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|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||580|1|||||||||||1|Kindergarten Classroom||||1088||8704||||||||||||||||||||||||||||||||||||||||||||||||||24||||||Devine Brothers ||4|1|4|1|4|1| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||555|1|||||||||||2|Classroom||||900||7200||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Brothers ||5|1|5|2|5|2| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||522|1|||||||||||3|Classroom||||930||7440||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers ||4|1|4|2|4|2| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||299|1|||||||||||4|Classroom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41||||||each room|||1|||||||||||5|Kindergarten Classroom||||900||7200||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||20||||||Devine Brothers |||1|0||20|3| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||505|1|||||||||||5|Classroom||||600||4800||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Devine Brothers ||6|1|6|2|6|2| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||820|1|||||||||||6|Classroom||||805||6440||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers ||8|1|8|2|8|2| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||437|1|||||||||||7|Computer Classrm.||||900||7200||||||||||||||||||||||||||||||||||||||||||||||||||20||||||Devine Brothers ||4|1|4|1|4|1| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||580|1|||||||||||8|Classroom||||1094||8752||||||||||||||||||||||||||||||||||||||||||||||||||24||||||Devine Brothers ||4|1|4|1|4|1| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||444|1|||||||||||9|Classrom||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers ||4|1|4|1|4|1| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||N/A|each room||0|1|||||||||||9A|Teachers Rm.||||450||3600||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||10||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41||||||each room||822|1|||||||||||10|Classroom||||600||4800||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Devine Brothers ||10|1|10|3|10|3| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||466|1|||||||||||11|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||5|1|5|2|5|2| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||606|1|||||||||||12|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||6|1|6|2|6|2| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||626|1|||||||||||13|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||7|1|7|2|7|2| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||1,107.00|1|||||||||||-|Auditorium||||2760||22080||||||||||||||||||||||||||||||||||||||||||||||||||62||||||Devine Brothers ||3|1.06|3.18|1|3|1| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||N/A|each room||0|1|||||||||||-|Cafeteria/Gym||||2300||18400||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers ||0|1|0|0|0|0| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||N/A|each room||0|1|||||||||||-|Counselors Rm.||||450||3600||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||10||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||568|1|||||||||||-|Grnd. Fl. Boys Bathrm.||||736||5888||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers ||6|1|6|2|6|2| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||620|1|||||||||||-|Grnd. Fl. Girls Bathrm.||||775||6200||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers ||6|1|6|2|6|2| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||N/A|each room||0|1|||||||||||-|Ind. Arts Classroom||||600||4800||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers ||0|1|0|0|0|0| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||House Fan|each room||525|1|||||||||||-|Library||||1152||9216||||||||||||||||||||||||||||||||||||||||||||||||||26||||||Devine Brothers ||3|1|3|1|3|1| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||N/A|each room||0|1|||||||||||-|Main Office||||460||3680||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||10||||||Devine Brothers ||0|1|0|0|20|3| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41||||||each room|||1|||||||||||-|Nurse Office||||450||3600||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||10||||||Devine Brothers |||1|0||20|3| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41||||||each room|||1|||||||||||-|Art Room||||600||4800||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||13||||||Devine Brothers |||1|0||20|3| Import|Phila-Schools|4/5/2021|Kenneth C Crossan Elementary School|41|||||N/A|each room||0|1|||||||||||-|Principal's Ofice||||450||3600||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers ||0|1|0|0|0|0|