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|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||478|1|||||||||||101|classroom||||1040||8320||||||||||||||||||||||||||||||||||||||||||||||||||23||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||251|1|||||||||||102|classroom||||936||7488||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||21||||||EMCOR Fluidics EMCOR Retest Devine Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||267|1|||||||||||103|classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||331|1|||||||||||104|classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||297|1|||||||||||105|classroom||||936||7488||||||||||||||||||||||||||||||||||||||||||||||||||19||||||EMCOR Fluidics EMCOR Retest Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||390|1|||||||||||106|classroom||||1040||8320||||||||||||||||||||||||||||||||||||||||||||||||||23||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||210|1|||||||||||107|classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||EMCOR Fluidics EMCOR Retest Devine Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||319|1|||||||||||108|classroom||||767||6136||||||||||||||||||||||||||||||||||||||||||||||||||17||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||313|1|||||||||||109|classroom||||767||6136||||||||||||||||||||||||||||||||||||||||||||||||||17||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||594|1|||||||||||110|classroom||||1482||11856||||||||||||||||||||||||||||||||||||||||||||||||||33||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||380|1|||||||||||201|Counselor||||684||5472||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics EMCOR Retest Devine Retest ||4|1|4|2|4|2| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||326|1|||||||||||202|classroom||||832||6656||||||||||||||||||||||||||||||||||||||||||||||||||18||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||316|1|||||||||||203|4-6 Autistic Supp.||||832||6656||||||||||||||||||||||||||||||||||||||||||||||||||18||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||310|1|||||||||||204|classroom||||832||6656||||||||||||||||||||||||||||||||||||||||||||||||||18||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||210|1|||||||||||205|K-2 Autistic Supp.||||832||6656||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||18||||||EMCOR Fluidics EMCOR Retest Devine Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||417|1|||||||||||206|classroom||||832||6656||||||||||||||||||||||||||||||||||||||||||||||||||18||||||EMCOR Fluidics EMCOR Retest Devine Retest ||4|1|4|1|4|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||227|1|||||||||||207|classroom||||832||6656||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics EMCOR Retest Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||293|1|||||||||||208A|3-4 Autistic Supp.||||832||6656||||||||||||||||||||||||||||||||||||||||||||||||||18||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||297|1|||||||||||208B|K-2 Emotional Support||||725||5800||||||||||||||||||||||||||||||||||||||||||||||||||16||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||234|1|||||||||||210|ESOL||||575||4600||||||||||||||||||||||||||||||||||||||||||||||||||13||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||251|1|||||||||||211|ESOL/SBTL||||628||5024||||||||||||||||||||||||||||||||||||||||||||||||||14||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||405|1|||||||||||213|classroom||||1092||8736||||||||||||||||||||||||||||||||||||||||||||||||||24||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||322|1|||||||||||214|classroom||||468||3744||||||||||||||||||||||||||||||||||||||||||||||||||10||||||EMCOR Fluidics EMCOR Retest Devine Retest ||5|1|5|2|5|2| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||258|1|||||||||||301|classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||EMCOR Fluidics EMCOR Retest Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||291|1|||||||||||302|classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||217|1|||||||||||303|classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||EMCOR Fluidics EMCOR Retest Devine Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||234|1|||||||||||304|classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics EMCOR Retest Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||287|1|||||||||||305|classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||323|1|||||||||||306|classroom||||690||5520||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics EMCOR Retest Devine Retest ||4|1|4|1|4|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||217|1|||||||||||307|classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||EMCOR Fluidics EMCOR Retest Devine Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||269|1|||||||||||308|classroom||||988||7904||||||||||||||||||||||||||||||||||||||||||||||||||17||||||EMCOR Fluidics EMCOR Retest Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||185|1|||||||||||309|Psychologist / Climate Liaison||||598||4784||||||||||||||||||||||||||||||||||||||||||||||||||12||||||EMCOR Fluidics EMCOR Retest Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||211|1|||||||||||310|Math Interventionist||||624||4992||||||||||||||||||||||||||||||||||||||||||||||||||14||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||189|1|||||||||||311|classroom||||624||4992||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||EMCOR Fluidics EMCOR Retest Devine Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||295|1|||||||||||312A|classroom||||1014||8112||||||||||||||||||||||||||||||||||||||||||||||||||19||||||EMCOR Fluidics EMCOR Retest Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||166|1|||||||||||313|classroom||||494||3952||||||||||||||||||||||||||||||||||||||||||||||||||11||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||305|1|||||||||||-|Gym||||4352||34816||||||||||||||||||||||||||||||||||||||||||||||||||20||||||EMCOR Fluidics EMCOR Retest Devine Retest ||1|1.06|1.06|0|1|0| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||208|1|||||||||||-|Library||||578||4624||||||||||||||||||||||||||||||||||||||||||||||||||13||||||EMCOR Fluidics EMCOR Retest Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||146|1|||||||||||-|Lunch Room||||1292||10336||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||29||||||EMCOR Fluidics EMCOR Retest Devine Retest ||1|1|1|0|21|3| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Unit Ventilator|each room||748|1|||||||||||-|Music||||1098||8784||||||||||||||||||||||||||||||||||||||||||||||||||24||||||EMCOR Fluidics EMCOR Retest Devine Retest ||5|1|5|2|5|2| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Active Pure Unit|each room|||1|||||||||||-|Main Office||||396||3168||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||9||||||EMCOR Fluidics EMCOR Retest Devine Retest |||1|0||20|3| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Active Pure Unit|each room|||1|||||||||||-|Princpal's Office||||350||2800||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||7||||||EMCOR Fluidics EMCOR Retest Devine Retest |||1|0||20|3| Import|Phila-Schools|4/6/2021|Vare Washington Elementary School|223|||||Active Pure Unit|each room|||1|||||||||||-|Nurse's Office||||264||2112||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||EMCOR Fluidics EMCOR Retest Devine Retest |||1|0||20|3|