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Testee Name
Found in your email. (Example 99999FT-01)
Does the Testee wear or have any of the following?
If yes to any of the above, discuss how the respirator seal will be affected. Testee must be clean shaven where the respirator seals with face. Give applicable comments regarding counseling on eyeglasses, dentures, contact lenses and facial hair.
Qualitative fit testing using
Qualitative fit testing

Respirator fit tested by Testee

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