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|3/18/2021|One Bright Ray Elmwood|161|||||Air Handling Unit|each room||313|1|||||||||||101|Classroom||||||||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers |||1|0|||| Import|Phila-Schools|3/18/2021|One Bright Ray Elmwood|161|||||Air Handling Unit|each room||189|1|||||||||||102|Classroom||||||||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers |||1|0|||| Import|Phila-Schools|3/18/2021|One Bright Ray Elmwood|161|||||Air Handling Unit|each room||249|1|||||||||||103|Classroom||||||||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers |||1|0|||| Import|Phila-Schools|3/18/2021|One Bright Ray Elmwood|161|||||Air Handling Unit|each room||215|1|||||||||||104|Classroom||||||||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers |||1|0|||| Import|Phila-Schools|3/18/2021|One Bright Ray Elmwood|161|||||Air Handling Unit|each room||250|1|||||||||||105|Classroom||||||||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers |||1|0|||| Import|Phila-Schools|3/18/2021|One Bright Ray Elmwood|161|||||Air Handling Unit|each room||58|1|||||||||||105|Principal's Office||||||||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers |||1|0|||| Import|Phila-Schools|3/18/2021|One Bright Ray Elmwood|161|||||Air Handling Unit|each room||56|1|||||||||||-|Dean of Students Office||||||||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers |||1|0|||| Import|Phila-Schools|3/18/2021|One Bright Ray Elmwood|161|||||Air Handling Unit|each room||69|1|||||||||||-|Faculty Lounge||||||||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers |||1|0|||| Import|Phila-Schools|3/18/2021|One Bright Ray Elmwood|161|||||Air Handling Unit|each room||147|1|||||||||||-|Foyer / Hallway||||||||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers |||1|0|||| Import|Phila-Schools|3/18/2021|One Bright Ray Elmwood|161|||||Air Handling Unit|each room||475|1|||||||||||-|Open Space / Classroom||||||||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers |||1|0|||| Import|Phila-Schools|3/18/2021|One Bright Ray Elmwood|161|||||Air Handling Unit|each room||48|1|||||||||||-|SW Office||||||||||||||||||||||||||||||||||||||||||||||||||||||||0||||||Devine Brothers |||1|0||||