Document 7M7xEnx4OOnORLByxo3Jjx6pg

ABD00088895 Name: Carrol 1 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: 08-12-1994 7:52:21 am Carrol 1 Steve 426354963 S. Carter Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: Medium U1 travue Facepiece MSA TC-19C-113 Additional notes: Additional notes: DATA Ex . Ambient (Part/cc) Pass/Fail level: 100 Test cycles,. . . . : 1 Mask Fit Factor (Part/cc) Pass/Fai1 NB 40050 DB 41300 SS 41300 UD 41050 R 41150 NB 42750 0.120 0.300 0.290 0.360 4.780 0.110 334000 137000 142000 114000 8610 389000 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 41430 (Calculated per ANSI Z88.2-1980) PASS Operator. Test Subjiect c$9/ *____ 4 Date Date