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|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||127|1|||||||||||101|Classroom||||528||4224||||||||||||||||||||||||||||||||||||||||||||||||||8||||||Devine Brothers Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||416|1|||||||||||102|Classroom||||750||6000||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers Devine Retest ||4|1|4|2|4|2| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||123|1|||||||||||103|Classroom||||567||4536||||||||||||||||||||||||||||||||||||||||||||||||||8||||||Devine Brothers Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||283|1|||||||||||104|Classroom||||483||3864||||||||||||||||||||||||||||||||||||||||||||||||||10||||||Devine Brothers Devine Retest ||4|1|4|2|4|2| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||0|1|||||||||||105|Classroom||||567||4536||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||12||||||Devine Brothers Devine Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||171|1|||||||||||106|Classroom||||756||6048||||||||||||||||||||||||||||||||||||||||||||||||||11||||||Devine Brothers Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||237|1|||||||||||107|Classroom||||806||6448||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||0|1|||||||||||108|Classroom||||648||5184||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Devine Brothers Devine Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||173|1|||||||||||109|Classroom||||638||5104||||||||||||||||||||||||||||||||||||||||||||||||||11||||||Devine Brothers Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||233|1|||||||||||110|Classroom||||812||6496||||||||||||||||||||||||||||||||||||||||||||||||||15||||||Devine Brothers Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||168|1|||||||||||111|Classroom||||588||4704||||||||||||||||||||||||||||||||||||||||||||||||||11||||||Devine Brothers Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||323|1|||||||||||200|Classroom||||510||4080||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||11||||||Devine Brothers Devine Retest ||5|1|5|2|25|4| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89||||||each room|||1|||||||||||200A|Office||||||||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||0||||||Devine Brothers Devine Retest |||1|0||20|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||432|1|||||||||||202|Classroom||||1271||10168||||||||||||||||||||||||||||||||||||||||||||||||||28||||||Devine Brothers Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||299|1|||||||||||203|Classroom||||588||4704||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Devine Brothers Devine Retest ||4|1|4|1|4|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||324|1|||||||||||204|Classroom||||575||4600||||||||||||||||||||||||||||||||||||||||||||||||||13||||||Devine Brothers Devine Retest ||4|1|4|2|4|2| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||255|1|||||||||||205|Classroom||||616||4928||||||||||||||||||||||||||||||||||||||||||||||||||14||||||Devine Brothers Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||324|1|||||||||||206|Classroom||||1116||8928||||||||||||||||||||||||||||||||||||||||||||||||||21||||||Devine Brothers Devine Retest ||2|1|2|1|2|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||310|1|||||||||||207|Classroom||||864||6912||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||308|1|||||||||||208|Classroom||||837||6696||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||312|1|||||||||||209|Classroom||||868||6944||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||303|1|||||||||||210|Classroom||||728||5824||||||||||||||||||||||||||||||||||||||||||||||||||16||||||Devine Brothers Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||298|1|||||||||||211|Classroom||||754||6032||||||||||||||||||||||||||||||||||||||||||||||||||17||||||Devine Brothers Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room|||1|||||||||||212|Classroom||||744||5952||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Devine Brothers Devine Retest |||1|0||20|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||174|1|||||||||||213|Classroom||||806||6448||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||18||||||Devine Brothers Devine Retest ||2|1|2|1|22|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||312|1|||||||||||214|Computer Lab||||462||3696||||||||||||||||||||||||||||||||||||||||||||||||||10||||||Devine Brothers Devine Retest ||5|1|5|2|5|2| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||0|1|||||||||||215|Classroom||||364||2912||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||Devine Brothers Devine Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||0|1|||||||||||216|Classroom||||364||2912||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Devine Retest ||0|1|0|0|0|0| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||334|1|||||||||||217|Classroom||||875||7000||||||||||||||||||||||||||||||||||||||||||||||||||19||||||Devine Brothers Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||294|1|||||||||||219|Classroom||||792||6336||||||||||||||||||||||||||||||||||||||||||||||||||18||||||Devine Brothers Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89||||||each room|||1|||||||||||218|Nurse Office||||252||2016||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||5||||||Devine Brothers Devine Retest |||1|0||20|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||0|1|||||||||||220|Office||||126||1008||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||2||||||Devine Brothers Devine Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89||||||each room|||1|||||||||||B213|Classroom||||363||2904||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||8||||||Devine Brothers Devine Retest |||1|0||20|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||184|1|||||||||||B3|Faculty Lounge||||540||4320||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||12||||||Devine Brothers Devine Retest ||3|1|3|1|23|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89||||||each room|||1|||||||||||B13|Classroom||||||||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||0||||||Devine Brothers Devine Retest |||1|0||20|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89||||||each room|||1|||||||||||HS215|Classroom||||608||4864||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||13||||||Devine Brothers Devine Retest |||1|0||20|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89||||||each room|||1|||||||||||HS216|Classroom||||608||4864||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||13||||||Devine Brothers Devine Retest |||1|0||20|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||37|1|||||||||||-|Classroom Behind kitchen||||224||1792||||||||||||||||||||||||||||||||||||||||||||||||||2||||||Devine Brothers Devine Retest ||1|1|1|1|1|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||0|1|||||||||||-|Gym Office||||100||800||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||2||||||Devine Brothers Devine Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||AHU|each room|||1|||||||||||-|Gym||||288||2304||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Devine Retest |||1|0|||| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||AHU|each room||0|1|||||||||||-|Cafeteria||||4600||36800||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Devine Retest ||0|1.06|0|0|0|0| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||0|1|||||||||||-|Kitchen||||448||3584||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||10||||||Devine Brothers Devine Retest ||0|1|0|0|20|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||0|1|||||||||||-|Main Lobby||||720||5760||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Devine Retest ||0|1|0|0|0|0| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||201|1|||||||||||-|Main Office||||340||2720||||||||||||||||||||||||||||||||||||||||||||||||||7||||||Devine Brothers Devine Retest ||4|1|4|2|4|2| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||0|1|||||||||||-|Main Office Side Office||||104||832||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Devine Retest ||0|1|0|0|0|0| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||196|1|||||||||||-|Principals Office||||238||1904||||||||||||||||||||||||||||||||||||||||||||||||||5||||||Devine Brothers Devine Retest ||6|1|6|2|6|2| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89||||||each room|||1|||||||||||Assistant Principal|Office||||||||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||0||||||Devine Brothers Devine Retest |||1|0||20|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89||||||each room|||1|||||||||||Dean|Office||||||||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||0||||||Devine Brothers Devine Retest |||1|0||20|3| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||692|1|||||||||||-|Library||||1520||12160||||||||||||||||||||||||||||||||||||||||||||||||||34||||||Devine Brothers Devine Retest ||3|1|3|1|3|1| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||N/A|each room||0|1|||||||||||-|Office Across from 210||||120||960||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Devine Retest ||0|1|0|0|0|0| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||0|1|||||||||||-|Office across from gym||||204||1632||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Devine Retest ||0|1|0|0|0|0| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||76|1|||||||||||-|Office across from Room 107||||140||1120||||||||||||||||||||||||||||||||||||||||||||||||||3||||||Devine Brothers Devine Retest ||4|1|4|2|4|2| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||115|1|||||||||||-|Office across from room 110||||140||1120||||||||||||||||||||||||||||||||||||||||||||||||||3||||||Devine Brothers Devine Retest ||6|1|6|2|6|2| Import|Phila-Schools|4/21/2021|John Hancock Demonstrative Elementary School|89|||||Unit Ventilator|each room||0|1|||||||||||-|Office Next to gym||||80||640||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers Devine Retest ||0|1|0|0|0|0|