Document oMe3dx7JmoVGmvyzv7DKL51mR
ABD00088998
Name: Holcomb Next test dues
TSI MODEL 8015 RORTACOUNT 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:
08-02-1994 1:48:44 pm
Hoi comb
426844601 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 .
Ambien t (Part/cc)
Pass/Fail level: 100
Test cycles....: 1
Mask
Fit Factor
(Part/cc)
Pass/Fai1
NB 4400 DB 4095 SS 3865 UD 3585 R 3320 NB 3115
0.240 0.400 1.110 2.590 0.850 0.100
18300 10200
3480 1380 3900 31100
PASS PASS PASS PASS PASS PASS
OVERALL FIT FACTOR = 4129 (Calculated per ANSI Z88.2-1980)
PASS
Operator
<7
Date Date
-9^