Document QXeY6Y14Jq413G4bRJ3knd3LE
ABD00088876
Name: Uptain Next test due:
TSI MODEL BOl5 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 1:21:37 pm
Uptain Jerald 418542511 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 .
NB DB SS UD R NB
Ambient (Part/cc)
Pass/Fail level: 100
Test cycles....: 1
Mask
Fit Factor
(Part/cc)
Pass/Fai1
37450 37000 35950 34800 33700 32400
3.690 3.370 1.320 2.260 6.120 1.410
10100 10900 27200 15400
5520 23000
PASS PASS PASS PASS PASS PASS
OVERALL FIT FACTOR = 11603 (Calculated per ANSI Z88.2-1980)
PASS
Date PW-g-Date