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|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||301|1|||||||||||100|Classroom||||1485||11880||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||341|1|||||||||||101|Classroom||||1056||8448||||||||||||||||||||||||||||||||||||||||||||||||||22||||||Devine Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||296|1|||||||||||102|Classroom||||1056||8448||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room|||1|||||||||||102B|Office||||110||880||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||2||||||Devine Part 2 Part 3 |||1|0||20|3| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||297|1|||||||||||103|Classroom||||1056||8448||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||335|1|||||||||||104|Classroom||||1056||8448||||||||||||||||||||||||||||||||||||||||||||||||||22||||||Devine Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||307|1|||||||||||105|Classroom||||1073||8584||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||624|1|||||||||||106|Classroom||||1020||8160||||||||||||||||||||||||||||||||||||||||||||||||||23||||||Devine Part 2 Part 3 ||5|1|5|2|5|2| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||321|1|||||||||||107|Classroom||||1056||8448||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||313|1|||||||||||108|Classroom||||1056||8448||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||302|1|||||||||||109|Classroom||||1056||8448||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||301|1|||||||||||110|Classroom||||1056||8448||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||520|1|||||||||||200|Classroom||||1056||8448||||||||||||||||||||||||||||||||||||||||||||||||||24||||||Devine Part 2 Part 3 ||4|1|4|1|4|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||259|1|||||||||||201|Classroom||||1056||8448||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||306|1|||||||||||202|Classroom||||1056||8448||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||586|1|||||||||||203|Classroom||||1056||8448||||||||||||||||||||||||||||||||||||||||||||||||||24||||||Devine Part 2 Part 3 ||4|1|4|2|4|2| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room|||1|||||||||||203A|Office||||275||2200||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||Devine Part 2 Part 3 |||1|0||20|3| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room|||1|||||||||||203B|Office||||198||1584||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||4||||||Devine Part 2 Part 3 |||1|0||20|3| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||452|1|||||||||||204|Classroom||||1056||8448||||||||||||||||||||||||||||||||||||||||||||||||||24||||||Devine Part 2 Part 3 ||3|1|3|1|3|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||246|1|||||||||||Annex 301|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||291|1|||||||||||Annex 302|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Part 2 Part 3 ||3|1|3|1|3|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||303|1|||||||||||Annex 303|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Part 2 Part 3 ||3|1|3|1|3|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||198|1|||||||||||Annex 304|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||18||||||Devine Part 2 Part 3 ||2|1|2|1|22|3| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||248|1|||||||||||Annex 305|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Part 2 Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||216|1|||||||||||Annex 306|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||18||||||Devine Part 2 Part 3 ||2|1|2|1|22|3| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room|||1|||||||||||-|Main Office||||240||1920||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||Devine Part 2 Part 3 |||1|0||20|3| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room|||1|||||||||||Principal|Office||||264||2112||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||Devine Part 2 Part 3 |||1|0||20|3| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room|||1|||||||||||-|Nurses Office||||460||3680||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||10||||||Devine Part 2 Part 3 |||1|0||20|3| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room|||1|||||||||||-|Special Education Office||||360||2880||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||Devine Part 2 Part 3 |||1|0||20|3| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room|||1|||||||||||-|Counselor Office||||241||1928||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||Devine Part 2 Part 3 |||1|0||20|3| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Air Handling Unit|each room||2,049.00|1|||||||||||-|Auditorium||||3431||27448||||||||||||||||||||||||||||||||||||||||||||||||||77||||||Devine Part 2 Part 3 ||4|1.06|4.24|2|4|2| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||362|1|||||||||||-|Cafeteria||||2814||22512||||||||||||||||||||||||||||||||||||||||||||||||||24||||||Devine Part 2 Part 3 ||1|1.06|1.06|0|1|0| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Air Handling Unit|each room||116|1|||||||||||-|Gym||||3969||31752||||||||||||||||||||||||||||||||||||||||||||||||||7||||||Devine Part 2 Part 3 ||0|1.06|0|0|0|0| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||140|1|||||||||||-|Library||||1134||9072||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||25||||||Devine Part 2 Part 3 ||1|1|1|0|21|3| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Air Handling Unit|each room||286|1|||||||||||-|Trailer||||649||5192||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Part 2 Part 3 ||3|1|3|1|3|1| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||75|1|||||||||||A1|Annex||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||5||||||Devine Part 2 Part 3 ||1|1|1|0|1|0| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||95|1|||||||||||A2|Annex||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||6||||||Devine Part 2 Part 3 ||1|1|1|0|1|0| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||54|1|||||||||||A3|Annex||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||3||||||Devine Part 2 Part 3 ||1|1|1|0|1|0| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||62|1|||||||||||A4|Annex||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||4||||||Devine Part 2 Part 3 ||1|1|1|0|1|0| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||63|1|||||||||||A5|Annex||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||4||||||Devine Part 2 Part 3 ||1|1|1|0|1|0| Import|Phila-Schools|4/7/2021|Rhawnhurst Elementary School|183|||||Univent|each room||70|1|||||||||||A6|Annex||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||4||||||Devine Part 2 Part 3 ||1|1|1|0|1|0|