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|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||0|1|||||||||||101|CLASS||||1033||8264||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||23||||||EMCOR Fluidics Retest 2nd Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||323|1|||||||||||103|CLASS||||687||5496||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics Retest 2nd Retest ||4|1|4|1|4|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||337|1|||||||||||104|CLASS||||568||4544||||||||||||||||||||||||||||||||||||||||||||||||||12||||||EMCOR Fluidics Retest 2nd Retest ||4|1|4|2|4|2| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197||||||each room||0|1|||||||||||105|Office||||359||2872||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||EMCOR Fluidics Retest 2nd Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||336|1|||||||||||106|CLASS||||687||5496||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics Retest 2nd Retest ||4|1|4|1|4|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||327|1|||||||||||107|CLASS||||705||5640||||||||||||||||||||||||||||||||||||||||||||||||||16||||||EMCOR Fluidics Retest 2nd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||308|1|||||||||||108|CLASS||||750||6000||||||||||||||||||||||||||||||||||||||||||||||||||17||||||EMCOR Fluidics Retest 2nd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||312|1|||||||||||201|CLASS||||670||5360||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics Retest 2nd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||323|1|||||||||||202|CLASS||||536||4288||||||||||||||||||||||||||||||||||||||||||||||||||12||||||EMCOR Fluidics Retest 2nd Retest ||5|1|5|2|5|2| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||372|1|||||||||||203|CLASS||||794||6352||||||||||||||||||||||||||||||||||||||||||||||||||18||||||EMCOR Fluidics Retest 2nd Retest ||4|1|4|1|4|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||273|1|||||||||||204|CLASS||||794||6352||||||||||||||||||||||||||||||||||||||||||||||||||18||||||EMCOR Fluidics Retest 2nd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||340|1|||||||||||205|Therapy||||370||2960||||||||||||||||||||||||||||||||||||||||||||||||||8||||||EMCOR Fluidics Retest 2nd Retest ||7|1|7|2|7|2| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||325|1|||||||||||206|CLASS||||670||5360||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics Retest 2nd Retest ||4|1|4|1|4|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||222|1|||||||||||207|CLASS||||675||5400||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||EMCOR Fluidics Retest 2nd Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||272|1|||||||||||208|CLASS||||675||5400||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics Retest 2nd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||252|1|||||||||||209|CLASS||||670||5360||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics Retest 2nd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||281|1|||||||||||300|CLASS||||503||4024||||||||||||||||||||||||||||||||||||||||||||||||||11||||||EMCOR Fluidics Retest 2nd Retest ||4|1|4|2|4|2| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||312|1|||||||||||301|CLASS||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics Retest 2nd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||287|1|||||||||||302|CLASS||||704||5632||||||||||||||||||||||||||||||||||||||||||||||||||16||||||EMCOR Fluidics Retest 2nd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||276|1|||||||||||303|CLASS||||695||5560||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics Retest 2nd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||371|1|||||||||||304|CLASS||||797||6376||||||||||||||||||||||||||||||||||||||||||||||||||18||||||EMCOR Fluidics Retest 2nd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||96|1|||||||||||305|Office||||448||3584||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||10||||||EMCOR Fluidics Retest 2nd Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||313|1|||||||||||305-A|Classroom||||814||6512||||||||||||||||||||||||||||||||||||||||||||||||||18||||||EMCOR Fluidics Retest 2nd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||296|1|||||||||||306|CLASS||||675||5400||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics Retest 2nd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||279|1|||||||||||307|CLASS||||675||5400||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics Retest 2nd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||0|1|||||||||||308|CLASS||||695||5560||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||EMCOR Fluidics Retest 2nd Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||370|1|||||||||||309|CLASS||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics Retest 2nd Retest ||4|1|4|2|4|2| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||275|1|||||||||||310|CLASS||||1103||8824||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||25||||||EMCOR Fluidics Retest 2nd Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||292|1|||||||||||311|CLASS||||935||7480||||||||||||||||||||||||||||||||||||||||||||||||||19||||||EMCOR Fluidics Retest 2nd Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||0|1|||||||||||312|CLASS||||1039||8312||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||23||||||EMCOR Fluidics Retest 2nd Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||0|1|||||||||||313|CLASS||||1036||8288||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||23||||||EMCOR Fluidics Retest 2nd Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||433|1|||||||||||314|CLASS||||1012||8096||||||||||||||||||||||||||||||||||||||||||||||||||23||||||EMCOR Fluidics Retest 2nd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||388|1|||||||||||315|CLASS||||1184||9472||||||||||||||||||||||||||||||||||||||||||||||||||25||||||EMCOR Fluidics Retest 2nd Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Air Handling Unit|each room||1331|1|||||||||||-|AUDITORIUM||||3193||25544||||||||||||||||||||||||||||||||||||||||||||||||||72||||||EMCOR Fluidics Retest 2nd Retest ||3|1.06|3.18|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||0|1|||||||||||-|BAND RM||||934||7472||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||21||||||EMCOR Fluidics Retest 2nd Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||0|1|||||||||||-|COMPUTER LAB||||1103||8824||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||25||||||EMCOR Fluidics Retest 2nd Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Air Handling Unit|each room||5749|1|||||||||||-|GYM||||2610||20880||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||59||||||EMCOR Fluidics Retest 2nd Retest ||17|1.06|18.02|3|37|4| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||750|1|||||||||||-|LIBRARY||||1804||14432||||||||||||||||||||||||||||||||||||||||||||||||||41||||||EMCOR Fluidics Retest 2nd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||343|1|||||||||||B-1|Strings Room||||641||5128||||||||||||||||||||||||||||||||||||||||||||||||||14||||||EMCOR Fluidics Retest 2nd Retest ||4|1|4|2|4|2| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||0|1|||||||||||B-2|Music Room||||518||4144||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||11||||||EMCOR Fluidics Retest 2nd Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||396|1|||||||||||B-3|Band Room||||153||1224||||||||||||||||||||||||||||||||||||||||||||||||||3||||||EMCOR Fluidics Retest 2nd Retest ||19|1|19|3|19|3| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||281|1|||||||||||B-4|Band Room||||940||7520||||||||||||||||||||||||||||||||||||||||||||||||||18||||||EMCOR Fluidics Retest 2nd Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||395|1|||||||||||B-6|Classroom||||803||6424||||||||||||||||||||||||||||||||||||||||||||||||||18||||||EMCOR Fluidics Retest 2nd Retest ||4|1|4|1|4|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||1132|1|||||||||||-|Cafeteria||||4090||32720||||||||||||||||||||||||||||||||||||||||||||||||||75||||||EMCOR Fluidics Retest 2nd Retest ||2|1.06|2.12|1|2|1| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197|||||Univent|each room||0|1|||||||||||-|Staff Lounge||||364||2912||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||EMCOR Fluidics Retest 2nd Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197||||||each room|||1|||||||||||-|Nurse||||287||2296||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||EMCOR Fluidics Retest 2nd Retest |||1|0||20|3| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197||||||each room|||1|||||||||||-|Principal's Office||||210||1680||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||4||||||EMCOR Fluidics Retest 2nd Retest |||1|0||20|3| Import|Phila-Schools|4/26/2021|Shawmont Elementary Middle School|197||||||each room|||1|||||||||||-|Main Office||||379||3032||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||EMCOR Fluidics Retest 2nd Retest |||1|0||20|3|