Document DvzB9e8OzmN07pneaQQxrDz4

ABD00088943 Name: Morgan Next test due: TSI MODEL 8015 PORTACOUNT FIT-TESTING Version 2.01 S/N 927 VISTA POLYMERS SOFTWARE 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: 0B-08-1994 8:31:14 am Morgan Jimmie 428024556 H Pruitt Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: Medium U1travue Facepiece 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 15650 DB 15500 SS 16000 UD 16050 R 15650 NB 16400 0.100 0.040 0.200 0.230 0.160 0.140 157000 388000 80100 70000 98100 117000 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 110178 (Calculated per ANSI Z88.2-1980) PASS Operator^ Test Sub 3 ectyy#72/772^g ____ Date_ Date ^