Document QzggbdzevDRqBe3vjgL0MqQR
ABD00088850
Name: Hami1 ton 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:
08-21-1994 9:17:50 pm
Hami1 ton Robert J. 427869680 S. Carter
Ambient particles TSI MODEL 8010 PORTACOUNT
RESPIRATOR ID Size:
Model: Manufacturer: Approval number:
M U1 travue 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 34950 DB 34950 SS 34300 UD 34000 R 34150 NB 33300
2.230 1.740 1.000 1.120 3.160 0.710
15600 20100 34300 30400 10800 46900
PASS PASS PASS PASS PASS PASS
OVERALL FIT FACTOR = 20703 (Calculated per ANSI Z8B.2-1980)
PASS
Operator
A, Colxjfcr
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Test Subject
_ Date Date Sf'' ^ 1