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|Solis Cohen Elementary School Little School House|202||||||each room|||1|||||||||||Solis-Cohen Main Building|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||-|Main Office||||120||960||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||1|classroom ||||914||7312||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||2|classroom||||914||7312||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||3|Classroom||||914||7312||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||4|classroom ||||914||7312||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||5|classroom ||||914||7312||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||6|classroom ||||731||5848||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||7|classroom ||||731||5848||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||8|classroom ||||731||5848||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||9|classroom ||||731||5848||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||9A|classroom ||||731||5848||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||10|classroom ||||731||5848||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||11|classroom ||||731||5848||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||12|classroom ||||731||5848||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||13|classroom ||||731||5848||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||14|classroom ||||731||5848||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||26|Classroom ||||914||7312||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||27|Classroom||||914||7312||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||-|Esol Room ||||806||6448||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||-|Nurses Office ||||1,116||8928||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||-|Gym||||5,355||42840||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1.06|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||-|Cafeteria||||2,660||21280||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1.06|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||-|Auditorium||||5,036||40288||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1.06|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||-|Counselors Office A||||352||2816||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||N/A|each room|||1|||||||||||-|Counselors Office B||||352||2816||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202||||||each room|||1|||||||||||Solis-Cohen LSH|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0|||| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Air Handling Unit|each room||88|1|||||||||||100B|Lobby||||196||1568||||||||||||||||||||||||||||||||||||||||||||||||||4||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Air Handling Unit|each room||30|1|||||||||||101A|Reception Office||||256||2048||||||||||||||||||||||||||||||||||||||||||||||||||2||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||1|1|1|0|1|0| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Air Handling Unit|each room||56|1|||||||||||101B|Clerical Office||||336||2688||||||||||||||||||||||||||||||||||||||||||||||||||3||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||1|1|1|1|1|1| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Air Handling Unit|each room||32|1|||||||||||101C|Asst. Principals Office||||598||4784||||||||||||||||||||||||||||||||||||||||||||||||||2||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||0|1|0|0|0|0| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Air Handling Unit|each room||32|1|||||||||||101D|Nurses Office||||256||2048||||||||||||||||||||||||||||||||||||||||||||||||||2||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||1|1|1|0|1|0| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Univent|each room||287|1|||||||||||102|Classroom ||||858||6864||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Univent|each room||276|1|||||||||||103|Classroom ||||858||6864||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Univent|each room||276|1|||||||||||104|Classroom ||||858||6864||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Univent|each room||292|1|||||||||||105|Classroom ||||858||6864||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Univent|each room||280|1|||||||||||106|Classroom ||||858||6864||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Univent|each room||274|1|||||||||||107|Classroom ||||858||6864||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Univent|each room||275|1|||||||||||108|Classroom ||||858||6864||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Air Handling Unit|each room||45|1|||||||||||110|Faculty Dining||||640||5120||||||||||||||||||||||||||||||||||||||||||||||||||3||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||1|1|1|0|1|0| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Univent|each room||282|1|||||||||||121|Classroom ||||1092||8736||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Univent|each room||289|1|||||||||||122|Classroom ||||1092||8736||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Univent|each room||290|1|||||||||||123|Classroom ||||1092||8736||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Univent|each room||292|1|||||||||||124|Classroom ||||1092||8736||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Univent|each room||320|1|||||||||||125|Classroom ||||598||4784||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||4|1|4|2|4|2| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Univent|each room||287|1|||||||||||126|Classroom ||||1092||8736||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1|2|1|2|1| Import|Phila-Schools|4/23/2021|Solis Cohen Elementary School Little School House|202|||||Air Handling Unit|each room|||1|||||||||||-|Lunch Room ||||2160||17280||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||49||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0||20|3|