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ABD00088869 Name : Dobbs 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: 08-15-1994 9:31:40 am Dobbs Willis 426767397 S. Carter Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: Large Ultravue Facepiece MSA 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/Fail NB 15950 DB 17650 SS 18650 UD 19450 R 20750 NB 21400 0.170 0.240 0.360 0.220 0.450 0.110 94300 73700 51900 88600 46100 194000 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 73553 (Calculated per ANSI Z88.2-1980) PASS Ope rator Test Subject w - ClA. Date ??