Document omOBLxYmY1oEnDyEnqRR0mGME

ABD00088928 Name: Perry 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: 08-08-1994 1:53:08 pm Perry Darnel 1 425027101 H Pruitt Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Mode 1: Manufacturer: Approval number: Medium Ultravue Facepiece 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/Fai1 NB 14850 DB 14500 SS 14150 UD 13800 R 13200 NB 12750 0.080 0.440 1.140 0.550 1.110 0.680 186000 33100 12400 25100 11900 18800 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 20457 (Calculated per ANSI Z88.2-1980) PASS r l/ljJbuU Operato Test Subject Date Date g'-F-fr