Document JJXGmEYB2om06NNkEKoygyEVa

ABD00088847 Name: DOBBS 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 7:26:15 pm DOBBS WILLIS 426767397 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: TEST DATA Ex. Ambient (Part/cc) Pass/Fail level: 100 Test cycles....: 1 Mask Fit Factor (Part/cc) Pass/Fail NB 10650 DB 11000 SS 10115 UD 7850 R 6385 NB 5485 0.730 1.590 0.120 0.200 5.500 0.350 14600 6950 84700 39200 1160 15600 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 5103 (Calculated per ANSI Z88.2-1980) PASS Operator Test Subject Date Date JC) ~ I ~~