TOTAL 1 TACH ORTIME R!;CORDING!l1~C!i METER-------_ ...•..•_--_.__ .

DESCRIPTION OF WORK PERFORMED-_--SLGNATJ.!J:1f_~ CEArIFICATE_ NO..9£.£.IORs.oN PERFQBl<IlNQ WOAK__ . .

48 Globe Ave., Texarkana, AR 71854

9-0ctoberber-2011 AlC T.T. 8899.0 TachN6225C, Cessna T210N SIN 21063837TSIO-520-R, SIN 278796-R, Engine IT 1440.7 SMOH 0.0 Page 1 of 1

CIW AD 71-09-07 R1, by replacement and pressure test of the exhaust manifold, no defects noted, next du~ @ 8999.0 T.T. (100 hours)Note: Above AD Inspection requirements extended from 50 t01 00 hours per AMOC when Knisley Welding PIN K1250860-203 installed.CIW AD 93-5-6, P/CIW on 8-1-2000@ 7917.7 hours, next due@9917.7T.T. (2000 hours).CIW AD 84-26-02, by replacement of paper induction air filter, filter next due for replacement@ 9399.0 T.T. (500 hours).CIW AD 2008-10-2, by inspection of alternate static air source selector valve, no defects noted.CIW AD 11-10-09, by inspection of seat track and seat pins, next due@ 8999.0 (100 Hours) or 10-2012(12 months).EL T checked as per FAR 91.207 and found to operate properly, R&R ELT Battery w/new battery, next due for replacement 10/2013.CIW Oxygen Cylinder Hydrostatic Test, next due Sep/2014 (3 years).

1. Removed and replaced engine assembly and all accessories with overhauled engine and accessories (engine overhauled by RAMAircraft, TSIO-520-R, SIN 278296-R, for details see engine log book). Note: Fuel injection system adjusted as per TCM SID97-3E.

2. Engine equipped with Slick PIN 6320 pressurized magnetos, for details see FAA Form 337 this date.2. Repaired and painted engine baffling and replaced baffle seals as needed, repaired fuel drain lines, and heat shields etc. as needed.3. Removed and replaced Throttle, Mixture and Propeller control cables with new cable assemblies.4. Removed and replaced complete exhaust system with new Knisley WelQing modified exhaust system, as per STC Number

SA5012NM, and SE5009NM, PIN 1250860MA, (Inc. PIN K1250860-203 heat exchanger) see FAA form 337 this date for details.5. Removed and replaced all engine compartment fuel and oil hoses with new RAM Supplied hoses (Kit PIN 1449-4).6. Removed and replaced all engine shock mounts with new mounts.7. Removed and replaced main ship battery with new battery (Gill PIN G242).8. Removed and replaced propeller governor with overhauled governor, P/N-C290D4UIT2.9. Removed and installed propeller after overhaul (Overhauled by Memphis Propelle'r Service).10. Removed and replaced throttle position to ge~r warning switch cable with new cable.11. Removed and replaced fuel strainer cable with new cable.12. Removed and replaced engine to airframe ground strap with new strap.13. Removed and replaced engine induction air filter assembly with new filter assembly (Note: AD 84-26-02 Applies).14. Removed and replaced alternate air door magnetic latch with new latch assembly.15. Removed and replaced vacuum pump with overhauled vacuum pump (overhauled by Holly Aero).16_ Removed and replaced all main and nose landing gear flexible hydraulic hoses with new hoses (supplied from Cessna).17. Serviced landing gear, wheel bearings, fluid reservoirs, and checked fuel screen.18. Removed and replaced LH and RH, aft nose gear door hinges and hinge pins with. new hinges and pins.19. Performed landing gear warning horn and safety switch operationar test & found the warning horn & safety switch to operate properly.20. Removed and replaced LH and RH brake linings with new linings and resealed RH and LH brake calipers and bled brake system.21. Checked all control cable tensions and found within limits.22. Removed and replaced nose tire and tube with new Goodyear Flight Custom III tire and new tube.23. Removed and replaced LH and RH main tires and tubes with new Goodyear Flight Custom II tires and new tubes.24. Removed and replaced oxygen cylinder with serviceable cylinder (PIN 176307-76, SIN K600765/54). Cylinder was re-certified

(hydrostatic tested) by Shoreline Marine, dba Safetech, see W/O number XD11030 dated 9/16/2011 for details.25. Removed and replaced pilot inboard and outboard and co-pilot inboard and outboard seat rails with new rails.26. Removed and replaced LH and RH inner and outer cabin side windows and aft cabin window with new windows.

I certify that this Aircraft has been inspected in accordance with a 100 Hour Inspection and found to be in airworthy condition with respectto the work accomplished. --------------------------------END-----c----------------------------------------------

fZ~ ---~arZ A&P 2688220 Date 9-10-2011

I I ! 1SUB.TOTALS this page

TOTALS-Carry forward to next page

11

~7~7Rnnn/iwood Itd Ft.Llluderd,,)e, FL 11112!I~J-g81-nB

;.;pa~a.;..e ;.;.NO;..,. ~;;;;-~~-~_---. __ . lOG ROOK eNTRYTOTAL TOTAL E.L.T. BATURY /

~.' __ D_A_T_E__ '----'S"":"'-~~""'~C""'E~_ __'__"'_OV,~~~!U~R~P~~~ENT,_O_A_T_E_~~T,2 t2( 3PTION OF WORK PERFORMED-rlFICATE NO. OF PERSON PERFORMING WORK

48GlobeAve.,Texarkana,AR71854

9-0ctoberber-2011 AlC T.T. 8899,0 TachN6225C, Cessna T210N SIN 21063837TSIO-S20-R, SIN 278796-R, EngineTT 1440,7 SMOH 0,0 Page1of 1

I certifythatthisAircrafthasbeeninspectedinaccordancewithanAnnualInspectionandwasfoundto bein airworthycondition.----------------------------------------END------------------------------

~stB ~71421A Date10-09-2011

Mena Aircraft Painting~--- 120 Aviation Lane Mena Ar 719531--__ Ph#479-243-9995 Fax#479-243-9996

t----- AlC: CESSNA 210 N#6225C SR#21063837Datel2/I/J I

t----- THE ABOVE MENTIONED AIRCRAFT WAS HERE FOR PAINT.THE AIRCRAFT WAS STRIPPED. PRIMED. AND REPAI TED WITH SHERWI WILLlAI\II PRODUCTS.BASE COLOR: MATTERHORN WHITE #570-535

1----- TRIM COLORS ACRY GI"O. RUBY 1110701.HARVEST COLD 10653. REGIMENT BUIF 07447ALL REQUIRED FLIGHT CONTROLS WERE REMOVED. CHECKED FOR BALANCE AND REINSTALLED

t----- IN ACCORDANCE WITH CESSNA FLIGHT MANUAL.FILED UNDER FILE#753

AUTHORIZED SIGN/\TURE DOUG BLAIR

~ __ A#451041859

Blair-Air Interiors120 Aviation Lane Mena Ar 71953Ph#479-243-9995 Fax#479-243-9996

A/C:CESSNA 210 N#6225C SR#210Date:: I 2/1/1 I TACH/HRSTHE ABOVE MENTIONED AIRCRAFT WAS HERE rOR INTERIOR.HEADLINER VAS I WA YPOINT PAIVIPAS WP830LEATHER DANI WET SANDC2106/DANIPALE TUNDRA e2I 72CARPET: AIRABODE DAVINCI BE/\ VER 2604SEATBELTSC & M MARINE AVIATIONALL MATERIALS MEET FAR 25.853 REQUIRMENTSrILED UNDER FILE #753 -----It

AUTHORIZED SIGNATURE DOUG BLAIR

_~A#4;I0418S9

---~\

,•

Pa08No. _

TOT",L TOT",L TACHORTIME TIME RECORDING DESCRIPTION OF WORK PERFORMEO-

IN SINCE METER SIGNATURE & CERTIFICATE NO. OF PERSON PERFORMING WORKb..=...=..=_=...=....=...=.~.__S_EA_V_'C=E~~O_V_ER_H_AU_L~TI_ME__ ~ ~_~_~ =-==~__~ 411IDATE

Total Total Tach orTime Time Recording

Date In Since MeterService Overhaul Time

5-27-11 1440.7 0RAM Aircraft, Limited Partnership· Waco Regional Airport

TCM TSIO-520-R Engine SIN 278796-R

Above referenced engine overhauled to new parts limits per FAR 43.2(a)(1 )(2) to conform wfTCM SM X-30575AApplicable AD's and Service Bulletins CIW at this time. All gears cleaned, polished when required, inspected,magnafluxed, and no cracks found. Finish and dimensional limits within RAM Gear Inspection Specification No.1818, Rev. K dated 2-08-2010. Above referenced engine modified per STC SE3630SW-D. Installed new TCMcamshaft PIN 655384, SIN 60782. Installed lifters pIn 658088 int.'p/n 658077 exh. AD 10~11-04 nla to lifter pIninstalled. AD 97-26-17 clw per installation of new VAR crankshaft PIN 649134, SIN N10GA060 per TCM CSB96-8. Ultrasonic inspection per MSB96-10A, due at next overhaul or when crankshaft removed. AD 99-19-01 nla percrankshaft date of manufacture IIAIW TCM MSB99-3C. AD 2000-23-21 NIA to crankshaft serial numberldate ofmanufacture IIAIW TCM MSBOO-5D. Engine assembled with new TCM heavy style crankcase PIN 656678, SINR11AA090. Installed new TCM nickeled cylinders. Cylinder hold-down nuts replaced and torqued per OverhaulManual Supplement. Installed new RAM/FAAIPMA fuel nozzles PIN 2562-14C. TCM Service Bulletin SB06-1ANIA per installation of RAM fuel nozzles. Installed new oil cooler PIN 8000545, SIN 1366257. Engine accessoriesexchanged for new or overhauled units with exception of vacuum pump which was not installed per this workorder. New Slick pressurized magnetos pIn 6320 installed per STC SE4651 SW-D and pressurized. ServiceBulletin SB3-08A NIA to magneto serial numbers installed. AD 88-25-04 para (b) NIA to PIN 6320 but RAMrecommends 100 hour or annual inspection of magnetos. MSB94:.8D on magneto timing procedure clw per timingto data plate TC degree requirements with TDC locator and protractor with pointer. Engine modified toTSIO-S20-R per Continental Service Bulletin M-75-6 Rev. 1. Installed RAM/FAAIPMA rocker arms PIN 1842-3and 1842-4. AD 98-01-08 NIA per installation of RAM/FAAIPMA rocker arms. AD 79-25-0(' P/CIW per enginemount leg PIN 643935 installed. Category 1 thru 3 TCM Service Bulletin Compliance Listing in RAM ManuaLAbove referenced engine eligible for 1600 hr. TBO per TCM SIL98-9 Rev. A, Note 4. AD 96-12-22 NIA Cessna oilfilter adapter not installed. Aluminum alloy engine parts were coated per RAM Specification No. 1142. installedRAM-FAA-PMA rocker arm covers PIN 2766-1. Installed RAM-FAA-PMA rocker arm cover gaskets PIN 1387-1.Engine ground run on test stand per RAM specifications for 4 hours. Engine run-in with Phillips 20W-50 Type Mmineral oit. See RAM Recommended Oil Grade Maintenance Tip MT-1 for recommended oils. Engine approvedfor return to service for the work performed. Engine preserved per Service Bulletin S/L99-1 temp. storage up to 90days. Pertinent details on file under proiey 5757. .

.. ~.

RAM Aircraft, Limited pak P.O. Box 521 g, Waco, Texas 76708 CRS VA 1R551 K

SUB-TOTALS this page

TOTALs-Garry forward to next page

P:l.gQ No. _

TACH ORRECORDING

METERTIME

TOTALTIME

INSERVICE

TOTALTIMESINCE

OVERHAUL

DESCRIPTION OF WORK PERFORMED-SIGNATURE & CERTIFICATE NO. OF PERSON PERFORMING WORK

DATE

48 Globe Ave., Texarkana, AR 71854

9-0ctoberber-2011 AlC T,T. 8899.0 TachN6225C, Cessna T210N SIN 21063837TSIO-520-R, SIN 278796-R, Engine TT 1440.7 SMOH 0.0 Page 1 of 1

1. Removed and replaced engine assembly and all accessories with overhauled engine and accessories including turbo charger, turbo oilsupply and return check valves, turbo controller, wastegate, alternator, starter, fuel injection system etc. (engine overhauled by RAMAircraft, for details see engine log book entry dated May zr", 2011). ' ,.

2. Engine equipped with Slick PIN 6320 pressurized magnetos, for additional details see FAA Form 337 this date.3. Repaired and painted engine baffling and replaced baffle seals as needed, repaired fuel drain lines, and heat shields etc. as needed.4. Removed and replaced complete exhaust system with new Knisley Welding modified exhaust system, as per STC Number

SA5012NM, and SE5009NM, PIN 1250860MA, (Inc. PIN K1250860-203 heat exchanger) see FAA fonn 337 this date for details.5. Removed and replaced all engine compartment fuel and oil hoses with new RAM Supplied hoses (Kit PIN 1449-4).6. Removed and replaced all engine shock mounts with new mounts.7. Removed and replaced propeller governor with overhauled governor, PIN C290D4U1T2.8. Removed and replaced engine induction air filter assembly with new filter assembly (Note: AD 84-26-02 Applies).9. Removed and replaced alternate air door magnetic latch with new latch assembly.10. Removed and replaced vacuum pump with overhauled vacuum pump (overhauled by Holly Aero).11. Engine was serviced and pre-oiled prior to initial start with Phillips 20W-50 Type "M" engine oil, engine fuel system was then

adjusted as per TCM SID97-3E. Engine was then checked for Oil, fuel and exhaust leaks, none noted. Engine operation normal at allpower settings.

I certify that this Engine has been inspected in accordance with a 100 Hour Inspection and was detennined to be in airworthy condition.~:~------::t=~-------------------------------------------

48 Globe Ave., Texarkana, AR 71854

9-Octoberber-2011 AlC T.T. 8899.0 TachN6225C, Cessna T210N SIN 21063837TSIO-520-R, SIN 278796-R, Engine TT 1440.7 SMOH 0.0 Page 1 of 1

I certify that this Engine has been inspected in accordance with an Annual Inspection and was found to be in airworthy condition.--------------------------------------END------------------------------------------------------

~.oA23 LA~ .B.West &P 30871421A Date 10-09-2011

;:'UD-IVI"L~ lfll~ lJay.,

TOTALS-Carry forward to next page

I.~ I----------~~~

Appnllll1g\;~;-'-'\-\-'i<-'l-li-l'-I'-' ---------------------------------1' -'S\';le;\] T,.acki:1~ R,'!". \, I..AUTHORIZED RELEASE CERTIFICATE

FAA Form 8130-3, AIRWORTHI:\ESS APPRO\'AL TAGKS 66062

RMA 36692075FAA;V\ITED STATES

Organiz.uion: Gi\R\~ 1\ lnrcmarional 12()(j E 151';1 Ol'\lhe. Cen ificare \n. G6XR582Y 5. Work Order COlllract!lllvnicc \umber:

RMA 36692075• ----.-~----- .•----.---- ••• _---_.- ----- •• ---.- 1 - - - ._---- -.----~ ~ ---.---- .-'-'--~--'--- _ •• _-._, '--~-----'--. -j-- --. --. __,__ . ._. ......1...-._._ ••.. ..._. . r-------------------·, -

I. hCIl1: I 7. Description: 18 Pan "umbel ; 9. Eligibility: • /IO. Quantity: II. Serial/Batch Number: ! 12. Status/Work:

I. ! Gl\:S430 __ ~~?_0280~_~_ i N/A --...L-. I 97101414 __. . LREPAIRED

13. REMARKS: Confirmed tbe.return issue. Repaired COli 10 COITCCt. pdated software to the latest version. Aligned unit for optimum performance. Unit passes all tests and is operating within normal limits. Unit acquired satellites. The Main andGI'S software's arc at the latest revision. This unit complies with Service Bulletins No. 9906. 9907. 990S. 0003. 0004.0007.0009. oou. 0014. 0016. 0020. 0021. 0022. 0105.0107.0116.0201. 0204. 0205. 0216, 1121S. 0334. 0308. 0309.0502.0515.0521.0706, and 0844. It is the responsibi lily or the Installer to verify that the installation complies with the previous listed Service Bulletins. If this unit is pan of a dual unit installation Gannin recommeuds that both units have the same software levels. It is theresponsibility of the installer to assess installation compatibility.This unit complies with MOD I per Garmin's Service Bulletin No. 0019This unit complies with MOD 3 per Garmin's Service Bulletin No. 0203B

This "Certifies that the work specitied in block 12/13 was canied out in accordance with EASA Pal1-145 and in respect 10 that work the component is ready for release to service under EASA Pan·145 Approval Number: EASA.145. 5534". The work that \VaS

performed on this unit was done to meet the requirements or all sections of the maintenance manual part number 190·00364-00 Rev- A]". Revision Date 9/9'2011.Thank You for Choosing Gannin' If you have any questions or COIlCI;!I11S please do not hesitate to contact our customer service department at 1-800-800-1020. Please view Garmin's web site at www.ganniu.com for any update or product information.

--------------------~.~----.

119. ~ 14 CFR 43.9 Return to Service 2Sl Other regulations specified in Block 13

Certifies that unless otherwise specified in block 13, the work identified in Block 12 and described inBlock 13 was accomplished in accordance with Title 14, code or Federal Regulations, part 43 and inrespect to that work, the items arc approved lor return to service.

14. Certifies the items identified above were manufactured in conformity to:

Approved design data and arc in condition for safe operation

Non-approved design data specified in block 131

-r-r--' -'- - .~.--.------~-- .--- .~~--P 6. Approval/Authorization No.: :20

?',/A L /I! /J--, ---,i--D-a-t-e-(I-;;'fd/Y) --122~~~A.A-tl4--n.i!.-4p'-lr;;-;t-~£-·- ~

_.'. -'" _~ ~ _...__ . ..__ .. Stephen _E~Abel~ . _

23. Oak (m/d/y)

I Dee 092011_ _.. ._L~_ .

Approval/Certificate No.:

G6XR582Y15. Authorized Signature

'J / A

17. ':'ame (Typed or Printed

'-JiA

User/Installer Responsibilities

It is important to understand that the existence or this Document alone does not automatically constitute authority to install the part/componcm/asscmblv.

Where lht.' U:-'L'! Ilbt;llkr performs work in accordance with thv ii:nioll<11 r(gul,lliPlb n . an ;1ir\\"ol1hiI1L':-;~authority di.Icrcru than the airworthiuc ,« aUihtlri!y or the counuy specified in block I Ii I.' L':.;:-.~nti;t1th:ltthe llst:r'll1~taikr ensures that his/her airwonhillcss authoruv accepts pal1s/c(llllpOIlCnb,aSscll\bIJt:~'rrnm the Airworthiness Autlu ..iritv of the COUIlt1y specified in block I.

Suucmcmx in block 14 and 19 do not constitute install.uion ccrtificauon In ;111cases. aircrali maintenance records i\111~1contain an installation eel ification issued in accordance with the national rl...'gultltinll:'bv the user installer bd,'rc the aircraft may be 11(1\\'11.

r."'A Form S 13(1·, (C)·tll) Computer Generated. GAR\11\ Il1Ielllal;nn,!\ 111e. P \ tl02·()()(J(J7-lIli Rev B

TACI-lORRECORDING

METERTIME

TOTALTIME

INSERVICE

TOTALTI~f-SIN'CE

OVERHAUL

DESCRIPTION OF WORK PERfORMED-SIGNATURE & CERTIFICATE NO. OF PERSON PERFORMING WORK

DATE

TOTALS brought forward from previous page

1-3-07 Tach time: 8684.8 Total time Propeller: 1154.2Inspected prop in accordance with applicable sections ofF AR 43 appendix D. I certifythis propeller has been inspected in accordance with an annY'Yil!S'pection and was foundto be in airworthy condition. David Bogan IA 455216543 ~ ~

I I 1_

1-8-08 N6225C

:i2=:e;;i:' ::;1::e~~o:~.~~~~~6i~:~7;:~::~~':I~~:~~~:~~r:;::~nBogan IA 4552 I:~4;~u ~ ~tl~;~as found to~be in airworthy condi~ion. David

~III-JtAVc,

ONfB'eonlrol!No.2-120 ..(1018O?13012007

I. A'ppro~niNatiorial'-Aviii:tion 12.AUlhority.1 Country;

FAAlUNJTED STATES06101-1

3. Fonn Tracking Number:AU'fH€)m~EJ)'~t;E~SE '(eBRT:l'FICAl'EFi'IA'·f0'!'1'~lj9·-3; ?'JR\y0J!.T~SN'rROy.i\L T;~O

M.EMPHIS'RR0PEUI!;ER'SERVioo, mc. P14R44 I'MB098 willow-Ridge Drive • OlivelBnmCh. Mississip'pi 38654

'5. Work Order/ConirnctiInvoice,No.4. 0rganizationiName and A:ddress:

6. hem: 7. .. Status/Work:~~igibiliJ)':•

Propeller PH€-J3¥F-I:RF Fl!818ANA Overhaul

t J. Remarks: .

i~erhauledPropelier Assembly In Accordance with FAA Approved Data. Full Details of Work Carried Gut Per Work Order #18580.

TSN: 1369.1 TSO: 0.0

'Blade Model: F7663D-2Q SIN: J06491, J16496, J16499

117.Namc~, .V 'or Printed): d.' , .22.' Name 'fIYiiCdo{Priirteil):"OO/~/~ Trong -Yu,0hief'Inspector

21. ApprovaVCenifitate No.:,P.14R44LM

2J. Dtitc'{nJdIy): .

Jun 10,2011

Wh~,tbc:,.user/j.ns1!iller.pen:on~,workrin,~o~iu:~e~~tl~:l¥;~j~~f~~ti~Rs~.o~aRLafrwol1_lii_~,:,au,tho~'r{~iffe~Pt,~~,n:l~:_it_invOi1N.I~'aulhori?, oflthc.coullt.~ s~ifi~ in ,Block I. it isessentiidltliaHbe"uSe#iiistaller,ehSures,ihat.l}ijslJ)e~~n,,()rihiness.'iutJi(jritY'acCe·PtSip3rlSlcOmpoIiditSl~liCs·fiOm{tlic'ailWOrtlUness authority of,hie country specifii:d1in:Block I.

SlaIemenlS,io ~Jocks'H ~(19 do-n,ol co~tirte!i~~p ~n. Ib'all.cilses. aircrafi:<mainlen:mc:e records'lTIlIst contain-aninstallmicn certification issued-in nccordauce wilMhenationa11regUlatiollSltiy:the1useilinstilllertieforc:·Uie ain:iaft' maY'.be fJowil.

••

TOTAL TOTAL TACH OR

DATE TIME TIME RECORDING DESCRIPTION OF WORK PERFORMED-IN SINCE METER SIGNATURE & CERTIFICATE NO. OF PERSON PERFORMING WORK

SERVICE OVERHAUL TIME.'-1.•..•..•..0..<- •• __ •• --

Texarkanat Aircraft~intenance LLC

48 Globe Ave., Texarkana, AR 71854

9-0ctoberber-2011 AlC T.T. 8899.0 TachN6225C, Cessna T210N. SIN 21063837 ~~mrt>/t O/fSOH#'*' Page 1 of 1

1. Removed and installed propeller after overhaul by Memphis Propeller Service.

I certify that this Propeller has been inspected in accordance with a 100 Hour Inspection and was determined to be in airworthy

condition. -:-~_ -- --------------------END---------------------------------- ,

& ---A&P 2678534 Date10-09-2011

I I I I

_._____.____.L._.__ J____ -'_______ L________._______ --------- _._--_ ... _- -- ----,-----------

Texarkana, Aircraft~intenance LLC

48 Globe Ave., Texarkana, AR 71854

9-Octoberber-2011 AlC T.T. 8899.0 Tach -,N6225C, Cessna T210N SIN 21063837 i

711 rfO/!J A • Page 1 of ~-, ..

I certify that this Propeller has been inspected in accordance with an Annual Inspection and was found to be in airworthy condition.----------------c-.------~------------------END----------------------------------------------clJ.'W::i =p,. v.J MP 3087142 IA 0""0-09-""

!

SUB-TOTALS this page

TOTALS-Carry forward to next page

Page No

'.

tlnittd .statu at ammcaBrparrmrnr or ~rQn.sporcgrion -.1tdcral gDQrion alimini.stnltion

~upplcmcntal 1:~pc Q:crtlfir9tc~~ SA4lllSW

I1- '.a: a'l'~c~, ~4'ud l<-

I

RAM Aircraft CorporationP.O. Box?219Waco, Texas 76708

~,t..:.u a..a/d,d4"Y" .•n d"~~~,,, / ••.../k~~'ny ~/..uoid £k~mdo~Mw.-ul ~~~~I

d,•.·eI{•.~~r,tdk_4'?t·n-udJ~~ .•~'_FHnu~?'%r/ 3 ""~ Civil Air!

.~~k'nJ

4,.J~~-·~&~~~, ~"

JkU.

3A21, A4CECessnaT210, T210G, T210H, T210J, T210K, T210L, T210M,T210N, TU206A, TU206B, TU206C, TU206D, TU206E,TU206F, TU206G, TP206A, TP206B, TP206C, TP206D,TP206E

Installation of Hartzell Model PHC-J3YF-1RF/F7663-2Q, or F7663D-2Q Propelleraccording to Drawing 21004, Revision E dated 6/3/85, or later FAA approvedrevision.

i

1J:m..La~..a.nd~~~,

See Continuation Sheet, pages 2 and 3, of this STC.t

~.-u4~'~Lk·~~~~./k./-u4fo~~~.m-#d.-nLd~i

~~~~'-'.Q/~~~~~~./k~-¥,-/kI

~~~j

g..u...,t'~:ig~.,t+-:I

March 20, 1980 ~_ ;14",..1:

April 10, 1980

Don P. WatsonManager, Aircraft Certification DivisionSOllthwest Region

A,!>, ailnalion of IIIis urlijicalt is pu"isllablt by a fi", of nol tJCutding II ,(}()(),or imprisonmtnl "01 tJCutdi"g 3ytars, or both.T/au "'"ifiu" _Y H "tuUfwnJ i" __ PIa wi,A FAR 21,47,

NOTICEWeight and balance or operating timiteticn changes shall be entered in the appropriate aircraft record. An alteration rnusr becompatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements.

8. Description 01 Work Accomplishe .(If more space is required. attach additional sheets. Identify with aircraft nationality and registration mark and date work comotetec.)

7/2- 2/0 c . N 022- S-C..

SiAD·1?'{ VPrCw.;mSic., .sA cj tp2b$ w.2$2 c: 2-t:;) 0 ( kE~. 1£5 \

-5\{ ST£ fV\ IN A e..~0 (.L. D f1:-rJ tE 'J.j l',H

::[NSTA L"~..,,D ~ ~ "-0 D RA w;N c- Li S'j

\> AI CD 4 (L-'D, \ '8?- o fC.. L t';, 'E.(L. Pt 0 '-

P 12.0 V6·0

6-l~c.-( 1'2...;- CAe.

CDNT,';1-0lJ\PG 'C..DAD Po 0:5

V W {,Ju:.{,

z..cA P' A N A L0i. ();:s s l-to \;\.J~

AJ or" E.x C--E GJ::> t5 0 °lo ();::::-G ~Jfif2..!iT

Uv ; 12-; t0G GD tV t==" 0 1:z.M S --r--o A ~ L\~: 1::S.- IB c.l--lftPi'.....

i.r0 ~i'QHT -+ bt\L,A-;JC,£.... C 4/l/\j(PE No~\ G:.D ; N Aie 72r30i<iJS.~ --------,--------'---------,...---

.'----------=-------

o Additional Sheets Are Attached

-(:T u·.S. GOVERNMENT PRINTING OFFICE: t991-66B-OIZ/60013

-.

1i.'l\\llU ~lUltll VI ti Ilit IW.I

f)cpartrncnr of 1:rul1Bportation --·-jfcderal 2l\)iation 9drniniBtmtion

~upplcmcntel 1tllPC ~crtifi(QtcSA966CE

r.r-JM/ C<''''';-0~at,.1..dA.a,..d.I-;. Horton STOL-CraftWellington Municipal AirportWellington, KS 67152

</:~ civil Air.74r'~n4< effective May 15, 1956, and

October 1, 1959.~'''%;,j-';n.a-l.~<.cI-.~/w-rf,dy:co<l'''v'Km?,..

.11"(.,,. !;;T'~'/

Paragraph 3.112 as amended

3A21Cessna210G, T~10G, 210H, T210H, 210J, T210J210K, TL10K, 210L~ T210L, 210M, T210M:210N, T~lON.and PLION

lristallation of leading edge cuffs, dreap tips, aileron gap seals, andstall fences, per STOL-Craft Drawing L.'.:;;tNo. 3 with FAA approval d ateof November 8, 1973, or later; and Drm,ing List No.3 with an FAAapproval date of April 30, 1986, for 2~OL, T210L, 210M, T210M, 210N andT210N modified by STC SA760NW; and Dr av ing List No.3 with an FAA

. (See Cc~tinuation Sheet).£!ml:lnh:o.n.d/ ..a/nAf(%~Uffnk 1. Airplane Flight Manual Supplement datedApril 25, 1980, is required for 210N/T~10N airplanes, Serial Number21062955 and up, and Airplane Flight Manual Supplement dated April 20,1982, is required for p210N airplanes, Serial Number P21000151 and upwhen this modification is installed.2. Airplane Flight Manual Supplement dated April 25, 1980, revisedOctober 5, 1988, is required equipment for 210/T210 airplanesar: (See .Continuation Sheet)

,.':a~'.CM'(~c.'k.,.<M1.d·(/{¢.utI';7.o? ../t.nrd,(<I·-,d,~:CI:'.(d/~'&~l4UJ0;"'.aj0'1'01~.4//..a.II/1'M7UU/IVM-I/#A:;:.U/n/.dAU/1"-

'" ,"

to

October 23, 1973 May 25, 1977

"'In} ai/era/loll 0)' lhls cer/ifzCll/e Is 1J/l/lIsltable b), a line 6/ nol fxu·/.'f!II/.~ $I,GOO, or ImprisOlllllW/ no/ exceeding 3years, or both.

October 23, 1973 !./~/(~·a"I/",,<4-f 5/25/78,4/25/80,2/8/82,

,:~{ya:.1<e/rMV</'1/u/4j2;~!31j~3 ~ ~ ~ ~ / 9 ~ 0 1 6 188 ,

B"",...od -K. ~<v' L(j . ' (sifMtUT

<f') Lawr e.tce A, Her ron, Managerwichi~a Aircraft Certification Office---- ...----------------

( 'lulc )

1 rus cert ificat» IIIny bt transferred in accordance with FAR 2/.17.

~nlttd ~tottS or amrrico

J1;cpartment or 'arranBportucion-- jfcduJ! £lDiJtion :administratIon

~upplemental1:llpe Q:ertificate(Q:ontinugNon ~heet)

Description of Type Design Change, Co nt. inued :approval date of October 6, 1988, for )lON, T210N and P210N is requiredfor installation of de-ieer boots over the leading edge cuffs.

Limitations and Conditions, Continued:2. (Continued) previously equipped with de-leer boots.3. Airplane Flight Manual Supplement dated April 20, 1982, revised toOctober 4, 1988, is required eqllipment for P210N airplanes previouslyequipped with de-icer boots.4. 210N, P210N, and T210N airplanes are eligible for installation ofde-icer boots over the leading edge cuffs providing the airplane hasthe factory installed provisions for de-i~ing.5. T210N airplanes previously modifl~rl by STC SA760NW are eligible forthis modification.6. 210K, T210K, 210L, rr210L, 210M and rr210M a.ir pLan es previouslymodified by STC SA1202CE are eligjble ~or this modification.7. This approval should not be extended to other specific airplanes ofthese models on which ottler previously a~proved modifications areincorporated, unless it is determined;::hat thei.nterrelationshipbetween this change and any of those o~her previously approvedmodifications will introduce no adverse effect upon the airworthinessof those airplanes.

~11lJ alteration 4 this w/ificilte is 1)l).nlfh~hlt by a fine oj nol tX(errillig S !/)(jO, or III/!lfI,IOl/l/itl/lrl01 exceeding 3 years, or both,ro'AI\ ~()RM DIIO.?·I Ilo.n9) I'll's wllji((IIII/1~Y lit u ansfared fn accordance uiitl; FAR 21.17.

PAGE2 OF :2 P'AGf:S' April 17, 1992

e Form Approved

MAJOR REPAIR AND ALTERATION OMB No. 21,20-0020

US Deportment(Airframe, Powerplant, Propeller, or Appliance) For FAA Use Only

or TronsportOhonOffice Identification

~1"YIatIonAdministration

INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B, aad AC 43.9-1 (or subsequent revision thereof) for instructionsand dispositionof this form. This report is required by law (49 U.S.C. 1421).F~,ii*e to report can result in a civil penalty not to exceed $1,000for each such Violation (Section 901 Federal Aviation Act of 1958)..-, .

Make Model

I. AircraftCessna T210N

Serial No. Nationality and Registration Mark

21063837 N6225CName (As shown on registration certificate) Address (As shown on registration certificate)EZ Aviation, Inc. 16950 Dallas Parkway

1. Owner Suite 105Dallas, TX 75248

3. For FAA Use Only -

,

4. Unit Identification 5. Type

Unit Make Model Serial No. Repair Alteration

IIRFRAME ##. "### "##"# ",-co"", (As described in Item 1 above) ",","# •• ,"" "#",,"XX

'OWERPLANT

'ROPELLER

Type

IPPLIANCEManufacturer

'..."

6. Conformity Statem.ent

\. Agency's Name and Address B. Kind of Agency C. Certificate No.

Alvin Janzen y u.s. Certificated Mechanic A&P 513402783P.o. Box 356 Foreign Certificated Mechanic

Oxford, KS 67119 Certificated Repair Station

Manufacturer

D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments heretohave been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the informationfurnished herein is true and correct to the best of my knowledge.

)ate Sig'rJfl'h<l!!."d"Q"November 9, 1992~ f~'A

7. Approva('or Return To Servic~/ \Pursuant to the authority given persons specified below, the unit identified in ite~ 4 was inspe~ted in ihe manner prescribed by theAdministrator of the Federal Aviation Administration and is XI APPROVED o REJECTED

FAA FIt. Standards Inspection AuthorizationOther (Specify)

Inspector Manufacturer X3Y

FAA Designee Repair Station Person Approved by TransportCanada Airworthiness Group

)ate of Approval or Rejection Certificate or S~:'oO::;'id~~, .. 1,Designation No. ,0P/glCJ .

)November 9. 199~

, '.' . >, t·,';' '.. '.: . . [)iT)H1~(jtl1eE' O'JJ!f11j i ,,::";'':'. . .•. ...•~.-.-

Weight end belence q[ q'/11U1~flllg)(rtu'(:<ttr-t;n chahgei'S'rff1/7l'i'e·1inte"edJftrh~+I(JiJ/b:1iJ.&JJ~~;1};/;J&d. An alteration mustoecompatible withaITprevi0Lf.s .a/fer.qljp(J$.toass.ure-oontinued·confo·th:iitY w.,itt/ tt/ea.epli'l.a.ble,ai('VII:&tfJ.~neS8·req'tiirements .

. ...,....' .-.-"' ~":''''.>'.'<'. -,: '+"'-'~\ .. ' I V't'~·1::~·~'\~:j ilj.<·.·~··,.1· ~~{.~ .' ;'~{":I;I.~:....,," < " I~'

B. uasortnuon 01 Work Accomplished(If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.),

. " . :'. .i' .

1. R.emovedDe.;,.ice \Boot!;. deitriti~ated' switch' and: marked INOP.2. J;ngCalled .HOO:'ton'STOL-Kie.kit serial number 4990, in 3;ccordance with drawing 2()53

Sheet: 1. approved by STC# SA966CE. :', -' .'3. Flight Manuel Supplement: placed i.nFlight HanueL ' . +v :»

4. Weight: & Balance & Equi'Pment list 511pdat'ed.·:;:'-:·'·; . C ."

•••••••••••• ~~ ••• _ •• _ •••••••••••• ' ••• THE END ••••••••••••••..•••••..•••••.•...•••••••••••••••••

r '... \:,..•..

.,. •...~: v i !~ '

, '" .. ' ~ .,-.

o Additional Sheets Are Attached