Document yp30ne76aDx4DrVY9aa3NppZd
ABD00088828
Name: WILBANKS 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:
10-05-1994 3:40:50 am
WILBANKS DALE 428153981 STEWART
Ambient particles TSI MODEL 8010 PORTACOUNT
RESPIRATOR ID Size:
Model: Manufacturer: Approval number:
MEDIUM
3M TC-21C-488
Additional notes: Additional notes:
DATA
Ex .
Ambient (Part/cc)
Pass/Fail level: 100
Test cycles....: 1
Mask
Fit Factor
(Part/cc)
Pass/Fail
NB 6035 DB 7640 SS 7660 UD 7655 R 7635 NB 7655
9.540 0.490 2.550 2.100 9.020 2.560
633 15600
3000 3640
846 2990
PASS PASS PASS PASS PASS PASS
OVERALL FIT FACTOR =
1592
(Calculated per ANSI Z88.2-1980)
PASS
Operator
FM, aTest Subject
JCiDate
^ */
_ Date /o-S-?V