Document 3N12XJVQ38pmx9KLpB94Ro9GE

ABD00088831 Name: Barr Next test dues 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: 10-04-1994 11:48:24 am Barr Dale 426156414 Walker 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 3960 5.860 DB 3555 3.760 SS 3245 9.790 UD 3075 8.770 R 2945 14.700 NB 3005 10.300 676 946 332 351 199 291 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 356 (Calculated per ANSI Z8B.2-1980) PASS Test Subiect Date />-4^-94