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|4/19/2021|Joseph W Catharine Elementary School Annex|29||||||each room|||1|||||||||||Main Building|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||Devine Brothers |||1|0||||
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||503|1|||||||||||-|Lunch||||1247||9976||||||||||||||||||||||||||||||||||||||||||||||||||28||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||976|1|||||||||||-|Gym||||4544||36352||||||||||||||||||||||||||||||||||||||||||||||||||65||||||Devine Brothers ||2|1.06|2.12|1|2|1|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||270|1|||||||||||102|Classroom||||681||5448||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||313|1|||||||||||103|Classroom||||550||4400||||||||||||||||||||||||||||||||||||||||||||||||||12||||||Devine Brothers ||4|1|4|2|4|2|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||670|1|||||||||||104|Classroom||||953||7624||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers ||5|1|5|2|5|2|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||0|1|||||||||||105|Classroom||||953||7624||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||21||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||0|1|||||||||||106|Classroom||||842||6736||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||627|1|||||||||||107|Classroom||||1062||8496||||||||||||||||||||||||||||||||||||||||||||||||||24||||||Devine Brothers ||4|1|4|2|4|2|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||307|1|||||||||||108|Classroom||||836||6688||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||212|1|||||||||||-|Office||||367||2936||||||||||||||||||||||||||||||||||||||||||||||||||8||||||Devine Brothers ||4|1|4|2|4|2|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||407|1|||||||||||201|Classroom||||676||5408||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||5|1|5|2|5|2|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||331|1|||||||||||202|Classroom||||683||5464||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||4|1|4|1|4|1|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||306|1|||||||||||203|Classroom||||673||5384||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||144|1|||||||||||204|Classroom||||708||5664||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Brothers ||2|1|2|1|22|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||300|1|||||||||||205|Classroom||||678||5424||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||0|1|||||||||||206|Classroom||||855||6840||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||0|1|||||||||||207|Classroom||||504||4032||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||11||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||0|1|||||||||||208|Classroom||||672||5376||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||0|1|||||||||||209|Classroom||||709||5672||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||0|1|||||||||||210|Classroom||||705||5640||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||0|1|||||||||||211|Classroom||||673||5384||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||0|1|||||||||||301|Classroom||||684||5472||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||0|1|||||||||||302|Classroom||||684||5472||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||0|1|||||||||||303|Classroom||||679||5432||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||173|1|||||||||||304|Classroom||||708||5664||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Brothers ||2|1|2|1|22|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||209|1|||||||||||305|Classroom||||698||5584||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers ||2|1|2|1|22|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||0|1|||||||||||306|Classroom||||872||6976||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||0|1|||||||||||307|Classroom||||675||5400||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||198|1|||||||||||308|Classroom||||674||5392||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers ||2|1|2|1|22|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||284|1|||||||||||309|Classroom||||705||5640||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||297|1|||||||||||310|Classroom||||707||5656||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||Unit Ventilator|each room||0|1|||||||||||311|Classroom||||674||5392||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29||||||each room||0|1|||||||||||-|Principal's office||||359||2872||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29||||||each room||0|1|||||||||||-|Nurse office||||324||2592||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||7||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29||||||each room||0|1|||||||||||-|Counselor Office||||109||872||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||2||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29||||||each room|||1|||||||||||Joseph W. Catherine Elementary School Annex|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||Devine Brothers |||1|0||||
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||N/A|each room|||1|||||||||||100|Office||||273||2184||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||Devine Brothers |||1|0||20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||N/A|each room|||1|||||||||||102|K-1 Room||||680||5440||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||15||||||Devine Brothers |||1|0||20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||N/A|each room|||1|||||||||||104|K-2 Room||||714||5712||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Brothers |||1|0||20|3|
Import|Phila-Schools|4/19/2021|Joseph W Catharine Elementary School Annex|29|||||N/A|each room|||1|||||||||||213|K-3||||1056||8448||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||24||||||Devine Brothers |||1|0||20|3|