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|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||380|1|||||||||||1|Classroom||||1200||9600||||||||||||||||||||||||||||||||||||||||||||||||||25||||||Devine Brothers Retest Gymnasium ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||321|1|||||||||||2|Classroom||||1200||9600||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Retest Gymnasium ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||387|1|||||||||||3|Classroom||||1200||9600||||||||||||||||||||||||||||||||||||||||||||||||||25||||||Devine Brothers Retest Gymnasium ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||304|1|||||||||||4|Classroom||||1200||9600||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Brothers Retest Gymnasium ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||313|1|||||||||||5|Classroom||||900||7200||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Brothers Retest Gymnasium ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||268|1|||||||||||6|Classroom||||900||7200||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||20||||||Devine Brothers Retest Gymnasium ||2|1|2|1|22|3| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||351|1|||||||||||7|Classroom||||836||6688||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Retest Gymnasium ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||334|1|||||||||||8|Classroom||||874||6992||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Retest Gymnasium ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||235|1|||||||||||9|Classroom||||1050||8400||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||23||||||Devine Brothers Retest Gymnasium ||2|1|2|1|22|3| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||375|1|||||||||||10|Classroom||||888||7104||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Brothers Retest Gymnasium ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||242|1|||||||||||11|Classroom||||1066||8528||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||24||||||Devine Brothers Retest Gymnasium ||2|1|2|1|22|3| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||234|1|||||||||||12|Classroom||||1134||9072||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||25||||||Devine Brothers Retest Gymnasium ||2|1|2|1|22|3| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||227|1|||||||||||13|Classroom||||1100||8800||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||25||||||Devine Brothers Retest Gymnasium ||2|1|2|1|22|3| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||601|1|||||||||||103|Classroom||||1280||10240||||||||||||||||||||||||||||||||||||||||||||||||||29||||||Devine Brothers Retest Gymnasium ||4|1|4|1|4|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||696|1|||||||||||104|Classroom||||1280||10240||||||||||||||||||||||||||||||||||||||||||||||||||29||||||Devine Brothers Retest Gymnasium ||4|1|4|2|4|2| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||664|1|||||||||||105|Classroom||||1360||10880||||||||||||||||||||||||||||||||||||||||||||||||||30||||||Devine Brothers Retest Gymnasium ||4|1|4|1|4|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||739|1|||||||||||106|Classroom||||1280||10240||||||||||||||||||||||||||||||||||||||||||||||||||29||||||Devine Brothers Retest Gymnasium ||4|1|4|2|4|2| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181||||||each room|||1|||||||||||112|Classroom||||1360||10880||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||30||||||Devine Brothers Retest Gymnasium |||1|0||20|3| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||279|1|||||||||||116|Classroom||||400||3200||||||||||||||||||||||||||||||||||||||||||||||||||9||||||Devine Brothers Retest Gymnasium ||5|1|5|2|5|2| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||322|1|||||||||||117|Classroom||||700||5600||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Retest Gymnasium ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||418|1|||||||||||201|Classroom||||1200||9600||||||||||||||||||||||||||||||||||||||||||||||||||27||||||Devine Brothers Retest Gymnasium ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||292|1|||||||||||202|Classroom||||1200||9600||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||27||||||Devine Brothers Retest Gymnasium ||2|1|2|1|22|3| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||311|1|||||||||||203|Classroom||||1200||9600||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Brothers Retest Gymnasium ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||259|1|||||||||||204|Classroom||||1200||9600||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||27||||||Devine Brothers Retest Gymnasium ||2|1|2|1|22|3| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||377|1|||||||||||205|Classroom||||900||7200||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Brothers Retest Gymnasium ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||338|1|||||||||||206|Classroom||||900||7200||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Brothers Retest Gymnasium ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||238|1|||||||||||207|Classroom||||836||6688||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Retest Gymnasium ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||312|1|||||||||||208|Classroom||||874||6992||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Retest Gymnasium ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||244|1|||||||||||209|Classroom||||1050||8400||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||23||||||Devine Brothers Retest Gymnasium ||2|1|2|1|22|3| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||240|1|||||||||||210|Classroom||||888||7104||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Retest Gymnasium ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||263|1|||||||||||211|Classroom||||1066||8528||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers Retest Gymnasium ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||332|1|||||||||||212|Classroom||||1170||9360||||||||||||||||||||||||||||||||||||||||||||||||||22||||||Devine Brothers Retest Gymnasium ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||614|1|||||||||||213|Classroom||||988||7904||||||||||||||||||||||||||||||||||||||||||||||||||22||||||Devine Brothers Retest Gymnasium ||5|1|5|2|5|2| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Air Handling Unit|each room||1185|1|||||||||||-|AUDITORIUM||||3363||26904||||||||||||||||||||||||||||||||||||||||||||||||||76||||||Devine Brothers Retest Gymnasium ||3|1.06|3.18|1|3|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||56|1|||||||||||-|Admin. Main Office||||255||2040||||||||||||||||||||||||||||||||||||||||||||||||||3||||||Devine Brothers Retest Gymnasium ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||28|1|||||||||||-|Admin. Office||||126||1008||||||||||||||||||||||||||||||||||||||||||||||||||1||||||Devine Brothers Retest Gymnasium ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||301|1|||||||||||-|Main Office||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Retest Gymnasium ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181||||||each room|||1|||||||||||-|Principal's Office||||255||2040||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||Devine Brothers Retest Gymnasium |||1|0||20|3| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||16|1|||||||||||-|Copy Room Office||||98||784||||||||||||||||||||||||||||||||||||||||||||||||||1||||||Devine Brothers Retest Gymnasium ||1|1|1|1|1|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||107|1|||||||||||-|Counselor's Office||||416||3328||||||||||||||||||||||||||||||||||||||||||||||||||7||||||Devine Brothers Retest Gymnasium ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||380|1|||||||||||-|Computer Room Classroom||||1600||12800||||||||||||||||||||||||||||||||||||||||||||||||||25||||||Devine Brothers Retest Gymnasium ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||1021|1|||||||||||-|IMC Classroom||||4335||34680||||||||||||||||||||||||||||||||||||||||||||||||||68||||||Devine Brothers Retest Gymnasium ||2|1.06|2.12|1|2|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Air Handling Unit|each room||0|1|||||||||||-|Gym||||4800||38400||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Retest Gymnasium ||0|1.06|0|0|0|0| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Air Handling Unit|each room||335|1|||||||||||-|Gym Locker Rooms||||403||3224||||||||||||||||||||||||||||||||||||||||||||||||||9||||||Devine Brothers Retest Gymnasium ||6|1|6|2|6|2| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||68|1|||||||||||-|Main Entrance||||150||1200||||||||||||||||||||||||||||||||||||||||||||||||||3||||||Devine Brothers Retest Gymnasium ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Air Handling Unit|each room||2016|1|||||||||||-|Multi-Purpose/Cafe||||2760||22080||||||||||||||||||||||||||||||||||||||||||||||||||62||||||Devine Brothers Retest Gymnasium ||5|1.06|5.3|2|5|2| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||50|1|||||||||||-|Nurse's Office 1||||90||720||||||||||||||||||||||||||||||||||||||||||||||||||2||||||Devine Brothers Retest Gymnasium ||4|1|4|2|4|2| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||40|1|||||||||||-|Nurse's Office 2||||110||880||||||||||||||||||||||||||||||||||||||||||||||||||2||||||Devine Brothers Retest Gymnasium ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Prince Hall Elementary School|181|||||Univent|each room||71|1|||||||||||-|Nurse's Office||||160||1280||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Devine Brothers Retest Gymnasium ||3|1|3|1|23|3|