ANDO INTERNATIONAL INC.
861 Manhattan Ave., Suite 14, Brooklyn, NY 11222
Tel. (718) 349-6212
QUALITATIVE RESPIRATOR FIT TEST
tLis ResP valor Fit_fest is valid for the period of 12 (twelve) months from the date of test
Nam;
Add;
L
ANDO INTERNATIONAL INC. Test Agent:
Test Provider:
Address: 861 Manhattan Ave., 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 Facc Mask only)
BRAND NAN
TEST DATE
Fit test Hain
P11
n
1
NYC-WTC 000120510
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NYC-WTC_000120510Source: NYC Law Department, mirrored locally