EFTA01326217.pdf

Ord to 2120<<20 Electron Track ng Eiveitet 0 MAJOR REPAIR AND ALTERATION Ed tr31ICI B USOwarteen haniiponiu,. or (Airframe, Powerplant, Propeller, or Appliance) For FAA Use Only . rent Amp. mimmiratim INSTRUCTIONS: Print or type all entries. See Title 14 CFR §43.9, Pan 43 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. §44701). Failure to report can result in a civil penally for each such violation. (49 U.S.C. §46301(a)) Naeorekty end Registration Mark! N120JE Setter NI: 10aS I. Aircraft Make. GULFSTREAM Model! OW Sykes: WA Name (As shown on reoisration cerlificare) Address (As shown on reoistratiOn cortittafe) JEGE LLC Ad*a.a: MOO RED R.304 DARTER 03 2. Owner Oty ST. TMOWS SW. CORDON Sc 00002 go.roy VIRGIN MINOS 3. For FM Use Only • 4. Type & Unit Identification Regsr Meseta. UM Make Model Sorel Number O 0 AIRFRAME (As descnbed if teem I abOYO) • O POWERPLANT O PROPELLER o 1taa El . APPLIANCE wituraceser S. Conformity Statement A. Annoys Name and Address B. K nd 01Agency Name Stevens AdItC4p8O• Ma Delostir System. SC a U.S. Certificated Mechanic 0 Manacturer se 103 Ent Din O Foreign Certificated Mechant C. Cent-ante No. City Mow Sum GoOrom 0 Certificated Repak Swam Sc St2te Coeds United &Stela Amente O Careficated Maintenance Organdatcn VIB8368K 0. 1i:entry dal the repair erclror alteration made kr tie unti(.) 'denoted In item 5 above and OW..nbild on the reverse or aeactrnents hereto new been nestle In accordance with die rettirements of Pant) 430! the US. Federal Anton Regulatans and that the Intrinabon Ravished herein is true and correct iti tie best of my knowtedge. Extended rarqe Fuel Sionstvernate of &Shafted kedual Per 14CFR Pan 43 App. B O Mike Shaw , • June 03, 2019 . —7 , 4.1141 7. Approval fof cum to Service Pursuant to the autharity green persons specified below. the twit Identified in item 5 was irepected n tie manner peSSOIbed by the AdminIStrator el the Federal Adidas Adrnindliaten ard IS 0 APPROVED . REACTED FM FP Standards Person APING'S by Canadian Manufacturer Maintenne Orgarizaban inspect& Department of Transport BY Otter (50900.7 FM Designee X Repair Stamm Inspecton Aulltarizettm Carthate Of Signature/Date of ALthonzed IntS4dual Oesqnsuco No. CRS$ VII18388K Dendall Wood June 03.2019 iatAuttlat w6 09.0 FM Form 337 oo-om SDNY_Glil_02753702 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240624 EFTA01326217  NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An a,Yeration must be cornpabble with allprevious atterahons ro assure continued conformity with the applicable airworthiness requirement& 8. Description of Work Accomplished (If more space Is required, attach additional sheets. Identify with se-craft nationakly and registration mark and date work completed.) N120JE June 03-2019 Nationality and Registration Mark Dale KaiserAir, Inc STC ST03422CH 1. Installed KalserAt, Inc. SIC ST03422CH - by installation of a Universal Avionics UNS•I Espw flight management system oath Unlink UL•801 datalink system and CVR-120A cockpit voice recorder to meet airworthiness requirements for FANSUA+ and optional Automatic Surveillance — Broadcast (ADS-B) Out in accordance with Master Data List. Document No. JRW1279-MDL. Revision A dated October 26. 2018 or later FAA approved revision. 2. The following FM approved Flight Manual Supplements: Universal Avionics Systems Corporation CVR-120A Codtpit Voice Recorder. Document No. JRW1280.FMS-01, Revision A. dated May 25. 2015. Automatic Dependent Surveillance Broadcast Out (ADS-B Out). Document No. JRW1260-FMS-03, Revision A. dated October 06. 2015. Universal Avionics UNS•tEspw FMS and UL• 801 Unlink Datalink Communication System, Document No. JRW1280-FMS-04. Revision IR. dated October 30. 2018 and the Unvemal Avionics Corporation CVR Operation Report No. 23-70-08-01, Rev. 2. Dated March 10. 2016. has been inserted Into the Aircraft Flight Manual. 3. Instructions for Continued Airworthiness Document No. JRW1283-ICA Revision E. Appendix A Svu E. dated June 18. 2018 has been inserted into the Customer's Supplemental Maintenance Manual. FM 8110-3 Approvals: Iridium Antenna Instalati08 FM 8110.3 • CI 490-490 indium Antenna Doubler Design B Inslalabon, Identification No. N120JE-052310-1-ECNOI. Revision N/C. dated May 23.2019 and Damage Tolerance Analysis for the Gulfstream Cy-IV CI 490-490 Iridium Antenna Doubler Insulation, Repot No. N120JE-052319-OT01, Revision N/C. dated May 23. 2019. Approved by FM Structures DERT-605818.NAL Trevor J. Sarong. Instructions for Continued Airworthiness Document No. N120JE-ICAW-052319, Revision IR. dated May 23. 2019 LED Cabin Effects Liohting FM 8110-3 - installed direct replacement LEO Caton Lighting. Identification No. Drawing No. 06-328-W03 Rev IR pages 1.9. dated May 30. 2019. Approved by FM Systems & Equipment DERT-832582-CE. Michael Casper. VHF/Comm Antenna Installation and LH Mfd Foul**. Feadthru Installation FM 81101- VHF/Communication Antenna Installation. Drawing No. 06-560-001. Revision IR. dated May 16.2019 and LH Feed•thru installation 06-560-002, revision IR. dated May 23. 2019. Approved by FM Structures DERT-605818-Mil. Trevor J. Strong. 'es Performed aircraft reweigh. updated Equipment List and inserted data into the Weight 8. Balance Manual and Flight Manual as required. FAA-8110-3 and dramngs have been inserted into the Stevens Aerospace. Customer's Supplemental Maintenance Manual. ENO cgAdditional Sheets Are Attached FM Form 337 110-06) SDNY_GM_02753703 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240625 EFTA01326218  KAISERAIR, Letter Of Authorization May 14, 2019 KaiserAir, Inc. authorizes Stevens Aerospace and Defense Systems LLC the one time use of KaiserAir, Inc STC ST03422CH for the installation of Universal Flight Management System, Unilink and CVR for the requirements for FANS In Guifstream Model IV Serial Number 1085 current Tail Number N120JE. AndreaJtujan Chief Inspector KaiserAir, Inc. 2240 Airport Blvd. Santa Rosa. CA. 95492 707.528.7400 SDNY_GM_02753704 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240626 EFTA01326219  SDNY_GM_02753705 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240627 EFTA01326220  numb Shan of America Ptparhttent of tgrausportntion — Acbcral Attention Abittinistration Supplemental Zgpe Certificate AGnien, ST03422CH .Y/ti fly/Awn KaiserAir, Inc. 8735 Emhart Road Oakland, CA 946214547 rent//J 441.44, doer e:s ensi4.../ewhet /-14-wsillys-siwy/wvat averaieh.d rowirebierboo4 //muter frJ 4aareleadaCarytva ~NJ de reterreete:ionw private-Si 1:4e/ 25 r/46 Federal Aviation .W.cownchb..4. (See Page 3 of4 for complete certification basis) / 1;yjyafcci:Oww4w/. • .-3,2,y e v ly/Awn Wwweer.• Al2EA Oulfstraan 04V. GV CerlierOdeava 1.4*.iowe P.r.ifivor Installation of a Universal Avionics C/NS-IDPW night management system "WI UnilAnk UL-1501datalink system and CVR-120A cockpit voice record". to moat aim:inhalant requirements for FANS 1/A+ and optional Automatic Depaulan Surveillana — Broadassi (ADS-3) Oct in accordance with KaiscrAir, Inc. Master Dula List JR9/1279-MDL.Revision J, dated October 30.2018. or later FAA approved revision. Vatenthe/tiva owegveativaa: 1. The installa must determine nib:Ilia this design change is compatible with previoirdy approved modifications. 2. FAA approved Hight Manual Supplements, KaiscrAir, Inc. !bemoan No. JRW 1280-FMS-0I RevisMn A, approved May 25, 2015, JRW I280-FMS-02. Revision B. anwoval Octoba 6, 2015. JRW 12804MS-03, Revision A dated October 6, 2015 and JRW 12804-MS414, Revision -. dated Octoba 30. 2018 or later FAA approved revisions me required onboard the modified aircraft 3. The modified aircraft must be maintained in Accordance with Ainvorthinois Limitations containedin KairerAir.'Ine. Document No. JRW1283-ICA, Chapter 10 0 Airworthiness Limitations. Revision approved October 30, 20I It, or later FAA approval revision, in addition to the basic aircmft niaintenance manuals. 4.11the holder agrees to permit another person to int this certificate to alts the product, the hoWer must give the other paron written evidence of that pimnbsion. arronwayt snide 4.yerretiese AA, evf he a.I p, A, 4440nweeir fir Werbeehrite Josavvmdarei mawavoini: errnevire or Arneriteehave .4,4 r Arebrib ouleinatin," /dr •Alaimaivaillow/or .Zialetv/. Zivie/navo . tefitraidasalaira. late Vor,r4;whiv. :July23.2014. Jamey 27. 2015 lir* wecbavy/.. Vark et:maaaanry• :WWI 03. 2015 Vark 'naval May 25. 2015. °ciao 30.20t8 /Ay" r//4. Zetintividnv/er Armature) Brenda L. tilditickl ODA Admiiiigralor ElflOy Aerospace. LIZ OCA431240-CE Aar afopiat too et iris aaa• It!.?.,. 1, itsnirbrd• ay a fib of b. brridler ropirioonset not onallag 1 bars, or tot". TM raw PAGI I at I PARS Ibis .vat/lean ay b canasta In better* with ratt ZI.47. SDNY_Glvl_02753706 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240628 EFTA01326221  SDNY_GM_02753707 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240629 EFTA01326222  ltnite Stoke of Aumito peparbumf of transportation - Adorn( A0 butittist tion Suppletztental type ffertifirate Mantinuation Ailed) ...441t/10,170 ST03422CH firok rAZatoovor: March 03, 2015 %eft smov4, May 25, 2015 miww4./ October 30, 2018 eitAwlint .92w4: The certification basis for the changed Gulfstream G4 V aircraft as described in this certificate is as follows: a. The type certification basis for Gulfstrenm G4V ninslanes is shown on TCDS Al2EA for parts not changed or not affected by the change. b. The certification basis for parts changed or affected In the change since the reference dai of application, July 23, 2014, is shown on TCDS Al2EA. In addition. the npphcant has complied with 14 CFR Part 25 as specified in the sections listed below. Regulations as shown on TCDS Al2EA [Amendment 25-0 through 25-56i: 25.301(a), (b); 25.303; 25.305(a), (b); 25.307(a); 25.341(a); 25.365(a), (b), (O, (d); 25.561(e); 25.581(a), (b), (e); 25.601: 25.60300. (b). (a); 25.606(a); 25609(a). (b): 25.611; 25.613(a). (b). (d): 25.615(a); 25.619(a), (b). (c); 25.625(a). 25.771(a); 25.777(a), (e); 25.789(a); 25.1301(a), (b), (o), (d); 25.1309(a), (b), (e), (d), (a), (g); 25.1322(a), 0O, (e). (d); ;5.1333(a). (b), (c): 25.1353(a), (b); 25.1357(a), (e); 25.1431(a), (b), (e); 25.1501(a), (b); 25.1523(n), (b); 25.1529; 25.1585(a), (b). Regulations at a later amendment level than specified In TCDS Al2EA: 23.29 [Am& 25.721; 2.5.571(a). (b) [Arndt 25-45j; 25.86900(4) [Arndt 25.1131; 25.1307(e) [Arndt 25-721; 25.1329(e), (i) [Arndt 25.1191: 25.1351(a) [Muth 25.721: 25.138100, (b) (Amdt 25-72); 25.1457(a), (b), (c), (d)(1)0),(2),(3).(6), (e), (g) 'Arndt 25-124); 25.1581(a), (b), (d)(Amdt 25-72), 25.1583(h) (Am& 23-72). Spotlit Conditions 25-665-SC, Special Conditions: Gulfstream Aerospace Cotpomtion, Model GV-SP Airplane; Non-Rechargeable Lithium Battery Installations, Docket No. FAA-2017-0367 (Applicability Limited to Universal Avionics UNS- 'Espy Flight Management System installed in Configurations -04 and -05). The certification basis for the changed Gulfstream GV aircraft as described in Ibis certificate is as follows: a. The type certification basis for Gulfstream GV airplanes is shown on TCDS Al2EA for pans not changed or not affected by the change. b. The certification basis for pans changed or affected by the change since the reference date of application. January 27, 2015, is shown on TCDS AI2EA. In addition, the applicant has complied with 14 CFR Pad 25 as specified in the sections listed below. (Continued on µage 4) Any eltorotion of this artlelooco Is panish.41* by • has of eat Oireupelaf $1.000. or trivisaist Inc Inroatizoo 3 rues, w Cerra. DA Tam 0110.:.1(30.4,) IASI 3 of I PAGES This corcltleat• wy b• troduncroci Zr. 110741tifill,W ZAR 21.47. SDNY_GM_02783708 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240630 EFTA01326223  SDNY_GM_02753709 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 I EFTA_00240631 EFTA01326224  %Whit *Ws of pAmerita !apartment of ggranspo dation - eberati Ablation Abministration $upplementui Zgpe Certificate (Continuation Alpe° Verk r/f:"MeMet: March 03, 2015 %ter- 07.4.:4;44se May 25, 2015 rink ittivowtf./ October 30, 2018 en.e0;w4;34 • 4.4.46rvi/4w”.9.- Regulations as shown oa TCDS Al2EA 'Amendment 254 through 25411: 25.29; 2$.301(a), (b); 25.303; 25.305(a). (b); 25.307(a); 25.341(a); 25.365(x), (b), (c), (d); 25.561(e), (d); 25.571(a), (b); 25.581(a), (b), (e); 25.601; 25.603(a), (b). (a); 25.60500; 25.60900. (b); 25.611; 25.613(a), (b), (c), (d); 25.610(a). (b), (c); 2362500: 2527100; 25177(4 (a); 25.789(a); 25.1301(a), (b) K2 (d); 25.1307(c); 25.1309(0), (b), (e), (d), (e), (0, (g% 25.B16(b), (a); 25.1322(a), (6), (e). (d); 25.1333(4 (b), (o); 25.1351(a); 25.135300. (b); 25.1357(a), (a); 25.138100, (b); 25.1431(a), (b), (c); 25.1501(a), (b); 25.1523(o), (b); 25.1529; 25.1581(o), (b), (d); 25.158309; 25.1585(a), (b). Regulations at a later amendment level than specified In TCDS A l2EA: 25.869(ng4) [Am& 25.113); 25.1329(c), (i) (Arndt 25.1191: 25.1457(a), 00, (c), (d)(IX0,(2),(3).(6), (a), (0, (g) [Arndt 25-124) Special Conditions 25-ANM-I08, Special Conditions; Gulfstream Aerospace Corporation, Model Gulfstream CV, High Altitude Operations. Docket No. NM-112; Paragraphs 1(aXbX4 25465-SC, Special Conditions:. Gul fstream Aerospace Coq/oration, Model GV-SP Airplane, NonIFIechargeabk Lithium Battery Installations. Picket No. FAA-20I7-0367. (Applicability Limited to Universal Avionics UNS- lEspw Flight Management System installed in Configurations 44 and .05). —END-- My ****** tam of ells cortlelomo L puelaluebe by • tine or we 114*.enril *Lear or IsprUpon tut esesollag I imam. or both. FM Feu I110-2-10.4•11 Pia 4 of 4 Pal This corn/lost* ,say to trossferrod Is *mordant Ida yet 11.0. SDNY_GM_02753710 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240632 EFTA01326225  SDNY_GM_02753711 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240633 EFTA01326226  feeteme e Eliontne crew,ream 0 US Dremnort MAJOR REPAIR AND ALTERATION wagon 21100010 sot eiliA uneasy e Ting:futon (Airframe, Powerplant, Propeller, or Appliance) &woe esaotion Ads1risibton INSTRUCTIONS hull or type as entries. See Title 14 CFR §43.9. Part 43 Appendix 8. and AC 4194 (or subsequent foremen thereof) for instructions and disposition of this form This report is required by law (49 U.S.C. §44701). Failure to report can road? in a ovil penaky for each such violation. (49 U.S.0 §46301(a)) Nationality and Registration Mark Serial No. N120JE 1085 1. Aircraft Make Model Sores Gulfstream Aerospace G-IV Name (As shown on regostraDon certificate) Address (As Shown on registration carnivore) Morin 6100 RED HOOK QUARTER 83 a. Owner JEGE LLC cry St. Thomas sm. Foreign be 00802 cage, Virgin Islands 3. For FAA Use Only 4. Type 6. Unk Identlfkatifin Repair AllefillIOn Unit Make Model Serial NO. al 0 AIRFRAME (As CIOSChbed ifl MINII I above) 0 ID POWERPLAt4T 0 0 PROPELLER Type 0 APPLIANCE 0 Alenutectiger I. Conformity Statement A. Agency's Name and Address B Kind of AgenCy ismsGunstream Aerospace Services COrpOration U S Collated Mecherie I laerulacturer &Ss 7 Char Drive Fetal:, Centagel Methane C. Certificate No. cie Westfield am MA i Coble:al Repair Sieben be 01085 own, USA Cans:sew maintenance Organs/bon LEGRO39G D. I candy that he repair andlor alteration made to the unit( ) identified in item S above and described on the reverse or attachments hereto have been made in accordance with the requiremee4s of Pan 43 of the U.S. Federal Aviation Regulations and that the information Nmished herein is true and cared to the best of my knowledge. re Extended range fuel Signature/0mo of Authorized Intkviduat , Per 14 CFR Pin 43 0 APP. 8 Benjamin Thomas Jones z .....4—.... -- 09 November 2018 7. Approval fo Wurn to Se Pursue I to the authority given persons &Pealed below, the unit identified in item 5 was nseecteo in the manner presorted by Me Administrator of the Federal Aviation Administration and is Approved 2 0 Rejected FAA Flt Standards Persons Appeared by Canavan Maintenance Organization Department or Transport Inspect« BY Other (Specify) FM Designee I Repair Station Inspection Au cation Corti ale Of Signature/Date of Aumon 1101 Designation No. Dean Mathew Dickman c.... --09_November 2018 LEGRO39G FAA Fenn 3370041i SDNY_GM_02753712 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240634 EFTA01326227  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. S. Description of Work Accomplished Minor° space is ragweed attach addrional shears Idenlify min soccer nahonabty and regOkation mark and dale work comaierca) N120JE 159 November 2018 Nationale), and Registration Mark Date Performed Major Repair to the Forward Lower Side of the Baggage Door in accordance with 1159RD13459-3 and Forward Upper Side of the Baggage Door in accordance with 1159RDB459.5 Standard Repair Intl - Frame Cracks. Baggage Door. Gulfstream Standard Repair Drawing 1159RDB459 Rev. J is FAA Approved per Gulfstream GIV SRM 52-00-02 Rev. 16 Dated December 15. 2017 and Engineenng Disposition 50019580.1.1 by Stephen Alois Dated November 7, 2018. This Repair Does Not Impact Aircraft Weight and Balance or the ICA. END Additional Sheets Are Attached FAA Fenn 137 (Wai SDNY_GM_02753713 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240635 EFTA01326228  ee 14/....,77703 core Eleceobc Weeny Nun. MAJOR REPAIR AND ALTERATION 2.21/2011 erFAA UN Only us oftwonn et Orntoenol on (Airframe, Powerplant. Propeller, or Appliance) Federal Aviation winawasten INSTRUCTIONS: Pnnt or type all entnes. See Tele 14 CFR $43.9. Parl 43 APperdix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is requred by law (49 V.S.C. $44701). Fatale report can resiA in a civil penalty for each such holabcn. (49 U S C §46301(a)) Nationality and NegntrabOn Mark Serer No. N120JE 1085 1. Aircraft Model Senes Make GULFSTREAM AEROSPACE G-IV N/A Name (As shown on teolfration cerflficate) Address (As shown on/migration contralto) Meese 8100 RED HOOK QUARTER 83 t. Owner JEGE LW G., ST THOMAS sew FOREIGN z,,, 00802 cony VIRGIN ISLANDS 3. For FAA USO 0 ly 4. Type a Unit Identification Repair Alteration Unit Make Model Serial NO. O AIRFRAME (As descnbect in nem 1above) IZI O O PON£RPLANT El CI PROPELLER Type O . APPLIANCE mraacia, 6 Conformity Statement A. Agency: Name and Address B. Kind of Agency an Galmmargigaenaces ration u 5 corencesee Mechanic I lAanuhaurer man. 7 Char Drive Foreign CerlaCated Mechem C. Certificate No. cq Westfield Sine MA / Cannoties Raper 3NbOn a. 01085 Canty USA Certif.:ad atenterence Organzatan LEGRO39G O. [certify that tne repair and/or aeration made to the unlit ) identified in item 5 above and described on the reverse or attachrnems hereto have been made in accordance with the restatements of Part 43 of the U.S. Federal Aviation Regulahons and that the intortnatson furnished herein is Ina and correct to the heft of my knowledge. Extended range fuel SignaturerDate of Authorized Ince/ -1 per 14 CFR Part 43 • App. B Benjamin T. Jones „.,..-- t_--_... 26/JUIJ2018 . pproval for R - talcs Pursuant to the authority given persons specified below. the Linn identified in item 5 was inspected n the manner prescribed by the Administrator of the Federal Aviation Administration and is Approved 2O Rejected FM Fit. Standards Person, ANNOYS by Censaen manufacturer Maintenance Organization orpartmen of Transport inspector BY Other (Sporty) FM Designee 1 Repar Station Inspection Authorization Certificate or Signature/Date reed indwismil Designation No. Dean M. Di ___ 26/JUL/2018 LEGRO39G FAA Forrn 337 rioter SDNYGM02753714 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240636 EFTA01326229  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 contort* with the applicable einvorthiness requirements. a. Description of Work Accomplished (It more space is required. attach additional sheets. Identify wen aircraft nationality and reetstrabon mark and date work completed.) N120JE 26/JUU2018 Nationality and RegitratiOn Mark Date 1.) Reworked the LH Thrust Reverser P/N 1159P41460-3 S/N A088 LH Fwd Mount Holes 2L - 4L and 7L - 11L. Installed The Following Repair Bushing Part Numbers In Locations Listed; 21. - GSL405420001.11-5474 31. - GSL405420001-11-5312 4L - GSL405420001-11-5474 7L - GSL405420001.11-5312 8L - GSL405420001.11-5940 9L - GSL405420001-11-5312 10L - GSL405420001-11.5940 11L - GSL405420001-11.5312 2.) Reworked the RH Thrust Reverser P/N 1159P41460-4 S/N A088 RH Fwd Mount Holes 3R,7R,13R -10R. Installed The Following Repair Bushing Pan Numbers In Locations Listed; 2R - GSL405420001.11.5746 3R - GSL405420001.11.5320 4R - GSL405420001-11-5781 5R - GSL405420001-11-5322 7R - GSL405420001-11-5312 BR - GSL405420001-11-5946 9R - GSL405420001-11-5312 10R - GSL405420001-11-5754 11R - GSL405420001-11-5312 Repairs Accomplished in Accordance with and Substantiated By Gulfstream General Service Letter GSL405420001 Rev B., Engineering Disposition SC18934.14.9.1.1 and SC18934.16.1.1.1 This Repair Does Not Impact Aircraft Weight And Balance. Or The ICA. 3.) Reworked the LH Inlet P/N 1159P41100-69 S/N A086 LH Fwd Mount Holes 13L. 151. - 20L and 231. - 25L then Installed Repair Bushings PIN GSDD405411001-11 as required. 4.) Reworked the RH Inlet PIN 1159P41100-71 SIN A086 RH Fwd Mount Holes 6R, 12R, 17R - 19R and 24R then Installed Repair Bushings PIN GSDD405411001.11 as required. Repairs Accomplished in Accordance with and Substantiated By Gulfstream General Service Letter GSL405411001 Rev C., Engineering Disposition SC18934.14.10.1.1 and SC18934.16.11.1.1 This Repair Does Not Impact Aircraft Weight And Balance. Or The ICA. END Addnional Sheets Are Attached FAA Form 337 {torn SDNY_GM_02753715 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240637 EFTA01326230  Fr, Amos! Elena"K Treaing Nuen: pre No 1000020 9Ilbf 1 vs oromurer MAJOR REPAIR AND ALTERATION moon .. FAS Use Puy a transponsess (Airframe, Powerplant. Propeller, or Appliance) From Annie, Aantatistration INSTRUCTIONS: Pont or type aN entries. See Tele 14 CFR §43.9. Pan 43 Appendix 8. 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. 544701). Failure to report can result in a civd penalty for each suCh violation. (49 U.S.C. §46301(a)) Nationality and Registration Mark $erial No. N120JE 1085 1. Aircraft Make Model GULFSTREAM AEROSPACE G4V N/A Name (As shown on mixers:ion certracate) Address (As shown on registration certificate' Mann 6100 RED HOOK QUARTER B3 2. Owner JEGE LLC cc, ST THOMAS sm. FOREIGN 20 00802 cowr y VIRGIN ISLANDS 3. For FAA Use Only 4. Type S. Unit Identification Reis* Alteration Unit I Make Model Serial No 0 AIRFRAME (As clescncecl on Item 1 above) Z El • POWERPLANT El • PROPELLER type 0 APPLIANCE El Merestectiew 6. Conformity Sta ernent A. Agency's Name and Address B. Kind of Agen y ere Gulfstream Aerospace Services Corporation u. s. Garlaraterl Meehan I Sran...ackrer Mons 7 Char Drive Foreign Cathcatee Mechanic G Certificate No Ger Westfield Si." MA i Certificated Repair Staten a• 01085 cwwv USA Coreficateo Ulaimenance OrgarCakin LEGR039G O. I certify that the repair andior alteration made to the unit( ) id nofied in item 5 above and described on the reverse or attachments hereto have been made in accordance vett the requirements of Part 43 of the U.S Federal Aviation RegAations and that the information furnished herein is true and Coned to the best of my knowledge. Extended range fuel &puha Authorized Indi per 14 CFR Part 43 El n00. B tmin ej- ; ----T---" 26/JUN/2018 7. Approval for Return to Service Pursuant to the authority g ven persons specified below. the unit identified in item 5 was -nspected in the manner prescnbed by the Adnwestralor 01 the Federal Aviation Administration and is Approved 9 IMI Rejected FAA Fn. Standards Manufacturer MaintenanceOrganization Meintenan Persons Approved by Gainsays Inspedor Department of Transport BY Other (Savory) FAA Designee I Repair Station Inspection Autnonzation Ceti Kate or Signature/Date of Authorized Individual Designation No. Wiliam Stucklen 26/JUN/2018 LEGR039G FAA Form 337 norm SDNY_GM_02753716 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0O240638 EFTA01326231  NOTICE Weight and balance or operating limitation changes shall be entered in the appropnate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. I. Description of Work Accomplished (IImore space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) N120JE 26/JUN/2018 Nationality and Registration Mark Date Performed rework of rudder actuator forward attach fitting - F.S. 757.562 in accordance with Gulfstream drawing No. 1159RDB729, No Revision, -901 inst. This major repair is substantiated by FAA form 8100-9. dated 06/15/2018, Project No. TR-07-2018-0014. from Gulfstream Savannah Authorization# ODA-511131-CE. cert 0336099. This repair has no effect on current ICA. Weight and Balance effect: None AFM Supplement: No