maintenance/inspection entries - … · tire pin 265k08-1 sin 41920440 wheels inspected i.aw. b-200...

01 MAINTENANCE/INSPECTION ENTRIES

Serial Number Aircraft Model--------~-------------~

Reg#~----------- Owner's Name ~-------------

N67FS A/C S/N BB1032 TT:

LOG ENTRY

AB AIRCRAFT COMPANY 6768 BECKWITH RD. MT. JULIET, TN. 37122 PH: 615-754-9251

DATE: 5-17-05

REFINISHED PILOTS SIDE . COCKPIT WINDOW TO .248 LOWEST READING. REFINISHED CO-PILOTS SIDE COCKPIT WINDOW TO .246 LOWEST READING. REFINISHED EXIT WINDOW TO .193 LOWEST READING: REFINISHED LH #1 CABIN WINDOW TO .213 LOWEST READING. REFINISHED LH #2 CABIN WINDOW TO .200 LOWEST READING. REFINISHED LH #4 CABIN WINDOW TO .205 LOWEST READING. ALL WINDOWS WERE REPAIRED & INSPECTED IN ACCORDANCE WITH MAINT MANUAL P/N 101-590010-19, CHAP. 56 IN ACCORDANCE WITH MILSPEC25690B. THE AIRCRAFT COMPONETS IDENTIFIED ABOVE WERE REPAIRED AND INSPECTED IN ACCORDANCE WITH CURRENT FAA REGULATIONS AND IN RESPECT TOTHE WORK PREFORMED THEY ARE CONSIDERED AIRWORTHY FOR JR;E'flURN TO SERVICE UNDER WO# 2156. ---1

DATE: 5-17-05

N67FS A/C S/N BB1032 TT:

A&P 252295366 SIGNED~-5'-

- - ----~-----~-------!

LOG ENTRY

AB AIRCRAFT COMPANY 6768 BECKWITH RD. MT. JULIET, TN. 37122 PH: 615-754-9251

DATE .: 5-17-05

REFINISHED LH #5 CABIN WINDOW TO .190 LOWEST READING. REFINISHED RH #1 CABIN WINDOW TO .218 LOWEST READING. REFINISHED RH #2 CABIN WINDOW TO .216 LOWEST READING. REFINISHED RH #4 CABIN WINDOW TO .226 LOWEST READING. REFINISHED RH #5 CABIN WINDOW TO .205 LOWEST READING. ALL WINDOWS WERE REPAIRED AND INSPECTED IN ACCORDANCE WITH MAINT. MANUAL P/N 101-590010-19, CHAP. 56 IN ACCORDANCE WITH MILSPEC25690B. THE AIRCRAFT COMPONETS IDENTIFIED ABOVE WERE REPAIRED AND INSPECTED IN ACCORDANCE WITH CURRENT FAA REGULATIONS AND IN RESPECT TO THE WORK PREFORMED THEY ARE CONSIDERED AIRWORTHY FOR RETURN TO SERVICI UNDER WO# 2156.

DATE: 5-17-05 A&P 252295366 SIGNE~

6/22/05 N#: 67FS Hobbs: 7861.40 Cycles: 7615

MAINTENANCE/INSPECTION ENTRIES

A/C: B-200 SIN BB-1032 ACTT: 8487.46

Installed new #2 main tire PIN 265K08-1 SIN 42030040 and new #3 main tire PIN 265K08-1 SIN 41920440 wheels inspected I.AW. B-200 M.M. Installed Air conditioning conversion kit to R134 per STC A24CE. Installed new Compressor Belt PIN 115-389009-3. Installed new tube assembly (Freon Bypass) in nose wheel well PIN 101-555143-5 and 2 Ea. Unions PIN 131533-815.,.6D on same tube assembly. Serviced I.AW. installation manual for STC. C/W Cockpit Fire Bottle Weight Check. Next due: 6/06. Installed serviceable Oxygen Bottle P/N 801293-10 SIN AE-51323. Hydrostatic Test completed 5/05. Resealed Passenger Shut Off Valve with new orings. Lubed ALL Wing Attach Bolts. C/W Upper and Lower Spar Cap Inspections. No Discrepancies noted. Next Due: 6/06 . Installed NEW De-ice boots in the following locations: L/H Horizontal Stab PIN SMR 5041-5 & R/H Wing INB Section PIN SMR 5041-14. Installed 7 Ea. NEW Polarizers PIN AP01251411-1F & AP01251411-3R in the following positions: R/H cabin windows 1-6 and L/H cabin #2. Installed 2 Ea. Main Cabin Windows PIN PASlOl-930183-5 in the following positions: R/H #4 & L/H #3. Remaining cabin windows inspected and polished by AB Aircraft Company Inc. see their log entry for complete details. Installed NEW Windows in both LIB & R/H Teardrops. PIN LP-1121CL & LP-1122CL. Note: L/H Teardrop had previously been replaced. Holes were O/S to -6. Sent all data I.E. Hole sizes, skin thickness, ECT. To the following DER for review and appropiate corrective actions: A Arango Aircraft Consulting, DERT-51-005-CE. L/H window installed per engineering order# 53-05-01 dated 05-31-05. Installed NEW R/H Windshield PIN 101-384025-22 SIN 93004H3249 using ALL NEW screws. Re-Torque Due in 200 Hrs@ 10877.7. Installed REPAIRED L/H Windshield PIN 101-384025-15 SIN 95021H2007 using ALL NEW screws. Re-Torque Due ·n 200 Hrs@ 10877. 7. Window repaired by Perkins Aircraft Services, CRS JKQR257L on their W/O 022179 Dated 5/4/05. All Exhaust Stacks sent for inspection/repair as necessary to: Dawley Aviation, CRS NJ5R069N on their W/O 86827 Dated 5/12/05. Installed NEW Oil Pressure Transducer PIN 101-389023-7 SIN 6961-8-378 on L/H Engine. Installed 2 Ea. CR3243-6-1 l Rivets in L/H MLG OTB Door Stop. Installed NEW Concord Sealed Main Battery PIN RG-380 I.AW. STC # SA01260WI. TWAS installed this date by Averitt Aviation CRS TC4R539M on their W/O 30236. System meets requirements for TWAS Class "B". Equipment list & Weight & Balance revised this date. Installed NEW Prop De-Ice Brushes on both L/H & R/H Engines. PIN 2190-1. Removed BOTH L/H & R/H MLG Brake De-Ice manifolds and associated hoses to de-ice valve assemblies in MLG wells. System Placarded INOP. Weight and Balance revised to reflect removal. C/W L/H & R/H MLG and Nose gear Drag Brace, Axel Assembly and Torque Link Inspections. No Discrepancies noted. Next Due@: 16847.46 or 6 years whichever occurs first. Installed the following parts in Landing Gear System: 1 Ea. Shock Cyl. PIN 99-820100-5 SIN AM1023 -636. Shock Strut O/H accomplished by Professional Aircraft Accessory, CRS P81R813N on their W/O 0112620. All Landing gear shock struts assembled with NE\.V 0-Rings and I.AW Beech B-200 M.M .. C/W Landing Gear Motor, Gear Box and Clutch Inspections. Installed O/H Gear Motor PIN 115-

02


Aircraft Model---------- Serial Number ________________ _

Reg# ____________ _ Owner's Name ~---------------~

380002-5 SIN 3141. Motor O/H by L-3, CRS SL4R522M on their W/O 01 5727. Installed NEW Motor Coupler PIN 115-811026. NEXT Due@: 16847.46 or 6 Years whichever occurs first. Both L/H & R/H Engines Removed and Reinstalled by Standard Aero, CRS AEOR215N on their W/O SD561463 dated 6/23/05 after Complete OIH's. See Standards Log Entry for complete details of all work performed.

Timothy A. Haight 564250355 A&P ~~ Cl... . \~

A VER/TT AVIATION, Inc.

June 24, 2005

Installed the following equipment

N67FS S/N BB-1032

ACTT 0'-'S1. 'i~ LN 0 "'7':.l -S

1. Honeywell KGP-560 (GA-EGPWS) Enhanced Ground Proximity Warning System per Honeywell Installation Manual PIN 006-10611 -0003, rev. 3, dated 6/16/2003. Installed KGP-560 computer on lower shelf of LH nose avionics bay beside radar R/T. OAT probe P/N 05257 installed on belly access panel just aft of nose gear. A KA-92 GPS antenna was installed on upper cockpit skin at sta. 130.0. Power for the KGP-560 is provided by a~ amp circuit breaker labeled TAWS installed in the avionics C/B panel. System programming and post installation checks completed per installation manual. This unit meets requirements for TAWS Class B minimum requ irements.

2. Mid Continent MD41-1208 Terrain Awareness Annunciator Control Unit per Installation Manual P/N 901 2220, rev. 1, dated 9/26/2001. Unit installed in LH side of instrµment panel glareshield.

A Flight Manual Supplement dated 6/5/2005 was written for this installation and inserted into the Aircraft Flight Manual. Updated equipment list and weight & balance data.

This aircraft was repaired in accordance with the manufacturers maintenance manuals. A ll systems interrupted have been tested and/or leak checked as necessary.

The aircraft, airframe, aircraft engine, propeller or appliance identified above was repa ired and inspected in accordance with current federal aviation regulations and is approved for return to service. Pertinent details of the repair are on file under work order number 30236.

Signed ~ ( ... ----8~ For A VER/TT AVIATION, Inc. CRS TC4R539M

/

l l (

' --1. Approving National Aviation AUTHORIZED RELEASE CERTIFICATE 3. Form Tracking Number

Authority/Country 0266229 FAA/UNITED ST ATES FAA Form 8130-3, AIRWORTHfNESS APPROVAL TAG

4. Organization Name and Address 5. Work Order/Contract/Invoice#

Aero-Mach Labs, Inc., 7707 E. Funston, Wichita, Ks, 67207, USA 0266229 6. Item 7. Description 8. Part Number 9. Elig* 10. Qty 11. Serial/Batch# 12. Status/Work

1 PERCENT 5609-03 N/A 1 30L47 OVERHAULED TACHOMETER 50-380034-3

13. Remarks

BEECH 50-380034- REV.A 1/88 Aero-Mach Labs, Inc. certifies that the work specified in Blocks 12 and 13 was performed in accordance with EASA Implementation Rule part 145 approval, and with respect to that work, the aircraft component is considered ready for release to service under EASA approval number EASA.145.4048.

14. Certifies the items identified above were manufactured in conformity to: 19. ~ 14 CFR 43.9 Return to Service ~ Other regulation specified in Block 13

D Approved design data and are in condition for safe operation Certifies that unless specified in Block 13, the work identified in Block 12 and described in Block 13 was accomplished in accordance with Title 14, Code of Federal

D Non-approved design data specified in Block 13 Regulations, part 43 and in respect to that work, the items are approved for return to service.

I 5. Authorized Signature 16. Approval/Auth No TI'~s;gnamQ ~

21. Approval/Certificate No

NU2R044L , ._A

17. Name (Typed or Printed) 18. Date (m/d/y) 22. Name (Typed or Printed) 23. Date (m/d/y)

SHARON PROVINCE Jun/29/2005

User/Installer Responsibilities

It is important to understand that the existence of this document alone does not automatically constitute authority to install the part/component/assembly. Where the user/installer performs work in accordance with the national regulations of an airworthiness authority different than the airworthiness authority of the company specified in Block 1, it is essential that the user/installer ensures that his/her airworthiness accepts parts/components/assemblies from the airworthiness authority of the country specified in Block 1. Statements in Blocks 14 and 19 do not constitute installation certification. In all cases, aircraft maintenance records must contain an installation certification issued in accordance with the national regulations by the user/installer before the aircraft may be flown.

FAA Form 8130-3 (6-01) *Installer must cross-check eligibility with applicable technical data NSN: 0052-00-012-9005

'IERO-MACH LABS INC. 7707 E. FUNSTON WICHITA, KANSAS 67207 316-682-7707 FAX NO. 316-682-3418 800-221-4678 www.aeromach.com

WORK ( lDER FAA. NO. r , ~k044L

AS 9100 I ISO 9001 CERTIFIE1J

Bill To: PROOOl Ship To: PROOOl PROFESSIONAL AVIATION ASSO. PROFESSIONAL AVIATION ASSO. 4694 AVIATION PARKWAY 4694 AVIATION PARKWAY SUITE K SUITE K ATLANTA, GA 30349 ATLANTA, GA 30349

Previous W/O: 0

Discrepancy/Complaint/Instructions: NONE GIVEN. OVERHAUL. ADVISE BEFORE PROCEEDING.

I Inspection/Hidden Damage/In-Process Inspection: GLASS IN CASE FOGGED, CASE LEAKS, DIALS AND POINTER FADED, WE RECOMMEND THIS UNIT TO BE OVERHAULED, AND BEARINGS NEED TO BE REPLACED WHEN OVERHAULED.

By: BONNIE L. TACKITT

Work Performed: DISASSEMBLED, CLEANED, INSPECTED AND REPAIRED AS NECESSARY. REASSEMBLED AND FUNCTIONALLY TESTED IN ACCORDANCE WITH CUSTOMER'S SPECIFICATIONS. OVERHAUL COMPLETE.

BEECH 50-380034- REV.A 1/88

Job Order No . : 0266229 Order Date ... : 6/13/2005 Item Number .. : 5609-03 Customer P/N.: 50-380034-3 Description .. : PERCENT TACHOMETER Mfr. Name .... : AERO-MACH LABS, INC. Mfr. Date .... : 12/1/1990 Serial Number: 30L47 Purchase Ord#: 028465 Packing Slip. :

Qty Part Number/Description

1 5609-1: CASE ASSY 2 BEARING16: BEARING 1 DIAL2

Final Inspection: Certified Repairman: { Technician . ....... ·i:· r::E TAr2T Warranty Information - Aircraft No:

DEWAYNE SCHMIDT

By: ~~\ :IE .;

AML WO W/P (Rev. 3/04)

Certificate Number.: ..._ ..LJ . ..c..

Date Completed ..... : ~-'02,9-4 y·

R quested . . : None: X AML _ Mfgr _ Repair Type: Overhaul -Responsible: Cust: X AML _ Mfgr _ Rev : 07/15/03


Aircraft Model--------- Serial Number ______________ _

Owner's Name Reg# ___________ _ ---------------

____ ~111B1M EMBRAER

LOGBOOK INSERT

LICENSE NUMBER

July 16, 2006 N800TS S/N: BB-1032 TAT:~SJA'9TAC: ,<OlS" Page1 of1

1. This aircraft stripped then painted using P & L JetGlo Matterhorn White 570-535, Ming Blue 10714 and Silver Platinum 10656 in accordance with EAMS Paint Process Specification EAMS AA0010. Flight control surfaces removed, balanced, reinstalled and operationally checked following paint. Placards installed in accordance with the Aircraft Maintenance Manual.

2. Aircraft registration number changed from N67FS to NSOOTS.

THE AIRCRAFT, AIRFRAME, AIRCRAFT ENGINE, PROPELLER, OR APPLIANCE IDENTIFIED ABOVE WAS REPAIRED AND INSPECTED IN ACCORDANCE WITH CURRENT REGULATIONS OF THE FEDERAL AVIATION ADMINISTRATION AND IS APPROVED FOR RETURN TO SERVICE. PERTINENT DETAILS OF THE REPAIR ARE ON FILE AT THIS REPAIR STATION UNDER: WORK ORDER NO: 212551 & 212552 DATED July 15, 2005 •

SIGNED et2='#;2?.~ OOS"I 10 AIRWAYS BLVD ' NASHVILLE, TN 37217 USA

6/22/05 N#: SOOTS Hobbs: 7861.40 Cycles: 7615

FOR EMBRAER AIRCRAFT MAINTENANCE SERVICES FAA REPAIR STATION AYS&744M

NC: B-200 SINBB-1032

ACTT: 8487.46

Interior removed, refurbished, and re-installed by Hubble Aircraft Interiors u~ing materials as follows:

Seats: Leather- Douglass PIN LL3863 Foam: Scandia Sheepskin: PIN SS-earth Seat belts: (see work order) Headliner: Douglass-PIN DEF-CD286 Side ultra leather-Douglass-PIN DEF-CD-193 Carpet: Avalon Imagery-Roll# 00792 Wood work: (see lab ID #7633)

All work done I.AW maintenance manual. The work performed as described above has been inspected I.AW. current FAA regulations and was determined airworthy at this time.

Jeff Winget 280602405 AP/IA _ _ ;;t~~~t__..&,,__,,,,~-/--=---------


Aircraft Model---------- Serial Number ________________ _

Owner's Name Reg# ____________ _ ----------------~

DATE: 9/30/2005 AIRCRAFT REG: N800TS MAKE I MODEL: Beech B200 AIRCRAFT SIN: BB 1032 HM: 000.0 AIRCRAFT TT:??? ~!!!J:l.9,!3.2.. Removed hour meter reading 7,861.6 and installed a new hour meter reading 000.0. Installed a new hour meter pressure switch PN 76575-4 in the P3 line. Installed a new air conditioning system compressor PN 1131325, drive belt PN 115-389009-3 and receiver dryer PN I 936T200-7. Removed, cleaned, checked and reinstalled both expansion valves. Flushed freon lines. Serviced system with compressor oil PN 95-6920. Evacuated, leak checked and serviced system with R-134

freo~ :7 Signature /C7 ~ c • ~ 7. Ronald A. Schmidt, AP 14 749761 A Schmidt Aviation Inc. I 020 NW 62" Street, Hangar #6 Ft. Lauderdale, FL 33309

(954)-772-0772 Fax(954)938-5173 [email protected]

AIRCRAFT REG: N800TS 8'51/. ol.. DATE: 10/19/2005 MAKE/ MODEL: Beech 8200 AIRCRAFT SIN: BB I 032 Installed a ne\~Ounting bracket part number 90-530144-13 for the cabin door snubber. SignaturC- ..,, - .,,.. Ronald A. Schmidt, APl4749761A

Schmidt Aviation Inc. I 020 N°\Vt:Z"<l-Street .Hangar #6 Ft. Lauderdale, FL 33309 (954)-772-0772 Fax (954) 938-5173 SCHMIDT A [email protected]

e.- .......... DATE: 1111/2006 AIRCRAFT REG: N800TS MAKE I MODEL: Beech 8200 AIRCRAFT S/N: 881032 8584. I HM: 84.7 AIRCRAFT TT: ?? Installed a new Goodyear 22.7.75-1 0-8 Goodyear Fl ight Custom III tire on the nose wheel. Installed new Goodyear 22.7.75-10-10 Flight Special tires on both outer main wheels. Balan~talled_39d~heels. Signa~: ~~ ~onald A. Schmidt, APJ474976IA Schmidt Aviation, Inc. I 020 NW 62"d Street, Hangar #6, Ft. Lauderdale, FL 33309

(954) 772-0772 Fax (954) 938-5173 SCHMIDT A [email protected]


Aircraft Model-------- Serial Number _________ _____ _

Reg# ___________ _ Owner's Name ______________ _

DATE 9-1 4-05 TACH _____ HOUR METER 7861. 4

MFG/MODEL Beech B200 SERIAL BB1 032

I certify that this aircraft was weighed in accordance with AC43.13-1 B in level flight attitude inside a closed hanger. Weighed with full oil. Weighed with fuel tanks - cbtl-±-±----------------Scale readings were:

LH MAIN 5176. 0 RH MAIN 5214. 0NOSE/TA1~ __ 1_5_4_3_._0_ ------1

299C, Serial 1239 Calibrated 8-1-05

--'~~4-.J.~--1-- AIRFRAME NO: 3 2 4 6 4 7 4 7 7

AIRCRAFT WEIGHING CORP. 1020 N.W. 62nd St, Hgr #6 954-928-1619 Ft. Lauderdale, FL 33309


Aircraft Model--------

Reg# ___________ _

N800TS

V26l2006 8615.5 AC.TT 7678CYCLES 116.2 E.T.T.

Serial Number ______________ _

Owner's Name--------------

l. INSTALLED NEW A/C COMPRESSOR PIN 1131325 SIN 082905-A3AND BELT PIN llS-389009-3, SERVICED COMPRESSOR W ITH 10 oz RUOOS ESTER OIL AND SERVICED HIGH SIDE OF SYSTEM WITH 24 oz RUOOS ESTER OIL AFTER FLUSH. CHARGED W ITH 145 oz OF R-134 FREON PER PAGE 31 OF ENGINEERING ORDER 95080800 REV D 04107198.

2. INSTALLED A SERVICABLE R/H STORM W INDOW FROM DODSON INTERNATIONAL PARTS, INC. PIN 101-420080-6.

ALL WORK WAS ACCOMPLISHED I.AW . THE BEECH CRAFT M.M. FOR THE B200 SERIES KING AIRAND THE FEDERAL AVIATION REGULATIONS PERTAINING TO SUCH WORK. I CERTIFY THAT THIS AIRCRAFT HAS BEEN INSPECTED IN REGARDS TO THE ABOVE WORK AND IS AIRWORTHY FOR RETURN TO SERVICE AT THIS TIM E.

Timothy A. Haight A&P 564250355 IA

1111 I I


Serial Number Aircraft Model--------~-------------~

Reg#~-----------

NSOOTS

112712006 8616.5 AC.TT 7679 CYCLES 117.2 E.T.T.

Owner's Name ---------------

1. TIS R/H BLEED AIR FAIL LIGHT, FOUND SEN CE LINE AFT OF REAR SPAR HAD PIN HOLE IN AREA OF CLAMP. REMOVED DAMAGED AREA AND INSTALLED BEECH REPAIR KIT PIN 101-970093-1 I.AW. MM. PLACED LINE UNDER VACUME TO CONFIRM SYSTEM INTEGRITY. NO LEAKS NOTED. REINSTALLED ALL REMOVED ACCESS PANELS.

2. SERVICED ALL TIRES WITH NITROGEN, MAINS 62 PSI, NOSE 60 PSI.

ALL WORK WAS ACCOMPLISHED I.AW. THE BEECHCRAFT M.M. FOR THE B200 SERIES KING AIRAND THE FEDERAL AVIATION REGULATIONS PERTAINING TO SUCH WORK. I CERTIFY THAT THIS AIRCRAFT HAS BEEN INSPECTED IN REGARDS TO THE ABOVE WORK AND IS AIRWORTHY FOR RETURN TO SERVICE AT THIS TIME.

Timothy A. Haight A&P 564 250355 IA

\~~-~


Aircraft Model--------- Serial Number ________________ _

Reg# ___________ ~ Owner's Name----------------

DA TE: 1124/2006 MAKE I MODEL: Beech 8200 HM: 112.9

AIRCRAFT REG: NSOOTS AIRCRAFT SIN: 881032 / 8012.

AIRCRAFT TT:?? Installed air conditioner evaporator blower assembly PN EM640-1 , SN 570, overhauled by FAA Repair Station PX2R099L on their WO AM2 I 119. Installed blower speed controller PN EM209 I -6, SN 17928, repaired and ce1iified by FAA Repair Station VIB4368K on their WO 52922C. Checked operation of evaporator blower ssembl . Serviced all three landing gear struts with nitrogen. Signatur : Ronald A. Schmidt, AP14749761A Schmidt Aviation, Inc. 1020 NW -&r-est, Hangar #6, Ft. Lauderdale, FL 33309

(954) 772-0772 Fax (954) 938-5173 SCHMIDT A [email protected]


Aircraft Model---------- Serial Number ______ ___________ _

Owner's Name-----------------

LOG BOOK ENTRY AIRCRAFT REG: N800TS SERIAL: BB-1032

MODEL: KA-200 HOBBS:

·WORK PERFORMED Installed NAT STX-100-000 Satcom System. Installed Sensor System LNA I Diplexer. See FAA 337 dated March 27, 2006

MAINTENANCE RELEASE The aircraft, airframe, or appliance identified above was repaired and inspected in accordance with current maintenance rules of the Federal Aviation Regulations

and is approved for return to service

Pertinent details are on file at this repair station under

W~ orpe~to 58~ Date March 27, 2006

Inspector -\ ~_j.I 1 & M (~u:v C.. International Avionics Management, Inc

FAA Approved CRS 18AR211X 1525 N.W. 56th Street Fort Lauderdale, Fl 33309

Phone 954-958-8006 fax 954-938-2008

.-, STEVENS AVIATION INC.

' GREENVILLE, SC Owner/Gp rator: TS AVIATION SERVICES

Work Order No:

Aircraft Type:

36996/200

BEECHCRAFT

Date:

Aircraft Model:

Aircraft Reg No: N800TS Aircraft Ser No:

Equipment Description CABIN ALTITUDE SWITCH

Manufacturer:

Part No:

Serial No:

PRECISION SENSORS

101-384028-33

286

4/5/2006

B200

BB-1032

Item Description : ANNAUL CABIN ALTITUDE WARNING SWITCH TEST

Action Taken:

Hour Meter:

Performed annual cabin altitude warning pressure switch test and inspection iaw Beech B200 MM Chapter 21-30-00. Found switch out of tolerar.ce. Removed switch p/n 101-384028-33, s/n 286. Installed new cabin altitude switch p/n 101-384028-43, s/n 439. Performed annual cabin altitude warning pressure switch test and inspection iaw Beech B200 MM Chapter 21-30-00. Ops check of switch good.

The maintenance item (s) identified above has been inspected and the item (s) are approved for return to service. Pertinent details of the repair (s) are on file at this agency.

Signed: 4~~~ For STEVENS AVIATION, GREENVILLE, SC 29605, CRS VIBR368K

WORK ORDER NUMBER GYH. 36996/200

STEVENS AVIATION INC. GREENVILLE, SC

Owner'/GIOJerator: TS AVIATION SERVICES

Work Order No: 36996/200 Date:

Aircraft Type:

Aircraft Reg No:

Equipment Description

Manufacturer:

Part No:

Serial No:

BEECHCRAFT Aircraft Model:

N800TS Aircraft Ser No:

4/5/2006

B200

BB-1032

Item Description: OXYGEN BAROMETRIC PRESSURE SWITCH TEST Action Taken:

Hour Meter:

SA-0505

Performed a.nnual oxygen barometric pressure switch test and inspection iaw Beech B200 MM Chapter 35-00-00. Ops check of switch good.

The .mainten~nce item ~ s) identified above has been inspected and the item (s) are approved for return to service. Pertment t 1ls of the repair (s) are on file at this agency. Signed: rL.~i{j~~~~~:::: _______________ _

For STEVENS AVIATION, GREENVILLE, SC 29605, CRS VIBR368K

WORK ORDER NUMBER GYH. 36996/200 -----------

SA-0505

1. APPROVING NATIONAL AVIATION 2. AUTHORIZED RELEASE CERTIFICATE 3. SYSTEM TRACKING REF. NO.

AUTHORITY/COUNTRY: FAA Form 8130-3 147094 FAA/UNITED STATES Airworthiness Approval Tag

4. Organization 5. Work Order, Contract, or Invoice Number

AMERON GLOBAL PRODUCT SUPPORT CRS RU2R148L GYH.46248PM 10271 BACH BOULEVARD, ST. LOUIS, MO 63132

6. 7. 8. 9. 10. 11 . 12. Item Description Part Number Eligibility* Quantity Serial I Batch Number Status I Work

1 OXYGEN 801292-01 N/A 1 3551 OVERHAULED REGULATOR

13. Remarks

'

1. DISASSEMBLED, CLEANED AND INSPECTED ASSEMBLY.

2. REPAIRED AS NECESSARY:

3. REASSEMBLED,SERVICED AND TESTED PER \;\-\\,?) REVISION A ~~-'&~ AD'S N\f\

4. HYDROST A Tl CALLY T~STED ( ) YES ·;( SERVICE BULLETINS ·--

( · ) N/A ( ) SPEC ~1~

NEXTHYDROTESTDUE i0 ll\, . 5. WORK ORDER ATTACHED. MECHANIC: ~ DATE: ~ ~O ·· C>\o 6. ADDITIONAL COMMENTS

CUSTOMER: STEVENS AVIATION CUSTOMER P/N N/A -

Limited life parts must be accompanied by maintenance history including total time/total cycles/time since new. 14. 19· ~ 14CFR 43.9 RETU RN TO SERVICE D OTHER REGULATIONS SPECIFIED IN BLOCK 13

~ Approved design data and are in a condition for sat peration. ' Certifies that unless otherwise specified in block 13, the work identified in Block 12 and described in Block 13 was accomplished in accordance with Title 14, Code of Federal Regulations, part 43 and in respect to that work, the items are approved for

~ Non-approved design data specifie Block 13. return to service.

~ 15.Signature 7 T6. FAA Authorization No.:

.~t~~~~~ 21. Certification Number

CRS RU2R148L cz:ped or Printed): Ta. Date: 22. Name (Typed or Printed)

~ 23. Date:

DAVE OFFl (.j 03/13/06 FAA FORM 8130-3 (06-01) *(Optional) Installer must cross check el1g1b1l1ty with applicable technical data.

FAA Forms 8130-3 Airworthiness Approval Tag User/Installer Responsibilities

It is important to understand that the existence of this Document alone does not automatically constitute authority to install the part/componenUassembly.

Where the user/installer work in accordance with the national regulations of an Airworthiness Authority different than the Airworthiness Authority of the country specified in block 1 it is essential that the user/installer ensures that his/her Airworthiness Authority accepts parts/components/ assemblies from the Airworthiness Authority of the country specified in block 1.

Statements in block 14 and 19 do not constitute installation certification. In all cases aircraft maintenance records must contain an installation certification issued in accordance with the national regulations by the user/installer before the aircraft may be flown.

The FAA Form 8130-3 and JAA Form One are equivalent. Other Countries such as Canada also have equivalent acceptable documents. FAA Form 8130-3 INSTRUCTIONS

10271 BACH BLVD., ST. LOUIS, MO 631 32

Ameron Global Product Support Work Order #147094

CRS# RU2Rl48L 03109106

I. WORK ORDER: 147094 C USTOMER: STEVENS A VIA TTON, INC (2200) C USTOMER'S ORDER: GYH.46248PM

II. PART NUMBER: 801292-01

REGNALVE P/N: 801292-01

ASSEMBLY S/N: ___ ____ _

REGNALV E S/N: 3551

DESC: REGULATO MFG: SCOTT AVIATTON

CYLINDER S/N: NIA

III. Work Performed: _X_ OVERHAUL REPAIR INSPECT

HYDROTEST Other requirements : ______________________________________ _

IV. Data Used: _ _ g\.__,,_-\'.~:1~'-'~~----------- Revision: ~/\_,,_ _ _ _ _ \;_\~JtS~L\~--------- SBs/ADs: _ _ _ _ _ _ ____ _

Cylinder Information: Date Mfr'd: _ ____ _ Last Hydro Test: _ _ ___ _ Date: ~ - \\) ()~

VI. Corrective Action: Instructions: Initi al numbered and lettered ena·ies that apply. Initials indicate step was complied with. All other entries to be completed as they apply.

I~ Disassembled (Required for Overhaul). 2~1eaned and Inspected (Required for Overhaul). 3~ Repaired as necessary (Required for Overhaul).

4. _ Replaced all required parts

PIN Description Qty Serial/Lot P/N Description Qty Serial/Lot

efD\?:>'o 6555 GASKET _L 0-c:>1~ 51.~24-00 VA LYE CORE j_ ~J"]<J AS3 582-00 (, 0-RING .L \0\.2:ft\

PACKING _L

?_?_~'!_~••mnm•••••••-~~-~•m••mmm•• • ••••mmnmnd-•••-mn•QQJ.7-f\ ...................... _m••mnm••n•• •m•-•••nnn••••mm••••••••nn• • •••=• ••-mn•m•• • • • •n•••••••~••mmnnnmm I 0000489 SPACJ"..R 8820-10 FILTER

100fil 340 WASHER A~ DECAL

1000600_l SAFETY DISC A l96 DECAL

226Q5-03 SAFETY FITTING A209252 SAFETY CAP

2824-QO J\JAMJ.OPLATE AN8 16-6-2D NIPPLE FrfTING

5104-2_500 ASC-)j>lIIP, CAP AN960_:_8 :WASHER

51_04-2900 A.~C-1_ ~.t)l P . CAP ASC-6 ASC-6 SHIP. C~

5 I_04-3000 ASC-5 SHIP. CAP

800207-QQ VAL VE ASS EMBLY

M.S35265-5 I SCREW a_ \T~~'1 MS35265 -52. SCREW I \~M<o _l ~\'l \

8_Q l297-0t L_EVER OA209252 SAFETY CA P

---· - -----

. ~Reassembled (Required for Overhaul). 6. _ Recharged . ~ested (Required for Overhaul).

8. _ Hydrostatically Tested: a. Date tested: ____ _ b. Next Hydrostatic Test due: ____ _ c. Cylinder service life expires: ____ _

9. _No work accomplished : a. _ _ Beyond Economical Repair b. l! NSALVAGEABLE PART

c. Returned to customer "AS-IS" d. __ Disposed of at A.G.P.S.

IO. Fire extinguisher service data: Empty weight : ____ _ Returning Less: (per customer's instruction)

Agent weight: _ __ _ Ca rtridge(s) _ __ _

N2 Weight/Pressure: _ _ _ _ . _____ psi Less cartridge(s) _ _ _ _ Outlet(s) ___ _

Total Weight: _ _ _ _ Less outlet(s) ___ _ Mounting Hardware _ _ _ _

J ------- --- - - -

TEARDOWN REPORT AMERON GLOBAL PRODUCT SUPPORT - St. Louis, MO FM Repair Station RU2R148L

Work Order No: __ _._\ l-\_J~Cj=----P\__,_~~----Part Number. __ ~-"'· "-=·~~\'-""~--'~_,_'ck;:__:<:>~\ ___ _ Serial Nu~r.---'2{.....,. =-5....,.S~\--------Manufacturer. @ Puritan-Bennett I Walter-Kidde Nomenclature: Oxygen

Cessna I Adams-Rite Sabre I Eros (Circle One)

Work to be performed 8> [Repair] [Hydrotest]~~ [Operational test] [Inspect/Recertify] (Circle all applicable)

Item ~.Only 1. Unit Recorded ll Cyl. Only ll Assembly 2. Confirmed Part Number and Serial Number

Technician Comments

st:c 3. Oxygen charge level full partial empty <(JD 4. Cylinder exterior condition

~ fail @

5. Received with all regulator fittings no na 6. Received with caps no na 7. Gauge visuai check pass faii @) 8. Valve Body visual check ~

fail. na 9. Lever I Hande Assy. visual check fail na 10. Removed regulator yes no ~ 11. Cylinder interior inspection pass fail ®> 12. Perform hydrostatic test pass fail ® Per CFR 49 180.205 Mfg Specs 13. Cylinder interior cleaned I dried yes no ® 14. Added hydrotest date to cylinder yes no @) 15. Disassembled regulator <Y§) no na 16. Discard unserviceable parts i no na 17. Request parts from stockrqom no na ta. Cleaned I inspected reg. internal parts , no na 19. Cleaned I inspected external assy. ' no na 20. Regulator service performed v Repair None 21. Functional test regulator no na 22. Torque regulator per Mfg. specs yes no ~ 23. Recharge with Aviators 02 yes no 24. Check gauge for accuracy yes no, @ 25. Leak check assembly ~ no na ""' Safet{~ife unit no na £0.

27. Paint cylinder exterior yes no ~ 28. Install placards I decals yes no

Batch No.

hours days

29. Next hydrostatic test due 30. Date C}4inder life expires 1 31 Service bulletins accomplished 32 Service bulletins accomplished 33. AD's accomplished I 34. AD's accomplished

NOTES:

na - not applicable HO - Hydrotest only, no other service done RO - Repair only

Inspected by.~t MY DOCUMENTS/OXYGEN TEARDOWN

Date: ~ -~ ··\J\o

l. Approving National Aviation Authority/Country:

FAA/UNITED STATES

4. Organization Name and Address:

2.

Piedmont Aviation Component Services

6. Item: 7. Descri tion:

1 Propeller

13. Remarks:

AUTHORIZED RELEASE CERTIFICATE FAAFonn 8130-3, AIRWOR11DNESS APPROVAL TAG

3817 North Liberty Street Winston Salem, NC 271QS Repair Station QWPR503X

3. Form Tracking Number:

GYH.46892PM

5. Work Order/Contract/Invoice Number:

P009701 8. Part Number: 9. Eli ibili : * 10. Quantit : 11. Serial/Batch Number: 12. Status/Work:

HC-D4N-3A N/A FY261A Repaired

Reference WO# P009701. Disassembled, cleaned, visually inspected, replaced teflon strip on# 1 blade, replaced all disturbed seals, reassembled, balanced and tested in accordance with Hartzell Manuals 143A/Rev 12, 133C/Rev 20 and 202NRev 28. ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------end-------------------------------------------------------------------------------------------------N o Service Bulletins and Airworthiness Directives complied with at this shop visit.

14 CFR 43.9 Return to Service D Other regulation specified in Block 13

Certifies that unless otherwise specified in block 13, the work identified in Block 12 and described in Block 13 was accomplished in accordance with Title 14, Code of Federal Regulations, part 43 and in respect to that work, the items are approved for return to service.

20. )\.uthorized Signature: 21. Approval/Certificate No.:

QWPR503X

22. ~ame (Typed or Printed): 23. Date (m/d/y):

4/6/2006

It is important to understand that the existence of this document alone does not automatically !constitute authority to install the part/component/assembly.

Where the user/installer performs work in accordance with the national regulations of an airworthiness authority different than the airworthiness authority of the country specified in Block 1, it is essential that the user/installer ensures that his/her airworthiness accepts parts/components/assemblies from the airworthiness authority of the country specified in Blockl.

Statements in Blocks 14 and 19 do not constitute installation certification. In all cases, aircraft maintenance records must contain an installation certification issued in accordance with the national regulations by the user/installer before the aircraft may be flown.

FAA Form 8130-3 (6-01) *Installer must cross-check eligibility with applicable technical data. NSN: 0052-00-012-9005

Unit: Propeller

Mfg. S/N: FY26 l A

Removed From: N800TS

TSO:

~ I *I• LJl_,.,.f:!';vT AYIATIOI COIPOIEIT IEIYICEI

Propeller Condition Report

Type or P/N: HC-D4N-3A

Blade S/N #1: F84948 #2: F78359

#5: NIA

Mfg: Hartzell

#3: F78383

#4: F84938

Date: 4/4/2006 Station: Stevens Aviation Position: Unknown

Reason for Removal: Leaking Grease.

TEST ACCORDING TO SPECIFICATION OF UNIT BEING TESTED AND DESCRIBE RESULTS OF TEST BELOW:

# I Blade leaking grease, disassembled, cleaned and visually inspected.

Replaced teflon strips on # 1 blade due to bump.

Reassembled with new seals, balanced and tested.

All work was accomplished per Hartzell Manuals 143A/Rev 12, 133C/Rev 20 and 202A/Rev 28.

Disposition of Unit: Repaired and Continued Time

Date: 4/6/2006 lnsp.

Customer: Stevens Aviation

Customer Order Number: GYH.46892PM Our Order Number: P009701

Remarks:

PACS-P-035/0RIGINAL I QWPR503X Page I of I

-------- -----

2. 1 Approving National Aviation

Authority/Country: AUTHORIZED RELEASE CERTIFICATE

FAA/United States FAA Form 8130-3, AIRWORTIIlNESS APPROVAL TAG

4. Organization

Name and Address

6. 7.

RAYTHEON AIRCRAFT PARTS INVENTORY AND DISTRIBUTION (RAPID)

DALLAS DISTRIBUTION CENTER 801 INDUSTRIAL BLVD, SUITE 100

GRAPEVINE, TX 76051 PC 8

8. 10. 11.


0070633 053-00001

5. Work Order/Contract/ Invoice Numbei:

0000 95230 5-000110

Item Description Part Number

9.

Eligibility * Quantity Serial/Batch Nbr

12.

Status/Work

0001 SWITCH, BAROMETRIC PRESSURE

101-3 84028-4 3 350 1.000 NEW

May be eligible for installation on models not listed in block 9, i!1staller is responsible to verify eligibility for additional models

13 . Remark AIRWORTHINESS APPROVAL - PARTS .

To tal time of 00.00 hours

14. Certifies the items identified above were manufactured in conformity to:

IX] Approved design data and are in a condition for safe operation ~:iw;~~~~~

D Non-approved design data specified in Block 13. ~~Im~ ~rtl'i'i~.l:

15. Authorized Signature:

17.Name (Typed or Printed):

Tim R Shurley

16. Approval/ Authorization No:

DOA23 0339CE

18. Date (m/d/y):

SEP/ 12 / 2005

USER/INST ALLER RESPONSIBILITIES It is important to understand that the existence of this Document alone does not automatically constitute authority to install the part/component/assembly.

Where the user/ installer work in accordance with the national regulations of an Airworthiness Authority different than the Airworthiness Authority of the country specified in block 1 it is essential that the user/ installer ensure that his/her Airwo."thiness Authority accepts parts/components/assemblies from the Airworthiness Authority of the country specified in block l.

Statements in block 14 and 19 do not constitute installation certification . In all cases aircraft maintenance records must contain an installation certification issued in accordance with the national regulations by the user/installer before the aircraft r.1ay be flown.

FA.'.\ Form 8130-3 (06-01) * Installer must cross check eligibility with applicable technical data.

I. Approving National Aviation Authority/Country:

2. AUTHORIZED RELEASE CERTIFICATE 3. Form Tracking Number:

300107155 FAA/United States


Honeywell 1830 Industrial A venue WICHITA KS 67216

6. Item: 7. Description:

001 *SM200 SERVO

13. Remarks: UNIT SERVICED IAW: CMM09-1146-04 REV.10 AND

FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG

FAA: LV2R992K 5. Work Order/Contract/Invoice Number:

5000196394

Page:

1 of I

8. Part Number: 9. Eligibility:* 10. Quantity: 11. Serial/Batch Number: 12. Status/Work:

4006719- 906 NIA

SEE ATTACHED RECORD OF WORK PERFORMED

IT4006719 REV. AT

99031999 REPAIRED

Honeywell certifies that the work specified in Block 12 and 13 was carried out in accordance with EASA Implementation Rule p art 145 approval, and with respect to that work the component is considered rea dy for release to service under EASA approval number. 145.4533

19. 00 14 CFR 43.9 Return to Service ~ Other regulation specified in Block 13

Certifies that unless otherwise specified in Block 13, the work identified in Block 12 and described in Block 13 was accomplished in accor nee with Title 14, Code of Federal Regulations, part 43 and in respect to that work, the items are a proved for ret rn to service.

21. Approval/Certificate No.:

LV2R992K

23. Date (m/d/y):

Kenneth P Hill 2561319 OCT/17/2005

User/Installer Responsibilities It is important to understand that the existence of this document alone does not automatically constitute authority to install the partfcomponentfassembly.

Where the user/installer performs work in accordance with the national regulations of an airworthiness authority different than the airworthiness authority of the country ;pecified in Block I, it is essential that the user/installer ensures that his/her airworthiness authority accepts parts/components/assemblies from the airworthiness authority of the country specified in Block I.


Computer- generated FAA Form 8130- 3 ( 6- 0 I) *Installer must cross- check eligibility with applicable technical data. NSN: 0052- 00- 012- 9005

1. Approving National Aviation 1· 2. 3. Form Tracking Number: Authority/Country:

i AUTHORIZED RELEASE CERTIFICATE 06020900 15 FAA/United Stat:_J FAA Form 8130-3, AIRWOHTHINESS APPROVAL TAG

4. Organization Name and Address: 5. Work Order/Contract/Invoice Precision Avionics & Instruments Eurooean Aviation Safety Agency Number: 495 Lake Mirror Rd., Bldg. 800, Suite G Refe1 ence Number: EASA.145.505 1 XlOl l Atlanta, Georgia 30349

6. Item: 7. Description: 8. Part Number: 9. Eligibiii,ty: * JO. Quantity: 11. Serial/Batch Number: I u. Status/Work:

I

1 CABIN ALT/DIFF 3000-130 NIA I 17370 I OVERHAULED PRESS INDICATOR i

I

13. Remarks: OVERHAULED IN ACCORDANCE WITH MANUAL NUMBER MANUAL REVISION 0 UNITED BK 2 SEC 5

. .

14. Certifies the items identified ab.ove were manufactured in conformity to: 19. kc 14 CFR 43.9 Return to Service D Other regulation specified in Block 13

16. Approval/Autborizati~n No.: '

Certifies that unless otherwise specified in Block 13, the work identified in Block J 2 and described in Block 13 was accomplished in accordance with Title 14, Code of Federal Regulations, part 43 and in respect to that work, the items are approved for return to service.

20. Authorized Signature:

. D.~ 21. Approval/Certificate No.:

I 22.

1 J.

(Typed or Printed):

DAVID SCARBROUGH

ZV4R714M

23. Date (m/d/y):

FF.B/22/2006

User/Installer Responsibilities f--~~~~~~~~~~~~~~~ .~~~~~~~~~~~~~~~~~~~~~- -~~~~~~~~~~~~~~~~~~~~~~~~-~~~~~~~~~~~~~~

It is important to understand that the existence of this doellment alone does not automatically consti1,ute a uthority to install the part/component/assembly.

Where the user/installer performs work in accordance with the national regulations of an airworthiness authority different than the airworthiness authority of the country specified in Block I, it is essential that the user/installer ensures that his/her airworthiness authority accepts parts/componems/assem~!ies from the airworthiness authority of the country specified in Block I.

Statements in Blocks 14 and 19 do not constitute installation certification. In all cases, aircraft mainteiµn·(e records must contain an installation certification issued in accordance with the national regulations by the user/installer before th•! aircraft may be flown.

FAA Form 8130- 3 (6- 01) *Installer must cross-check eligibility with applicable technica l d;.ta. NSN: 0052-00-0 12-9005

WORK ORDER .. CUSTOMER SHIP TO

PRECISION AVIONICS & Name: INSTRUMENTS, INC. Name:

Address: Authorized Repair Station for

Address:

' Precision Heliparts Inc. Phone#:

495 LAKE MIRROR RD. Ship Via: FAX#: BLDG. 800, SUITE G l

ATLANTA, GA 30349 W/O # Contact Name: (404) 767-5800 Previous W 10 # P.O. Number:

p I FAX (404) 767-5900 REPAIR STATION

Tracking#: ' ' ·~ lfZV4R714M

TIMES SINCE LAST

Overhaul:

AIRCRAFT REMOVED FROM MAINTENANCE MANUAL

'Part#:

Model#

Serial#:

Cust. Part#

Desc.:

Mfg.:

I )

REASON FOR REMOVAL:

REQUIREMENTS:

TROUBLE REPORTED:

Repair

DATE OF LAST

Overhaul:

Repair:

RECEIVING INSPECTION COMMENTS:

Manufacturer: Name: .

Model: Book I Section Number:

Number:

Serial Num:

..

PRELIMINARY FINDINGS: _._/_-'-~-"----""'-'-------------------------'--

Technician Signature: Date:. _____ _

INITIALINSPECTIONFlNDINGS:_~---------------------------

Technician Signature: _____________ _ Date:~-----

!. Approving National A via ti on ·Authority/Country:

FAA/United States


2.

AUTHORIZED RELEASE CERTIFICATE FAA Form 8130-3, AIRWORTHINESS Al'l'ROVAL TAG

PRECISION A \'IONICS AND INSTRUMENTS 495 Lake Mirrnr Road Building 800, Suite G

JAR-145 Acceptam:e Certific:1te Reference Numbrr: JAA.5051

3. Fonn Tracking Number:

0408200032


U4926 ;--,6-.~lt-em-:-~~7.-D~e-s_cn..,.,p-h-·o-n:----A-tl_a_n_ra~, _G_eo~rgi_a_3~03-:-9-Part_N_um~b-er:-.----------~9=.-E=h-·~·-bi=li-ty_:_•-~-10-. -Q=u-a-nt-ity-:-~l-l-. -S-en-·a-l/B~M-ch-.N-u~m-b-e-r.-------.-.,..,l2~ . .,.,S~ta-ru-s/W-=:-ork.,.-:----1

1 TACHOMETER 50-380034-3 N/A 1 2840 OVERHAUL i-,1""3.-R=-em_ar_ks,......_ _____________ ~---------------L---·----'------L------1-·--------'----------;

OVERHAULED INf!:..ACCORDANCE WITH AID BK 4 SEC 3A

19.~ l4 CFR 43.9 Rerum to Service 0 Other rcgul::ticn specified in Block 13 J

. Certifies that unless otherwise specified in Block 13, the work identified in Block 12 and desoribed in Block 13 was accomplished in accordance with Title 14, Code of Federal Rer,utation, part 43 and in respect to that work, the items arc approved for rcrum to service.

21. ApprovaUCertificate No.:

ZV4R714M

23. Date (m/d/y):

J. DAVID 9-14-04

User/Installer Responsibilities It is important to understand that the existence of this document alone does not automatically constirutc authority to i.tstall the p-art/.,.,c_o_m_p-on_e_n.,.,tlas-se-m""'b..,.ly-.-. ----'----------------------i

Where the user/installer perfonns work in accordance with the national regulations of an airworthiness authority different than !he airworthiness authority of the country specified in Block I, it is essential that the user/installer ensures that his/her airworthiness authority accepts parts/components/assemblies from the airworthiness authority of '.he country specified in Block 1.

Statements in Blocks 14 and 19 do not constirute installation cc'rtification. In all cases, aircraft maintenance records 1~ust contain an installmion certification issued in accordance with the national regulations by the user/installer before the aircraft may be flown. FAA Form 8 I 30-3 (6-0 I) • Installer must cross-check eligibility v.1th applicable technical data. NSN:0052-00-012-9005

r

Name:

Address:

Phone#:

FAX#:

Contact Name:

P.O. Number:

Tracking#:

Part#:

Model#

Serial#:

Gust. Part#

Desc.:

Mfg.:

,, -==

CUSTOMER

REASON FOR REMOVAL:

REQUIREMENTS:

TROUBLE REPORTED:

• I

WORK ORDER

PRECISION AVIONICS & INSTRUMENTS

495 LAKE MIRROR RD. BLDG. 800, SUITE G ATLANTA, GA 30349

(404) 767-5800

FAX (404) 767-5900

REPAIR STATION #ZV4R714M

Name:

Address:

Ship Via:

W/O #

Previous W/O #

TIMES SINCE LAST

Overhaul:

AIRCRAFT REMOVED FROM

Manufacturer:

Repair

DATE OF LAST

Overhaul:

Repair:

Model:

Number:

Serial Num:

i •


1 ·· PRELIMINARY FINDINGS:

"'-1 /J l

Technician Signature: __ ----,-_(_< 1 _H~11~·"l_/_,. __ l_£_,:-,.i'_ { '°-+\ __ _

I . rJ

Date:_0_f ·_1-=3'-·<_t"_t_I __

I/ I? ~t1 Date: ; u-t 't

SHIP TO

MAINTENANCE MANUAL

Name:

Book I Section Number:

I

DISPOSITION: Overhaul ~epair D Bench Check D

CORRECTIVEACTIONOREXPLANATION:~O~V(~1-~~~'~u~t~/~J~G~h-M~&~1~L~A~,~~~~2i~~R~r~~~n4cur~, ~4~rQ,~· ~~a~~·~K~,~~~/~~~ 't --:;;

BEA D WTY D NW D W/0# (I

,r:.TlD 8;? t\.113 , 'M DP 1, i;-· 11G, , 1 ,,me" l"l . 'Sl<&· j.

, ' Airworthiness Directive Complied With?

Service Bulletin Complied With? cJ!6;.1 YES

Was a FAA Form 337 issued? YES Resultant Part#--------- Modification # -------

Technician Signature:_1_'~....::....:..:...-__.\,_..-__ (:....lo-, _,_, ...... ,..1.c_(_" '..;;;:"'-~-------------, 1 -- /f

J

Date: __ -'-'<1~~1..._.1'"""· · ..._0 ..._4 __ _

The article identified by this work order was worked and inspected in accordance with current regulations of the Federal Aviation Administration and is approved for return to servic

"" ~ Inspector Signature: --4-.:i;...ot......::-d.-J -d-...£=~i.----------------- Date:. ___ <1_·~/l..._1 _,,·0""'1J~--

Nomenclature Manufacturer Part #

:ii_ _{31 1. Approving National Aviation 2. - - 3. Form Tracking Number:

Authority/Country: AUTHORIZED RELEASE CERTIFICATE . FAA/United States FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG 4516878

4. Organization Name and Address: Precision Electronics, Inc. • 5000-A Clark Howell Hwy. • Atlanta, GA 30349 5. Work order/ContraL:t/lnvoice F.A.A. C.R.S. PRZR073K

Phone 404-767-4667 • Fax 404-765-1722 • E-mail [email protected] Number: 4516878 E.A.S.A. Approval 145.4780

6. Item: 7. Description 8. Part Number: 9. Eligibility:* 10. Quantity 11. Serial/BatL:h Number: 12. Status/Work

1 DEICE DISTRIBUTOR I 01-384144-3 N)A

I B-1461 OVERHAUL VALVE

I I

13. Remarks: Certifies that the work specified in block 12/13 was L:arried out in accbrdance with EASA 145 and with

respect to th.at work the aircraft component is considered ready for release to service under EASA Approval

Certificate Number: EASA.145.4780. Returning to service utilizing approved data as listed on Service Order as referenced in Block 5.

Stevens Aviation, INC. I

14. Certifies the items identified above were manufactured in conformity to: 19. !81 14 CFR 43.9 Return to Service !81 Other regulation specified in Block 13

0 Approved design data and are in a condition for safe operation . Certifies that unless otherwise specified in Block 13, the identified in Block 12 and described

0 Non-approved design data specified in Block 13. in Block 13 was accomplished in accordance with Title 14, Code of Federal Regulations, part 43 and in respect to that work, the items are approved for return to service.

15. Authorized Signature 16. Approval/Authorization No.: 20. Authorized Signature: 21. Approval/Certificate No.:

NIA NIA .. d~O A~~ ---'-.... PRZR073K 17. Name (Typed or Printed): 18. Date (m/d/y) : - [J 23. Date (m/d/y): 22. Name (Typed or Printed):

' NIA NIA ,, ,. ;

"" • ;! ;,..;: i \ Feb/08/2006 • \ ll .....__,__ ,,

User/Installer Responsibilities '

It is important to understand that the existence of this document alone does not automatically constitute authority to install the part/component/assembly.

Where the user/installer performs work in accordance with the national regulations of an airworthiness authority different than the airworthiness authority of the country specified in Block· l, it is essential that the user/installer ensures that his/her airworthiness authority accepts parts/components/assemblies from the airworthiness authority of the country specified in Block 1.


FAA Forms 8130-3 (6-01) *Installers must cross-check eligibility with applicable technical data. NSN: 0052-00-012-9005

I ' I ----

, ..... STEVENS AVIATION INC. ~.. GREENVILLE, SC

17 NTENANCE/INSPECTIO~ ENTRIES _

NSOOTS 41712006

BB-1032 ACTT 8,655.5 HM 157.3

FLIGHT CYCLES 7,702

Performed a Phase 1 /200 Hour Inspection using the Raytheon'.Bee~h King Air B200_ . Maintenance Manual 200 Hour Phase Inspection Guide.Complied _with 200 ho~r l~bricat1on items. Complied with an annual weight and pressure check of cabin and cockpit fire bottles.

I CERTIFY THIS AIRCRAFT HAS BEEN INSPECTED IN ACCORDANCE WITH AN INSPECTION PROGRAM REQUIRED BY FAR 91-409(F·) 3 AND A PHASE 1 INSPECTION WAS ACCOMPLISHED AND

THE AIRCRAFT IS APPROVED FOR RETURN TO SERVICE. PERTINENT DETAILS ARE ON FILE AT THIS AGENCY UNDER WORK ORDER NUMBER GYH.36996/124.

Signed __ _Lgf!:2!1:~~t~~~' / ~~~~~-For STEVENS A~REENVILLE, SC 29605, CRS VIBR368K

STEVENS AVIATION INC. GREENVILLE, SC

417/20 NSOOTS SN BB-1032

AIRFRAME INSPECTIONS

ACTT 8655.5 HM 157.3

FLIGHT CYCLES 7702

145 Complied with annual pilot's fuel control panel and lower edgelighted panel inspection, co-pilot's edgelighted circuit breaker panel inspection and 2000 hour/4 year edgelighted panels inspection.

146 Complied with 3 year oxygen regulator valve overhaul. Removed oxygen regulator valve and replaced with an overhauled valve PIN 801292-01. Valve overhauled by Ameron Global Product Support, St. Louis, Missouri, CRS #RU2Rl48L on Work Order #GYH.46248PM. Serviced oxygen bottle. Operational and ' leak check satisfactory.

147 Complied with 7 year emergency exit sign (self illuminating) inspection. Installed new sign PIN 99-384012 SIN SP12834.

148 Complied with 12 year cockpit and cabin fire bottle hydrostatic test/replacement. Installed new fire extinguisher's PIN's C352TS.

149 Complied with 200 hour rudder boost filter replacement. 150 Complied with 600 hour pneumatic flow control unit solenoid valve filter replacement and

800 hour pneumatic flow control unit solenoid valve filter cleaning. 151 Complied with 1200 hour power lever guide pin inspection. No defects noted. 152 Complied with 2400 hour/30 month Nacelle Fuel Probe Inspection. No defects noted. 153 Complied with I 000 cycle/30 month left and right main and nose landing gear actuator

end play inspection. All checked within limits.

154 Complied with 2500 cycle forward pressure bulkhead inspection. No defects noted this inspection. 155 Complied with 2500 cycle aft fuselage stringer inspection. No defects noted this inspection.

SIGNED JlMi~ For STEVENS AVIAT/i ~ENVILLE, SC 29605, CRS VIBR368K Work Order #GYH.369961125 Page 1 of 6

I I I I I SA-0505

/


N800TS SN BB-1032

AIRFRAME INSPECTIONS (CONT)

ACTT 8655.5 HM 157.3

FLIGHT CYCLES 7702

156 Complied with 5000 cycle inspection/replacement of door latch bolts and 5000 cycle cabin door inspection. Found two incorrect clevis pins installed, removed and replaced pins, saftied and lubed. Operational check satisfactory.

157 Complied with 5000 cycle inspection of emergency exit and escape hatches. No defects noted. 158 Complied with Enhanced Performance Leading Edges NDT Inspection of Raisbeck Leading Edges.

No defects noted this inspection. 164 Complied with 15 year wing bolt replacement. Performed NDT of all wing bolt fittings and 5 year

18

visual and dye penetrant inspection. No defects noted. Applied proper torque. Retorque all wing bolts at next inspection.

AIRWORTHINESS DIRECTIVES AND SERVICE BULLETINS 159 AD 97-25-01 Allied Signal SB 103648-21-4022 ihspection of pressurization valves not applicable. 160 Complied with AD 2002-23-11 previously complied with has correct hardware installed and saftied. 161 Complied with AD 2003-13-16 inspection of aft pressure bulkhead for damage. No defects noted. 162 Complied with AD 2004-23-02 detection and correction of cracks in nose landing gear fork. No defects noted.

COMPONENTS INSPECTED, TESTED OR CALIBRATED 121 Installed new batteries in forward and aft emergency exit lights. Operational check satisfactory. 122 Replaced left #4 cabin window light power supply and bulb with a new power supply PIN 6900080-000

and a bulb PIN 5108WW. Operational check satisfactory. 165 Removed main at?:ft battery e teJ l power diodes and replaced with new diodes PIN 1Nl343 ..

SIGNED ~Ii . I . . For STEVENS AVIATION, G 'NVILLE, SC 29605, CRS VIBR368K Work Order #GYH.369961125 Page 2 of 6

SA-0505

.. t).STEYENS AVIATION INC. ' GREENVILLE, SC

417/200 ACTT 8655.5

HM 157.3 FLIGHT CYCLES 7702

COMPONENTS INSPECTED, TESTED OR CALIBRATED (CONT)

N800TS SN BB-1032

964 Complied with 600 hour/12 month Concorde STC Lead Acid Battery PIN 380E/44K SIN 40076383 Inspection. Operational check satisfactory.

MAINTENANCE EVENTS, PARTS REMOVED OR REPLACED 103 Installed new rivets to hold threshold plate. 104 Removed cabin differential pressure gauge and installed an overhauled gauge PIN 101-380026-3

SIN 17370. Gauge overhauled by Precision Avionics & Instruments, Atlanta, Georgia, CRS #ZV4R714M on Work Order #XlOl 1 dated 02-22-06.

106 Removed and reinstalled cabin door assist cable springs properly. 107 Reinstalled door seal line properly. 108 Readjusted both windshield wipers to proper alignment. 109 Replaced left stall strip in corrected location with a new strip PIN 130421-01100. 110 Glued hell hole door seal. 111 Removed co-pilots storm window brackets and installed in correct location. Adjusted left DV window frame.

Operation checked satisfactory. 112 Reinstalled lower door step roll pins and saftied. Adjusted cable for proper tension. Operational check satisfactory. 113 Replaced left outboard fuel cap lanyard with a new lanyard. 114 Replaced rivets on right aft top nacelle with new rivets. 115 Secured electrical wire bundles behind pilot' s instrument panel. 116 Removed old sealer and cleaned forward lower belly panel and access area. Applied new foam tape to panel. 117 Replaced top aeon bulb with a new bulb PIN 34-0226010-91 . Operational check satisfactory.

SIGNED _ _____L_~Vrd~, ~".'L.J.12~, ~- ~~----,-:--:-:---:-:-::---==-::-::-:-c---:--:-For STEVENS A VIAJ: , GREENVILLE, SC 29605, CRS VIBR368K Work Order #GYH.369961125 Page 3 of 6

SA-0505


.._~STEVENS AVIATION INC. '------" ' GREENVILLE.SC N800TS SN BB-1032 ACTT 8655.5

417 /200 HM 157.3 FLIGHT CYCLES 7702

MAINTENANCE EVENTS, PARTS REMOVED OR REPLACED (CONT) 118 Replaced socket assembly in middle step light with a new assembly PIN MCOC28926- l 9 and replaced bulb

in bottom step light with a new bulb PIN 1864. Operational check satisfactory. 120 Installed ground connection on cabin door inspection light. Operational check satisfactory. 124 Installed new bulb PIN 303 in #2 right hand courtesy light. Operational check satisfactory. 125 Repaired broken wire and replaced light trays with new trays PIN 1202-300 in "Fasten Seat Belt" and

"No Smoking" light Operational check satisfactory. 126 Tightened armrest on cabin seat as required. 128 Installed a new transistor PIN MJl 1016 for post lights. Operational check satisfactory. 129 Replaced indirect light bulbs with new bulbs PIN 1864. Operational check satisfactory. 130 Installed a new transistor PIN MJl 1016 for co-pilots indirect lights. Operational check satisfactory. 131 Removed deice distributor valve and installed an.overhauled valve PIN 101-384144-3 SIN B-1461. Valve

was overhauled by Precision Electronics, Inc., Atlanta, Georgia, CRS #PRZR073K on Work Order #4516878. Saftied and secured. Operational check satisfactory.

133 Removed hardware on left inboard flap outboard forward and aft attach points and installed in correct position.

134 Removed hardware on right inboard flap outboard forward and aft attach points and installed in correct position.

135 Saftied left outboard elevator balance weight attach bolts 137 Stop drilled crack in right outboard nacelle firewall shut off access panel. Fabricated

repair strap"' 2024-T3 .040,~ated, pr· d and installed.

SIGNED ~/~I .

19

For STEVENS AVIATIO , REENVILLE, SC 29605, CRS VIBR368K SA-0505 "-----' Work Order #GYH.369961125 Page 4of6

LI I l I l_ _I

.... ""' STEVENS AVIATION INC. '... GREENVILLE, SC

N800TS SN BB-1032 ACTT 8655.5 417/2006 HM 157.3

FLIGHT CYCLES 7702 MAINTENANCE EVENTS, PARTS REMOVED OR REPLACED (CONT)

138 Installed a new bolt PIN 35-825005 and fitting assembly in nose wheel steering. Operational check satisfactory. 140 Installed new left upper cowl center door seal PIN 1O1-910021-53 141 Stop drilled cracks in inboard and outboard "U" channels under nut plates on left upper aft cowl. Fabricated

2 doublers from 2024-T3 .040, treated, primed and installed doublers. 142 Stop drilled crack on left upper aft cowl outboard aft position. Cleaned and removed paint and

rubber seal. Welded crack and resealed rubber seal. Treated and primed. 143 Replaced rivets in right lower forward cowl at inlet door hinge. 144 Fabricated 3 angle repairs at left wing inboard stringers using 2024-T3. Treated, primed and

installed. 163 Replaced right landing light bulb and taxi light bulb with a new landing light bulb PIN 4586 and

a new taxi light bulb PIN 4587. Installed new seals. Operational checks satisfactory. 166 Troubleshot air conditioning ,system. Ran with test stand. Removed 2 lbs ofR134 Freon from system.

Operational check satisfactory. 202 Replaced left fuel low pressure switch with a new switch PIN 100-389018-23 SIN 19016. Operational

check satisfactory. 203 Adjusted left an2-Jight low idles. Che~k on run up. Ground run and operational check satisfactory.

SIGNED ~~~ For STEVENS AVJATIO,iiEENVILLE, SC 29605, CRS VIBR368K Work Order #GYH.369961125 Page 5 of 6

SA-0505

- - - - -- - - ---


........ STEVENS AVIATION INC. ' ... GREENVILLE, SC

20

N800TS SN BB-1032 ACTT 8655.5 4/7/2006 HM 157.3


204 Removed left and right NI indicators. Jet calibrated left indicator checked satisfactory. Right indicator was 3° too high. Installed an overhauled right NI indicator PIN 50-380034-3 SIN 2840 by Precision Avionics Atlanta GA. CRS# ZV4R7I4M under W.0.# 04926 dated 9-I4-04. Operational check satisfactory.

205 Replaced bushing in left engine ice vane with a new bushing PIN NAS76A3-004 .. 207 Replaced right outboard light shield with a new light shield PIN lOI-910079-3. Welded left

inboard and right outboard stack chafes as required. 2I I Replaced worn left and right ambient air ducts with new ducts PIN CEETS-8I-5. 2I2 Replaced air conditioner quill shaft bearings with new bearings PIN W206PP and replaced screws. Operational

check satisfactory. 2I3 Replaced worn adel support clamps for left and right engine breather hoses with new clamps. 214 Replaced left starter generator cooling duct with a new duct PIN l I5167CXXI6I 166. 216 Replaced left and right breather ducts with new ducts PIN SCDEETS4-I68-5 and PIN SCDEETS4-96-5. 217 Removed right N2 Tach. Removed Garloc seal and replaced with a new seal, new "o" ring and gasket.

Reinstalled N2 Tach. Leak and operational check satisfactory .. 799 Replaced I bearing on right outboard wheel and lubed. 950 Serviced oxygen to I850 PSI.

THE MAINTENANCE IDENTIFIED IN THIS WORK ORDER PACKAGE HAS BEEN INSPECTED AND THE ITEM(S) ARE APPROVED FOR RETURN TO SERVICE. PERTINENT DETAILS OF THE REPAIR(S) ARE ON FILE AT THIS GENCY UNDER WORK ORDER NUMBER GYH.369961125

r SIGNED ~~i!_;?;J;;:L For STEVENS AVIATIO!(, GREENVILLE, SC 29605, CRS VIBR368K

LOG BOOK ENTRY AIRCRAFT REG: N800TS SER1AL: 881032

MODEL: KA-200 HOBBS:8772.80

WORK PERFORMED Removed and exchanged defective PC-17 A Inverter. S/n out 9353A s/n in 4219A. Ramp checked and verified proper ops.

MAINTENANCE RELEASE The aircraft, airframe, or appliance identified above was repaired and inspected in accordance with current maintenance rules of the Federal Aviation Regulations

and is approved for return to service

Per~( ent details are on file at this repair station under

Woe c~ 604 D"" fono 20,2006 Inspector · · ~ Intern~mIBl Avionics Management, Inc

FAA Approved CRS I8AR211X 1525 N.W . 56th Street Fort Lauderdale, Fl 33309

Phone 954-958-8006 Fax 954-938-2008

Page 6 of6 SA-0505

I


Aircraft Model Serial Number ________________ _

Reg# ____________ _ Owner's Name ________________ _

Ft. Lauderdale Executive Airport (FXE) .W:.W:.JYJ,QCl_QS_,_~YlATION.COM Tel: 954-491-9688 Fax: 491-9687

'b' Date: 6/ 16/06 I Model : 8200 r ACTT: 81'-lo·o I Landings: 11«-47 _j Make: Beech _l_ S/N: B_B __ -1_0_32 ___ [ Hobbs: .;>40. o I Reg. No.: N800TS __ __,I

AIRFRAME ENTRY I. RH hl<'ed air fail light stays on . Pressurized bleed air sense line and found leak behind heat

exchanger. Cut out bad section and spliced in new line. Pressuri zed system and ops checked good. 2. Troubleshot system to fau lty right bleed air bypass valve. Removed valve and bench checked

could not get it to work. Replaced with overhauled exchange unit PIN NYLC50427, SIN 5310 . A/C now works in manual mode only. FurthC'r troubleshooting found cabin temperature controller in fault. Fan had stopped working. removed temperature controller and cleaned fan from lint and dirt. Re-installed and system ops checked go0d in both modes.

3. Right fuel flow transm itter inop. Removed and rep laced transm itter with overh\[uled exchange un it P/N 90-380009-7, S/N 1488Ex . Ran up engine and ops checked good.

4. Replaced left tach indicator with overhauled exchange un it (suppl ied by customer). PIN 8366-3, S/N PA l0408200030

= =============================END============================= MAINTENANCE RELEASE

THE AIRCRAFT IDENTIFIED ABOVE WAS REPArRED AND fNSPECTED IN ACOR DANCE WITH CURRENT REGULAT IONS OF THE FE ERAL AVIATION ADMINISTRAT ION A,l\lD IS APPROVED FOR RETURN TO SERV~E ' FAA CERTJFICATE NO.: AP

' ---p

MAINTENANCE/INSPECTION ENTBlES 22

, ~~STEVENS AVIATION INC. ~ GREENVILLE, SC

N800TS 10/20/2006

BB-1032 ACTT 8,852.7 HM 354.5

FLIGHT CYCLES 7,822

Performed a Phase 2 1200 Hour Inspection using the Raytheon/Beech King Air B200 Maintenance Manual 200 Hour Phase Inspection Guide.Complied with 200 hour lubrication items. Complied with an annual weight and pressure check of cabin and cockpit fire bottles.

I CERTIFY THIS AIRCRAFT HAS BEEN INSPECTED IN ACCORDANCE WITH AN INSPECTION PROGRAM REQUIRED BY FAR 91-409(F) 3 AND A PHASE 2 INSPECTION WAS ACCOMPLISHED AND

THE AIRCRAFT IS APPROVED FOR RETURN TO SERVICE. PERTINENT DETAILS ARE ON FILE AT THIS AGENCY U WORK ORD R . 8504/124.

SA-0505

.. ~STEVENS AVIATION INC. ' GREENVILLE, SC

10/20/20 N800TS SN BB-1032 ACTT 8852.7

HM 354.5 FLIGHT CYCLES 7822

AIRFRAME INSPECTIONS 110 Complied with 1200 hour lubrication. 111 Complied with 200 hour wing bolt retorque. No bolts turned. 112 Complied with Enhanced Leading Edge Tap Test. No defects found.

AIRWORTHINESS DIRECTIVES AND SERVICE BULLETINS 113 AD 95-13-03 prevent excessive current flow through the electrical landing gear motor Previously Complied With

by Beech SB 2035 Rev III. 114 AD 2002-23-11 to prevent balance weight attachment screws from coming loose, Previously Complied With. 115 Complied with AD 2004-23-02 nose landing gear fork. No defects noted. Check satisfactory. 116 Complied with AD2006-12-25 right mechanical main landing gear actuator nut. Correct nut installed. No further

action. 117 AD 2006-16-18 Sandel Avionics Inc, Model ST3400 Terrain Awareness Warning System NIA, equipment not

installed on aircraft. 126 Installed temporary repair made in accordance with SB 2040 R3 and AD 89-19-04Rl (b) (2) left

wing upper fuel bay skin panel, ~ue replacement in 12 months. COMPONEN IS INSPECIED, JESTED OR CALIBRATED

964 Complied with 200 hour/12 month Concorde STC Lead Acid Battery PIN RG380E/44K SIN 40076388 Inspection. Check satisfactory. NOTE: Complied with annual wing spar cap inspection. Complied with annual EL T inspection IA W 91.207 ( d). ELT battery expires March 2007. Complied with 200 and 400 . lubrication items. Replaced forward evaporator Filter and vacuum filters. I ed instrument filter.

SIGNED-=--z~~~~:,..__,.~~~~~~~~!L,-:-::--=-----=~-==--::-:-~ LE, SC 29605, CRS VIBR368K

Page I of 4 SA-0505

~~STEVENS AVIATION INC. '.GREENVILLE, SC

Stevens Aviation, Inc. 600 Delaware Street Greenville, SC 29605 1-800-FL Y-STEVENS

MAINTENANCE RELEASE TAGS for

NSOOTS . ACTT: 8852. 7

BB-1032 HM: 354.5

Flight Cycles: 7,822 Date: 10/18/06 Work Order No.: GYH.38504/125

SA-0505

1. App} _,National Aviation Authonty/Country

FAA/UNITED STATES

AUTHORIZED_ _iEASE CERTIFICATE I

FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG

3. Form Tracki 1mber

R05-05450

4. Organization Name and· Address ; 5. Work Order/Contract/Invoice~

R05-05450 B&S Aircraft Parts & Accessories, Inc., 1414 South Mosley, Wichita, KS 67211-3398,, USA

6. Item 7. Description 8. Part Number 9. ~Jig* 10. Qty 11. Serial/Batch# 12. Status/Work

1

13. Remarks

STARTER GENERATOR 23048-016 lOJ-389007-1

NIA. 1 97356 OVERHAULED

Overhauled, reference 23048 series manual, Rev 16, 12115/00, SIL 2370;, SIL 23704. B&S Aircraft Parts & Accessories, Inc. certifies that the work specified in Blocks 12 and 13 was performed in accordance with EASA Implementation Rule part 145 approval, and with respect to that work, the aircraft component is considered ready for release to service under EASA approval number EASA.145.4228. Full details held on work order R05-05450 · ·

l(l. t8l 14 CFR 43.9 Return to Service t8l Other regulation specified in Block 13

i.:l Certifies that unfess specified in Block 13, the \vorki(lentified fa Block I 2-arid : described in Block 13 was accomplished in accordance with Title 14, Code of Federal Regulations, part 43 and in respect to that work, the items are approved for return to service.

21. Approval/Certificate No

NE2R028L

23. Date (m/d/y)

W. Kevin Schrader Aug/05/2005

U ser/lnstaller Responsibilities

It is important to understand that the existence of this document alone does not automatically constitute authority to install the part/component/assembly. Where the user/installer performs work in accordance with the national regulations of an airworthiness authority different than the airworthiness authority of the company specified in Block 1, it is essential that the user/installer ensures that his/her airworthiness accepts parts/components/assemblies from the airworthiness authority of the country specified in Block 1. Statements in Blocks 14 and 19 do not constitute installation certification. In all cases, aircraft maintenance records must contain an installation certification issued in accordance with the national regulations by the user/installer before the aircraft may be flown.

FAA Form 8130-3 (6-01) *Installer must cross-check eligibility with applicable technical data NSN: 0052-00-012-9005

B&S Aircraft Parts & Accessories Inc. 1111111111111!

11111111 ·~1~ Ill~ 111111111111111111 I Work Order No1•

1414 S. Mosley• Wichita, Kansas 67211-3387 Issued. : 07/28/05

(316) 264-2397 •FAX (316) 264-7898 . . .-' By ••• • • : Diana Henry

r-c:-:-:~~'rlH"nrlrl· 'fr.-'.l· rto--1\tm . NE~SfrtJ~t)~OJ\emtRAFT PAR'OOM~TED Request : 08/27/05

Q ;tr~;v\tJ IJ,,;t_ l(~l'ti'\lt~ BC1t& ~tries \'1\c;1wq\

k'.~lc~Lc1~DJ\~~~~~~~'.i' · .·~W~,o~rk~·• ln~s~tru~c'.!!ti~ori RkSIL BM [ J Acciden t Unit [ l 1J7\A

mm NO T-COVER

No n-Certifie d Wo rk [ ] Ev a l Only... . [ ]

~~'--l r(\1~. ~~ 11 . 2. D~~

C~ ........ Li. l.IKC R-lb

Invoice No:

Shipped ... :

Sales Ord #:

Sales Amt.:

B & S AIRCRAFf PARTS & ACCESSORIES, INC. , FAA CERTIFICATENO~ NE2R028L

STARTERGENERr\TO-RfEARDO\yN,REg9!iT-- ·- --- ~-- -·:~---~.,. .... ~'"'-'""r"'t1~·-t;:'\;f;~.:~:.;.· .,.~~~~:.··""'"' ,--~'"''""'"-"-----~-,-~- ---···----·--'"'"-

MFGR.PART NUMBER

CUSTOMER

'ART ::, ,_~.,<TER _ GENERATOR

. PAR'I .... NUMBER:

- 10\ -~8'\0Gl-\'·,' ~-'-

CHECK PASS PRETEST

FAIL NIA COMMENTS

./

% BRUSH LIFE REMAINING AND SPRING TENSION (I)

BRUSH BRUSH c

0_22____

~ER >ffiOO-llXb =is==

SPRING c~ D___SL_

(2) - BRUSH

c}) D IO

SPRING c 5{. D St.

(3) (4) BRUSH • SPRING BRUSH · SPRING c ZJJ c 9:.. c ~> c ~ D JO · D S{. _ D 35 D~

- - VIEWED FROM ANTI-DRIVE SIDE, RIGHT OFT-BLOCK CLOCKWISE

FAN

DRIVE SHAFT

VISUAL

VISUAL

VISUAL(NDD

SPLINE DIAMETER

PART NUMBER

DAMPNER HUB VISUAL (NDD

DAMPNER PLT VISUAL (NDD

FRICTION RING VISUAL

THICKNESS

BACK PLATE VISUAL (NDT)

BEARING SUPT VISUAL (ADE)

BEARING RACE

SPRINGS

BRUSH HOLDER

DIELECTRIC

PART NUMBER

BEARING SUPT VISUAL (DE)

BEARING RACE

SCREEN

PART NUMBER SPEED PICK UP VISUAL OLD NEW RESISTANCE

-DIELECTRIC

ARMATURE VISUAL LUCAS ADVANf OTHER

COMMUTATOR DIA JOURNAL (ADE)

JOURNAL (DE)

DIELECTRIC

GROWLER

PART NUMBER

ll-rl 3/02

J

2.1~ I

.1~1 -./

~

I

CODE

PART CHECK COMMENTS BEARING VISUAL (ADE)

PART NUMBER -1 -~·

~EARING (DE) VISUAL

PART NUMBER .:>TATOR VISUAL LUCAS ' ADV AN __ DIELECTRIC

·'OTHER CONTINUITY

PART NUMBER TERMINAL VISUAL BLOCK

CAPACITANCE I SPUR GEAR VISUAL (NDT) THERMAL VISUAL SWITCH

TEMP (OPEN/CLOSE)

ADDITIONAL COMMENTS:

(Enter measurement) . STA TOR DIMENSION ARMATURE DIMENSION DIFFERENCE

(Enter measurement) :

SHIMS INSTALLED

MECHANIC: ~~

TITLE BLOCK

(Subtract measurements) · (Enter total thickness of shims installed for proper end play, enter NONE or 0 if none required)

METHOD OF EXECUTION

MFGR. PART NUMBER: Enter the manufacturers part number of the unit being tom down. CUSTOMER PART NUMBER: Enter the customers part number of the unit being tom down MOD ST A TUS: Enter the mod status of the unit being tom down.

CHART

SERIAL NUMBER : Enter the serial number of the unit being tom down. WORK ORDER NUMBER: Enter the work order number assigned to the unit being tom down. DA TE: Enter the date the tear down is being performed.

PRETEST: Place a check mark in the appropriate block for Pretest, any pertinent comments should be entered in comment · block.

% BRUSH LIFE REMAINING AND SPRING TENSION: Enter the percentage ofbrush life remaining for each brush; and the spring tension, in IN/OZ, for each brush spring. Write the brush part number in the line provided.

MEASUREMENT COLUMN: Enter the value obtained for the associated check. ACCEPT COLUMN: Enter a check mark ifthe part passes the associated check. REJECT COLUMN: Enter a check mark if the part fails the associated check or if it must be replaced

for any other reason. COMMENTS COLUMN: Enter any pertinent comments. CODE: Enter the appropriate code from the Lucas tear down analysis sheet. ADDITIONAL COMMENTS: Enter any other pertinent infonnatfon:--- ---

REMAINDER OF FORM MECHANIC: Name of the mechanic who performed the tear down.

-

I I ! ' I

l i

I" I

I ;

..

'

,.'._

µ.µ=--=-TJ-~. ~-.--~··_·· ~~--.~-·"_·, ;-,:"~'-B_&~S-~-~-i~~-E_:_~_~_S_T_l_~-~-~-~-~_E:_:_~-~-~_.:_·~IN_C_·~~~~~~,--~~~~-~-:'~;_:~~ TEST STAND NO. WORK ORDER NO. DATE MANDA~ R,EVI l"

~ ~( Ros- o&'fuo . c;>-3-0 #16 12-15-bo

I I .. , ,·\

FOR MODELS 23048-012, 014, 01ru6l_ 018, 021, 023, 027,-028 I

' SECTION RPM OUTPUT -LOAD FIELD COMMUT- VOLTS RESIST VOLTS TEMPERATURE

5 VOLTS AMPS CURRENT ATION B-A B - A D-E INLET I FRAME

A 13,000 30.0 0 /. 0 P:Jf:;,_ --- --- --- --- Bo * c 12,000 30.0 250 1=<& J!i< --- --- _Ly I~ A:SO ** E 6,900 30.0 . 250 £6 I~, AK MO :J.~O --- --- j_So

F 6,200 26.0 .. 250 3_:z Mt- _if) , J_ ~a --- --- )~ ***H 14,000 0 0 OVERS PEED: ___iZPASS --FAIL

H 1 12,000 .. 30.0 250 LK .: P.lL --- --- --- --- ' J_Jj? I 6,500 30.0 0,125,250 COMMUTATION: _LPASS --FAIL

' I 10,000 30.0 0,125,250 COMMUTATION: ~PfBS " FAIL ' -- ' I 12,000 30.0 0,125,250 COMMUTATION: BASS FAIL --

* STABILIZATION REQUIRED ** NO AIR; 15 MINUTE RUN *** 5 MINUTE RUN

j (J) DIELECTRIC TEST: PASS FAIL

(K) START TEST: OPEN SHUNT FIELD

15.0 VDC C-E, ~ L{~ /:;(RPM) (4800 MINIMUM) COPY (L) LOCKED ROTOR TEST: OPEN SHUNT FIELD, 20 FT. LBS. TORQUE

C-E VDC /;2,, 15"° (VOlffS) (13.0 MAX) lfj 6 (AMPS) (500 MAX)

(M) COMMUTATOR CHECKS:

FINISH 1'- (MICRO IN.) BAR TO BAR RUNOUT .ll0• 1

TESTED BY: aAA..g,..c.,._ L.££ INSPECTED BY:

(N) BRUSH BAND INSULATION: INSPECTED BY:~ Q ~ · \

, ... ,,,:s (IN.) (.0008 MAX)

1146 04/03

·.

METHOD OF Er-~UTION .

TITLE BLOCK MODEL NO.: Enter the dash munber on the unit. SERIAL NO.: Enter the serial number on the unit.

\

- :·

TEST STAND NO.: Enter the number of the varidrive used to test the unit. WORK ORDER NO.: Enter the work order number assigned to the unit being tested. DA TE: Enter the date the test is being performed.

GENERAL

·, ...

' , I

' \

. ' ... .,i .·. f

Enter a check mark on the appropriate line for all pass/fail requirements. Lines followed by text in parenthesis require a value .. to be entered.

CHART FIELD CURRENT: Enter the field current of the unit during the test. COMMUTATION: If commutation is acceptable, enter BLACK or BLK. VOLTS B - A: Enter the B to A voltage of the unit during the test. RESIST B - A: Divide the volts B - A by the field current and enter the value. VOLTS D- E: Enter the D to E voltage of the unit during the test. TEMPERATURE F. INLET: Enter the air inlet temperature of the unit during the test. TEMPERATURE F. FRAME: Enter the frame temperature of the unit during the test. ·

I

REMAINDER OF FORM TESTED BY: Name of the individual performing the test. ·· 1 ' 1 ' • . :

INSPECTED BY: Name of the Certified Repairman who verified the test. . . . ·-i; i •

BRUSH BAND INSULATION INSPECTED BY: Name of the Certified Repairman who verified the brush band insulation.

! .

, ··i ' l .'. ';; ~ f

t '

..

. ·· ··.···

! .-'

i \ ' I

I I I -!

• 1 I . f'I 1)· r~

·r:- 1 ' . r. I

r ,' '' " r··

.. ::. i·' "l t

' '. I l;. I. ; f•; '.

I. Approving National Aviation Authority/Country:

2. 3. Form Tracking Number:

FAA/UNITED ST ATES AUTHORIZED RELEASE CERTIFICATE

FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG FL96A0330001

4. Organization Name and Address: 5. Work Order/Contract/Invoice

Duncan Aviation/Lincoln Airport/Lincoln, NE 68524 Number: FL96A

6. Item: 7. Description: 8. Part Number: 9. Eligibility: * IO. Quantity: 11. Serial/Batch Number: 12. Status/Work:

330 HSI 7001179-909 N/A 001 82040923 INSPECTED

13. Remarks:

CUSTOMER:DUNCAN AVIATION/SHOP WORKORDER

Discrepancy: Recycle and certify.

Preliminary Findings: Bench checked unit. No defects found.

Corrective Action: Unit functional tested per Honeywell RD-550 maintenance manual Revised Aug 1992.

No current U.S. Airworthiness Directives apply.

TECHNICIAN:DAVID OSSIAN

This document constitutes a signed copy of the work order.


D Approved design data and are in a condition for safe operation.

D Non-approved design data specified in Block 13 .

19. IK] 14 CFR 43.9 Return to Service D Other regulation specified in Block 13

Certifies that unless otherwise specified in Block 13, the work identified

15 . Authorized Signature:

17 . Name (Typed or Printed):

in Block 12 and described in Biock 13 was accomplished in accordance with Title 14, Code of Federal Regulations, part 43 and in respect to that work, the items are approved for return to service.

16. ApprovalAuthorization No.: ..2.D..._Authorized Siluiaaire: ...::::::::i_

~ " ~ =- ~ 21. Approval/Certificate No.:

JGVR194F 18 . Date (m/d/y): 22':if;'me (Typed or i>f(i'.;ted): 23. Date (m/d/y):

TRENT M. FULLER Aug 31 2006 User/Installer Responsibilites

It is important to understand that the existence of this document alone does not automatically constitute authority to install the part/component/assembly.

Where the user/installer performs work in accordance with the national regulations of an airworthiness authority different than the airworthiness authority of the country specified in Block 1, it is essential that the user/installer ensures that his/her airworthiness authority accepts parts/components/assemblies from the airworthiness authority of the country specified in Block 1.

Statements in blocks 14 and 19 do not constitute installation certification. 1n all cases, aircraft maintenance records must contain an installation certification issued in accordance with the national regulations by the user/installer before the aircraft may be flown.

FAA Form 8130-3 (6-01) * Installer must cross-check eligibility with apphcable technical data. N SN :0052-00-012-9005

FAALNK

1.

UNITED STATES

4. Organization

2.

FAA FORM 81S0-3 AIRWORTHINESS APPROVAL TAG

U.S. Department of Transportation Federal Aviation Administration

Stevens Aviation, Inc., P.O. Box 399, Dayton International Airport, Vandalia, OH. 45377. 937-454-340p 6. 7. 8. 9. 10. 11.

3. System Tracking Ref. No. 12764

5. Work Order, Contract, or Invoice Number: DAY.12764

12. Item Description Part Number Quantity . Serial/Batch Number Status/Work

Power Supply 701571 To be verified by installer 1 849 Inspected I Repaired

I

13. Remarks

PO 106887

lr.spect, Repair and Bench Test

Reference: SD11 Dwg 701571

arls must be accom anied b

8

Certifies that the new o wly overhauled part(s) idenf .above, except as otherwise specified I bloc was (were) man ctured in accordance with F ~ approved desig•' data a irwort ·

NOTE: In case of parts to be exp count have been met.

15. Signature

17. Name

time since new. 19.

Return to Service in Accordance with FAR 43.9

Certifies that the work specified in block 13 (or attached) above was carried out in accordance with FAA airworthiness regulations and n respect to the work performed the part(s) is(are) approved for return to service.

2~. Authorized Signature: I ,--if-, f""\ · I /~.vlJ L,-.J_ ~

22. Name (Typed or Printed)

1obert Craig, Chief Inspector "(Optional Installer must cross check eligibility with applicable technical data.

21. Certificate Number: Vl84368K

23. Date:

/-If -o""L-

1. Approving National Aviation 2. 3. Form Tracking Number: Authority/Country:

AUTHORIZED RELEASE CERTIFICATE 26468 UNITED STATES FAA Form 8130-3,AIRWORTHINESS APPROVAL TAG

4. Orga~ization Name and Address: Stevens Aviation, Inc. 5. Work Order/Contract/Invoice

Dayton International Airport Ph.: 937-454-3426 Number:

Vandalia, OH 45377 Fax: 937-454-3469 DAY26468 ,.__ 6. lte.in: 7. Descri_tJ_tion: 8. Part Number: 9. Eligibility_:* 10. Quanti!r_: 11. Serial/Batch Number: 12. Status/Work:

1 STROBE LIGHT 30-1331-5 NIA 1 1712 Overhaul

13. Remarks: OVERHAUL AND BENCH TEST

(JQ

Certifies that the work specified in block 12/13 was carried out IA W EASA 145 and with respect to that work the aircraft•component is considered ready for release to service under EASA approval Certificate: EASA.145. 5179

Reference: DRG 30-1331

crtifies the iterns identified above were manufactured in conformity to: 19. IBl 14 CFR 43.9 Return to Service IBJ Other regulation specified in Block 13

Appro design data and are in condition for safe operation. Certifies that unless otherwise speCified in block 13, the work identified in Block 12

Non-approved de data specified in Block 13. and described in Block 13 was accomplished in accordance with Title 14, Code of Federal Regulations, part 43 and in respect to that work, the items are approved for return to service.

IS. Authociud s;go.t~ 16. Approval/Authorization No.: 20. Authorized Signature: 21. Approval/Certificate No.:

~ ----tA 4~ -vzfs- VIB4368K

~p,;ot•d)' 18. Date:

~ 22. Name (Typed or Printed): 23. Date (m/d/y):

ANDfr{EW C PORTER JUNE/29/2006

U ser/lnstaller Res_p_onsibilities It is important to understand that the existence of this document alone does not automatically constitute authority to install the part/component/assembly.

Where the user/installer performs work in accordance with the national regulations of an airwo'rthiness authority different than the airworthiness authority of the country specified in Block 1, it is essential that the user/installer ensures that his/her airworthiness accepts parts/components/assemblies from the airworthiness authority of the country specified in Blockl.


FAA Form 8130-3 (6-01) *Installer must cross-check eligibility with applicable technical data. NSN: 0052-00-012-9005

· ~.

1. Approving National Aviation Authority/Country:

FAA/United States 4. Organization Name and Address:

6. 7. Item: Description:

2.

1 MOTOR SPEED CONTROLLER

13. Remarks :

AUTHORIZED RELEASE CERTIFICATE FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG

WESTERN SKY INDUSTRIES, INC. d./b./a. Electromech Technologies 2600 S. Custer

8. Part Number:

101-384177-9 EM2091-6

9.

Wichita, KS 67217

10. Eligibility:* Quantity:

N/A 1

3. Form Tracking No.

23299 5. Work Order/Contract/Invoice Number

AM23299

11. 12. Serial/Batch Number: Status/Work:

24238 REPAIRED

REPLACED C49, D38, Q25, Q35, Q47, R46, SIL PADS REPAIRED IN ACCORDANCE WITH:

E/T DRAWING EM2091 ~~~~~~~~~-

E /T DRAWi NG ---=2~0""'"9-'-1----'1"'""0--'1 __

OVH MANUAL --------

REV LJ

REV AC

REV ___ _

Certifies that the work specified in block 12/13 was carried out in accordance with JAR 145 .br EASA IR 145 and with respect to that work, the aircraft component is considered ready for release to service under JAA or EASA Acceptance Certificate Number, JAA5012/EASA:145.5012.

· es the items identified above were manufactured in conformity to:

D Appr

D

18.

19. 0 14 CFR 43.9 Return to Service. [!] Other regulation specified in Block 13

Certifies that unless otherwise specified in Block 13, the work identified in Block 12 and described in Block 13 was accomplished in accordance with Title 14, Code of Federal Regulations, Part 43 and in res ect to that work, the items are a roved for return to service.


PX2R099L (RS

23. Date~p~'Y1J. 7 2006

It is important to understand that the existence of this Document alone does not automatically constitute authority to install the part/component/assembly.

Where the user/installer performs work in accordance with the national regulations of an airworthiness F.iuthority different than the airworthiness authority of the country specified in Block 1, it is essential that the user/installer ensures that his/her airworthiness authority accepts parts/components/assemblies from the airworthiness authority of the country specified in Block 1.

Statements in Block 14 and 19 do not constitute installation certification. In all cases, aircraft mainten~nce records must contain an installation certification issued in accordance with the national regulations by the user/installer before the aircraft may be flown .

FAA FORM 8130-3 (6/01/01) * Installer must cross-check eli~ ibility with applicable technical data. NSN: 0052-00-012-9005

Electromech Technologies

FAA REPAIR STATION PX2R099L

TEARDOWN AND INSPECTION REPORT

--~----

2600 S. CUSTER WICHITA, KS 67217 PHONE: 316-941-0400 FAX: 316-941-0473

JOB# AM23299 ELECTROMECH P/N EM2091-6 STEVEN

CUSTOMER AVIATION CUSTOMER P/N 101-384177-9

S/N 2423B DATE 3/24/06

TECHNICIAN GO CUSTOMER STATED DISCREPANCY OR REQUEST

OVERHAUL

TECHNICIAN'S EVALUATION OF UNIT

CONDITION OF UNIT UNIT !NOP-UNIT HAS NO MOTOR VOLTAGE OUTPUT.

EVALUATE CUSTOMER DISCREPANCY & RECORD RESULTS

ACTIONS REQUIRED TO ADDRESS CUSTOMER ISSUE

ACTIONS REQUIRED TO RETURN UNIT TO SERVICE REPLACE C49, 038, 025, 035, 047, R46, SIL PADS,

WORK TO BE PERFORMED

OVERHAUL 0 REPAIR ~ INSPECT 0

MAJOR COMPONENTS TO BE REPLACED OR REPAIRED

D Bearings D Housing

D Brushes D Gears

D Brush Guide D Cover Can

D Comm. End Bell D Baseplate

D Drive End Bell D Brake Magnet

D Field Hsg. I Stator D Brake Disc

D Armature I Rotor D Brake Arm. Plate

Document# ENC 0002 Page 1 OF 2 REV. E December 24, 2003

D Sensor

D Impeller

D Limit Switch

D Moveable Tube

D Acme Shaft

D Relief Valve

D Body Seal

UPDATE D

D Valve Body

D Elec. Connector

IZI Misc. Electronics

D Cosmetic Items

0 RFI Filter

0 NO PARTS REQ.

JOB # AM23299

PART# EM2091-6

S/N 2423B

SPECIAL INSTRUCTIONS AND CUSTOMER SPECIFIED DEVIATIONS

APPLICABLE DOCUMENTS

OVERHAUL MANUAL

DRAWING EM2091

DRAWING 2091-101

DRAWING

UPDATElMOD INFORMATION

FROM PART#

TO PART#

~~~~~~~~~~-

~~~~~~~~~~-

Document# ENC 0002 Page 2 OF 2 REV. E December 24, 2003

REV

REV U

REV AC

REV

SERIAL NUMBER INFORMATION

OLD SERIAL#

NEW SERIAL#

MAINTENANCE/INSp_ECTION ENTRLES

........ STEVENS AVIATION INC. ' .. GREENVILLE, SC

10/20/2006 N800TS SN BB-1032 ACTT

HM FLIGHT CYCLES

MAINTENANCE EVENTS, PARTS REMOVED OR REPLACED

23

8852.7 354.5

7822

102 Troubleshot cabin differential system spliced in new hose and clamped hose. Operation checked satisfactory. 103 Replaced cabin door inspection light switch with a new switch PIN 30-1. Operational check satisfactory. 104 Removed right lower Avionics floorboard to gain access to vent blower. Found speed control unit open from

water in compartment. Removed vent blower and speed control. Cleaned and dried compartment and cleaned out drain. Replaced speed control unit with an overhauled unit PIN 101-384177-9 SIN 2423B. Unit overhauled by Western Sky Industries, Wichita, Kansas CRS #PX2R099L on Work Order #AM23299. Reinstalled vent blower and right Avionics floorboard. Operational check satisfactory.

105 Installed new cabin door cable PIN 50-430043-1397 and adjusted tension. Operational check satisfactory. 106 Repaired cabin door placard and reinstalled per customer request. 107 Checked and cleaned fuel panel diode. Operational check satisfactory. 108 Removed left aft No. l facing seat from aircraft and replaced inboard armrest forward attach bolt.

Operational check satisfactory. ReinstalLed seat in aircraft. 109 Tightened loose connection on approach plate light. Operational check satisfactory. . 119 Removed bulb, bulb holder and mount and replaced with new bul PIN LP1982, new holder and mount for nght

r -

recognition light.

~ .... STEVENS AVIATION INC. ' .. GREENVILLE, SC

SA-0505

N800TS SN BB-1032 10/20/2006

ACTT 8852.7 HM 354.5


120 Removed strobe light assembly PIN 30-1331-3 SIN 4403 and damaged power supply PIN 701571SIN2963 and replaced with an overhauled light assembly PIN 30-1331-5 SIN 1712 and a repaired power supply PIN 701571 SIN 849. Strobe light assembly was overhauled by Stevens Aviation, Inc., Vandalia, Ohio, CRS #VIB4368K on Work Order #DA Y26468. Power Supply was repaired by Stevens Aviation, Inc., Vandalia, Ohio CRS # VIB4368K on Work Order #DA Yl2764. Operational check satisfactory.

121 Ran new wire to middle step light. Operational check satisfactory. 122 Replaced #3 left reading light switch with a new switch PIN J20154. Operational check satisfactory. 123 Replaced 2 bulbs in post lights and tightened loose connection .. Operational check satisfactory. 124 Removed loose rivets on right stub wing and replaced with new rivets. 125 Tightened nose chain to proper tension. 127 Removed access panels, adjusted cabin door latches and lubricated. Operational check satisfactory.

Reinstalled access panels. 202 Adjusted left and right blade angles bringing left and right ground idle RPM's within tolerance. 204 Adjusted left and right reverse. Performed ground run. Readjusted right reverse. Check on ground

run satisfactory.

206 Adjusted left and right over speed governors. Ground run and operational checks satisfactory. 208 Removed broken inboard forward latch from left rear up 1 and replaced with a new latch

PIN H296Kl 135. ~

'NVILLE, SC 29605, CRS VIBR368K Page3 o/4

SA-0505


.-..... STEVENS AVIATION INC. 1ili.; ... GREENVILLE, SC

10/20/2006

N800TS SN BB-1032 ACTT HM

FLIGHT CYCLES MAINTENANCE EVENTS, PARTS REMOVED OR REPLACED (CONT)

209 Removed broken inboard forward latch from right rear upper cowl and found replaced with a new latch PIN H296Kl 135.

8852.7 354.5

7822

210 Removed and replaced rivets in right rear lower cowl at horseshoe. 211 Removed cracked right engine inboard exhaust for weld repair. Welded two cracks in exhaust stack using

Inconel #82 filler rod. Reinstalled exhaust after repair. 213 Removed left engine chip detector and replaced with a new chip detector PIN 3045951-02 SIN ABE696. 214 Removed worn air conditioner bearings and replaced with new bearings PIN W206PP. 799 Installed 5 amp spare fuses in right stub wing. 950 Serviced oxygen bottle to 1850 PSI.

THE MAINTENANCE IDENTIFIED IN THIS WORK ORDER PACKAGE HAS BEEN INSPECTED AND THE ITEM(S) ARE APPROVED FOR RETURN TO SERVICE. PERTINENT DETAILS OF THE REPAIR(S) ARE ON FILE AT THIS AGENCY UNDE 'RK OlllJE'R N .lK.Jr-u· 'l/..H~

VILLE, SC 29605, C'RS VIB'R368K Page4 o/4

24

SA-0505

..-... STEVENS. AVIATION INC. ' ... GREENVILLE, SC

N800TS SNBB-1032

112/2007

Paint 1. Sanded and painted left inboard stub wing.

The Maintenance Identified In This Work Order Package Has Been Inspected And The ltem(s) Are Approved For Return To Service. Pertinent Details Of The Repair(s) Are On File At This Agency

Under Work Order o. GYH387 00.

·-

~ ~ STEVENS AVIATION INC • .,.. .. GREENVILLE, SC

Stevens Aviation, Inc. 600 Delaware Street Greenville, SC 29605 1-800-FL Y-STEVENS

MAINTENANCE RELEASE TAGS for

N800TS ACTT: 8857 .2

BB-1032 HM: 359

Flight Cycles: 7,826 Date: 12/04/06 Work Order No.: GYH.38794/125

SA-0505

1. Approving .onal Aviation 2. 3. Form Tracking Nu, : Authority/Country:

AUTHORIZED RELEASE CERTIFICATE 27082 UNITED STATES FAAFonn 813~3,AIRWORTHINESS APPROVAL TAG

4. Organization Name and Address: Stevens Aviation, Inc.

6. Item: 7.

13. Remarks:

Dayton International Airport Vandalia, OH 45377

Descr!Q_tion: 8. Part Number: EM640-1

BLOWER ALT P/N 101-384176-1

OVERHAUL AND BENCH TEST

·'

9.

Ph.: 937-454-3426 Fax: 937-<'.l54-3469

Eligibility:*

N/A

10. Quanti!}'.: 11.


DAY27082

Serial/Batch Number: 12. Status/Work:

1203 Overhaul

Certifies that the work specified in block 12/13 was carried out IA W EASA 145 and with respect to that work the aircraft component is considered ready for release to service under EASA approval Certificate: EASA.145. 5179

Reference: CMM OHM640

. ertifies the items idrntified above were ::ianufactured in conformity to: _ _.,,./' 19. [RJ 14 CFR 43.9 Return to Service [RJ Other regulation specified in Block 13

Appro design data and are in condit~·on for safe operation. Certifies that unless otherwise specified in block 13, the work identified in Block 12

Non-approved de · data specified in Block 13. and described in Block 13 was accomplished in accordance with Title 14, Code of Ifederal Regulations, part 43 and in respect to that work, the items are approved for return to service.


VIB4368K

~rioted): 18. Date: ~ ff2. Name (Typed or Printed): ·

~ _ ~ ANDREW C PORTER

23. Date (m/d/y):

OCT/09/2006

User/Installer Res_l!_onsibilities It is important to understand that the existence of this document alone does not automatically constitute authority to install the part/component/assembly.

Where the user/installer performs work in accordance with the national regulations of an airwo~thiness authority different than the airworthiness authority of the country specified in Block 1, it is essential that the user/installer ensures that his/her airworthiness accepts parts/components/assemblies from the airworthiness authority of the country specified in Blockl.

Statements in Blocks 14 and 19 do not constitute installation certification. In all cases, aircraft maintenance records must contain an installation certification issued in accordance with the national regulations by the user/installer before the aircraft may be flown. I FAA Form 8130-3 (6-01) *Installer must cross-check eligibility with aRplicable technical data. NSN: 0052-00-012-9005

l. Approving National Aviation Authority/Country:

FAA/United States

2.


AUTHORIZED RELEASE CERTIFICATE FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG

Precision Avion ics & Instruments 495 Lake Mirror Rd., Bldg. 800, Suite G Atlanta, Georgia 30349

European Aviation Safety Agency Reference Number· EASA.145.505 1


0607270034


X4747

6. Item: 7. Description: 8. Part Number: 9. Eligibility:* 10. Quantity: 11. Serial/Batch Number: 12. Status/Work:

TACHOMETER INDICATOR

RCA42-01 NIA 8901 84 OVERHAULED

13. Remarks: OVERHAULED PER. MANUAL NUMBER 1371 REVISION A EDITION 6-91 AID BK 4 SEC 1


Approved design data and;:~re in a condition r~"r safe operation.

Non-approved design data sp~cified ht J}lockJ3•]!

16. Approval/Ant

18. Date (m/d/y):

19. ~ 14 CFR 43.9 Return to Service D Other regulation specified iu Block 13

Certifies that unless otherwise specified in Block 13, the work identified in Block 12 and described in Block 13 was accomplished in accordance with Title 14, Code of Federal Regulations, part 43 and in respect to that work, the items arc approved for return to service.

20. 21. Approval/Certificate No.:

ZV4R714M I

\ 22. 23. Date (m/d/y):

I ANTHONY T. JOHNSON AUG/11/2006

User/Installer Responsibilities

It is important to understand that the existence of this document alone does not automatically consti±1 te authority to install the part/component/assembly.

Where the user/installer performs work in accordance with the national regulations of an ainvorthi ss authority different than the airworthiness authority of the country specified in Block 1, it is essential that the user/installer ensures that his/her airworthiness authority accepts parts/componcn /assemblies from the airworthiness authority of the country specified in Block 1.

Statements in Blocks 14 and 19 do not constitute installation certification. In all cases, aircraft main enance records must contain an installation certification issued in accordance with the national regulations by the user/installer before the aircraft may be flown. \

FAA Forrn 8130-3 (6-01) *Installer must cross-check eligibility with applicable technical da, a . NSN: 0052-00-0 12-9005

I

CUSTOMER

Name:

Address:

Phone#:

FAX#:

Contact Name:

P.O. Number:

Tracking#:

WORK ORDER PRECISION AVIATION

GROUP, INC. D/B/A PRECISION AVIONICS

& INSTRUMENTS Authorized Repair Station For

PRECISION BELIPARTS, INC.

PRECISION HELIPARTS-CANADA, INC.

495 LAKE MIRROR RD. BLDG. 800 SUITEG

ATLANTA, GA. 30349

(404) 767-5800

FAX (404) 767-5900

REPAIR STATION #ZV4R714M

Name:

Address:

Ship Via:

W/O #

Previous W/O #

SHIP TO

TIMES SINCE LAST

Overhaul:

AIRCRAFT REMOVED FROM MAINTENANCE M

Part#:

Model#

Serial#:

Cust. Part#

Desc.:

Mfg.:

REASON FOR REMOVAL:

REQUIREMENTS:

TROUBLE REPORTED:

Repair .

DATE OF LAST

Overhaul:

Repair:


Manufacturer: Name:

Model: Book I Section Num

Number:

Serial Num:

PRELIMINARY FINDINGS: --------------------------

Technician Signature:,_-="-------------

Technician Signature: _____________ _

J

Date:, __ --'----

Date: / I

I' ------

W/0#___;,_Y_L/_ ? _l/_7 __ DISPOSITION: Overhaul ?<'pair D Bench Check D BER D WTY D NW D

CORRECTIVEACTIONOREXPLANATION: ~·~· f~;~· ~/~~~--~-1~~~/~f~~-?=--~-·-9~~ ..... /ufl~~~~~~-~'~~~r~~~r~~~~~~~~~~~~~·~,w='~~~ • .d] ,1 ,, /--:> /

- /

Airworthiness Directive Complied With? ~~ YES AD# ______________ _

Service Bulletin Complied With? _' ~ YES S/B# ______________ _

Was a FAA Form 337 issued? (0 YES Resultant Part# Modification # -------

Technician Signature: c;,,) 111 " ) I ~ti i;Jc; ;/ · Date: ,> j,,, /,, c~ The article identified by this Work order was worked ak"inspected in accordance with current regulations of the Federal Aviation Administration and is approved for return to service. .,

Inspector Signature: ______ .,.--_,,.,._~_~ ..... r_"'_7_,.""'~=----·--_-_-:_-:_-:.. _________ _ 7

Date:._ «f._ !i_/;f,_. ~-~-~--PARTS OR MATERIAL REQUIRED

Nomenclature Manufacturer Part #

I I fj 1((/"

1. Approving National Avi~ / ,+- 2. AUTHORIZED RELEASE CERTIFICATE FAA Form 8130-3, Airworthiness Approval Tag


Authority/Country: GYH.50387PM FAA/UNITED STATES

4. Organization Name and Address; 5. Work: Order/Contr8cUlnvoice Number.

7.

AVIATION FABRICATORS

BOS NORTH FOURTH STREET

CLINTON, MISSOURI 64735

GVRR304K

8.

20636/14084

11 Item: Descrjfilion: Part Number. Eii ibUtv: ···--+ o. Quan~ Serial/Batch Mumber:

2

3

Actuator

Actuator

Actuator

HL 175· iJ- tS

HL 17500·19

HL17500-20

TBV TBV TBV l 30837

30838

30839

Overhauled

Overhauled

Overhauled

13. Remarks:

All work perfonned in accordance with CMM 25-22-89.

14. Certifies the items identified above were manufactured in conformity to: 19. ~14 CFR 43.9 Return to Service CJ other regulation specified in block. 13.

15.

17.

CJ Approved design data and are in a condition for LJ Non~approved design data sper~red in safe operation. block. 13.

Authorized Signature:

Name(Typed or printed):

16. Approval/Authorization Number:

1 a: Date (mld/y):

Certifies that the work specified in block 13, the work identified in Block 12 and described in Block 13 was accomplished in accordance with Title 14, Code of Federal Regulations, part 43 and in respect to that work, the items are approved for return to service.

20. Authorized Signature: 21. Approval/Certificate No.:

GVRR304K

22. Name(Typed or printed): 23. Date (m/d/y):

Michael V. Lewis 9/8/2006

. USER/INSTALLER RESPON~ ·BiUTIEs-·---------------~----;--,,.lt "";s'"'i_m_p-ort:-a-nt"'t-o -un-d,-e-rst:-a-nd=th'"'at"'th,-e_e_x.,.is.,.te-nc_e_o-,f"th.,.is'""D"'o-cu_m_e_n.,.t a""l-on_e_d,-oe-s ~1ot automatically constitute aulhority U 0iilsta1J the part/componenVassembly.

Where the user/installer work in accordance with the national regulations of <'In Airworthiness Authority differen! ' 'l at ';e ,C.,irv·mrthiness Authority of the country specified in block 1 it is essential that the user/installer ensure that his/her Airworthiness Authority accepts parts/components/assemblies from the Airworthiness Authority of the country specified in block 1.

Statements in block 14 and 19 do not constitute installation certification . ,n ell cases aircraft maintenance record~ q'~- · contain an installation certification issued in accordance with the national regulations by the userfinstaller before the aircraft can be flov .. n.

The FAA fomi. 8130-3 & JAA Fonn One are equivalent. Other countries such as Canada also have equivalent ac.(.;~Pl«ble documents. -----------------------------~-~FM~F~o~rm=8~1.3~0~-3~(0~6~-0~1~) - ----------------------- ·----- " •• ---- "Installer must cross check eligibi lity with applicable technical data. __

NSN:0052-00-012-9005

maintenance/inspection entries - … · tire pin 265k08-1 sin 41920440 wheels inspected i.aw. b-200...

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