Document nmxmYKpwVJ06q2nzreRJ0pL2X

ABD00088856 Name: DAVIS 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: 08-19-1994 1:09:56 pm DAVIS WILLIAM 587278425 A. STEWART Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: 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 1515 DB 1445 SS 1360 UD 1270 R 1240 NB 1240 0.040 0.820 1.230 0.710 3.170 0.940 38000 1760 1110 1790 392 1320 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 1119 (Calculated per ANSI 288.2-1980 ) PASS Operator Test Subject \ Date ---------------------- ----- Date