Document B83mgng6mok411Y4m8QEz2rjk

ABD00088859 Name: Will bank 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: 08-17-1994 4:26:49 am Will banks Dale 428153981 J.Walker Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: Large Ultravue MSA facepeice 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 4845 3.710 1300 PASS DB 4830 2.300 2100 PASS SS 4765 1.190 4010 PASS UD 4740 0.870 5450 PASS R 4750 2.440 1950 PASS NB 4680 1.530 3060 PASS , OVERALL FIT FACTOR = 2383 PASS (Calculated per ANSI Z88.2-1980) Ope rator ^ LJL-Jc Q- JUqTest Subj ect Date ___ Date ^ "y/