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|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||Conwell Main Building|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||B1|-||||1,575||12600||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||B2|-||||782||6256||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||Main Office|Office||||396||3168||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||9||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0||20|3| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||Nurse|Office||||473||3784||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||10||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0||20|3| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||102|-||||575||4600||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||107|-||||120||960||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||108|-||||816||6528||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||18||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0||20|3| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||109|-||||850||6800||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0||20|3| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||111|-||||1,200||9600||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||27||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0||20|3| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||103/104/ IMC|-||||4,300||34400||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1.06|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||201|-||||850||6800||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||202|-||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||204|-||||625||5000||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||205|-||||550||4400||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||206|-||||875||7000||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||207|-||||900||7200||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||208|-||||805||6440||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||209|-||||850||6800||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||19||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0||20|3| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||301|-||||720||5760||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0||20|3| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||302|-||||805||6440||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||303|-||||550||4400||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||304|-||||625||5000||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||305|-||||506||4048||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||306|-||||875||7000||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||307|-||||900||7200||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||308|-||||805||6440||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||309|-||||575||4600||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||13||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0||20|3| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||Conwell Annex|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||1|-||||1,276||10208||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||9|-||||1,200||9600||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||102|-||||2,318||18544||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||104|-||||870||6960||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||203|-||||4,800||38400||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1.06|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||200|-||||512||4096||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||301|-||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||305|-||||630||5040||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0|||| Import|Phila-Schools|4/20/2021|Russell Conwell Middle School Conwell Annex|37||||||each room|||1|||||||||||306|-||||768||6144||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Emcor Fluidics 2nd Retest 3rd Retest |||1|0||||