Document re2YgZdOEk6G3nmBNxqrqyggq

ABD00088918 Name: Wood 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: 08-09-1.994 10:01:23 am Wood Kelly 431559752 H Pruitt Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Smal 1 Model: Ultravue Manufacturer: Facepiece Approval number: 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/Fai1 NB 6730 DB 6620 SS 6530 UD 6455 R 6225 NB 6160 1.720 1.430 2.070 1.250 3.260 0.280 3910 4630 3150 5160 1910 22000 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 3866 (Calculated per ANSI Z88.2-1980) PASS Operator. Test Subj ect Date Date /Wy ^