Document v6EqRy3vK6yDkLkNkQNgzg6G8

ABD00088877 Name: Jackson Next test dues 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: 08-12-1994 12:51:07 pm Jackson Willie 428924018 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: DATA Ex. Ambient (Part/cc) Pass/Fail level: 100 Test cycles....: 1 Mask Fit Factor (Part/cc) Pass/Fail NB 26200 DB 25750 SS 25650 UD 25200 R 25000 NB 25150 0.140 0.410 0.430 0.220 1.830 0.080 187000 62900 59700 114000 13700 314000 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 48802 (Calculated per ANSI Z88.2-1980) PASS Operator, Test Subject Q _ Date $^ f ----- Date I 2- --*7 ^