Document vBOO7Ky78JRLwovM5g6qe0aEq
ABD00088864
Name: Tate 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 12:29:56 pm
Tate Jimmy 587183017 S. Carter
Ambient particles TSI MODEL 8010 PORTACOUNT
RESPIRATOR ID Size:
Model: Manufacturer: Approval number:
Medium 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 16500 DB 16700 SS 16550 UD 16700 R 17200 NB 17500
1.790 0.630 0.230 0.190 1.800 0.970
9250 26500 72200 88100
9580 18000
PASS PASS PASS PASS PASS PASS
OVERALL FIT FACTOR = 18128 (Calculated per ANSI Z88.2-1980)
PASS
Operator Test Subjec
Date Date.