Document 3Qgwj1ga2Rg5G2v7X90X6DEka

ABD00088839 Name: EVANS Next test due: TSI MODEL 8015 PORTACQUNT 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: 10-01-1994 8:43:59 pm EVANS REGINALD 425196023 STEWART Ambient particles TSI MODEL 8010 PORTACQUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: MEDIUM ULTRAVUE FACEPIECE 3M TC-21C-488 Additional notes: Additional notes: DATA Pass/Fail level: 100 Test cycles....: 1 !x . Ambien t Mask Fit Factor Pass/Fai1 (Part/cc) (Part/cc) NB 7075 DB 8265 SS 8795 UD 8805 R 8425 NB 7810 0.790 2.080 0.730 0.730 6.700 0.400 8960 3970 12000 12000 1250 19500 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 4343 (Calculated per ANSI Z88.2-1980) PASS Date U Date /0// hj6