Document DGMq90BN2YznzN4kZMMb7Rm8d

ABD00088823 Name: OLIVER 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: 09-30-1994 5:58:22 pm OLIVER GREGORY 428231863 STEWART Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: MEDIUM ULTRAVUE FACEPIECE 3M TC-31C-488 Additional notes: Additional notes: DATA Ex. Ambient (Part/cc) Pass/Fail level: 100 Test cycles....: 1 Mask Fit Factor (Part/cc) Pass/Fail NB 9280 8.070 DB 8570 26.000 SS 8045 20.300 UD 7620 3.030 R 7620 28.600 NB 8300 14.600 1150 329 395 2510 265 566 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR * 485 (Calculated per ANSI Z8B.2-1980) PASS Operator 3^1Test Subjject QXi&?AA Date 9 30Date " "^)^