B r 5 4 g; - Primary Flight Control---'aircrbeen aft bave tested up ... C/W AD96-12-07, impulse...
Transcript of B r 5 4 g; - Primary Flight Control---'aircrbeen aft bave tested up ... C/W AD96-12-07, impulse...
Aircraft Record General Information '
Manufactu... B ~ r Serl.a l 5 4 ·- ~ .:_33 0 C>"1
Model _.P'--'-A_,_'-=3~<±.,...._~ ----;h~d-CJ'--"'' "'--~T_,___ _ _ _ Regfstratfon Number ----'/I/'-"--_· =a-:_</'--~-b_· _g;__ ____ _
Date of Manufacture ------------------------ --- ---- --
, Englne(s) currently installe.d:
Manufacturer _______ Model ------------ Serial ___________ _
Manufacturer Model ------- ----- Serial - -----------
Prop elle r(&.) currently Inst alled:
Manufacturer /('/ C {'!fvJe1 Model __,,3 ...... A'-'--P-"'3"-".;+=· :.....:U'O=-=--· ....:.~---C-_ .. _ _ _______ _
HUB Model Serlal _ _::'l----=b'-"'-;).-'-~--"'/_,1~-----SerJal ff~ /{()IZ.. Blade Model (}~ f\]J!.tr-fb Serial ------- Serial _ ______ Serlal --------
Blade Model {f.- ... Lft ~Nfit-'1serlal ____ ___ Serial ------- Serial _______ _
©ASA 1993
---------------------\;:;: •.z Notes
TODAY'S Fl.IGHT
TOTAL TIMEIN Sl!.RVICI!.
Description of Inspections, Tests, I c ·"O Entr.i~s must be endorsed wHh Name, Aatln ~ gi Facll1ty. (See back pages for other specific el5 M
IFR Certification: I certify that the pilot/co-p1 ol p1tot ~ ~ 2 .,__,,,,....__.~ static altimeter and altitude reporting system of this - - ... ~ ---'aircraft bave been tested up to ,2oooCJ feet and ] ~ .
found to comply with FAR 91.411 Part 43 Appendjx E -- &.°" u.. - - -1 paragraphs a & c and the pilot altimeter has been tested _ _ :g ~ :g .. °'
to tP. ooo C> feet and co-pilot altimeter bas been f! µ..; fi d ~ - - -1 tested to feet & found to comply with FAR - -C £ 2; ~ ~ ~ _ _____. 91.4 l I Part 43 Appendix E paragraph B. __ ~ ] <. ~ ~ S: _ _ _. Date of Calibration: I-~ ·Ofi Serial #: 3 A oL{ I ·:; ~ ~ :;;
Dale of Calibration: Serial #: , -- 8 [~ 25 ] - - -1 Date: ·1 · .2.!l·~W.O.#: ~~cm Signature:::;2i?:#J~1-- ·~ ~ ~ .~ u ~ J
FEDERAL A VlONICS, INC. (808) 836-3532 - ~ ~ '.i Cl.l .S §
:ian or Repair
---I. 134 Nakolo Place, Honolulu, m 96819 --~ .&~ t w .f E 1 N FAA Repair Station #GD4R202M I .., ~ S' ti 0 Cl.l p., ~-----
v ·:=1 8 ~ .,..,,!3 OM _ ___ _ -o-o <l'llo~
--;----1-- --+-- - - 1---------- & ~ s .:.: ~ e 9 ~ ~----~ ~-g] £ Q)<ZOO'
@;;;:'A:;";:S:';"A1;;:99;:::3...__ __ _,1, __ -.1.... ___ ..1-___________ ~ $ ~ ~ ·tS ;f, ~ ~ ~-----
DATE REC
19~ TAC TIMI
/.j,,J
1h1/ 1 l.f
:ian or Rep~
~-----() ~ b---- -~ lO _ ___ _
....... lO
~-----_,
IA~ I £b::O"~ .... o rooAY s .:,"<::...' ~"<:°li FLIGHT
:.t~ ! Tl~E
TOTAL TIME IN SERVICE
-----N
Description of Inspections, Tests, Repairs and Alterations Entries must be endorsed with Name, Rating and Certiftea!e Number of Technician or Repair Facility. (See back pages for other specific entries.)
CU S T 0 ME R : Jim Knuppe
TYPE: _____ A_l_ti_rre_t_er __ -_u_n_it_~------------
SER I AL NUMBER: 3A041 ----------------------MODE l NUMBER: 5934PAD-1 ----------------
-1000 0
500 1000 1500
.. 2.00.0 3000 4000
TolPrRnri:> Al". t 11~ 1
± 20 -10 + zu +in + 20 + 5 + 20 +20 t 25 +10 + 30 · +20· f JV ..i.?n
+ 35 +?()
J:'rirt1on Frie
+30
+30-..i.-:tn
'
Work Order#: 8301 ------
TolPrant'P
+ 70 ... I
+ 70 + / ll . ~
50~0 Pressure Altitude Diff +1n ± 70 6000 + 40 +?n 8000 Baro Scale Check: Actual + 60 +?n
+ 80 10,000 12,000 -1720 14,000 -1340
± 80 +1 i; +1t:. + 90 +ll.(l
+100 +4'i +50 + 90
+110 +!;(.)
.:!: u: u +.1()
.±1 ju +40
15,000 16,000 18,000 20,000 22,000 ~3.~0~.9~0=-+--+-""=8~9~3------+.'"""'-----l 25,000 30.99 + 974
t55 +100 -tl~V ..&. -:ti::; ±155 30,000 .i...;:_:_;_;;_:_'---'--'----'-----' ""'1n +hf) + 1 ?n ±.180 + i; +M +140
35,000 40,000 45,000 50,000
+ZU5 +230 +Z~!>
±280
.?n ..i.1/Y\
.
Case Leak
First Test Point
+1 60 ·rl 80
±250
-10'
50% +15'
HYSTERESIS Second Test Po1nt 40% +40'
After Effect 0% +20 '
TECHNICIAN SIGNATURE:
,.
TOL
+ 100
+ 75
+ 75 -+ 30 -
- --DATE : __ 7-_1_8-_9_8 ---
tC~stome~s i.i.l;;rme· ::l,1111' k N s:i.~ pi€ MA.~UF.ACTURE~ \}~131 ... n :C~rr<.l:>tnl:lll.'if TYPE ACT1(Ylfili~ MOO EL S 9(3 "\! fA.Q - I s'Ef?ll,A:L NO, '3~0 t.\ \ The aircraft appliance ideritifled above was Repaired o Bemch (Graecke.dlP.lramd llil.Si;>.ected im accpr.C!larac::e witb et!Jrrer1t regulations of the Federal Aviation Admlmistrat)on and Is appr.ov~p t<:» roeturm t0 ser'Vice.
are on file at this f,\epa\r ~talion under
~;t'f-~~-m;.L-__.,Date 3- ~ I R-q8 ~~,..._.::;;_,"-""~'-""'.....o:::==-----i;e1. (808) •83s.:;3S32
DATE
199i...
<CASA 1993
Rl!CORPING TODAY'S TACH FUGtfT TIME
TOTAL TIMl!IN HRVICE
Description of Inspections, Tests, Repairs and Alterations Entries must be endorsed with Name, Rating and Certilieate Number of Technician or Repair Facflity. (See back pages tor other specific entries.)
DATE REC
19.!8 TAC TIM
n -p .. -98 0
I I
":.}/2:; //
18
>f Technician or Rep.:·
1ce ~·?"'/,
'YJ./pl l~-t
.:a::"Y ~ ~
""A..:....:.•
- \ -lt _. .
I
9/2r
RECORDIHO ' TODAY'S TOTAL TACH FLIGHT TlMEIN llME SE.RV ICE .
I
i/J'.Y<lf i
Description of Inspections, Tests, Repairs and Alterations Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repa : Facility. (See back pages for other specific entries.)
T <: f""l f o !?. ~ft'/ /:'() f (. 'i ·-.1 5 /EM /? rJ 0
/-/ F f?.l~Olo !/\I S"f Al L <;;0 ff:./<. f /AA
foftM 5 -~I /Jl1rEtJ 0/ ·2.~ ·C.Jf5
f /?. f ,: L I (,NT lf\/Sl' ECT10N f'c tC. Fo ICM E:O
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/:-l I G /·./I. -71. ~ 71._ ?I )J ,.,, __ -~ -~
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-TEST FLJG'fJT /J/;!2Cl211FT I O.f/c-c:t~ <:>u·r
FVGl --J'Y JT&tn I 'F/1_,,D SJ-) TIS F/J ~7orr: '1
/P.. // J /17P ·-PE"-JJP-JAtf1111 -14'1// &27Fvl6 j--
- I ©ASA•!
7 • ~ DATE AiC.ORDINQ TODAY'S TOTAL Description of Inspections, Tests,_ Repairs and Alterations
18~ TACH Fl.IQHT TIME IN Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair TIME Sl!RVICI!
Facility. (See back pages for other specific entries.)
DATE R
1e13L T. T
() 1-lb-~8 ')OL/Jt/l. ~I) fl (i. 0 f< f.rJ r r1 c r-. G f.r/ w 11?. €- ff. :J.N /. ~·r r w/) () r- Fl/ti ( c:;>N/V~ ( T 0 l'l ,. ~ 1)/\1-
vi' + Of'S ~ 600// . ~~7</l~ /1 "f7 o 6 LI 60 e ~ f"~
-
CASA 1993
an or Re~-
w 1/l. t~I.) /V -
l( ).!,~_
· 8~r~
RE.COllOIHO TODAY'S TACH FL IGHT TIME
..,.,,.,. _
TOTAL TIME IN SERVICE
- ·-- ~·
Description of Inspections, Tests. Repairs and Altera.Hons Entries must be endorsed with Name, Rating and Certificate Number of Tecmiclan or Repair Facility. (See back pages for other specific entries.)
LJ/c-
TP,. c-Af'.#YPr 57278 rr !G,j-
DATE
19_
-
\~ASA 1993
Tom's Aircraft Maintenance Inc.
Phone 310 .. 426-5331 FAX 310·426·1052
2801 E. SPRING STREET c LONG BEACH INT.'L AIRPORT c LONG BEACH, CA 90806
N8456B. 2/20/99. Hobbs 1458.1. S. 0. #8933 & 8946. Opened up all inspection plates and removed interior. Lubed all pullys, bell cranks and hinges. Jacked aircraft and rcbushed gear as per W.O. #8933 and 8946. Overhauled all thrne struts. Replaced both main gear trunions, LH, P#39486-014, RH, P#39486-015 to C/W AD94-13- l l, one time. Replaced all brake pads. Pe1formed gear retraction per the Piper Servoce Manual. All operations ok. Replaced battery with a G35. Replaced ELT battery and .functional tested. Next due J 1/00. Replaced 0 2 bottle with a fresh hydrostatic bottle check, Pff3AA1800, S#79904D8. Installed a JP.I. graphic engine monitor and fuel fl.ow system per STC /tSA2586NM. C/W AD93-24-14, nose landing drag brnce by replacing bolt. Next due at 1958.1. C/W AD96-12-07, impulse couplings. OK at this time. Next due at 1958. l. C/W AD96~20-07 , janitrol heater. OK. Next due 2/01. C/W AD98-04-27 by updating AFM. Th.is aircraft has been inspected in accordance with the Piper PA-34·220T service manual and has been found to be in an airworthy condition. Test ran and test flew. All operations ol< This aircraft is approved for return to service. f .A. A Repair Station #VTMR569K.
1~h,9a~~.,_
a lions DATE
1ber of Technician or Repair 19 _
:ic'"'[
3.norRepa1r 1 _
Tom'S Aircraft lntenance Inc. Ma
Phone 562-426-5331 Fax 562-426-1052
2801 E. SPRING STREET o LONG BEACH INT'L AIRPORT a LONG BEACH, CA 90806
N 8456B
Ho bbs_~1~4=.5=8~.1~, ~~~-
Ta ch. Time ______ _ Total Time I 9;){'., 1
le ertify that this airframe has been
ins pected in accordance with a/an __,,a~n!..Ln~u~a ... 1 ______ _
in spection and was determined to be in airworthy condition. All tails of this inspection are on file at this facility under work order de
#
Au
8933 & 8946 · Dated 2'L:..
thorized Signatu,., C{> '>'.Y'. L ~ ~A· Repair Station #VTMA569K !:A
'ations )ber of Technician o.r Repair
©ASA 1993
DATE
10 _
CASA 1993
RECORDING TODAY'S Description of Inspections, Tests, Repairs and Alterations TACH FLIGHT 7'ME Entries must be endorsed with Name, Rating and CertJficate Number of Technician or Repair
Ja.ol.!lliL~.M._Q_gJ,;k, pages for olher~peciflc entries.) _ _ _ -... April 06, 1999 Piper 34-220 - -----N8456B Tach: 1484.8 Installed Wing Root Fairing pe.r STC# SA1238GL. Installed Aileron and Flap Gap Seals per STC# SA729GL. Installed Gear Lobe Fairing per STC# SAl 715 GL. Installed fairings over flap hinges per STC# SA1225GL. Installed inflatable door seal per STC# SA4288WE. See 33Ts dated this date. Weight and Balance revised this date. New Empty W~ight:
3298.75, New CG:88.38, New Moment:291 ,539.26. Interior complete replaced during FAA approved materials meeting the requirement of FAR 23-853 Appendix F. Including side panels, headliner carpet, seats, curtains, and dash cover. All work performed prior to painting. Aircraft returned to se · ce. Air'Zona Aircraft Services, Ille. 7100 Flightline Dr. Kingman, AZ 86401 (520) 757-7744 Phone
DATE REI TA <
19- T IJ.I
Straut Kin go S-18-S Remc balan manu limits Nori
iclan or Repair
r 01.eu rel\ rl(,...~ '' . -~------
I~ --"lt(l TODArS TOTAL Description of Inspections, Tests, Repairs and Alterations 1aCfC FLIOHT TIMEIN Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair ..._ 'T9IE SERVICE
Facility. (See back pages for other specific entries.)
Straube's Aircraft Services 4890 Flightline Dr. Hangar ~ Kingman, AZ 86401 (520) 757-2727 5- 18-99 N l34MG PA-34-220T SER#34-8233007 HOBBS 1464
Removed flight controls for paint. Checked static balance of controls according to PA-34-220T service manual. All static moments detennined to be within limits. Re-installed controls u~~-existing hardware. No rigging ~Iterations made. (ffe/'~/!:b8~16}bf _____________ _
OASA 1993
-
-
ams
DATE RECORD INC TODAY'S TOTAL. Description of Inspections, Tests, Repairs and Alterations TACH FL IQ KT TIMEIN Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair 19_ TIM& SERVICE
Facility. (See back pages for other specific entries.)
Straube's Aircraft Services 4890 Flightline Dr. Hangar C Kinginan,AZ 86401 (520)757-2727
5-18-99 PIPER SENECA 3 N134MG CO:MPLETE STRIP AND PAINT EPOXY CHROMA TE PRIMER JET GLO OFF WHITE 570-527 ACRY GLO TOP HARVEST GOLD 10653 ACRY GLO APRIL GREEN 10620 ACRY GLO TEBTAN GOLD 10689
.
©ASA 1993
DA0/- REC( { . TAC~
19 ' TIME
C/1~) W1 I
....___
Al!CORDINQ TODAY'S TACH FLIGHT TIME
TOl"Al TIMEIN Sl!AVIC£
~t.IJ..J!t, rcn.rnr_, .... ---------
Descrtptlon of Inspections, Tests, Repairs and Alterations Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair Facility. (See back pages for other specific entries.)
6/15/99: N134MG Hobbs 1464.5 50#9105 Replaced both main tires and packed wheel bearings. Replaced avionics cooling fan P#FN300. I nstalled a new door seal pump #54-1000. Replciced l.H wing fuel bowi P#'7~3-987. Replaced ELT antenna' Pi't455··9000. This :aircraft i5 <1rproved for return to ~ervice.. Tom L. Jacobson F.A.A. Repair Station#VTMR569K
~ .!/
(.,.-yv--J._ t_~~-~-------------
DATIE llECOAD ING TODAY'S TOTAL TIMl!IN 81.AVICI!
Description of Inspections, Tests, R~palrs and Alterations TACH FLIGHT Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair
Facility. (See back pages for other specific entries.) 19- TIME
O ASA 1993
Tom's Aircraft Maintenance Inc.
Phone 310 .. 425 .. 5331 FAX 310-426""1052
2801 E. SPRING STREET o LONG BEACH INT.'L AIRPORT 0 LONG BEACH, CA ~806
Nl34MG. 9/3/99. Hobbs 141!5.1. Removed syn:hrophaser' computer, P#C- 436 2-4, 8#2394: Had overhauled and reinstalled: Operational tested ok . Repaired RH primer switch. This .air?raft is apprOied for return to servi ce • Tom L. Jacobson . F.A.A. Repair Station #V'IMR569K
~)._~
.
DATE REI TAI
19- Tl"
•)
vn·Jtn. · /'\llLcv'Fcl<; ,.,.,. , •• •• -----........,,-----------~-
1ician or Repafr DATE R£CORDING TODAY'S TOTAL Description of Ins pections, Tests, Repairs and Alterations
TACH FLIGHT TIM£1N Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair 111_ TIME SERVICE Facility. (See back pages for other specific entries.)
Tom's Aircraft Phone 310-426-5331 Maintenance Inc. FAX 310-426-1052 2801 E. SPRING STREET o LONG BEACH INT.'L AIRPORT o LONG BEACH, CA 90806
10/26/99 N134MG Hobbs 1506.4 50#9326 .
Replaced the fixed wastegate with a turbo charger differential -r_ ~~
pressure control system In accordance with Merlyn Products, Inc. installation report No 18-1, Revision B, dated March 17, 1989, and drawing list TDL18-1, Revision B, dated March 17, 1989, or drawing
. list 21, TDL-1, dated January 15, 1990, or drawing list 20-TDL-1 dated December 30, 1989 and STC number SE4731NM and STC number SA4927NM. Weight and balance reflects this change. Tom L. Jacobson F.A.A. Repair Statlon#VTMRS69K
C/'~1--t':L . - ©ASA 1993
DAT! RECORDING TACH
19_ TIME
-
c;> ASA 1993
TODAY'S TOTAL Description of Inspections, Tests, Repairs and Alterations FLIGHT TIMl!lN Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair Sli!RVICE
Facility. (See back pages for other specific entries.)
.. . .. Tom's Alrrcraft Phone 310·426-5331 Maintenance Inc. · ·- . -- .. - .-- .. --. .
FAX 310-426·1052 ·~ -- -· ··--
2801 .E. SPRING STREET~ LONG BEACH INT.'L AIRPORT 0 LONG BEACH, CA 9080G
10/25/99 N134MG Hobbs 1506.4 $0#9326 Removed manifold pressure gauge and fuel flow gauge for overhaul. Re-Installed and operationally tested ok. Replaced 2 02 valve fillers. This aircralt is approved for return to service. Tom l. Jacobson F.A.A. Repair St:ation#VfMR569K
~;_~---,- .
-
.
l l i
Tc M 280
/ UNITED STATES
FAA FORM 8'130-3 AIRWOR:rJilNESS APPROVAL TAG
U:6. OEP.ARTMEN'J' OF TR11NSPORT.Al'ION FEOEFfAl AVIATION AtlMIN!STRAllON
Glolf>al "l'ech lnstrumonts 1.8380 Enterp rise Lane, Huntingfon Beach, CA 92648
ll<M DESCFUl'l10N PART tlUMefn ' EUGl8!\ JTY &v. t J SEflW. EIA"l'CH NO
" Jtew.•I:] NEWLY ~J\lltoULl!O C C.... ht die new Of nMrCW»hfilJtl4 ~ \iJotillN .ii.w. .... at Olhono.!M tpd&d~ Uocl.18na~~IQ~~FM'f1Piiwedd..ag.4ehard~
HOIE. ...... _IOl.o_ ... _..,_ ..... ~--b..., ..... 1fi$ION.\TURE
, 7 NAW.f (TireoOR l'>KINTEOI HIOAT'!
Various
UN!TfEC!> STAlfES
FAA FORM 8130·3 AIRWORTHINESS .APPROVAL TAG
U.S. DEPARTMENT OF TRo6.NSPOR'l'ATION FEDERAL AVIATION ADMINISTRATION
Global Tech Inst ruments
'~$Y,$!£MT1i,t,Q)(l~~n~fll0
, H's A\(lG.tU.i:(
'2..ct ~ =~-GOtltRMIT~l!\YOIQtl
18380 Enter.prise Lane, Huntington Beach, CA 92648 Ll°l-r\{~ lfEM OE&CBl'llGf< g EllOBl.fTV ~TY It -8'.YCHNO
i: UlfL b 17. I cooe- .G ~ -s PQe-~SUftt' Various o/f+
t ~uo.
2-1 Cf.RllflCAf!'tkl.
G30R208N
Ill Or Repair ind Alterations
Tom's Aircraft Maintenance Inc.
Phone 310-426-5331 Jicate Number of Technician or Repair
FAX 310-426-1052
2801 E. SPRING STREET o LONG BEACH INT.'L AIRPORT o LONG BEACH, CA 90806
Date 3)~joo
I certify that the · l altimeter, static and transponder
systems tests required by FAR 92.411 and 91.413 have been
· accomplished in accordance with Part 43 Appendices E and F.
The altimeter was tested to :is· •00;, feet.
Leakage is negligible.
F.A.A. Repair Station #VTMR569K
Signature --~SQ-=--· i,._.r_ Y{.1.-'--1-k--;_· ....::-=---_ _ _,_;(_·_. M~l=:IF:.ict\.._...___· ©ASA 1993
: _r, ' .,.. .. -
• "S\ .'...._· ,.~ -.: --·~~
• I I > I I ••• • I I ->• > I •no • I I I ' •z~ • 1 I I I ~
- CJ '° ,,. I "'
Altimeter Correction Card SIN P 1 i..C> T> Date 1 / 5: /o<> AJC . fJfl - 'J(I- ·U..O T /\/ / 3YP16
ALT
Reading
-1 000 0
500 1000 1500 2000 3000 4000 6000 8000
10000 12000 14000
ADD Algeb.
{j)
0
0 - ['/)
- f 0 -to -(o ~L.--,
~~ !'!
-'-fo -i.10 ,,...f.tJ _,_1)
ALT
Reading
16000 18000 20000 22000 25000 30000 35000 40000 45000 50000 H50% H40% ZERO
ADD Algeb.
_f(i> ...-to ~o Am
-.. >r"T. J
'JO !() (i)
Tom 's Aircraft Ma intenance, I~ 2801 E. Spring St., Long Beach, CA~
FAA Repair Station #VTMR569K PH. (310) 426-5331 • FAX (310) 426-1052
p
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To1n ,s Ai rcraft Phone 1-562-426- 533 I
r-
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~
Tom's Aircraft Maintenance Inc
Phone 1-562-426-5331
FAX 1-562-426 1052 2641 E Spring Street *Long &a...£h Int '1 Airport *Long Beach. CA 90806 N134MG DATE3/16/2000HOBBS1545.5 50#9060 This aircraft was Inspected In accordance with an annual inspection. The inspection used the Piper service rJ$lual as a reference. This aircraft was found lo be If\ an airwqrthy condition. Opened up all the lnspe9tion plat~ and removed the ir,terior. Ll.Jbed all pulleys, bell cranks and hinges Performed a gear retraction test. Installed a new EL T battery. Next due 3/112092 ELT was opps checked and Inspected as per 91 /207. A099-05-09, NA not Installed. AD99-14-01 , POH update.. Installed AD into the POH as per the AD. Installed a new ammeter for the LH engine. Installed an overtiauled EGT. Remo11 pl · the LH prop go11erner for repair. Installed new be g e nose wheel. Ran the aircraft. All systems test U. 011ed for return to service.
Tom's Aircraft Maintenance Inc
Phone 1-562-426-5331
FAX 1-562-426 1052 2641 E Sming Street• Long Beach Int'! Airport *Long Bea.ch. CA 90806
N134MG
HOBBS 1545.5 TOTAL TIME 1545.5
I CERTIFY THAT THIS AJRCRAFT HAS BEEN INSPECTED IN ACCORDANCE WITH AN ANNUAL INSPECTION AND WAS FOUND TO BE IN AN AIR.WORTIIY CO N. ALL DETAILS OF THIS INSPECTION ARE S FACILITY UNDER WORK ORDER 0/2000
I I I I I
Lz:: .... " \
I•
DATI! R1001101No TODAY:s TOTAL Description of Inspections, Tests, Repairs and Alterations TACH FLIGHT - _ TIME •N·-~~ ....______.__._ - -'--'~""-"--~-"- _. ,.._ .. ,..._~ L'--nber of Technician or Repair
t9_ TIMI
@ASA 1993
Tom's Aircraft Maintenance Inc
Phone 1-562-426-5331
FAX 1-562-426 1052 264 J E Spring Street • Long Beach Inl 'I Nroort *Long Beach. CA 90806
N134MG DATE 4/5/01 HOBBS 1567.9SO# 10264 This aircraft was inspected in accordance with an annual inspection. The inspection used the Piper service manual as a reference. This aircraft was found to be in an airworthy condition. Opened up all the inspection plates and removed the Interior. Lubed all pulleys, bell cranks and hinges Performed a gear retraction test. EL Twas OPPS checked and inspected as per 91/207. Repaired leaks in the 02 system. Serviced the 02 system. Clean and paint the propellets. CW AD96-20-07, JANITORIAL heater insp. Next due 4/5/03 obbs 1 7.9. Adjusted the gear warning horn as per the manual. R he alrcr . All systems tested well. This aircraft Is approved f etun1 to .
DATE
19-
1nician or Repair Deacrlptlon of Inspections, Tests, Repairs and Alterations DATI! RICORDINQ TODAV'S
TACH •• •"',.... ••••r •u 19-:- TIMI!
Tom's Aircraft Maintenance Inc
Phone 1-562-426-5331
FAX l -562A26 1052 2641 E SprjngStrect •Long Benc;lil111'I Aimo11-*Long flcncl1, CA 90806
N134MG
HOBBS 1567.9 TOTAL TllvJE 1567. 1
I CERTIFY TilA T TIIlS AIRCRAFT HAS BEEN INSPECTED IN ACCORDANCE WITH AN ANNUAL INSPECTION AND WAS FOUND TO BE IN AN AlR WORTHY CO DITION. ALL DETAILS OF THIS INSPECTION ARE ON B - THIS FACILITY UNDER WORK ORDER# 10 v 415101.
AUTHORIZED SIGNATURE -- -- ---- -----FAA REP AIR STATION# , 5691<
lie Number of Technician or Repair
CIASA 1993
. -. -- -· 19 -
DATI! RECORDING TODAY'S TOTAL Description of Inspections, Tests, Repairs and Alterations TACH FLIGHT TIMEIN Entries must be endorsed With N~me, Rating and Certificale Number of Technlci~n or Repair 19- TIME SERVICE
Facility. (See back pages for other speclllc en1ries.)
DAU:
,
\fi' i"Jltz; GERDES AVIATION ···· · SERVICES
PROFESSIONAL AIRCRAH SERVICES
- The Altimeter/Static and Transponder Systems have been Inspected to 20, (,Jf2o feet, and were found to comply with F.A.R, 43, Appendtx E &F.
N Number /3¥frl'6Date 5 -1-o:z.. Signature ~ <l<.<oe.a_ FAA Af>PROVED REPAIR STATION G3RR399J
4012 w. Commonwealth Ave. Fullerton CA 92833 Office (714) 525-7545
GERDES AVIATION; SERVICES
FAA APPROVED REPAIR STATION G3RRS99J
. / WORK REQUESTED l!1" Pitot f Static f Transponder 0 Transponder
0 Repair Only 0 Retest
#1 # 2 PRELIMINARY INSPECTION 0 0 Pilot I Static System Leakage
O O Pilot/ Static System Blockage f Inoperative
O O Encoder f Transponder Inoperative
·~ 0 0 Encoder - Erroneous Altitude
· O O Altimeter Out Of Calibration I Friction
._D 0 Other·---------------- ---,.
ALTIMETER/STATIC SYSTEMS TESTS (FAR 43 APP. E) (TABLE 1) CALIBRATION (FEET)
READING ERROR READING ERROR READING ERROR #1 : #2 #1 ' #2 #1 I #2
-1 ,000 ,c I -._,.I 3,000 no: 16,000 -.10:
!500 -s• 4,000 -f /() I 18,000 30 1
0 0 I 6,000 0 I 20,000 - is: I I I I
aa,ooo ; ; 500 0 I 8,000 - :S I
) 1,000 +l:J! 10,000 -IS": 25;000 I I
12,000 I 3G;QQQ. ' 1,500 -5 I - ro • I
2,000 .;_5 I 14,000 t- /0 I ~eao I
- ~- t
CUST()MER TOHS A/.q{lr.!Al=T DATE S -1-0?_ INV. .27-';l'~A AIRCRAFTN# / 3 <fH<2 TACH~ /::7 • 7
MAKE ~/,,O~ MODEL ~/l-.3t'- .2291 SN# ='"...;.-.?Z-.'53 e7e 7
OWNER NAME G.ffE~£ y~,.., -,-v4€"-- Lt..~ ADDRESS / .300 SJ<.> 67/'o' Avc S~7ft -?q z.:;
CITY /-'04 rlA'..IO STATE ~ Zl~ 7'.7~ct - 5t'~" PHONE: HOME WORK·-- ----,.-- - ---
#1 #2 TRANSPONDER TESTS (FAR 43 APP. F)
ct O Reply freq 1090 :t 3.0 MHz [!( 0 Suppression P2=P1 (Replies 1% or less} 13' O P2 9 DB less than Pl (Replies at least 90%) [3' 0 Receiver Sensitivity (MTL) -73 :t 4 (DBM) [ij O Diff. between mode A & mode C not more than 1 (OB9M 13· 0 RF peak output - at least (125 W) not more than {500 ca' 0 Code switches display correct codes as selected i:i 0 ldent & light operation
#1 #2 TEST RESULTS I
0 O Static System Leakage Less Than 100 ft/min @ 1,000 ft AGL
CORRECTIVE CTION TAKEN
Ii O Pitot Heat Operation
!!I' (TABLE 2)
0'503 0 Hysteresis [!!' 0 After Effect
I (TABLE3)
{!l 0 Friction Test
E( 0 Case Leak @ 18,000 ft
af 403
G NO 0 YES - see invoice
#1 ~ 0 -lt2 0 0
Transponder ests
#1 ii 0 -#2 0 0
Technician's .& I Signature--"#-= ...<..e.-~....-~~~-.,..-~~-~·~~--
I (TABLE 4) rn o Baro scale Error TEST RESULTS DATA SHEET
Office: 714-525-7545 • 4012 w. Commonwealth Ave. • Fullerton CA S2833 • FAA Approved Repair Sta~i91'.l G3RR399J © 2000 Gerdt Aviation Services
• --'I ~ .... -
ician or Repair
)
. &F. ~
7545
DATI! IU!CORDING T.ODAY'S Description of Inspections, Tests, Repairs and Alterations~ TACH FLIGHT
19- TIMI!
TOTAL TIMllN Sl!RVlCI! Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair
N134MG Hour Reading: 1588 .4 Ht.§ . March 13, 2002 SIN 34 -8233007
1. Removed and i·nsta l led new o~rlngs and reta iner at ri ght MLG Actua tor Cylinder
2. lnsta1 1ed new c ru sh gasket at rlght MLG stru t air valve. Strut servlced per ma i ntenance manual
Detai ls on fi l e at this Facility under W.O. 5545.
for A~~o SPEClALT~~~
C ASA 1993
CT
DATE R£COROINQ TOpA~~ TOTAL l TACH FLIGHT TIME IN Description of Inspections Tem...Beoairs anrfJl~ratlon
19_ TIME. ' s nberof Technician or Repair
OATI!
19 -
Tom's Aircraft Phone 1-562-426-5331
Maintenance Inc FAX 1-562-426 1052 2641 ~ S!!ring Strcel • Long Beach lnt'I Ain>or1 •Lone~ Beach, Ci\ 9080~ N134MG DATE 5/10/2002 HOBBS 1589.7 SO# 02-12095
This ai rcraft has bean Inspected In accordance with an annual inspection. This Inspection used the Piper service manual as a reference. This aircraft was found to be in an airworthy condition. Opened up all the inspection plates. Removed the Interior. Lubed all lhe cables, pulleys and b-ell cranks. Cleaned, Inspected and repacked the wneel bearings. Installed a new EL T battery Next due 5/1/2004.0pps c.hecked and inspected the ELT as per 91.207. 8LJsh,ed U'le inboard I anding ,gear pivots. Serviced the o2 syste1n. Installed new no~eel b.earlngs and races. OW A02001.-17-13, fllel regulator rs all tests passed Ran fhe aircraft. All systems te,tedz i< aircralt' approved for return to .arvlce
F . S SALISBURY FAA REPAIR STATION VTMR569K r
OASA 1993
• v •
••- "\C' .. ~- ·=
---------- --~ ·cian or Repair
DATE RECOADIN(J TODAY'& I TOTAL I DescrJptlon of Inspections, Tests, Repairs and Alterations TACH FLIQ.,- -nber of Technician or Repair
f9- TIME
Tom's Aircraft Phone 1-562-426-5331
Maintenance Inc FAX 1-562-426 1052 2641 E Spring,Sttccl •tong Beach hll' l Aimoi1 *Lbug Bc1t0h, CA 9.QB06·
N134MG
HOBBS 1589.7 TOTAL TIME 1589.7
I CERTIFY THAT THIS AIRCRAFT HAS BEEN INSPECTED IN ACCORDANCE WITH AN ANNUAL INSPECTION AND WAS FOUND TO BE IN AN AIRWORTHY CON02i"ION. ALL DETAILS OF THIS INSPECTION ARE ON Fl~~ T THIS FACILITY UNDER WORK ORDER# 02-158 · o DATED 5/10/2002 §
AUTHORIZED SIGNATURE - - ------ ----FAA REPAIR STATION# VT 9K
_L @ASA 1993
j
! DATI!
) 19_
©ASA 1993
PX
Tom's Aircraft Phone 1-562-426-5331
Maintenance Inc FAX i -562-426 io52 2641 g Snring Street • Long Bench Int 'I Aimort •Long Bench. CA 90806 N 134 MG Hobbs: 162 J.3 SO!f .03- J 2856 6123103 Opened up all inspection plates and removed interior. Lubed pulleys, bell cranks and hinges. Jiicked aircraft and replac,e,d both brake discs and all brake libings. Resealed LIT main strut. Packed wheel bearings. Replaced both main gear door hinges. Rc!)laocd both brake hoses. Replaced pilots storm window latch. CIW FAR 91.207 ELT operation okay. Next due 6/04 C/W AD 200 1-17-1 3 fuel regu lator checked nexl due 172 1.J C/W AD 96-20-07 Jnni!rol heater nexl due 6/05 or 172 l .J. This aircraft has been inspected in accordance with a l OOhr/ Annual inspection and has bee11 found to be in an airworthy condition and is aptSoved for returnJ o service.
/J"Y'V"> J..... ~Jvu-ll---TOM L. JAiOBSON FAA REPAIR STATION VTMR569K
,. Repairs and Alteratlons ting and Certificate Number of Technician or Repair : entries.)
DATIE
To: _Ma
®.l - N134
- This; _ mspe
refer( - Open
the C<
- repac 71112• Rem<
_ sysle lnstal
- LHm o-rin~
- well.
cian or Repair
. -... ~~~.--~~~.--~~..--~rr--=:---~~:----=--:-~---.:--~~~~~~~~~-..,,,-~-,-~~~~~~
DAT! I RECORDING I TODAY'S I TOTAL I Description of Inspections, Tests, Repairs and Altere:!t-on~ ..... ,..u 4e'9 .,... ..,... .. ..... . ...
Tom's Aircraft _Maintenance Inc
Phone l-562A26-5331
FAX 1-562-426 1052 1641 E Sprmg S1n:e1 • Long Bcac;.h lilt' I Airpon •Lllug Beach. f.:A 20!i06
- N134MG DATE 7/912004 HOBBS 1644.8 SO# 04 -13550
- This aircraft has been inspected in accordance with an annual _ inspection. This inspection used the Piper service manual as a
reference. This aircraft was .found to be in an airworthy condition. - Opened up all the inspection plates. Removed the interior. lubed all
the cables, pulleys and bell cranks. Cleaned, inspected and - repacked the wheel bearings. Installed a new EL T battery Next due
7/1/2006. Opps checked and inspected the El T as per 91 .207. -: Removed and replaced the 02 bottle for hydro. SeNiced the o2 _ system. CW AD2003-1 Hf.4 fuel pump insp, NA by the model.
Installed new out.b_<?ffe.d°·ft°iel drains, fuel tank drain hoses, air filters. - LH main tire, fu~ele~tors RH & LH. Replaced the brake cylinder
o-rings and~Jftirviced the brakes. Ran the aircraft. All systems tested - welL This~alrcrafl s approved for return to service. ,,.. ,
CIS SALISBURY FAA REPAIR STATION VTMR569K
"Tie, Rating anc:j•Certificate Number of Technician or Repair specific entries.)
OASA 1993
DATE De.scrlption of Inspections, Tests, Ro _... · --· .. ~t...1ame, Rallng a
Tom's Aircraft Maintenance Inc
Phone 1-562-426-533 1
FAX 1-562-426 1052 264 1 E Soring Street• Loug Peach Int'! Airport •t.ong Beach. CA 90806
N134MG HOBBS i644.8 TOTAL TIME 1644.8
I CERTIFY THAT THIS AIRCRAFT HAS BEEN INSPECTED IN ACCORDANCE WITH AN ANNUAL INSPECTION AND WAS FOUND TO BE IN AN AIRWORTHY CONDITION. ALL DETAILS OF THIS INSPECTION ARE ON FltE AT THIS FACILITY UNDER WORK ORDER# 04-1)550 DATED 7/9/2004 /'
-1"
AUTHORIZED SIGNATURE --#}/-.----. -FAA REPAIR STATION#VT~o9K
/ ,/
/
' ..
er specific entr
II.ATE
hnician or Repair '~-
WORK REQUESTED ~ Altimeter I Static I Transponder D Transponder
D Repair Only 0 Retest D Warranty
# t #2 PRELIMINARY INSPECTION 0 0 Pitot I Static System Leakage
0 0 Pilot I Static System Blockage / Inoperative
0 0 Encoder I Transponder Inoperative
O 0 Encoder · Erroneous Altitude
O 0 Altimeter Out Of Calibration I Friction 0 0 Other __________________ _
D O DD
ALTIMETER/STATIC SYSTEMS TESTS (FAR 43 APP. E) (TABLE 1) CALIBRATION (FEED (REF. 91.411 )
READING ERROR TOL READING ERROR lOL READING ERROR TOL #1 I #2 :t # 1 I #2 t #1 I #2 :t
·1,000 -rS I 20 3,000 o : 30 16,000 o : 110
·500 -$' ; ~o 4,000 n• 35 18,000 -S !. 120
0 a ~ 20 6,000 n : 40 20,000 ~zsl 130
500 t-5 i 20 8,000 n: 60 22,000 I
""'iO• 140
1,000 +-S-: 20 10,000 ""tol 80 25,000 '" "'~-: 155
1,500 -s: 25 12,000 0 1 90 ~ I 180 I
2,000 0' 30 14,000 t-S I 100 I 205 __ , ___
CUSTOMER TOM~ AlC. DATE 7-1-0'( INV,# $ 1/SA
A IACRAFTN#~~--~/~ " '2"14 · 8 MAt<E__p~- MODEL e'\•34- Z2C1" SN/i~~m.Q~ OWNER NAME <'"R.E.ENE. VENn,lBE:. LLC
ADDRESS 13 Oo SW S 1"H A\!E'. SU IT€ .l0.3S j.
CITY PoB-n.A,NQ STATE OR. ZIP 92.Z.Ot -${,;,<.;'
P~ONE:HOME WORK ________________ _
#1 #2 TRANSPONDER TESTS (FAR 43 APP. F) (REF. 91.413)
®' D Reply freq 1090 :t 3.0 MHz il 0 Suppression P2=P1 (Replies 1% or less) ~ 0 P2 9 DB less than P1 (Replies at least 90%) g 0 Receiver Sensitlvity (MTL) .73 :t 4 (DBM)
8 0 Diff. between mode A & mode C not more than 1 (DBM) 2S 0 RF peak output· at least (125 W) not more than (500 W) S 0 Code switches display correct codes as selected ~ 0 !dent. & llght operation
#1 #2 TEST RESULTS 81 0 Static System Leakage Less CORRECTIVE ACTION TAKEN
Than 100 rt/min @ 1,000 tt AGL ~NO 0 YES - see Jnvoi< ,g 0 Static PO<"t ~!eater 1!51 N/A
Altimeter I Static Tests Pass Fail (TABLE 2)
# 1 JS! 0 C!I D Hysteresis !:! 50%
~2 ~ ! 0 ti'! 0 Hysteresis Gs 40% Transponder Tests 181 0 After Effect #1 ~ t o
(TABLE 3) Iii~ t:J CJ & D Friction Test
Technician's ISi ti Case Leak @ 1a,ooo tt Signature ~ -<j. • • ,,.J.
(TABLE 4) TEST RESULTS DATA SHEE Cil 0 Baro Scale Error
Office: 714-525·7545 • 4012 W. Commonwealth Ave. Fullerton CA 92833 • FAA Approved Repair Station G3RR399J © 2002 Gerdes Aviation Service
- ..... - ...... 4 ... ~----..,.,~1. ........ __._ ·''
...... -11 111111111
Tom's Aircraft Phone 1-562-426-5331
Maintenance Inc FAX 1-562-426-1052 26=1 I E Spring Street '* Lon2 Beach lnr'I Airport *Long Beach CA 90809 '-) Nl34MG Hobbs: 1662.6 T.T.: 1662.6 SO# OSS-14369 l 0/20/05 t Opened up aircraft, removed interior, lubed all pulleys, bell q~nks and hinges. Jacked aircraft and performed a gear retraction per the Piper Service Manual. Greased gear and packed wheel bearings. Replaced RH main and nose tire and tube. Replaced vacuum and gyro filter. Removed EDM engine monitor for repair by JPl, reinstalled and tested ok. Replaced aircraft battery, G-35. Replaced annuciator logic box, part #87209-002, operational tested ok.\ Replaced air conditioner hoses in LH nacelle, 3 each. Serviced air conditioner. C/W CFR9 I .207 EL T test ok. next due 10/06. Note: ELT battery due 7/06. Note: Pitot static transponder test due 77-06. C/W AD2005- l 2-16 impulse coupl ings by replacing all 4 magnetos, next due at 2 162.6 T .T. CIW AD2004-25- I 6R I fu.el regulator valve ok, next due at 1762.6 . C/W AD2004-2 J -05 heater pressure test ok, next due at J 862.6. This aircraft has been inspected per the Piper Senneca II Service Manual l 00 hr/ Aimual inspection and has been fo und to be in an airworthy condition. Tes ran and flew, all operations ok. This aircraft is approved for i;iu!T!
'to service. (\~A ~ . L f:'
TOM L. JACO~SON ~EPAIR STATION VTMR569J
6 )>
~
i ~~~~----=-· ~=--.,~~---===--~}
I J
')
DATI!
19-
CASA t 993
RECORDING TACH TIME
7
TODAY'S TOTAL Desc.rlpUon of, Inspections., Tests, Re~lrs and Alteratlona FLIGHT t TIMl!ll': Entries must be endorsed with Name, Rating lil'ld Ce'rtlflca\Il Number'of Technician or Repair Sl!RVICI!
Facility. (See back pages for other specific entries.)
~GERDES AVIATION SERVICES
FAA Approved Repair Stalion G3RR399J The Altimeter/Static and Transponder Systems have been Inspected lo
.;lo. opp feet, and were found to comply with F.A.R. 43, Appendix E &F. N Number /,3 -tNC:. Date_ ~0~2'1-tx. Signature. 6....;_{i~c-
FAA APPROVED REPAIR STATION G3RR399J 4012 W. Commonwealth Ave. Fullerton CA 92833 Office (714) 525-7545
• I
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GERDES AVIATION SERVICES
FAA APPROVED REPAIR STATION G3RR399J
WORK REQUESTED [!(Altimeter I Static I Transponder D Transponder D Leak Test
0 Repair Only 0 Retest 0 Warranty
#1 #2 PRELIMINARY INSPECTION D 0 Pitot I Static System Leakage I Blockage / Inoperative
0 D Encoder I Transponder Inoperative
0 0 Encoder - Erroneous Altitude 0 0 Altimeter Out Of Calibration I Friction ra"o Other k1Nc.:, k:T-?<oc mA .... $PQNPEB.
DO 0 0 M 0 No Discrepancies Noted
ALTIMETER/STATIC SYSTEMS TESTS f4 CFR 43 APP. E) (TABLE 1 CALIBRATION (FEET) REF. 91.411)
READING ERROR TOL READING ERROR #1' #2 ± #1 I #2
_, ,000 -10: 20 3,000 T/0 : ·500 - · 20 4,000 ~/S'.
o o : 20 6,000 l",;_r,
500 "'"S• 20 8,000 S"
1,000 o: 20 10,000 'O I
1,500 +s: 25 12,000 ,....r: 2,000 'i'o/O I 30 14,000 -1-.2.o'
CORRECTIVE ACTION TAKEN DESCRIPTION
PARTS USED PART NUMBER
(!{NONE DESCRIPTION
TOL READING ERROR TOL ± #1. #2 ± 30 16,000 ... .td 110
3S 18,000 "'s- ' 120
40 20,000 .,L ..r: 130
60 140
ct'NONE
Technician's Signature ____ &-..:... ___ · __ <f... ____ , ______ _
WORK ORDER cusrnJER ToMS. AIBC(LQl=°T WORKORDER/INV# '-'IJIA.
AIRCRAFTN# r3'11'1G ~ /l,70·~ MAKE P1.0FS MODEL t°4-J'I- ZZOT SN# 3'/-fU3007 OWNER NAME. ____________________ _
ADDRESS _ ____________________ _
CITY ____________ STATE ___ ZIP _____ _
PHONE: HOME WORK _________ _
#1 #2 TRANSPONDER TESTS (14 CFR 43 APP. F) (REF. 91.413) cd 0 Reply freq 1090 :t 3.0 MHz • ra' 0 Suppression P2=P1 (Replies 1% or Jess) u::l" 0 P2 9 DB less than P1 (Replies at least 90%) Ga'" 0 Receiver Sensitivity (MTL) -73 :t 4 (DBM) (i( 0 Ditf. between mode A & mode C not more than 1 (DBM) Ii! 0 RF peak output - at least (125 W) not more than (500 W) ra' 0 Code switches display correct codes as selected Ci!"' 0 !dent. & light operation
# 1 #2
uf o Static System Leakage Less TEST RESULTS Than 1 oo ft/min@ 1,000 ft AGL
Stetie PaFt Meater ct'N!A Altimeter I Static Tests Pass Fall
0 0 #1 0' 0 (TABLE 2) #i #2
~ 0 0 [( 0 ~o 50% Hysteresis Transponder Tests ra'o Hysteresis 0 40% #1 ~ 0
·[!]' 0 After Effect #2 0 0
(TABLE 3)
£i" 0 Friction Test
rt D Case Leak @ 18,000 ft
ra'o (TABLE 4) Baro Scale Error
QTY RATE AMOUNT
QTY RATE AMOUNT
Date __ /o_o_-_:.z_~_...,_o_c. _ _ _ TOTAL:
Office: 714-525-7545 • 4012 W.,Commonwealth Ave. • Fullerton CA 92833 • FAA Approved Repair Station G3RR399J © 2005 Gerdes Aviation Services
or Repair
• I
E>ATE RECORDING TODAY'S TOTAi. Description of Inspections, Tests, Repairs and Alterations ·ilh Name, Rating and Certificate Number of Technician or Repair
Tom's Aircraft Phone 1-562-426-5331 ° _th_e_rs_pe_c;_tic_e_ntr_ie_s.) __________ _
Maintenance Inc FAX 1-562-426 1052 :~1 E Spring Street• Long Beach lul'I Alrut'.111 ~Long Bench. CA 20806 N134MG DATE 11/3/2006 HOBBS 1671.6 SO# 06-15246
~is aircraft has been Inspected In accordance with an aont.1al -:Spection. This inspection used the Piper service manual as a ~~erence. This aircraft was found to be lh an· airworthy condition. 'Jpened up all the inspection plates. Removed the interior. Lubed all -e cables, pulleys and bell cranks. Cleaned, inspected and ':packed the wheel bearings. Installed a new EL T200. Installed a -rev1 EL T battery Next due 11/1/2008. Opps checked and 'Inspected lile EL T as per 91 .207, Servic::ed the 02 system. CW AD2004-24-·sr1 regulator insp. Next due 11/3J2j3ft/. CW AD2005-15-10 fuel' ;:;ump lnsp, NA by the model. I ~ed a new RH VAC pump pn# 216cw, SN# 43717. Ran~ ircraft. All systems tested well This aircraft s approved fo :eturn lo service.
URY FAA REPAIR STATION VTMR569K
- -----·
I RECORDING TODAY'S TOTAL Descrpt· _ _,··'''-'"' ........ _ •u •""'---- - -··- .... ·- _ • 1ono losRectlons, Tests, Repairs and Alterations ~Name, Rating and Certificate Number of Technician or Repair
!her specific entries.)
Tom's Aircraft Maintenance Inc
Phone 1-562-426-5331
FAX 1-562-426 1052 2641 B Spri11g St@t • 1.cos Bt11cltlnl' I AlQlOrt •t..ong IlqJ!ch CA 90806
N134MG HOBBS 1671.6 TOTAL TIME 1671.6
I CERTIFY THAT THIS AIRCRAFT HAS BEEN INSPECTED IN ACCORDANCE WITH AN ANNUAL INSPECTION AND WAS FOUND TO BE IN AN AIRWORTHY CONDIJION. ALL DETAILS OF THIS INSPECTION ARE ON FIL&l\T THIS FACILITY UNDER WORK ORDER# 06-~~4i(DATED 11/3/2006 ~
AUTHORIZED SIGNATURE _ __JL_ _____ _ FAAREPAIRSTATION#VT~- -
CASA1993
":.al RECORC TACH
c_ TIME
;ian or Repair DATE RECORDING TODAY'S TOTAL Description of Inspections, Tests, Repairs and Alterations
TACH FLIGHT TIMl!IN Eritfies must be endorsed with Name, Rating and Certificate Number of Technician or Repair 19_ TlME SERVICE Facility. (See back pages for other specific entries.)
3f-i_1 12Jo· P1J<-l Aim 4 ' 1,.'H "'/. w Oi1..,t2-Al1\J,4 7g,i ¥ /~~ "f'A.J L NISPJ ON ' T OJ;. S,JJ ,.,._ /)ALr
Al(/ At./) u..tl .>:/;J l'fb ~- 1 ~ lltf«i -I ( · 1~-1 ?M~·I U S /oC(/7Af'
10fo~11 l'lJ~ "'° ~ ~ /.J.l'Jd ,. ,~.t. ..,, e>S f./ 76' /" .... ~ lol,-clf I..(~/--- r~/(f)~hlfI~7.( !<i/eJ'I ?3.&bf .,,..
,(ff'
-
~ASA1993
·~-----~------- .~ ..
-,,
DAT! Rl!COADING TODAY'S TOTAL Description of Inspections, Tests, Repairs and Alterations TACH FLIGHT TIMEIN Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair
19- TIME SERVICE Facility. (See back pages for other specific entries.)
Mn: Rl!CO.FIO TACH -- TIME
" ).
TOMLINSON AVIONICS, INC. 619C HANGAR ROW PINE BLUFF, AR 71601 YN1R644K ~ LOGID#3 13-June-2007 N134MG S/N 34-8233007 PIPER PA-34-220T ~
~
REMOVED A GNS430 ANO A CI12l COM ANTENNA ...
INSTALLED A GNS430W (STC#SA01933LA) ALONG WITH A GA35 ~STC#SA169SSE-A) i GPS/WAAS ANTENNA, A TAS600 TCAD SYSTEM, AN AVlDYNE EX 00 MFO (STC# SA00l61BO),
l A AKSS0-12 DC TO DC CONVERTER, AERO ENHANCEMENT OVERLAYS AND A CI122 COM ANTENNA AS PER 337 DATED 05/15/2007.
NEW UL: 1422.JS NEW EW: 3327.65 NEM CG: 88.03 NEI~ MOM: 292923. 77 t a~~ .. 111M//.P ~1-tft;7
.c
signed Date
r
N13 Dat1 Rep. strol Rep;
engi visu. bow Insu chec (l-4 AD' acco
~ {
' @ASA 1993 _J
~, .... r( ., ~ ~ 'W\~ ~ , •. '!. ~-:~ 't fE. o· IE~- llQ J;: ~ .o ·W J I '~ . . J " ' 81 !q .. Q ">' l!li"'-!O j ffl .~
hnlcian or Repair
:644K
) .
DATE RECOROIHO TODAY'S TAOtt FUQHT
t9_ TIM£
l'OTAL TIMEIN 8 ERVIC E
Description of Inspec tions, Tests, Repai rs and Alterations Entries must be endorsed wilh Name, Rating and Certificate Number of Teohnlclan or Repair Facility. (See back pages fO< other specific entries.)
Nl34MG Piper PA34-220'f SIN 34-8233007' Ontc: 01/26/2008, Hobbs: 1793.8, Airframe 1'otal Time: 1793.8 Replaced R/H and VH air inlet filler.;. Repair grounding 0f Ml and L/H nav lights, replaced the srrobc light tube in the left wing tip. Replace RH and LH brake pads. Serviced main gear struts. Repair plastic tnll cone fniri1\g. 1~eplece Vacuum regulntor valve fi lters. Replace cowl tap on the left engine cowling. Replace bushing In cowl llnp operating rod. Complied with A02004-25-16 RI by visual inspection of fuel regulator valve, due again 1893.8 or J /3 1/2009. Install new Lo Presci nose bowl cowls, and install baffling as needed, prepare 337 foan for this alteration and submit to FAA. Installed new GAMl fuel illjectors in each engine prepare 337 form and submit to FAA Test ran 1md check airerafl. operations .satisfactory. Inspected ELT in a'Ccordance with FAR 9 1.207 Para d ( 1-4), operation satisfactory. Al l known AD's complied with to date. An summary ofappUcable AD's and compliauee accompany the log book. l certify that this aircraft has been inspected .in accord;mce with an annual lns110«ion and was determined to be ill al'j/jrthy condition.
Signed . • ~~cf ~.
7J John E. Davolt 203604 7 IA
---- ------
DATI!
19_
-:
R.ECORDJNG TODAY'S TOTAL Description of Inspections, Tests, Repairs and Alterations TACH FLIGHT TIMEIN Entries must be endorsed with Name, Rating and Certificate Number of Technlclan or Repair TIME SERVICE
Facility. (See back pages for other specific entnes.)
Nl34MG Piper PA34-l20T SIN 34-8233007 Date: 03/08/2009, Hobbs: 1848.3, Airf1·ame Total Time: 1848.3 Replaced R/H and L/H air inlet filters. Service nose strut. Complied with AD2004-25-l6 Rl by visual inspection of fuel regulator valve, due again 1948.3 or 03/08120 l O. Tighten P-leads. Free up bushing in lower cowl flap control on right engine. Adjust tail pipe on right engine, to keep from contacting skin. Cleaned of rust and paint engine mounts close to air inlet filter. Removed ELT for maintenance. Test t'an and check aircraft operations satisfactory. Inspected ELT in accordance with FAR 91.207 Para d (1-4), operation satisfactory. All known AD's complied with to date. An summary of applicable AD's and compliance accompany the log book. I certify that this aircraft has been inspected in accordance with an annual inspection and was determined to be in air worthy
condition / £) ..------ - --"'\ Signed~[! ~
~R"[ • M•UA111c11A11•ll4'!'un.utt n E. Davolt 2036047 IA .='#I ll . , 1-14¥$ ~ l~I II!; MllOl"i 1111 VIO<» c•~ l$0ll ~1~·19~~ D00.•fl·OP01
L!kilnlC !JIN _f.l!/ _/Jj {k,_ __ ~ir~:C::~~~~ OAYE 5 - ..2 ,..,ilf _1,._, -" -----:_"1
I. w·~ I , ... ;;.
I
-
·nician or Repair
by up )ffi
for ith l\n 1as :hy
DATE RECORDING TODAY'S TACH FLIGlfT
19_ TIME
TOTAL TIME IN SERVICE
Description of Inspections, Tests, Repairs and Alterations Entries must be endorsed wilh Name, Rating and Certificate Number of Technician or Repair Facility. {See back pages for other specific entries.)
O ASA 1993
---~- - --- -- - - --- ----LIBERTY AVIONICS, INC.
FAA Repair Station #LY7R502Y )./I 3'-1 M. ~ !LnMEl:ER 00. . .
• SCALE CORRD:'ITONS ADO Algeoraically ADD il~ebraically
time te.r Room Read·.:i Temp •c Te.mp °C
time t er Room Lol1 . Reads Temp ·c Te.mp •c ;
, I
DA.TE: .) -.2°5~/0 ,, ...
I I
-----
DATE RECORDING TODAY'S TOTAL Description of lnspe1:tions, Tests, Repairs and Alterations TACH Fl.IGHT TIM.E IN
19- TIME SERVICE Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair Facility. (See back pages for other specific entries.)
-N134MG Pipe1· PA34-220T SIN- 8233007 Dute: 03/30/2010. Hobbs: 1866.S, Airframe Total Time: 1866.5 Replaced R/H and L/H Air inlet filters. Complied with AD2004-25- l 6 RI by visual inspection of fuel regulator valve, due again 1966.5 or 03/30/2011. Repair both air inlet filter boxes as required. Inspected EL T in accordance with FAR 91.207 Pal'a. D (l-4), operation was satisfactory. Replace rivnut with nut plate on the skin just aft of the inboard R/E cowl. Drilled out rivnut on the outboard end of left flap and replaced with nut plate. Removed oxygen cylinder and re-installed after hydro static test by Aerospace Turbine Rotables, certified under W/O AE·84662. Stop drilled crack in Pilot's window. Replace white position light on right wing with new PIN A508·14 lamp. Replenished the brake hydraulic fluid. Repack wheel bearings, Aircraft was inspected in accordance with Piper 24-220T checklist. All known AD's complied with to date, a summary of applicable AD's and their compliance accompany the log books. 1 certify that this aircraft has been inspected in accordance with a Annual fospection
-......... Signed: ~~'-=--'---=...-::;..;. _ __ _
and was determined to be in airworthy condition. ~
~. John E. Davolt AP 2036047 "]: Pl
~ASA 1993
I til: '~ I ~'"
- -. ' . . ...: . ..
l .l!
-. 1
AU1"HQRl~D R~f;A~E '0E.~TllilOA'fE PAA PORM 813()..3, A'TRWOR'f.llJNBSS APPR0VAL~rAG
Ot g .. i <Jllio~idi.;liiul'Md- C_R,'Slf NV2·~0~!!·Ii I s;w .. ~':''IQl•ltll<;l/lr~·oi~liU.bet \crospacc 1\1rblnc;Rotnbles, Inc,- 3414 We.~t 29th .Stre.et South Wichlto KS 67217 ~ - 8 4 6 6 2
tO.Qu1n1icy
NIA
'·R'"SEE W/O·. HYDROSTATIC TEST&PAINT BOTTLE ONLY I.AW 49 CFR 1s-.o·. 205 THRU 215, 10/1/ 09 FULL DE.TAILS HELD ON WORK ORDER
I
Ccr1lfios lhat 11io wo1kllpeclfiod 1·n blo.ck 1 2/.1\l 'W~S c·n-rrtcd 0111 In cwcord~llce with BASA p~ll -145 xnd with respect 10 lhe work \OIMircrnfi•cf.lmJ)(>naof .1, .c:onsldcr~d·rcxJy, for relc••e·10••••"•ice,11ml0111b• 'l?A SA .Ap I Co11inen10·1!1umbar BASA114S• 3Jl"
• •• N:tme (~I' ,k:••W}:
: is im110rtmn \o uucJcrSUmd lhttl 1hc ~x.islCJl~C of tJqs document "lone doc~ nol aulomalicaHy COllSlitute au1horily to irl$lall lhe pcirl/con;p011e>1l/a~~mbly, Vhcre the ustr/instaUcr porl'onns work·in :lccor4Ance with the national regulations of' an ai,wonhit)e"s ~uthotil}' dtffe(ent 1hnn 1hi; airworthin<:ss a111horily of the oun1ry ~pccilled in lliock I, il is essen1fal that lhe use(/insta:ll~ren.~ufe~ thal hi~/her :.11·wo1thine.c:~ :i.utho•ity u~c~pl~ J>Mts/t:vinponcnts/asscmbiics from the frwonhiness mnhorily of 1hc countl'y ~pecitied it) Block •~
laleinents in lllocks 14 n1\d l'>t.lu nott.:un~lilule in»t11llutitm 1.:cw1irtc1dfo11 In <>ll c:ase», iiircrnrt muin1ein111cc records must con1t1in au inst11llationceni6ca1fo1\ ~sued in :le<:o1dance wi1h the n:i1io1ud regulatioo~ hy lhe ur.er/)f\~tnllu l)efore lhi:. &ircr.1ft· 111Ay he ll<,wn,
rA,Aerospace ~ .. ~TURBINE ROTABLES,INC. 3414 West 29th Street South Wichita, l<S 67217 (316) 943·6100 Fa~: (316) 943·2917 FAA Certified Repair Station NV2R045L
' WARRANTY APPLICATION
AE-84662 WORK ORDER NO.:
I lllllll Ill I I lllll lllll llll lllll lllll lllll lllll llll I I lllll Ill llll
.,
LIMITED WARRANTY
Turbine Rotables warrants each product to be free from defects in material and workmanship under normal use and service: Turbine Rotables obligation under this warranty will be limited to repairing or replacing at its option any defective parts which fail within the time limit specified by this warr.anty. In the event a ·pro·duct r.equires warranty service, the product shall be returned to Turbine Rotables transportation and handling charges prepaid; along with a statement briefly describing the malfunction or reason for returning such product. Turbine Rotables will at its option repair or replace the unit at the nearest Turbine Rotables Dealer or Distributor. THIS WARRANTY DOES NOT INCLUDE ANY LABOR CHARGES. THERE IS NO IMPLIED WARRANTY OF MERCHANTABILITY, IMPLIED WARRANTY OF FITNESS FOR A PARTlCUlAR PURPOSE OR ANY OTHER WARRANTIES: EXPRESS OR IMPLIED, PROVIDED WITH THE WRITTEN WARRANTY SET OUT NAJE.$N: AE .. 6 918 7
64CUFT PART NUMBER
WARRANTY PERIOD
Custo.ner has 18 1rionOls f1om dare of <:ertilicalion t<> install unil and 5 days arte1
lnsta!la11<ln to register wammty
MFG SN: 79904DB/UKN
SERIAL NO.
Return this copy to AEROSPACE TURBINE ROTABLES
iician or Repair
el regulator accordance 1st aft of the >Vcd oxygen · AE-84662. 08-14 lamp. ith Piper 24-. compliance al Inspection
ID's Profossional A viataon Services 163 24000 Rd, Cherryvale, Ks 67335
Nl34MG Piper PA34-220T SIN- 8233007 Date: 12/14/2010. Hobbs: 1902.7, Airframe Total Time: 1902.7
, -
Removed old air induction system and installed intercooler kit from Allied.Eagles LLC TurboPLUS, SIN 8-108 .. Cut out cowling for NACA scoops, and painted cowlings. Removed old alternate air cables, as the intercooler uses -automatic alternate air doors. All work done i.n accordance with STC SA4 l 80NM, installed new Ah' htlet filters, _ part No. BA-8, for the BA 10 l Bracket filter supplied by AlliedEagJes LLC. Installed differential temperature gauges also by AlliedEagles. Rw1 up engines and set fuel flows per AlliedEagles LLC set up instruction. Operational check satisfactory .. Tnstalled required placards, Removed left hand alternator, and installed overhauled alt drive coupling assy PIN 635796, SIN DRK114775. Installed new voltage regulator B-0028-1 , S/N80780216 and paralleled the Regulators, operational check was satjsfacto1y. Prepared 337 fonns and submitted to FAA. New weight and balance computed as follows:
New Empty weight: 3,330.33 lbs New CG 87.99 inches New Empty weight moment 293,034.34 New usefulload 1419.62
Removed nose trunnion and tube, installed new Trunnion assy PIN 97523-005 and new tube assy PIN 39645-002, installed all new bolts, installed bolt #AN7-35 due again at 2402.7 airftame totnl time, per Piper Mamial. Serviced -nose strut with 5606 hydraulic fluid and add nitrogen to extend strut l.25 inches. Serviced both main gear sttuts _ with fluid and nitrogen, install new down limit switch PIN 64711 -002. Perform retraction check. Operation Satisfactory. Aircraft approved for return to service. . n .
Signed: . f0.lc . John E. Davolt AP 2036047 993
' DATE
flj _
--
C ASA 1993
.
RECORDING TODAY'S TACH FLIGHT TIME
TOTAL TIME IN SERVICE
Description of Inspections, Tests, Repairs and Alterations Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair Facility. (See back pages for other specific entries.)
JD,s Profe§s[onal Aviation Services '163 24000 Rd, C hcrryvaJe, Ks 67335
NJ 34MG Piper PA34-220T SIN- 8233007 Date: 04/10/201J. Hobbs: 1907.1, Airframe Total Time: 1907.1
...
-,
Complied with AD2004·25-l 6 R l by visual inspection of fuel regulator valve, due again 2007 .1 or 04/30/20 l!l Complied with AD 20l0-l5-IO by inspection of control wheel tube, was installed con·ectly no further action required. Service nose s~rut with nitrogen. Secure wire under instrument panel to allow full fonvard travel of elevator. Secured heater ducts under center floor to prevent them coming loo~e . Inspected ELT in accordance with FAR 91.207 Para. D (1 ·4), operation was satisfactory. Replenished the brake hydraulic flu id. Repack wheel bearings, All known AD's complied with to date, a summary of applicable AD's and their compliance accompany the log books. I certify that this aircraft has been inspected in accordance with a Annual Inspection and was determined to be in airworthy condition.
!'-'""'" ' . ....... ...,""" ..
···-.-··· --
BEVAN·RA LOG ID# 4E N134MG
Correc ted a with Bend1 >. for bench e• CllECKF 0 CCI.-'.' J l Pr,\' 0'> Ti Removed fai S/ 1-1 266901':! Removed exi : accordance : so weight a.· UPl)ATEO rr<~ A~O 08~8 . c: A cop~· of ~-1 n t n~ a 1 ~ ·: • I>~ST.!..Ll.!:V ! 1
SE.t.L P: ', .; . .!t THE .:. rc:cv_! ;:--; RE~~L.!..'r:o·- s: ·,. ·~< ~= ';:i=-:•=..!·
ician or Repair
If 04/30/2011 fmther action vard travel of cordance with Repack wheel ir compliance ual Inspection
R£CORD1NG TODAY'S _'f'Ar:w
TOTAL DescriDtion of lns~ections, Tests, Repairs ~nd Alterations
JD's Professional Aviation. Sctvices 163 24000 Rd, Cherryvale, Ks 67335
~134MG Piper PA34-220T SIN- 8233007 Date: 02/03/2012. Hobbs: 1946.6, Airframe Total Time: 1946.6 Installed new 6:00 x 6 x 8 ply Good Year Flight Custom Ill tires. In install wheels.
BEVAN-RABELL, INC. 1880 S AIRPORT ROAD CRS KG'2R951K WICHITA, KS 67209 KG2R951K LOG 10#4600 24-June.2011 W0#48468 HOBBS 1919.5 N134MG SIN 34-8233007 PIPER PA34·200T
Corrected a·ircraft 1viring to alli;,,. .outc:i11ot .~;;.~s-·:·~·• ::.: :.: ;: ~ '-.: ..• -,--.,3 '.:•:·.;: ~-. ~~~?'c'-?.-:>~e with Bendix/King and Garnin Ir.sulhtic~. ,.:o.··~i"\ s.. , • .,.,;-,.;:: .;.,·:c•:'':: ~:r.•'.·~-:•c a.-~ '0'. se~·.-o for bench evaluation and repa'i: a:"!,C r~~!'.sr·=~~e~ ~: (1 :w...:;-~.::. s . .:.:: =~! =c··..,,. !·:3_.) -3 f::. t; ~..;t~~1s. CHECKED COMMS, NAVS, TRA~S~Cf~ ,'-'CC~ J... .!."t(~ ~(:~ :, c.::_~;:_1.1'·:.: ~ .! r.·:~ 1.~) :~::.&.:!;'·~9 .!. ~:..-: ... ~E."t 12 PIN ON THE HSI 1 ALL SYSTE!'S ~·E•;r:;:("l",:'.C \:.S7£:< ":~:-·A•_. Removed failed Av1dyne EX500 a,..,d 1<.s-::.i.;'~d He··.~-·:>:: _ .. ~'.:. s.o.~.; .,.:.:-:· ;.-.: :.E..'": '"".' •• S/N 266901~6 .• ops che<;ked 0<. S~< F.!A. i:-:~-:o ~.:...;:-;·-:,- .:>::::"'.:. . : Removed existlng sunv1sor5 aod 1nst~1i€~ ;-~:.:::~ s:.:..1··.-~ s:"' 5,~:c..-n.~. u.~ C:•.:•:~: s· .. r•,"1s--:·~ in accordance with Rosen STC s..a.CO'J7ZS~, .!.'*_5.J:(•:-:~: ~·~:. ~ :-·:•~-:-·!:'-:""::.,....:·,: L:s-: 'v:-. ;;:;:;J- ( •)::,_.
No weigh"t and balance char.<Je. -UPDATED THE MAIN AND GPS SOFT .. AQ'i: "'°'' 2. •:>) """'=' ~. ~ :i L.5 ;·;:;. ~ ~~,.:: ... ;;:: ~·..::;:~<;: ;c.:~i:m•; 1.-J. ($18 AND 0848. DPS CHECKED nu: U.~IT .~ ... o FC()'-,J ;.~t -''-··~-0-.5 :;;•s : ...:::.::<:£.'.) .,,:.:-v.!cL'! Al nns rrve.. A copy of FAA Approved ~llghi: ''an;Jal 51,~;i]<.,..-.:-.>:. ~.1.' :=-:·<<•E6-~3 .. '"'· :;. ,.,a.> be~n frchlded in the ai r.::raft records. · INSTALLED AN OVERHAUL.ED L/H VACL'J•I p~p p/>; n;cc 5 ' r.is;7-12 ·'·') .!;. •.:::..- V,!.CL'-"' PIJ"i> DRIVESHAf'T SF.AL P/N 642910 IAIY PIPER SENECA ~·!/~! A\D TCV. C'\'HHALiL v.:.,,;JALS, c-?S ~-::::."AL. THE .AIRCRAFT OR COMPONENT lDE~ffIFIED ABOVE ;;AS REPAIRED A'iD V•SPl::CTEO IN ACCORDA~CE "•TT"H CURRf;NT REGULATIONS OF THE FEDEAAL AVIATION ACY.·llNISTRATI<Y.i '1.\D IS AP?RClvEO FOR RET\IR~ TO SERVICE FOR l"HE WORK PERFORMED. PERTINENT b~Alls OF THE RE, AIR ARE OX FIL(; AT THIS REPAIR STATION .
~~·
CRS KG2R951K
©ASA 1993
Pg 1/1
DATE
19_
-~-- - _ - ·-:.-....:II-- ---.. .. -
.TD' s Professional Aviation Service 163 24000 Rd, Cherryvale, KS 67335
N123MG Piper P A34-220T, SIN 34-8233007 Date: 05/11/2012, Tach: 1952.3, Airframe Total Time: 1952.3 Complied with AD 2004-25-16 RI by visual inspection of the fuel regulat:or valve, do again a: 2052.3 or 05/30/2013. Service right main strut with fluid and nitrogen. Replace brake rotors on both main gear. Inspected ELI in accordance with FAR 91.207 Para. (d) (1-4), operation w~ satisfactory. Replenished the brake fluid level. Replaced the air inlet filters with new BA-8 filters. Repack wheel bearings, and lubricate controls and landing gear. Replace vacuum relief valve filter! free up frozen pulleys on the aileron controls. All known AD's complied with to date, a summar:of applicable AD's and their compliance accompany the log books. I certify that this aircraft has been inspected in accor.dance with an Annual Inspection and was determined to be in airworth~ condition .
. .
:-"''..k°Jl'¥olCC.:...,...;!.\.-.. i' • ~ ;!."'.-.~ .,..,....,JCr. :·· -.:. : ~ •":'..f! ~ ............ •• - -
~ ;..:!-:r~
.... 'l ~
e, do again at rake rotors on operation was v BA-8 filters. ef valve filters :te, a summary tiis aircraft has e in airworthy
.-==:we~ TODAY ' S ~ F'LJCHT ~
TOTAi. TIME IN SERVICE
Description of Inspections, Tests, Repairs and Altera1ions Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair Facility. (See back pages for other specific entries.)
©ASA 1993
DATE RECORDING TODAY'S TACH FLIGHT
19_ TIME
TOTAl. TIMEIN SERVICE
N1231\fG Piper l'A34-220T, ~ 34-8233007
Descrlpiion of Inspections, Tests, Repairs and Alterations Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair Facility. (See back pages !or other specific entries.) JIJ's Profcsslo1111I Avintio11 SerVfcc
163 24000 Hd, C11crryv11le, l<S 67335
Date: 05/03/2013, T11cb: 199l .4 Airframe T11t11l Time: 1991.4 Complied witl1AD2004-25·16 RI by \'.isual inspection ofthc fuel rl)gulator valve, d() again ol 2091.4 or 0513012014. CJW AD2013-02-I;\ by inspection of co111rol cables nnd turnbuckles. fnspectcd BLT in nccordru1~-c wi.th f1'AR 9 1.207 Pura. (d) (1-4), operation was satisfactory. Installed new BLT balt()ry now due August 2015. Rcjllenished tho brake· fluid level. Rllploccd the air inlet filters with new llA-8 filters. Repack wheol bcnrings, and lubricate controls Md lftlldin,g gear. Reph1ce vncuum relief valve fillers. Install new seals in nose gear and left mnin .gear uo1ua1h1g.cylindClIS Tnstallcd new hoses on left main gear actualing cylinder, adjusted outboard gear door on rlghl landing gear. Preformed retracJion check, operations were normal. Installed new nut platn oa the forward left lower oowl mount. Rcglucd the pad on U1c pilot's right mddcr pe<lnl. Repaired tile .seal back f)()()kct on the passenger front scat All known AD'~ complied with to dute, 11 surrum1ry ofeppllcablc AD's und tl1oir compliance accompany the log books. I certify that this ain:roft has been iaspected In 11ccordancc with an Annual Inspection and was <.lolennined to be in iyrworthy condiUon.
Signoturc:< ;,(,·,_I/.,. · [ f~"'-'-~ f1ohn B. Davolt, 2036047IA
'
OASA 1900
'" · ~
, 1
1nfclan or Repair
!013-02-lion was vith new seals in <looron
I mount omplied ispected
~ RECOllDING TOOAY'S TOTAL Description of Inspections, Tests, Repairs and Alterations YACH FL IC HT TIMEIN Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair '!15_ TIME SERVICE
Facility. (See back pages for other specific entries.)
STEEZ. CIT!',//. Pueblo Memorial Airport ~ VI 4 Tb" N 522 Skyway St Pueblo CO 81001
'::2.!.~ .iG DATE: 4 JUN 2014 HOBBS: 2024.3 AClT: 2024.3 ~~ ::.O~MED ANNUAL INSPECTION IN ACCORDANCE WITH FAR 43 APPENDIX D. ELT BAlTERY DUE AUG 2015. ~:.:.O~MED ELTTEST IN ACCORDANCE WITH 91.207 {D). REPLACED AIR INLET FILTERS WITH P/N BA-8 ELEMENTS. .;.2·:.~CED VACUUM REGULATOR FI LTERS. REPLAMPED RIGHT RECOGNITION LIGHT WITH GE 4509 BULB. :£::,!.<;\ED GROUND WIRE AND RELAMPED FWD NAV LIGHT ON LEFT WING. SERVICED LEFT AND RIGHT MAIN :_:.,•C ·!NG GEAR STRUTS. LUBED AND TIGHTENED BOLTS ON BOTH MLG DRAG LINKS. REPLACED LEFT AND RIGHT Vt~G 5RAKE PADS. CLEANED AND TOUCHED UP PAINT ON BOTH ENGINE MOUNTS. C/W AO 2004-25-16 Rl VISUAL -~;:i OF FUEL REGULATOR VALVE, NO DEFECTS NOTED, NEXT DUE 2124.3 HOBBS OR JUN 2015. C/W AD 2013-02-:.3 r ORIZ STAB CONTROL CABLE INSP, NO DEFECTS NOTED. I CERTIFY THAT THIS AIRCRAFT HAS BEEN INSPECTED ~\ 1'<-CCORDANC~'~ITH AN AN~L INSPECT)ON AND WAS DETERMINED TO BE IN AN AI RWORTHY CONDITION •
. t:r.'i E. Davolt 'j ~ € ~-e~A&P20360471A
C ASA 1993
DATE RECORDIHO TODAY'S TOTAL Description ot lnspec1lons, Tests, Repairs and Alterations .:... __ _,_TACH flJ!ttt!_ ~E 1-N~" _ _c_i.,.··~~-...i .......... ...J •••• :,i..._~ ................ .-. ... : ............ · .... .J .r;..-. ..a.:.::--a- ., ,, .... _1... -··.-• • .,..- -•--=-=-'"-··-·· "='--:...- .
STEEL CIT?' ,i'. Pueblo Memorial Airport ·"'-VI-" T tr' N 522 Skyway St Pueblo CO 81001
,.
l N134MG DATE: 17 JULY 2015 HOBBS: 2070.7 ACTT: 2070.7 PERFORMED ANNUAL INSPECTION IN ACCORDANCE WITH FAR 43 APPENDIX 0. REPLACED ELT BATTERY, DUE AUG 2017. PERFORMED ELT TEST IN ACCORDANCE WITH 91.207 (D). REPLACED AIR INLET FILTERS WITH P/N BA-8 ELEMENTS. REPLACED AFT NAV LIGHT SOCJ<ET ON RIGHT WING. SERVICED RIGHT MAIN LANDING GEAR STRUT. REPLACED LEFT AND RIGHT MLG BRAKE PRESSURE PLATES, BACKING PLATES AND BRAKE PADS. REPLACED BOTH MLG CALIPER SEALS. REPlACED SEALS ON RIGHT MASTER CYLON PILOTS SIDE. BLED BRAKE SYS ANO SERVICED RESERVOIR. CLEANED AND TOUCHED UP PAI NT ON BOTH ENGINE MOUNTS. REPLACED RIVNUTS IN RIGHT AND LEFT INBD NACELLE FAIRINGS. REPLACED LEFT AND RIGHT MLG GEAR DOOR HINGE ASSYS. REMOVED AND INSTALLED OXYGEN BOTILE FOR HYDRO TEST. SERVICED BOTTLE, LEAK CK OK. REPLACED ELEV TRIM JACK SCREW AND ATTACHING BUSHINGS/ BOLTS. C/W AD 2004-25-16 R1 VISUAL INSP OF FUEL REGULATOR VALVE, NO DEFECTS NOTED, NEXT DUE 2170.7 OR AUG 2016. I CERTIFY THAT THIS AIRCRAFT HAS BEEN INSPECTED IN ACCORDANCE WlTH,,AN ~N,,l:JfL INSP~~TION AND WAS DETERMINED TO BE IN AN AIRWORTHY CONDITION. John E. Davolt ft"'·'"' & ""A.1A<. • .,....i;: A&P20360471A
©ASA 1993
:~:: ~ ......-.::&-!.~.-;. - c---'
-! ... ·- .. "'"'-- ·*··
t ,DUE AUG BA-8
STRUT. ::D BOTH RVICEO iHTAND
.ND
.CK SCREW NO )IN fl ON.
MT£ RECORDING TODAY'S Description of Inspections, Tests, Repairs and Alterations TACH FLIGHT
U - TIME
TOTAL TIMEIN SERVICE Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair
Facllitv. (See back paQes lor other specific entries.)
BEVAN-RABELL, INC. 1880 S AIRPORT ROAD WICHITA, KS 67209 CRS KG2R951K LOG ID# 7148 02-September-2015 WO# 59500 HOBBS 2076.2 N134MG S/N 34-8233007 PIPER PA34·200T Pg 111
1ten10ve<I Avidyne EXSOO and 28V power supp1y.rnsta11ed Garnin GTX330ES in accordanc~ with Garmin src Sll01714WI , MD\. 005-00734-04. A copy of AF.MS 190-00734- 15 and .IO. section .: fro" Installation .-.anual Nn . l,90 -007~4 -ll has been included, in the aircraft re.cords . see For-.ti 337 this date fo1 deuils. tJpd<ited GNS430W softl'l'dre from 3.3/3.2 to -S.2/5.0 . Stoniscope il\op, troublesbooi:, cleaned connectiol'}s and reinstalled, ops checked operational on ground. Installed Aera 796 ~~th Air Gi?ll>O angled mount .
PEJ\FORM€0 IF'R C£R~FlCATION . COMPLIED WJ:Tll FAR 91 .411 A.~0 FAR 91.41) CoYPLI£D WITH PART 43 APPENDIX f, AND PART 43 APPEND!X F. THE AIRCRAFT OR COl-ll'ONEHT 'lOENTIFlED ABOVE WAS 11.EPAI.RC'.O ANO l/ISPECTED !JI ACCORDAllCT. WrrH CURREWl REGU!-ATIONS OF THE FEOERAl AVIATION ADMINISTRATION "110 IS AIR,,ORTl!Y. REL.\ TED TO lllE \\'ORK PERFOAAED. PERTINENT DETAILS OF THE RE\'AIR A EiN FILE AT TH S 11. PM'R STATlOS.
OASA 1993
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i3E.VAN·RABELL, INC. 1880 S AIRPORT ROAD WICHITA, KS 67209 CRS KG2R951K LCG ID# 7846 20-September-2016 WO# 62339 AC TT 2086.5 HOBBS 2086.5 N134MG SIN 34-8233007 PIPER PA34-220T Pg 1 / 2
Pf.IU'ORMED ANNUAL INSPf.CrIOt-> 11\W FAR 43 APPf.NllIX (C) USING PIPER SfNECA INSPfCl'ION FORM AS A GUILlC. ::(\MPR:OSS IONS ''IEtU:: L/ti l. 62 2 . 64 3 . 74 4. 70 5, 61 6. 70 R/H 1. 64 ~. 64 3. 64 t, . 70 5. 64 6. 70 !!>STAL LEO NE\1' INSTRUMENT AIR r=ILTERS P/N 09- 18- 1 AND 83 ·S··1. INSTALLED N£1i( '!NUlJCTION AIR FILTERS P/N BA- 8. (llECKEO ALL CABLE TENSIONS, LUBED AIRCRAFT PER M/M , CLF.ANED AND RE?ACKEO WHEEL BEARI NGS . OPAI !'<ED OIL llND (UT FILTERS. FIL TfRS CHtCKEO UK . INST/,Ll.ED IUc'W (~48108-l FJ:L'f t'RS. Sl':~VlCED l:NG INES TO ?ROPER LEVF.L ~IITll AEROSHr:LL 15W50. TEST R/\N, OPS AND LF.AK CHECKED NOR.MAL . '.'.:LC/INED GAPPED ANO CIUoCKrn SPARK PL lJGS' SEIWICED AM.> CHARGED !lATIERY' CHF.C1<Ell MAG TO ENGJ.Nf TIMING , '.'t;HFORMEl> FUNCTIONAi. TEST OF E.l. T . I/A/ 11/ f'AR 91.207(0) , OPS CHECKED NORMAL. P.ATTEl\Y IS llUI.: ON J AN >o·; a ~iERV:~CED OXYGEN TO 1850 !'SL INS.l'ALL!lD RUBBER SLEEVES ON FIJEL. INJEC'fOR LINES . rROU!lLESHor l.TGHHNG ANO FOUND A llAll '1IIRING C:1NNF.CfION :Cl'i HEACL'.CNF.R, REPAIR£D WIRING, ors NORiVJ,\l .. l'OUND U:Al<S IN DOOR SEAL SYSl'£M, CUT OUT BAO Sf.CT IONS OF HOSE AT BOTH FOR ANO AFT DOORS . INSTALLElJ A NEW DOOR SEAL PUMP LEO LAMP P/N 249-8071-3333-501F, OPS NORMAi. INSTALLED NEW ADl:L CLAMPS ON 60Tll L/H t,NO R/fi TUR60 OIL LINES. 1NSTt.LlEO A NEW SPRING ON l./H f.NGl~E 66 I GNITION LEN). RF.MOVED ft/H ENGINI! 011. PRESSURF. 6YPr,ss VALVE Pt.UNGER, CLEANED l'I UNGER ANO SEAT . LAPPED IN PLlJl.iGER, RFASSEMBLED VALVE , T t:s1· Rl•N, Ol'S NORMAi.. 1..0RK PERFORMEU l/\\•/ TCM TSI0-360 OVERH/,UL MAN\IAl.. ' ·A[IR!CATEO ANO l'.NSTALLED 4 NE\•/ MAGN~.TO PRESSURIZATION HOSE~ MAD~ r:Kt)!~ 306 HOSE. ! :'GHlENEO ALL TUR80CHARGER MOIJNT 1301."fS. :rn~;TALLEO A NE'tl ANNUNCI/\TOR PRESS TO TF.ST SWITCH P/N 2J.r.6Ll5 /\NO ONI: Nf.W ANNUNCIATOH BULB '1>/N GE37, OPS (.HECKf.1) NORMAL. T IGHTl::NF.f) RUODER TRI1" iA3 r10L TS IA'.~ SENIOCA MANUAL. ·r l'.(jlfTEt~ED ELEVA·ro R lRIM T/\ll BOLT$ IA'tl Sf.NECA MANIJAL. y;,:us rrn ELEVATOI\ ANO RUDDER TIUM CAtl l.E Tl!NSIONS TO r;u:rR PROPER Sl;TTXNG PER SENECA MANUJ\l.
CASA1993
;, I
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TOTAL TIMliLN SEAVIOE
Reference of MaJor Repairs and MaJor Alterations To FAA Form ACA-337 by Date, or to the Work Order by Number and the Approving Agency
BEVAN-RABELL, INC. 1880 S AIRPORT ROAD WICHITA, KS 67209 CRS l<G2R95H< LOG 10#·7846 :?O•September-2016 W0#·6233S AC H 2086.5 HOBBS 2086.5 Ni34MG SIN 34·8233007 PIPER PA34-220T
.\OJU.STED ROLL ANO PIICli SERVO CABLE TENSlC.'NS TO THEIR PROPER SEmHG I.AW Kil\'IG lo'~L. \OJUSTEO 11:/H ELEVATOR ~'TOP f() M/\ICl1 L/li SIOE I.t.W SENECA ,\WIUAL. ! limLUo A NEii' 8A1TERV GROUND STRAP !AW SENECA MANUAL. r.EMOVEtl HEAT-ER ANO REPAlREO 1'110 LEAKS, PRESSU~E SW!TO! tJro Of\AIH Lll(f i'ITTIHG, l\~!tiSTl<l. LEl> HEA'rER , IAW SENECA /~/\NUAL , OPS NORMAL. fNSTALLEO NEW STllT'.tC WICl<S ON A.tl, ERONS. IMSiAl.LEED NEW SONDi t«> Jt;i.1.?US G'f Allf~S. SERVICED AIR CONDTIONER WITH FR£6N, OPS NORMAL. /NST'\f.LEO Nl:"W 0-R~NGS ON FORWARD ENGINE MOUNT BCL TS, I:iSTALLE;> A .'fEW SAA."1' St~L ON ALTERNATOR AND SEALCO SEVERAL LEAKTN~ SOLTS Ori ~~!Ne. lNSTALLEIJ A NEW L/ft O!L QUICK PMlN VAt,VE P/N sn07 . . ;.c--.i:>:..;r1:0 WX-1ll AD 2004-21.- 05 av PERF'OllMI NG A llEATER PRESSURE DECAY TE.Sl. lfO FAUl TS 1.t:~E FOUND AT ·rHIS '!'IM!! . CC:.IPL:tEO WITH AD 2004-25- 16 BY INSPECTING f!EATER F:!EL SHUTOH VALV'!: .Nm FOUHO ~C !..EAC.:S AT THIS TIME. ALt Af'P!-:ICA8l E AO'.S .:>lEC!<ED THROUGH THIS DATE: ! CEKP:FY 'rHAT THtS O.IRFRAME WAS tf\ISPECTED IN ACCOl\UANCE wrrw Ali •AAlfVAL INSPECTIOtl A.'10 I/AS OEi'rEitlllitN'ED T6 (ll'i t N A!RWORTM\< CONDITION, t>ERTINENT iJETAILS OF THE "'AINTENANCE PERFORHED ,\Rf ON FTL!'. AT Tll IS RE:P m STATI:ON UNDER W/0 6,2339.
1'G2R'l51;K
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@ASA 1993
0
BEVAN-RABELL, INC. 1880 S AIRPORT ROAD WICHITA, KS 67209 CRS KG2R951K LOG ID# 8708 08-February-2018 WO# 66083 AC TT 2100.0 HOBBS 2100.D N134MG S/N 34-8233007 PIPER PA34-220T Pg 1 / 2
PERFORMED ANNUAL I NSPECTION !AW FAR 43 APPENDIX (D) USING PIPER SENECA INSPECTION ~ORM AS A GUIDE. COMPRESSIONS ~/ERE L/H 1.70 2.72 3.72 4.70 S. 62 6.74 R/H 1.64 2.62 3 .74 4.7 4 S. 64 6.72 INSTALLED NEW INSTRUMENT A.IR FILTERS P/N 09-18-1 AND 8 3- 5-1 . INSTALLED NEW INDUCTION AIR FILTERS P/N BA- 8. CWoCKED ALL CABLE TE'.NSIONS, LUBED AIRCRAFT PER M/M, CLEANED AND REPACKED WHEEL BEARINGS. ORAINEO OIL ANO CUT FILTERS. FILTERS CHECKED OK. I NSTALLED NE\•I CH48108-l FILTERS. SERVICED ENGINES TO PROPER LEVEL WITH AEROSHELL 15WS0. TEST RAN, OPS AND LEAi< CHECKED NORMAL. CLEANED GAPPED AND OiECKEO SPARK PLUGS-. SERVICEI> AND CHARGED BATTERY, CHECKED MAG TO ENGINE TIMING, rNST~LLED A NEW ElT BATTERY P/N 452-3063, BATTERY I S DUE AUGUST 2020. PE~FOrlMEO fVNCTIOf'IAL TEST OF E,.L.T. I/A/W FAR 91.207(D), OPS CHECKED NORMAL. lNSTAl. LE]) A NEW E~T BAT!fERY P/N ~ 52-30631 BATTERY IS DUE AUGUST 2020. PERFOflMcO FUNCTIONAL T.EST 'OF LL. T. 1/A/W r-'AR 91. 207 (D), OPS CHECKED NORMAL . INSTALLED A NEW R/11 MAGtlETO SWITCH COVER P/N 87256- 002 IAW SENECA MANUAL. lUSTAUED A NEw L/H SIDE PILOT WINDCM P/N 952 IAW SENECA MANUAL. lNST4LlEo CO- Pl LOT'S RUOOER PEOAL RUBBER PADS P/N 62867-002 IAW SENECA MANUAL. f'f: l~fOllilED A COMPASS SWiiNG AND lNSTAL~ A NEW C-ORRECTION CARO. I NSTALLED A NE~I AC EVAPORATOR PLASTIC COVER P/N 99550-002 . :REMOVED EXHAUST STACKS FROM BOTH ENGINES, CLEANED MATING SURFACES, REPLACED 20 .OAD EXHAUST STUDS ON BOTH ENGINES, INSTALLED EXHAUST STACKS USI NG NEW GASKETS ANO NEW NUTS, WORK PERFORMED IAW TCM ID-360 SERIES MANUAL. INSTALLED ONE NEW STATIC WICK P/N C592001#0201 ON EACH AILERON. RF-PAIRED R/H AILERON BONDING STRAP. INSTALLED A NEW R/H WING TIP LENS P/N RD - 5001RH, REPAIRED R/H #3 TOP SPARK PLUG WIRE. INSTALLED A NEW OVERHEAD LIGHT KNOB P/N 571- 136 I AW SENECA MANUAL.
@ASA 1993
·-·- .
aEVAN-RABELL, INC. 1880 S AIRPORT ROAD WICHITA, KS 67209 CRS KG2R951K LOG ID# 8708 08-February-20~8 WO# 66083 AC' TT 2100.0 HOBBS 210{).0 N134MG SIN 34-8233007 PIPER PA34·220T
lllSTALlf:;P A NEW llRAKE RE$ERVO.pl p/N 575 -0ll ANO NEW RESERVOIR ~IOSES IAW SE"ECA MANUAL. l K5TALLED SEVEAAL NEW WEU. NUTS I N BAGGAGE COMPARTMENT. CO'IPUEO WITH AD 911 -.13- 11 MAJN GEAR TRUNt-IION INSPECTION. 'NO CMCKS WERE NOTED AT THIS TIME. COMPLIED \~ITH AD 2004- 25-16 BV I NSPECTING HEATER FIJEL SHUTOFF VALVE AND FOUND >00 LEl\KS AT THIS T lME. . CO'IPLI.ED WITH AD 2005-13-16 BV INSPECTING NOSE LANDit-IG GEAR AND I NSTALLING A NEW DAAG BRACE BOL1. P/ N A('t7-3'5A I AW PJ:PER SB 1123A. PUE AGA'.CN tN 500 HRS. Iti5TALL£0 A NEl't ENCODER P/N SAES-35 S/N 1402-3 !AW SANDIA I NSTALLATION MANI/Al- #JOS186- 00. PERFORl~EO IFR CERTJ:fiiCA'n:ON. COMPUED w:i:nt FAR 91. 4ll ANO FA.R 91. 4U COMPLIED l~ITll PART -13 APPENOn< E, ANO PART 43 APPENDIX J:'.. ALL APPLl(ABLE .AD'S CHEC!<f,D TllRP\JGH THIS DATE. l CERTIFY THAT THIS AIRFAA"lE WAS lNSPECTEO IN ACCORDANCE WITI~ AN A'.NNUAL INSPECTION /\NO WAS OET£RMINEO TO BE l N AIRWORTHY CONDITJ:ON . PERTYNENT DETAILS OF THE MAINTENANCE PERFORMED ARE ON .FILEl)T ~~S ~AIR S"ATION' UNOER W/O 6608~.
~ ~ 2--~·JO/B KG2R95J.K RUSSEiL PARKER Date
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CASA 1993
DI
BEVAN-RABELL, INC. 1880 S AIRPORT ROAD WICHITA, KS 67209 CRS KG2R95 K LOG ID# 8712 08-February-2018 WO# a6407 AC TI 2100.0 HOBBS 2100.0 N134MG SIN 34-8233007 PIPER PAJ4-220T Pg 111
I NSTALLED PILOT'S STORM WINU0'~ P/N LPlS~ IAW LP AEROPLASTICS !NSTALLATION INSiRUCfIONS. THE AI RCRAFT OR COMPONEN'r IDENTIFIED ABOVE WAS REPAIRED ANO INSPECTED IN ACCORDANCE WITH CURRENT ltEGVLATIONS OF TllE FEOEAAL AvIATtON AOMINISTRATWN AND IS AIRWORTHY, RELATED TO TiiE WORK PERFORMED , .?ERTINF.l(f . AILS OF TliE REPAIR ARI; ON F1LE AT TH'IS REPAIR STATION,
OASA 11193
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BEVAN-RABELL, INC. 1880 AIRPORT ROAD WJCHITA, KS 67209 KG2R961K LOG ID# 2481 21-February-2007 WO# 32406 HOBBS 1713.6 N134MG SIN 17282443 CESSNA 172M
Perlormed a con1putel' gyro i nter'face and di scovercd the at'ti tude gyro was defective. An exchan9"c !JYfo was 1frocured and a CO!llpucer gyro interface was ~C?rformed which set rhe computer nu11 s, gains, arid· the fHght bar adjustment. Removed pitch servo fbr bench repair .and reins-t:illed fo11owfng. Referen~ FAA Form. 8130-3 for dctai 1 s.
THE. AillCRAFT OR C~ENT tOENUFrED A80VE WAS. REPAXREO A.NO INSPECTED IN ACCOIU>ANCE WITH CURRENT REGULATIONS OF THE FEOl:RAL AVIATION AQ'.IINIS'T'RAT.ION ANO IS A,l'PROVEO FOR RETURN TO SERVICE FOR THE ..... ''"""'"· '"TIN<NT •mns •• "" "'"" 2:7 ...., AT nu. ...... STATlCN.
CRS KG2R9si~ ~~;;;/
lll!ASA 1993
Pg 1 J1
SERVl~E PA~ \
s.p. ~ &Ht., 1He. FAA Approved Repair Station No. QK3R792L
20l08 STATE ROAD GEffiRIIO.S,, CA 90703
(562) 860-67©6 - F.~X~(562) 860-160'6 ~X¥Gta~ fHM.flVQA~
PART NAME ~~mitJISfUm
PARTNO. 3fit1/'Bo0 SERIAL NO. 7 9 Cf<:J'I DB )a REPAIRED
0 RECHARGE::D
0 HYDROSTATIC i:ESTED & RE6HARGED
0 WEIG!rlir. LE/,l.K & PF.IESSURE TESl'ED
0 OVERl-:lAUb.EID & CERT.IFIED (OHG)
r.s.0. Cowv»oc-s _ The component ldenUllecl .above was repaired and inspecte.d In' accordance with Curre111 Fftderal Aviation Regulalloo11 an_d was Jou~ Airworthy for relum to service,
• FORM SJ0121