Document wD1qM5BaezyMG6JOG51dd6NwE

ABD00089005 Name: Phil lips 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: 08-01-1994 1:21:28 pm Phi11ips Leon 426743288 S. Carter Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: Smal 1 Ultravue Facepiece MSA TC-19C-113 Additional notes: Additional notes: DATA Ex . Ambien t (Part/cc) Pass/Fail level: 100 Test cycles....: 1 Mask Fit Factor (Part/cc) Pass/Fa NB 3405 16.900 DB 3680 46.900 SS 4010 34.600 UD 4070 28.200 R 5400 76.300 NB 6100 40.700 200 78.6 115 144 70.7 149 PASS FAIL PASS PASS FAIL PASS OVERALL FIT FACTOR = 111 (Calculated per ANSI Z88.2-1980) PASS Operator Test Subjec Si)' 77 Date S'rfP Date