Document 2jVz5Z6yMpeE7zVyYk8EOZGRg

ABD00088842 Name: Smith Next test due: TSI MODEL 8015 PORTACOUNT FIT-TESTING SOFTWARE Version 2.01 S/N 927 VISTA POLYMERS FIT TEST REPORT Test date: Test time: Test subject last name: Test subject first name: ID number: Operator name: Next fit test due: Test agent: Test device: 10-02-199f 9:57:32 am Smi th Nathaniel 587603381 Wa1ker Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: medium 3M TC-21C-488 Additional notes: Additional notes: TEST DATA Ex. Ambient (Part/cc) Pass/Fail level: 100 Test cycles: 1 Mask Fit Factor (Part/cc) Pass/Fai1 NB 2755 0.320 DB 2620 0.760 SS 2545 54.900 UD 2535 1.800 R 2540 4.950 NB 2540 0.280 8630 3450 46.4 1410 513 9080 PASS PASS FAIL PASS PASS PASS OVERALL FIT FACTOR = 243 (Calculated per ANSI Z88.2-1980) PASS Date Date ID- 2.-9^