airframe maintenance records · battery pin rg24-20 sin 40040132. installed new lt auxiliary fuel...

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AIRFRAME MAINTENANCE RECORDS

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Aircraft Registration No .___,/V'------=8---~_(;,.::::::....._0 _ ___,;Lf!:..__ __ _

S 1/tnn-t> S (t 2/oy

Aircraft Mfg. C€55NA- Model _ ___,;Lf___,;;(_/ C ___ _ Serial No. '-1 ;2( CO~ 0 <..{ _

Engine Mfg. ---=---......;__~____..::..__

Engine Mfg. _--L.., _ _.;___,_......=...__ _ ____:,_

Model (;T$IO- .:f?.o 'Model 6=1.$.J:0-5;2D '-

Serial No. ~ f 3o7 3 L r Serial No. ___..~2:..__7~7_!__l../~D~'~~~- IZr

Propeller Mfg. Hft!l.i ~Et_,L. Model LT Hub Design No. ____________ _ Hub Serial No. _____________ _

Blade Design No. } ~C. q § ~ 7 i) £3 - 7 Blade Serial No's. ::J .. Cf~ 213 ;J q' 'A~'f

Propeller Mfg. Ht'rll/2(:lL. Model HL<-3ytV-;lUE Serial No. DC- Gl~8 ~r Hub Design No. ____________ _ Hub Serial No. ____________ _

Blade Design No. £c_ qt.2i7 v8 -7 Blade Serial No's ._---.::L-.1_7

q....:........::~___;Lf:.......:3!:;.....__0 __ _

-(All applicable information must be filled in)

rpiJUCJD/111'1 Jill www .adlog.com

PO BOX 1359/ SOUTHOLD, NY 11971-0965 (631) 765-9375 1-800-235-6444

FAX: (631) 765-9359

J Cf i''-12S

o 1979 Aero Tech Publications Inc.

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05-12-04 N88604

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CESSNA421C SIN 421C0604 ACTT 5043.8 HOBBS 508.4 W.O 3260

Ren1oved TCM GTSI0-520-L Engines Lt SIN 292324R, Rt SIN 292323R. Installed Overhauled TCM Ram modified GTSI0-520-L Engines Lt SIN 613073, Rt SIN 277106R. Engines installed with new mounts and hoses (see engine log for details). Reshim left M.L.G. end play, install new Squat Switch and rework wiring in left wheel well by replacing miscellaneous wire terminals and chafe protection. Removed Left M.L.G. Hydraulic Actuator to replace miscellaneous cherry rivets with solids in left wheel well, reinstalled actuator swing at service gear. Repack left M.L.G. wheel bearings. Removed top row of copilots instruments to facilitate replacement of right windshield. Replaced right forward side window right foul weather window and polished remaining right side windows with micro mesh. Windshield and side window ' installed with new retainers and hardware. Instruments reinstalled and static system leak checked. Aircraft pressurized and reseale? misc. wire b~dles .at forward pressure bulkhead. Repressurized with no defects noted. Installed new tach generator heat shtelds. Patched nght mboard pneumatic boot. Replaced Gem 603 left and right wire harnesses and misc. EGT/CHT and TIT Probes. Replaced pne~tic pumps with overhauled units and installed ~ew vac. regulator filters. Air conditioning evapo~ators were rem?ved to gatn access for gem harness replacement, fms on untts were cleaned of dust and lint build up and remstalled. Recetver dryer replaced and system leak test proved unsatisfactory. Troubleshooting isolated defect to refrigement line located under right hand cabin floor at approx. F.S. 155.0. Replaced defective tubing with new. Reassemb~e~ and leak checked satisfactorily. Evacuate and service system with R12. A/C system ops checked satisfactorily. Rework Wtrmg frrewall forward by replacing main starter and alternator power cables, numerous wire tenninals, right tach generator and oil temp cannon plugs, misc. chafed wires, chafe and heat protection. Wiring routed and secured with misc. new clamps and hardware. Replaced left wing pressurization duct tubing on inboard and outboard side of heat exchanger. Touch up paint for various modifications and repairs. Aircraft run up perfonned, affected systems ground checked satisfactorily.

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The following major alterations were incorporated at this time. 1) Removed McCauley 3FF32C501A Propellers, SIN Lt 782812, SIN Rt 785519. Installed new Hartzell HC-C3YN-2UF Propellers with spinners and backing plates per Ram Aircraft STC #SA10185SC, see FAA Fonn337. 2) Removed Woodward Prop Sync System as previously installed on FAA Fotn1337 dated 1/22/91. Installed new McCauley Prop Sync System including new McCauley Governors and new right Propeller Control Cable, see FAA Fonn 337 and attached FAA Fonn 8110-3 dated March 17,2004. 3) Removed Hoskins Fuel Flow System Installed new Shadin Fuel Flow System including new Indicator and new Transducers per Ram STC #SA579SW and SE5726SW K Factor 29.6. See FAA Fonn 337. 4) Installed modified existing OEM Map Gage and both 3 in 1 Engine Gages after refacing per Ram STC #5878SW, see FAA Fotn1337, NOTE: EGT Gage was not modified due to previous GEM installation, see FAA Fotm 8110-3 dated March 25, 2004. 5) Removed C.A.M. Oil Coolers previously installed on FAA Fonn 337 dated 8/1/97. Unmodified OEM Coolers were installed by Ram at their overhaul, see FAA Form 337 for removal. 6) Ram improved Engine Cooling Baffle Seal installed per Ram STC # SA4592SW, see FAA Fotm 337. 7) Four (4) new Ram improved Exhaust Slip Joints installed per Ram STC #SA4592SW, see FAA Foun 337. 8) Johnson Aviation Cowl Mounted Lights installed per Johnson Aviation STC #SA4270SW, see FAA Fotm 337.

AD's Complied With 84-26-02 by installing 2 new paper induction air filters (next due 5543.8, actt or hobbs 1008.4)

00-01-16 Part B by vis~al inspe~ti~n of exhalJ.SJ~ ext due 509~.8 actt. or 548.4 ?obbs or 6/10/04 whichever comes frrst) Part C by inspecnon oftatl ptpes (next aue ). Part D by tnspection of eng1ne beams and firewall (next due 6043.8 actt or 1008.4 hobbs) PartE complied with by installing new or overhauled exhaust components at this time, Next due 5/09. Part F is N/A multi-segment clamps not installed (reference AD 75-23-08R5) Part G by installing:

1) Four (4) new Ram Slip Joints PIN 1001-3. 2) Two (2) overhauled Y-Pipe Collectors PIN 9910300-13 reference Aleron Welding MX release #15074 left and #1507 5 right. 3) Two (2) repaired tail pipes (owner supplied) Lt PIN **9910300-15 NSN reference Dawley Aviation W.O. 57155. Rt PIN **9910300-16 NSN reference Dawley Aviation W.O. 58749. 4) Two (2) expansion elbows Lt (new) PIN **K9910300-3 NSN reference parts exchange packing list 35925. Right (OVH) PIN 9910300-3, SIN AW73079 reference Aerospace welding MX release 73079. 5) The above components were installed with new hardware including new slip joint springs set to proper dimensions per Ram STC #SA4592SW. Exhaust Y -Pipe shields fit to replacement units and installed with new hardware. 6) Next compliance due@ 7543 actt 3008.4 hobbs or May 2016 whichever occurs first.

2004-08-10 ECI Cylinders is N/ A New TCM Cylinders modified by ECI installed by Ram at their overhaul.

SUB· TOTAL this page

TOTAL-Carry forward to next page

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Parts and Components (*Ram Supplied) (**Owner Supplied} Description PIN

*TCM Engine GTSI0-520-L *TCM Engine GTSI0-520-L *Hartzell Propeller HC-C3YN-2UF *Hartzell Propeller HC-C3YN-2UF *Hartzell Spinner Assy 03273-3 *Hartzell Spinner Assy 03273-3 *McCauley Governor OCFS290D9tr6 *McCauley Governor OCFS29009ff6 *Ram Prop Sync 1719-3 *Ram Prop Cable (Rt) 1220-42 Rod End S 11 04-3 *Shadin F/F Indicator 91 0532P *Shad in F IF Transducer 68050 1-1 *Shadin F/F Transducer 680501-1 Squat Switch ICHI-6 Windshield 5111604-202 Side Window 5111605-4 . Foul Weather Window 5111603-6 Sealant PR1440B2 Retainer 5111602-2 Retainer 5111602-4 Retainer 5111602-6 Retainer 5111602-7 Retainer 5111601-12 Tach Gen. Shroud (2) 5155124-9 Gem Harness (2) 332460 EGT Probe {3) 2870 CHT Probe (6) 2853 TIT Probe {l) 2871 *3 in 1 Engine Gage C662019-0101 *3 in 1 Engine Gage C6620 19-0 101 *Map Gage C662026-0 111 Pnewnatic Pump AA441CC-7 Pneumatic Pump AA441CC-7 *Vac Filter (2) B3-5-1 Receiver Dryer 9910157-5 Tubing 2' 5052-8 Duct CM3211-10B38.0 Duct Duct 1' Johnson Light Kit *Baffle Seat Kit Battery Cable 40' *Induction Air Filters *Slip Joint Hardware Kit ( 4) *Induction Duct Lt *Induction Duct Rt *Induction Duct (2) Davtron Clock

CM3211-10B9.5 CM3213-10-1200 30039 1035-1 AN2-l AM106735EA 1001-6 1213-1 1213-2 1151-1 M877

Aircraft Equipment List updated. Weight and Balance revised.

SIN Lt613073 Rt 277I06R Lt OG67IB RtDG672B Lt DA176 RtDAI77 Lt030453 Rt030454 2826 NSN NSN 4969 . Lt L03-382571 Rt K03-380874 NSN NSN NSN NSN NSN NSN NSN NSN NSN NSN NSN NSN NSN NSN NSN Lt B6850 Rt 86854 87459 Lt28445 Rt28444 NSN NSN NSN NSN NSN NSN

NSN NSN NSN NSN NSN NSN NSN 15101

Status OVH OVH New New New New New New New New New New New New New New New New New New New New New New New New New New New Repaired Repaired Repaired OVH OVH New New New New New New New New New New New New New New New

Class 3

1e No.--

• Page No. __ _

. r-----r----,----~----------------------------------~~==~ TACH OR

RECORDING METER

TIME

DATE TOTAL TIME

IN SERVICE

DESCRIPTION OF WORK PERFORMEDSIGNATURE & CERTIFICATE NO. OF PERSON PERFORMING WORK

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06/04/04 N88604

SUMMIT

CESSNA421

AVIATION

SIN 421 C0604 HOBBS 514.0 W03396

Rep~aced cabin ~re extinguisher with new unit SIN W-746121 weight 4 lbs, 12 oz. Replaced 1 cam lock fastener in RT tnb?ard cowhng. Replaced escape hatch window with new unit. Installed new compass, swung and filled out correction card. Replaced mode controller light bulbs. Adjusted GEM indicator to asterisk. --Pat1s 1 - A352TS FIRE EXTINGUISHER 1 - 40S45-6B CAMLOC STUD

1-5111605-2 WINDOW 12-08622-50010 BULB

Timo y L. oe SUM AVIATION, INC. CRS-SMTR2081 CLASS 3

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SUMMIT AVIATION

06/10/04 N88604 CESSNA421 SIN 421 C0604 ACTT 5053.7 HOBBS 9.9 W03396---4

Rep.laced Hobbs meter ~eading 518.3 with new unit pre-run to 9.9 hrs to equate to time since major overhaul on both ----1

e~gtnes . Changed cal hght hardware to stainless. Installed new gasket on taxi light bulb. Repositioned alternator wrre boots. Lubed LT prop control. Touched up exterior paint. Polished RT windshield.

Parts 1- 102149 HOUR METER 1-38-0240197-1 GASKET

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07/29/04 N88604 CESSNA421

SUMMIT

SIN 00604

AVIATION

ACIT 5100.8 HOBBS 0057.0 wo 3549

Removed all three landing gear wheels, disassembled, cleaned and inspected noting no defects. Primed and painted all wheel halves. Assembled nose wheel with new air stop tube and original tire. Balanced as necessary and reinstalled. Assembled LT main wheel with new tire PIN 301-043-006 SIN 40960697 and new air stop tube. Assembled RT main wheel with new tire PIN 301-043-006 SIN 40970043 and new air stop tube. Cleaned both main brake calipers, primed and repainted. Installed 4 each brake linings on each side PIN 066-06600. Perfo11ned main gear camber inspection and adjusted in accordance with Cessna Service Maintenance Manual. Perfonned gear swing noting no defects. Installed new Concord battery PIN RG24-20 SIN 40040132. Installed new LT auxiliary fuel pump PIN 6508092-l. Installed new auxiliary pressure switch PIN 9910058-5 SIN 004436. Installed new LT wing deice pressure deice valve PIN 302363-01 SIN N2649. Complied with AD2000-0 1-16 Part (b) on L T and RT en ines by vis 1 ins ection of exhaust systems.

David L. Johnson SUMMIT A VIA,V'fON, INC. CRS-SMTR2081 CLASS 3

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DATE TOTAL TIME

IN SERVICE

TACH OR RECORDING

METER TIME


• .. • - •••• •.+,•,·.•. ••• • ··-·.·. ·.·.· •• . . - - . . . . . . . . . . · . . . · .. · -.· .-. . .. _. . .. . o' :-. • • .. • •• -: ·- .~-·

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08/13/04 N88604

TOTAL brought forward from previous page

SUMMIT AVIATION

CESSNA421 SIN C421C0604 ACIT 5102.1 HOBBS 0058.3 W03570

• Installed new marker beacon antenna PIN Cl102. Installed new ADF antenna PIN Cl105 SIN 10606. Installed new DME/transponder antenna PIN Cl105-3 SIN 3303. Installed new GPS battery back up PIN 010-10074-00 SIN 33051214 and ops checked system. Reinstalled repaired autopilot pre-selector PIN 43310-0000 SIN 906 and ground checked good. Installed new pilots side storm window PIN 5111603-5 SIN 0645. Repaired electrical connector on blind encoder for Davtron density altitude. Sealed all belly antennas with PR1440 seal t and touched p paint. Installed new copilots side stonn window PIN 5111603-6 SIN 0640.

•

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avid L. Johnson SUMMIT AVIATION, INC. CRS-SMTR2081 CLASS 3

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SUMMIT AVIATION

08/24/04 N88604 CESSNA421 SIN C421 C0604 ACTT 5102.8 HOBBS 59.0 W03570

Repaired pilots windshield hump seal as outlined in Cessna 421 C Maintenance Manual 3-31 PG 19-24. Adjusted LT an~ RT prop governor high RPM stop screw. Indexed flap selector detents. Replaced 3 e~ch fuel cell pla~ards. Replaced RT wtng deice light lens. Reworked upper LT inboard cowl do lock. ouched up nuscellaneous pamt on nose gear and doors.

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David L. Joh'ilson SUMMIT A VIA ON, INC. CRS-SMTR2081 CLASS 3

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SUMMIT

CESSNA421C W.O. 4049

AVIATION

SIN 421 C0604

•

ACTT 5134.7 HOBBS 90.9

Replaced misc. inspection panel/fairing hardware. Replaced heater fuel filter, housing and gasket. Replaced Davtron clock b S d ·1 t' d .1 , memory

attery. ecure pt o san co-~1 ot s carpet metal floo~ panels. Replaced pneumatic regulator filters: Repla~ed EL T battery (next due De~ 06~. Inspected ELT Operatton per FAR 91.207d w1th no defects noted (next due March 06). Weagh and anspect cabin fire extmgmsher ( 4 lb 10.5 oz). Touch up nose cone paint and installed new nose abrasion boot. Removed insulation from forward nose baggage co~partr.nent fo~ard bulkhead, cleaned and treated corrosion, refinished affected area. Perform emergency gear blow down bottle operattons mspect10n, re-serviced bottle with nitrogen and hyd. system with MIL-H-5606. Complied with MEB 91-12 Actuator Inspection. Replaced left and right hydraulic filters. Replaced air-cond. hyd. filter and changed fluid. Installed new igniter in co~bustion h~ter .. Replaced left Nacelle locker light bulb and lens. Replaced misc. post lights and bulbs. Replaced right wing tip aft facmg recogmt1on hght bulb. Replaced misc. velcro on cabin carpet. Installed new 5 amp C.B. on flight hour meter. Removed battery box, cleaned surface corrosion, treated with corrosion X, reinstalled battery box with new box grommets, charged battery and reinstalled. Replaced engine fire bottle squibs with new units (next due Feb 09). Removed previously installed Shaden F/F System and reinstalled Hoskins F/F System previously removed for Shaden Installation (see FAA Form 337 dated 03115105). Replaced static line to auto-pilot altitude sensor. Replaced pilots sun visor clip. Replaced 2 defective rivets on left wing lower skin O.B. of gear door. Install shim on pilot's foul weather window. CfW AD 00-01-16 Part B by inspection of exhaust with no defects noted (next due 04115105 or 5184.7 ACTf which ever later). C/W AD 2004-25-16 by inspection of combustion heater fuel pressure valve with no defects noted (next due March 06 or 5234.7 A CIT). CfW AD 2004-21-05 by performing pressure decay test on Janitrol Combustion Heater Model 84050, PIN 02El7-l, SIN 578466 (next due March 07 or 1055.6 heater hobbs), also inspected operation of air pressure switch PIN 94E42-3 and found to be within limits (switch not affected by AD per PIN). Update misc. AD log records for various component time change items. Up date Cessna service bulletin index and provided to owner. Complied with MEB 01-05 fuel valve inspection per AD 2004-25-16, MEB 04-01 fuel line inspection, MEB 04-02 mag capacitors on right engine mag SIN's F03KA0130 and F03KA088R torque checked OK per TCM CSB-665 various service bulletins detennined to be not applicable by Model, SIN, OVH J?at~ ETC. (see service bulletin index for details). Lube gear and controls. Service fluid levels. Affected systems OPS checked OK. L1fe Jackets sent to Compressed Aviation Gasses for re-certification their W.O.# 0503-195. Next re-certification due March 2010. Parts Qtt Description 1 Filter Housing 1 Filter Element 1 Gasket I Battery 2 Filter 1 Abrasion Boot 1 ELT Battery 2 Hyd. Filter I Hyd. Filter

1 Igniter 1 Bulb

I Lens 12 Bulb

2 Post Light

1 5 amp C.B.

1 Diode 4 qt Hyd. Fluid

2 Boot Grommet

1 Hoskins F/F Indicator

1 X-Ducer

I X-Ducer

3 Battery 6' Tubing

2 Nut

2 Insert 1 Clip 1 Squib 1 Squib 1 Life Jacket 1 Life Jacket 1 Life Jacket

1 Life Jacket I Life Jacket 1 Life Jacket 1 Life Jacket

continued next paee

• \ ... . ' .

PIN 26413 569807-02 26405 AA B3-5-1 PM 56 00-60-62 AN6235-2A AN6235-3A 39018 GE1309 0851863-2 GE327 A350CNIWBKSH28 7277-2-5 1Nl201A MIL-H-5606 N048 910532P 680501-l 680501-1 MS76 P610049 1130-1 1131-1 0819006-3 M13083-5 M13083-5 P0723-103W P0723El05P P0723E105P P0723E105P P0723E105P P0723El05P P0723EI05PC

. . ' . - (, . . . . •

' .

SIN Status NISIN New NISIN New NISIN New NISIN New NISIN New NISIN New NISIN New NISIN New NISIN New NISIN New NISIN New NISIN New NISIN New NISIN New NISIN New NISIN New NISIN New NISIN New 4969 Pre Existing 132493 Pre Existing 132916 Pre Existing NISIN New NISIN New NISIN New NISIN New NISIN New 09549 New 07703 New 31660 Overhauled 44046 Overhauled 44039 Overhauled 43725 Overhauled 70166 Overhauled 19013 Overhauled 56023 Overhauled

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I certify that this aircraft was inspected in accorda · h h k

nee Wit an Annu 1 · . respect to t e wor performed and is approved for t . a mspect10n under current FAA . Continued Airworthiness contained applicable F Ale ;m t? servtce. Researched aircraft records a d regula~Jons ~~ is airworthy with

orm s 337 and STC's. Pertinent detail n comphed Wtth mstructions for s are on file under W.O. 4049.

SUMMIT AVIATION

N88604 Cessna421C SIN 421C0604

#1 TRANSPONDER PIN 066-1062-00 SIN 88075 #2 TRANSPONDER PIN 066-1062-00 SIN 87901 HAVE BEEN TESTED IN ACCORDANCE WITH §43 APPENDIX F TO COMPLY WITH §91.413 (a) and (b). DATETESTED_M~~a~rc~h~8~2 ~20~0~5 __________________ __ TOTAL AIRC TIM~ 5 13;r.4:..;...7:.......n-~------SIGNATURE W.O.# 4049 CRS SMTR2081 AIRFRAME C ~SS 3, RADIO 1, 2, 3 SUMMIT AVIATION, INC.- MIDDLETOWN, DE

_ __._ ____ ...L-.-------'---·~ ----- - -

SUMMIT AVIATION

N88604 Cessna 421C SIN 421C0604

TillS IS TO CERTIFY THAT THE ALTIMETER, STATIC SYSTEM, AND ALTITUDE REPORTING SYSTEMS HAVE BEEN TESTED AND

Class 3

INSPECTED AS REQUIRED BY §91.411 AND §43, APPENDIX E. PILOT ALTIMETER PIN ...:.E~A~8~0~1A~-------TEST DATE March 8, 2005

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COPILOT ALTIMETER PIN -:5:::..::;9~34..:.:P~A=--------TEST DATE March 8, 2005 PILOT ENCODER PIN .-E~A~8~0~1~A.._ ________ _

SIN 2398 ALTITUDE 35,000 SIN 6K458 ALTITUDE 35,000 SIN 2398

COPILOT ENC R Pfl:'I ~~5~0---A--------SIGNATURE~ TOTAL AIRCRAFT TIME ._:5~1 ~4..:.:.·'--------CRS SMTR2081 AIRFRAME CLASS 3, RADIO 1, 2, 3 SUMMIT AVIATION, INC. -MIDDLETOWN, DE


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SUMMIT AVIATION

Page No. ___ _

03/29/05 N88604 421C SIN 421C0604 AC'IT 5134.7 HOBBS 90.9 W.O. 4049

Left and Right GEM Indicators PIN 603, SIN 5006 and 8073 repaired by Insight and reinstalled.

Run up performed satisfactorily.

, / SUMMIT AVIATION

04/05/05 N88604 CESSNA 421C SIN 421C0604 HOBBS 91.9 W.O. 404901 •

Adjusted Left Prop Goven1or max speed down 50 RPM. Replaced Right TIT Probe with new unit PIN 2871. Shim Pilots Foul Weather Seal. Perfonn Compass Swing on Pilot's and Co-Pilot's HSI's and adjust both sides as needed. Replaced misc. battery cover Cam Lock Fasteners. Adjust Cabin Ram Air Valve, closed position set screw. Wash, wax and detail aircraft.

'

-<it Aviation, Inc., SMTR2081 Class 3

SUMMIT AVIATION

04/06/05 N88604 C421 421C0604 HOBBS 91.9 W.O. 4049

Replaced ~eft. Altern~tor Out Sensor and Diode Assembly with new unit. Run up perfonned 1\attsfactonly. Sensor PIN 94-9/Diode Module PIN 5118335-10.

4,..-- .., .....

viation, Inc., SMTR2081 Class 3

SUB-TOTAL this page


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-2~13/2006. Aircraft N88604 Cessna 421 1.£'3, l- ft.d~) ~tght landing light removed, A6532 motor replaced, gears A6580 and . . disassembled, cleaned and lubricated. Assembled and . t 11 d I' h A(:~82 replaced. Gear tram R d 1 ft I . ms a e ag t ass~lbly 0 . h emove e andmg light assembly. Installed shim washer to er . : . pera~aon c eck normal. and lubed gear ~ain and ·nstalle . Operatio heck nonnal. tmmate stde play on pavot shaft. Cleaned

--,L--...,j , ~ A&P 2235976 Antho J. Vlasak •

•

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•

SUMMIT

03/24/06 N88604 CESSNA 421C SIN 421C0604 ACTT 5208.7 HOBBS 164.9 HEATER HOBBS 967.9 W.0.4852

Replaced packing on right MLG Hya Cylinder Retract Fitting. Rework upper cabin door fit in fuselage opening. Supply power for portable Gannin 396 with circuit breaker in avionics circuit breaker panel. Perfonn annual EL T inspection per FAR 91.207d on ELT SIN 1094 (Ops checked OK and battery date Dec. 06). Perfoun annual cabin frre extinguisher inspection (weighed 4lbs, 12.5 oz. Replaced vacuum central and regulator filters. Replaced hyd. filters. Replaced AJC hyd. filter . Replaced Davtron clock battery. Installed new .. }ight tail pipe to turbo exhaust clamp. Adjusted rudder cable tensions. Reseal 1 left wing fuel bay panel. Repair crack in air cond. bay forward frrewall and upper cover. Replaced 2 upper wing inboard inspection panels. Replaced heater ram air inlet duct. Reattach bat. master/alternator switch safety bar. Perfonn landing

• •

•

gear blow down bottle test and Cessna S.B. MEB91-12. Secure Nacelle baggage door seals. Replaced misc. relief tube tubing. Adjusted left engine RPM. Replace amber lens on altitude light. Adjust cabin door latches. Replace misc. relief tube tubing. Airworthiness Directive Status: 00-01-16 Par (f) by inspection of exhaust (next due 5258.7 actt or 30 days which ever later) 05-20-25 By installing new Avionics circuit breaker switch Date Coded 0606 05-20-04 TCM starter adaptor inspection Part F P/CIW@ Overhaul by Ram, bushing installed

Part HI by inspection (next due 03/07 or 5308.7 actt) · Part J due by 5443.8 actt (400 hobbs)

04-25-16Rl By inspection of fuel pressure regulator (next due by 03/07 or 5308.7 actt) 05-18-20 Fast prop de-ice boots N/A not installed 06-03-08 Vacuum pump N/A by MFG Aircraft washed, waxed, de-ice boots treated and carpets cleaned.

Parts: Qty PIN Description Qty PIN 1 MS28776-6 0-ring 1 AN6234-3A 1 01 0-10513-00 Power cable 1 AA 1 CM3489-50 Circuit breaker 1 2274-50

3' CM2666T8 2 B3-5-1 Filter

1 AM103534IA Filter 2 N674-70-151 2 AN6235-2A Hyd. filter 2 600-001-625

Description Hyd. filter Battery Clamp Duct

1 I

1 121STB ALUC Lens 1 . d. . rth

1 certify that this aircraft was inspected in accordance with an Annual inspection under.current F~reg~ attons1~ ~~~rrwo Y ·th pect to the work perfoxn1ed and is approved for return to service. Researched arrcra~ recor an compte WI 1

J4tbt y oe ,"",.,., · Aviation, Inc.

~........., ... ~081 Airframe Class 3

SUB-TOTAL this page


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SUMMIT

0612ot06 N88604 CESSNA421C SIN 0604 HOBBS 193.7 A/C TT 5237.5 W.O. 4914

R 1 ced Davitron OAT Probe. Clean and treat boots. Adjusted max RPM on left and right side. A:~ted latch on aft cabin cabinet. Secured misc. interior curtains. Service 02 bottle. Replaced light

bulbs in altitude pre-select. Installed new bushing on pilots lap belt for shoulder harness. Adjusted right prop governor feathering stop. Parts: 1 2 2 1

655-Probe 262-0136-010 31481-01400 S2237-3

OAT Probe Bulb Bulb Bushing

T othy nroe S Aviation, Inc. SMTR2081 Airframe Class 3, Radio Class 1, 2 and 3

-----------------------------------------------------•

SUMMIT AVIATION

10/06/06 N88604 CESSNA 421C SIN 421C0604 HOBBS 235.5 A/C TI 5279.3 W.O. 5090

Installed customer supplied Lopresti Hid Lighting at existing light locations on left and right nacelle, left and right landing light and nose gear taxi light. (see FAA Fotm 337) Replaced existing Davtron M-655 with new unit, SIN Off3771, SIN On 8877. Replaced Nav antenna blades on both sides of vertical fm. Replaced left retractable landing light assembly with overhauled unit, SIN ALL-2893. Reposition cabin door seal between upper and lower doors and pressurize aircraft with no defects noted. Affected systems Ops checked Ok. Parts: 1 2 I 2 1

M655 CI120-1 CI120-4 Cll20-2 45-148-10

Davtron Nav Antenna Splitter Cables Landing Light

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S 't Av' 'on, Inc. SMTR2 81 Airframe Class 3, Radio Class 1, 2 and 3

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12/12/06

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Page No. ---DESCRIPTION 0 SIGNATURE & CERTIFICATE F WORK PERFORMED-

NO. OF PERSON PERFORMING WORK

SUMMIT AVIATION N88604

. SIN 421C0604 HOBBS 237.3 :e~ngged propeller control cabl t A/C TT 5281.1 W.O. 5396

emstalled pilot and c - . es o match. Repaired both na 11 . . nose baggage comp~ ptlot seat after Selway Upholstery . ~~ ~ cow1mg ~tg?t holders and painted to match.

. ent upper cen kin. Ins e sheep skin inlays. Installed insulation in

David L. Johnson Summit Aviation Inc SMTR20SI .

' ·' Airframe Class 3 R d · Cl , a to ass 1, 2 and3 --- J

SUMMIT AVIATION

06/29/07 N88604 CESSNA 421C SIN 0604 A/C TT 5319.3 HOBBS 275.5 HEATER MTR 984.7 W.O. 5856

Complied with instructions for continued airworthiness contained in applicable FAA 337 Forms and STC. Rotated left main tire. Complied with 5 year hydrostatic check on gear blow down bottle PIN 9910154-2, SIN 257, oxygen cylinder ICC-3AA/DOT-3AA, PIN Cl66001-0817, SIN 782350R, oxygen regulator/valve PIN 172010-01, SIN 3656, and both engine fire bottles PIN 30111102, SIN LT03030A1, new squib SIN 15672 dated 04/07, SIN RT 03039Al, new squib SIN

ff 15659 dated 04/07. Serviced air conditioner system with Freon. C/W AD 04-21-5 combustion tube and air pressure switch by performing pressure decay test of combustion tube. C/W AD 04-25-16Rl fuel regulator shutoff valve by visual inspection.

, .. • Found no fuel leaks at this tim<J;. C/W AD 00-01-16 exhaust system cracks and corrosion by visual inspection (paragraph 6). __......., ~ Installed new engine air filtersr/N AM106735 each. Inspected and ops checked ELT per FAR 91 .207(d) battery good until

July 09. Installed new latch on right engine air box PIN HC200SS. Weighed cockpit frre bottle. Replaced working rivets left and right wing root PIN CR3214-5-AR. Replaced static wick on right elevator PIN D/G16165. Replaced left and right brake shims PIN 068-02800. I certify that this aircraft was inspected with an ANNUAL inspection under current FAA regulations and is in airworthy condition with respect to the work perfonned and is approved for return to service.

Ralph . Buckingham Summit Aviation, Inc., SMTR208I Airframe Class 3, Radio Class l, 2 and 3

' - _ ,__ -- _,_ . - - • •

SUMMIT AVIATION

11/16/07 N88604 CESSNA 421C SIN 0604 A/C TT 5381.0 HOBBS 337.2 W.O. 6231

Replaced left and right main tires with new units. Removed and reinstalled COM 2 SIN 12096 for repair (see Summit MX Release) removed and reinstalled altitude preselect unit for light bulb replacement. Replaced misc. interior hardware. Serviced left and right prop air pressure. Replaced seat tracks on pilots seat and installed one new roller. Replaced cabin lights hot bus circuit breaker. Complied with AD 00-01-16 Part (b) by inspection of left and right exhaust system (next due 12/14/07 or 5431.0 AJC TI/387.2 Hobbs). Removed OEM ELT. Installed new Airtex ME406 ELT in existing location (see FAA Fonn 337 this date). ELT battery exp date May 2012. Replaced pilots sun visor clip. Affected s~st ops checked OK.

Tim Monroe Summit Aviation, Inc., SMTR2081 Airframe Class 3, Radio Class 1, 2 and 3

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TOTAL TACH OR

DATE TIME RECORDING . DESCRIPTION OF WORK PERFORMED--IN METER

SERVICE SIGNATURE & CERTIFICATE NO. OF PERSON PERFORMING WOAK TIME

. . . • •

SUMMIT AVIATION

07/10/08 N88604 CESSNA 421C SIN 0604 HOBBS 364.8 AJC TT 5408.6 HTR HOBBS 995.9 W.O. 6781

Performed annual ELT inspection per FAR 91.207(d) with no defects noted. Weigh and inspect cabin fire ext. (4lb. 11.0 oz.). Replaced left wing fuel sump drains. Replaced right rear frost window. Replaced misc. seat rollers on #6 seat. Touch up de-ice boot edge sealant. Replaced fuel capo-rings. Touched up paint on all4 nose bowl's. Serviced oxygen. Serviced air conditioning with Freon 12. Free up and adjusted right alternate air control. Adjusted left and right propeller governor feather times. Replaced both lower cabin door support cables. Replaced left and right propeller brush block assemblies. Serviced left main gear strut with fluid and nitrogen. Replaced Davtron clock battery. Re-bonded misc. cabin floor boards. Replaced floor doubler under cabin floor at cabin door over servo assembly. Replaced bulb in right wing locker. Adjusted right aileron cabin tension. Replaced noise suppressor on left alternator. Shimmed right air filter cover latches. Replaced combustion blower motor. Secured wire harness fonvard of left aileron. Replaced all brake linings. Replaced 2 pieces of engine baffling forward of right oil cooler. Secured loose post light on pilots VSI and replaced defective transistor. Replaced nacelle tank vent heater. Replaced right #6 EGT probe. Replaced misc. inspection panel hardware. Perfonn routine annual servicing. Run up perfonned satisfactory. Complied with the following special inspections as outlined on 421C inspection guide. 1. All applicable yearly inspection/service items. 2. 50 hour inspection of left MLG trunion assembly (right side is N/A, ref. MEB85-11R4). 3. All applicable 300 hour items. . 4. All applicable 400 hour items except air filter, not due at this time, ref. AD 84-26-02 (next due 5819.3 A/C TI). 5. All500 hour items except heater decay test, ref AD 04-21-05 (next due 1084.7 heater hobbs or 06/09). 6. All 600 hour items except alternator brush inspection (LT due 5879.3, RT due 5643.8 AIC TI). 7. 800 hour items not due at this time. . 8. All applicable 1000 hour items except wing spar inspection (not. due u~ttl 5928.9 AIC TI). 9. 1200 hour cabin type "A'' inspection, 1200 hour wing type "B" tnspectton. AD's and Service Bulletins: . # 2 4 & 6 . · h OO-O 1_16 Exhaust inspection: Complied with part (b) by inspection and replacmg exhaust stacks · , on ng t

en . ine with new units (next due 5458.6 AIC TI ~d eve~ 30 days). . . s!ter adaptors: Complied with part Hand J by Insp~·ctton of left and nght starter adaptors (H next due 5508.6,

J next due 5808.6 NC TI).

04_25-16R1 Fuel pressure regulator by inspection (next due 07/09 or 5508.6 AIC TT).

07_26_09 Hartzell prop. N/A by blade SIN'~· _ _17 Kelly turbo's N/A by SIN and budd date. . . .

08 08 . h k fl ft MLG trunion (next due 5808.6, nght s1de IS N/A). MEB 85-11R4 Dye c ec o e . . 6) MEB 89-2RI Dye check of right MLG fittmg (next due 5808. .

07-05-15

f Parts: 2 79C 1 Sump Drain \ 2 B3-5-l Filter 4' R860024 Seal 1 1 5111605-7 Frost Window 2 MS29513-338 0-ring 't 4 CM2941-l Roller 2 C40 179 Brush Block

2 71540-2 Cable 1 2870 Probe 1 9910295-15 EXH Stack Assembly 1 AN6235-3A Filter 1 AA Battery 16 66-66 Linings 1 76219-1 Noise Filter 1 5050104-9 Baftle 1 5050104-7 Baffle .

1 105880 Heater . d 'th Annual inspection under current FAA regulations and IS . · t d m accor ance WI an · · ds d mphed

I certify that this aircraft was mspec e d d . pproved for return to service. Researched aircraft r~cor an . co til airworthy with respect to the work perfor~ne . an IS .a d m· applicable FAA Fonn's 337 and STC's. Pertment detalls are on t e

. . d Airworthiness conta1ne · with instructlons for Contmue · under W.O. # 6781.

Tim Monro~ . SMTR208I Airframe Class 3, Radio Class 1' 2 and 3 Summit A vtauon, Inc., ·


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Page No.

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DATE

N88604 CESSNA 421 SIN: 421 C-0604 HOBBS: 380.3 LANDINGS:

TACH OR RECORDING

METER TIME


-~ -

1::51 AVIATION wo #: 17247

DATE: 8/13/08

AVIONICS ENTRY, PG. 1

i'ccomplished the following maintenance lAW the Cessna.421 M/M or other approved/acceptable documentation. ~ Replaced roll servo with serviceable unit, PN43989-4908, SN 7887. Removed SN 4941 . Operational test satisfactory.

All maintenance performed on this aarcraft was performed in accordance with current regulations of the FAA and was determined to be in an airworthy condition and is approved for return to service with respect to the work performed. Pertinent details are on file at this repair station under the above work order.

Signatur WES TAR AVIATION, INC. 7 Heritage Way

rand Junction, CO 81506 (970) 243-7500

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FAA CERTIFIED REPAIR STATION WTXR173J

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SUMMIT AVIATION

03/06/09 N88604 CESSNA 421C SIN 421C0604 HOBBS 389.2 A/C TT 5433.0 W.O. 7400

CIW AD 00-01-16 Part B by inspection (next due 04/06/09 or 5483.0 AJC TI), Part C by removing tail pipes inspecting and reinstalling (next due 03/2010), PartE by pressure testing exhaust system (next due 03/201 0). Secured baggage compartment light. ' Air tires and props, service 02, service air conditioner hydraulic fluid. Serviced air conditioner with R-12 Freon. Replaced misc. defective rivets near tail pipes. Affected systems ops checked ok.

Tim Monroe Summit Aviation, Inc., SMTR2081 Airframe Class 3, Radio Class I, 2 and 3

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Page No. __ _

SUMMIT

09/lS/09 N88604 CESSNA 421C SIN 0604 A/C TT 5478.3 HOBBS 434.5 HTR HOBBS 1007.8 W.O. 7765

InspectOO EL T in accordance with FAR 91 .207( d). No defects no tOO. Battery exp. 05112. Inspected and weighed cabin fire extmg~usher. (41b. 11 oz.): PamtOO left throttle cover plate. Installed 1 each new Vortex generator on right wing. Installed new auto pilot master on/off s~rtch PIN 38529-0000. C/W Ram continued airworthiness inspections. Insralled new static wick PIN 16165 on left outboard wmg. lnsta!IOO new wheel bearings 2 each PIN LM29710 and races 2 each PIN LM29749 in nose wheel. Install~ new grease seal PIN 154-03000 in left main wheel. Re-glued small areas of left and right wing locker seals. Installed new wrre termmal end on left engine fire detector. SecurOO loose wires under pilot side instrument panel. Repaired left alternator capacitor wire. lnstai!OO internal doubler at left inboard flap well trailing edge. Serviced oxygen to 1850 PSI. Replaced Davtron clock battery. Replaced Hoskins fuel flow indicator batteries. Installed nose landing gear actuator PIN 9910139-3, SIN 336 after being overhauiOO by the Aviation Group Inc., CRS #VGOR728L. Perfonned landing gear blow down bottle test and Cessna S.B. MEB91-12. Serviced air conditioning using RI2 Freon. Repaired right engine oil cap chain. Touched up paint on LT & RT engine forward cowlings. RepairOO small crack in lower cabin door aft hinge area. C/W AD 04-21-Q5 Janitrol heater inspection by pressure decay test lAW para. , (e)( I)( i)(ii). No defects noted. Next due II 07.8 heater hobbs or 09/20 II. CfW AD 04-25-16R I Janitrol fuel pressure regulator inspection lAW para. (e)( I )(2) and Kelly Aerospace Power Systems S. B. #A-I 07 A issue date 9-6-2002. No defects no tOO. Next due 5578.3 ACIT or 09/20 I 0. I certifY that this aircraft was inspected in accordance with an Annual inspection under current FAA regulations and is airworthy with respect to the work perfonned and is approved for return to • servtce.

• Larry Wheeler . . Summit Aviation, Inc., SMTR2081 Airframe Class 3, Rad1o Class 1, 2 and 3

SUMMIT

·---------

AVIATION

A Greenwich AeroGroup~ Company

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SIN 421C0604 HOBBS 443.8 AIC TT 5487.6 W.O. 8099

01/21/10 N88604 421C . . efective wiring near altimeter and I light circuit by repairmg d fuel vent system and selector

Repaired pilots ~nsu;m:~a!:Osistor. Ops ch~cked fue~=~~:::iife jackets under seats by replacing defective ~ d left main strut with mtrogen. d serviced tires. Cleaned exhaust valve opera~ion. Sel rvJceVisually checked landing gearAa;;ected systems ops checked ok.

lacing m1sc. Ve cro. . : ;u.~ and fuselage. rep . from under wm s_,... __.,..-------build up/stams

-3 Radio Class 1, 2 and 3

Tim Monro? . SMTR20,o8~I ~A=ir~fr_am __ e_c_Ias_s_, --------------~ 't AvJatton Inc., -Summt ' .

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SUMMIT AVIATION

A Greenwich AeroGroup~ Company

02/24/10 N88604 CESSNA 42JC SIN 421C0604 HOBS 447.7 W.O. 8181

RepJaced right #2 cylinder gem GT probe. Serviced oxygen system. Affected systems ops checked ok. ..

Tim Monro~ . SMTR20SI Airframe Class 3, Radio Class I, 2 and 3 Summit A vtatton, Inc.,

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. PERSON PERFORMING WORK

SUMMIT AVIATION

A GreenwiCh AeroGroup· Company

12/28/10 N88604 CESSNA 421C SIN 421 C0604 A/C TT 5573.7 HOBBS 529.9 W 0 88 • . 54

Reinstalled radar altimeter previously removed on 12/ l0/10 following repair by Duncan (their W.O. occ4A and OCC5A). System function chec · · satisfactorily. Serviced nose strut with nitrogen.

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Tim Monroe Summit Aviation, Inc., SMTR2081 Airframe Class 3. Radio Class 1, 2 and 3

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AVIATION

AIRFRAME ENTRY

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wo #: 23684

DATE: 3/15111

Accomplished the following maintenance lAW the Cessna 421 M/M or other approved/acceptable documentation . .l"- Removed & repaired right evaporator high pressure line using 1/4 X .035 5052 aluminum and pressure checked complete system. Nc;

further leaks were noted. Evacuated system using deep vacuum pump for more than one hour and performed vacuum leak check. No leak was noted. Serviced system with 4 lbs. of R-12 refrigerant. Operational checked good.

> Removed ahd cleaned right brake caliper. Replaced brake piston seals, PN MS28775-132. Reinstalled brake caliper and bled brake rjght brake system.

All maintenance performed on this aircraft was performed in accordance with current regulations of the FAA and was determined to be in an airworthy condition and is approved for ret . to service with respect to the work performed. Pertinent details are on file at this repair station under th ave work ord r.

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Signature ~~::::::2:.._ __ .:_ _ _;.~~--WEST STAR AVIATION, INC. 796 Heritage Way Grand Junction, CO 81506 (970) 243-7500

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AIRFRAME ENTRY

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WO#: 23505

OA TE: 2128/11

. d/ eptable documentation. Accomplished the following maintenance lAW the Cessna 421 M/M or other approve ace " Replaced nacelle wing locker fuel cell with new, PN 9910241-3. . . . 04436_

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" Replaced locker fuel sensor with new, PN 9910058-SRX, SN 8109148. Removed SIN ° . nd was determined to be

All . . . . h ent regulattons of the FAA a . on file at thiS . maintenance performed on this aircraft was performed m accordance wit curr k formed. Pertinent detatls are . ~n a~ airworthy condition and is approved for return to service with respect to the wor per

epa1r station under the above work order. R STATION

FAA CERTIFIED REPAI WTXR173J

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DATI

SUMMIT AVIATION

Comporfl

( 06/22/11 N88604 CESSNA 421C SIN 421C0604 AIC 1T 5615.3 HOBBS 571.5 W.O. 688

F Repaired pilots seat base and pilots seat mounting structure. Repaired pilots condenser drain line. u Replaced both MLG tires and tubes with new units. Serviced oxygen. Complied with AD 00-01-16 Part B s by inspection of UH and R!H exhaust systems (next due 07/17/ 11 or 621.5 Hobbs/5665.3 A/CTT). c Secured hydraulic hose in left engine compartment to prevent chafing on exhaust shroud. Affected systems f ops checked ok. 1 Parts: 2 1 I 2

0812775-3 Ben Crank 2 650C86-3 Tires 092-344-0 Tubes 1' 5052 X Y.. Tubing

I certify that this aircraft was repai.red in accordance with current FAA regulations and is airworthy with respect to the work perfo dis approved for return to service. Pertinent details are on file under W.O. 688.

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Tim Monroe Summit Aviation, Inc., SMTR2081 Airframe Class 3, Radio Class l, 2 and 3

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SUMMIT AVIATION

A Greenwich AeroGrout:f Company

10/28/11 N88604 CESSNA 421C SIN 421C0604 W.O. 1468

AIC TT 5649.4 HOBBS 605.6 HEATER HOBBS 1032.2

Inspected heater igniter gap and ground run heater with no defects noted. Ops checked ok. I certify that this aircraft was repaired in accordance with current FAA regulations and is airworthy with respect to the work perfonned and is approved~ to service. Pertinent details are on file under W.O. 1468.

/ Tim Monroe Summit Aviation, Inc., SMTR2081 Airframe Class 3, Radio Class I, 2 and 3

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-SUMMIT AVIATION

03/0S/12 N88604 CESSNA421C A Greenwich AeroGrourf' Company

SIN 421C0604 HOBBS 615.4 AJC TT 5659.2 HTR HBBS 1035.2 W.O. 1669

Rem?ved ~d rei~~talled ~ght MIL/G up!oc~ actuator SIN 13811 following overhaul by the Aviation Group (their W.O. 37939). Interior/carpet cleaned. Servtced atr c~ndtttoner With Freo.?. Wetgh/mspected cabin fire extinguisher (4 Lb. 12.0 Oz.). Perfonned emergency door/seal inspection. Swung compass·and mstalled ne~ correc!ton. card. ~erfonned gear actuator/indicator inspection. Perfonned ge~ rigging/operational inspection. Performed 3 year/1000 hour M/L/G pt~ot beanng mspectton .. Perfonned emergency gear extension/blow down test. Blow down bottle SIN 257 overhauled/hydro tested by Aerospace Turbtn Rotables (ATR) (thetr W.O. 18228) next due12/2016. Blow down bottle reinstalled, serviced and leak checked ok. Oxygen bottle SIN 782350R sent to (ATR) for hydro-static testing (their W.O. 18737). Bottle was replaced due to time life limit with new unit PIN Cl66001-0817, SIN Ml5314 next hydro-test due 01/2015, life limit due 03/2035. Oxygen regulator SIN 3656 was overhauled by (ATR) (their W.O. 18227). Reinstalled oxygen cylinder with new capillary tube. System serviced and leak checked ok. Engine fire bottles PIN 3011102, (LT SIN 03030Al and RT SIN 03039A1) overhauled/hydro-tested by (ATR) (their W.O. LT WO 18269~ RT WO 18268) next hydro test due 0112016. Bottles reinstalled with existing squibs. Replaced UH and RIH alternator noise suppressors. Cleaned UH and RIH air/oil separators. Replaced misc. cowling/inspection panel hardware. Replaced air conditioner hydraulic reservoir filler cap assembly and misc. hydraulic line o-rings. Serviced air conditioner hydraulic reservoir. System run up and leak checked ok. Replaced UH prop deice brushes. Replaced UH fuel vapor return line. Repaired cracked RIH nacelle skin at tail pipe support clamp attach point. Replaced misc. defective/loose rivets on lJH and ~ engine nacell.e lower. skins. Replaced lJH ~d R1H induction air filter housing latches. Replaced battery box vent assembly. Right prop governor repaired by Sensemch (thetr W.O. L232~) and remstalled. R~placed ELT battery with new unit {exp. date 03/2018). Inspected ELT per FAR 91.207(d) with n? defects no~. Replaced Hoskms F/F memory battenes. Replaced Davtron clock battery. Repaired misc. static system leaks and installed new stattc selector swJtch. Replaced UH and~ out~ard fuel ~k. vent valves and T -fittings. Replaced fuel tank access panel seals. Lubed gear and controls. Perfonned 100 hr/200 hr and annual mspectton and servicmg items. Run up perfotmed satisfactorily.

AD's: · AD d CIW AD 04-21-05 by inspection and pressure decay test on beater SIN 5781166 with no defects n~ted at heater hobbs tune 1035.2. next ue

0312014 or 1135.6 heater hobbs. C/W AD 04-25-16 Rl by inspection of fuel pressure ~egulat~r With no defects noted. AD next due 03/2~13. CIW AD

00-01 16 b . 1. ofLIH and R/1-1 exhaust systems as follows: (Part B) by visual mspectton (next due 5709.2 NC ~or 3? days whichever occurs - ymspecton · . . . . . . . RJH i senttoAWiforrepmr(theuW.0. 144133)-next

CIW AD 07-0S-15 Par (H) by inspection ofLJH and RIH engme starter adaptors wt no e ec .

Modifications: . . I stall d R Aircraft Winglets 1/A/W STC SA5811SW-D. NOTE* Aircraft gross weight changed to 1. Removed OEM LIH and R1H wmg tips. n e am

7610 lb. See FAA Foun 337. . . (APM) dual strakes 1/A/W STC SA01935LA See FAA Fonn 337. 2 Installed aircraft perfonnance modifications FAA F 33 7 3: Installed Whelen Tail NAV/~trobe Li~t II~ STC Sft:!~!~!;: V.G. ln::atio~ 1/A/W STC SA8352SW-D. See FAA Form 3~7. 4 Removed Micro Aerodynarmcs V.G. mstallatton. Insta ked RAM STC Specifications. Pilots airspeed indicator replaced wtth

. NOTE* Pilots and co-pilots airspeed indi~ors face platesPii/Nem~ wzsi~AK (SIN Off 262AM SIN On 6651 ). Co-pilots airspeed indicator . b K 11 Instruments (thetr WO 130725) '

overhauled un1t Y e eAMy . ed by Keystone Instrument (their WO 12-158-2). PIN EA-5173 SIN 5853 repmr

Parts: 1 9910 IS4-Z Blow Down Bottle (OVH)

1 5727110-5 Actuator (OVH) 1 172010-01 Oxygen Regulator (OVH)

1 C J 66001-0817 Oxygen Bottle (NEW} 1 C 1660011-01 06 Capillary Tube 2 3011102 Fire Bottles (OVH) 1 Type 600 Filler ~ap 2 76219_7 Noise Suppressor

1 5100110-89 Fuel Lme

C40179 Brush Assembly 1 5118419-2 V~nt . l HC200SS Latch 1 Winglet Ship 421C Wmglet ~t 2

9910300-2 Tail Pipe (OVH) t 03-050504-10 Strake Ktt 1 00 12 Battery 1 AA Battery 1

t ~~9 Battery 1 01-0770006-08 Power ~upply 3

9910054-l Valve 1 VG5 SHIP V.G. Kit 1 01-0770024-01 Light Assembly 2 9910235-1 v.al~e

! 5122021-5 Seal I 5156001-3 ~:::~: 2 5122020·19 Seal 1 515600 l-4 A/S Ind. (OVH)

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4 5622010-4 Seal 1 A W2823AK . E 1 AN784D8 Fitting Misc. Hardware, 0-nngs, t~. d is airworthy with respect to 1 EA-5173 A/S Ind. (REP) dance with an Annual inspection under current Fl~d ~guth ~ants•:~:Ons for Continued Airworthiness

· · craft · ected in acco~ · raft d and comp te wt 1 1 certify that thts mr was msp ice Researched atrc recor s · the work perform~ and is approv~s ~;:::s~C~; Pertinent details are on file under W.O. 1669. contained in apphcable F AA~~Il.\

Tim Monroe TR20SI Airframe Class 3, Radio Class 1, 2 and 3 Summit Aviation, Inc., SM

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AJC Reg II : N88604 }./C ser # : 421 C0604 NC Make I Model : Cessna I 42 1 c

AJen . s Ale H . 696.90

ourM . eter : 653.10 WO# : MFWP2610

Date · o81 Serviced air-conditioning system with R- · · 17/2012

I 2 3

Secured mag~et1c compass mountin l2. Ops checked Replace bushmg PIN 5311225_7 i g screws as required gOOd. checked good. n upper main cabin e ·

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Replaced _1 hinge retaining nut PIN n11y door latch and Ita Cleaned mrcraft ~d treated deicer bACN832S with new on . tlached handle st lnstall~d new sw1tch tips on ped 0015: COpllot vent windo O!age ltceplacJc. 0ps Complied with AD 00-01-16 P~s:~ swnches_ as requested. w. Ops checked 800d Wlth AD 00-01-16 part e by pres y VIsual Inspection of .

8 9

Secured lJH engine oil c . sure check of exhaust exhaust systems ( nc Replaced RIH engine exh~~~~~! clip on filler neck. s:~:;::,s ( next due 8120 I ;\due 5746.9 actt or 911611 new hardware. Perfonned en . With new pin K99J0300 3good for sccunty 2 ). CornpliQJ

gme run. leak check good - . Elbow installed. .th . WI new gask

I certifY that this aircraft was repaired dl . ct pin 9910306-lllld . work performed and is approved for reS::motr mspected in accordance with mosc:. o serviCe Pen· current FAA . ment details are on til regulations and is .

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1 e under the rk auworthy ·th ____ wo order identlficd abo wva rtspect lo the

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Timothy Monroe SUMMIT AVIATION ,........ Summit Aviation, Inc. SMTR2081 Airframe Class 3 o .. ~:~ I

, 1'\&UU ' 2, 3 •• -% •

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AJC Reg# : N88604 AJC Ser #: 421C0604

AIC TT : 5736.80 AIC Hour Meter : 693.00

AJC Make I Model : Cessna I 421 C WO# : 3041 Date : 03/01/2013

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R~moved and replaced air conditioner hydraulic reservoir drain valve with a new unit PIN 5126207-2. Serviced system

wath MIL-H-5606. System leak checked ok. Comp!ied with AD 2001-01-16, Part b, by visual inspection of IJH and RJH exhaust system and Part e, by pn:ssurt urt

checkmg same. Found slight leak at RIH turbocharger-tailpipe connection. AdJusted R1H cngme taolpopc tit and~ tested again with no defects noted. Part b next due 50 Hours/30 Days (5796.9 sat I 411/13). Part c next due

12 on ·

(212014). Serviced nose tire to 35 psi and main tires to 80 psi per O:ssna 421 C P .O.Hl A.f.M. • 21085 and Bendix/King radar Rfl" Removed and reinstalled Bendix/King radar indicator IN-182A PIN 066-3084-30 SIN . 1 s ISU:nt ops cheeked good. RS-181A PIN 071-1375-30 SIN 25112 after repair by Lancaster Avionics ( thetr wo

17809" ?; p~ 9910126-3 (all Pit<

Replaced left voltage regulator PIN 99 10126-3 ( all PIN B-00296·3 ) SIN 9654 with new un1

B-00296-3 ) SIN 80652603. Adjusted system with no defects noted. . led unit PIN 74118-LAB SIN Removed hydraulic drive motor PIN 7 4118-LAB NISIN and replaced Wtth o~erh~ 170 and remstalled same ~606 OB03GW. Evacuated system. Removed ale compressor PIN SD-508 SIN °~044 d hydraulic system With MIL·H .tit R:ll. overhaul and spline replacement by Skyline Accessories (their wo 1941 ). s;r1~em and serviced freon s)~tcJII wo Replaced air conditioning sight glass with new unit PIN M124FZ. Evacuat sys Run up and leak check perfonned satisfactorily. .th respect to . and is airworthY WI

I certify th · . . t FAA regul811°ns · defltilied aiJOVC·

the at thas atrcraft was repaired and/or inspected in accordance wath curren d the work order

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work pe...&'. . . . d ·1 ... rl" on file un er .,onned and tS approved for return to servJce. Pertment etal s ~ ....

Summi

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AIC Reg #: N88604 AIC Ser #: 421 C0604

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A/C Make I Model: Cessna/421C WO#: 3526

orward from previous page

AIC TI: 5,749.5 AIC Hour Meter: 705.7

Date: 03/21/2013

I. Removed and replaced RH . T Op

h k . engme .l.T. probe with In 'gh In s c ec ed Wlth no defects noted. new 51 t strument Corp. PIN 2871, SIN 9429 probe.

2. Removed and r~placed RH engine #2 c Iinder . . Ops checked w•lh.no defects noted. y C.H.T. probe With new Insight Instrument Corp. PIN 2853, SIN 23737 probe.

3. ~~moved RH engme cowling and degreased en . . . mtscellaneous sections of cowling chafe seal wi~=~wPerfo~ed engme run up ~tth no obvio~s oil ~eaks .noted. Replaced Cam-Loc fasteners PIN 83412-106. matenal p/n JM105. Remstalled cowhng Wlth mascellaneous new

I certify that this aircraft was repaired and/ . . the wori< performed and is approved for re::.":!ccted m ~=rdance ~th current FAA regulations and is airworthy with respect to servace. ertment detatls are on file under the work order identified above. )

StammitAviation ~oth.v .~onroe rrunit Aviation, Inc.

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SMTR208l Airframe Class 3, Radio 1, 2, 3

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DATE AIRCRAFT TYPE 6/5/ 13 N88604 Cessna421C

SER. NO. 42lC0604

TACH TT SMOH 719.2 5763.0

Annual inspection completed this date in accordance with 14 CFR 43 appendix D and manufacturers instructions. Aircraft lubed and serviced. ELT tested in accordance with 14 CFR 91.207, no defects noted. Next due Annually. Replaced the nose wheel bearings and races, replaced one nose wheel dust seal. Serviced the speed brakes with 5606. Tightened the aileron cables. Resealed both fue! selector valves. AD 2000-01-16 CW by inspection of the exhaust, One clamp replaced on the right exhaust wastegate to tailpipe connection. Next due 5813.0 hours. AD 04-25-16 R I Fuel regulator shutoff valve complied with by inspection. no defects note~. Hex~ due 51!63.0 hours .. l certify that this aircraft has been inspected for an Annualmspecnon an~ was determmed to be

~

Ci~a~nAirlnc~.~~~~~~~~-~~~~~~~~.~~~~~~~~ Montrose CO. ,. Blak.y.freeland AP :!756383 lA

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DESCRIPTION OF WO SIGNATURE & CERTIFICATE NO ORK PERFORMED

. F PERSON PERFORMING WORK

TOTAL brought forward from previous page

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N88604 CESSNA 421 SIN: 421-0604 TIAF: 766.5 LANDINGS:

WO#: 30659

DATE: 10/9/13

AIRFRAME ENTRY

Accomplished the following maintenance lAW th C l> Flushed air conditioning systetn with isopropyl alc~ho~s;::n:~1 M/M or other approved/acceptable documentation

lines. Installed new receiver-dryer pin 9910157-5 ecelver dryer completely clogged. Removed rece l> Flushed compressed air through air condition in s tem t . •ver dryer and capped

check. No leaks found. Serviced and functional~h~ked 1~ ~~~~r~:~~:s:ituha~:~~~~4~~e~~~ized system with dry nitrogen for leak

All maintenance performed on this aircraft was performed . . in an airworth dit' · '" accorda nee With current regulatio f th F . t t· y con Jon and IS appr ved for return to service wrth respect to the work rf ns o e. AA and was determined to be repa1r sa ton under the above work rd pe ormed. Pertinent details are on file at this


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SER. NO. TACH TT SMOH 421 C0604 771.1 5814.9

DATE AIRCRAFT TYPE 7/2/14 N88604 Cessna 42IC

Annual inspection completed this date with reference to manufacturers instructions and 14 CFR 43 appendix D. Aircraft lubed and serviced. ELT tested in accordance with 91.207. no defects noted, next due annually. Resealed the nutplates on both fuel panels just inboard of the fuel caps and reinstalled the panels. Replaced the air filters on both engines, AD 84-26-02 no longer applicable. Replaced the aircraft battery with new Gill sealed battery. AD 00-0l-16 B.C and E CW by inspection, no defects noted. next due 7 I 15. AD 04-21-05 Janitro1 heater CW by pressure decay test, no defects noted. next due 7/16. AD 04-25-16 R1 Fuel regulators CW by inspection, next due 7115. AD 07-05-15 Starters para H CW by inspection, ne::xt due 7/15. I certifY that this aircraft has been inspected for an ANNUAL inspection and was determined to be in airworthy

condition.

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NC Tf : 5848.00

AJC Reg# : N88o04 AIC Ser # : 421 C0604

N'C Hour Meter : 8u4.~0

Date : 07/21/2015 AJC Make: 1 Model : Cessna I 421 C

wo # : 7781 I Serviced air conditioner with R -12 freon. Ops check good. Ref. Cessna 4 21 S(rv ice Manual. chapter 1>. s<etion 30.

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FAA re ula1ions and is airworth~ with resJICc'l to the wort<

I certify that this a•rcraft w~ repatred m ac~rdapncert ~ltht ~=~s are on f~c under the "ort.. order idcnttticd aoove. performed and is approved tor return to serv1ce. e men . ~ I

r

SummitAviation 1> nNIAWt<'-14 ~.il' COII'.,....y

)U\ 1d L Jnhnsnn summit A\ tattnn. Inc . SM'I R208l Airframe Class 3. RadiO L .2. 3

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r--- A/C Reg# : N88604 A/C Scr # : 421 C0604

A/CIT : 5855.50 A/C Hour Meter : 811 .70 Heater Hobbs: 1062.6 Date : 11/1712015

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D A/C Make I Model : Cessna I 421C WO# : 7794

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Complied with an Annual Inspection in accordance with 14 CFR Part 91 .409 (a)( I), Part 43.15 and Part 43. Appendix D and 200 Hour and 400. Hour Inspection and servicing items .. See Structural Testing Systems. Inc. log book entry dated 06 Aug 2015 for completmg the UH MLG Trunnion Inspection. AD's checked through BiWeekly 2015-23. Lubed gear and controls. P7rformed run up and leak checks, no defects noted. Checked atr conditioning freon system for leaks. Tightened fitting at right evaporator. Serviced system with 2.0 lbs. Rl2 Freon. Leak and ops check satisfactory. Ch~cked and reattached life jacket storage nets as needed. Adjusted RIH prop feather adjustment screw. Ran aircraft. ops check good. Removed and replaced left tach generator cannon plug with a new connector PIN MS3456L I OSL-3S. Ops check good. Rem~ved UH L MLG tire PIN 650C86-3, SIN 10842395 and tube PIN 092-344-0. Installed new tire PIN 650C86-3, SIN 4260-078 and new tu~e PIN 092-344-0. Inflated to 80 psi. Leak check good. Removed R1H MLG tue PIN 650C86-3, SIN 91590029 and tube PIN 092-344-0. Installed new tire PIN 650C86-3, SIN 42602047 ~d new ~ube PIN 092-344-0. Inflated to 80 psi . Leak check good. Replac7d Rtght Mam Outboard Wheel Half with new. PIN 162-01700 NSN. Compl~ed w~th 400 Hour Air Conditioning and Heat Exchanger Inspection. No defects noted. Compl~ed w~th 1 Year Emergency Exit Door Seal Operational Check. No defects noted at this time. ops check ok. Comphed With Annual Hoskins Fuel Flow !ndicating System ICA, Battery Replacement. Installed 3 ea new batteries PIN 2HYK9. Reference Hoskins Pilots Operating Handbook Document No. 204196-C dated 1/2/79 and FAA Form 337 dated 3115105. • Complied with Davtron Clock Battery Recommended 2 Year Replacement. Installed new AA battery PIN PC1500. Ops check good. Complied with 12 Month ELT Inspection per 14 CFR 91.207 (d) and ICA's on FAA Fonn 337 dated 11116/07. No defects noted. ME406 ELT PIN: 453-6603 SIN : 06818. Battery expires March 2018. Complied with 2 Year Magnetic Compass Calibration Check. Updated correction card. Complied with Left Engine Fire Bottle 3 Year Weight Check and Squibb Replacement. Removed UH engine fire bottle PIN 30111102, SIN 03030AI . Weight check: 4.15 lbs. Removed squibb PIN 13083-5, NSN and installed new squibb MFD 1115, PIN 13083-5, SIN 32288. Performed function test of annunciator panel. Reinstalled same fire bottle. Complied with Right Engine Fire Bottle 3 Year Weight Check and Squibb Replacement. Removed RIH engine fire bottle PIN 30111102. SIN 03039Al. Weight check: 4.15 lbs. Removed squibb P/N 13083-5, NSN and installed new squibb MFD 1/15. PIN 13083-5, SIN 32284. Performed function test of annunciator panel. Reinstalled same fire bottle. Complied with 3 Year Oxygen Bottle Hydrostatic Inspection. and 5 Year Regulator Function Check. Removed Oxygen bottle PIN C 166001-0817, SIN M 15314 and Oxygen Bottle Regulator PIN 172010-01, SIN 3656. Reinstalled same after testing by Aerospace Turbine Rotables Inc., CRS NV2R045L Reference their FAA Fonn 8130-3's dated 11 Aug 2015 for their W.O. W075762 and W075763. Serviced system and ops checked, no defects noted. Next Hydro due 8/2018. Bottle expires 3-2035. Removed Cabin Fire Extinguisher PIN C352 SIN W-746121. Installed new Fire Extinguisher PIN C352 SIN A-29698052. DOM July 20 14~ Wt. 41bs 11 oz. Complied with 400 Hour Hydraulic Filter Element Replacement. Removed and replaced main hydraulic filter PIN AN6235-2A with new. Leak check good. Complied with I Year Emergency Blowdown System Test. No defects noted. Complied with 1 Year Landing Gear Actuator and Control I Indicating System Functional Test. No defects noted. Complied with 2 Year Landing Gear System Rigging and Operational Check. No defects noted. Complied with 400 Hour Nose Landing Gear Drag Brace Inspection per Cessna MEB91-11 R I. No defects noted. Reference Structural Testing Systems Inc. log book entry, dated 06 Aug 2015 tor their W.0 .12389. Complied with 400 Hour Left Main Gear Forward Trunnion Support NOT Inspection per Cessna MEB85-11R4. No defects noted. Referen~e CRS QU2Rl22L NOT Report dated 14 Aug 2015 for their W.O. 01-37875 and Cessna 421C Maintenance Manual Section 4-10. Complied with 400 Hour Right Main Gear Torque Link Co1lar NOT Inspection per Cessna MEB89-2Rl . No defects noted. Reference CRS QU2R122L NDT Report dated 14 Aug 2015 for their W.O. 01-37875 and Cessna 421C Maintenance Manual Section 4-10. Complied with 12 Month Aft Body Strake ICA's per APM Document G3-050504-002, Rev. D dated 12/31109 and FAA Form 337 dated 315/12. No defects noted. Complied with Annual Strobe Light System ICA's per Royal Atlantic Aviation Document No. RAA-ICA-3. Rev . A dated 11114103 and FAA Form 337 dated 20 Nov 2006. No defects noted. Complied with Annual 1 J 00 Hour LoPresti High Intensity Discharge Lighting ICA's per LoPresti Installation Manual, Document No. LSM-500-0 I 0, Revision D, Section 4 and FAA Form 33 7 dated 10/6/06. No defects noted. Complied with 12 Month McCauley Synchrophaser and Governor System ICA's per FAA Form 8110-3 dated March 17 .. 2004 and FAA Form 337 dated 5112104. No defects noted. Complied with Annual Ameri-King Corp. AK-950-Gl-28H GPSINav Switching and Annunciator Panel ICA's perF AA Fonn 337 dated 0311212004. No defects noted. Complied with Annual Ameri-King Corp. AK-551-9 Regulated DC to OC Power Reducer Converter ICA's per FAA Form 337 dated 05 MAR 2004. No defects noted . Complied with Janitrol Cabin Heater Overhaul by removing heater PIN 02El7-l SIN 5781166 and installing an Overhauled unit PIN 02EJ7-l SIN 10761550. Leak check and ops check good. The installation ofheater SIN 10761550 with the C&D Associates, Inc. combustion tube and air pressure switch is an alternative means of compliance (AMOC) for terminating AD 2004-21-05, amendment 39-13826. This AMOC is approv~d by the F~ reference their. letter ~ated January 29. 2013. See C&D Associates, Inc. Alternative Method Of Compliance Requtrements for B-Senes Jamtrol Heaters for hourly and calendar inspection requirements for maintaining the heater. Replaced left and right engine Brackett air filter elements with new units P':N BA-13. Complied with Left and Right Forward Wing Spar 1000 Hour Web lnspe~uon . No defects noted .. Removed Left Engine #2 Cylinder Exhaust Riser PIN 9910295-39 and remstalled same after repaar by CRS NJ5R069N (W.O. 112713).

Continued next page

.geNo. __ _

DATE Performed Main Gear Whcd Alignment. 36 37 Complied with Life Vest 2 Year Recertification. Removed and reinstalled the following after recertification by CRS

KQI R279K (FAA Form 8130-3 Tracking number 0560): All next due AUG 31 2017. · PIN P0723E105P SIN 44039 PIN P0723EI05P SIN70166

. . PIN P0723EI05P SIN 44046 PIN P0723EI05P S/N56023

38

39 40

PIN P0723EJ05P SIN 43725 PIN 0723-103W SIN 31660 Removed R/H brake caliper. disassembled, cleaned, inspected and reassembled with new seals. Reinstalled on aircraft and bleed brake lines. Ops check satisfactory. Repositioned lower cabin door seal Pressurization leak check satisfactory. Complied with recurring 100 Hour I 12 Month AD 2004-25-16RI, Fuel Regulator ShutotTValve Inspection. No defects noted. Next due ACIT: 5955.5 or 11/2016.

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I certify that this aircraft was repaired and/or inspected in accordance with current FAA regulations and is airworthy with respect to the work performed and is approved for return to service. Pertinent details are on file under the work order identified above.

SummitAviation David L. Johnson Summit Aviation. Inc. SMTR208l Airframe Class 3, Radio I, 2, 3

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03/09/2017 N88604 Hobbs: 827.5 Cessna 421 C SIN: 421 C0604 TT AF: 587 J .3 1. Performed an annual inspection in accordance witb 14 CFR 43, Appendix "D" and the Cessna

Maintenance Manual. 2. See AD listings for AD compliance. 3. Inspected ELT in accordance with 14 CFR 91.207. Battery due: 03/2018. 4. Complied with AD2016-17-08 Elevator Trim Control Hardware, effective date: 09/12/2016, by replacement

of attaching hardware with new. Next Inspection due: 927.5 Hobbs. 5. Complied with AD2000-01-16 Exhaust Inspection, effective date: 02/15/2000, per paragraph (g), by removal

of left and right exhaust systems and sent out for evaluation/overhaul. Dawley Aviation completed evaluation/overhaul. Installed exhaust system. Next Inspection due: 877.5 Hobbs.

6. Complied with AD2004-25-16 Rl Fuel Regulator Valve, effective date: 06/20/2005, by visual inspection. Next Inspection due: 927.5 Hobbs or 03/2018.

7. Replaced left and right engine induction filters with new, (2)BA-13. 8. Replaced Jeft and right wing fuel capo-rings with new, (2)MS29513-338. 9. Completed weight check, 4.6 lbs. and visual inspection of cabin fire extinguisher. 10. Removed landing gear blow down bottle for hydro-test and installed, 9910154-2, SIN: 257. Hydro-Test

completed by DAS International Jet Spares, Inc. See maintenance release, Ref# 16240, dated: 01/12/2017 for details. Next Hydro-Test due; 01/2022.

11. Removed left engine frre bottle for hydro-test and instaiJed, 30111102, SIN: 03030A I. Hydro-Test completed by DAS International Jet Spares, Inc. See maintenance release, Reffl16240, dated: 01 /12/2017 for details. Next Hydro-Test due: 01 /2022.

12. Removed right engine fire bottle for hydro-test and instaJJed, 30111102, SIN: 03039AI. Hydro-Test completed by DAS International Jet Spares, Inc. See maintenance release, Ref# 16240, dated: 01112/2017 for details. Next Hydro-Test due: 01/2022.

13. Replaced radome boot with new, PM-56N. . 14. Adjusted Jeft engine alternate air door contr~J for proper ope~t1on. . . 1 certify that this aircraft bas been inspected an accordance w1tb an annualanspecta;:,.w: and was found to be in an airworthy condition.

Legacy Air, Inc I J 90S Corporate Way Broomfield, CO 80021 303-404-0277

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Richard E. Marcellus A&P 2882133 lA

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Annual inspection completed this date with reference to manufacturers instructions and 14 CFR 43 appendix D. Aircraft tubed and serviced. ELT tested in accordance with 91.207. no defects noted, ELT battery replaced, next due 9/23. Both alternators and regulators replaced with new units and paralleled, right wing locker arm replaced, right tip static wick replaced, Oxygen bottle hydrostatically tested, next due 11/21. AD 95-09-13 CW by float valve inspection, no defects noted, next due in 600 hrs. AD 2000-01-16 para. b, c and e CW by inspection, no defects noted, next due annually. AD 2004-25-16 CW by inspection of the fuel shutoff valve, no defects note<L next due annually. AD 2016-17-08 CW by inspection of elevator trim push rod, no defects noted, next due annually. I certify that this aircraft has been inspected for an ANNUAL inspection and was detetJnined to be in airworthy condition~. _,.

Cimarron Air Inc: _ __,fll!!...,/'~~~-z/~:-=:;: ..... =--~;:;-;;:;;:-;::;-;~~------Montrose CO BlaktFreeland AP 2756383 IA

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airframe maintenance records · battery pin rg24-20 sin 40040132. installed new lt auxiliary fuel...

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