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|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room||147|1|||||||||||102|Classroom||||140||1120||||||||||||||||||||||||||||||||||||||||||||||||||3||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||8|1|8|2|8|2|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room||309|1|||||||||||103|Classroom||||836||6688||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room||346|1|||||||||||104|Classroom||||836||6688||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room||296|1|||||||||||105|Classroom||||836||6688||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room|||1|||||||||||106|Office/Classroom||||322||2576||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||7||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0||20|3|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room||161|1|||||||||||107|Classroom||||638||5104||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1|2|1|22|3|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room|||1|||||||||||108|Nurse||||171||1368||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0||20|3|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room|||1|||||||||||109|Classroom||||696||5568||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0||20|3|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||331|1|||||||||||111|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||4|1|4|1|4|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||300|1|||||||||||112|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||338|1|||||||||||113|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||4|1|4|1|4|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||301|1|||||||||||114|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||312|1|||||||||||115|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||318|1|||||||||||116|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||318|1|||||||||||117|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||294|1|||||||||||125|Classroom||||600||4800||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||4|1|4|1|4|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room||398|1|||||||||||201|Classroom||||598||4784||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||5|1|5|2|5|2|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room||511|1|||||||||||202|Classroom||||644||5152||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||6|1|6|2|6|2|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room|||1|||||||||||203|Classroom||||390||3120||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0||20|3|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room||417|1|||||||||||204|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||4|1|4|2|4|2|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room||315|1|||||||||||205|Classroom||||962||7696||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1|2|1|2|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room||110|1|||||||||||206|Classroom||||644||5152||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||1|1|1|1|21|3|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room|||1|||||||||||207|Classroom||||243||1944||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0||20|3|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room|||1|||||||||||208|Teacher's Lounge||||280||2240||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0||20|3|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room||147|1|||||||||||210|Classroom||||644||5152||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1|2|1|22|3|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room||534|1|||||||||||212|Classroom||||667||5336||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||6|1|6|2|6|2|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||332|1|||||||||||213|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||4|1|4|1|4|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||166|1|||||||||||214|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1|2|1|22|3|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||281|1|||||||||||215|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||265|1|||||||||||216|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||261|1|||||||||||217|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||275|1|||||||||||218|Classroom||||682||5456||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||269|1|||||||||||220|Classroom||||748||5984||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||3|1|3|1|3|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Air Handling Unit|each room||2,750|1|||||||||||-|Cafeteria ||||2,736||21888||||||||||||||||||||||||||||||||||||||||||||||||||62||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||8|1.06|8.48|2|8|2|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Air Handling Unit|each room||1,073|1|||||||||||-|Gymasium||||3,498||27984||||||||||||||||||||||||||||||||||||||||||||||||||71||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1.06|2.12|1|2|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Air Handling Unit|each room||105|1|||||||||||-|Hallway||||||||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0||||
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Air Handling Unit|each room||983|1|||||||||||-|Library/IMC||||1,953||15624||||||||||||||||||||||||||||||||||||||||||||||||||44||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||4|1|4|1|4|1|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room|||1|||||||||||-|Main Office ||||456||3648||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||10||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0||20|3|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Unit Ventilator|each room|||1|||||||||||-|Principal's Office||||198||1584||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||4||||||Chadwick Chadwick Part 2 Chadwick Part 3 |||1|0||20|3|
Import|Phila-Schools|5/3/2021|William H Ziegler Elementary School|242|||||Energy Recovery Unit|each room||228|1|||||||||||-|Science Lab||||968||7744||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Chadwick Part 2 Chadwick Part 3 ||2|1|2|1|2|1|