Document vV1664wXKb4rZbyMpOen7GqQ8

ABD00088912 Name: Keaton 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: 08-09-1994 11:28:01 am Keaton John 428983053 H Pruitt Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: Medium U1travue Facepiece 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/Fai1 NB 8570 DB 8450 SS 8235 UD 7965 R 7860 NB 7680 0.590 0.420 0.260 0.050 2.690 0.180 14500 20100 31600 159000 2920 42600 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 11481 (Calculated per ANSI Z88.2-1980) PASS Operator____ Test Subjject tj n,,. (-9-9^ Date f- 9-94-