| 0. Space Type | Other House |
| 1. Establishment Name | Example House Eden Model VGEM |
| 2. Address | |
| 3. City | |
| 4. State / Province | |
| 5. Country | |
| 6. Date | 01/01/2022 |
| 7. Data Source | Facility Owner |
| 8. Performed by | Facility Owner |
| 9. Company Name Address Contact | |
| 10. Requirement Source | Local Building Code |
| 11. Technology | HVAC System |
| 12. Min ACH | 1.7 |
| 13. Max ACH | 8.2 |
| 14. Avg ACH | 3.1 |
| 15. eACH | |
| 16. Filter MERV | |
| 17. Percent Outside Air | |
| 18. ON and Ventilates Entire Indoor Area | Yes |
| 19. Vent Clearance min 6 ft | Yes |
| 20. No of Rooms | |
| 21. sqft | |
| 22. cuft | |
| 23. No of Buildings | |
| 24. Comments
| See Site Survey.
|
