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|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||256|1|||||||||||104|Classroom||||775||6200||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers ||2|1|2|1|2|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||614|1|||||||||||105|Classroom||||810||6480||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers ||6|1|6|2|6|2|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||599|1|||||||||||106|Classroom||||802||6416||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers ||6|1|6|2|6|2|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||428|1|||||||||||107|Classroom||||804||6432||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers ||4|1|4|1|4|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||352|1|||||||||||108|Classroom||||802||6416||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||699|1|||||||||||109|Classroom||||791||6328||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers ||7|1|7|2|7|2|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||311|1|||||||||||110|Classroom||||838||6704||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||232|1|||||||||||111|Classroom||||953||7624||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers ||2|1|2|1|2|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||311|1|||||||||||112|Classroom||||633||5064||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers ||4|1|4|1|4|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||455|1|||||||||||205|Classroom||||774||6192||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers ||4|1|4|2|4|2|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||398|1|||||||||||206|Classroom||||759||6072||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers ||4|1|4|1|4|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||352|1|||||||||||207|Classroom||||749||5992||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers ||4|1|4|1|4|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||313|1|||||||||||208|Classroom||||812||6496||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||0|1|||||||||||210|Classroom||||808||6464||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||18||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||650|1|||||||||||211|Classroom||||765||6120||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers ||6|1|6|2|6|2|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||283|1|||||||||||212|Classroom||||802||6416||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||605|1|||||||||||214|Classroom||||632||5056||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers ||7|1|7|2|7|2|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||288|1|||||||||||301|Classroom||||776||6208||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||297|1|||||||||||302|Classroom||||760||6080||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||305|1|||||||||||303|Classroom||||817||6536||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||700|1|||||||||||304|Classroom||||811||6488||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers ||6|1|6|2|6|2|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||357|1|||||||||||305|Classroom||||808||6464||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||490|1|||||||||||306|Classroom||||783||6264||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers ||5|1|5|2|5|2|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||309|1|||||||||||307|Classroom||||803||6424||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||211|1|||||||||||308|Classroom||||809||6472||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||18||||||Devine Brothers ||2|1|2|1|22|3|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||1419|1|||||||||||309|Classroom||||2223||17784||||||||||||||||||||||||||||||||||||||||||||||||||50||||||Devine Brothers ||5|1|5|2|5|2|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||4061|1|||||||||||-|Basement||||4615||36920||||||||||||||||||||||||||||||||||||||||||||||||||104||||||Devine Brothers ||7|1.06|7.42|2|7|2|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||761|1|||||||||||-|Cafeteria, Kitchen, Faculty Room||||5110||40880||||||||||||||||||||||||||||||||||||||||||||||||||50||||||Devine Brothers ||1|1.06|1.06|1|1|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||403|1|||||||||||-|Classroom above 214||||631||5048||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers ||5|1|5|2|5|2|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||315|1|||||||||||-|Classroom Art Lab Computer Lab||||1017||8136||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||23||||||Devine Brothers ||2|1|2|1|22|3|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||345|1|||||||||||-|Classroom Science Lab 1||||993||7944||||||||||||||||||||||||||||||||||||||||||||||||||22||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||344|1|||||||||||-|Classroom Science Lab 2 3rd Floor||||989||7912||||||||||||||||||||||||||||||||||||||||||||||||||22||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||455|1|||||||||||-|Classroom Science Lab 2 Right||||989||7912||||||||||||||||||||||||||||||||||||||||||||||||||22||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||740|1|||||||||||-|Classroom Science Lab STEM Lab Left||||1631||13048||||||||||||||||||||||||||||||||||||||||||||||||||37||||||Devine Brothers ||3|1|3|1|3|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||31|1|||||||||||-|Dean's Office 1st Floor||||170||1360||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Devine Brothers ||1|1|1|1|21|3|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||18|1|||||||||||-|Dean's Office 2nd Floor||||170||1360||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Devine Brothers ||1|1|1|0|21|3|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||38|1|||||||||||-|Dean's Office 3rd Floor||||168||1344||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Devine Brothers ||2|1|2|1|22|3|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||747|1|||||||||||-|Drama Room||||3095||24760||||||||||||||||||||||||||||||||||||||||||||||||||49||||||Devine Brothers ||2|1.06|2.12|1|2|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||5315|1|||||||||||-|First Floor||||6974||55792||||||||||||||||||||||||||||||||||||||||||||||||||158||||||Devine Brothers ||6|1.49|8.94|2|6|2|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||572|1|||||||||||-|First Floor Multi-Purpose Room||||3095||24760||||||||||||||||||||||||||||||||||||||||||||||||||38||||||Devine Brothers ||1|1.06|1.06|1|1|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||1186|1|||||||||||-|Gym||||5237||41896||||||||||||||||||||||||||||||||||||||||||||||||||79||||||Devine Brothers ||2|1.06|2.12|1|2|1|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||0|1|||||||||||-|Health Room||||594||4752||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||13||||||Devine Brothers ||0|1|0|0|20|3|
Import|Phila-Schools|4/6/2021|Feltonville Arts Sciences Middle School|62||||||each room||1094|1|||||||||||-|Second Floor||||4743||37944||||||||||||||||||||||||||||||||||||||||||||||||||72||||||Devine Brothers ||2|1.06|2.12|1|2|1|