Document ExqQjEbv4pb1x12YKpzBDj2Zx
ABD00089007
Name: McWhirter 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:
08-01-1994 12:26:34 pm
McWhirter John W. 427944939 S. Carter
Ambient particles TSI MODEL 8010 PORTACOUNT
RESPIRATOR ID Size:
Model: Manufacturer: Approval number:
Medium Ultravue Facepiece MSA TC-19C-113
Additional notes: Additional notes:
DATA
Ex.
Ambient (Part/cc)
Pass/Fail level: 100
Test cycles....: 1
Mask
Fit Factor
(Part/cc)
Pass/Fai1
NB 26250 DB 24300 SS 22150 UD 21800 R 21100 NB 21100
0.450 6.880 4.110 3.070 20.000 1.170
58500 3540 5400 7120 1050
18000
PASS PASS PASS PASS PASS PASS
OVERALL FIT FACTOR = 3674 (Calculated per ANSI Z88.2-1980)
PASS
Ope rator
Test Subject <7
Date Date
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