Document O15G7LLvn9rGMbEM8zyKJ4M6X
ABD00088821
Name: HAYNES 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:
09-30-1994 9:08:31 pm
HAYNES COLEMAN 587184282 STEWART
Ambient particles TSI MODEL 8010 PORTACOUNT
RESPIRATOR ID Size:
Model: Manufacturer: Approval number:
MEDIUM ULTRAVUE FACEPIECE 3M TC-31C-488
Additional notes: Additional notes:
TEST DATA
Ex .
Ambient (Part/cc)
Pass/Fail level: 100
Test cycles....: 1
Mask
Fit Factor
(Part/cc)
Pass/Fai1
NB 13200 DB 14050 SS 14550 UD 14300 R 14150 NB 13650
0.820 0.930 2.240 2.010 15.900 1.950
16100 15100
6510 7140
889 7000
PASS PASS PASS PASS PASS PASS
OVERALL FIT FACTOR = 3551 (Calculated per ANSI Z88.2-1980)
PASS
Operator. Test Subject
Date 9-^0 --9-y Date 9^ "^0^9 -y