· year: dat e recordin g tac h tim e today' s fligh t tota l tim e i n servic e descriptio n...

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Page 1:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit
Page 2:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

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el

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al of

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ufac

ture

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gist

rati

on

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mb

er

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engi

ne'*

' cu

rre

ntl

y in

sta

lle

d:

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ufac

ture

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Page 3:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

YE

AR

:

DA

TE

RE

CO

RD

ING

TA

CH

T

IME

TO

DA

Y'S

F

LIG

HT

TO

TA

L T

IME

IN

S

ER

VIC

E

Desc

ript

ion

of

insp

ecti

ons.

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ts,

Rep

airs

and

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erat

ions

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ntrie

s m

ust b

e en

dors

ed w

ith N

ame,

Rat

ing

and

Cer

tific

ate

Num

ber o

f Tec

hnic

ian

or R

epai

r Fa

cility

. (S

ee b

ack

page

s fo

r oth

er s

peci

fic e

ntrie

s.)

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n im

rui

n u^

ur

TC

CT

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n rr

cn r

uie

» n

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KA

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l ru

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THIS

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Page 4:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

Ve

AB

:

DATE

RE

CO

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ING

TA

CH

T

IME

TOD

AY

'S

FLIG

HT

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IME

IN

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VIC

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Des

crip

tio

n of

in

spe

ctio

ns,

Tes

ts,

Rep

airs

and

Alt

era

tio

ns

Entri

es m

ust b

e en

dors

ed w

ith N

ame,

Rat

ing

and

Certi

ficat

e Nu

mbe

r of T

echn

icia

n or

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air

Faci

lity.

(See

bac

k pa

ges

for o

ther

spe

cific

ent

ries.

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tlon

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Page 5:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

RE

CO

RD

ING

T

AC

H

TIM

E

TO

DA

Y'S

FL

IGH

T TO

TAL

TIM

E IN

S

ER

VIC

E

Des

crip

tion

of

insp

ecti

ons,

Tes

ts,

Rep

airs

and

Ait

erat

ions

En

tries m

ust b

e end

orsed

with

Nam

e, Ra

ting a

nd C

ertific

ate N

umbe

r of T

echn

ician

or R

epair

Fa

cility.

(See

back

page

s for

other

spec

ific e

ntries

.)

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ify th

at the

altim

eter

tested

to Z

£j^!

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2.

feet o

n / •^

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Stat

ic Sy

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T

quire

d FXK

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IVans

poi de

r hav

e been

perf

ormed

MOOh

teV A

IRPLA

NE C

OM; V

TCli

raiulK

d by

FAK

91.411

have

been

perfo

rmed

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ONEY

AHtP

LANE

COI

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C2A3

TC

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I cert

ify

tests

req t

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ei for

med,

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he ilre

d by

encod

ing a

ltkme

ter

AR 91

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Airw

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Page 6:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

REC

OB

DIN

G

TOD

AY'

S

FLIG

HT

TOTA

L TI

ME

IN

SER

VICE

Desc

ript

ion

of

Insp

ecti

ons,

Tes

ts,

Rep

airs

and

Alt

erat

ions

TA

CH

TIM

E

TOD

AY'

S

FLIG

HT

TOTA

L TI

ME

IN

SER

VICE

En

tries

mus

t be

endo

rsed

with

Nam

e, R

atin

g an

d Ce

rtific

ate

Num

ber o

f Tec

hnic

ian

or R

epai

r TA

CH

TIM

E

TOTA

L TI

ME

IN

SER

VICE

Fa

cilit

y. (S

ee b

ack

page

s fo

r oth

er s

peci

fic e

ntrie

s.)

PATE

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Sn

r. 1

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Page 7:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

YEA

DAT

Hen

ry W

eber

Air

craf

t D

istr

ibut

ors,

Inc

. M

aint

enan

ce R

elea

se

xj^

oi i

^^xr

N

381K

H

27-0

345

July

28,

200

6 A

irfra

me

Logb

ook

Hob

bs:

87.1

Tigh

tene

d le

ft fla

p at

tach

har

dwar

e. C

lean

ed a

nd p

aint

ed b

oth

elev

a­to

r hor

ns.

App

lied

anti-

chaf

e ta

pe to

gea

r doo

rs a

nd ta

il co

ver

plat

es

as n

eede

d. R

epai

red

stat

ic w

ick

atta

ch p

oint

on

left

aile

ron.

Per

­fo

rmed

gea

r ret

ract

ion

test

to c

heck

doo

rs a

nd g

ear w

arni

ng s

yste

m.

—E

ND

ions

r of T

echn

ician

or R

epair

The

air

craf

t id

entif

ied

abov

e w

as r

epai

red

and

insp

ecte

d in

acc

orda

nce w

ith c

urre

nt

regu

latio

ns o

f the

Fed

eral

Avi

atio

n A

dmin

istr

atio

n an

d is

app

rove

d fo

r re

turn

to se

rvic

e.

Pert

inen

t det

ails

of t

he r

epai

r ar

e on

file

at t

his

repa

ir s

tatio

n un

der

Ord

er N

o:

1418

9

Insp

ecto

r:

Sert

ified

Rep

air

Stat

ion

No:

D

Y1R

103K

Dat

e:

July

28,

200

6 D

avid

A. C

ox

500-

B A

irpo

rt R

oad,

Lan

cast

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A 1

7543

Page 8:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

RE

CO

RD

ING

T

AC

H

TIM

E

TO

DA

Y'S

F

LIG

HT

N#:

381K

H

WO

#: A

06-I

346

DA

TE: 8

/21/

2006

mvi

rgin

ia

Avi

atio

n FA

A R

EPA

IR S

TA.

#RSU

R80

4H

VA

RS-

H5

ons

of T

echn

ician

or R

epair

Per

form

ed G

arm

in S

oftw

are

Ser

vice

Bul

letin

No.

061

0 R

ev.

A.

Tfie

G10

00 S

yste

m S

oftw

are

is n

ow u

pgra

ded

to V

ersi

on

0424

.13.

Sign

atur

e

V

Plea

se a

ffix

to

^Our

air

craf

t/eng

ine

log

book

.

Page 9:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

YE

AR

:

DA

TE

RE

CO

RD

ING

T

AC

H

TIM

E

TO

Di

FU

G

HHVi

rginia

Av

iation

FA

A RE

PAIR

STA

. #R

SUR8

04H

VARS

-115

N#: 3

81KH

WO

#: M0

6-102

197

DATE

: 8/23

/2006

HO

BBS:

93.0

TTAF

: 93.0

Se

rviced

tires,

batte

ry, &

brake

reser

voir.

C/W E

LT in

specti

on i/a/

w FA

R 91

.207 -

Ameri

-King

Corp

. Mod

el AK

-450 S

/N 47

5704

Ba

ttery

Exp.

3-201

0. All

abov

e work

done

in con

juncti

on wit

h an

annual

inspe

ction

. 1 ce

rtify t

hat th

is air

craft

has be

en ins

pected

in

accord

ance w

ith an

annu

al ins

pectio

n and

was d

eterm

ined t

o be i

n air

worth

y con

dition

. End

. Sig

nature

: X7

T.V

Please

affix

to yo

ur air

craft/e

ngine

logb

ook.

ration

s mb

er of

Tech

nician

or R

epair

Page 10:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

YE

AR

:

DA

TE

RE

CO

RD

ING

T

AC

H

TIM

E

TO

DA

Y'S

F

LIG

HT

TO

TA

L T

IME I

N

SE

RV

ICE

De

scri

pti

on

of

Insp

ecti

ons,

Tes

ts,

Re

pa

irs

an

d A

lte

rati

on

s E

ntrie

s m

ust

be e

ndor

sed

witt

i Nam

e, R

atin

g an

d C

ertif

icat

e N

umbe

r of

Tec

finic

ian

or R

epai

r Fa

cilit

y. (

See

bac

k pa

ges

for

ottie

r sp

ecifi

c en

trie

s.)

Hagerstown

Aircraft

Serv

ices

, Inc.

Cert

ifie

d Re

pair

St

atio

n: CR

S H5

GRO5

O0

1423

5 Oak Spr

ings

Ro

ad,

Hage

rsto

wn, MD

217

42

(301

) 73

3-76

04

DATE

12

/08

/06

HOBBS

1

23

.5 ACTT

12 3.

5 W/0#

0

61

24

80

H# 3

81KH

MAKE

MOONEY

MODEL M

2 0M

S/N 27

-034

5

C/W

Moon

ey S/B M20

-292 by t

orqu

e ch

ecki

ng up

per LH s RH e

ng.

moun

t bo

lts 8

fire

wall

. Mo

unti

ng ha

rdwa

re re

plac

emen

t due 8 n

ext

annu

al

with

in

lOOh

r. C/W M

oony SB M20

-291

A by

corr

ecti

ng pi

n or

ient

atio

n on F

lap

Comp

ensa

tion

Ca

ble

Conn

ecto

r & p

erfo

rmin

g op

s.

chec

k. Cl

eane

d LH f

uel

drai

n va

lve

in LH win

g. Th

is

airc

raft

is

appr

oved

for

retu

rn t

o

serv

ice

in

resp

ect

to wor

k pe

rfor

med.

All wo

rk was

perf

orme

d I/

A/W

manu

fact

urer

's

main

tena

nce

manu

als

and

curr

ent

fede

ral

avia

tion

re

gula

tion

s. See ab

ove

work

or

der

for

furt

her

deta

ils.

sign

ed

Hage

rsto

wn

Airc

raft

Se

rvic

e!/

Inc

Hage

rsto

wn, MD

217

42

FAA

Appr

oved

Re

pair

St

atio

n H5

GR05

00

Page 11:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

YE

AR

: R

EC

OR

DIN

G

TAC

H TI

ME

TOD

AY

'S

FLIG

HT

TOTA

L TI

ME

IN

SE

RV

ICE

Des

crip

tion

of i

nspe

ctio

ns, T

ests

, Rep

airs

and

Ait

erat

ions

E

ntrie

s m

ust

be e

ndor

sed

with

Nam

e, R

atin

g an

d C

ertif

icat

e N

umbe

r of

Tec

hnic

ian

or R

epai

r Fa

cilit

y. (

See

bac

k pa

ges

for o

fher

spe

cific

ent

ries.

)

N#:

381

KH

W

O#:

A07

-101

3 D

AT

E:

01/1

1/20

07

mvi

rain

ia

Avi

atio

n FA

A R

EPA

IR S

TA

. #R

SUR

804H

V

AR

S-11

5

Per

form

ed G

arm

in S

oftw

are

Ser

vice

Bul

letin

#05

33 a

nd

uplo

aded

new

mag

netic

ref

eren

ce f

ile to

the

G10

00 A

HR

S.

The

G10

00 s

yste

m r

amp

chec

ked

Sign

atur

e:

Ple

ase

affix

mjy

oui a

ircr

aft/e

ngin

e lo

ff bo

ok.

id.

End

.

Page 12:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

veA

B:

DATE

RE

CO

RD

ING

TA

CH

T

IME

TOD

AY

'S

FLIG

HT

TOTA

L T

IME

IN

SER

VIC

E

Desc

ript

ion

of

Insp

ecti

ons,

Tes

ts,

Rep

airs

and

Alt

erat

ions

E

ntrie

s m

ust b

e en

dors

ed w

ith N

ame,

Rat

ing

and

Cer

tific

ate

Num

ber o

f Tec

hnic

ian

or R

epai

r Fa

cility

. (S

ee b

ack

page

s fo

r oth

er s

peci

fic e

ntrie

s.)

N#: 3

81KH

WO

#: M0

7-102

140

DATE

: 1/26

/2007

HO

BBS:

190.9

VA

Vir

gini

a Av

iation

FA

A RE

PAIR

STA

. #R

SUR8

04H

VARS

-115

Comp

lied w

ith M

ooney

SB M

20-29

2 by u

sing K

it# M

20-29

2-002

. Ad

justed

L/H

wing

fuel c

ap and

repla

ced o-

ring P

/N MS

2951

3-338

. En

d. ^

\ Sig

nature

: /1

^-^

' -

Please

affix

to yo

ur air

craft/e

ngine

logb

ook. 4 /

V^

Page 13:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

YEA

R:

DA

TE

RE

CO

RD

ING

T

AC

H

TIM

E

TOD

AY

'S

FLIG

HT

N#:

381

KH

W

O#:

A07

-132

7 D

ATE

: 09

/11/

2007

iVir

gini

a A

viat

ion

FAA

REP

AIR

STA

. #R

SUR

804H

V

AR

S-13

0 T

AC

H:

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rfor

med

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alib

ratio

n i/a

/w G

arm

in in

stru

ctio

ns

P/N

19

0-00

303-

82.

1 ce

rtify

tha

t the

sta

tic s

yste

m, a

ltim

eter

sys

tem

, an

d th

e au

tom

atic

pre

ssur

e al

titud

e re

port

ing

syst

em t

est r

equi

red

by

the

FAR

91.

411

have

bee

n pe

rfor

med

in

acco

rdto

iee

with

A

ppen

dix

E o

f FA

R 4

3 an

d cu

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ulat

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of t

he F

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al

Avi

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dmin

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d th

e ai

rcra

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app

rove

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r re

turn

t^s

c^^e

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he a

ltim

eter

wre

sted

to

30,0

00 f

eet.

Sign

atur

eSv^

^

.

Plea

se a

ffix

to'

y your

air

craf

t/eng

in^

log

book

.

ins

of T

echn

icia

n or

Rep

air

Page 14:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

VE

AR

:

DA

TE

RE

CO

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T

AC

H

TIM

E

TO

DA

Y'S

F

LIG

HT

mvirg

inia

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tion

N#: 3

81KH

WO

#: A0

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7 DA

TE: 0

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007

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: 207

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onde

r Mod

el GT

X33 S

/N# 8

47

01

44

8 FAA

REPA

IR ST

A. #R

SUR8

04H

VARS

-131

1 cert

ify th

at the

abov

e tran

spond

er wa

s give

n a bi

ennia

l ch

eck as

requ

ired b

y FAR

91.41

3 in a

ccord

ance

with

Appe

ndix^

of F

AR 4

3 and

curre

nt Re

gulat

ions o

f the

Fede

ral

to ser

vide.

En

Signat

urel^

Admi

nistra

tion a

nd is

^pro

ved

for re

turn

ns

)f T

echn

icia

n or

Rep

air

Page 15:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

RE

CO

RD

ING

T

AC

H

TIM

E

TO

DA

Y'S

F

LIG

HT

mvirg

ima

Aviat

ion

FAA

REPA

IR ST

A. #R

SUR8

04H

VARS

-115

N#: 3

81KH

WO

#: M0

7-101

728

DATE

: 9/14

/2007

HOBB

S: 20

7.1

TTAF

: 207

.1 Se

rviced

tires,

batte

ry, &

brake

reser

voir.

C/W E

LT in

specti

on i/a/

w FA

R 91

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Ame

ri-Ki

ng AK

-450 S

/N 47

5704

Batt

ery E

xp.

3-201

0. AD

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ff. 4-9

-07) P

CW by

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ney SB

M20

-29

2A us

ing K

it# M

20-29

2-002

- one

time o

nly. A

D 06

-24-07

(Eff.

1 -3-0

7) N/

A by

no re

pair- o

ne tim

e only

. R&R

L/H

and R

/H ma

in wh

eel an

d nose

whee

l bear

ings a

nd rac

es. R

&R L/

H and

R/H

fuel

cap or

ings P

/N MS

2951

3-338

. R&R

L/H

wing

fuel s

ump d

rain P

/N F3

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R R/H

main

tire w

ith a

new pa

rt. Ad

justed

nose

gear p

reload

i/a/w

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ey Ma

intena

nce M

anual.

All a

bove

work

done

in con

juncti

on wit

h an a

nnual

inspe

ction

. 1 ce

rtify t

hat th

is air

craft

has be

en ins

pected

in ac

cordan

ce wi

th an

annual

inspe

ction

and w

as det

ermiM

d to b

e in a

irwort

hy con

dition

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. Sig

nature

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ase af

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air

Page 16:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

YE

AR

:

DA

TE

RE

CO

RD

ING

T

AC

H

TIM

E

TO

DA

Y'S

F

LIG

HT

TO

TA

L T

IME

IN

S

ER

VIC

E

Desc

ript

ion

of

insp

ecti

ons,

Tes

ts,

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airs

and

Ait

erat

ions

E

ntrie

s m

ust b

e en

dors

ed w

ith N

ame,

Rat

ing

and

Cer

tific

ate

Num

ber o

f Tec

hnic

ian

or R

epai

r Fa

cility

. (S

ee b

ack

page

s fo

r oth

er s

peci

fic e

ntrie

s.)

N#:

38

1KH

W

O#:

M07

-200

009

DA

TE

: 10

/19/

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OB

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irgin

ia

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A R

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TA

. #R

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AR

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ain

t>

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ith a

new

par

t. E

nd.

- V

^

^ 0

^

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se a

ffix

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you^

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aft/

pngi

ne l

ogbo

ok.

Page 17:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

YE

AR

:

DA

TE

RE

CO

RD

ING

T

AC

H

TIM

E

TO

DA

Y'S

F

LIG

HT

TO

TA

L T

IME

IN

S

ER

VIC

E

Des

crip

tion

of

insp

ec

tio

ns,

Tes

ts,

Re

pa

irs

an

d A

lte

rati

on

s E

ntrie

s m

ust

be e

ndor

sed

with

Nam

e, R

atin

g an

d C

ertif

icat

e N

umbe

r of

Tec

hnic

ian

or R

epai

r Fa

ciiit

y. (

See

bac

k pa

ges

for

othe

r sp

ecifi

c en

trie

s.)

u

It S

A

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Page 18:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

inic

ian

or R

epai

r

YE

AR

:

DA

TE

RE

CO

RD

ING

T

AC

H

TIM

E

TO

DA

Y'S

F

LIG

HT

TO

TA

L T

IME

IN

S

ER

VIC

E

Desc

ript

ion

of

insp

ecti

ons,

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ts,

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airs

and

Alt

erat

ions

E

ntrie

s m

ust b

e en

dors

ed w

ith N

ame,

Rat

ing

and

Cer

tific

ate

Num

ber o

f Tec

hnic

ian

or R

epai

r Fa

cility

. (S

ee b

ack

page

s fo

r oth

er s

peci

fic e

ntrie

s.)

N38

1KH

D

ate

09-0

5-08

Ta

eh:

313.

3 Pe

rfor

med

Ann

ual I

nspe

ctio

n. I

nsta

lled

new

gas

cap

sea

ls F

N

MS2

9513

-338

.. In

spec

ted

EL

T in

acc

orda

nee

with

FA

R 9

1.20

7 EL

T ne

xt d

ue M

AR

CH

201

0. A

O's

com

plie

d w

ith th

roug

h 20

08-1

6. I

cer

tify

this

airc

raft

has

been

insp

ecte

d in

aec

orda

nce

with

FA

R43

App

D a

nnua

l in

spec

tion

and

foun

d ai

rwor

thy.

LUH

TEC

H I

NC

.

:

Page 19:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

LA

ND

MA

RK

A

VI

AT

IO

N

Main

tena

nce

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rd

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oke

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nal A

irpor

t * 22

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point

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e NW

Roa

noke

, VA

2401

2 ~

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ir Stat

ion P

IYR3

20K

Dat

e:

8/7/

2009

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: 38

1KH

S/

N:

2703

45

HM:

410

AC

TT:

Page

1 o

f 1

Avi

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s

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oved

ttie

trans

pond

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nten

na P

/N C

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S/N

117

76 an

d In

stalle

d ne

w c

usto

mer

sup

plied

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/N 4

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ted

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. Gar

min

G-

1000

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P/N

190

-009

07-0

0 Re

v. B

Sept

. 200

8 an

d als

o m

eets

ttie

requ

irem

ents

of F

AR 4

3 Ap

pend

ix f.

GND

test

ok.

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feren

ce to

ttie

work

abov

e, th

is air

craft w

as fo

und

In A

irwor

thy

cond

ition

and

is ap

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ce.

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pt o

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at th

is re

pair

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der W

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rder

Num

ber A

26-0

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Date:

8/7/

2009

A

CH

:

Page 20:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

I

Page

1 of

1 [

Garm

in G-

YEA

B!

DATE

RE

CO

RD

ING

T

AC

H

TIM

E

TO

DA

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FL

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E IN

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crip

tion

of

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ons,

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ts,

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pa

irs

an

d A

iter

atio

ns

Entrie

s mus

t be e

ndors

ed w

ith N

ame,

Ratin

g and

Cert

ificate

Num

ber o

f Tec

hnicia

n or'R

epair

Fa

ciiity.

(See

back

page

s for

other

spec

ific e

ntries

.)

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ate

09-2

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ch:

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nsta

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P/N

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N

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AR

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Page 21:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

YE

AR

:

DA

TE

RE

CO

RD

ING

WV

CH

T

IME

TO

DA

Y'S

F

LIG

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TO

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rip

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n o

f in

sp

ec

tio

ns

, T

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ntri

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with

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me

, R

atin

g a

nd

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mb

er

of T

echn

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n o

r R

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acili

ty.

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bac

k p

ag

es

for

othe

r sp

ecifi

c en

trie

s.)

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Page 22:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

1. A

ppro

ving

Nst

iona

l Av

iati

on

luth

orit

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ount

ry:

.. FA

A/U

tiit

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TH

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: P

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ter

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irwor

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ess

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rova

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terie

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app

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not

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riti

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sted

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aint

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Page 29:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

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Page 30:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

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Page 38:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

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Page 39:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

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ms

iden

tifie

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ove

wer

e m

anuf

actu

red

in c

onfo

rmit

y to

:

• Ap

proV

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n da

ta a

nd a

re i

n a

cond

itio

n fo

r sa

fe o

per

ati^

nr^

1 1

Non

-app

rove

d de

sign

dat

a sp

ecifi

ed i

n B

lock

13.

19.

IE!

14 C

FR 4

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urn

to

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ice

• O

ther

reg

ulat

ion

spec

ified

in

Blo

ck 1

3

Cer

tifie

s th

at u

nles

s ot

herw

ise

spec

ified

in

bloc

k 13

, tbe

wor

k id

enti

fied

in B

lock

12

and

desc

ribe

d in

Blo

ck 1

3 w

as a

ccom

plis

hed

in a

ccor

danc

e w

ith

Titl

e 14

, Cod

e of

Fe

dera

l R

egul

atio

ns,

part

43

and

in r

espe

ct t

o th

at w

ork,

the

item

s ar

e ap

prov

ed

for

retu

rn t

o se

rvic

e.

15. A

uth

oriz

ed S

igna

ture

: ^

X-

. 16

. App

rova

l/Au

thor

izat

ion

No.

: 20

. Au

thor

ized

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natu

re:

21. A

ppro

val/

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tific

ate

No.

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me^

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. Dat

e (m

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^^^^

^^^^

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ame

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r Pr

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j D

avid

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23

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e (m

/d/y

): M

ay/2

2/20

13

Use

r/In

stal

ler

Res

pons

ibil

itie

s It

is

impo

rtan

t to

unde

rsta

nd t

hat

the

exis

tenc

e of

thi

s do

cum

ent

alon

e do

es n

ot a

utom

atic

ally

con

stit

ute

auth

orit

y to

ins

tall

the

part

/com

pone

nt/a

ssem

bly.

Wh

ere

the

user

/ins

talle

r pe

rfor

ms

wor

k in

acc

orda

nce

wit

h th

e na

tion

al r

egul

atio

ns o

f an

airw

orth

ines

s au

thor

ity

diffe

rent

tha

n th

e ai

rwor

thin

ess

auth

orit

y of

the

cou

ntry

spe

cifie

d in

B

lock

1, i

t is

esse

ntia

l th

at t

he u

ser/

inst

alle

r en

sure

s th

at h

is/h

er a

irw

orth

ines

s au

thor

ity

acce

pts

part

s/co

mpo

nent

s/as

sem

blie

s fr

om t

he a

irw

orth

ines

s au

thor

ity

of t

he c

ount

ry s

peci

fied

in B

lock

l.

Stat

emen

ts i

n B

lock

s 14

and

19

do n

ot c

onst

itut

e in

stal

lati

on c

erti

ficat

ion.

In

all c

ases

, air

craf

t m

aint

enan

ce r

ecor

ds m

ust c

onta

in a

n in

stal

lati

on c

erti

ficat

ion

issu

ed i

n ac

cord

ance

wit

h th

e na

tion

al r

egul

atio

ns b

y th

e us

er/i

nsta

ller

befo

re t

he a

ircr

aft

may

be

flow

n.

j

FA

A Fo

rm 8

130-

3 (6

-01

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nsta

ller

mus

t cro

ss-c

heck

el

igib

ilit

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ith

appl

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echn

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dat

a.

NS

N:

0052

-00-

012-

9005

Page 42:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

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en i

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und

safe

for

the

inte

nded

flig

ht i

n ac

dord

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w

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he S

peci

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light

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mit

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Page 43:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

YEA

DAT

ROYA

U R

oyal

Air

craf

t S

ervi

ces,

LL

C

1833

5 A

irpa

rk R

d.

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erst

own,

MD

21

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301-

791-

3642

-

FA

X:

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C

RS

JZR

R65

1K

in o

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air

Date:

6/19

/2014

Ta

ch: 8

08.2

N381

KH

Moon

ey M2

0M

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7-034

5 Re

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eller

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auley

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32C4

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n: 04

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) and

engin

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comi

ng T

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/n: L

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) due

to pro

p stri

ke. S

ent e

ngine

to C

olumb

ia Ai

rcraft

Serv

ices f

or pro

p stri

ke ins

pecti

on an

d rep

air. I

nstall

ed en

gine (

s/n: L

-1207

9-61 A

) in a

ccorda

nce w

ith

Moon

ey Ma

inten

ance

Manu

al. S

ent p

ropell

er to

East

Coast

Prop

eller

Servi

ces fo

r rep

air an

d ins

talled

prop

eller

(s/n:

0411

49) a

fter r

epair

s com

pleted

. Jack

ed air

craft,

remov

ed no

se lan

ding g

ear as

sembly

. Disa

ssemb

led n

ose ge

ar an

d insp

ected

. Rep

laced

3 sho

ck mo

unts

on

nose

gear

p/n: J

1196

8-14.

Reins

talled

nose

gear

assem

bly an

d cyc

led ge

ar. R

emov

ed air

craft

from

jacks

. All w

ork co

mplet

ed in

accord

ance

with

Moon

ey Ma

inten

ance

and P

arts M

anua

ls.

Trou

blesho

t and

repa

ired o

il pres

sure i

ndica

tion b

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airing

cold

solde

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s at c

anno

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g to

transd

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Run

-up an

d leak

check

foun

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isfact

ory.

The m

ainten

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identi

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abov

e was

comp

leted

in acc

ordan

ce wi

th the

curre

nt reg

ulatio

ns of

the F

A A an

d is a

pprov

ed for

retur

n to s

ervice

. Pert

inent

detai

ls of

the m

ainten

ance

are o

n file

with

this

repair

stati

on u

nder

work

order

#131

1113

. -EN

D-

*

Page 44:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

in o

r Re

pair

YEA

R:

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RE

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IME

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Desc

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ts,

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and

Alt

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En

tries

mus

t be

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rsed

with

Nam

e, R

atin

g an

d Ce

rtific

ate

Num

ber o

f Tec

hnic

ian

or R

epai

r Fa

cilit

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ack

page

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r oth

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peci

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TL

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Page 45:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

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Page 46:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

nicia

n or

Rep

air

LA

ND

MA

RK

A

VI

AT

IO

N

330

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atio

n W

ay

Fred

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une

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Reg

No:

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ch: 7

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H

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oved

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eriK

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121.

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Hz

ELT,

(p/n

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450

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(AP)

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n ba

tterie

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n M

N13

00 A

lkal

ine

batte

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ells

and

per

form

ed fu

nctio

nal c

heck

s in

acc

orda

nce

with

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iKin

g A

K45

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Inst

alla

tion

and

Ope

ratio

n M

anua

l doc

umen

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-450

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A.

All

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acte

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s ch

eck

good

in a

ccor

danc

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anuf

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rer's

min

imum

per

form

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st

anda

rds.

Pia

card

ed E

LT "M

ain

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xpire

s: D

EC 2

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. Pe

rform

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LT te

sts

and

insp

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with

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LT I

nsta

llatio

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d O

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ual d

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s M

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ir.

Ref

eren

ce4

F/\

form

813

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date

d 06

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rmed

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pos

t-ins

talla

tion

grou

nd

chec

ks a

nd a

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tmen

ts in

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orda

nce

with

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ney

M20

M M

M.

Res

et s

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m n

ulls

. Sy

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func

tiona

lly c

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in

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rdan

ce w

ith M

anuf

actu

rer's

Min

imum

Per

form

ance

Sta

ndar

ds.

Rem

oved

and

rein

stal

led

GTX

-33

Tran

spon

der,

(p/n

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-007

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00, s

/n 8

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g fa

ctor

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Afo

rm 8

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raft.

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con

figur

atio

n us

ing

airc

raft

spec

ific

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are.

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plie

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art 4

3 Ap

pend

ix E

(c) &

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plie

d w

ith G

arm

in M

anda

tory

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met

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and

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ns to

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pend

ix E

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Page 47:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

YEA

R:

DA

TE

RE

CO

RD

ING

TA

CH

T

IME

TOD

AY

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ust b

e en

dors

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ith N

ame,

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ing

and

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tific

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Num

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Page 48:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

Air

craf

i: N

38

1K

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Mak

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el:

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list

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RR

EC

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:

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ain

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NO

T C

OR

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CT

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tem

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Free

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00 C

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Page 49:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

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Page 50:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

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Page 51:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit
Page 52:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit
Page 53:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit
Page 54:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit
Page 55:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit
Page 56:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit
Page 57:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

Airworthiness Directive Compliance Record

AIRCRAFT RECORDS - DO NOT DESTROY app l iances

Company Tail# ^)3?>)Ki-l

"84-26-02 01/29/85

PAPER INDUCTION AIR FILTERS/ Method of Compliance S B # Signature

iNDUCTION AIR FILTERS PAPER AIR FILTERS

Date Next Due 5-60 fi^$SS Cert#

Prepared by. Date t-bfo

* Indicates possible recurring Inspections Tdata, Inc (tdatacorp.com) Page 1 of 1

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Airworthiness Directive Compliance Record AIRCRAFT RECORDS - DO NOT DESTROY prOpeller

Company Manufacturer MCCAULEY INDUSTRIAL CORP. Model B3D32C SERIES Location Tail# N)'3>a()^H Serial # Blade A TSMOH ^M Total Time ^2>.0

05-14-11 08/17/05 MAINTENANCE AND REPAIR BY SOUTHERN CALIFORNIA PROPELLER SERVICE/ , , Method of Compliance Nf^ 6H l>WlO/if^<^ SB# A -i Date Next Due Signature /J- Cert. # ^^^//LBo^^

Prepared by. Date ^' 0 (s

* Indicates possible recurring Inspections Tdata, Inc (tdatacorp.com) Page 1 of 1

Page 59:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

Airworthiness Directive Compliance Record A I R C R A F T R E C O R D S - D O N O T D E S T R O Y engine

TEXTRON LYCOMING TIO-540 SERIES

Company Manufacturer Model Location ^ Serial # L - ) 2 4 i ' 7 i - ( A TSMOH rJ/A Total Time 9:j ,t)

*02-26-01 01 /31 /03 E X T E R N A L F U E L I N J E C T I O N L I N E S / M e t h o d o f C o m p l i a n c e • / S V A U 7^) 3A ,^2 h ftr./ii,,

S B # /) . D a t e ^-T^^-bl^ N e x t D u e ' T i ' L ' U0^4S S i g n a t u r e fih\ ^i.bt^t^Bj Cert# ^^UfLSQ<^i^

*04-10-14C1 06 /25 /04 M e t h o d o f C o m p l i a n c e S B # — ' S i g n a t u r e

C R A N K S H A F T G E A R A N D G E A R R E T A I N I N G B O L T /

-en l a e x t D u e So^pgyv) ^ A / ) (^^' Cor t . ft

10 /21 /05 05-19-11 M e t h o d o f C o m p l i a n c e ,>JN rfu ^ I N N S B # ^ ' T>ate S i g n a t u r e

300 H O R S E P O W E R O R L O W E R C R A N K S H A F T S /

N e x t D u e C e r t . #

06-10-21 06 /22 /06 E N G I N E C O M P O N E N T S , INC. C O N N E C T I N G R O D S / M e t h o d o f C o m p l i a n c e y fi\(Z\S B # S i g n a t u r e

Da te N e x t D u e C e r t . #

07 /11 /06 06-12-07 A S S E M B L I E S / M e t h o d o f C o m p l i a n c e i^y PfS I2^A S B # Da te S i g n a t u r e

E N G I N E C O M P O N E N T S , INC. P A R A L L E L V A L V E C Y L I N D E R

N e x t D u e C e r t . #

P repa red b y . Date S 6 4

* Ind ica tes poss ib le recur r ing inspec t ions T d a t a , I n c T I O - 5 4 0 S E R I E S P a g e 1 o f 1

Page 60:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

Airworthiness Directive Compliance Record AIRCRAFT RECORDS - DO NOT DESTROY propeller

Company Manufacturer Model Location Tail# Serial # Blade TSMOH Total Time

MCCAULEY INDUSTRIAL CORP. B3D32C S E R I E S

06-24-07 Method of Compliance S B # Signature V .

01/03/07 INSPECTIONS AND REPAIRS BY CSE AVIATION/

6^^,f^^ t^FAilK ,,,,,,,

Prepared by. Date

* Indicates possible recurring inspections Tdata, Inc (Tdata.com) Page 1 of 1

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Airworthiness Directive Compliance Record AIRCRAFT RECORDS - DO NOT DESTROY engine

Company Manufacturer Model Location Serial # TSMOH Total Time

T E X T R O N L Y C O M I N G TIO-540 S E R I E S

*02-26-01 01/31/03 EXTERNAL FUEL INJECTION LINES/ Method of Compliance V (5 t/A L- 7 jv) S B # Date c ^ Next Due 3o7. (

S l . n a . u . / l l ^ ^ ^ ' ^ ^ • ^ ' ^

*04-10-14C1 06/25/04 CRANKSHAFT GEAR AND GEAR RETAINING BOLT/ Method of Compliance S B # Date Next Due <>Vb'b£rs) ^PPfK^^ Signature _ Cert. #

06-20-09 11/03/06 CRANKSHAFT RETIREMENT/ Method of Compliance £ , 1 4 <//Cl S B # / ) x Date Next Due Signature M^^ ^^"^^ flfyUpSb'Ar^

Prepared by Date

* indicates possible recurring inspections Tdata, Inc TIO-540 SERIES Page 1 of 1

Page 62:  · YEAR: DAT E RECORDIN G TAC H TIM E TODAY' S FLIGH T TOTA L TIM E I N SERVIC E Descriptio n o f inspections. Tests, Repair s an d Alteration s Entrie s mus t b e endorse d wit

Airworthiness Directive Compliance Record AIRCRAFT RECORDS - DO NOT DESTROY airframe

Company Manufacturer Model Tail# Serial # Current Time Total Time A/C Cert. Date

MOONEY AIRCRAFT CORPORATION ( S E E UNIVAIR) M20M

fO ' ^SIKH

07-05-04 Method of Compliance

Signature A

04/09/07 ENGINE MOUNT ATTACHING HARDWARB

Date i-Tk-Ol Next Due A Cer t .# . ,

Prepared by. Date

* Indicates possible recurring inspections Tdata, Inc (Tdata.com) Page 1 of 1

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AD T

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