Document N0gMaO0LvG7xL32NM4v4LL5g
ABD00088887
Name: Whi te 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:
08-12-1994 10:47:31 am
Whi te Willie W. 587016028 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:
TEST DATA
Pass/Fail level: 100
Test cycles....: 1
!x . Ambient
Mask
Fit Factor Pass/Fa
(Part/cc)
(Part/cc)
NB 29200 DB 28950 SS 28950 UD 28950 R 29850 NB 29700
0.020 2.800 0.830 0.160 3.440 0.220
1460000 10300 34900
181000 8700
135000
PASS PASS PASS PASS PASS PASS
OVERALL FIT FACTOR = 23594 (Calculated per ANSI Z88.2-1980)
PASS
Operator. Test Subjec
Date