Document ppk88qMQqGwyGN27xErwMazJk
ABD00088813
Name: HARGROVE 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:
10-12-1994 8:55:04 am
HARGROVE TIMOTHY 587061283 STEWART
Ambient particles TSI MODEL 8010 PORTACOUNT
RESPIRATOR ID Size:
Model: Manufacturer: Approval number:
SMALL
3M TC-21C-488
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 4970 DB 4635 SS 4315 UD 4005 R 3645 NB 3400
1.330 0.120 0.160 0.700 2.560 0.500
3740 38600 26900
5730 1420 6800
PASS PASS PASS PASS PASS PASS
OVERALL FIT FACTOR = 4424 (Calculated per ANSI Z88.2-1980)
PASS
Ope Test Subject
natp Dat