n2158u-ml-airframe-y01.pdf - Moratech

AlC Serial #

501-0091

Item

2258084001

Transaction No. Type

AlC Registration #

N2158U

ItIAlrframe Entries

Item Name

1 - MAINTENANCE NOTE

o Eng. #1

Maintenance Transaction Record

This Maintenance Report is To Be Used Solely For (Check One)

o Eng. #2 Serial No.

DAPU Serial No.

MTR 10 # 2258064

Page 1 of 1

Serial No. _____ _ ------ ------Aircraft Identification and Status

Total AlC Hours Total AlC Landings Engine 1 Total Hrs Engine 2 Total Hrs Engine 1 Ttl Cycles Engine 2 Ttl Cycles

8869.1 9896 2007.3 2007.3 1296 1296

Component Changes, Inspections, Service Bulletins, or Airworthiness Directives Accomplished

Position Part Number I Alternate Part Mod Level

Removal Installed Part Part Serial Reason Status TSNITSOITSR

Comments: CUSTOMER REQUEST TO HAVE BOTH RADAR ALTIMETER ANTENNAS DROP ED. CLEANED, AND INSPECTED. REMOVED FORWARD AND AFT RADAR ALTIMETERS. FOUND BOTH FAY SEALED TO SKIN AND NO GROUND PATH PRESENT, REMOVED SEALANT FROM ATENNAS, GASKETS AND AIRCRAFT SKIN. CHEMICAL TREATED METAL AS REQURED. REINSTALLED ANTENNAS AND FILLET SEALED, OPERATIONAL CHECKS GOOD. WORK DONE PER 500 MM. CH 34-13-02.

Material Man Costs Hours

rT_ran_s_, Ty..;..;p~o_: ,_,_co_m...;.p_on_O"_1._2_,I_ns.;..po_ctlo_n,_3_, S_B_, 4_'_AD_,_' _' M_iSC_, ___ R_om_o_vB_1 R_O_BSO_"S_: wo_,_w_o_m_lo_u_m_"_s,_SC_'_Sc_h_O_dU_lo_d,_U_N_' u_n_sc_ho_d_uled_, c_o_,_C_O"_\Il!_"_iOn_C_e,_N_, Ot_hO_r(_no_to_ln_co_m_m_e_nt...;"s) ________ ln_s1_BD_ed_P_a_rl_Sta_t_us_: N_,""""\NOW, R, RopalrvdIRebuilt, S, Sorvlcoablo, 0, Ovorhauled

jE"NM~e~ ~::I~~ NEW YORK CITATION SERVICE CENTERNN Certified Repair Station Number

Work Performed By NEW YORK CITATION SERVICE CENTER

CRS # CNQ6918C Work Order No.

Certificate No, CRS # CNQ6918C

I certify that the above stated maintenance and/or inspection was performed in accordance with the current regulations of the

ItI Federal Aviation Administration 0 Other (Specify)

330103

Date 16-Feb-2014 ~ ~ and

I CERTIFY THAT THE ABOVE MAINTENANCE & INFORMATION CONTAINED IN THE LISTED WORK ORDER WAS PERFORMED IN ACCORDANCE WITH THE CURRENT FAA REGULATIONS & THE AIRCRAFT ICOMPONENT IDENTIFIED ABOVE IS PRESENTLY AIRWORTHY & APPROVED FOR RETURN TO SERVICE.

Work Inspected By E:!R!!IC~S~H~U~P~E~A~t!f:.~'d-LJ.~~!#:::::::::=------==---- Certificate No. CRS# CNQ6918C Date 16-Feb-2014

Note: This CESCOM subscription has expired. Please contact CAMP Sales at 1-800-658-6327 or [email protected] to initiate your CESCOM service,

Sierra Industries Ltd.

Garner Field Munclpal Airport

122 Howard Langford Dr. I Uvalde Texas 78001 Airframe 0

Type Transaction 1. Component Change

2. Inspection Accomplished

3. SelVice Bulletin Accomplished

Federal Aviation Administration

~ ,COM

Maintenance Transaction Report

This Maintenance Transaction Report Is To Be Solely For (Check One)

W· Worn To limits Enter One Installed Part Status

Delail Method Of Compliance

Under Comments Below

S - Scheduled N - New

U - Unscheduled R - Repaired

C - Convenience S - Serviceable

Scheduled Removal Due (TAT)

Maintenance

s ie rra INDUSTRI E S LTD

-:;------, --fr, and the aircraft idenlfled above Is presently airworthy and approved for return to se rvice Other (Specify,rh ~ 11 I

Log

Page

Aleja-ndro Sa linas Certificate No. ISI6R28SJ Date 12/612014 --I Permanent Airc raft Record - File In Maintenance Log

COM • sierra Sierra industries Ltd. Maintenance Transaction Report INDUSTRIES l TO

Garner Field Munclpal Airport This Maintenance Transaction Report Is To Be Solely For (Check One)

122 Howard Langford Dr. 1 Uvalde Texas 78001 Airframe (!) Eng1 . 0 Eng2. 0 Serial No.

APU 0 Serial No. I

PROP1 0 ,-_---,

Seria l No. I PROP2·0

Serial No. 1 Fax: 866-465-9994/Ph: 830 278 4381/[email protected] Serial No,

PJC Serial No. Ale Unit No. PIC Registration DATE

1. Component Change

2. Inspection Accompljshed

3. Service Bulletin Accomplished

Performed By:

certify that the above stated Inspection

rx Federal Aviation Administration

Aircraft Identification and Status

City Identifier Ale Hours

Detail Method or Compliance


ISISR285J

No. I I

Ale l andings Total Engine Hours

5 115-01-2014

Date

pelformed In accordance with the current regulations of the

Total Engine Cycles

Reason

W - Wom To Limits Enter

S - Scheduled

U - Unscheduled

C - Convenience

APU Hours

Installed Part Status

N-New

R - Repaired

Scheduled Remova l Oue (TAT)

PROP Hours

r Other (Specify) , ___________ ,.rlo the aircraft. idenlfied above Is p resently airworthy and approved for return to service

Maintenance

Log

Page

Inspected By: "ls"ls"Rc.2::.8"5,,J ______ ---' Date 1216/2014 Permanent Aircraft Record - File /n Maintenance log

-I. Approving Na tion. ation 2· AUTHORIZED RELE, ~~E CERTIFICATE 3. Form Tracking Numbc. J Autho rity/Coll lltry: 312842795 ,

FAA/United States FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG

4. Organization Na me a nd Address: lI Z3RS71 L 5. Work Order/Co ntract/ Invoice Number: Honeywell International Inc. 1818723 11100 North Oracle Tucson, AZ 85737

Page:

I of I

6. It em: 7. Descript ion: 8 . Part Nu mber: 9. Eligibility: * 10. Quantity: It . Scri nUBn lch Number: 12. Status/Work:

001 VALVE ASSY 043 103576- 13 N/A I 79-663 OVER.HAULED~ , " ~ .. " 13. Ucmarks : SEE ATrACHED RECO RD OF WORK PERFORM ED '-.ll7

Returned unit to service I .A. ~-1_ CS'1I-4012 Rev . G and AT103576 Rev .M. Unit was modified to 103576-13 Series 8.

Certifies that the work specified in Blocks 12 / 13 was carried out in accordance with EASA part 145, and with respect to that work. the aircraft component is considered ready for release to service under EASA Part 145 Approval Number EASA 14 5.4132

~'~'.'''~'"''''- "''''"''~ t9. ~ 14 CFI{ 43.9 Return 10 Service ~ Other regu la tion specifi ed in Block 13

Cl'rtifies that unless ot herwise speci fi ed in mock 13, the work iden tifi ed in Block I2 a nd described in D APprO":~ilion fo r safe operation. nlock 13 was acco mplis hed in accordance with Title 14, Code of Federa l Regul atio ns, part 43 a nd in

o NOli-approved design da. . cified in Block 13, respect to tha t work, the it e ms nrc a pproved for return to service.

15. A"thod,ed Signa ture~ -........... ~/AuthOdzatioll No., 20. Authorized S ig nature: 21. Approval/Certificate No .:

, r2 .~ HZ3R57 1L

~illtCd)' t8. Date("'dY~ 22. Nr. ll1e (Typed or Prin ted) : 23. Date (Ill d y) :

Kevin Karvincl1 OCT 052012

Userllnsta ller Responsibilities II is imporlanllo understand lila l till' l'x islenct' of this docunll'nl atonc docs nol :luIO nl alica ll~' constitut e authority to install th f' parl/eolll llOllcntlassembl),.

\Vh"r" I he user/inslaller !,,,rforms work in acco rd:lnce wilh Ih" Iml iona l n 'l;ulalio ns of an :lirworlhinc.u :wthority differ" nt Ihnn Ihc :Iirworlhi ncss au lhority of Ihc "o unlry specified in Block I. il is cssenli:l l lh:1 1 the uSl'r/install" r "nsurcs Ihal his/her airworlhiness authorily accl'pls parls/compo nents/assemhlies fro lll I he :lirworthinl~S :llIlhoril), of the country spl'cifil-'tl ill Hlock 1.

Sta ll'll1cn lS in Bl ocks 14 and 19 do 11 01 conSlitute inst:lllation cert ificaliu ll. In all cases. aircr:lflm:linten:lllcc n 'cnrds IIII1SI conlaill :1II inSlall:ltion ccrt ifiC':lt ion Issued ill :Icconlance wi lh th l' 1I:l lion:11 regulations IJ)' the Ilser/inst:l ller before the ai rcr aft m:l)' be nown.

, Computer-gcncrated FAA 1 a nn 8 130-3 (6-0 I ) • IlIst,lller must CroSS-c11cck elIg ibIlity wl,h ,Ippl lc.lblc iL'c hnlcal data . NSN. 00S2-00·0 t 2-900S

r DATA SHEET PART NAME SERIAL NO.

Cabin Air Outflow-Safety Valve

PAGE 1 OF 1 PART NO. 103576-13

REMARKS P / /Y' 4-t- TECHNICIAN E040215

'l1t"r 0 5 2012 I ai:CCEPT I REJECT 0

BAROMETER J--731'IN. Hg. A TEMPERATURE _---L7~3=----_oF

3.5 Visual Reject

Test Applied Vacuum Leak Rate

Required Actual Required Actual

Head leakage 13.5 ±0.2 in. H2O I,;'. ~ 1.0 in. H2O/min. ~/ max.

Valve Pressure Differential Airflow, Ib per min.

Test Required Actual Required Actual

Outflow valve 16.8 to 16.9 in . Hg I~,ff

0.20 (max.) "A" = leakage tl,- tl7 Pressure relief 17.60 in . Hg +0.00

17a~ 15.0 ±0.5

/5;1' flow -0.10

Pressure relief 17.20 in. Hg min. I? :2-.) A+l .0±0.1 ! tJ7 crackpoint

Maximum flow 6.8 in. H20 (max.) ~,()

20.0 ±0.5 cZt7.ZJ

HONEYWELL CONFIDENTIAL This tcp~riQntoo wen and all ln!ormation ara tria property of Hcney ... ell Imematlonal Inc .• ccnlain trade secrels and may rio t. In ,.,hole or In pa r1 . be uSed. cuplicated. or t:1$Closed lor any purpose WIthout poor wnllen permisSion cf Honeywell Intematlonallnc All Rilih!! Raserved.

AT1 03576, Rev M 16

AC- 2S4 4-1 (6/98)

· .

Sierra Industries Ltd. Maintenance Transaction Report

Garner FIeld Munclpal Airport This Maintenance Transaction Report Is To Be Solely For (Check One)

122 Howard Langford Or.1 Uvalde Texas 78001 Airframe (!) Engl . 0 Eng2. 0 Serial No.

APU 0 .----_----, Serial No. I

PROP1 0 .----_---, Serial No. I Fax: 866-465-9994/Ph: 830 278 4361fsierra@sijelcom Serial No.

Ale Serial No. AJC Un~ No. Ale Registration DATE

Type Transaction

1. Component Change


3, Service Bullelin Accomplished


City Idenlilier Ale Hours

Oelail Method or Compliance

Under Comments SelooN

ISI6R285J

No.

PVC Landings Tolal Engine Hours

No. 14961-11-2013

In accordance with the current regulations of the

Tolal Engine Cycles APU Hours

W - Worn To Limits Enter One



C - Convenience


sierra I NDUSTRIES L TO

PROP2. 0 .----_----, Serial No.

PROP Hours

certify that the above stated maintenance and/or inspection was

rx Federal Aviation Administration Maintenance

I" Other (Specify) , _________ __ ,.r,a the airc raft Idenified above is presently airworthy and approved for return to service

ISI6R285J Date 1112012014 '------ ----'

Inspected By:

Log

Page

Permanent Aircraft Record - File In Maintenance Log

0 Fann Approved Electronic Tracking Number OMB No. 2120-0020

MAJOR REPAIR AND ALTERATION 1113012007 U.S Depal1ment of

(Airframe, Powerplant, Propeller, or Appliance) For FAA Use Only Transportation Federal Aviation Administration

INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B, and AC 43.9·1 (or subsequent revision thereof) for Instructions and disposition of this fonn. Thll report ia required by law (49 U.S.C. 1421). Failure to report can result In a civil penalty not to excaed $1,000 for each such violation (Section 801 Federal Aviation Act 1958)

Nationality and Registration Mark Serial No.

1. Aircraft Make Model I Series

Name (As shown on registration certlflcate) Address (As shown on registration certificate)

2. Owner

3. For FAA Ule Only

4. Type S. Unit Identification

Repair Alteration Unit Make Model Serial Number

0 0 AIRFRAME (As described In Item 1 above)

0 0 POWERPLANT

-. 0 0 PROPELLER

APPLIANCE MACH AIRSPEED IND

0 ~ AW2837AC02 132AM Manufacture:

AMETEK

6. Conformity Statement

A. Agency's Name and Address B. Kind of Agency

Aero-Mach Labs, Inc. 0 U.S. Certificated Mechanic o T Manufacturer

7707 E Funston Cl Foreign Certificated Mechanic C. Certificate No.

Wichita, KS 67207 1m Certificated Repair Statlon

Country. USA Cl Certificated Maintenance OrganlZatlon NU2R044L

D. I certify that the repair and/or alteration made to the unlt(s) Identlfled In Item 5 above and described on the reverse or attachments hereto have been made In accordance with the requirements of Part 43 of the U.S. Federal Avlatlon Regulations and that the Informatlon fumlshed herein Is true and correct to the beat of my knowledge.

Extended range fuel SlgnaluralDa18 of AuIhorIzad dlyl ual ~ Date 12·17·13 per 14 CFR Part 43 0 CRAIG ANDERSEN M ,/ App.B

7. Approval for,ltetum to Service

Pursuant to the authority given persons Specified below, the unit Identified In Item 5 was Inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is l8J APPROVED . D REJECTED

FAA Fit Standards Manufacturer Maintenance Organization 1 Person Approved by Canadian Inspector OepanrnnentofTransport

BY Othor (Specify) FAA Deslgneo X Repair Statlon Inspection Authorization

I""

Certlficate or Designation No. SlgnatuntlDa18 of AuIhorlzad I~ Data 12·17·13 NU2R044L CRAIG ANDERSEN -" FAA Form

J 337 (1().()6)

if

~ \V

I

\

NOTICE Weight and balance or operating Ilmllation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued confonnlty with the applicable airworthiness requirements.

8. Description of Work Accomplished

(If more space is require.d, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.)

Nationality and RegIstration Mark

Disassembled, cleaned and Inspected. Dial modified per STCt 09559AC.

CESSNA#CES-FT-500-16 REV. G

Date

------------------------------------------NO FURTHER ENTRIES---------------------------------------------

D Additional Sheets Are Attached FAA Form 337 (1().()6)

rt:::l - -WApproving National Aviation AUTHORIZED RELEASE CERTIFICATE 3. Fann Tracking Number

Authority/Country 0419517 FAA/UNITED STATES FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG

4. Organizntion Name and Address 5. Work Order/Contract/lnvoicell

Aero-Mach Labs, Inc. , 7707 E. Funston, Wichita, Ks, 67207, USA, Certificate Number NU2R044L 0419517 6. Item 7. Descriptien 8. Part Number 9. Elig* 10. Qty I I. Serial/Batchl! 12. Status/Work

1 MACH AIRSPEED !ND AW2837AC02 N/A 1 132AM OVERHAULED 10-51002-3

13. Remarks

The work specified has been accomplished in accordance with CESSNA #CES-FT-500-1 6 REV. G. Aero-Mach Labs, Inc. certifies that the work specified in Blocks 12 and 13 was carried out in accordance with EASA Part-l 45 and in respect to that work, the component is considered ready for release to service under EASA Part- 145 Approval Number EASA. 145.4048. Full details held on work order 0419517.

14. Certifies the items identified above were manufactured in conformity to: 19. 1ZI14 CFR 43 .9 Return to Service IZI Other regulat ion specified in Block 13

0 Approved design data and are in condition for safe operation Certifies that unless specified in Block 13, the work identified in Block 12 and described in Block 13 was accomplished in accordance with Title 14, Code of Federal

0 Non-approved design data specified in Block 13 Regulations, part 43 and in respect to that work, the items are approved for return to service.

15. Authorized Signature 16. ApprovallAuth No 20. Authorized Signature 21. Approval/Certificate No

~" ,&tJ NU2R044L ,fb

17. Name (Typed or Printed) 18. Date (m/d/y) 22. NamiTypeJ or Primed) 23. Date (m/d/y)

CRAIG ANDERSEN DEC117/2013

User/Installer Responsibi lities

It is important to understand that the existence of this document alone does not automatically constitute authority to install the part/component/assembly. Where the user!installer performs work in accordance with the national regulations of an airworthiness authority different than the airworthiness authority of the country speci fi ed in Block I, it is essential that the user/ installer ensures that his/her airworthiness authority accepts parts/components/assemblies from the airworthiness authority of the country spec ified in Block I. Statements in Blocks 14 and 19 do not const itute installation certificat ion. In all cases, aircraft maintenance records must contain an installation certification issued in accordance with the national regulations by the user/installer before the aircraft may be flown .

FAA Form 8 130-3 (6-0 1) *Insta ller must cross-check el igib ility with applicable technica l data NSN: 0052-00-012-9005

0 Form Approved Electronic Tracking Number .

OMB No. 2120-0020 MAJOR REPAIR AND ALTERATION 1113012007

u.s Department of Transportation (Airframe, Powerplant, Propeller, or Appliance) For FAA Use Only Federal AvIation Administration

INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 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. 1421). Failure to report can result In a civil penalty not to exceed $1,000 for each such violation (Section 901 Federal Aviation Act 1958)

Nationality and Registration Mark Serial No.

1. Aircraft Make Model .1 Series

Name (As shown on registration certificate) Address (As shown on registration certificate)

2. Owner

3. For FAA Use Only

4. Type 5. Unit Identification


D D AIRFRAME (As described In Item 1 above)

0 0 POWERPLANT

0 D PROPELLER

APPLIANCE MACH AIRSPEED IND

0 181 AW2837AC02 132AM Manufacture:

AMETEK



Aero-Mach Labs, Inc. 0 u.s. Certificated Mechanic 0.1 Manufacturer

7707 E Funston 0 Foreign Certificated Mechanic C. Certificate No.

Wichita, KS 67207 181 Certificated Repair Station

Country: USA 0 Certificated Maintenance Organization NU2R044L

D. I certify that the repair and/or alteration made to the unlt(s) identified In item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information fumished herein is true and correct to the best of my knowledge.

Extended range fuel Signature/Dale of Authorized div~ual ~ Date 12-17-13 per 14 CFR Part 43 D CRAIG ANDERSEN M /::' App.B

7. Approval for/tetum to Service

Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is t8I APPROVED o REJECTED

FAA Fit Standards Manufacturer Maintenance Organization I Person Approved by Canadian

Inspector Department of Transport BY Other (Specify)

FAA Designee X Repair Station Inspection Authorization ~,;;~ " Certificate or Designation No. Signature/Dale of Aulhorlzed Ind~ Date 12-17-13

....,.. NU2R044L CRAIG ANDERSEN FAA Form --. •

337 (10.061

V I

'-I

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.


(If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.)

Nationality and Registration Mark

Disassembled, cleaned and inspected. Dial modified per STC# 09559AC.

CESSNA #CES-FT -500-16 REV. G

Date

-------------------------------------------------------------------NO FU RTHER ENTRIES------------------------------------------------·.-•••• -••• --••• ------

D Additional Sheets Are Attached

FAA Form 337 (1().()6)

Aero-Mach Labs, Inc.

Indicator Mct..cb A;Yspzz-oI \VorkOrder 41q 5 17

Datel :Z - I 0:> - 1 3 Spec Number: CESSNA Ces# FT-500-16 Rev-G

TEST POINT

60 80 100 120 150 180 200 230 250 280 300 320 J50 370 400

ACTUAL READING

bO 80 I !2 I 122-I 4-OJ 17Z.':2 l or 'i. :2 2, q .2 ~-o ;Zio 300 :2. :20

tv <A-bUa I 1'J L <:l

I

Part Number 10-51002- 2.Serial Number _--,-1~3J;.;;"~,=ACJI~vJ.L-_

Techn ician

MINlMU1vI NOMINAL MAXIMUM

58 60 62 78 80 82 98 100 102 11 8 120 122

147 .5 ISO 152,5 177 180 183 197 200 203 23 0 230 233 247 250 253 276 .5 280 283 .5 296.5 300 303.5 316.5 320 323.5 346 350 354 365.5 370 374.5

ALT ITUDE Friction +1-4 Tolerance +1-4 rNDICATED rNDICATED

29,000 IT 30,000 IT 35,000 IT 40,000 FT 45,000 FT

Hysteresis Tolerance +1- 2 30,000 FT 26,000 IT DIAL CASE LEAK INTERNAL LE AKE LIGHTING

v

.70 ,7z1 269 ;;H, g NIA 263 ~ (':2 .:z. 8:Z 283 235 ,ff2.3~ .;z 5 :2. 253 209 g2 ) I :2.;2. Z 225 .5 186 1"10 ::z O q.. 200.5 ,

Window gJ. ~kts window turns black~fOO

Window I!i.Jt'±-kts window turns red ~ ft

Wmdow IV+'tt-kts window turns red ~ft

• RRACOM sierra

Sierra Industries Ltd. Maintenance Transaction Report INDUSTRIES L TO

Garner Field Muncipa l Airport This M aintenance Transaction Report Is To Be Solely For (Check One)

122 Howard Langford Dr. 1 Uvalde Texas 78001 Airframe <!) Eng1. 0 Eng2. 0 r--Serial No.

APU 0,---_ Serial No. I

PROP1 0r---Serial No. I

PROP2. 0 r--~ Serial No. Fax: a6S-465-9994/Ph : 830278 4381/[email protected] Serial No.

AJe Serial No. Ale Unit No. Ale Registration

Type Transaction

1. Component Change



Federal Aviation Adml,n(,'rallion

DATE



Detail Melhod Of Compliance


ISI6R285J

No.

Ale Landings Tolal Eng ine Hours

I Work I Order No. 5009-12-2013

Date

was performed in with the current regulations of the


W - Worn To Limits Enter One


U - Unscheduled

C - Convenience

R - Repaired

S - Serviceable


PROP Hours

r-___________ ,arld the ai rc raft idenified above Is presently airworthy and approved for return to service

Maintenance f-----l Log

Page

~~~? LIS_16_R_28_5_J _____ -' Date 11120 /20 14 Permanent Aircraft Record - File In Maintenance Log

Sierra Industries Ltd.

Garner Field Muncipal Airport

122 Howard Langford Or. 1 Uvalde Texas 78001

1. Component Change


3. Service Bullolin Accomplished

Performed By:

~...JERRACOM Maintenance Transaction Report

This Maintenance Transaclion Report Is To Be Salety For (Check One)

AJrl",me (!) Eng1 . 0



certify that the above stated maintenance and/or inspection was performed In accordance with the current regulations of the


S • Scheduled

U· Unscheduled

C • Convenience

~ sierra I NDUSTRIES L TO

PROP2·0

One Installed Part Status

N - New

R - Repaired


Maintenance f-I ___ oj

other (Specify) , _ _______ __ ---"and the aircraft Idenlfled above Is presently airworthy and approved for return to service Log

Page

IS I6R285J 1 Date 1,1201201. '-------------'

Inspected By: Permanent Aircraft Record • Fi le In Maintenance Log

COM sierra

Sierra Industries Ltd. Maintenance Transaction Report INDUSTRI E S LTD

Garner Field Munclpal Airport This Maintenance Transacl ion Report Is To Be Solely For (Check One)

122 Howard langford Dr. I Uvalde Texas 78001 Airframe (!) Eng1 . 0 Fax: 866-4S5-9994/Ph: 830 278 4381/[email protected] Serial No.

Eng2 . 0 Serial No.

N'U 0 Serial No. I

PROP1 0 .--_--, Serial No. I

PROP2·0

Serial No.


Ale Serial No. Ale Unit No. PJC Registralion DATE

Type Transaction 1. Component Change



was

city Identifier Ale Hours

No.



Ale Landings Total Engine Hours Tolal Engine Cycles APU Hours PROP Hours

W· Worn To limits Enter One Insta lled Part Status

5 • Scheduled N - New




Maintenance

Federal Aviation ~~~~~~ ______ ,"'d i th e airc raft idenlfied above Is presently airworthy and approved for return to service Log

Page

ISI6R285J Date 11/2012014 Permanent Aircraft Record - File In Maintenance log

1. Approving National Aviation 2. I, 3. Form Tracking Number: Authority/Country: 0070983263-00001

F AAfUnited States AUTHORIZED RELEASE CERTIFICATE 1ll lllllllll lll l rlrll~ rl[1 11 111111Irllllll~111111111 1 FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG 4. Organization Name and Address: cg h aft Beechcraft Corporation 801 Industrial Blvd, FAA Production 5. Work Order/Contractllnvolce

Number: eec cr Suite 100 Grapevine, TX 76051 Certificate NO.8 0000350982-000010 6. Item: 7. Description: 8. Part Number: 9. Eligibility: • 10. Quantity: 11. Serial/Batch Number: 12 . Status/Work:

1 RELAY MS24185D2 N/A 1.000 N/A NEW (V 13. Remarks:

AIRWORTHINESS APPROVAL - PARTS.

14. Certifies the Items Identified above were manufactured In conformity to: 19. o 14 CFR 43.9 Return to Service o Other regulation specified In Block 13

IE] Approved design data and are In a condition for safe operation. Certifies that unless otherwise specified In Block 13, the work Identified In Block 12

and described In Block 13 was accomplished In accordance with Title 14, Code of 0 Non-approved design data specified In Block 13. Federal Regulations, part 43 and In respect to that work, the Items are approved for

return to service.

~rlzed Signature: ~ 16. Approval/Authorization No.: 20. Authorized Signature: 21. Approval/Certificate No.:

- a'~ f ~g 4'>-1 ODA-230339-CE

17. Name (Typed or Printed): 18. Date (m/d/y): 22. Name (Typed or Printed): 23. Date [m/d/yJ:

Randy Malcolm NOV/12/2013

User/Installer Responsibilities

It [s Important to understand that the existence of this document alone does not automatically constitute authority to Install the part/component/assembly.

Where the user/installer performs work in accordance with the national regulations Offill airworthiness authority different than the airworthiness authority of the country specified in Block I, it is essential that the user/installer ensures that his/her airworthiness authority accepts parts/components/assemblies from the airworthiness authority of the cOlilltry specified in Block I.

Statements in Blocks 14 and 19 do not constitute installation certification. In all cases, aircraft maintenance records must contain an insta llation certification iss ued in accordullce with the national regulations by the user/installer before the aircraft ma y be Oown.

FAA Form8130-3 (6-01) . . " *Installer must cross-check elig ibili ty With appli cable technical data . NSN: 0052-00-012-9005

1 1 1 1 1 1 1 1 1

/~ \ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

.~ \ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

~\ 1 1 1 1 1 1 1 1 1 1

COM sierra

Sierra Industries Ltd. Maintenance Transaction Report I N DU STRIES LTD

Garner Field Munclpal Airport This Mainlenance Transaclion Report Is To Be Solely For (Check One)

122 Howard Langford Dr. I Uvalde Texa s 78001 Airframe 0 Eng1. 0 Eng2 . 0,-__ Serial No.

APU 0,----Serial No. I

PROP' O~ __ Serial No. I

PROP2· 0 ~ __

Serial No. Fax: 866-465-9994/Ph: 830 278 4381/[email protected] Serial No.

Ale Serial No. Ale Unit No. Ne Registration DATE

Type Transaction

1. Component Change


3. Service Bulielin Accomplished






ISIBR285J

NC Landings Total Engine Hours

I Work I 4939-11-2013 Order No. .


Part Status

W - Worn To Limits Enter One Installed Part Status


U - Unscheduled

C - Convenience

R - Repaired

S - Serviceable


Maintenance

PROP Hours

, _ __________ ,"'" the aircraft Idenlfled above Is presently airworthy and approved for return to service L09

Page

L]S_IB_R_2_B_5_J ______ -' Date 11120/2014 Permanent Aircraft Record - File In Maintenance Log

RELEAJ: -I. Approving r-. H~11 Aviation 2. 3. SySh:lll Tracking Ref No. ,

AUlhorily/Luulllry: AUTHORIZED CERTIFICATE FANUNITED STATES FAA 1'01'111 8 130-3, ALRWORTH INESS APPROVAL TAG RMA 62384880

4. Organizat ion: GARMIN Intcmational 1200 E 151 st Olathe. KS 66062 Ccnificme No. G6XR582Y 5. Work Order Contract/Invoice Number:

RMA 62384880

6. Item, I 7. Dcscc;pt;on , 1 8. Part Nu mbc,·,

I 9. Eligibility: •

1

10 Qua;u;ty, I II. Serial/Batch Number: I 12. Status/Work , I. GMA)40 P 011-0040 1- 10 N/A 96280161 0" REPA IRED

~ .~

t3 . REMARKS: Conlinncd the rctum issue. Repaired the Main board [0 correct return issue. ~

Confinncd <Ill applicable hmdw;m: modifications arc inst .. lIcd. Aligned unit for optimum pcrfOl111.1llcc. ~s all h':Sls and is opcr.ltin!; within nonlla! limits. OK to rclum 10 Service.

"111is unit complies with MOD 1 per Gannin's Service Bulletin No. 0103 This unit complics with MOD 3 per Gannin's Service Bulletin No. 02080 TIlis unit complies with MOD 4 per Gannin's Service Bullet in No. 0209 This unit complies with MOD 5 per Ganrun's Service Bulletin No. 0210 111is unit complies with MOD 6 per Gannin's Service Bulletin No. 0212 This unit complies with MOD 7 per Gannin's Service Bulletin No. 0213 111is unit complies with MOD 8 per Gannin's Service Bulletin No. 0221

This HCenifies th.1 tthe work specified in block 12/13 was carried out in accord:U1ce with EASA Part-145 and in respect to th.1twOrk the component is ready for release to service under EASA Part- 145 Approval Number: EASA.145.5534H. 11"IC work that was pcrfonned on this unit was done to meet the rcquircmt:nts of all sections of the m.1imenance manual pan number 190-00149-02 Itev- 13, Revision Date 6n12oo l . 111.lnk You for Choosing Gannin! [fyou l1.we any questions or concems please do not hesitate to contact our custOlller service department 3t 1·800·800· 1020. P[ease view Gannin's web site at www.gannin.comforanyupdateorproduct infonn.ll iOIl.

All repaired or replaced GARM IN units have a 90-d<ly wammty or the continu<ltion of the origi na l fac tory warranty from the origin<ll purc hase date, wh ichever is longer.

14. CCrlifics the itcms idcntified above were manufacture d in confotll1ilY to: 19. kSj l 4 e f R 43.9 Return to Service [XI Other regulations spcc ified in Block 13

D Approved des ig n data and arc in condition fo r safe operatio n Cert ifi es that unless othenvise specifi(.-d in b lock 13, the work identified in Block 12 and described in

Bloc k 13 was accomplished in accordance with Title 14 , code of federa l Regulations , part 43 and in

D Non-approved design data specified in block 13 respect to that work, the itcms are npprovcd for rctum to serv ice.

15. Authorized Signatun:: 16. ApprovaVAuthoriz.'ltion No.: 20. Authori zed S ignature:

~trt p 21. ApprovaVCertificate No.:

N I A N / A G6XR582Y

17. Namc (Typ(.-d or Printed 18. Date (m/ dly) 22. Name (Typed or Printed) / 23. Date (m/ dly)

N I A N / A Wathana SyHavong Nov 26 20 13

User/I nsta ller Responsib ili ties

[t is impol1ant to lInderstand that the existence of this Docllment a lone docs not automatica lly constitute authority to install tile part/componen t/assembly.

Where the user/ installer per/onns work in accordance with the national regulations of an airwOt1hiness authority dilTcn:nt than the :tirw0/1hincss authority of the COUlltl)' spl,.'{: ifi ed in block I , it is essential that

the userli nstallcr en sures that hi s/ her airworthiness <lulhority accepts pans/compo nents/assemblies from the Ai rwQt1hiness r\uthority o f the country spec ified in b lock I.

Statements in block 14 and 19 do not constitu te insta llation cCl1ification . In all cases . aircraft maintcn<lnce reco rds must conta in an ins tallation cel1ificatioll iss ued in accordance with the national regulatio ns by the user/ installer before the airc raft may be nown .

FAA Form S 130-3 (6-0 [ ) Computer Generated, GARM IN lmemal io nal lne. PIN 002-00007·00 Re\, . B * Installer must cross-ch t't: k eligibility with ;Ippli eablc techn ica l dala.

~ I

=""'> -

c

'.

--I. Approving l\" } I Aviatio n 2.

AUTHORIZED RELEkJ : CERTIFICATE 3. System Tracking Ref. No. ,

Authority/Cuunuy :

FANUN IT ED STAT ES FAA Form 8 130-3, AIRWORTH INESS AI' I' ROYALTAG RMA 62384880

4. Organi7..o.'lt ion: GARM IN [l1lc01:lliol1a1 1200 E 15 1s1 Olathe. KS 66062 Certi fi cate No. G6XR582Y 5. Work Order COnlract/ln voicc Number:

I~ RMA 62384880

6 . 1<, ,,,: I 7. Dcscc;pt;on: 18. p,u, Nu",b, c

I 9 . Eli gibility: •

1

' 0 Qu,;u ;ty: I II . ScriaV13atch Number: :: :. ~ 1 ' 2 . Stntus/IVmk

I . GMA34DP 0 11-0040 1- 10 N/A 96279762 REPAIRED

13 . REf\.'IARKS: ConfimlCd the retum issue. Repaired the Main boarrl lO correct rclUm issue. Continued all applicable h.lrd\\:ln,: modific:llions are installed. Aligned uni t ror optimum pcrfonn.1ncc. Unit passes all tests and is opemling within nonn.1l limil5. OK to return 10 Service.

11lis unit complies with MOD 1 per Gannin's SCJ'\'icc Bulletin No. 010) 111is unit complies with MOD 3 per Gannin's Service Bulletin No. 0208 B 111is unit complies with MOD 4 per Gannin's Service Bulletin No. 0209 111i5 unit complies with MOD 5 per Gannin's Service Ilulletin No. 02 10 111i5 uni t complies wi th MOD 6 per Gnnnin's Serv ice Bulletin No. 02 12 This uni t complies with MOD 7 per Gannin's Service Bulletin No. 02 13 This unit complies with MOD 8 per Gal11lin's Service Bulletin No. 022 1

11lis ~Cenifies that the work specified in block 12113 was camed out in accordance with EASA Pan-14 5 and in respect to that work Ihe component is ready for release to service under EASA l'an- 145 Approval Number: EASA.14S.5534K. 11K! work tiut was rcrfonned on this unit was done to meet tlK! requirements of all 51.!ctiollS oftlK! 1tl.1intenance m:mual p:1l1l1umber 190..{)() 149·02 Rev- U. Revision Date 617r.WOI. 111.1nk You for Choosing G:lIluin! If you h,1\"e any questions or concems plcase do not lK!si tate to contact our customer sen 'ice dcpanmcII\ at 1-800-800-1020. l'lcase view Gannin's web site at www.\pnnin.com for any update or product infonn:llion.

All repaired or replaced GA RM IN units have a 90-day w;ur.mty o r Ih e continua tio n o f th e o riginal fnctOlY wnrranty from the orig inal purc hase d:l\e . whic hever is longer.

14 . C crl ifi c s the items idc n tifi e d a bove were manufaclU rcd in co nfo n nity to: 19. [8J 14 C FR 43 .9 Retum to Service ~ Ot her regulations spec ified in Bloc k 13

0 Appro \'ed des ign data a nd arc in condition for safe operatio n Ccn ili cs that unless otherwise spL'Cified in b loc k 13, the wo rk identilicd in Block 12 and described in Block 13 was aecomplishl..'Ci in accordance with Ti tle 14. code o r FL'Cicral Regulation s, pan 43 a nd in

0 NOIl·npprovoo des ign dnla spl.'Cilicd in b lock 13 rl:spl..'CI 10 thnt work, the items a re npprovcd Ao r retum to serv ice .

15. Aut ho rizl..'d S ignature 16 . Appro\'a I/ Authoriz'lI ion No.: 20. Authorized S ignature : illm +- 2 1. Approva VCerti licate No.:

N / A N I A G6XR582Y

17. Nam e (Typed o r Printed 18. Date ( mI<Vy) 22. Nall1e (Typed or Printed ) -....- V--- 23. Date ( t11/d/y)

N / A N I A Wathana Syba vong Nov 26 20 13

User/Installer Responsibil ities

It is impOI1:11l1 to understand that the ex istence orthis DoculIlent a lo ne does not a utomaticn lly constitute authority to install the partleolllpo nell tlnssemb ly.

Where the user/ insta ller performs work in accordnncc with the nationa l rcgu lntiolls of:m airwOl1hincss a uthority di llcn.:nt than the a irwol1hilless autho rity or the countl)' s pL'C iIi Lx\ in block I , it is essent ial that the user/ installer cnsures that his/her a irwOl1hiness authori ty acccpts pnn sicomponclltsiassclllbli..:s from the Ai rwol1hincss Authority of the COUlI try spL'C ifiL'CI in block I .

Statcments in b lock 14 and 19 do not consti tute insta ll ation cert ifi cati on. In all cases, aircraft ma intenance record s must con tain a n insta llation ccrti fi cation issll ed in accordance wi th th e na tio nnl regula tions by the user/insta ller before the a irc ra O may be nown .

FAA Fonn 8 130-3 (6·0 I) Computer GCller:.lI ed, GARM IN In tcm ational illc . PIN 002-00007-00 Rc\' . 13 '" Installer must c ross-c heck eligibil ity with applicable tec hni ca l data .

C:- \" -'}J ~

V) ~

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~RRACOM sierra Sierra Industries Ltd. Maintenance Transaction Report INDUSTRIES LTD

Garner Field Munc lpal Airport This Maintenance Transaction Report Is To Be Solely For (Check One)

122 Howard Langrord Dr.1 Uvalde Texas 78001 Airframe 0 Eng l . 0 Fax: 866-465-9994/Ph: 830 278 4381/[email protected] Serial No.

Eng2. 0 Serial No.

Aircraft Identirication and Status

APU 0 Serial No. I

PROPl 0 ,-_--, Serial No. I

PROP2·0

Serial No.

Ale Serial No. Ale Unit No. Ale Regislration DATE City Identifier Ale Hours AJC Landings Total Engine Hours Total Engine Cycles APU Hours PROP Hours

1. Component Change


3. Service Bulietin Accomplished

and/or


Oelail Method or Compliance


was performed In accordance with the current regulations of the

Reason

W - Worn To Limits

5 - Scheduled

U - Unscheduled

C - Convenience

N - New

R - Repaired

S - Serviceable


Maintenance

Costs

other (Specify) , _________ __ , •• 'd the alrcran Idenlfled above is presently airworthy and approved for return to service log

Page

~~~~~~~~~~~§~? "ls-"6.:..R:::2.:..85J"-_____ --' D.,. 1, 120120,4 Permanent Aircraft Record • File In Maintenance Log

PRODUCTION APPROVAL LISTING - SUPPLEMENT NO. 15 Page 1 ~ EEDEBAL 6116IIOH ADMINISlRAIIOH - ~ABTS MANUEACIUBIHG AP~BgIAL

Concorde Battery Corporation 2009 San Bernardino Road West Covina, CA 91790

FAA-Approved Approved FAA Design Installation Des;gn Data BeR]acement fo!: ARR!:o~al HeiDI Eligibj]it!

Battery Modification Part Letter of Design Models: PIN RG-380E/40 Approval per Beech 65-90, PIN RG-380E/40A FAR 21.303(c) 65-A90,B90,C90, DWG CBOO150 E90,F90,99,AI00, Rev C BI00,200,300, Dtd 3-27-91 MU-300-10,400,

400T(T-IA) .. n n n n H Bell 212 n • n fI n n Cessna

208,425,441, 500,501,550,551

" .. II n II n Dasault/Sud Series C,D,E,F . J

n II n n II n Embraer EMB-I10Pl, EMB-I10P2

" " R II n II Gu1fstream Aerospace G-159,680T,680Y, 680W,690,690A, 690B,690C,690D, 695, 695A, 695B

n II II II II .. Israel Aircraft 1121,1121A,1121B, 1123,1124

n R n II II n Learjet 23,24,25,28,29, 35,36,55

---------------------------------_._--- -------

Page 2 vel FAA-Approved Approved FAA Design Installation Design Data Replacement for Approyal Means £1i91 b111ty

Battery Modification Part Letter of Design Mitsubishi PIN RG-380E/40 Approval per MU-2B,MU-2B-I0, PIN RG-380E/40A FAR 21.303(c) -15,-20,-25,-26, Dwg CBOO150 26A,30,3S,36,36A, Rev C 40,60,MU-300-1, Dtd 3-27-91 -IA

n II tI .. " a Sabreliner Corp. NA 265,NA 265-20, -30,-40,-60,-70, -80

Battery " n SlC 3A2795S0 Mitsubishi Heavy PIN RG-390E Dtd 7-10-90 Industries, Ltd. Owg CBOO171 Reissued 8-27-91 YS-IIA Series Rev A Dtd 7-3-90

Battery n II SlC 3A2984S0 British Aerospace PIN RG-390E Dtd 7-16-91 BAe 12S-800As Owg CeOO171 Reissued 8-27-91 Rev A J Dtd 7-3-90

~-------'--------------------(END OF LISTING)--------------------------------

w~/~ Manager, Van Nuys Manufacturing . Inspection District Office

January 6, 19J

-------------------------

0 Form Approved Electronic Tracking Number MAJOR REPAIR AND ALTERATION OMB No. 212Q.OO20

212812011 U.S Department of (Airframe, Powerplant, Propeller, or Appliance) Transportation For FAA Use Onry Federal Aviation Administration

INSTRUCTIONS: Print or type all entries . See Title 14 CFR §43.9, Part 43 Appendix S, and AC 43.9-' (or subsequent revision thereon for instructions and disposition of this form. This report is required by law (49 U.S.C. 1421), Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §46301 (a»

Nationality and Registration Mark Serial No. N2158U 501-0091

1. Aircraft I Series Make Model

Cessna 501

Name (As shown on registration certificate) Address (As shown on registration certificate)

2. Owner Ad,,,,,595 STATE HIGHWAY 434 RBK AVIATION INC

c;.,TEN SLEEP SlaleWY

z;,82442-8856 CountryUSA

3. For FAA Use Only

4. Type 5. Unit IdentificatIon


0 ~ AIRFRAME (As described In Item 1 above)

0 0 POWERPLANT

0 0 PROPELLER

Type

0 0 APPLIANCE

Manufacturer



NameSierra Industr ies, Ltd . 0 U.S. Certificated Mechanic o I Manufactu rer

Address122 H oward Langford Or. 0 Foreign Certificated Mechanic C. Certificate No.

CityUva lde stateTexas 121 Certificated Repair Station SI6R285J

z;,78801 CountryUSA 0 Certificated Maintenance Organizalion

O. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance wi th the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. ~ - --. .

Extended range fuel S;gnature/Oate of A~

~/btf)/;1· per 14 CFR Part 43 0 App. B

~ Approva l fo!:.,.Rd'tu rn to ServIce ,

Pursuant to the authority given persons specified below , the unit identified ;n item 5 was inspected ;n the manner prescribed by the

Administrator of the Federal Aviation Administration and is [g] APPROVED o REJECTED

0 FAA Fit Standards 0 Manufacturer 0 Maintenance Organizalion o I Person Approved by Canadian

Inspector Department of Transport BY Other (SpeCify)

0 FAA Designee 121 Repair Station 0 Inspection Authorization // Certificate or SignaturelDate of Authorized Individual c:. cd/'A- /' / Designation No.

Steve Law re n ce 1/20/2014 SI6R285J (-/. .

FAA Form 337 (10-06) ( /

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.


(If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.)

I N2158U 11/20/2014

Nationality and Registration Mark Date

Installed cockpit sun visors in accordance with FAA approved Rosen drawing list No. R500S-00DL, dated 8/29/1983 or later FAA approved revision.

Installatiion approved by STC SA2151 NM.

Weight and balance change neglible.

Pertinent details of this alteration is on file with Sierra Industries, Ltd. under work order 4961-11-2013.

ACTT: 8859.3 Ldgs: 9888

--------------------------------------------End-----------------------------------------------------------------------I

D Additional Sheets Are Attached

FAA Form 337 (10-06)

to

Jtauzb &sa1m s:l huma

ie&ralbllmt nf UTnmspomdion ~ Auiatitm ~aliol1

&upp1ttnental mtfPt <1rtrtifimte ff~, SA2151NM

Ros~n Sunvisor Systems, LLC 86365 College View Road Eugene, OR 97405

C8J"~ dat de ~ VI, de (wr.e 4e4tF fo 1M ~Vzp~t lINd de ~ mzd~"t«Ht.1 dvejb, a.1 dp8~~nzefJtd 1M ~dvze34~ o/J?i'~ 23 ¥~ Federal Aviation ~itNz.:J. (See Type Certificate Data Sheet A27CE for complete certification basis.)

&'nfFAaI'~~-~ ~~t~~.J1i~· ~.' ~

A27CE

Cessna 501,551

~eda!'fllti1n, u/ de ~ PJIJdJitv! ~.' Cockpit Sun Visor installation ~n accordanCe with FAA approved Rosen Dra~ing Lisl No. R500S-00ot, dated August 29, 1983, or later FAA approved revision.

~M tvUi W~.· The approval of this change in type design applies basically to the above model aircraft only. This approval should not be extended to aircraft of this model on which other previously approved modifications' are- incorporated'ontessitis'determined -that ·the- interrelationship between this change and any of those other previously approved modifications, including changes in type

,. design, will introduce no adverse effect upon the airworthiness of the aircraft. A copy of this Certificate and " FAA approved Drawing List Number RSOOS-OODL shall be maintained as part of the permanent records of

the modified aircraft.

If the holder agrees to permit another person to use this certificate to alter the product, the holder shall give the other person written evidence of that permission.

fBiJ ge,~ mu:J' ~ Jeww'tmp aida ~ jj 1M 1'04i.1 fo Uff'P~ daI'/~ fA. ~t 1IAIiI'J~

.1~ ntNJ~ tQg,~dateid ~iJelJdtd4.1.1d~de~~o/de sr~~

.N~~.

~aI6¥~.' August 29, 1983

~ate o/iJJIUUU%!J.' September 3D, 1983

fgtZle nU.1Jued- March 24, 2003

[Dak onze.nded- March 24, 2003

;;;:;~:fJ: ,~~ . ~ ActIng Manager. Seattle Aircmft Certification Office

~ ~ . / Any altetatkm of this ceTtiflCate Is punishable by 8 fine of not excesdlng $1,000, or imprisonment not exceeding 3 years, or both.

TlJls cettlflcate may be transferred in accordance with FAR 21.47.

FAA FoRM 811 G-2(10-68}

1. j

:,':

; ....... . '::

'. ' ,:"~',:

~.

:.1 '.u.,

~i } ~:z: ;::. ': . .;. ,,:"

; .. - ~··Oi~.: :'

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r

. _. -_.------ . - _ .. -- --'--

---- ._---------

III ;~: ,-:.,:: . ... if: ..

. :-., . . '1

,", \,,: ; ':1'

:;:

_ ..... __ .•. _--

COM sierra

Sierra Industries Ltd. Maintenance Transaction Report I N DU STR I ES L TO


122 Howard Langford Dr. I Uvalde Texas 78001 Airframe C!) Eng l . 0 Fax: 866-465·9994/Ph: 830 278 4381/[email protected] Serial No .

Eog2. 0 Serial No.


APU 0 Serial No. I

PROP1 0 r------, Serial No. I

PROP2·0

Serial No.

Ale Serial No. Ale Unit No. NC Registration DATE City Identifier Ale Hours Ale Landings Tolal Engine Hours Total Engine Cycles APU Hours PROP Hours

1. Component Change


3. Service Bulletin Accompl ished

Federal AvIation AdminI stration

No.



No.

was performed In accordance with the current regulatIons of the

5 - Scheduled

U - Unscheduled

C - Convenience

N-New

R - Repaired


Other (Specify) , ___________ ,arld the aircraft Idenlfied above is presently airworthy and approved for return to service

Maintenance

Log

Page

Inspected By: ~~~~~~=====J Oat. 1112012014 Permanent Aircraft Record - File In Maintenance log

CUSTO:MER: Sierra Industries, Ltd.

DATE: 12-12-2013

AIRCRAFT INFORMATION: AIRCRAFT TYPE: Cessna 501

FM CRS# W2XR853X AEROWELD, INC.

NDTREPORT

AlRCRAFf REGISTRATION NUMBER: N2158U

SERIAL NUMBER: 0091

NDT EQUIPMENT USED:

P.o. No. 06-21321

W.O. No. A13 .. 394

PENETRANT 0 MAGNETIC PARTICLE D. EDDY CURRENT [gI ULTRASONIC 0 . RADIOCRAPH D THERMOGRAPH 0 OTHER 0 ___ ""-_ INSTRUMENT: Nortec 500

INSTRUMENT SERIAL NUMBER: N080187 • NEXT CAl, DUE: 01/15/2014

-D-E-SC-RI--PT--IO-N--O-F-W-O-RK--,-PE-RF--O-R-M--ED--:----------------------------------- ~

Performed HFEC to comply with Phase 52 Inspection per Cessna NTM Part 6, 53-20-01 Dated Aug 01,

2008 on the pressure side of the forward and aft pressure bulkheads.

No cracks detected.

Task # 53-00-00-251 and 53-00-00-252

NAME: Scott Ruth

NDTLeveim

SIGNATURE: 9A ~ AEROWELD. INC '\

433 BREESPORT mSAN ANTONIO, TEXAS 78216 Ii PHONE 210-590·7888 til FAX: 210-366-2618 ~

Fonn AW-1 (6/12)

1. Appro ... iag Naeio .. 1 A"iatioD Authority/Couna}":

2.

AUTHORIZED RELEASE CERTIFICATE 3. Form Tradhlg N'umbcr:

A13-394 FANUNITED STATES FAA Form 8I3l)-J, AIRWORTHINESS API'ROVAL TAG

4. Organization Name IilDd AddrHS:

AEROWElD, INC. 433 BREESPORT, SAN ANTONIO, TX 78216 (W2XR853X)

Fwd and All Pressure Bulkheads

UKN NlA 1

Work. Number:

06-21321

UKN Inspecte<l

Performed HFEC to comply with Phase 52 Inspection per Cessna NTM Part 6, 53-20-01 Dated Aug 01, 2008 on the pressure side of the

forward and aft pressure bulkbeads_ Task # 53-00-00-251 and 53-00-00-252_

No cracks detected_

It is Important to

14 CFR 43.9 Return to Scnicc Other fqlliation '1p«ified La Bled: tJ

Certjfjn tbat unk ... olbl!,.."nlt' Ip«ifitd in Bku:k lz,. the wtld Identified In ~ock Jl and described in Blod JJ was a«ompiished in act:Onial'K'r with Tide 14., Code of Federal Regulations, part 43 and in ri:1pcct to wt work, the Uerin Art- approved for return 10

21. ApprovaJICe.rtincateNo.:

W2XR853X

23. Date (mldly):

De<:cmber 12,2013

that the ui.slence oflhls document doae don not aUlom.aticaDy constitute authorify to install lbe put/component/assembly.

Wherf: the usrrlinstaller performs ~'ork in .«oroanct ", .. ith the national regulations of aD aJrworthineu authority difTl!'TC'l11 than the alrworthlllC$1 aut horily of the country specined in mock t? it is enentiallhat tlle u5erliostaUtr enSllrei that hislher a irwo rthilleu authority acttpb partslrompoul.tsJaS1eroblin (rom the airworthiness authorfty of the rountry S~fiM in Block I.

Statements in Blocks 14 and 19 do nol constitute instaUaUOIl certification. In a ll (a'U!!., airC'rafi maiatenan« r~rds J11U\t C'fIntalu an installatioa certification issutd in accordance with the nati onal rtgut8lions by the userllllJtaller before the airtraft rna)' be nown.

FAA ronn 8131)-3(6-011 "InstaliCr must cross-check digibHity with applicable technical dat."

I. ApllrOving NflJ) :,al Aviation 2. 3. Form Tracking NU"- } Authoril untry,:

AUTHORIZED RELh SE CERTIFICATE FAA/UNITED STATES 42797 FAA FornI 8130-3, AIRWORTHINESS APPROVAL TAG

4. Organization Name and Address: S. Work Ordcr/Contractllnvoice

THE AVIATION GROUP, INC. 211 PROSPECT PARK, PEACHTREE CITY, GA 30269 (VGOR728L) Number: 42797

6. Item: 7. Description: S. Part Number: 9. Eligibility:· 10. Quan~ty: II. Serial/Batch Number: 12. Statusl\Vork:

1 ACTUATOR 991 2053·11 N/A 1 890 OVERHAULED 8 ; .. ~

13. Rcmarks: THE AIlOVE API'LIANCE WAS OVERHAULED AND, INSPECTED IN ACCORDANCE WITH CURRENT REGULATIONS OF THE FEDERAL AVIATION ADMNISTRATION ANO'i!!" APPROVED FOR RETURN TO SERVICE. Manual: 2·990011 Revision#:6 Revision Date: 05/1998 (Full de ta ils held on W.O. 42797 .) Comments:

CERTIFI ES THAT TH E WORK SPECIFI ED IN BLOCK 121 13 WAS CARRIED OUT IN ACCORDANCE WITH EASA PART·145, AN D IN RESPECT TO THAT WO RK TH E COMPONENT IS CONS IDERED READY FOR RELEASE TO SERVICE UNDER EASA PART·1 45 APPROVAL NUMBER: EASA.145. 4208. ( ' INSTALLER MUST CROSS CHECK ELIGIBILITY WITH A PPLI CABLE TECHN ICAL DATA.)

LI FE LI MIT PARTS M UST BE ACCOM PAN IED BY MA INTENANCE HISTO RY INCLUDING TOTAL TIM EffOT AL CYCLES: 8,004

Certifies the items identified above were manufactured in conformity to: 19. [8J 14 CFR 43.9 Return to Service (8J Other regulation specified in Block 13

0 App ' d design data and are in a condition for safe operation Certifies that unless otherwise specified in block 13, the work identified in Block 12

0 NOll-approve ign data specified in Block 13. :lIId described in Block 13 ,",,'as accomplished in accordance with Title 14, Code of Federal Regulations, part 43 and in respect to that work, the items are approved for return to sen' ice.

15. Authorized Signatn~ 16. Approval/Authorization No.: 20. Authorized Sienature: 21. Approval/Certificate No.:

~ ~~~ VGOR728L

~rinted): IS.DatC(m~ 22. Name (TYlled or Printed): 23. Date (Illmm/dd /yyyy) :

Richard H. Hewitt DECII3/2013

UscrlInsta ller Responsibilities It is important to understand that the existence of this document alone does not automatica lly constitute authority to install the parUcomponenUassembly.

\Vhere the userlinstaller performs work in accordance with the national regulations of an airworthiness authority different than the airworthiness author ity of the country specified in Block I, it is essentia l that the userlinstaller ensures that his/her airworthiness authority accepts I)arts/components/assemb lies from the airworthiness author ity of the country specified in Blockl.

Statements in Blocks 14 and 19 do not constitute installation certification. In a ll cases, aircraft maintenance records must contain an installation certification issued in accordance with the national regulations by the userlinstaller before the aircraft may be OOWII.

, FAA Fonn 8100·3 (6·01 )

.... ' Installer must cross·check elig ibili ty wllh applicable techOi cal data. -NSN: 0052-00·01 2-900)

· ~." ..

,

COM

Sierra industries Ltd. Maintenance Transaction Report

Garner Field Muncipal Airport This Maintenance Tra nsaction Report Is To Be Solety For (Check One)

122 Howard Langford Dr. 1 Uvalde Texas 78001 Airfra me C!) Eng1. 0 Eng2. 0 ~ __ Serial No.

APU 0 ~_~ Seria l No. I

PROP1 O ~ _ _ Serial No. I Fax: 866-465·9994/Ph: 830 278 4381/[email protected] Serial No.

Ale Serial No. Ale Unit No. Ale Reg istralion DATE

Type 1. Component Change


3. Service Bullelin Accomplished





ISI6R285J

No.

AJe Landings Total Engine Hours

14961-11-2013

performed In accordance with the current regulations of the

Tolal Engine Cvcles

S - Scheduled

U - Unscheduled

C - Convenience

APU Hours

N - New

R - Repaired


sierra INDUSTRIES LTD

PROP2. 0 ~ _ _ _ Serial No.

PROP Hours

I certify that the above stated Maintenance rx Fed eral Aviation Administration

, _ ______ _ ___ , "'omo aircraft fdenlfied above Is presently airworthy and approved for return to service I Other (Specify)

Inspected By: ISI6R285J Date 11/201201 4

Log

Page

Permanent Ai rcraft Record - File In Maintenance Log

1. Approving National Aviation Authority/Country:

2. 3. Form Tracking Number:

FAAIUnited States AUTHORIZED RELEASE CERTIFICATE AH73727

FAA FORM 8130-3, A IRWORTH INESS A PPROVAL TAG

r rganization Name and Addr 55: 5. Work Order/ConlracV

Shoreline Marine, Inc. dba Saletech WV1 R599K Invoice Number

1230 Wilson Court Humble, T X 77396 06-21293 6. 7. B. 9. 10. 11. 12.

Item Description Part No Eligibility· Qty Serial /Batch No StatusNJork

1. OXYGEN ASSEMBLY 176176-64 N/A 1 709700 OVERHAULED

0 ~/~'Ar;)

13. Remarks

INSPECTED, WASHED, CLEANED, OVERHAULED, OVERHAULED REG, FUNCTIONALLY TESTED REG (PASSED), INSTALLED DECALS , FILLED, LEAK CHECKED, lAW APPLICABLE SECTIONS OF OEM DRWG: 176176 REV COO, DRWG: 172170 REV, HOO AND ATP: B46 155-TP REV. A02

LAST HYDRO: 12-2013 NEXT HYDRO: 12-2016 CYL MFD: 04-2000 CYL EXP: 04-2024

A COMPLETE DESCRIPTION OF WORK PERFORMED IS ON FILE AT TH E ABOVE REFERENCED ORGANIZATION UNDER THE WORK ORDER AND SYSTEM TRACKING REFERENCE NUMBER IN DICATED IN BLOCKS 3 AND 5.

'r 14. Certifies the items identified above were manufactured in conformity to: 19. IXl 14 CFR 43.9 Return to Service

0 Other reg ulation specified in Block 13

Certifies that unless otherwise specified in Block 13, the work

0 Approved design data and are in a condit ion for safe operation. identified in Block 12 a nd described in Block 13 was accomplished

0 Non*approved design data specified in Block 13. in accordance wilh Title 14, Code of Federal Regulations , part 43

and in respect to that work , the item s are approved for return to

service .

15. Authorized Signature: 16. Approval/Authorization No 20. Authorized Sign~ , 21. Approval/Certificate No:

C -- WV1R599K

17. Name (Typed or Printed): 18. Date( m/dly): 22. Name (Typed or Printed): 23. Date (m/d/y):

DAVID K EIL Dec/10/2013

User/Installer Responsibilities It is important to understand that the existence of this Document alone does not automatica lly cons titute authority to install the

partfcomponenUassembly.

I r:e Ihe .,.ser/installe r work in accordance w ith the national regulations of a n A irworthiness A uthority d ifferent than the A irworthiness ) rity o f' the country specified in block 1 it is essential tha t the user/insta ller ensu res that his/he r AilWorth iness Authority accepts

~h. .. ,.::i/components/assembl ies from the A ilWorthiness A uthority of the country specified in block 1.

Statements in b lock 14 and 19 do not constitute insta lla ti on certification . In all cases aircraft mainte nance records must contain an

installation certification issued in accordance with the national regulations by the user/installer before the aircraft may be flow n .

FAA Form 8130-3 (6-01) • Installer must cross check eligibility With applicable technica l data NSN: 0052-00-0 12-9005

WWW.SAFETECH-USA.COM

Hvdrotest Certificate of Conformance

It is hereby certi fied that the cylinder assoc iated with the Safetech work order li sted below and called out in the customer's directions or the DOT regulations, arc in confonnance with the requirements of DOT 49 CFR 180.205. And also, all related CGA inspections ca lled alit in the OEM tech data, have been complied with. **** Inspected ****

Work Order Numbcr: AH73727

Cyl. Sedal Number: 709700

Next Hydrotest duc: 12-16

Manager: ~c;::::k " CO ~ David Keil

Date: December 10, 2013

~ ,1'.- ':' \

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1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

~II 1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

~1 1

1

1

1

1

1

COM


Garner Field Muncipal Airport This Maintenance Transaction Report Is To Be Solely For (Check One)

122 Howard Langford Dr. 1 Uvalde Texas 78001 Airframe (!) Eng1. 0 Fax: 866-465-9994IPh: 830 278 4381/slerra@sljeLcom Serial No.

Eo. 2. 0 Serial No.


APU 0 ,-----, Serial No. I

PROP' 0 ,--_--,

Serial No. I

Ale Serial No. Ale Unit No. N C Registration DATE City Idenl irter Ale Hours Ale Landings Tolal Engine Hours Tolal Engine Cycles APU Hours

1. Component Change



and/or

Delail Method or Compliance


No.


5 - Scheduled

U - Unscheduled

C - Convenience

N - New

R - Repaired


sierra INDUSTRIES L T O

PROP2· 0

Serial No.

PROP Hours

Federal Aviation A~~~~~~ _ ____ --:larld Maintenance 1-___ -1

r the aircraft Idenlfled above Is presently airworthy and approved for return to service Log

Page

t.:ls ... '6:..R ... 2:..s_5_J ______ ---' Date 11 120 /2014 Permanent A ircraft Record - File In Maintenance Log

q'to ~~ J ~ f)

1. Approving National Aviation 2. AUTHORIZED RELEASE CERTIFICATE 3. Form Tracking No. Authority/Country:

FAA/United States FAA Form 8130-3 , AIRWORTHINESS APPROVAL TAG 77866

4. Organization Name and Address: WESTERN SKY INDUSTRIES, LLC d.lb.la. Electromech Technologies 5. Work Qrder/ContracUlnvoice Number 2600 S. Custer Wichita, KS 67217 1960518 (PX2R099L)

6. 7. 8. 9. 10. 11. 12. Item: Description: Part Number: Eligibility:- Quantity: Serial/Batch Number: StatusMlork:

1 VARIABLE OUTPUT EM2044-1 N/A 1 3062A REPAIRED INVERTER

13. Remarks:

REFLOW SOLDER ON TRANSFORMER ASSY. REPAIR LIMITED TO APPROVED MAINTENANCE DATA

TITLED EM2044-1 AMT

REV B DATED 02/19/13

Certifies that the work specified in block 12/13 was carried out in accordance with EASA part 145 and with respect to that work, the aircraft component is considered ready for release to service under EASA Approval Number EASA145.5012.

1 . ~items identified above were manufactured in~ 19. 0 14 CFR 43.9 Return to Service. 0 Other regulation specified in Block 13

D App sign data and are in a condition for safe operation.

Certifies that unless otherwise specified in Block 13, the work identified in Block 12 and described in

o Non-approved design data s . in Blo~ Block 13 was accomplished in accordance with Title 14, Code of Federal Regulations, Part 43 and in respect to that work, the items are approved for return to service.

15. Authorized Signatu~ ~uthorization No.: I rK~:::ized ~tureD C- ~. 21 . Approval/Certificate No.:

PX2R099L (RS) 17. Nam or Printed): 18. Date (m/d/y): ~ 22. Name cOped or Printed): C 'frt 23. Date (m/d/y) :

~ Mary Lunnda arpe er NOV 11 2013 User/Installer Responsibilities

It is important to understand that the existence of this Document alone does not automatically constitute authority to install the partlcomponenUassembly.

Where the user/installer performs work in accordance with the national regulations of an airworthiness authority different than the airworthiness authority of the country specified in Block 1, it is essential that the user/installer ensures that his/her airworthiness authority accepts parts/components/assemblies from the airworthiness authority of the country specified in Btock 1.

Statements in Block 14 and 19 do not constitute installation certification. In all cases, aircraft maintenance records must contain an installation certification issued in accordance with the national regulations by the user/installer before the aircraft may be flown.

FAA FORM 8130-3 (6/01/01) • Installer must cross-check eligibility with applicable technical data. NSN: 0052-00-012-9005

COM

Sierra industries Ltd. Maintenance Transaction Report


122 Howard Langford Dr. I Uvalde Texa s 78001 Airframe 0 Engl . 0 Fax: 866-465-9994/Ph : 830 278 4381/sierra@sijelcom Serial No.

Eng2. 0 Serial No.


APU 0 Serial No. I

PROPl 0 ,---_---,

Serial No. I

sierra I NDUSTR I ES L TO

PROP2·0

Serial No.

PJC Serial No. PJC Un~ No. Ale Registration DATE City Idenlirter PJC Hours Ale Landings Total Engine Hours Total Engine Cycles APU Hours PROP Hours

1. Component Change

2. Inspeclion Accomplished


Performed By:

and/or


Delail Melhod or Compliance


IS16R285J

No. II 15009-1 2-2013

Date


W - Worn To Limits

5 - Scheduled

U • Unscheduled

C - Convenience

Enter One Installed Part Status

N-New R - Repaired

S - Serviceable


Other (Speclfy) , - - ---------,."0 the aircraft idenlfled above is presently airworthy and approved for return to service

Maintenance

Log

Page

Inspected By: ~~ ~~1~~~=====J Date 1"2012014 Permanent Aircraft Record - File In Maintenance Log

RRACOM

sierra Sierra Industries Ltd. Maintenance Transaction Report I NDUSTRIES L TO

Garner Field Muncipal Airport This Mainlenance Transaction Report Is To Be Solely For (Check One)

122 Howard Langford Dr. 1 Uvalde Texas 78001 Airframe (!) Eng1 . 0 Fax: 866-465-9994IPh: 830 278 4381/[email protected] Serial No.

Eng2. 0 Serial No.


APU 0 Senal No. I

PROP' 0 ,--__ -,

Serial No. I PROP2· 0

Serial No.

Ale Serial No. Ale Un~ No. Ale Registra tion DATE City Identifier Ale Hours Ale Landings Tolal Engine Hours Tolal Engine Cycles APU Hours PROP Hours

Type Transaction

1. Component Change


3. Service Bulietin Accomplished

rx Federal Aviation Administration

w.s

Delail Method or Compliance


W· Worn To limits Enter One Installed Part Status 5 - Scheduled N • New

U - Unscheduled R • Repaired

C • Convenience S • Serviceable


Maintenance

r Other (Specify) , ___________ ,."0 the aircraft idenified above Is presently airworthy and approved for return to service Log

Page

Inspected By: Date 11/20/2014 Permanent Aircraft Record - File In Maintenance Log

1. Approving Na tional Aviation 2. J . Form Trac kin g Number: Authority/Country:

AUTHORIZED RELEASE CERTIFICATE po: 06-21406 FANUNITED STATES FAA For m 8131l--3, A IRWORTI1I NESS A PPROVA L TAG

4. Orga niza tio n Na me and Address: 5. Work Ordcr/Contract/Invo ice

AEROWELD, INC. 433 Breesport Dr. , SAN ANTONIO, TX 78216 (W2XR853X) Number:

13A-435

6. It em: 7. Descri pt io n: 8. P:lrt Number: 9. Eligibility: * to. Quantity: II. Serh,IIBatch Number:: 12. Sta tu s/Work:

1. W heel Ha lf 10-1 384 NIA 1 3098 Inspected0 W heel Half 10-1385 1 3098

Bo lts 43-1222B 6 NSN ,.

13. Remarks

ET of B.F. Goodrich Wheel ha lves, PIN 10-1384, SIN 3098 and PIN 10-1385 SIN 3098 in accordance with Goodrich Nondestructive

Testing Manual TPI Rev 3, Part 32-40-74. MT of 6 ea. wheel bolts PIN 43-1222B in accordanc~! with Goodrich Nondestructive Testing

Manual TPI Rev 3, Part 32-40-75.

No Defects located.

~ 1-1. CertlOes the items identified above were manufactured in oonformlly to: 19. 181 14 CFR 4).9 Rc:u rn :(; ~('r ; i l;:! o Other regu lation speci fi ed in Block 13 j ,

D Approved d" lgn ... ~ , ondlllo" ror ,.fe op .... lloll. Ce r tifi es til nl ~~ II!I!S ! .: Ou.', ._ .. · .... . ..:;n~J: n Block ~I~ wo rk iden tifi ed in Block 12 and i

D Non-opproved " ... Ign '" speclficd In Bto~ " cscdhed j " Bloel< 13 w" •. " .or. PHSlr ' "",. wilh Tit le 1·1, Code of Federa l

I Reg~lhltio/rt 43 and hI r::!)J~C: Ie that· r k, the items arc approved for return to service. I

IS. Authorized Signature:

~ 16. Approval/Autht'rization No. : 20. Authori7,e&~re : / 21. Approval/Certifi ca te 1" . , I

W2XR853X / --.

17. Name(TYp~: ~(mldlY): 22. Na me (Typed or Printed): 23. Date (m/d/y):

Eri c J. Duplant is DEC / IS / 13

Vserllnstaller Responsibilities It is important to understand that the existence of Ihis document alone does not automatica lly co nstit ute authority to install the part/co mpolleli tiassembly.

Where the user/install er performs work in acco rdance wit h the nati onal regul ations of an airworthiness authority differe nt than th e airworthiness authority of the cO lln try specifi ed in Block I, it is essentia l that the user/insta ll er ensures that his/her nirworthiness authorit y accepts parts/components/assembli es from the airwo rthiness author ity of tltl' co untry speci l1cd in Block I.

Sta tement s in Blocks 14 and 19 do not constitut e insta ll:ltion cert ifi cn tio n. In a ll cases, aircraft maintenance records must contain an insta llalion ccr tilica ti oll issued ill accorda nce with the national regulations by the user/insta ller before the aircraft mny be flow II.

FAA Fonn 8 \30- 3 (6- 0 \ ) *Jnstall cr TIl list cross-ch,-'Ck el igibility With apphcabJc ,,-'Chmca l data . NSN: 0052·00-0 12·9005

Form Aw-l0 (5111 )

~I

~I

Please Print

Sierra Industries, Ltd. 122 Howard Langford Dr 1 Uvalde, TX 78801 Ph: 830-278-4381' Fax: 830-278-1573

Item Name

Do Nol

Wrile

In This

Space

Type Transaction 1. tomponent Change 2. Inspection Accomplished 3. Service Bullotln Accomplished 4. Airworthiness Directive Accomplished

Anthonv J. Cirincione

~"RRACOM Maintenance Transaction

Position Inslallod Vendor Part Number L"",'

Removal Reason Enter One:

Installed Part Status

} DetaU Method Of Compliance Under Comments Below

A&P 3118770 IA

A&P 3118770 IA

No.

Dale

10/29/13

10/29/13

Enter One:

PERMANENT AIR CRAFT RECORD

FILE MAINTENANCE LOG

II Overhauled Part Enter Overhaul tlame Uodcr Cc

r

?

~ I

I I

Garrett Aviation Services Doc. No. 50-8008-004

3.1.3 Autopilot (Altitude Hold) Performance Test

RVSM operation requires that the autopilot system accurately maintains selected altitude during non-turbulent, non-gusty cruise flight. Perform required autopilot checks and/or maintenance in accordance with the component and airplane maintenance manuals. Also perform the following in-flight altitude hold performance test every 24 months.

Test Procedure Equipment Required: None.

During normal RVSM cruise flight (at an altitude between FL290 and FL41 0, Baro settings of 29.92 in Hg or 1013 mb and non-turbulent, non-gusty conditions) and with the autopiioUaltitude hold engaged, record the data from the primary displays (using Table 3.2) every 5 minutes for a flight segment at least 30 minutes length. The maximum altitude deviation shown on the display should not exceed +/-65 ft.

TABLE 3.2 RVSM Autopilot Performance Check Table, Cessna Model 500, 501, 550 or 551 Cruise Conditions

Airplane: 5' t/J I ~ ¢cI>71 Date: /¢ /ZZ /-v/J/?

Enroute To: I<S/) L Pilot: : /If, e(l! /,00 o.tV8

Time Pilot's Copilot's Pilot's Copilot's Pilot's Copilot's (Minutes) Altimeter Altimeter Mach Mach KCAS KCAS

0:00 iO OO() Ljo O(J tJ ,6i .?-[ 197 les 0:05

if/? oPO 'IOo~o .f: s .6) /E:3~ /gl

0:10 '10°01) '1 v c).J,v .6) C::>/ . ~ IB8 ttle;

0:15 tj OOO() '1 0ovv Ib~ ,bS IB' I~i

0:20 l,.JO OOU 'tOOt» .b~ .6~ 1'61 1~9

0:25 10 () 00 'jfl OV ) ~&5- . G)' /9D /qD-

0:30 '10 O~'r? ljOOl).? .&'6 .. bb J ~D 19/

0:35 ~O {)()? '100J~ .6{' p b6 170 19/ 0:40 lID 000 L/D°i)tJ 1,6·' .66 19 I 191 0:45

0:50

0:55

1:00

Rev G, 15 February 2005 Use or disclosure or data contained herein is subject to restriction on the Signature Page of this document 3.5

~ERRACOM Sierra Industries Ltd. Maintenance Transaction Report ~ Garner Field Muncipal Airport This Maintenance Transaction Report Is To Be Solely For (Check One)

122 Howard Langford Or. 1 Uvalde Texas 78001

1. Component Change


3. Serv ice Bulletin Accompl ished

Facility: /Sierra Industries , Ltd .

Performed By:

Airframe (!) Eng l . 0

Detail Method Of Compliance


certify that the above stated maintenance and/or inspection was performed in accordance with the current regulations of the


Reason

W - Worn To Limits Enter One Installed Part Status





Maintenance

Other (Specify) I " I \ land the aircraft Idenlfled above is presentiy airworthy and approved for return to service Log

Page

sierra INDUSTR I ES LTD

Inspected By: Certificate No. [SrSR285J I Date L[ ::..10::..'_2_1'_2_0 _13 _____ ---' Permanent Aircraft Record - File In Maintenance l og

~~ERRACOM


Garner Field Munctpal Airport This Maintenance Transaction Reponts To Be Solely For (Check One)

122 Howard Langford Dr.1 Uvalde Texas 78001 Airframe (!) Eng1. 0 Fax: 866-465·9994IPh: 830 278 4381/[email protected] Serial No.

Eng2 . 0 ,-_-----; Serial No.


APU 0,----Serial No. I

PROP' 0 ,-_ -----; Seria l No. I

Ale Serial No. Me Unit No. PJC Registration DATE City Identifier Ale Hours Ale Landings Tolal Engine Hours Tolal Engine Cycles APU Hours

Type Transaction

1. Component Change


3, Service Bulletin Accomplished

Repair Facility:

Performed By: No.



W - Worn To Limits

S - Scheduled

U - Unscheduled

C - Convenience

N-New R - Repaired

Scheduled Remova l Due (TAT)

sierra I NDUSTR I ES LTD

PROP2. 0 ,-__ Serial No.

PROP Hours

certify that the above stated maintenance and/or Inspection was performed in accordance with the current regulations of the

rx Federal Aviation Administration Maintenance

r;;:-- --------th and the aircraft Idenlfied above Is presently airworthy and approved for return to service I" Other (Specify)

Log

Page

Inspected By: t/!fP';,~~~:b::v

Certificate No. "ls,,'6:.Rc::.28:.5:.J'---_ _ _ ___ -' Date 11012112013 Permanent Aircraft Record - File In Maintenance log

sierra Sierra Industries Ltd. Maintenance Transaction Report I ND U STRIES LTD

Garner Field Munclpal Airport This Maintenance Transaction Repor1ls To Be Solely For (Check One)

122 Howard Langford Or. I Uvalde Texas 78001 Airframe 0 Engl. 0 Fax: 866-465·9994/Ph: 830 278 4381/[email protected] Serial No.

Eng' . 0 Serial No.

APU 0 Serial No. I

PROPl 0 ,-_---, Seria l No. I

PROP' . 0 Serial No.

Ale Serial No. Ale Un~ No. Ale Registration

Type Transaction

1. Component Change


3, Service Bulletin Accomplished

Repair Facility :

Performed By:

andfor I

IX Federal Aviation Administration

DATE


City Ident ifier Ale Hours



ISI6R285J

No. I I

Ale Landings Total Engine Hou rs

14837-10-2013


Total Engine Cycles APU Hours

W - Worn To Limils Enter One Installed Part Status


U - Unscheduled

C - Convenience

R - Repaired


PROP Hours

I Other (Specify) " ____ __ ,.--,,,--,and the aircraft Idenified above Is presently airworthy and approved for return to service

Maintenance

Log

Page

Inspected By: ~~~~~

Certificate No. I"S_16:..R_2:.8:..5:..J _______ .J Date 110/2112013 Permanent Aircraft Record - Fi le In Maintenance Log

~SIERRACOM sierra

Sierra Industries ltd. Maintenance Transaction Report INDUSTR I ES L TO


122 Howard Langford Dr. I Uva lde Texa s 78001 Airframe @ Eng1 . 0 Fax: 866-465-9994/Ph: 830 278 4381/[email protected] Serial No.

Eng2. 0 ,-__ -, Serial No.

APU 0 Serial No. I

PROPI 0 r-- -, Serial No. I

PROP2. 0 ,-_---, Serial No.

NC Serial No. Ale Unil No. Ale Registration

Type Transact ion

1. Component Change



I ce rtify that the above stated and/or i

fX Federal Aviati on AdminI stration

DATE

Aircraft Identlncatlon and Status



Under Cornmanls Below

ISI6R285J

Ale Landings Tolal Engine Hours


I Date

was performed in accordance with the current regulations of the

Tolai Engine Cycles APU Hours PROP Hours

W· Worn To limits Enter One Installed Part Status


U - Unscheduled R - Repaired C - Convenience S - Serviceable

Scheduled Remova l Due (TAT)

Maintenance

r Other (Specify) ,-,,-,:---_ ____ --;;_ --,,,and the aircraft Idenlfled above is presently airworthy and approved for return to service Log

Page (}fd/4¢~rr:4z;~~

Certificate No. ISI6R285J '------- ------'

Inspected By: Date 110/2 112013 Permanent Aircraft Record - File In Maintenance Log

Please Print

Sierra Industries, Ltd. 122 Howard Langford Dr 1 Uvalde, TX 78801 Ph: 830-278-4381 • Fax: 830-278-1573

Do Not

Write

In This

Space

Type Transaction 1. Component Change 2. Inspeclfon Accompllshed 3. Service Bulletin Accompilshed 4. Airworthiness Directive Accompllshed

~"'RRAC<>I\A Maintenance Transaction

} Detail Method Of Compilance Under Comments Below

lAW Citation Maintenance Manual.

No.

Anthony J. Cirincione A&P 3118770 IA 10/03/13

the aircraft identified above is presently airworthy and approved to return to service.

A&P 3118770 IA 10/03/13 i '

Instalied Part Status Enter One:



II Overhauled Part Enlltr Ovltrhaul

r

sierra Sierra Industries ltd. Maintenance Transaction Report INDUSTRI E S L T D

Garner Field Munclpal Airport This M aintenance Transaction Repor1 Is To Be Solely For (Check One)

122 Howard langford Dr. 1 Uvalde Texas 78001 Airframe (!) Eng1 . 0 Fax: 866-465-9994fPh: 830 278 4381/[email protected] Serial No.

Eng2. 0 Serial No.

APU 0 Serial No. I

PROP1 0 ,-_---, Seria l No. I

PROP2·0

Serial No.

NC Serial No. Ale Unit No. Ale Registration DATE

1. Component Change



was


City Ident ifier Ale Hours

No.

Detail M el hod or Compliance


Ale l a ndings

accordance with the current

Tolal Engine Hours Tolal Engine Cycles

S - Scheduled

U - Unscheduled

C - Convenience

APU Hours

N - New

R - Repaired

Scheduled Remova l Due (TATI

MaIntenance

PROP Hours

.-____ _______ ,ar'" the alrcran Idenlfled above Is presently airworthy and approved for return to service Log

Page

II '-ls_16_R_2_B_5_J ______ -' Date 16/1912013 Permanent Aircraft Record - FIle in Maintenance Log

Please Print

Sierra Induslries, Ltd . 122 Howard Langford Dr 1 Uvalde, TX 78801 Ph: 830-278-4381 • Fax: 830-278-1573

Do Not

Write

In This

Space

Type Transaction 1. tomponent Change 2. Inspoetlon Accomplished 3. Service Bulletin Accomplished 4. Airworthiness Directive Accomplished

Iii

Anthony J. Cirincione inspection was

~ERRACO,," Maintenance Transaction

i i

Installed Vendor Pan Number

} Dotol1 Mothod 01 Compliance Under Comments Below

i i A&P 3118770 IA with the cu rrent reg ulations of th e

8/01 /13

and the aircraft identilied above is presently airworthy and approved to return to service.

i · A&P 3118770 IA 8/01 /13

Installed Sorial Number

Installed Part Status Entor Ono: II Overhauled Part



,

,

Please Print

Sierra Industries, Ltd. 122 Howard Langford Dr I Uvalde, TX 78801 Ph: 830-278-4381 · Fax: 830-278-1 573

DoNol

Write

In This

Space

Type Transact ion 1. Component Change 2. Inspectlon Accomplished 3. Service Bulletin Accomplished 4. Airworthiness Dlrectlvo Accomplished

~ERRACOM Maintenance Transaction Re ort

This Maintenance Report Is To Be Used Solely For (Chock One)

O Eo,." Serial No.

} Detail Method Of Compliance Under Comments Below

Removal Reason Entor Ono;

2 worn left main tire lAW Citation Maintenance Manual.

Maintenance Note: This is first tire change on left wheel since NOI of both wheels on 3/1/2010.

The is tire has been twice 1 & 10117/2012) since NOI of both wheels on 3/1/2010.

•

Logbook review since date of manufacture shows a total of 18 tire changes on left, and 19 on right wheel including those stated above.

An,thrmv J. Cirincione A&P 3118770 IA 8/01/13

Installed Part Status Enter Ono;

and the aircraft identified above is pres.ently airworthy and approved to return to service.

A&P 3118770 IA 8/01113



y

Sierra Industries Lid.

Garner Field Muncipal Airport

~~IERRACOM


This Maintenance Transacl ion Report Is To Be Solely For (Check One)

sierra IND U STRIES LTD

122 Howard Langford Dr. 1 Uvalde Texas 78001 Airframe (!) Eng1 . 0 Eng2. 0 Serial No.

APU 0 Serial No. I

PROP1 0 ,-_----, Serial No. I

PROP2·0

Serial No. Fax : 866-465·9994/Ph: 830 278 4381/sierra@sijetcom Serial No.

PJC Serial No. PJC Un~ No. PJC Regislration

Type Transaction

1. Component Change



DATE

II


City Identifter PJC Hours



ISI6R285J

No. I

PJC Landings Tolal Engine Hours


I Date


Total Engine Cycles APU Hours PROP Hours

W · Worn To Limits Enter One Installed Part Status

S • Scheduled N • New


C - Convenience


Maintenance

r.:-________ --;;;--,and the aircraft Idenlfled above Is presently airworthy and approved for return to service Log

Page

Certirlcate No. ISISR285J 1 Date IS/2812013 '-----------'

Permanent A ircraft Record - File In Maintenance Log

l Sierra industries ltd.

Garner Field Munclpal Airport

122 Howard Langford Dr. 1 Uvalde Texas 78001

Type Transaction

1. Campananl Change

2. Inspeclion Accomplished



Airframe (!)

~ERRACOM


This Mainlenance Transaction Report Is To Be Solely For (Check One)

~ sierra I NDUSTR I E S LTD

PROP2. 0 r' __ -,

W · Worn To Umils Enter One Installed Part Status

Delail Melhod or Compliance


ISI6R285J - I ~::r No. 14578-06-2013

No. ISI6R285J I Date 1612812013

In accordance with the current regulations of the

S • Scheduled N - New




Maintenance fool __ ---I r-______ _ _ _ -,,--,and the aircraft Idenlfled above is presently airworthy and approved for return to service

other (Specfry) i_ JI i

Log

Page

Alejan dro Salinas Certificate No, ~R2B5J Date L[6_/2_8_1_2_0_1_3 ____ __ ~ Permanent Aircraft Record - File In Maintenance log

Sierra trdlstrles Ltd.

Garner Field Munc1pal Airport

122 Howard Langford Dr.1 Uvalde Te.xas 7BQ01

~IERRACOM Maintenance Transaction Report

This Maintenance Transaction Report [s To Be Solely For (seJed below)

Fax: 8E6 426 99941 Ph ' 830 278 43811 [email protected] Transaction For ~lrFrame Serial No INIA

~I :ii<. "; :~,~-

AlC Sorla l No. AlC Unit No. AlC Registration

5010091 476 N2158U

~'1' c ",'," "" '!".' '~~, Item Code Transaction Item Name

No. Type

2 Phase 13

2

3

4

5

6

7

8

..,,;" j)'rcratrld.ntllicatJj,"~nd Status , ,

DATE City Identifier PJC Hours AlC Landings Tolal Engine Hourn Total Engine Cycles APU Hours

Jun 3, 2013 WYOO 8712] 9779 #, 1849"9 #2 1849"9 , 1179 02 1179

~ Component Changes.; In,pectJ~'"I. Seooc!t BUlleUn" or Altwor1t\,"H' Dlrec'tives Accotl,pllsned o'.t't."'-~ PoslUon In'lalled Vendor Part Number Mod Inltalled Serial NUmber Removal In. tailed

Level Rea.on Part Statu. T80 (Enler #

Change Cttlred)

PROP Hours

#2

In.talled Material Man Part Co,ta Hours

Type Transaction W· VVorn To Limits Enter One Installed Part Status

1, Component Change S - Scheduled N • New 2, Inspection Accomplished OetaU Method or Compliance U • Unscheduled R - Repaired 3, Service Bulletin Accomplished Under Comments Below C • Convenience 5 • Serviceable

o • Overheuled 4. Airworthiness Directive Accomplished N • OIher(note below)

ReIN.

Complied with Phase 13 lAW Cessna Citation Maintenance ManuaL

Repair Facility: I Work Performed By: IAnthony Cirincione

I Certltlcate

. Repair Sta,

Certificate No. IA&P3118770IA

I Work I Order No .

I certify that the above stated maintenance and/or Inspection was performed In accordance with the current regulations of the

JX r

Federal Aviation Administration r---:'p---:::::; ... "~"'-_-"and the aircraft Idenlned above Is presently airworthy and approved for return to service

Other (Specify) I -4"-' 1. Work Inspected By: IAnthony Cirincione I Cerm.cate No, i6:&P3118770IA

.

Scheduled Removal Cue (TAT)

Penmnent /l.ircraft Record • File In Maintcnanc.e I.O!]

Please Print

Sierra Industries, Ltd . 122 Howard Langford Dr I Uvalde, TX 78801 Ph: 830-278-4381 ' Fax: 830-278-1573

Item Name

An Panel

Do Not

Write

In This

Space

Type Transaction 1. Component Change 2. InspectIon Accomplished 3. ServIce Bulletin Accomplished 4. AIrworthiness Directive Accomplished

~ERRACOM Maintenance Transaction

Position Installed Vendor Pan Number

} Detail Method Of Compliance Under Comments Below

Installed Sonal Number

Removal Reason Enter One:

Installed Part Status Enter One:

GEN OFF light on continuously. Removed annunciator panel for repair. Repair done by Wichita Citation Service Center, service order number 291722.

I Re.in.t~lIed original annunciator panel , ops check good.

No.

Anthony J . Cirincione 5/17113

was

and Ihe aircraft identified above is presently airworthy and approved to return 10 service . \O"'''',,-----T}---=-- A&P 3118770 IA 5/17113



Please Print

Sierra Industries, Ltd. 122 Howard Langford Dr 1 Uvalde, TX 78801 Ph: 830-278-4381 • Fax: 830-278-1573

Item Name

Do Not

W rite

In This

Space

Type Transaction 1. Component Change 2. Inspection Accomplished 3. Service Bullelin Accomplished 4. Airworthiness Directive Accompilshed

~"RRACOM Maintenance Transaction

Position Installed Vendor Pari Number

} Detail Method Of Compliance Under Commonts Below

Complied with Phase 5£ inspllcti on lAW 91.409(1)(4) inspection program.

I i NO.

3/11/13

was

and the aircraft Identified above is presently ai rworthy and approved to return to service. ----b.L----:="'~~ ~ A&P ,111 8770 IA 3/11 /13

Installed Sorial Number

.... Installed Part Status Enter Ono: II 0vertuI\l1ed PIIr1





\

sierra INDUSTRIES L TO

122 Howard langford Dr. 1 Uvalde Texas 78001 Airframe 0 Eng1 . 0 Eng2. 0,-__ -, Serial No.

APU 0,----, Serial No. I

PROP1 0 ,-_--,

Serial No. I PROP2·0

Serial No. Fax: 866465-9994/Ph: 830 278 43811slerra@sijetcom Serial No.

Ale Serial No. PJC Unit No. AJe Registration

Type Transaction

1. Component Change



DATE


city Identifier Ale Hours



ISI6R285J

No,

Ale Landings Tolal Engine Hours

14281-03-2013


Tolal Engine Cycles APU Hours PROP Hours

W· Worn To Limits Enter One Installed Part Status




I


r-___________ ,""<!.'the alrcran Idenlfled above Is presently airworthy and approved for return to service

Maintenance

Log

Page

ILs_16_R_2_8_5J ______ ---' Da1. 131712013 Permanent Aircraft Record - File In Maintenance Log

ERRACOM rra Sierra Industries ltd. Maintenance Transaction Report I NDUSTRIES L TO


122 Howard langford Dr. J Uvalde Texas 78001 Airframe ® Engl . 0 Fax: 866-465-9994/Ph: 830 278 4381 /[email protected] Serial No.

Eng 2. 0 Serial No.

APU 0 ,--_---, Serial No. I

PROP1 0 ,--_----,

Serial No. I PROP2· 0

Serial No.


Ale Serial No. Ale Unit No. Ale Registration DATE City Identifier NC Hours Ale Landings Tota l Engine Hours Total Engine Cycles APU Hours

501·0091 N2158U Mar7, 2013 UVA 8671.6 9744 ., 1808.8 #2 1808.8 #1 1144 #2 1144 #1

Type Transaction

1. Component Change



i



Certificate No. I I

I Wo'" Order No.

I Date

the above stated maintenance andlor inspection was perfonned In accordance with the current regulations of the


W - Worn To limits Enter One Installed Part S - Scheduled N - New

U • Unscheduled

C • Convenience R · Repaired S - Serviceable

i


r-_______ --::-_,and the aircraft Idenlflcd above is presently airworthy and approved for retum to service

Maintenance

Log

Page

PROP Hours

#2

Certificate No. Lls_'6_R_2_8_5_J ______ -' Date 13(71201 3 Permanent Aircraft Record· File In Maintenance Log

SlERRACOM



122 Howard langford Dr. l Uvalde Texas 78001 Airframe @ Eng1 . 0 Fax: SS6-465-9994fPh: 830 278 4381 [email protected] Serial No.

Eng2. 0 ~ __ Serial No.


APU 0 ~ __ Serial No. I

PROP' O~ __ Serial No. I

sierra INDUSTRIES L TO

PROP2. 0 ~ __ Serial No.

fJJC Serial No. Ale Unit No. NC Registration DATE City Identifier NC Hours Ale landings Total Engine Hours Total Engine Cycles APU Hours PROP Hours

Type Transaction

1. Component Change



RepalrFaclllty :

Perfonned By:

Detail Method Of Compliance Under Comments Below

iSI6R285J

No.

was penonned In accordance with the current regulations of the

W · Worn To Limits

S - Scheduled

U - Unscheduled

C - Convenience

Enter One Installed Part Status

N - New

R - Repaired

S - Serviceable


rx Federal Aviation Administration r----------,."d the aircraft Idenlfled above is presently airworthy and approved for return to service I Other (Specify)

~~~~==:J

Maintenance

Log

Page

Inspected By: Date 13f712013 Permanent Aircraft Record - File In Maintenance Log

CUSTOMER: Sierra Industries

DATE: 3-07-13

AIRCRAFT INFORMATION:

AIRCRAFT TYPE: Cessna Citation

FAA CRS# W2XR853X AEROWELD, INC.

NDTREPORT

AIRCRAFT REGISTRATION NUMBER: N2158U

SERIAL NUMBER: 501-0091

NDT EQUIPMENT USED:

P.O. No. 06-19276

W.O. No. 13A-040

PENETRANT D MAGNETIC PARTICLE D EDDY CURRENT D ULTRASONIC ~ RADIOGRAPH D THERMOGRAPH D OTHER D INSTRUMENT: Sonatest Sitescan 240

INSTRUMENT SERIAL NUMBER: 2402413X

NEXT CAL DUE: 4-12-13

( ')ESCRIPTION OF WORK PERFORMED:

Performed UT of Main Carry-Thru to Wing Spar Lugs to comply with Phase 50 inspection. UT was

performed in accordance with Cessna Model 500 Series Nondestructive Testing Manual Part 4 Chapter

53-10-01 dated Aug 112012.

No cracks located.

NAME: Eric J. Duplantis

NDT Level II

SIGNATURE:

AEROWELD, INC 433 BREESPORT I'ISAN ANTONIO, TEXAS 78216 tl PHONE 210-590-7888 tl FAX: 210-366-2618

Form AW-1 (6/1 2)

I. Approving Nlilional Avialion 2. 3. Form Tracking Number: AUlhority/Counlr}': AUTHORIZED RELEASE CERTIFICATE po: 06-19276 FANUNITED STATES FAA Form 813()"'3, AIRWORTHIN ESS APPROVAL TAG

-I. Organil ... 1lion Name and Address: S. Work Ordcr/Conlrllelflnvoice

AEROWELD, INC. 433 Breesport Dr. , SAN ANTONIO, TX 78216 (W2XR853X) Number:

13A-040

6. Ilem: 7. Description: S. Part Number: 9. Eligibility: " 10. Quantity: II. SeriallBalch Number:: 12. St:lIl1s/Work:

1. Main Carry-Thru I Wing UNK Spar Lugs LWR FWD

NIA Al l UNK Inspected

13. Remarks

Performed UT of Main Carry-Thru to Wing Spar Lugs to comply with Phase 50 inspection. UTwas performed in accordance with

Cessna Model 500 Series Nondestructive Testing Manual Part 4 Chapter 53-10-01 dated Aug 112012.

No cracks located.

N2158U

1-1. Certifies the items identified above were manufactured in conformity to: 19. 18I 14 c rR -13.9 Return to Service o Olher reg ulation specilied in Block 13

D "'-:;'~ Certifies Ihal unless olhen\'ise specilied in Block 13, the work idelllified ill Block 12 and

D Non-approved . rn data snecified i ck described in Block 13 WIIS accomplished in :Iecordallee wilh Title 14. Code of Federa l Rcgulalions, part 43 and in respel.'l to Ihat work, th e il ellls arc approved for return 10 service.

/"

15.AUlhO:~ ---- 16. Approval/Authorization No.: 20. Authorized Si~~:

~ 21. Approval/Certilicate No.:

--........... W2XR853X

17. Name (Typed or Printed): ts.Da'C(m~ 22. Name (Typed or l'ri Dftl'ifi : "'- 23. Date (m/d/y):

Eric 1. Duplanti s ~ MAR 1 07/ 13

Userllnstaller Responsibilities It is importlillt to understand that the existence of this document :llone docs nol automatica lly constitute authority 10 install th e part/componen t/assembly.

Where Ihe II ser/illslaller performs work in accordance wilh the IIlltional regulations of an airworthiness authority different than th e ain\'orthiness authority of the count!")' specilied in Block I, il is essenliallhal Ihe user/inSlaller ensures that his/her aim'orthiness authority accepts paris/components/assemblies from the ain\'orlhiness authorily of the country specified in Block I.

Slatemenis in Blocks 14 lllld 19 do lIot constitute inslallation cerlilication. In all cases, aircraft mainlenance records mll st conlain lll1 installation certificalion issued inllceordance with the national regulalions by the userlil1staller before the aircraft may be OOWII.

. I·AA I'onn S130-3 (6-{) I ) • Install er must cross-check eligibIlity WIth ,Ipphcable tcchme~l data . NSN. 0052-00·0 12·9005

Form Aw·10 (5/ 11)


DATE: 3-7-13




NDTREPORT



NDT EQUIPMENT USED:

P.O. No. 06-19276

W.O. No. 13A-042

PENETRANT 0 MAGNETIC PARTICLE 0 EDDY CURRENT [gJ ULTRASONIC D RADIOGRAPH 0 THERMOGRAPH 0 OTHER 0 INSTRUMENT: Nortec 500 D

INSTRUMENT SERIAL NUMBER: N500DOOON080284

NEXT CAL DUE: 9-17-13

r )ESCRIPTION OF WORK PERFORMED:

Performed ET of Skin Joints to comply with Phase 49 inspection. ET was performed in accordance with

Cessna Model 500 Series Nondestructive Testing Manual Part 6 Chapter 53-30-03 dated Aug 112012.

No cracks located.

Task # 53-30-00-250


NDT Level II

SIGNATURE, ~ AEROWELD, INC

433 BREESPORT I]SAN ANTONIO, TEXAS 78216 1] PHONE 210-590-7888 I] FAX: 210-366-2618

Form AW-1 (6/12)

1. Approving Natio nal Aviation 2. 3. Form Tracki ng Numbcr: Authorit}'/Country:

AUTHORIZED RELEASE CERTIFICATE po: 06-19276 FANUNITED STATES FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG

4. Organi7 .... ltion N:lIllc and Addrcss: 5. Work Ordcr/Contract/ln voicc

AEROWELD, INC. 433 Breesport Dr., SAN ANTONIO, TX 78216 (W2XR853X) Nu mber:

13A-042

6. It cm: 7. Description: 8. Part Number: 9. Eligibi li ty: .. 10. QUlllltit)' : 11. Scrilii/ llatch Numbcr:: 12. Status/Work:

1. Skin Joints UNK NIA 1 UNK Inspected

13. Remarks

Performed ET of Skin Joints to comply with Phase 49 inspection. ET was performed in accordance with Cessna Model 500 Series

Nondestructive Testing Manual Part 6 Chapter 53-30-03 dated Aug 112012.

No cracks located.

Ale N2158U

14. Certifies the itcms identified above were m~llufacturcd in conformity to: 19. 181 14 e FR 43.9 H.eturn to Service D Othe r regulation specified in Block 13

0 App ;"Callcsign data and arc in II condition for safe operatiou. Certifi es that unless ot hen\'ise specified in Block 13, the wo rk identified in Block 12 a nd

0 Non-appr design data sn.ecified in Block described in Block 13 was accomplished in accordance with Title 14, Code of Fedrral Regulations, part 43 a nd in rcspeet to that workd hc it ems arc approved for return to sef\'iee. 7 - ~-

15. AUlhori7.cd Sign~ ----~Aulhori7.afion No.: 20. Authorized Sigll~ / 2 1. ApprovalfCcrti fi eate No.:

W2XR853X /'

~e1for Prinled): 18. Dale (mldly): _____ 22. Name (Typed or P~ 23. Date (m /d/y):

Eri c J. Duplantis MAR / 07 / 13

User/ Insta ller Responsibilities II is important to understand th at the exis tence of this document a lone docs 110t a uto mati cally constitu te aut horit)' to ins tall the part/compone nt/assembly.

Where thc IIser/ installer performs work in accordance with the national regulations of :In ai rworthiness authori ty lIifTerentlhan thc ain\'orthincss a uthority of the cOllntry specified in Block 1, it is cssen tia l th at the uscr/ installer ensures thai his/her ain\'o rthiness authority accepts parts/compo ncnts/assemblies fro m thc airworthiness au thority of the cou ntry specified ill Block I.

Statements in Blocks 14 a nd 19 do not constitutc installation certifi clltion. In all cascs, aircraft maintenance records must contain a n insta lla tion ce rtifi cation issued in acco rdance with th e national regu la tions by the IIscr/installer before the a ircraft may be nown.

-FAA I·onn 8130-3 (6-{)1 ) *lnstal1 er mu st cross-check eligibility wllh appli cable tcchmcal data. NSN.0052-00-012·9005

FormAw-~ - ' 'i/ l 1)


DATE: 3-07-13




NDTREPORT



NDT EQUIPMENT USED:

P.O. No. 06-19276

W.O. No. 13A-043

PENETRANT 0 MAGNETIC PARTICLE 0 EDDY CURRENT 0 ULTRASONIC ~ RADIOGRAPH 0 THERMOGRAPH 0 OTHER 0 INSTRUMENT: Olympus Bonumas!c ..

INSTRUMENT SERIAL NUMBER: IOOOBMOOON071534

NEXT CAL DUE: 12/3/13

r )ESCRIPTION OF WORK PERFORMED:

Performed UT (Bondtest) of bonded skin , aft edge of LH Upper Horizontal Stabilizer and LH and RH sides of Vertical

Stab ilizer per provided disband map to comply with customer request, repetitive inspection. UT was performed in accordance

with Cessna Model 500 Series Nondestructive Testing Manual Part 4 Chapter 55-10-01 dated Aug 1/2012.

Sec attached disband map from NDE Services, In c. 10-632-421 dated 6 /28 /10.

No growt h of disbond loca ted.


NDT Level II

SIGNATURE:

AEROWELD, INC

--

433 BREESPORT IB SAN ANTONIO, TEXAS 78216 El PHONE 210-590-7888 El FAX: 210-366-2618

Form AW-1 (6/12)

(~ Disbol1d Map Vertical Stabilizer M Right Side 50110091

NDE Services, Inc. 10..632-421

0.0 11 -........... ..

44.0 II ...... --......... - ____________ ~

47.5" . . ... -......... -..

52.0" ....... _ .. -... -.-.............. .

.0511 Lenght X' 33"Width

.05 11 lenght X 3.5" Width

6128/10

54.0 11 ____ _

.05" leng ht X 2.0" Width

73.5 1' ; .05" lenght

15.5" ......... -.......... . . ........... -..... -...... ~ X 2.0" Width

86.0·~ ........... -----.-............. -... . ... .... ..... .. .05" lenght 87.0"-.-..... -----.-.. - . . _ ............ -...... - .~ X 1.0" Width

91.0 .. """'""'· .. ·~· ......... ~ 92.0·'--................. -...-

96.0'-1 ______ _ 98.0 1

-1 -------

.05" lenght X 2.0 II Wi dth

__ ~1e!!!!!!!!I'

.05 1• lenght

X 1.0··Width

Disbond Map Vertical Stabilizer - left Side 50110091

HDE Services, Inc. 10..632-421 6128/10

\ r

0.5" Length X 32"Width

--------. ..-..-.... 32.0"

----35.5 1•

0.5" Length X 15.5" Width

0.5" length X 2.0llWidth

0.5" length X O.7S'·Width

----'

. ... . .... ......... . __ . -._ ... __ . __ ........... 51.0 II

--------..;.,;;..............,--. 87.0" _ ............. ............-_________ ......... 89.0 11

----------- 91.5" .............. ---------------------- 98.25"

.. ,

Disbond Map Horiz. Stabilizer - LH Side/Upper Surface 501JU091

NDE SeNices, Inc. 10.632-421 6fl8/10

0.7511 length X 2.0·· Width

. \

Citation Product Support Maintenance Transaction ,. .~ The Cessna Aircraft Company

~0= ~" I_O.:';'~ IS 10 "" ~olely J-~r~<;~ecK une)

Post Office Box 77061 Wichita, Kansas 67277 0 """, Telefa., I Phone, """'No. _ """'Nol ""," No.1

AIC u'" No. AlCI i Do>, , i I To~H,"~ '~H~' To~" APUH .... APU .~""

I 5OHl091 I I I I N2158U I 1-30-1 3 I I SOL I I 8658.7 I I 9732 I " I 2328.5 ~2 I 2328.5 I" 1"32 1 1132 I I I I I 1 1794.9

~. ~ I.V lOV

Item Name Pos ition In stalled Vendor Part Number Mod Installed Installed I I Material Man I No. Type level Serial Number Reason Part Slalus Desl"d) Part Cosls Hours

1 1 Valve, bypass 991212L U R

Do Nol 2

Write 3

In This 4

Space 5

6

7

8

I I Removal Reasoo ...... ~Ianed Part Status Enter One:

Type Trllnsat tJon W - Worn To Liml$ I . Co~ntChange S· SeI'le~ Enter One: N· New 2. Inspection Accon-pshed Detail Method Of Col"J1lllance u - Unscheduled R· Repaired 3. Service Bulle~n Accompished Under Comments Below C • Convenience S- Serviteatlle

N· 0-0",,,,,., I mmli! g,; is IFeb1 02~Ham'ItOn~ ."""

1 j valve pin 754751-2 sin . Inslalled repa'lOd unit pin same sin 99121 27.See FAA Form 81: , i 900d.

2 , noles

3 Inslalled I sw'tch pin ,

4 Installed I AW4 1R4

5 Installed new DluD

6

7 Se~ced a'" r with 2,51bs of R12 Freon. I check was aODd AMM 21-50-00

8

I : AVIATION I i i Repair I lN3R663l

1 ~'~:'NO. 1 164 1 Maintenance Log

IRepa'r Faclllly Number Section Pag e

IWork Performed By I 1 Certificate No. I Dale I I certify Ihallho abovo slalod maintenance and/or inspection was performed in accordance wllh tho curront regul ati ons of tho I I Removal Due (TAT)

0 Federal Aviation Administration I

D Other I land tho alrcralt identified above Is Iy I for return to service.

IWork Inspected BY~ ~--z. " No. I I Dal. I 1-30-1 3 I Permanent Aircraft D . I cp" In , LOQ

/'

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