Document NEGxygQddMNjmwBanZxx1Yqap
ABD00088963
Name: Smith 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:
08-05-1994 12:15:45 pm
Smith Nathiel 587603381 J. Uptain
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
Ex.
Ambient (Part/cc)
Pass/Fail level: 100
Test cycles....: 1
Mask
Fit Factor
(Part/cc)
Pass/Fail
NB 49500 DB 49300 SS 48300 UD 47250 R 47150 NB 47450
0.150 0.290 0.160 0.170 1.310 0.090
330000 170000 302000 278000
36000 528000
PASS PASS PASS PASS PASS PASS
OVERALL FIT FACTOR = 131889 (Calculated per ANSI ZB8.2-1980)
PASS
Operator Test Subj)'ect /{J&tttfuujf <Aaa'iM\
Date
Date
tT- 9JpL___