📄 Extracted Text (66,326 words)
,
I. US Department Form Approve d
of Transportation MAJOR REPAIR AND ALTERATION OMB No. 2120-0020
Federal Aviation (Airframe, Powerplant, Propeller, or Appliance) For FAA Use Only
Administration
Office Identification/WA—P./06-U trg
INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix B, and AC 43.9-1 (or subsequent revision
thereof) for instructions
and disposition of this form. This report is required by law (49 U.S.C. 1421). Failure to report can result in a
civil penalty not to exceed
$1,000 for each such violation (Section 901 Federal Aviation Act of 1958).
Make Model
Gulfstream Aerospace G-IIB
1. Aircraft
Serial No. Nationality and Registration Mark
151 N909JE
Name (As shown on registration certificate) Address (As shown on registration certificate)
2. Owner Hyperion Air, Inc. 103 Foulk Road, Suite 202
Wilmington, DE 19803-3742
3. For FAA Use Only
he alteration identified herein complied with applicable air-worthiness requirements and is approved only
for the above described
aircraft subject to conformity inspection by a person authorized in FAR 43.7.
DATE 2-14
/ -4/ 2-6'D 7 FAA Inspector
4. Unit Identification 1 5. Type
Unit Make Model Serial No. Repair Alteration
AIRFRAME (As described in Item 1 above) -------
X
POWERPLANT
PROPELLER
Type
APPLIANCE
Manufacturer
6. Conformity Statement
A. Agency's Name and Address B. Kind of Agency C. Certificate No.
U.S. Certified Mechanic
Foreign Certified Mechanic 11JR439Y
X Certified Repair Station LIMITED AIRFRAME
1111111111111 Manufacturer
D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse
or attachments hereto
have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the
information
furnished herein is true and correct to the best of my knowledge.
Date Signature of Authorized Individual
2.--- /c/: , 7
Glenn Tietjen
7. Approval for Return to Service
Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescrib
ed by the
Administrator of the Federal Aviation Administration and is APPROVED • REJECTED
FAA Flt. Standards Other (Specify)
Inspector Manufa cturer Inspection Authorization
BY
Person Approved by Transport
FAA Designee X Repair Station
Canada Airworthiness Group
Date of App oval or ejection Certificate or Signature of Authorized Individual
2.— e_c" a7 Designation No.
_
I1JR439Y Glenn Tieten
FAA Form 337 (12-88)
EFTA00278135
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with
all previous alterations to assure continued conformity with the applicable airworthiness requirements.
8. Description of Work Accomplished
(If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and date work accomplished.)
Gulfstream Aerospace, G-IIB, SIN 151
I) Removed, refurbished and re-installed interior furnishings as outlined below:
2) Replaced the existing crew seat dress covers with Teddy & Arthur Edelman OLD-B3 Old Shrunken Buffalo Bull Leather, lot KA06FL and
Aeristo Aerolamb Camel sheepskin, lot Y6M343. Attached Skandia, Inc. F.A.A./D.E.R. approved 8110-3, dated 01/24/07, work order
155311-07, document ID 74756, test ID 12NW-77971, DERY-405143-CE. Seatbelts were re-webbed by A.B.I. Attached SC-108B
Certification / Packing list dated 01/19/07, to color coordinate. Each belt is tagged and identified as meeting FAA-TSO-C114, -C22F, or -
C22G requirements.
3) Replaced the existing veneer on the entrance bulkheads with Carl F. Booth & Co. Elm Burl Veneer. Attached Skandia, Inc., F.A.A./D.E.R.
approved 8110-3, dated 02/13/07, work order 156511-07, document ID 75004, test ID 60NW-6004, DERY-405020-CE.
4) Fireblocked and upholstered six (6) single cabin chairs, one (1) double seat, one (1) jumpseat, and potty seat with Teddy & Arthur Edelman
OLD-B3 Old Shrunken Buffalo Bull Leather, lot KA06FL. Aircraft seat cushions have been fireblocked as per the requirements of 14 CFR,
25.853(c) Amendment 25 — 116 Appendix F Part II. Results of sample burn tests are documented on attached Skandia Inc. FAA/D.E.R.
approved 8110-3, dated 02/09/07, work order 156074-07, document ID 74969, test plan 15724, DERY-410100-CE. Seatbelts were re-
webbed by A.B.I. Attached SC-108B Certification / Packing list dated 01/19/07, to color coordinate. Each belt is tagged and identified as
meeting FAA-TSO-C114, -C22F, or -C22G requirements.
5) Fireblocked and upholstered the UH aft divan assembly with Jeffrey Arnoff Dugally Beige Chenille Fabric. Aircraft seat cushions have been
fireblocked as per the requirements of 14 CFR, 25.853(c) Amendment 25 — 116 Appendix F Part II. Results of sample burn tests are
documented on attached Skandia Inc. FAA/D.E.R. approved 8110-3, dated 01/18/07, work order 153082-06, document ID 74710, test plan
15465. DERY-410100-CE. Seatbelts were re-webbed by A.B.I. Attached SC-108B Certification / Packing list dated 01/19/07, to color
coordinate. Each belt is tagged and identified as meeting FAA-TSO-C114, -C22F, or -C22G requirements.
6) Replaced the existing carpet throughout the aircraft with Texstyle 58A, 58B, 58C custom wool carpet. Attached Skandia, Inc. F.A.A./D.E.R.
approved 8110-3 dated 01/09/07, work order 154634-07, document ID 74508, test ID 12-19848, DERY-405143-CE.
7) Removed the existing cabin ALC fluorescent indirect lighting system and replaced with B/E Aerospace LVIII Elite LED Lighting System and
replaced the galley and lavatory incandescent lights with B/E Aerospace 6800 LED Lighting as per International Jet Interiors wiring
diagram, B/E Aerospace Cabin LED Lighting System Installation, JRW0706-WD. Attached Skandia, Inc. F.A.A./D.E.R. approved 8110-3,
dated 02/14/07, DERT-830134-NE.
8) Modified the existing Cabin 14VDC Accessory Power Distribution System as per International Jet Interiors wiring drawing, JRW0707-WD,
Rev I/R Cockpit 14VDC Power Receptacle Installation. Attached F.A.A. form 8110-3 dated 02/16/07 by F.A.A./D.E.R. DERT-636280-NM.
9) Replaced the footrest hydroloks on the six (6) cabin seats with P.L. Porter Controls Hydrolocks. Attached F.A.A. 8130-3, dated 01126/06,
tracking number 536641, Authorization No. ODAR F601987NM.
10) All stitching is performed IAW International Jet Interiors Stitching Guide IJISG-1, rev. I/R.
11) All materials meet 14 CFR, 25.853 (a) Appendix F, Part I (a) (1) (ii).
12) Reference W.O. # 06264 on file at this agency for further information.
13) A logbook entry has been made reflecting this alteration.
14) A supplemental equipment list has been provided.
15) It has been determined that there is no significant weight change.
16) Passenger aisle width maintained per 14 CFR, 25.815.
17) The work described, has been found to be in conformity with the above mentioned approved data and continues to meet the airworthiness
criteria under which it was originally certificated.
18) No further entries.
❑ Additional Sheets Are Attached
EFTA00278136
U.S. DEPARTMENT OF TRANSPORTATION . DATE
. .
FEDERAL AVIATION ADMINISTRATION
STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS 01/24/07
AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION
MAKE MODEL NO. TYPE (Airplane, Radio, Helicopter, NAME OF APPLICANT
• etc.)
Gulfstream GlIB Skandia, Inc.
Airplane International Jet Interiors
LIST OF DATA
IDENTIFICATION TITLE
Work Order # FLAMMABILITY TEST RESULTS
155311-07
Document ID 74756 REF:Skandia, Inc. Design Data # S155311
Purchase 0rder_.# ..SPECIMEN. #1, Test specimens are 3 1 N..12" compos4es consisting of Teddy & Arthur Edelman
2092 OLD-B3 Old Shrunken Buffalo Bull Leather Lot OKA06.FL sewn back to .bCk to Aeristo
Aerolamb Camel Sheepskin Lot #Y6M343. Test specimens are representative of Crew Seat
Dress Cover., REF TEST ID # 12NW-77971
"Flammability test witnessing only, does not constitute installation approval of the material."
PURPOSE OF DATA
Demonstration of compliance with material flammability requirements in support of Major Repair & Alteration for S/N 151
APPLICABLE REQUIREMENTS (List specific sections)
14 CFR PART 25.853 (a) Amdt 25-116 Appendix F Part I (a)(1)(ii)
CERTIFICATION -Under authority vested by direction of the Administrator and in accorda
nce with conditions and limitations
of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered
have been examined in accordance with established procedures and found to comply with applicable
requirements of the Federal Aviation Regulations.
• ecommend approval of these data
1 (We) Therefore Approve these data
SIGNATURE(S) OF SI NATED ENGINEERING REPRESENTATIVE DESIGNATION NUMBER(S) CLASSIFICATION(S)
' 0j9
-
DERY -405143-CE Structural Special
-
Carin Demus
FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION
EFTA00278137
now
•
EFTA00278138
• U.S. DEPARTMENT OF TRANSPORTATION
DATE
FEDERAL AVIATION ADMINISTRATION
STATEMENT OF COMPLIANCE WITH THE FEDER 02/13/07
AL AVIATION REGULATIONS
AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICAT
MAKE ION
MODEL NO. TYPE (Airplane, Radio, Helicopter, NAME OF APPLICA •
NT
Gulfstream etc.)
GII
Skandia, Inc.
Airplane International Jet Interiors
LIST OF DATA
IDENTIFICATION
TITLE
Work Order # FLAMMABILITY TEST RESULTS
15651 1-07
Document ID 75004 REF:Skandia, Inc. Design Data # S156511
Purchase Order # SPECIMEN # I Test specimens are 3" x 12" composites con
sisting of AAR Composites 1/8"
2139 ATR-FP-12IF1 bonded to Carl F Booth & Co Elm Burl Ven
eer. Veneer is finished as per
International Jet Interiors Process Specification #01IJINVIA
B. Components are bonded together
with Akzo Nobel 3M 8046 Top/Trim Adhesive. Test specimens are
representative of Entrance
Bulkheads., REF TEST ID # 60NW-6004
"FIammability test witnessing only, does not constitute installa
tion approval of the material."
PURPOSE OF DATA
.
Demonstration of compliance with material flammability requirem ents in support of Field Approval for S/N 151
APPLICABLE REQUIREMENTS (List specific sections)
14 CFR Part 25.853 (a) Amdt 25-116 Appendix F Part I (a)(1)(i)
CERTIFICATION -Under authority vested by
direction of the Administrator and in accordance with conditions and
of appointment under Part 183 of the Federal Aviation Regulations limitations
, data listed above and on attached sheets numbered
have been examined in accordance with established procedures and
requirements of the Federal Aviation Regulations. found to comply with applicable
I (We) Therefore Recommend approval of these data
Approve these data •
SIGNATURE(S) OF D SI AT NGINEERING REPRESENTATIVE DESIGNATION NUMBER(S) CLASSIFICATION(S)
.nr----,
DERY-405020-CE Structural Special
Judy ns •
FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION
EFTA00278139
S
EFTA00278140
U.S. DEPARTMENT OF TRANSPORTATION DATE
FEDERAL AVIATION ADMINISTRATION
02/09/07
STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS
AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION
MAKE MODEL NO. TYPE (Airplane, Radio, Helicopter, NAME OF APPLICANT
etc.)
GULFSTREAM G-1159B Skandia, Inc.
Airplane International Jet Interiors
LIST OF DATA
IDENTIFICATION TITLE
Work Order # FIREBLOCKING FLAMMABILITY TEST RESULTS
156074-07
Document ID 74969 REF: Skandia, Inc. Test Plan #15724
Rev IR
Purchase Order # Dated: 02/06/07
2126
For PN's 15724-1, 15724-2, 15724-3 & 15724-4
Edelman Leather, OLD-B3 Old Shrunken Buffalo Bull, Dye Lot KA06FL
Skandia, Inc. F/R Canvas Natural
Skandia, Inc. DAX Graphite/Poly 26 ILD
Skandia, Inc. Ethafoam 4101
PURPOSE OF DATA
Demonstration of compliance with material flammability requirements in support of Field Approval for S/N 151
APPLICABLE REQUIREMENTS (List specific sections)
14 CFR Part 25.853 (c) Amendment 25-116 Appendix F Part II
14 CFR Part 25.853 (a) Amdt 25-116 Appendix F Part I (a)(1)(ii)
CERTIFICATION -Under authority vested by direction of the Administrator and in accordance with conditions and limitations
of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered
have been examined in accordance with established procedures and found to comply with applicable
requirements of the Federal Aviation Regulations.
• Recommend approval of these data
I (We) Therefore Approve these data
SIGNAT E(S) OF SIGNATED E N ERING EPRESENTATIVE DESIGNATION NUMBER(S) CLASSIFICATION(S)
DERY-410100-CE Structural Special
•/
Donna J. arri
FAA Form 0-3 (11-70) SUPERSEDES PREVIOUS EDITION
EFTA00278141
•
S.
EFTA00278142
U.S. DEPARTMENT OF TRANSPORTATION DATE
FEDERAL AVIATION ADMINISTRATION
STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIO 01/18/07
; - NS
AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATJON
MAKE MODEL NO. TYPE (Airplane, Radio, Helicopter NAME OF APPLICANT _
•
etc.)
GULFSTREAM G1159B Skandia, Inc.
Airplane International Jet Interiors
LIST OF DATA
IDENTIFICATION TITLE
Work Order # FIREBLOCKING FLAMMABILITY TEST RESULTS
153082-06
Document ID 74710 REF: Skandia, Inc. Test Plan #15465
Rev IR
Purchase Order # Dated: 01/10/2007
2074 For PNs: 15465-1 & 15465-2
SKANDIA, INC.: DAX GRAPITE/POLY 26 ILD
JEFFREY ARNOFF: FABRIC, DUGALLY, BEIGE, TREATED AT SKANDIA, INC. REF.
TREATMENT #SKFP 152676
"Flammability test witnessing only, does not constitute installation approval of the material."
PURPOSE OF DATA •
Demonstration of compliance with material flammability requirements in support of Field Approval for S/N 151
APPLICABLE REQUIREMENTS (List specific sections)
14 CFR PART 25.853 (c) Amendment 25-116 Appendix F Part II
14 CFR PART 25.853 (a) Amdt 25-116 Appendix F Part I (a)(1)(ii)
CERTIFICATION -Under authority vested by direction of the Administrator and in accordance with conditions and
limitations
of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered
have been examined in accordance with established procedures and found to comply with applicable
requirements of the Federal Aviation Regulations.
0 Recommend approval of these data
I (We) Therefore Approve these data
SIGN URE(S) OF DE'SIGNATED ENGINEERI EPRESENTATIVE DESIGNATION NUMBER(S) CLASSIFICATION(S)
DERY-410100-CE Structural Special
Donna J. Parrish
FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION
EFTA00278143
EFTA00278144
U.S. DEPARTMENT OF TRANSPORTATION DATE
FEDERAL AVIATION ADMINISTRATION
STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS 01/09/07
AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION
MAKE MODEL NO. TYPE (Airplane, Radio, Helicopter NAME OF APPLICANT
etc.)
GULFSTREAM GlIB Skandia, Inc.
Airplane International Jet Interiors
LIST OF DATA
IDENTIFICATION TITLE
Work Order # FLAMMABILITY TEST RESULTS
154634-07
Document ID 74508 REF:Skandia, Inc. Design Data # V154634
Purchase Order # SPECIMEN #1 TEXSTYLE: CARPET, 58A, 58B, 58C, CUSTOM WOOL TO BE
. , • • . •
2070 . . • INSTALLED UNBONDED IN. AIRCR AFT MAIN CABIN, GALLEY, COCKPIT AND.LAV _,
FLOORS , REF TEST ID # 12-19848
"Flammability test witnessing only, does not constitute installation approval of the material."
PURPOSE OF DATA
Demonstration of compliance with material flammability requirements in support of Major Repair & Alteration for S/1•1 151
APPLICABLE REQUIREMENTS (List specific sections)
.,.,.
14 CFR PART 25.853(a) Amdt 25-116 App F Part I (a)(1)(ii)
CERTIFICATION -Under authority vested by direction of the Administrator and in accordance with
conditions and limitations
of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered
have been examined in accordance with established procedures and found to comply with applicable
requirements of the Federal Aviation Regulations.
• Recom
I (We) Therefore X: Approvmend approval of these data
e these data
SIGNATURE(S) OF DESIGIATED ENGINEERING REPRESENTATIVE DESIGNATION NUMBER(S) CLASSIFICATION(S)
d e,.A.1/g../
Carin Demus
01 7
- , P0 ----- DERY-405143-CE Structural Special
FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION
EFTA00278145
_
•
•,
•
EFTA00278146
L.:130 v • v • . vv A.
U.S, DERAR7SAENT-Or.1 RAN'SPORTATION • OATE
.: TEDERALAOATIONADMINiSTRATIDN . February 14, 2007
STATEMENT OF COMPLIANCE WITH.THEPEDERAk.:-AVIATION.REGULATIONS
AIRCRAFT.OR AIRCRAFT COMPONENT IDENTIFICATION:
MAKE. . . MOOELNO
. . • ' TYPE 1)Ii!Pienel .r.41010. "encirki.'ef0 NAME OF A.OPLICANT
Gultstream.Aerospace 3 HS Airplane International Jet Interiors
Corporation
• .LIST OF DATA
IOWILEISAWN T1711
B/E Aerospace Inc,. LVIII "Elite" LED, fluorescent lighting system replaceMent on aircraft # 151 GLIB (see
Report dated Feb, 14, attached report -10 pages)
2007
•
Drawing No. 8/E Aerospace Cabin LED. Lighting System Installation
JRW0706-WD, Rev.I/R
Dated 2/8/07
Reference Documents:
1- inverter AL-5114 Installation InStruction AL-11026M,
2- Master ControllerInstallatibn Manual AL-11630M; Initial Rel;Oated 1/23/2007
3- TR Module Installation Manual AL-11625M, Initial Rel. Dated V26/2.007
4- Drawings; N©.: 6825 Rev. B, dated 1/30/2007. LE lighting unit; No. 81529 Rev. B.,
dated: 12/30/20QT COntrollet Module; No'. 81528 Rev. :B, dated 1/29/2007, TR Module
5- Envl0rtriental Test Report No. STR-07006-1
.6, EMI Test Report STR-07906-2
,.
This approval is fOrtrigineering•design data only. It indicates the data listed above
demonstrates compliance only with the regUlations SpeCified.by.paragraph and.
subparagraph listed Pelow:as "Applicable. Requirements". This form does constitute FAA
• approval of all the engineering data necessary for substantiation of compliance to
neceSsarYrequireMents for the entire alteration.
This approval is subject to satisfactory ground functional check and ground EMI/RFI
checks to be conducted by International Jet Interiors.
puroose OF:nATA To support a major alteration on /N 151
APPUCAEILg REQUIREMENTS (List specificsections) •FAR 25,853(a) Arndt 115; 25.869 (a)(4)Aindt.11.3; 25.1301(?),(b),(c),(d);
25.1307(c) Amdt.72; 25.1309(a),(b),(d),(g) Amdt,41;.2 .1351a)(1) Amdt.72; 25.1353(a);(d)(1),(2),(3)Arndt.113;
25.1357(a):-25.1431(a)(c) Amdt:113; 25:1529.Amdt:54.
CERTIFICATION:- kinciet eUthority vortad 1).y direction of the. AdniInistielee'and!•in aCCoreatxt ,w1h. CooriditioS end firnlatione of aPpOinimertf
under. Pari 153 of the. Federal Avlatien.RetiulAtlenS. data Ilsted.aboveand on' ttaciled StrielS•nurnberral 1 filru 10 ha r: /Irian eirlairia In
accordonee vOn e .oiilished procedures and found to corn* with apoilc.ablefeoulrements of the Federal Avration:Regulatfons
0 Recommend approver of the data
I (We) Therefore i .Approve
thooe data
SICNATUREfSj OF DESIGNATE° ENGINEERING REFRESENTATNE(S) OES:GNATION NLIMBERS{S} CLASSIHCATION(S)
Vito A. PUlera DERT-830134,NE Systems and Equipment-
ati'-"--
.
•
Electrical & Mechanical.
FAA Form 81104 (11-?o) SUPERSEDES PREVIOUS COITION ELECTRONIC FORMAT OM)
EFTA00278147
EFTA00278148
f UDC,
FEB-16-2007 15:29 From:BALL
DATE
U.S. DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION 16 Feb 2007
STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS
AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION
MODEL NO. TYPE (Airplane, Radio. Helicopter. ofc.) NAME OF APPLICANT
MAKE
Gulfstream Gl1B Airplane International Jet Interiors
LIST OF DATA
IDENTIFICATION TITLE
JRW0707-WD Cockpit 14VDC Power Receptacle Installation
Rev IR
2 Sheets
dated 08 Feb 2007 Notes:
1. This Statement of Compliance addresses only the electrical aspects of the
engineering design data in the referenced drawing.
2. This document documents a finding of compliance only for the regulations listed
al
below in the APPLICABLE REQUIREMENTS box. Compliance to addition
regulations may be required.
tion.
3. This document does not provide full FAA approval of the equipment installa
Additional engineering data may be required for approval.
(SN
4. This approval is valid for Gulfstream Model GIIB aircraft , tail number N909JE
151) only.
PURPOSE OF DATA To demonstrate compliance with applicable FARs in support of an aircraft modification
documented in FAA Form 337.
APPLICABLE REQuIREmENTS (List specific 'tenons)
FAR 25.1301(a), FAR 25.1357(a)
CERTIFICATION - Under authority vested by direction of the Administrator sno In accordance with conditions and limitations of appointment under
Part 183 of the Federal Aviation Regulations, data listed above and on anacneo sneets numbered -NA- have been examined in accordance with
established procedures end found to comply with applicable requirements of the Federal Aviation Regulatio ns.
E Recommend approval of these data
I (We) Tnerefore CZ Approve these data
SIGNATURE(S) OF DESIGNATED ENGINEERING REP SENTATIVE(S) DESIGNATION NUMBERS(S) CLASSIFICATIONLS1
Karl M. Frantz 7 (4, 4 i DE RT-636280-NM Systems and Equipment
orm /3110-3 (I t-70) SUPERSEDES PREVIOUS EDITION ELECTRONIC FORMAT (7.00)
EFTA00278149
I.)
EFTA00278150
1 . Approving National Aviation 2.
Authority/Country: 3 . Form Tracking Number:
• •
536641
FAA/UNITED STATES AUTHORIZATION RELEAS E CERTIFICATE
FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG
4. Organization Name and Address: DECRANE AIRCRAFT SEATING CO., 701 MAPLE ST., P.O. BOX-129, PESHTIGO, WI 54157, USA
5. Work Order/Contract/Invoice Num:
..
do P.L Porter Controls, Inc., 3000 Winona Ave., P.O.Box 7722, Burbank, CA 91510-7722.USA.
7. 0 2005-527
TSO C39b; TSO C127a . •
6. Item: 7- Description: 8. Part Number: 9. Eligibility:` 10. Qty: ii- Serial/Batch Number112. Status/Work
1 HYDROLOK SL02300-28 TSO Article: N/A 50
.,... • New
51 5 0 1 9
•:•‘....-
.
- •,4•::.
,..,:..,
T.*.
..5tn•-;
V.:All
1-
IZe• . .
14.9..4.•
•
!,tt",'-..
13. Remarks THE PART SHIPPED UNDER THIS APPROVAL IS A SUB COMPONENT OF A FAA-PMA HIGHER A.fi.S.EMBLY.
DIRECT SHIP AUTHORIZATION II:..;.
EER
DECRANE AIRCRAFT SEATING CO., 701 MAPLE ST., P.O. BOX 129, PESHTIGO, WI 54157, USA
do P.L Porter Controls, Inc., 3000 Winona Ave., P.O.Box 7722, Burbank, CA 91510-7722 USA
•
ISO C39b; TSO C127a .
' ,::'.,:•
14. Certifies the items identified above were manufactured In conformity to: . . . .. - . . . . . ,. .. .. .
:.14 cFR.43:
• • .. ...: 9 Return toSerV i4.• -:. Other regulation specified in Block.t3..:7:•:. .
•
X Approved design data and are in condition for safe operation .e- :.1;:”•:::. • • ,• • ..:,
dertifiesthat iiii.10s Otneiirjte:s00:Ci4d in.iiiii;013;fthe work identifieii
. irBlack.1 and • ..
I I Non-approved design data specified In Block 13. described inbiock.i was accomplished.in ootofdanee with. Title 14; Code of Feder's! ..,. - - ...,...
f,feguletione,iikti4Otiii.in.fesj5ect to thSt work, the itemsSieapkOVedfoi return: to Service. .::
-, • - ...- ... . -";: :-.-
15. Authorized Signature: ,••-•.. „..s.. 16. Approval/Authorization No.: ..... . . . .. . _
/ irij .Authorized.Signaiiire:r I- ••••`'... 1.
-
.. .. •• ,..: 21„:APproval/Certificate NO.;-- ... .
tr:j L. L.X_____,_ k.),, •:----,-- ODAR F601987NM - - - -'
17. Name (Typed or Printed): 18. Date(m/d/y): JAN/26/2006 0>:
...1
.. •!.., /p0:(-f;psi , pr: 0nTni •
Eva Alarcon 4 Date(mi '• -•• • •-•
...
User/Installer Responsibilities
t.
At is important to understand that the existence of this document alone does not automatically constitute authority to Install the part/component/assemb
ly. • .
:'Where the user/installer performs work in accordance with the national regulations of an airworthiness authority differem
ℹ️ Document Details
SHA-256
118884bdaafbadeef29eea089e6c843c07b9c315373b78f6da2363e0d3552a76
Bates Number
EFTA00278135
Dataset
DataSet-9
Document Type
document
Pages
276
Comments 0