Document zQXjG2VeVm44rNVVXvxR20bE0

ABD00088899 Name: Smith Next test dues TSI MODEL 8015 PORTACOUNT FIT-TESTING SOFTWARE Version 2.01 S/N 927 VISTA POLYMERS FIT TEST REPORT Test dates Test time: Test subject last name: Test subject first name: ID number: Operator name: Next fit test due: Test agent: Test device: 08-10-1994 8:22:05 am Smi th Erik 531768399 S. Carter Ambient particles TSI MODEL 8010 PORTACOUNT RESPIRATOR ID Size: Model: Manufacturer: Approval number: M 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/Fa NB 27950 DB 30350 SS 33450 UD 38200 R 40850 NB 41700 0.250 6.210 19.300 26.700 100 137 111000 4890 1720 1420 408 303 PASS PASS PASS PASS PASS PASS OVERALL FIT FACTOR = 828 (Calculated per ANSI Z88.2-1980 ) PASS Operator. Test Subject vr-rny ^ D ate SUKs Date &^ ....