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|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||418|1|||||||||||K-1|Classroom ||||2240||17920||||||||||||||||||||||||||||||||||||||||||||||||||27||||||Devine EMCOR ||1|1|1|1|1|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||462|1|||||||||||K-2|Classroom ||||2240||17920||||||||||||||||||||||||||||||||||||||||||||||||||30||||||Devine EMCOR ||2|1|2|1|2|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||366|1|||||||||||100|Classroom ||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine EMCOR ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||369|1|||||||||||101|Classroom ||||832||6656||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine EMCOR ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||273|1|||||||||||103|Classroom ||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine EMCOR ||2|1|2|1|2|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||0|1|||||||||||104|Classroom ||||576||4608||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||13||||||Devine EMCOR ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||231|1|||||||||||105|Classroom ||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine EMCOR ||2|1|2|1|2|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||710|1|||||||||||106|Classroom ||||672||5376||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine EMCOR ||8|1|8|2|8|2|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||251|1|||||||||||200|Classroom ||||672||5376||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine EMCOR ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Radiator |each room||0|1|||||||||||201|Classroom ||||365||2920||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||Devine EMCOR ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||371|1|||||||||||202|Classroom ||||672||5376||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine EMCOR ||4|1|4|2|4|2|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||1226|1|||||||||||203|Classroom ||||672||5376||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine EMCOR ||14|1|14|3|14|3|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||426|1|||||||||||204|Classroom ||||672||5376||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine EMCOR ||5|1|5|2|5|2|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||366|1|||||||||||205|Classroom ||||672||5376||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine EMCOR ||4|1|4|2|4|2|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||320|1|||||||||||206|Classroom ||||672||5376||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine EMCOR ||4|1|4|1|4|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||0|1|||||||||||207|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine EMCOR ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||283|1|||||||||||208|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine EMCOR ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||288|1|||||||||||209|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine EMCOR ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||303|1|||||||||||210|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine EMCOR ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||272|1|||||||||||211|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine EMCOR ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||135|1|||||||||||212|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||9||||||Devine EMCOR ||1|1|1|1|1|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||913|1|||||||||||213|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine EMCOR ||9|1|9|2|9|2|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||446|1|||||||||||214|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine EMCOR ||5|1|5|2|5|2|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||226|1|||||||||||300|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine EMCOR ||2|1|2|1|2|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||254|1|||||||||||301|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine EMCOR ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||322|1|||||||||||302|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine EMCOR ||3|1|3|1|3|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||213|1|||||||||||303|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine EMCOR ||2|1|2|1|2|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||0|1|||||||||||304|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine EMCOR ||0|1|0|0|20|3|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||858|1|||||||||||305|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine EMCOR ||9|1|9|2|9|2|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||883|1|||||||||||306|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine EMCOR ||9|1|9|2|9|2|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||209|1|||||||||||307|Classroom ||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Devine EMCOR ||2|1|2|1|2|1|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Unit Ventilator|each room||385|1|||||||||||-|Art Classroom||||616||4928||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine EMCOR ||5|1|5|2|5|2|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Radiator |each room|||1|||||||||||-|Main Office||||936||7488||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||21||||||Devine EMCOR |||1|0||20|3|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Radiator |each room|||1|||||||||||-|Principal Office||||360||2880||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||Devine EMCOR |||1|0||20|3|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Radiator |each room|||1|||||||||||-|Counselor Office||||391||3128||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||Devine EMCOR |||1|0||20|3|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||Radiator |each room|||1|||||||||||-|Nurse Office||||280||2240||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||Devine EMCOR |||1|0||20|3|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||AHU|each room||271|1|||||||||||-|Auditorium||||4320||34560||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine EMCOR ||0|1.06|0|0|0|0|
Import|Phila-Schools|4/19/2021|Benjamin B Comegys Elementary School House fan Abated|35|||||AHU|each room||477|1|||||||||||-|Gym / Cafe||||3672||29376||||||||||||||||||||||||||||||||||||||||||||||||||31||||||Devine EMCOR ||1|1.06|1.06|0|1|0|