Document O33yNnB23OzXk96Mwx93gKjmK
ABD00088996
Name: Kilgore 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:
08-02-1994 12:57:50 pm
Ki1 gore Steve 420646420 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
Ex.
Ambient (Part/cc)
Pass/Fail level: 100
Test cycles....: 1
Mask
Fit Factor
(Part/cc)
Pass/Fail
NB 14650 DB 13750 SS 13050 UD 12500 R 11700 NB 11250
42.000 62.500 19.400 16.200 66.200 59.000
350 220 673 773 177 191
PASS PASS PASS PASS PASS PASS
OVERALL FIT FACTOR =
285
(Calculated per ANSI Z88.2-1980)
PASS
Date Date