Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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1. Application Data
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Actual Vent. RATE (cfm/person):
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Required Vent. Rate (cfm/person):
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Area Occupancy (# of people):
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Annual Heating Degree Days:
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Space Temperature (degrees F):
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Weekly Hours of Operation:
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2. Cfm Reduction
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[Actual Ventilation Rate (cfm/person)➖Required Ventilation Rate (cfm/person)]✖️Occupancy (# of people) = __________ Ventilation Rate Reduction (cfm)
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3. Annual Heating Energy Savings
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[Ventilation Rate Reduction (cfm)✖️Annual Energy Use (10^6 Btu/1,000 cfm)]➗1,000 (Conversion Factor) = __________ Annual Energy Savings (10^6 Btu)
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4. Annual Heating Cost Savings
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Annual Energy Use (10^6 Btu)✖️Fuel Cost ($/10^6 Btu)✖️Conversion Efficiency Factor = __________ Annual Heating Cost Savings ($)
