ANDO INTERNATIONAL INC.
861 Manhattan Ave., Suite 14, Brooklyn, NY 11222
Tel. (718) 349-6212
QUALITATIVE RESPIRATOR FIT TEST
tins kc~pnator Pit Test is valid or the period of 12 (twelve) month.\ from the date of lest
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address SSN:
P11 Telephone:
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lest Provider ANDO INTERNATIONAL INC. Test Agent:
Address 861 Manhattan Ave , Brooklyn, NY 11222 I . Irritant Smoke
Telephone (718) 349-6212 2. Odorous Vapor_
Fax: (718) 349-3238 3. Taste Test
RESPIRATORS TESTED - SUCCESSFUL TEST
(Half Face Mask only)
P11
r
9
NYC-WTC 000120423
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000120423Source: NYC Law Department, mirrored locally