Document EqEQXXxGBOg6m4xLnKbDLnkOb
ABD00088811
Name: Noland Next test dues
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:
10-12-1994 8:12:14 pm
Noland Terry
4^- r)(D~r7^4'0\Le
Pruitt
Ambient particles TSI MODEL 8010 PORTACOUNT
RESPIRATOR ID Size:
Model: Manufacturer: Approval number:
U1travue Facepeice 3M TC-21C-488
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 2005 DB 1990 SS 1935 UD 1880 R 1755 NB 1690
0.290 0.490 0.160 0.170 4.110 0.770
6930 4070 12100 11000
427 2200
PASS PASS PASS PASS PASS PASS
OVERALL FIT FACTOR = 1786 * (Calculated per ANSI Z88.2-1980)
PASS
0L J $ZOperator, S7Y^caj
ul
Test Subj ect
___ Date, Date