Document Vj2JD3o0Lgqnqgzv2jxrNL07g

ABD00089002 Name: Nolen Next test dues 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: 08-01-1994 1:48:16 pm Nolen David 416705064 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 Test cycles.... Mask Fit (Part/cc) 100 1 Factor Pass/Fail NB 2145 DB 1840 SS 1695 UD 1570 R 1430 NB 1300 2.990 0.630 0.160 0.100 1.180 0.240 718 2920 10600 15700 1210 5430 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 2066 (Calculated per ANSI Z88.2-1980) PASS Operator Test Subjec Date Date