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|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||1|Room||||775||6200||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||2|Room||||1008||8064||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room||0|1|||||||||||3|Room||||832||6656||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner ||0|1|0|0|0|0| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||4|Room||||784||6272||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||5|Office||||240||1920||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||5|Room||||1300||10400||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||6|Office||||64||512||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room||0|1|||||||||||6|Room||||300||2400||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner ||0|1|0|0|0|0| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room||0|1|||||||||||7|Room||||672||5376||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner ||0|1|0|0|0|0| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||8|Room||||500||4000||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||9|Room||||1300||10400||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||10|Room||||840||6720||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||119|Classroom||||504||4032||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||11||||||Goldner |||1|0||20|3| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||121|Classroom||||525||4200||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||11||||||Goldner |||1|0||20|3| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||124|Classroom||||616||4928||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||14||||||Goldner |||1|0||20|3| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||131|Classroom||||735||5880||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||16||||||Goldner |||1|0||20|3| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||134|Classroom||||1224||9792||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||27||||||Goldner |||1|0||20|3| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||-|Auditorium||||8760||70080||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1.49|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||Main Office|Office||||588||4704||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||Principal|Office||||154||1232||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||Nurse|Office Suite||||892||7136||||||||||||||||||||||||||||||||||||||||||||yes Active Pure|20|Active Pure 3 min claim||||20||||||Goldner |||1|0||20|3| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room||1,074|1|||||||||||-|Boys Gym||||5760||46080||||||||||||||||||||||||||||||||||||||||||||||||||71||||||Goldner ||1|1.06|1.06|1|1|1| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||-|Boys Locker Room||||3420||27360||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1.06|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||-|Cafeteria||||11360||90880||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1.49|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||-|Conference Room||||390||3120||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||-|Girls Gym||||5760||46080||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1.06|0|||| Import|Phila-Schools|4/23/2021|Hill Freedman World Academy at Leeds Campus|96||||||each room|||1|||||||||||-|Girls Locker Room||||3420||27360||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Goldner |||1.06|0||||