Document gbBV6QExz2gzn363pxxjVRzKe
ABD00089001
Name: Morgan 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:
08-01-1994 2:07:53 pm
Morgan Gi1bert 427640591 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:
DATA
Ex.
Ambient (Part/cc)
Pass/Fail level: 100
Test cycles....: 1
Mask
Fit Factor
(Part/cc)
Pass/Fail
NB 1550
1.350
DB 1690
1.300
SS 2105
0.230
UD 2370
0.230
R
2455
15.000
NB 2480
1.240
1150 1300 9170 10300
163 2000
PASS PASS PASS PASS PASS PASS
OVERALL FIT FACTOR =
708
(Calculated per ANSI Z88.2-1980)
PASS
Operator
Ooilm
Test Subject/Vyy
Date Date