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|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||188|1|||||||||||101|Classroom||||430||3440||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||9||||||EMCOR Fluidics EMCOR Retest ||3|1|3|1|23|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||118|1|||||||||||102|Classroom||||872||6976||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||EMCOR Fluidics EMCOR Retest ||1|1|1|1|21|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||150|1|||||||||||103|Classroom||||872||6976||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||EMCOR Fluidics EMCOR Retest ||1|1|1|1|21|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||180|1|||||||||||105|Classroom||||789||6312||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||EMCOR Fluidics EMCOR Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||171|1|||||||||||106|Classroom||||850||6800||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||EMCOR Fluidics EMCOR Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||226|1|||||||||||107|Classroom||||850||6800||||||||||||||||||||||||||||||||||||||||||||||||||15||||||EMCOR Fluidics EMCOR Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||165|1|||||||||||108|Classroom||||750||6000||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||EMCOR Fluidics EMCOR Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||0|1|||||||||||200|Counselor's Room||||300||2400||||||||||||||||||||||||||||||||||||||||||||||||||0||||||EMCOR Fluidics EMCOR Retest ||0|1|0|0|0|0| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||0|1|||||||||||201|Computer Room||||925||7400||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||21||||||EMCOR Fluidics EMCOR Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||87|1|||||||||||202|Classroom||||888||7104||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||20||||||EMCOR Fluidics EMCOR Retest ||1|1|1|0|21|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||274|1|||||||||||203|Classroom||||888||7104||||||||||||||||||||||||||||||||||||||||||||||||||18||||||EMCOR Fluidics EMCOR Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||276|1|||||||||||204|Classroom||||888||7104||||||||||||||||||||||||||||||||||||||||||||||||||18||||||EMCOR Fluidics EMCOR Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||311|1|||||||||||205|Classroom||||850||6800||||||||||||||||||||||||||||||||||||||||||||||||||19||||||EMCOR Fluidics EMCOR Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||193|1|||||||||||206|Classroom||||850||6800||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||EMCOR Fluidics EMCOR Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||152|1|||||||||||207|Classroom||||850||6800||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||EMCOR Fluidics EMCOR Retest ||1|1|1|1|21|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||209|1|||||||||||208|Classroom||||750||6000||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||17||||||EMCOR Fluidics EMCOR Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||0|1|||||||||||300|Classroom||||888||7104||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||20||||||EMCOR Fluidics EMCOR Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||212|1|||||||||||301|Classroom||||888||7104||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||20||||||EMCOR Fluidics EMCOR Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||105|1|||||||||||302|Classroom||||888||7104||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||20||||||EMCOR Fluidics EMCOR Retest ||1|1|1|0|21|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||133|1|||||||||||303|Classroom||||888||7104||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||20||||||EMCOR Fluidics EMCOR Retest ||1|1|1|1|21|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||255|1|||||||||||304|Classroom||||888||7104||||||||||||||||||||||||||||||||||||||||||||||||||17||||||EMCOR Fluidics EMCOR Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||93|1|||||||||||305|Classroom||||888||7104||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||20||||||EMCOR Fluidics EMCOR Retest ||1|1|1|0|21|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||266|1|||||||||||306/307|Classroom||||1850||14800||||||||||||||||||||||||||||||||||||||||||||||||||17||||||EMCOR Fluidics EMCOR Retest ||1|1|1|1|1|1| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||220|1|||||||||||308|Classroom||||896||7168||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||20||||||EMCOR Fluidics EMCOR Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||120|1|||||||||||311|Dining Room||||242||1936||||||||||||||||||||||||||||||||||||||||||||||||||5||||||EMCOR Fluidics EMCOR Retest ||4|1|4|1|4|1| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||0|1|||||||||||-|Cafeteria||||3477||27816||||||||||||||||||||||||||||||||||||||||||||||||||0||||||EMCOR Fluidics EMCOR Retest ||0|1.06|0|0|0|0| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||0|1|||||||||||-|Vestibule left of office||||96||768||||||||||||||||||||||||||||||||||||||||||||||||||0||||||EMCOR Fluidics EMCOR Retest ||0|1|0|0|0|0| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room|||1|||||||||||-|Nurse||||231||1848||||||||||||||||||||||||||||||||||||||||||||||||||0||||||EMCOR Fluidics EMCOR Retest |||1|0|||| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||57|1|||||||||||-|Faculty Lounge||||228||1824||||||||||||||||||||||||||||||||||||||||||||||||||3||||||EMCOR Fluidics EMCOR Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||0|1|||||||||||-|Health Office||||231||1848||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||EMCOR Fluidics EMCOR Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||457|1|||||||||||-|Multi-Purpose Room||||1820||14560||||||||||||||||||||||||||||||||||||||||||||||||||30||||||EMCOR Fluidics EMCOR Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||0|1|||||||||||-|Main Office||||378||3024||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||EMCOR Fluidics EMCOR Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/26/2021|Laura W Waring Elementary School|226|||||Nesbitt Unit Ventilator|each room||69|1|||||||||||-|Principal's Office||||381||3048||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||EMCOR Fluidics EMCOR Retest ||1|1|1|1|21|3|