NYC 9/11 Public Portal Document
FROM : Teresa & Andrew — oo "PHONE NO. 718456 S359 = Aug. 13 2001 @t:45PH Pg
ANDO INTERNATIONAL INC.
“ 861 Manhattan Ave., Sulte 14, Brooklyn, NY 11222
Tel. (718) 949-6212
QUALITATIVE RESPIRATOR FIT TEST
_This Respirator Fit Tont is valid for the period of 12 Qwelve) months from the dats of (est 1
Name: A RC! vf £. LOCK Ni ELicopate of birth: _| Pp | [ i
Address: Pll a SSN:
. Telephones i.
“Test Provider, ANDO INTERNATIONAL INC. Test Ageat
. Address: 861 Manhattan Avc., Brooklyn, NY 11222 1. Irritant Smoke/_—_
Telephone; (718) 349-6212 , 2. Odorous Vapor...
Fax: (718) 349-3238 - 3, Taste Test = ___
RESPIRATORS TESTED - SUCCESSFUL TEST
(Half Face Mask only)
BRAND NAME: (1) 2 bie sete, Lt wr __ SIZE: a), A (2
TEST DATE: OL. f O3}o4
Name of person performing respirator fit tost’.
Fit test number: AIGR . Signature:
NYC-WTC_000094977
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NYC-WTC_000094977Source: NYC Law Department, mirrored locally