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|Henry A Brown Elementary School|19|||||FCU|each room||418|1|||||||||||-|Admin ||||1058||8464||||||||||||||||||||||||||||||||||||||||||||||||||24||||||Devine Retest Report ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||AHU|each room||2,904.00|1|||||||||||-|Cafeteria||||1994||15952||||||||||||||||||||||||||||||||||||||||||||||||||45||||||Devine Retest Report ||11|1|11|3|11|3| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||AHU|each room||1,581.00|1|||||||||||-|Gym||||3360||26880||||||||||||||||||||||||||||||||||||||||||||||||||76||||||Devine Retest Report ||4|1.06|4.24|1|4|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||FCU|each room||488|1|||||||||||-|Library||||1486||11888||||||||||||||||||||||||||||||||||||||||||||||||||32||||||Devine Retest Report ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||FCU|each room||133|1|||||||||||-|Nurses Room||||290||2320||||||||||||||||||||||||||||||||||||||||||||||||||6||||||Devine Retest Report ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||FCU|each room||366|1|||||||||||-|Outside Library||||900||7200||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Retest Report ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||328|1|||||||||||100|Classroom||||705||5640||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Retest Report ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||395|1|||||||||||101|Classroom||||730||5840||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Retest Report ||4|1|4|2|4|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||296|1|||||||||||113|Classroom||||745||5960||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Retest Report ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||309|1|||||||||||114|Classroom||||700||5600||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Retest Report ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||FCU|each room||779|1|||||||||||151|Classroom||||784||6272||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Retest Report ||7|1|7|2|7|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||FCU|each room||689|1|||||||||||153|Classroom||||895||7160||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Retest Report ||6|1|6|2|6|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||FCU|each room||590|1|||||||||||154|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Retest Report ||6|1|6|2|6|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||FCU|each room||647|1|||||||||||156|Classroom||||835||6680||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Report ||6|1|6|2|6|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||608|1|||||||||||200|Classroom||||905||7240||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Retest Report ||5|1|5|2|5|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||633|1|||||||||||201|Classroom||||900||7200||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Retest Report ||5|1|5|2|5|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19||||||each room|||1|||||||||||202|Classroom||||655||5240||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Devine Retest Report |||1|0||20|3| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19||||||each room|||1|||||||||||206|Classroom||||795||6360||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||18||||||Devine Retest Report |||1|0||20|3| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19||||||each room|||1|||||||||||209|Classroom||||655||5240||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Devine Retest Report |||1|0||20|3| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||470|1|||||||||||211|Classroom||||895||7160||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Retest Report ||4|1|4|1|4|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||307|1|||||||||||212|Classroom||||905||7240||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Retest Report ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||782|1|||||||||||213|Classroom||||875||7000||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Retest Report ||7|1|7|2|7|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||616|1|||||||||||214|Classroom||||875||7000||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Retest Report ||5|1|5|2|5|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||250|1|||||||||||217|Classroom||||665||5320||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Retest Report ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||405|1|||||||||||226 South|Classroom||||777||6216||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Retest Report ||4|1|4|1|4|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||458|1|||||||||||226 West|Classroom||||777||6216||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Retest Report ||4|1|4|2|4|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||487|1|||||||||||227|Classroom||||740||5920||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Retest Report ||5|1|5|2|5|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||685|1|||||||||||228|Classroom||||775||6200||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Retest Report ||7|1|7|2|7|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||FCU|each room||103|1|||||||||||229|Computer Lab||||990||7920||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||22||||||Devine Retest Report ||1|1|1|0|21|3| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||582|1|||||||||||300|Classroom||||905||7240||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Retest Report ||5|1|5|2|5|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||535|1|||||||||||301|Classroom||||890||7120||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Retest Report ||5|1|5|2|5|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||151|1|||||||||||302|Classroom||||695||5560||||||||||||||||||||||||||||||||||||||||||||||||||10||||||Devine Retest Report ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||445|1|||||||||||304|Classroom||||825||6600||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Report ||4|1|4|2|4|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||657|1|||||||||||310|Classroom||||715||5720||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Retest Report ||7|1|7|2|7|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||241|1|||||||||||311|Classroom||||935||7480||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Retest Report ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||426|1|||||||||||312|Classroom||||935||7480||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Retest Report ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||327|1|||||||||||313|Classroom||||920||7360||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Retest Report ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||512|1|||||||||||314|Classroom||||920||7360||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Retest Report ||4|1|4|2|4|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||165|1|||||||||||317|Classroom||||660||5280||||||||||||||||||||||||||||||||||||||||||||||||||11||||||Devine Retest Report ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||FCU|each room||473|1|||||||||||318|Classroom||||1090||8720||||||||||||||||||||||||||||||||||||||||||||||||||24||||||Devine Retest Report ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||FCU|each room||284|1|||||||||||319|Classroom||||1125||9000||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Report ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||174|1|||||||||||322 South|Classroom||||745||5960||||||||||||||||||||||||||||||||||||||||||||||||||11||||||Devine Retest Report ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||107|1|||||||||||322 West|Classroom||||745||5960||||||||||||||||||||||||||||||||||||||||||||||||||7||||||Devine Retest Report ||1|1|1|1|1|1| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||472|1|||||||||||323|Classroom||||730||5840||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Retest Report ||5|1|5|2|5|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||784|1|||||||||||324|Classroom||||765||6120||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Retest Report ||8|1|8|2|8|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||533|1|||||||||||325 West|Classroom||||890||7120||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Retest Report ||4|1|4|2|4|2| Import|Phila-Schools|4/23/2021|Henry A Brown Elementary School|19|||||Unit Ventilator|each room||581|1|||||||||||325 North|Classroom||||890||7120||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Retest Report ||5|1|5|2|5|2|