Document XknpayMwb47BpE45ywJkpvMB

ABD00088872 Name: King 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: 08-15-1994 8:32:43 am King Billy G. 587405625 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 22850 DB 22350 SS 20750 UD 20450 R 20750 NB 20300 0.770 0.590 2.120 0.940 3.460 0.460 29700 37900 9800 21800 6020 44200 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 15125 (Calculated per ANSI Z88.2-1980) PASS Operator Test Subj ect DatP Date