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|4/21/2021|Benjamin Franklin Elementary School|76|||||AHU|each room||0|1|||||||||||-|Basement Boy's Restroom||||234||1872||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Devine 2nd Retest ||0|1|0|0|0|0|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||AHU|each room||0|1|||||||||||-|Basement Girl's Restroom||||234||1872||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Devine 2nd Retest ||0|1|0|0|0|0|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||AHU|each room||27|1|||||||||||-|1st Floor Boy's Restroom||||234||1872||||||||||||||||||||||||||||||||||||||||||||||||||1||||||Devine Devine 2nd Retest ||1|1|1|0|1|0|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||AHU|each room||40|1|||||||||||-|1st Floor Girl's Restroom||||234||1872||||||||||||||||||||||||||||||||||||||||||||||||||2||||||Devine Devine 2nd Retest ||1|1|1|1|1|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||AHU|each room||28|1|||||||||||-|2nd Floor Girl's Restroom||||234||1872||||||||||||||||||||||||||||||||||||||||||||||||||1||||||Devine Devine 2nd Retest ||1|1|1|0|1|0|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||AHU|each room||40|1|||||||||||-|2nd Floor Boy's Restroom||||234||1872||||||||||||||||||||||||||||||||||||||||||||||||||2||||||Devine Devine 2nd Retest ||1|1|1|1|1|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room|||1|||||||||||1|Classroom||||304||2432||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||6||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76||||||each room|||1|||||||||||1B|Classroom||||667||5336||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||350|1|||||||||||6|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Devine 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||AHU|each room||1,972|1|||||||||||7|Cafeteria||||2800||22400||||||||||||||||||||||||||||||||||||||||||||||||||63||||||Devine Devine 2nd Retest ||5|1.06|5.3|2|5|2|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||299|1|||||||||||8|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Devine 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||AHU|each room||1,585|1|||||||||||-|Kitchen||||1023||8184||||||||||||||||||||||||||||||||||||||||||||||||||23||||||Devine Devine 2nd Retest ||12|1|12|3|12|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||AHU|each room||225|1|||||||||||-|Kitchen Office||||80||640||||||||||||||||||||||||||||||||||||||||||||||||||1||||||Devine Devine 2nd Retest ||21|1|21|3|21|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||House Fan|each room|||1|||||||||||101|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||House Fan|each room|||1|||||||||||102|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||House Fan|each room|||1|||||||||||103|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||House Fan|each room|||1|||||||||||104|Classroom||||650||5200||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||House Fan|each room|||1|||||||||||105|Classroom||||650||5200||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76||||||each room|||1|||||||||||106|Classroom||||650||5200||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||House Fan|each room|||1|||||||||||107|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Devine 2nd Retest |||1|0||||
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||House Fan|each room||352|1|||||||||||110|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Devine 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||321|1|||||||||||111|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Devine 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||300|1|||||||||||112|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Devine 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||312|1|||||||||||113|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Devine 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||410|1|||||||||||114|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Devine 2nd Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||346|1|||||||||||115|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Devine 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||352|1|||||||||||116|Asst Principals Office||||207||1656||||||||||||||||||||||||||||||||||||||||||||||||||4||||||Devine Devine 2nd Retest ||13|1|13|3|13|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||332|1|||||||||||117|Classroom||||609||4872||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Devine Devine 2nd Retest ||4|1|4|2|4|2|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||House Fan|each room|||1|||||||||||201|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||House Fan|each room|||1|||||||||||202|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||House Fan|each room|||1|||||||||||203|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||House Fan|each room|||1|||||||||||204|Classroom||||650||5200||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||House Fan|each room|||1|||||||||||205|Classroom||||650||5200||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||House Fan|each room|||1|||||||||||206|Classroom||||650||5200||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||House Fan|each room|||1|||||||||||207|Classroom||||650||5200||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||House Fan|each room|||1|||||||||||208|Classroom||||720||5760||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||568|1|||||||||||209|Library||||1600||12800||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||36||||||Devine Devine 2nd Retest ||3|1|3|1|23|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||330|1|||||||||||210|Trs Lounge||||380||3040||||||||||||||||||||||||||||||||||||||||||||||||||8||||||Devine Devine 2nd Retest ||7|1|7|2|7|2|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||487|1|||||||||||212|TECH LAB||||1600||12800||||||||||||||||||||||||||||||||||||||||||||||||||32||||||Devine Devine 2nd Retest ||2|1|2|1|2|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||305|1|||||||||||214|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Devine 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||325|1|||||||||||215|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Devine 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||325|1|||||||||||216|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Devine 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||287|1|||||||||||217|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Devine 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||323|1|||||||||||218|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Devine 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||291|1|||||||||||219|Classroom||||780||6240||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Devine 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||287|1|||||||||||220|Counselor's Office||||207||1656||||||||||||||||||||||||||||||||||||||||||||||||||4||||||Devine Devine 2nd Retest ||10|1|10|3|10|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||314|1|||||||||||221|Classroom||||605||4840||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Devine Devine 2nd Retest ||4|1|4|1|4|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||0|1|||||||||||-|Faculty Lounge||||160||1280||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Devine 2nd Retest ||0|1|0|0|0|0|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76||||||each room|||1|||||||||||-|Nurses Office||||132||1056||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||3||||||Devine Devine 2nd Retest |||1|0||20|3|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76|||||Unit Ventilator|each room||33|1|||||||||||-|Psychology Office||||90||720||||||||||||||||||||||||||||||||||||||||||||||||||2||||||Devine Devine 2nd Retest ||3|1|3|1|3|1|
Import|Phila-Schools|4/21/2021|Benjamin Franklin Elementary School|76||||||each room|||1|||||||||||-|Main Office||||220||1760||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||Devine Devine 2nd Retest |||1|0||20|3|