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|4/21/2021|Potter Thomas Promise Academy Elementary School|178||||||each room|||1||||||||||||Devine 2nd Retest 2-15-21||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||Goldner Retest |||1|0||||
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||322|1|||||||||||101|Classroom||||1,350||10800||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Goldner Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||387|1|||||||||||102|Classroom||||1,590||12720||||||||||||||||||||||||||||||||||||||||||||||||||25||||||Goldner Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||374|1|||||||||||103|Classroom||||1,590||12720||||||||||||||||||||||||||||||||||||||||||||||||||24||||||Goldner Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||817|1|||||||||||104|Classroom||||1,590||12720||||||||||||||||||||||||||||||||||||||||||||||||||36||||||Goldner Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||296|1|||||||||||105|Classroom||||1024||8192||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||216|1|||||||||||106|Music Room||||754||6032||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Goldner Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||149|1|||||||||||106|Computer Lab||||1,989||15912||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||45||||||Goldner Retest ||1|1|1|0|21|3|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||245|1|||||||||||201|Classroom||||812||6496||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Goldner Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||275|1|||||||||||202|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Goldner Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||329|1|||||||||||203|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||350|1|||||||||||204|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||356|1|||||||||||205|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||338|1|||||||||||206|Classroom||||783||6264||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||469|1|||||||||||207|Classroom||||841||6728||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||4|1|4|2|4|2|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||397|1|||||||||||208|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||257|1|||||||||||209|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Goldner Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||368|1|||||||||||210|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||348|1|||||||||||211|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||291|1|||||||||||212|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||280|1|||||||||||213|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Goldner Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||319|1|||||||||||214|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||297|1|||||||||||215|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||286|1|||||||||||216|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||392|1|||||||||||217|Classroom||||896||7168||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||296|1|||||||||||218|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||307|1|||||||||||219|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||235|1|||||||||||220|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Goldner Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||293|1|||||||||||221|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||312|1|||||||||||222|Classroom||||783||6264||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||238|1|||||||||||223|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Goldner Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||300|1|||||||||||224|Classroom||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||365|1|||||||||||226|Classroom||||942||7536||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178||||||each room|||1|||||||||||226A|-||||269||2152||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||Goldner Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||364|1|||||||||||228|Classroom||||942||7536||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178||||||each room|||1|||||||||||228A|-||||269||2152||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||Goldner Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||642|1|||||||||||-|Art room||||1800||14400||||||||||||||||||||||||||||||||||||||||||||||||||40||||||Goldner Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178||||||each room|||1||||||||||||Art Room B||||260||2080||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner Retest |||1|0||||
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Air Handling Unit|each room||0|1|||||||||||-|Cafeteria/Theatre||||5280||42240||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||120||||||Goldner Retest ||0|1.06|0|0|20|3|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178||||||each room|||1||||||||||||ESOL Suite||||119||952||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||2||||||Goldner Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Univent|each room||239|1|||||||||||-|Community Room||||839||6712||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Goldner Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Air Handling Unit|each room||0|1|||||||||||-|Gym||||5016||40128||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner Retest ||0|1.06|0|0|0|0|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Air Handling Unit|each room||0|1|||||||||||-|Gym Offices||||200||1600||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||4||||||Goldner Retest ||0|1|0|0|20|3|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Air Handling Unit|each room||273|1|||||||||||-|Kitchen||||1332||10656||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Goldner Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Air Handling Unit|each room||5,562|1|||||||||||-|Library||||1944||15552||||||||||||||||||||||||||||||||||||||||||||||||||44||||||Goldner Retest ||21|1|21|3|21|3|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178||||||each room|||1|||||||||||Counselor|Office||||261||2088||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||Goldner Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178|||||Air Handling Unit|each room||1,418|1|||||||||||-|Main Office||||1800||14400||||||||||||||||||||||||||||||||||||||||||||||||||40||||||Goldner Retest ||6|1|6|2|6|2|
Import|Phila-Schools|4/21/2021|Potter Thomas Promise Academy Elementary School|178||||||each room|||1|||||||||||-|Faculty lounge||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner Retest |||1|0||||