1. t\ppn>1 ing Ci1 ii /\viat111n 2. .l. Form Tracking Number: i\uthorit l"/( ·ou ntry·

AUTHORIZED RELEASE CERTIFICATE FAA/UNITED STATES 098287

FAA Form 8130-3, AIRWORTHINESS APPROVAL, TAG 4. < lrganization 1.imrn Airepair, Inc. • •\ A Ce rtificate :<.:Z2 R7(,0K 5. Work Order/Contract/Invoice Number:

Name and Address: 5304 South Lawton An. FAA/t:ASA Repair Slatiun: ( 'Z2R7(,0K

098287 Tulsa, , OK 74!07 11:'IITW ST ATES -

6. Item: 7. Descri ption: 8. Part Number: 9 . Quantity: I 0. Serial l•::imber: 11. Status/Work:

I OIL COOLER 28[99-8 I L03881074 REPAIRED EA

12. Remarks: In accordance with manual No. 79-20-1 I Rev 4 Revis ion: 4 Revision Dale: MAR 24 2014 -~ -CLEAN. FLUSH, REPAIR. TEST, DETAIL AND INSPECT.

f

\T ·-· - . - ,iN! . ,, t : !

: Certifies that the work -~ified in Block 11/12 was carried out in aacordance with EASA Par..t. l.U ~ -:m respect to that work- . the [product/article] i.s oonsidared ready ~or rel-ease to service under BASA Part 145 Approval. 9a.. l&SA HS-4153 . -.

,. ~

. 13a. "fies the Items ideatified above were llllllufaclured'in conformity io: , , · ;1;1" l 14a . . [!I 14 CFR 4 3.9 Re turn lo S ervice Other regulation specified in-8-lock 12 ! "!''1, ·.: J '; ,, • ., 1_, , 1

( ·

o .. -~~ '

' n. Certi fies that unle ss Qthwwise ~ in Blocl IZ, the work identtfied in Black U 0 Non-approved design specified in Block . and descrihcd in Block 121Vas accomplished in accord•u:e with Title 14, Code of Federa l Reg ulations, part 43 and in respect to that work, che items are approved for return to service.

13b. Authorized Sig~ 13c. Aj)pr~ization No.: 14h. Authorized Signature: r--,, 1 . 14c. AppnwallCertificate No.: /~ - l -------------- CZ2R760K v,.-,. ,; _

~fped or Printed): 13e. Date (dd/n1111m/YYY)'}:~ 14d. Name (Typed or Prinl/d): ' 14e. Date (dd/mmm/yyyy): ERIC SWAN 24 Nov 2014

User/Installer Responsibilities It is im portant to understand that the existence of this document alone does not automat ically constitute authority to install the aircraft engine/propeller/article.

Where the user/ insta ller performs work in accordance with the national regulations of an airworth iness authority dillcrcnt than the airworth iness author ity of the country specifad in ll lock I. it i, essential that the u,l'r/ installc r ensures that h is/her airnorthincss authority accepts ai rcratl cnginc(s)/propdlcr(s)/articlc(s) from the airworthiness <1utho1 ity of the country spcciticd in llloe~ I .

Statements in lllocb IJ a and I-la do not constitute installation cert ification. In all rnscs. aircrall maintenance records must contain an installat ion cert ification issued in accordance with the national regulations by ihc u-cr/installer before the aircrall may t,c llown.

1:i\i\ Form 8130-3 (02-1.J) . . NSN: 00)2-00-0 12-900)

l~Limco ~ Airepair

Aircraft Weight of Part : 21 Valve S/N Reason Removed : TEMP Work Requested : REPAIR Inspected By : LUKE WEST Govt. Rating Repair I Recore : REPAIR ............. Core Serial #

Llmco ~-..epalr, Inc. 5304 south Lawton Ave. Tel: 918~0 Tulsa, OK 74107 Fax: 918445-2210 (MKT) UNITED STATES Pax ~8-445-3285 (PUR) w-vw.Jmcoalrepalr.com 20-8562612 FM/EASA Repair Statton: CZ2R760K

.. ..

TEARDOWN REPORT , .o.B. : FOKKER SERVICES, INC. Attn: ' REPAIRS.FSl,US.FOKKER.COM 5169 SOUTHRIDGE ARKWAY, SUITE 100 ATLANTA, GA 30349 UNITED STATES Tel. : 770 991-4373 Fax : 170 991-4360

For Customer : FOKKER SERVICES, INC. S.O. No. : 047324 Line No. : 1

•.. Cust P.O. : 5014019884AC19 PIN : 28E99-8 I Cerl# Our Ref : 047324 Desc : OIL COOLER 1 Heat# Your Ref l : 5014019884AC19 SIN : L03881074 Rev :NC Lot#

Page :

Contract MFG : I Manual : 79-20-11 Rev 4 .. ProJ/ DO# : SS FIN I Qty : 1.0000 Cond As: OHA I Rev1s1on : 4 / Mar-24-2014

WORK ORDER No. 098287 QC •••••• .. **REPAIRED••••••••••

CLEAN, FLUSH, REPAIR, TEST, DETAIL AND INSPECT.

E. SWAN 11/24/14 Preliminary Inspect CUSTOMER REASON FOR REMOVAL: DURING THE CLIMB, OIL TEMP REACHED 120 DEGREES CELSIUS. E&A CHECKLIST PROVIDED RELIEF AND BROUGHT TEMP DOWN TO 110 LAST SHOP VISIT: N/A EVALUATION: -VALVE AND COOLER PASSED ALL TESTING PER CMM 79-20-11 -UNIT TO BE RECERTIFIED Can Ship _ 1 O_ days after approval is received. Evaluate Work Assqmt

EVALUATOR: _CG_ DATE OF EVALUAi lON: _11/1 3/2014_

1 Of 2

Continued on next page ...

Copyright (c) PENTAGON 2000 Software, Inc. FORM 002 (09/28106)

Llmco Airepair, Inc. 5304 South lawton Ave. Tel: 91~300 T OK 7 107 Fax: 918--445-2210 {MKT) ulsa, • Fax 918-445-3285 (PUR) UNITED STATES www.limcoairepair.com 20-8562612 FANEASA Repair Station-: CZ2R760K

TEARDOWN REPORT

o.098287 EVALUATE \'JORK ASSIGNMENT:

T: - --­

A: _ X. _ _

Test, Inspect

Soap clean I flushing, Minor repairs such as straightening fins, minor flange repair, minor welding, test, inspect.

B: ---- Removal of all coatings, major repairs as required including core blockage, appliQation of coatings as required, test, inspect.

C: __ _ Complete replacement of core assembly

B.E.R Beyond Economical Repair

R A.I.: Return As Is

Item Part Number / Description i Part Status Qty

I I PARTS & MATERIALS

i 32 - Installed ComponJ t 1 1 M83248-1-131 0-Ring

; 32 - Installed Compon+ 2 2 M83248-1-132 O-Ri.19

3 M83248-1-133 \ 32 • Installed Compone1 t 1 0-Rir:g

,/.;,-/ ~ Authorized Signature : ef,,,cL.- -! / ,,

Copyright (c) PENTAGON 2000 Softwa11, Inc. FORM (X12 (09/2Ml6)

EA

EA

EA

Page : 2 Of 2

Condi Discrepancy I Disposition

I Disc.· Disp.: Disc. : Disp. : Disc. : Disp.:

I Countn 2 1 l ~t1 ificat ,· Rd '\, I

TH E NETHERLAN DS CERT I FICATE OF CONFORM ITY 12 14053513 / 14384150

4. Organization Fokker Scrvirt·s I nr. S Work Order/ Contract/ Invoice I 5169 Southr idJ!C Par kway, Suite JOO : i Atlanta . GA 30349 9~85144;

USA

; 8. ... __ ._ .. _., ____ _ ·- .. . .

. 6 . Item ; 7. Description Part No 9 Eligibility* 10. Qty ' I I:. Se.rial No . 12. Purchase <;:oq!lition ' ... .. . .. ' -..... " . .. -. - --- .,, . .. _ ... . ..... .

i I OI L COOLER 28E99-8· N/A I L03881074 j SERVICEABLE

EA ;

' 13. Remarks .. - .. ~ .. . .. ..

1.'"

' I, / \ . 11. .: .',~· IT . .>Ii/\''. . • I I :·

\,faintenance Reference no: 098287 Maintenance document : EASNfAR - PART 145 (DUAL RELEASE) - .:..:, 9;:. , .,,., -·

' ' ---· ,, , . ' , . -~ .· - ______..,_-:-_..... ..... . ...... ,. ,.. 14 As an authorised representative of Fokker Services B. V. for subject matter, I hereby certify that 18. As flh au 'scd representative of~okker Sery~ B.V. f~r S\Jbject matter,

we are a d istributo r in compliance with ISO 900 1 :2000 and AS 9 100C, and are enc los ing a copy I henq,y certify th are a d iswibutor'in compliance with I~Q 900 I :200Q . . . ~l09C. of the applicable airwo~ hiness e+rtificate from the PAHi OEM or Maintenance Station. The parts described above been m~~ned ~ a contro.lled en-;..: . t thro_µgholtt tbc.,d.uration The origina.1 is being maintained on fi le at Fokker Services B.V. of storage at the relevant Fokker Sc . B.V. fadi({y, and ., ~ ~~lwnfl'~I '.

! To the best. of our knowledge, afe on file at Fokker Services BY. .,,,m :';.~ 11iir.·ib IK,'' I

based on the information provided by the supplier, the parts descrihcd above were not obtai ned fr~m any government or military source nor were they incident or accident re late9.;

IS.Name , , '""-Lfy 16. Signry

1 . r' l ) :~

. . . _ _,,_

20·_ .::,t~ - . ' . .

Troy Tew (Fsio2) (A..o;, /A.,, <":,

17. Date (1J./Mtvftv!fyf ·> - 21 Date (dd/MMWyyyy~ 25/NOV 20 14

-..OC l·orm - Issue I . .. , . ., . .. . ,,...,,.,.. ... .. .. . _,. __ _