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|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||545|1|||||||||||B1|Classroom||||736||5888||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||708|1|||||||||||B2|Classroom||||352||2816||||||||||||||||||||||||||||||||||||||||||||||||||8||||||Devine Devine Retest ||15|1|15|3|15|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||421|1|||||||||||B3|Classroom||||506||4048||||||||||||||||||||||||||||||||||||||||||||||||||11||||||Devine Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||453|1|||||||||||B4|Classroom||||452||3616||||||||||||||||||||||||||||||||||||||||||||||||||10||||||Devine Devine Retest ||8|1|8|2|8|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||2,183|1|||||||||||-|Auditorium||||3432||27456||||||||||||||||||||||||||||||||||||||||||||||||||78||||||Devine Devine Retest ||5|1.06|5.3|2|5|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||AC Bathroom|each room||130|1|||||||||||-|Boys Basement Restroom||||383||3064||||||||||||||||||||||||||||||||||||||||||||||||||8||||||Devine Devine Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||AC Bathroom|each room||787|1|||||||||||-|Girls Basement Restroom||||524||4192||||||||||||||||||||||||||||||||||||||||||||||||||11||||||Devine Devine Retest ||11|1|11|3|11|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||600|1|||||||||||101|Classroom||||920||7360||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Devine Retest ||5|1|5|2|5|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||405|1|||||||||||102|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Devine Retest ||4|1|4|2|4|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||190|1|||||||||||103|Classroom||||736||5888||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Devine Retest ||2|1|2|1|22|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||505|1|||||||||||104|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Devine Retest ||5|1|5|2|5|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||1,216|1|||||||||||105|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Devine Retest ||13|1|13|3|13|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||1,055|1|||||||||||106|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Devine Retest ||11|1|11|3|11|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||1,312|1|||||||||||107|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Devine Retest ||14|1|14|3|14|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||1,307|1|||||||||||108|Classroom||||736||5888||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||13|1|13|3|13|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||874|1|||||||||||109|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Devine Retest ||10|1|10|2|10|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||1,349|1|||||||||||110|Classroom||||736||5888||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||14|1|14|3|14|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||1,375|1|||||||||||210|Classroom||||736||5888||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||14|1|14|3|14|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||298|1|||||||||||202|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Devine Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||209|1|||||||||||203|Classroom||||736||5888||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Devine Devine Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||373|1|||||||||||204|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Devine Retest ||4|1|4|2|4|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||574|1|||||||||||205|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||580|1|||||||||||206|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Devine Retest ||6|1|6|2|6|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||919|1|||||||||||207|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Devine Retest ||10|1|10|2|10|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||1,175|1|||||||||||208|Classroom||||736||5888||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||12|1|12|3|12|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||753|1|||||||||||209|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Devine Retest ||8|1|8|2|8|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||1,638|1|||||||||||210|Classroom||||736||5888||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||17|1|17|3|17|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room|||1|||||||||||214|Classroom||||341||2728||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||7||||||Devine Devine Retest |||1|0||20|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||880|1|||||||||||301|Classroom||||736||5888||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||9|1|9|2|9|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||319|1|||||||||||302|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Devine Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||74|1|||||||||||303|Classroom||||736||5888||||||||||||||||||||||||||||||||||||||||||||||||||4||||||Devine Devine Retest ||1|1|1|0|1|0|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||141|1|||||||||||304|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||9||||||Devine Devine Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||151|1|||||||||||305|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||10||||||Devine Devine Retest ||2|1|2|1|2|1|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||268|1|||||||||||306|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Devine Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||921|1|||||||||||307|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Devine Retest ||10|1|10|3|10|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||520|1|||||||||||308|Classroom||||736||5888||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||5|1|5|2|5|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||121|1|||||||||||309|Classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||8||||||Devine Devine Retest ||1|1|1|1|1|1|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||290|1|||||||||||310|Classroom||||736||5888||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||3|1|3|1|3|1|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room||421|1|||||||||||314|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Devine Retest ||4|1|4|2|4|2|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room|||1|||||||||||-|Main Office||||309||2472||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||7||||||Devine Devine Retest |||1|0||20|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room|||1|||||||||||-|Prinicipal Office||||177||1416||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||4||||||Devine Devine Retest |||1|0||20|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room|||1|||||||||||-|Nurse Office||||186||1488||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||4||||||Devine Devine Retest |||1|0||20|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room|||1|||||||||||-|Conselor Office||||177||1416||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||4||||||Devine Devine Retest |||1|0||20|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||House Fan|each room|||1|||||||||||-|Pyschologist Office||||108||864||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||2||||||Devine Devine Retest |||1|0||20|3|
Import|Phila-Schools|3/24/2021|Ethan Allen Elementary Middle School|2|||||Hydroxyl Unit|each room|||1|||||||||||-|Gym||||3422||27376||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||77||||||Devine Devine Retest |||1.06|0||20|3|