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|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||355|1|||||||||||101|classroom||||830||6640||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||375|1|||||||||||102|classroom||||740||5920||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Chadwick Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||315|1|||||||||||103|classroom||||795||6360||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||280|1|||||||||||104|classroom||||796||6368||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||N/A|each room|||1|||||||||||105|Nurse's Office||||330||2640||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||7||||||Chadwick Devine Brothers Retest |||1|0||20|3|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||275|1|||||||||||106|classroom||||403||3224||||||||||||||||||||||||||||||||||||||||||||||||||9||||||Chadwick Devine Brothers Retest ||5|1|5|2|5|2|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||736|1|||||||||||117|classroom||||806||6448||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Devine Brothers Retest ||7|1|7|2|7|2|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||625|1|||||||||||118|classroom||||688||5504||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Devine Brothers Retest ||7|1|7|2|7|2|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||586|1|||||||||||119|classroom||||845||6760||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Chadwick Devine Brothers Retest ||5|1|5|2|5|2|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||335|1|||||||||||120|classroom||||670||5360||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||325|1|||||||||||201|classroom||||830||6640||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||305|1|||||||||||202|classroom||||740||5920||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Chadwick Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||380|1|||||||||||203|classroom||||795||6360||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||360|1|||||||||||204|classroom||||796||6368||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||355|1|||||||||||205|classroom||||765||6120||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Chadwick Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||310|1|||||||||||206|classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Chadwick Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||375|1|||||||||||214|classroom||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Chadwick Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||365|1|||||||||||215|classroom||||693||5544||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Chadwick Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||330|1|||||||||||216|classroom||||737||5896||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Chadwick Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||1,606.00|1|||||||||||217|classroom||||822||6576||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Devine Brothers Retest ||15|1|15|3|15|3|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||345|1|||||||||||301|classroom||||830||6640||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||275|1|||||||||||302|classroom||||740||5920||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Chadwick Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||380|1|||||||||||303|classroom||||795||6360||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||380|1|||||||||||304|classroom||||796||6368||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Chadwick Devine Brothers Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||553|1|||||||||||305|classroom||||765||6120||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Chadwick Devine Brothers Retest ||5|1|5|2|5|2|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||Unit Ventilator|each room||315|1|||||||||||306|classroom||||790||6320||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Chadwick Devine Brothers Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||AHU|each room||1,213.00|1|||||||||||-|Gym||||2754||22032||||||||||||||||||||||||||||||||||||||||||||||||||62||||||Chadwick Devine Brothers Retest ||3|1.06|3.18|1|3|1|
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||AHU|each room||90|1|||||||||||-|Basement Corridor||||||||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Devine Brothers Retest |||1|0||||
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||AHU|each room||46|1|||||||||||-|Main Entrance Corridor||||||||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Devine Brothers Retest |||1|0||||
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||AHU|each room||31|1|||||||||||-|1st Floor Corridor||||||||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Chadwick Devine Brothers Retest |||1|0||||
Import|Phila-Schools|4/28/2021|Cayuga Elementary School former St Henry s|30|||||AHU|each room||936|1|||||||||||-|Cafeteria||||3432||27456||||||||||||||||||||||||||||||||||||||||||||||||||62||||||Chadwick Devine Brothers Retest ||2|1.06|2.12|1|2|1|