Document 701wB9bRjRNJZ6K1dJq8QJ8OR

ABD00088878 Name: Towery 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: 08-12-1994 12:35:34 pm Towery R. C. 426941836 S. Carter Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: Medium Ultravue Facepiece MSA TC-19C-113 Additional notes: Additional notes: TEST DATA Pass/Fail level: 100 Test cycles....: 1 X . Ambient Mask Fit Factor Pass/Fa (Part/cc) (Part/cc) NB 29950 DB 29250 SS 29150 UD 28950 R 28550 NB 27400 0.160 1.340 0.540 0.410 2.140 0.370 187000 21800 54100 70700 13300 74200 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 34780 (Calculated per ANSI Z88.2-1980) PASS Date Dat