Document ev3zqzn5bEBy1bw7ZQbV2Ooe
ABD00088803
Name: Wi1 son 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:
10-21-1994 9:48:31 am
Wi1 son Willie 587243431 Walker
Ambient particles TSI MODEL 8010 PORTACOUNT
RESPIRATOR ID Size:
Model: Manufacturer: Approval number:
Medium U1travue-Facepiece 3M TC-21C488
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 5B95
0.500
DB 5895
0.440
SS 5710
1.900
UD 5500
0.240
R
5585
36.300
NB 5390 10.100
11700 13400
3000 22900
153 530
PASS PASS PASS PASS PASS PASS
OVERALL FIT FACTOR =
670
(Calculated per ANSI Z88.2-1980)
PASS
Date lO^Z\-9j