Document X7oKqDKz3J5bdXX9n7pdranad

ABD00088978 Name: Thompson Next test dues TSI MODEL 8015 PORTACOUNT FIT-TESTING SOFTWARE Version 2.01 S/N 927 VISTA POLYMERS FIT TEST REPORT Test date: Test times Test subject last names Test subject first names ID number: Operator names Next fit test dues Test agents Test device: 08-03-1994 11:38:57 am Thompson Billy 587182925 H Pruitt Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer s Approval number: Medium Ultravue Facepiece MSA TC-19C-113 Additional notes: Additional notes: TEST DATA Ex. Ambient (Part/cc) Pass/Fail levels 100 Test cycles....: 1 Mask Fit Factor (Part/cc) Pass/Fail NB 18050 DB 17850 SS 17700 UD 17450 R 17200 NB 17150 0.310 1.460 0.290 1.190 1.430 0.310 58300 12200 61200 14600 12000 55500 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 21030 (Calculated per ANSI Z88.2-1980) PASS Operator Test Subject Date _____ Date