Document 918e947gx2D6D1d2XqeqGyEo7

ABD00088893 Name: Minor 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 8:26:19 am Minor Jerry 416505295 S. Carter Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: Medium U1travue Facepiece MSA TC-19C-113 Additional notes: Additional notes: DATA Pass/Fail level: 100 Test cycles.. . . . : 1 X . Ambient Mask Fit Factor Pass/Fa (Part/cc) (Part/cc) NB 28000 DB 26450 SS 24700 UD 22800 R 21300 NB 19750 0.940 1.090 0.750 0.290 19.500 1.430 29800 24300 33000 78800 1090 13800 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 5417 (Calculated per ANSI Z88.2-1980) PASS Operator. Date Date