make & model · 2017. 4. 10. · • alpine aerotech exhaust deflectors (stc sr00650ny) •...

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Avionics & Electrical: Pulse-light Installation Whelan White Strobes Static Inverter Conversion Onboard E47B Electric Load Cell (STC SH4751NM) NAT PA System With Loud Hailer Becker Transponder (Mode C) Dual Becker Comm Dual Becker NAV Technisonic TDFM-136B Dual Trimble 2101 IFR GPS King ADF System KDF 805 Garmin 796 Bendix Color Radar RDR 400 King DME System KDM 706 King Marker Beacon System KMR 675 Dual NAT Audio Controls in Cockpit and Cabin BF Goodrich Skywatch Traffic Avoidance (TCAS) Honeywell EGPWS (N357EH ONLY) Avionics Innovations MP3 Cabin Briefing System FA-2100 CVR Artex 406Mhz ELT Radar Altimeters (TSO-C67) Skyconnect Satellite Flight Tracking System US Government Forestry Wiring Complete Make & Model: Bell 212 IFR (Bell AFCS) Current Configuration:

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Page 1: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

Avionics & Electrical:• Pulse-light Installation • Whelan White Strobes • Static Inverter Conversion • Onboard E47B Electric Load Cell (STC

SH4751NM)• NAT PA System With Loud Hailer • Becker Transponder (Mode C)• Dual Becker Comm• Dual Becker NAV• Technisonic TDFM-136B• Dual Trimble 2101 IFR GPS• King ADF System KDF 805• Garmin 796• Bendix Color Radar RDR 400• King DME System KDM 706• King Marker Beacon System KMR 675• Dual NAT Audio Controls in Cockpit and Cabin• BFGoodrichSkywatchTrafficAvoidance(TCAS)• Honeywell EGPWS (N357EH ONLY)• AvionicsInnovationsMP3CabinBriefingSystem• FA-2100 CVR• Artex 406Mhz ELT• Radar Altimeters (TSO-C67)• Skyconnect Satellite Flight Tracking System• US Government Forestry Wiring Complete

Make & Model: Bell 212 IFR (Bell AFCS)Current Configuration:

Page 2: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

Equipment & Options

• TB212-91-138 HP Compliant• BLR Strake STC SR00798SE• Wire Strike Kit STC SH1253SO• Troop Seating With Aft Shoulder Harness Kit (STC Varies)• AlpineAerotechExhaustDeflectors (STC SR00650NY)• Alpine Aerotech Compressor Access Kit (STC SR00515NY)• Alpine Aerotech C-Box Drain Reservoir (STC SR01452NY)• Improved Oil Cooler Tower Access Doors• Dart Heli-Access Handles (STC SR00549NY)• Dart Cabin and Tailboom Protectors (STC SR02492NY)• Dart Skid Tubes (STC SR00563NY)• Dart Bearpaws (STC SR00571NY) (Installed As Required)• Dart Door Opener and Cabin Door Roller Kit (STC SR01446NY)• Twin Pak E-Z Access kit (STC ST01994NY)• Left Seat Long Line Door with TQ Gauge and Master Caution

Indicator• Onboard System Talon Keeperless Hook (STC SR0069SE)• 204 Long Line Seat (Optional Install)• LH Cargo Release and Collective Controls to include Beep

Controls for TB212-91-138 (HP)• External Aux Tank Compatible (STC SH3889SW)

Page 3: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

AIRCRAFT STATUS REPORT

Last flt Date: 06/02/2016AC TO: 53922

Mfr. Date: 01/01/1982AC TT: 15803.4Model: 212

Pos. Code On-WingPart #TSO/I CSO/I

Service Life CompTT/TC RemUnits A/C Hr.

Due At

Part Serial DateWork Unit Usage Date

. CVR Yes2100-1020-50 000173806 02/28/2017CVR TEST -INS 12 ME

. . UAB - CVR YesDK120 DU44573 02/28/2017SONIC BCN INSP -INS 12 ME

. . UAB - CVR NoDK120 DU44573 02/28/2018SONIC BCN BATT -OTH 72 ME

. BATTERY NoRG380E/44 40627075 07/31/2016CONCORDE BATTERY CAP CHECK

-INS 12 ME

. START/GEN 1 No23046-020 11594 483.3011,776.71 766.70 16570.1212/412 START/GEN O/H 1250 FH-OVH

. START/GEN 2 No23046-020 11842 466.4012,447.10 783.60 16587212/412 START/GEN O/H 1250 FH-OVH

. ELT Yes453-5003-366 03391 02/28/2017ELT ANNUAL INSP -INS 12 ME

. . ELT BATT No452-0133 356424-40 10/31/2017ELT BATTERY RET -RTR 60 ME

. UAB A/F YesDK120 DU54747 02/28/2017SONIC BCN INSP -INS 12 ME

. UAB A/F NoDK120 DU54747 07/31/2018SONIC BCN BATT -OTH 72 ME

. CARGO HOOK No204-072-915-103S 113 316.002,635.30 884.00 16687.4 07/31/2017212/412 CARGO HOOK OH 1200 FH-OVH 36 ME

. FLOAT BOTTLE No412-378-010 4123 04/30/2017212/412 FLOAT CYL RET -RTR 180 ME

. FLOAT BOTTLE No412-378-010 4123 06/30/2018212/412 FLOAT CYL INSP -INS 36 ME

. . FLOAT SQUIB No29022968 0989 02/28/2023FLOAT SQUIB RET -RTR ME

. L/H FWD FLOAT 212-030-381-009 -

HH24:MI:SS04:41:4508/02/2016

TO : Take Offs, TT : Total Hours, TC:Total Cycles

Page 1 of 14Config-AcStatus Printed On:

Page 4: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

AIRCRAFT STATUS REPORT

Last flt Date: 06/02/2016AC TO: 53922

Mfr. Date: 01/01/1982AC TT: 15803.4Model: 212

Pos. Code On-WingPart #TSO/I CSO/I

Service Life CompTT/TC RemUnits A/C Hr.

Due At

Part Serial DateWork Unit Usage Date

. R/H FWD FLOAT 212-030-381-011 -

. L/H AFT FLOAT 212-030-381-031 -

. R/H AFT FLOAT 212-030-381-033 -

. 1ST AID KIT YesZEE LARGE/FORESTRY

080 02/28/2017FIRST AID KIT INSP -INS 12 ME

. LIFE RAFT 1 R0097-101 -

. LIFE RAFT 2 R0097-101 -

. ENG FIRE BOT 1 No209-062-908-001 01547B2 10/31/2019212/412 ENG FIRE BOTTLE INSP

-INS 60 ME

. . SQUIB 1 No30900400 ESD12D124-001A 07/31/2021FIRE BOTTLE SQUIB RET -RTR 108 ME

. . SQUIB 2 No13083-5 24024 11/30/2019FIRE BOTTLE SQUIB RET -RTR 108 ME

. ENG FIRE BOT 2 No209-062-908-001 07136B2 10/31/2017212/412 ENG FIRE BOTTLE INSP

-INS 60 ME

. . SQUIB 1 No30900400 ESD12D124-001 12/31/2019FIRE BOTTLE SQUIB RET -RTR 108 ME

. . SQUIB 2 No13083-5 ESD13H498-001 12/31/2019FIRE BOTTLE SQUIB RET -RTR 108 ME

. FIRE EXT 1 YesC352 Y-22420 02/28/2017FIRE EXT INSP -INS 12 ME

. FIRE EXT 1 NoC352 Y-22420 03/31/2017FIRE EXT RET -RTR 72 ME

. FIRE EXT 2 NoC352 Y-548071 10/31/2019FIRE EXT RET -RTR 72 ME

HH24:MI:SS04:41:4508/02/2016

TO : Take Offs, TT : Total Hours, TC:Total Cycles

Page 2 of 14Config-AcStatus Printed On:

Page 5: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

AIRCRAFT STATUS REPORT

Last flt Date: 06/02/2016AC TO: 53922

Mfr. Date: 01/01/1982AC TT: 15803.4Model: 212

Pos. Code On-WingPart #TSO/I CSO/I

Service Life CompTT/TC RemUnits A/C Hr.

Due At

Part Serial DateWork Unit Usage Date

. FIRE EXT 2 YesC352 Y-548071 02/28/2017FIRE EXT INSP -INS 12 ME

. HYD PUMP 1 PV3-044-8 MX-326591D 16,422.81 -

. HYD PUMP 2 212-076-011-001 AU30-D14180EF 1,486.60 -

. HYD FILTER ASSY 1 No212-076-006-007 1035 806.104,883.35 5,193.90 20997.3212/412 HYD FILTER ASSY INSP

6000 FH-INS

. HYD FILTER ASSY 2 No212-076-006-007 3885 5,721.517,942.51 278.49 16081.9212/412 HYD FILTER ASSY INSP

6000 FH-INS

. FWD X-TUBE No212-320-103 824 390.00 11,610.00 27413.4212 X-TUBE RET 12000 TO-RTR

. AFT X-TUBE YesD212-664-207 B75988 43.401,337.31 256.60 16060212 300 HR X-TUBE INSP 300 FH-OTH

. AFT X-TUBE YesD212-664-207 B75988 03/31/2018212 2 YR X-TUBE INSP -OTH 24 ME

. AFT X-TUBE NoD212-664-207 B75988 5,478.01 6,521.99 22325.4212 X-TUBE RET 12000 TO-RTR

. PILOT ALTIMETER No5934PD-3A.251 412199 01/31/2017ALTIMETER INSP -INS 24 ME

. CO-PILOT ALTIMETER No212-070-238-003 C0185 06/30/2017ALTIMETER INSP -INS 24 ME

. STBY ATT BATT Yes501-1228-04 80976 08/31/2016STANDBY ATT BTY INSP -INS 6 ME

. STBY ATT BATT No501-1228-04 80976 12/31/2016STANDBY ATT BTY CAP CHECK

-INS 12 ME

. MRH ASSY Yes212-510-001-103FM ADA-53593 43.4016,933.90 956.60 16760 09/30/2018212 M/R HEAD FCB 1000 FH-OTH 30 ME

. MRH ASSY No212-510-001-103FM ADA-53593 1,130.2016,933.90 1,269.80 17073.2212 M/R HEAD O/H 2400 FH-OVH

HH24:MI:SS04:41:4508/02/2016

TO : Take Offs, TT : Total Hours, TC:Total Cycles

Page 3 of 14Config-AcStatus Printed On:

Page 6: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

AIRCRAFT STATUS REPORT

Last flt Date: 06/02/2016AC TO: 53922

Mfr. Date: 01/01/1982AC TT: 15803.4Model: 212

Pos. Code On-WingPart #TSO/I CSO/I

Service Life CompTT/TC RemUnits A/C Hr.

Due At

Part Serial DateWork Unit Usage Date

. . M/R TRUNNION No204-011-105-103 A-4505 1,441.30 11,558.70 27362.1212 M/R TRUNNION RET 13000 FH-RTR

. . M/R TRUNNION No204-011-105-103 A-4505 41,975.00 233,025.00 248828.4212 M/R TRUNNION RET 275000 RIN*-RTR

. . M/R GRIP 1 Yes204-011-121-121 A-6201 145.20145.20 354.80 16158.2AD2014-12-04 (E)(3) (121) 500 FH-OTH

. . M/R GRIP 1 Yes204-011-121-121 A-6201 0.00145.20 25.00 15828.4AD2014-12-04 (E)(2) 25 FH-OTH

. . M/R GRIP 1 No204-011-121-121 A-6201 145.20145.20 2,254.80 18058.2AD2014-12-04 (E)(5) 2400 FH-OTH

. . M/R GRIP 1 No204-011-121-121 A-6201 43.40145.20 1,156.60 16960 03/31/2018AD2014-12-04 (E)(4) 1200 FH-OTH 24 ME

. . M/R GRIP 1 No204-011-121-121 A-6201 145.20 24,854.80 40658.2212 MR GRIP RET 25000 FH-RTR

. . M/R GRIP 1 Yes204-011-121-121 A-6201 169.00169.00 431.00 16234.4AD2014-12-04 (E)(3) (121) 600 ST*-OTH

. . M/R GRIP 2 No204-011-121-125 PD-1 314.00 499,686.00 515489.4212 MR GRIP RET 500000 RIN*-RTR

. . M/R GRIP 2 No204-011-121-125 PD-1 43.40 24,956.60 40760212 MR GRIP RET 25000 FH-RTR

. . M/R GRIP 2 No204-011-121-125 PD-1 43.4043.40 1,156.60 16960 03/31/2018212 MR GRIP INSP 1200 FH-INS 24 ME

. . DRAG BRACE 1 No204-011-140-005 ADA-53593 43.402,880.87 1,156.60 16960 03/31/2018AD90-26-11 1200 FH-OTH 24 ME

. . DRAG BRACE 2 No204-011-140-005 ADA53593 43.402,880.90 1,156.60 16960 03/31/2018AD90-26-11 1200 FH-OTH 24 ME

. . TT STRAP 1 No204-310-101-101 LPFS34372 43.40 1,156.60 16960 03/31/2018212 TT STRAP RET 1200 FH-RTR 24 ME

. . TT STRAP 2 No204-310-101-101 LPFS34379 43.40 1,156.60 16960 03/31/2018212 TT STRAP RET 1200 FH-RTR 24 ME

HH24:MI:SS04:41:4508/02/2016

TO : Take Offs, TT : Total Hours, TC:Total Cycles

Page 4 of 14Config-AcStatus Printed On:

Page 7: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

AIRCRAFT STATUS REPORT

Last flt Date: 06/02/2016AC TO: 53922

Mfr. Date: 01/01/1982AC TT: 15803.4Model: 212

Pos. Code On-WingPart #TSO/I CSO/I

Service Life CompTT/TC RemUnits A/C Hr.

Due At

Part Serial DateWork Unit Usage Date

. . M/R YOKE No212-011-102-109FM A-2167 43.401,130.20 1,156.60 16960 03/31/2018212 M/R YOKE INSP 1200 FH-INS 24 ME

. . M/R YOKE No212-011-102-109FM A-2167 1,130.20 4,869.80 20673.2212 M/R YOKE RET 6000 FH-RTR

. . M/R YOKE No212-011-102-109FM A-2167 43.401,130.20 1,156.60 16960ASB212-94-94 1200 FH-OTH

. . OUTBD STRAP FITTING 1

No204-012-103-005 SH128 1,130.20 2,469.80 18273.2212 OUTBD STRAP FIT RET 3600 FH-RTR

. . OUTBD STRAP FITTING 2

No204-012-103-005 SH129 1,130.20 2,469.80 18273.2212 OUTBD STRAP FIT RET 3600 FH-RTR

. . STRAP PIN 1 No204-012-104-005 DIFS22428 43.401,794.90 1,156.60 16960ASB212-02-117(PTA) 1200 FH-OTH

. . STRAP PIN 1 No204-012-104-005 DIFS22428 1,794.90 605.10 16408.5212 REPLACE MRH PIN 2400 FH-RTR

. . STRAP PIN 2 No204-012-104-005 DIFS22322 43.401,794.90 1,156.60 16960ASB212-02-117(PTA) 1200 FH-OTH

. . STRAP PIN 2 No204-012-104-005 DIFS22322 1,794.90 605.10 16408.5212 REPLACE MRH PIN 2400 FH-RTR

. . STRAP PIN 3 No204-012-104-005 DIFS22559 1,794.90 605.10 16408.5212 REPLACE MRH PIN 2400 FH-RTR

. . STRAP PIN 3 No204-012-104-005 DIFS22559 43.401,794.90 1,156.60 16960ASB212-02-117(PTA) 1200 FH-OTH

. . STRAP PIN 4 No204-012-104-005 DIFS23331 43.401,794.90 1,156.60 16960ASB212-02-117(PTA) 1200 FH-OTH

. . STRAP PIN 4 No204-012-104-005 DIFS23331 1,794.90 605.10 16408.5212 REPLACE MRH PIN 2400 FH-RTR

. . INBD STRAP FITTING 1 No212-010-103-007FM SH381 1,130.20 1,269.80 17073.2212 INBD STRAP FIT RET 2400 FH-RTR

. . INBD STRAP FITTING 1 No212-010-103-007FM SH381 43.401,130.20 1,156.60 16960 03/31/2018ASB212-10-142 (2) 1200 FH-OTH 24 ME

HH24:MI:SS04:41:4508/02/2016

TO : Take Offs, TT : Total Hours, TC:Total Cycles

Page 5 of 14Config-AcStatus Printed On:

Page 8: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

AIRCRAFT STATUS REPORT

Last flt Date: 06/02/2016AC TO: 53922

Mfr. Date: 01/01/1982AC TT: 15803.4Model: 212

Pos. Code On-WingPart #TSO/I CSO/I

Service Life CompTT/TC RemUnits A/C Hr.

Due At

Part Serial DateWork Unit Usage Date

. . INBD STRAP FITTING 2 No212-010-103-007FM SH375 1,130.20 1,269.80 17073.2212 INBD STRAP FIT RET 2400 FH-RTR

. . INBD STRAP FITTING 2 No212-010-103-007FM SH375 43.401,130.20 1,156.60 16960 03/31/2018ASB212-10-142 (2) 1200 FH-OTH 24 ME

. . M/R PILLOW BLOCK 1 No204-011-108-113 A-148 1,130.206,710.90 1,269.80 17073.2212 M/R PILLOW BLOCK INSP

2400 FH-INS

. . M/R PILLOW BLOCK 2 No204-011-108-113 A-163 1,130.206,710.90 1,269.80 17073.2212 M/R PILLOW BLOCK INSP

2400 FH-INS

. . M/R/H PITCH HORN 1 No204-011-120-005 REFS4193 1,893.90 1,106.10 16909.5212 M/R PITCH HORN RET 3000 FH-RTR

. . M/R/H PITCH HORN 2 No204-011-120-005 REFS4195 1,893.90 1,106.10 16909.5212 M/R PITCH HORN RET 3000 FH-RTR

. . PILLOW BLOCK BUSHING 1

No204-011-135-105 BT9217 3,203.70 396.30 16199.7212 M/R PLLW BLOCK BUSHING RET

3600 FH-RTR

. . PILLOW BLOCK BUSHING 2

No204-011-135-105 BT9228 3,203.70 396.30 16199.7212 M/R PLLW BLOCK BUSHING RET

3600 FH-RTR

. . PILLOW BLOCK BUSHING 3

No204-011-135-105 BT9268 3,203.70 396.30 16199.7212 M/R PLLW BLOCK BUSHING RET

3600 FH-RTR

. . PILLOW BLOCK BUSHING 4

No204-011-135-105 BT9860 3,203.70 396.30 16199.7212 M/R PLLW BLOCK BUSHING RET

3600 FH-RTR

. . BLADE BOLT 1 204-011-151-001 DIFS1790 1,130.20 -

. . BLADE BOLT 2 204-011-151-001 DIFS3647 1,130.20 -

. MR BLADE 1 No212-015-501-115 A-7893 806.10 3,193.90 18997.3212 M/R BLADE RET 4000 FH-RTR

. MR BLADE 1 Yes212-015-501-115 A-7893 0.00806.10 25.00 15828.4AD2011-23-02 25 FH-OTH

. MR BLADE 1 Yes212-015-501-115 A-7893 02/28/2017AD75-26-05 -OTH 12 ME

HH24:MI:SS04:41:4508/02/2016

TO : Take Offs, TT : Total Hours, TC:Total Cycles

Page 6 of 14Config-AcStatus Printed On:

Page 9: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

AIRCRAFT STATUS REPORT

Last flt Date: 06/02/2016AC TO: 53922

Mfr. Date: 01/01/1982AC TT: 15803.4Model: 212

Pos. Code On-WingPart #TSO/I CSO/I

Service Life CompTT/TC RemUnits A/C Hr.

Due At

Part Serial DateWork Unit Usage Date

. MR BLADE 2 Yes212-015-501-115 A-7879 0.00806.10 25.00 15828.4AD2011-23-02 25 FH-OTH

. MR BLADE 2 No212-015-501-115 A-7879 806.10 3,193.90 18997.3212 M/R BLADE RET 4000 FH-RTR

. MR BLADE 2 Yes212-015-501-115 A-7879 02/28/2017AD75-26-05 -OTH 12 ME

. STAB BAR ASSY Yes212-010-300-001 A19-00521 43.4012,676.90 956.60 16760 09/30/2018212 STAB BAR FCB 1000 FH-OTH 30 ME

. . STAB BAR CENTERFRAME

No204-011-307-001 REFS1684 2,739.30 7,260.70 23064.1212 STAB BAR CENTERFRAME RET

10000 FH-RTR

. . MIXING LEVER 1 No212-010-302-105 RE9289 7,109.90 1,890.10 17693.5212 MIXING LEVER RET 9000 FH-RTR

. . MIXING LEVER 2 No212-010-302-001 RE13621 43.40 8,956.60 24760212 MIXING LEVER RET 9000 FH-RTR

. . STAB BAR CENTERFAME-2

No204-011-307-105 REFS1729 2,739.30 7,260.70 23064.1212 STAB BAR CENTERFRAME RET

10000 FH-RTR

. S/P AND SUPPORT ASSY No204-011-400-129 MD19-8146 497.3816,794.40 502.62 16306212 GIMBAL RING BOLT RET 1000 FH-OTH

. S/P AND SUPPORT ASSY Yes204-011-400-129 MD19-8146 43.3816,794.40 956.62 16760 08/31/2018212 S/P & SUPPORT FCB 1000 FH-OTH 30 ME

. . S/P OUTER RING ASSY No204-011-403-001 REFS1214 1,292.00 7,708.00 23511.4212 S/P OUTER RING ASSY RET

9000 FH-RTR

. . S/P SUPPORT No204-011-404-125 RE18717 497.40 502.60 16306212 S/P SUPPORT RET 1000 FH-RTR

. . GIMBAL RING No204-010-404-001 REFS-170 7,871.82 1,128.18 16931.6212/412 GIMBAL RING RET 9000 FH-RTR

. . SCISSORS/SLEEVE ASSY

204-011-401-021 RR19-0235 16,168.72 -

. . . CLLCTV SLV HUB ASSY

No204-011-405-013 EA-650 7,871.82 1,128.18 16931.6212 CLLCTV SLV HUB ASSY RET

9000 FH-RTR

HH24:MI:SS04:41:4508/02/2016

TO : Take Offs, TT : Total Hours, TC:Total Cycles

Page 7 of 14Config-AcStatus Printed On:

Page 10: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

AIRCRAFT STATUS REPORT

Last flt Date: 06/02/2016AC TO: 53922

Mfr. Date: 01/01/1982AC TT: 15803.4Model: 212

Pos. Code On-WingPart #TSO/I CSO/I

Service Life CompTT/TC RemUnits A/C Hr.

Due At

Part Serial DateWork Unit Usage Date

. . . DRIVELINK 1 No204-011-407-001 MWFS92 4,542.91 4,457.09 20260.5212 DRIVELINK RET 9000 FH-RTR

. . . DRIVELINK 2 No204-011-407-001 MWFS280 1,292.00 7,708.00 23511.4212 DRIVELINK RET 9000 FH-RTR

. . . COLLECTIVE SLEEVE No204-011-408-105 CL-0135 7,871.82 1,128.18 16931.6212/412 COLLECTIVE SLEEVE RET

9000 FH-RTR

. PITCH LINK 1 No204-011-127-003 BH211641 43.40 8,956.60 24760212 PC LINK RET 9000 FH-RTR

. PITCH LINK 2 No204-011-127-003 BH120308 43.40 8,956.60 24760212 PC LINK RET 9000 FH-RTR

. SCISSOR TUBE 1 No212-010-404-005 A1-05991 6,822.11 2,177.89 17981.3212 SCISSOR TUBE RET 9000 FH-RTR

. SCISSOR TUBE 2 No212-010-404-005 A-FS10810 1,925.70 7,074.30 22877.7212 SCISSOR TUBE RET 9000 FH-RTR

. MAST ASSY No212-540-002-111FM A12-14961 580.209,918.80 2,519.80 18323.2212 MAST ASSY INSP 3100 FH-INS

. MAST ASSY No212-540-002-111FM A12-14961 580.209,918.80 4,419.80 20223.2212 MAST ASSY O/H 5000 FH-OVH

. . MAST POST No204-011-450-119FM DNFS869 27,030.00 212,970.00 228773.4212 MAST POST RET 240000 RIN*-RTR

. . MAST POST No204-011-450-119FM DNFS869 580.20 12,419.80 28223.2212 MAST POST RET 13000 FH-RTR

. . MAST BEARING No212-040-136-001 ZV12382 2,133.08 4,419.82 20223.2212 MAST BEARING REPLACEMENT

6552.9 FH-RTR

. MGB Yes212-540-002-103FM ABW-52517 09/30/2016212 MGB OIL CHANGE -OTH 6 ME

. MGB No212-540-002-103FM ABW-52517 806.1012,812.50 5,193.90 20997.3212 MGB O/H 6000 FH-OVH

. MGB No212-540-002-103FM ABW-52517 806.1012,812.50 2,293.90 18097.3212 MGB INSP 3100 FH-INS

HH24:MI:SS04:41:4508/02/2016

TO : Take Offs, TT : Total Hours, TC:Total Cycles

Page 8 of 14Config-AcStatus Printed On:

Page 11: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

AIRCRAFT STATUS REPORT

Last flt Date: 06/02/2016AC TO: 53922

Mfr. Date: 01/01/1982AC TT: 15803.4Model: 212

Pos. Code On-WingPart #TSO/I CSO/I

Service Life CompTT/TC RemUnits A/C Hr.

Due At

Part Serial DateWork Unit Usage Date

. . ROTOR BRAKE QUILL No412-040-123-101 A496 2,336.036,303.73 663.97 16467.4212/412 ROTOR BRAKE QUILL O/H

3000 FH-OVH

. MAIN D/S Yes212-040-005-103 A20-02371 43.4017,885.90 556.60 16360 02/28/2017212/412 M/D/S INSP 600 FH-INS 12 ME

. MAIN D/S No212-040-005-103 A20-02371 2,503.6017,885.90 496.40 16299.8212/412 M/D/S O/H 3000 FH-OVH

. T/R HUB AND BLADE ASSY

212-011-701-121 HB674 4,480.50 -

. . T/R HUB ASSY No212-011-701-125 HB674 1,987.504,480.50 512.50 16315.9212/412 T/R HUB O/H 2500 FH-OVH

. . T/R YOKE No212-011-702-001 HB785 4,480.50 519.50 16322.9212/412 T/R YOKE RET 5000 FH-RTR

. . T/R YOKE No212-011-702-001 HB785 1,987.504,480.50 512.50 16315.9212/412 T/R YOKE INSP 2500 FH-INS

. . T/R BLADE 1 Yes212-010-750-113 A-12625 0.002,625.03 25.00 15828.4 08/12/2016AD2013-15-02 25 FH-OTH 30 D

. . T/R BLADE 1 No212-010-750-113 A-12625 2,625.03 2,374.97 18178.4212/412 T/R BLADE RET 5000 FH-RTR

. . T/R BLADE 2 Yes212-010-750-133 A-18559 0.00166.70 25.00 15828.4 08/12/2016AD2013-15-02 25 FH-OTH 30 D

. . T/R BLADE 2 No212-010-750-133 A-18559 166.70 4,833.30 20636.7212/412 T/R BLADE RET 5000 FH-RTR

. HANGER BRG 1 No212-040-600-005 A20-12340 1,636.2014,240.30 1,363.80 17167.2212/412 HNGR BRNG ASSY O/H

3000 FH-OVH

. HANGER BRG 2 No212-040-600-005 A20-12429 353.1013,316.10 2,646.90 18450.3212/412 HNGR BRNG ASSY O/H

3000 FH-OVH

. HANGER BRG 3 No212-040-600-005 A20-12707 353.1011,593.51 2,646.90 18450.3212/412 HNGR BRNG ASSY O/H

3000 FH-OVH

. HANGER BRG 4 No212-040-600-005 A20-12400 1,409.5012,657.80 1,590.50 17393.9212/412 HNGR BRNG ASSY O/H

3000 FH-OVH

HH24:MI:SS04:41:4508/02/2016

TO : Take Offs, TT : Total Hours, TC:Total Cycles

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Page 12: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

AIRCRAFT STATUS REPORT

Last flt Date: 06/02/2016AC TO: 53922

Mfr. Date: 01/01/1982AC TT: 15803.4Model: 212

Pos. Code On-WingPart #TSO/I CSO/I

Service Life CompTT/TC RemUnits A/C Hr.

Due At

Part Serial DateWork Unit Usage Date

. T/R GEARBOX No212-040-004-009 AHT-50138 1,854.8216,097.42 3,145.18 18948.6212/412 90 DEGREE G/B O/H 5000 FH-OVH

. INT GEARBOX No212-040-003-023 AHP-50221 806.1010,843.80 4,193.90 19997.3212/412 42 DEGREE G/B O/H 5000 FH-OVH

. M/R SERVO 1 No212-076-005-101 1679FG 1,784.109,547.50 715.90 16519.3212/412 M/R SERVO O/H 2500 FH-OVH

. M/R SERVO 2 No212-076-005-101 5913FGH 43.4012,656.00 2,456.60 18260212/412 M/R SERVO O/H 2500 FH-OVH

. M/R SERVO 3 No212-076-005-101 5865FH 43.4014,287.50 2,456.60 18260212/412 M/R SERVO O/H 2500 FH-OVH

. T/R SERVO 212-076-004-101 712 18,139.20 -

. ENGINE 1 No3017600 CP-PS-TB0457 1,218.801,218.80 5,781.20 21584.6PT6T O/H 7000 FH-OVH

. ENGINE 1 Yes3017600 CP-PS-TB0457 221.401,218.80 778.60 16582PT6T F/N REPLACEMENT 1000 FH-OTH

. . 3B COMPRESSOR HUB No3041255 A0038Y0K 3,651.50 31,348.50 47151.9PT6 COMP HUB RET 35000 CF-RTR

. . 3B 2ND STAGE COMP DISK

No3040312 A0038M6N 3,651.50 25,348.50 41151.9PT6 2ND STAGE COMP DISC RET

29000 GG-RTR

. . 3B 3RD STAGE COMP DISK

No3040213 A0039AKW 3,048.67 25,951.33 41754.7PT6 3RD STAGE COMP DISC RET

29000 CF-RTR

. . 3B IMPELLER No3027798 TXA1C8838 3,048.67 25,951.33 41754.7PT6 IMPELLER RET 29000 CF-RTR

. . 3B CT DISK No3024211 YUAA014A330 2,747.25 7,252.75 23056.2PT6 CT DISC RET 10000 GG-RTR

. . 3B FUEL PUMP No025277-300-08 PE7195 2,948.812,948.81 4,551.19 20354.6PT6T FUEL PUMP O/H 7500 FH-OVH

. . 3B FUEL/OIL HEATER No10544G WA45675 1,218.801,218.80 6,281.20 22084.6PT6T FUEL/OIL HEATER O/H 7500 FH-OVH

HH24:MI:SS04:41:4508/02/2016

TO : Take Offs, TT : Total Hours, TC:Total Cycles

Page 10 of 14Config-AcStatus Printed On:

Page 13: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

AIRCRAFT STATUS REPORT

Last flt Date: 06/02/2016AC TO: 53922

Mfr. Date: 01/01/1982AC TT: 15803.4Model: 212

Pos. Code On-WingPart #TSO/I CSO/I

Service Life CompTT/TC RemUnits A/C Hr.

Due At

Part Serial DateWork Unit Usage Date

. . 3B MFCU No3244736-8 C16775 1,218.801,218.80 6,281.20 22084.6PT6T MFCU O/H 7500 FH-OVH

. . 3B AFCU No3244735-17 A34819 647.801,227.90 5,352.20 21155.6 05/31/2019PT6T AFCU O/H 6000 FH-OVH 72 ME

. . 3B FLOW DIVIDER No25536-4 L0073 1,218.801,218.80 6,281.20 22084.6PT6 FLOW DIVIDER O/H 7500 FH-OVH

. . 3B BLEED VALVE No540-1407-4 7565 1,218.801,218.80 998,780.20 1014583.6-37A BLEED VALVE INSP 999999 FH-INS

. . 3B BLEED VALVE No540-1407-4 7565 1,218.801,218.80 998,780.20 1014583.6PT6 BLEED VALVE O/H 999999 FH-OVH

. . 3B PT DISK 3022312 No3022312 YUAA010A717 1,218.80 13,781.20 29584.6PT6 PT DISC RET 15000 FH*-RTR

. . 3B PT DISK 3022312 No3022312 YUAA010A717 3,716.46 53,283.54 69086.9PT6 PT DISC RET 57000 CF-RTR

. ENGINE 2 Yes3017600 CP-PS62406 43.4013,390.70 956.60 16760PT6T F/N REPLACEMENT 1000 FH-OTH

. ENGINE 2 No3017600 CP-PS62406 6,642.6013,390.70 357.40 16160.8PT6T O/H 7000 FH-OVH

. . 3B COMPRESSOR HUB No3018111 3K476 27,560.00 82,440.00 98243.4PT6 COMP HUB RET 110000 CF-RTR

. . 3B COMPRESSOR HUB No3018111 3K476 13,390.70 1,609.30 17412.7PT6 COMP HUB RET 15000 FH*-RTR

. . 3B 2ND STAGE COMP DISK

No3018312 36B318 13,373.00 9,127.00 24930.4PT6 2ND STAGE COMP DISC RET

22500 GG-RTR

. . 3B 3RD STAGE COMP DISK

No3017713 1K739 25,881.34 2,118.66 17922.1PT6 3RD STAGE COMP DISC RET

28000 GG-RTR

. . 3B IMPELLER No3027798 5B718 25,881.34 3,118.66 18922.1PT6 IMPELLER RET 29000 CF-RTR

. . 3B CT DISK No3024211 YUAA013A818 2,082.50 7,917.50 23720.9PT6 CT DISC RET 10000 GG-RTR

HH24:MI:SS04:41:4508/02/2016

TO : Take Offs, TT : Total Hours, TC:Total Cycles

Page 11 of 14Config-AcStatus Printed On:

Page 14: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

AIRCRAFT STATUS REPORT

Last flt Date: 06/02/2016AC TO: 53922

Mfr. Date: 01/01/1982AC TT: 15803.4Model: 212

Pos. Code On-WingPart #TSO/I CSO/I

Service Life CompTT/TC RemUnits A/C Hr.

Due At

Part Serial DateWork Unit Usage Date

. . 3B FUEL PUMP No025277-300-07 PE6902 466.41466.41 7,033.59 22837PT6T FUEL PUMP O/H 7500 FH-OVH

. . 3B FUEL/OIL HEATER No10544E 1378 1,534.301,534.31 5,965.70 21769.1PT6T FUEL/OIL HEATER O/H 7500 FH-OVH

. . 3B MFCU No3244736-8 A86168 6,878.8013,837.80 621.20 16424.6PT6T MFCU O/H 7500 FH-OVH

. . 3B AFCU No3244735-17 C15393 466.401,642.40 5,533.60 21337 09/30/2020PT6T AFCU O/H 6000 FH-OVH 72 ME

. . 3B FLOW DIVIDER No25536-4 10271 6,642.606,642.60 857.40 16660.8PT6 FLOW DIVIDER O/H 7500 FH-OVH

. . 3B BLEED VALVE No540-1407-4 3021 4,522.804,522.80 995,476.20 1011279.6-37A BLEED VALVE INSP 999999 FH-INS

. . 3B BLEED VALVE No540-1407-4 3021 4,522.804,522.80 995,476.20 1011279.6PT6 BLEED VALVE O/H 999999 FH-OVH

. . 3B PT DISK 3022312 No3022312 1K501 37,203.45 19,796.55 35600PT6 PT DISC RET 57000 CF-RTR

. . 3B PT DISK 3022312 No3022312 1K501 13,390.70 1,609.30 17412.7PT6 PT DISC RET 15000 FH*-RTR

. C-BOX No3024780 CP-GB2112 2,234.2816,838.28 3,765.72 19569.1PT6T C-BOX O/H 6000 FH-OVH

. . 3B TCU TWIN BEEP No3244881-2 A62509 5,721.618,809.71 778.39 16581.8PT6T TCU O/H 6500 FH-OVH

. . 3B GOVERNOR 1 No2524999-6 C9050 1,043.001,043.00 5,457.00 21260.4PT6T GOVERNOR O/H 6500 FH-OVH

. . 3B GOVERNOR 2 No2524999-6 A53026 413.002,450.90 6,087.00 21890.4PT6T GOVERNOR O/H 6500 FH-OVH

. OIL COOLER BLOWER 1 No209-062-502-101 5100-8621 487.502,691.40 1,712.50 17515.9212/412 OIL COOLER BLOWER O/H

2200 FH-OVH

. OIL COOLER BLOWER 2 No209-062-502-101 5100-12786 806.102,991.30 1,393.90 17197.3212/412 OIL COOLER BLOWER O/H

2200 FH-OVH

HH24:MI:SS04:41:4508/02/2016

TO : Take Offs, TT : Total Hours, TC:Total Cycles

Page 12 of 14Config-AcStatus Printed On:

Page 15: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

AIRCRAFT STATUS REPORT

Last flt Date: 06/02/2016AC TO: 53922

Mfr. Date: 01/01/1982AC TT: 15803.4Model: 212

Pos. Code On-WingPart #TSO/I CSO/I

Service Life CompTT/TC RemUnits A/C Hr.

Due At

Part Serial DateWork Unit Usage Date

. 1ST AID KIT #2 YesZEE LARGE/FORESTRY

100 02/28/2017FIRST AID KIT INSP -INS 12 ME

. IGNITER BOX 1 No10-381550-4 NNA06527375 43.1043.10 999,955.90 1015759.3109 EXCITER BOX O/H 999999 FH-OVH

. IGNITER BOX 2 No10-381550-4 9712R014C 969.60969.60 999,029.40 1014832.8109 EXCITER BOX O/H 999999 FH-OVH

. SKYCONNECT RT No1616-050-03A 12089 43.40ACTIVATE SKYCONNECT RT -OTH

. SKYCONNECT MMU No1616-055-10 ERA-MMU-18 43.40ACTIVATE SKYCONNECT MMU

-OTH

. SKYCONNECT CARD NoSIM CARD ERA-CARD-24 43.40ACTIVATE SKYCONNECT CARD

-OTH

212 PHASE 1 100 FH

256.60 16060 03/31/2017ASB212-15-154 300 FH 12 ME

212 PHASE 3 100 FH

56.60 15860212 PHASE 4 100 FH

212 PHASE 5 100 FH

25.00 15828.4212 AWC 25 FH

02/28/2017212 MGB FILTER CHNG 12 ME

556.60 16360 08/31/2016212 FCR 600 600 FH 6 ME

956.60 16760 09/30/2018212 AIRFRAME FCB 1000 FH 30 ME

HH24:MI:SS04:41:4508/02/2016

TO : Take Offs, TT : Total Hours, TC:Total Cycles

Page 13 of 14Config-AcStatus Printed On:

Page 16: Make & Model · 2017. 4. 10. · • Alpine Aerotech Exhaust Deflectors (STC SR00650NY) • Alpine Aerotech Compressor Access Kit (STC SR00515NY) • Alpine Aerotech C-Box Drain Reservoir

AIRCRAFT STATUS REPORT

Last flt Date: 06/02/2016AC TO: 53922

Mfr. Date: 01/01/1982AC TT: 15803.4Model: 212

Pos. Code On-WingPart #TSO/I CSO/I

Service Life CompTT/TC RemUnits A/C Hr.

Due At

Part Serial DateWork Unit Usage Date

07/31/2016LIFE VEST INSP 30 D

01/31/2017IFR XPNDR CHECK 24 ME

03/31/2018A/C WEIGHT CHECK 36 ME

1,326.40 17129.8 12/31/2017212 T2 INSPECTION 4000 FH 96 ME

956.60 16760212 INTERMEDIATE INSP 1000 FH

40.10 15843.5ENG POWER RECV WASH 50 FH

256.60 16060 03/14/2017ASB212-10-137 (3) 300 FH 365 D

07/31/2017REGISTER AIRCRAFT 36 ME

07/25/2016NAV DATABASE 28 D

08/31/2017INSP RECORDS AUDIT 24 ME

25.00 15828.4AD98-11-15, PARA (C) 25 FH

56.60 15860 07/25/2043AD2001-13-01(PTC2/D2) 100 FH 10000 D

212 PHASE 2 100 FH

HH24:MI:SS04:41:4508/02/2016

TO : Take Offs, TT : Total Hours, TC:Total Cycles

Page 14 of 14Config-AcStatus Printed On: