Document rxewrpzZ82v4vzvoMrmr69vXr

ABD00088812 Name: WORLOW 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 9:54:15 am WORLOW CHARLES 426941635 STEWART Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: MEDIUM 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 3575 DB 3885 SS 4140 UD 4290 R 4395 NB 4475 0.310 0.490 0.210 0.150 3.070 1.700 11500 7930 19700 28600 1430 2630 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 4353 (Calculated per ANSI Z88.2-1980) PASS Date Hate /S'/Z&f