Document v6ZjbKYKjwjegwox4nK4YdzkE

ABD00088957 Name: Johnson Next test due: TSI MODEL 8015 PORTACOUNT FIT-TESTING Version 2.01 S/N 927 VISTA POLYMERS SOFTWARE 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: 08-05-1994 8:11:06 am Johnson Michael 425089632 J . Wa1ker Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: Medium U1travue 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 53650 DB 53950 SS 54650 UD 54550 R 54550 NB 55500 849 738 1000 963 866 1000 63.2 73.1 54.3 56.6 62.9 55.3 FAIL FAIL FAIL FAIL FAIL FAIL OVERALL FIT FACTOR = 60.3 (Ca1culated per ANSI 288.2-1980) FAIL Operator Test Subject -5'-<y/ Date