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|Philip Sheridan Elementary School|199|||||House Fan|each room||0|1|||||||||||101|Room||||768||6144||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||Meehan ||0|1|0|0|20|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||1116|1|||||||||||102|Room||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Meehan ||11|1|11|3|11|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||921|1|||||||||||103|Room||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Meehan ||9|1|9|2|9|2| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||749|1|||||||||||104|Room||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Meehan ||8|1|8|2|8|2| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||693|1|||||||||||105|Room||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Meehan ||7|1|7|2|7|2| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||1006|1|||||||||||106|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Meehan ||10|1|10|2|10|2| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||0|1|||||||||||107|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||Meehan ||0|1|0|0|20|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||0|1|||||||||||108|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||Meehan ||0|1|0|0|20|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||861|1|||||||||||109|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Meehan ||8|1|8|2|8|2| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||376|1|||||||||||110|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Meehan ||4|1|4|1|4|1| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room|||1|||||||||||Main Office|Office||||448||3584||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||10||||||Meehan |||1|0||20|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||597|1|||||||||||110|Principal office ||||216||1728||||||||||||||||||||||||||||||||||||||||||||||||||4||||||Meehan ||21|1|21|3|21|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||0|1|||||||||||111|Nurse||||312||2496||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||7||||||Meehan ||0|1|0|0|20|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||0|1|||||||||||201|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||Meehan ||0|1|0|0|20|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||877|1|||||||||||202|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Meehan ||9|1|9|2|9|2| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||981|1|||||||||||203|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Meehan ||10|1|10|3|10|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||760|1|||||||||||204|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Meehan ||8|1|8|2|8|2| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||737|1|||||||||||205|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Meehan ||8|1|8|2|8|2| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||999|1|||||||||||206|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Meehan ||10|1|10|2|10|2| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||0|1|||||||||||207|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||Meehan ||0|1|0|0|20|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||0|1|||||||||||208|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||Meehan ||0|1|0|0|20|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||1162|1|||||||||||209|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Meehan ||11|1|11|3|11|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room|||1|||||||||||209 1/2|Office||||220||1760||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||Meehan |||1|0||20|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||926|1|||||||||||210|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Meehan ||9|1|9|2|9|2| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room|||1|||||||||||210 1/2|Office||||220||1760||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Meehan |||1|0|||| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||0|1|||||||||||211|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||Meehan ||0|1|0|0|20|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||0|1|||||||||||301|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Meehan ||0|1|0|0|0|0| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||1253|1|||||||||||302|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Meehan ||12|1|12|3|12|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||1038|1|||||||||||303|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Meehan ||11|1|11|3|11|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||746|1|||||||||||304|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Meehan ||8|1|8|2|8|2| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||811|1|||||||||||305|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Meehan ||8|1|8|2|8|2| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||1007|1|||||||||||306|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Meehan ||10|1|10|2|10|2| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||0|1|||||||||||307|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Meehan ||0|1|0|0|0|0| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||0|1|||||||||||308|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Meehan ||0|1|0|0|0|0| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||894|1|||||||||||309|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Meehan ||9|1|9|2|9|2| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||1334|1|||||||||||310|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Meehan ||13|1|13|3|13|3| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room||0|1|||||||||||311|Classroom||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Meehan ||0|1|0|0|0|0| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room|||1|||||||||||-|Basement East Side||||567||4536||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Meehan |||1|0|||| Import|Phila-Schools|4/7/2021|Philip Sheridan Elementary School|199|||||House Fan|each room|||1|||||||||||-|Basement West Side||||567||4536||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Meehan |||1|0||||