Document zoKB39gXxDJREOR803EmX8XEz
ABD00088885
Name: Bishop Next test due:
TSI
MODEL
8015 PORTACOUNT FIT-TESTING
Version 2.01
S/N 927
VISTA POLYMERS
SOFTWARE
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:
08-12-1994 1:50:37 pm
Bishop Mickey 427117304 S. Carter
Ambient particles TSI MODEL 8010 PORTACOUNT
RESPIRATOR ID Size:
Model: Manufacturer: Approval number:
Large 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/Fai1
NB 29450 DB 29100 SS 29000 UD 28750 R 28400 NB 27700
0.100 1.500 0.090 0.110 2.400 0.120
294000 19400
322000 261000
11800 231000
PASS PASS PASS PASS PASS PASS
OVERALL FIT FACTOR = 39746 (Calculated per ANSI Z88.2-1980)
PASS
Hne.atnrTest Subject
Date ____________________ Date