|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||0|1|||||||||||210|Classroom||||693||5544||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers Part 2 ||0|1|0|0|20|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||75|1|||||||||||213|Classroom||||222||1776||||||||||||||||||||||||||||||||||||||||||||||||||5||||||Devine Brothers Part 2 ||3|1|3|1|3|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||0|1|||||||||||217|Classroom||||741||5928||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Brothers Part 2 ||0|1|0|0|20|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||0|1|||||||||||218|Classroom||||728||5824||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Brothers Part 2 ||0|1|0|0|20|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||0|1|||||||||||219|Classroom||||683||5464||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers Part 2 ||0|1|0|0|20|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||241|1|||||||||||220|Classroom||||224||1792||||||||||||||||||||||||||||||||||||||||||||||||||5||||||Devine Brothers Part 2 ||8|1|8|2|8|2| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||0|1|||||||||||221|Classroom||||96||768||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||2||||||Devine Brothers Part 2 ||0|1|0|0|20|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||0|1|||||||||||222|Classroom||||169||1352||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Part 2 ||0|1|0|0|0|0| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||0|1|||||||||||225|Classroom||||209||1672||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||4||||||Devine Brothers Part 2 ||0|1|0|0|20|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||0|1|||||||||||227|Classroom||||99||792||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Part 2 ||0|1|0|0|0|0| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||0|1|||||||||||228|Classroom||||154||1232||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Part 2 ||0|1|0|0|0|0| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||0|1|||||||||||229|Classroom||||108||864||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Part 2 ||0|1|0|0|0|0| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||318|1|||||||||||230|Classroom||||736||5888||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Part 2 ||3|1|3|1|3|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||301|1|||||||||||231|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Part 2 ||3|1|3|1|3|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||266|1|||||||||||233|Classroom||||739||5912||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Part 2 ||3|1|3|1|3|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||328|1|||||||||||234|Classroom||||671||5368||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Part 2 ||4|1|4|1|4|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||1,176.00|1|||||||||||301|Classroom||||1005||8040||||||||||||||||||||||||||||||||||||||||||||||||||22||||||Devine Brothers Part 2 ||9|1|9|2|9|2| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||0|1|||||||||||302|Classroom||||324||2592||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Part 2 ||0|1|0|0|0|0| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||0|1|||||||||||308|Classroom||||842||6736||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Devine Brothers Part 2 ||0|1|0|0|20|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||0|1|||||||||||309|Classroom||||713||5704||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Brothers Part 2 ||0|1|0|0|20|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||0|1|||||||||||310|Classroom||||693||5544||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers Part 2 ||0|1|0|0|20|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||0|1|||||||||||317|Classroom||||741||5928||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Brothers Part 2 ||0|1|0|0|20|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||0|1|||||||||||318|Classroom||||759||6072||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||Devine Brothers Part 2 ||0|1|0|0|20|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Univent|each room||0|1|||||||||||319|Classroom||||683||5464||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers Part 2 ||0|1|0|0|20|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||0|1|||||||||||320|Classroom||||320||2560||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Part 2 ||0|1|0|0|0|0| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||7,801.00|1|||||||||||-|Cafeteria||||3766||30128||||||||||||||||||||||||||||||||||||||||||||||||||85||||||Devine Brothers Part 2 ||16|1.06|16.96|3|16|3| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||1,362.00|1|||||||||||-|GYM||||4271||34168||||||||||||||||||||||||||||||||||||||||||||||||||90||||||Devine Brothers Part 2 ||2|1.06|2.12|1|2|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||550|1|||||||||||-|Library||||2658||21264||||||||||||||||||||||||||||||||||||||||||||||||||36||||||Devine Brothers Part 2 ||2|1.06|2.12|1|2|1| Import|Phila-Schools|4/20/2021|Penn Alexander Elementary Middle School|169|||||Air Handling Unit|each room||205|1|||||||||||-|Main Office||||1063||8504||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Devine Brothers Part 2 ||1|1|1|1|1|1|