Document DMkNV73mVpLEOGmk2VxvKqwGM

ABD00088818 Name: JACKSON 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: 10-01-1994 6:39:27 pm JACKSON ROBERT 428924010 STEWART Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: LARGE ULTRAVUE FACEPIECE 3M TC-21C-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 6585 1.830 DB 6760 0.900 SS 7245 6.630 UD 7485 1.500 R 7245 7.470 NB 6895 19.400 3600 7510 1090 4990 970 353 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 1113 (Calculated per ANSI Z88.2-1980) PASS Operator^ Test Subject Date 70 ~ I ~~ ? U Date JO" ) ~ ^ i-f