Document 716Qbd94KG9wn5paQYyrXdXO8

ABD00088999 Name: Frantz 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: 08-02-1994 11:47:48 am Frantz Frank 426763506 S. Carter Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: Sma 11 Ultravue Facepiece MSA TC-19C-113 Additional notes: Additional notes: TEST DATA Ex. Ambient (Part/cc) Pass/Fail level: 100 Test cycles....: 1 Mask Fit Factor (Part/cc) Pass/Fail NB 99650 DB 102000 SS 104500 UD 102500 R 100000 NB 100000 19.800 40.100 34.400 21.300 14.200 22.100 5020 2540 3030 4810 7020 4550 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 4019 (Calculated per ANSI Z88.2-1980) PASS Operator Test Subjject___ Date Date