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|4/30/2021|Chester A Arthur Elementary School|5||||||each room||Devine 5th Retest|1||||||||||||Devine 4th Retest||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||Devine Retest Devine 3rd Retest |||1|0|||| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||380|1|||||||||||B001|Classroom||||551||4408||||||||||||||||||||||||||||||||||||||||||||||||||12||||||Devine Retest Devine 3rd Retest ||5|1|5|2|5|2| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||N/A|each room||0|1|||||||||||B002|Classroom||||100||800||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Retest Devine 3rd Retest ||0|1|0|0|0|0| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||309|1|||||||||||100|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||335|1|||||||||||102|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||295|1|||||||||||104|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||346|1|||||||||||106|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room|||1|||||||||||107A|Teacher's Lounge||||448||3584||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||10||||||Devine Retest Devine 3rd Retest |||1|0||20|3| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||335|1|||||||||||200|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||304|1|||||||||||201|Classroom||||364||2912||||||||||||||||||||||||||||||||||||||||||||||||||8||||||Devine Retest Devine 3rd Retest ||6|1|6|2|6|2| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||320|1|||||||||||202|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||299|1|||||||||||203|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||333|1|||||||||||204|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||374|1|||||||||||205|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||280|1|||||||||||206|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||341|1|||||||||||207|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room|||1|||||||||||207A|Classroom||||425||3400||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||9||||||Devine Retest Devine 3rd Retest |||1|0||20|3| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||311|1|||||||||||209|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||293|1|||||||||||300|Classroom||||857||6856||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||273|1|||||||||||301|Classroom||||364||2912||||||||||||||||||||||||||||||||||||||||||||||||||8||||||Devine Retest Devine 3rd Retest ||6|1|6|2|6|2| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||355|1|||||||||||302|Classroom||||857||6856||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||328|1|||||||||||303|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||350|1|||||||||||304|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||274|1|||||||||||305|Classroom||||900||7200||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Devine 3rd Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||304|1|||||||||||306|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||350|1|||||||||||307|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room|||1|||||||||||307A|Classroom||||425||3400||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||9||||||Devine Retest Devine 3rd Retest |||1|0||20|3| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||331|1|||||||||||309|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||HV Unit|each room||753|1|||||||||||-|Auditorium||||4335||34680||||||||||||||||||||||||||||||||||||||||||||||||||50||||||Devine Retest Devine 3rd Retest ||1|1.06|1.06|1|1|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||HV Unit|each room||2,466|1|||||||||||-|Gym||||3055||24440||||||||||||||||||||||||||||||||||||||||||||||||||69||||||Devine Retest Devine 3rd Retest ||6|1.06|6.36|2|6|2| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||383|1|||||||||||-|IMC||||1472||11776||||||||||||||||||||||||||||||||||||||||||||||||||25||||||Devine Retest Devine 3rd Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||0|1|||||||||||-|Resource Room/Storage||||300||2400||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||Devine Retest Devine 3rd Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||401|1|||||||||||-|Main Office||||1104||8832||||||||||||||||||||||||||||||||||||||||||||||||||25||||||Devine Retest Devine 3rd Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5|||||Unit Ventilator|each room||63|1|||||||||||-|BE Office||||240||1920||||||||||||||||||||||||||||||||||||||||||||||||||4||||||Devine Retest Devine 3rd Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5||||||each room||0|1|||||||||||-|Nurse Office||||276||2208||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||Devine Retest Devine 3rd Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/30/2021|Chester A Arthur Elementary School|5||||||each room|||1|||||||||||-|Principal's Office||||240||1920||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||Devine Retest Devine 3rd Retest |||1|0||20|3|