EFTA00278135

, I. US Department Form Approve d of Transportation MAJOR REPAIR AND ALTERATION OMB No. 2120-0020 Federal Aviation (Airframe, Powerplant, Propeller, or Appliance) For FAA Use Only Administration Office Identification/WA—P./06-U trg INSTRUCTIONS: Print or type all entries. See FAR 43.9 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 of 1958). Make Model Gulfstream Aerospace G-IIB 1. Aircraft Serial No. Nationality and Registration Mark 151 N909JE Name (As shown on registration certificate) Address (As shown on registration certificate) 2. Owner Hyperion Air, Inc. 103 Foulk Road, Suite 202 Wilmington, DE 19803-3742 3. For FAA Use Only he alteration identified herein complied with applicable air-worthiness requirements and is approved only for the above described aircraft subject to conformity inspection by a person authorized in FAR 43.7. DATE 2-1/4 -4/ 2-6'D 7 FAA Inspector 4. Unit Identification 1 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME (As described in Item 1 above) ------- X POWERPLANT PROPELLER Type APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. U.S. Certified Mechanic Foreign Certified Mechanic 11JR439Y X Certified Repair Station LIMITED AIRFRAME 1111111111111 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 hereto have been made in accordance with 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. Date Signature of Authorized Individual 2.--- /c/: , 7 Glenn Tietjen 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescrib ed by the Administrator of the Federal Aviation Administration and is APPROVED • REJECTED FAA Flt. Standards Other (Specify) Inspector Manufa cturer Inspection Authorization BY Person Approved by Transport FAA Designee X Repair Station Canada Airworthiness Group Date of App oval or ejection Certificate or Signature of Authorized Individual 2.— e_c" a7 Designation No. _ I1JR439Y Glenn Tieten FAA Form 337 (12-88) EFTA00278135 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. 8. Description of Work Accomplished (If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and date work accomplished.) Gulfstream Aerospace, G-IIB, SIN 151 I) Removed, refurbished and re-installed interior furnishings as outlined below: 2) Replaced the existing crew seat dress covers with Teddy & Arthur Edelman OLD-B3 Old Shrunken Buffalo Bull Leather, lot KA06FL and Aeristo Aerolamb Camel sheepskin, lot Y6M343. Attached Skandia, Inc. F.A.A./D.E.R. approved 8110-3, dated 01/24/07, work order 155311-07, document ID 74756, test ID 12NW-77971, DERY-405143-CE. Seatbelts were re-webbed by A.B.I. Attached SC-108B Certification / Packing list dated 01/19/07, to color coordinate. Each belt is tagged and identified as meeting FAA-TSO-C114, -C22F, or - C22G requirements. 3) Replaced the existing veneer on the entrance bulkheads with Carl F. Booth & Co. Elm Burl Veneer. Attached Skandia, Inc., F.A.A./D.E.R. approved 8110-3, dated 02/13/07, work order 156511-07, document ID 75004, test ID 60NW-6004, DERY-405020-CE. 4) Fireblocked and upholstered six (6) single cabin chairs, one (1) double seat, one (1) jumpseat, and potty seat with Teddy & Arthur Edelman OLD-B3 Old Shrunken Buffalo Bull Leather, lot KA06FL. Aircraft seat cushions have been fireblocked as per the requirements of 14 CFR, 25.853(c) Amendment 25 — 116 Appendix F Part II. Results of sample burn tests are documented on attached Skandia Inc. FAA/D.E.R. approved 8110-3, dated 02/09/07, work order 156074-07, document ID 74969, test plan 15724, DERY-410100-CE. Seatbelts were re- webbed by A.B.I. Attached SC-108B Certification / Packing list dated 01/19/07, to color coordinate. Each belt is tagged and identified as meeting FAA-TSO-C114, -C22F, or -C22G requirements. 5) Fireblocked and upholstered the UH aft divan assembly with Jeffrey Arnoff Dugally Beige Chenille Fabric. Aircraft seat cushions have been fireblocked as per the requirements of 14 CFR, 25.853(c) Amendment 25 — 116 Appendix F Part II. Results of sample burn tests are documented on attached Skandia Inc. FAA/D.E.R. approved 8110-3, dated 01/18/07, work order 153082-06, document ID 74710, test plan 15465. DERY-410100-CE. Seatbelts were re-webbed by A.B.I. Attached SC-108B Certification / Packing list dated 01/19/07, to color coordinate. Each belt is tagged and identified as meeting FAA-TSO-C114, -C22F, or -C22G requirements. 6) Replaced the existing carpet throughout the aircraft with Texstyle 58A, 58B, 58C custom wool carpet. Attached Skandia, Inc. F.A.A./D.E.R. approved 8110-3 dated 01/09/07, work order 154634-07, document ID 74508, test ID 12-19848, DERY-405143-CE. 7) Removed the existing cabin ALC fluorescent indirect lighting system and replaced with B/E Aerospace LVIII Elite LED Lighting System and replaced the galley and lavatory incandescent lights with B/E Aerospace 6800 LED Lighting as per International Jet Interiors wiring diagram, B/E Aerospace Cabin LED Lighting System Installation, JRW0706-WD. Attached Skandia, Inc. F.A.A./D.E.R. approved 8110-3, dated 02/14/07, DERT-830134-NE. 8) Modified the existing Cabin 14VDC Accessory Power Distribution System as per International Jet Interiors wiring drawing, JRW0707-WD, Rev I/R Cockpit 14VDC Power Receptacle Installation. Attached F.A.A. form 8110-3 dated 02/16/07 by F.A.A./D.E.R. DERT-636280-NM. 9) Replaced the footrest hydroloks on the six (6) cabin seats with P.L. Porter Controls Hydrolocks. Attached F.A.A. 8130-3, dated 01126/06, tracking number 536641, Authorization No. ODAR F601987NM. 10) All stitching is performed IAW International Jet Interiors Stitching Guide IJISG-1, rev. I/R. 11) All materials meet 14 CFR, 25.853 (a) Appendix F, Part I (a) (1) (ii). 12) Reference W.O. # 06264 on file at this agency for further information. 13) A logbook entry has been made reflecting this alteration. 14) A supplemental equipment list has been provided. 15) It has been determined that there is no significant weight change. 16) Passenger aisle width maintained per 14 CFR, 25.815. 17) The work described, has been found to be in conformity with the above mentioned approved data and continues to meet the airworthiness criteria under which it was originally certificated. 18) No further entries. ❑ Additional Sheets Are Attached EFTA00278136 U.S. DEPARTMENT OF TRANSPORTATION . DATE . . FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS 01/24/07 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane, Radio, Helicopter, NAME OF APPLICANT • etc.) Gulfstream GlIB Skandia, Inc. Airplane International Jet Interiors LIST OF DATA IDENTIFICATION TITLE Work Order # FLAMMABILITY TEST RESULTS 155311-07 Document ID 74756 REF:Skandia, Inc. Design Data # S155311 Purchase 0rder_.# ..SPECIMEN. #1, Test specimens are 3 1 N..12" compos4es consisting of Teddy & Arthur Edelman 2092 OLD-B3 Old Shrunken Buffalo Bull Leather Lot OKA06.FL sewn back to .bCk to Aeristo Aerolamb Camel Sheepskin Lot #Y6M343. Test specimens are representative of Crew Seat Dress Cover., REF TEST ID # 12NW-77971 "Flammability test witnessing only, does not constitute installation approval of the material." PURPOSE OF DATA Demonstration of compliance with material flammability requirements in support of Major Repair & Alteration for S/N 151 APPLICABLE REQUIREMENTS (List specific sections) 14 CFR PART 25.853 (a) Amdt 25-116 Appendix F Part I (a)(1)(ii) CERTIFICATION -Under authority vested by direction of the Administrator and in accorda nce with conditions and limitations of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. • ecommend approval of these data 1 (We) Therefore Approve these data SIGNATURE(S) OF SI NATED ENGINEERING REPRESENTATIVE DESIGNATION NUMBER(S) CLASSIFICATION(S) ' 0j9 - DERY -405143-CE Structural Special - Carin Demus FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION EFTA00278137 now • EFTA00278138 • U.S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDER 02/13/07 AL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICAT MAKE ION MODEL NO. TYPE (Airplane, Radio, Helicopter, NAME OF APPLICA • NT Gulfstream etc.) GII Skandia, Inc. Airplane International Jet Interiors LIST OF DATA IDENTIFICATION TITLE Work Order # FLAMMABILITY TEST RESULTS 15651 1-07 Document ID 75004 REF:Skandia, Inc. Design Data # S156511 Purchase Order # SPECIMEN # I Test specimens are 3" x 12" composites con sisting of AAR Composites 1/8" 2139 ATR-FP-12IF1 bonded to Carl F Booth & Co Elm Burl Ven eer. Veneer is finished as per International Jet Interiors Process Specification #01IJINVIA B. Components are bonded together with Akzo Nobel 3M 8046 Top/Trim Adhesive. Test specimens are representative of Entrance Bulkheads., REF TEST ID # 60NW-6004 "FIammability test witnessing only, does not constitute installa tion approval of the material." PURPOSE OF DATA . Demonstration of compliance with material flammability requirem ents in support of Field Approval for S/N 151 APPLICABLE REQUIREMENTS (List specific sections) 14 CFR Part 25.853 (a) Amdt 25-116 Appendix F Part I (a)(1)(i) CERTIFICATION -Under authority vested by direction of the Administrator and in accordance with conditions and of appointment under Part 183 of the Federal Aviation Regulations limitations , data listed above and on attached sheets numbered have been examined in accordance with established procedures and requirements of the Federal Aviation Regulations. found to comply with applicable I (We) Therefore Recommend approval of these data Approve these data • SIGNATURE(S) OF D SI AT NGINEERING REPRESENTATIVE DESIGNATION NUMBER(S) CLASSIFICATION(S) .nr----, DERY-405020-CE Structural Special Judy ns • FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION EFTA00278139 S EFTA00278140 U.S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION 02/09/07 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane, Radio, Helicopter, NAME OF APPLICANT etc.) GULFSTREAM G-1159B Skandia, Inc. Airplane International Jet Interiors LIST OF DATA IDENTIFICATION TITLE Work Order # FIREBLOCKING FLAMMABILITY TEST RESULTS 156074-07 Document ID 74969 REF: Skandia, Inc. Test Plan #15724 Rev IR Purchase Order # Dated: 02/06/07 2126 For PN's 15724-1, 15724-2, 15724-3 & 15724-4 Edelman Leather, OLD-B3 Old Shrunken Buffalo Bull, Dye Lot KA06FL Skandia, Inc. F/R Canvas Natural Skandia, Inc. DAX Graphite/Poly 26 ILD Skandia, Inc. Ethafoam 4101 PURPOSE OF DATA Demonstration of compliance with material flammability requirements in support of Field Approval for S/N 151 APPLICABLE REQUIREMENTS (List specific sections) 14 CFR Part 25.853 (c) Amendment 25-116 Appendix F Part II 14 CFR Part 25.853 (a) Amdt 25-116 Appendix F Part I (a)(1)(ii) CERTIFICATION -Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. • Recommend approval of these data I (We) Therefore Approve these data SIGNAT E(S) OF SIGNATED E N ERING EPRESENTATIVE DESIGNATION NUMBER(S) CLASSIFICATION(S) DERY-410100-CE Structural Special •/ Donna J. arri FAA Form 0-3 (11-70) SUPERSEDES PREVIOUS EDITION EFTA00278141 • S. EFTA00278142 U.S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIO 01/18/07 ; - NS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATJON MAKE MODEL NO. TYPE (Airplane, Radio, Helicopter NAME OF APPLICANT _ • etc.) GULFSTREAM G1159B Skandia, Inc. Airplane International Jet Interiors LIST OF DATA IDENTIFICATION TITLE Work Order # FIREBLOCKING FLAMMABILITY TEST RESULTS 153082-06 Document ID 74710 REF: Skandia, Inc. Test Plan #15465 Rev IR Purchase Order # Dated: 01/10/2007 2074 For PNs: 15465-1 & 15465-2 SKANDIA, INC.: DAX GRAPITE/POLY 26 ILD JEFFREY ARNOFF: FABRIC, DUGALLY, BEIGE, TREATED AT SKANDIA, INC. REF. TREATMENT #SKFP 152676 "Flammability test witnessing only, does not constitute installation approval of the material." PURPOSE OF DATA • Demonstration of compliance with material flammability requirements in support of Field Approval for S/N 151 APPLICABLE REQUIREMENTS (List specific sections) 14 CFR PART 25.853 (c) Amendment 25-116 Appendix F Part II 14 CFR PART 25.853 (a) Amdt 25-116 Appendix F Part I (a)(1)(ii) CERTIFICATION -Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. 0 Recommend approval of these data I (We) Therefore Approve these data SIGN URE(S) OF DE'SIGNATED ENGINEERI EPRESENTATIVE DESIGNATION NUMBER(S) CLASSIFICATION(S) DERY-410100-CE Structural Special Donna J. Parrish FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION EFTA00278143 EFTA00278144 U.S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS 01/09/07 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane, Radio, Helicopter NAME OF APPLICANT etc.) GULFSTREAM GlIB Skandia, Inc. Airplane International Jet Interiors LIST OF DATA IDENTIFICATION TITLE Work Order # FLAMMABILITY TEST RESULTS 154634-07 Document ID 74508 REF:Skandia, Inc. Design Data # V154634 Purchase Order # SPECIMEN #1 TEXSTYLE: CARPET, 58A, 58B, 58C, CUSTOM WOOL TO BE . , • • . • 2070 . . • INSTALLED UNBONDED IN. AIRCR AFT MAIN CABIN, GALLEY, COCKPIT AND.LAV _, FLOORS , REF TEST ID # 12-19848 "Flammability test witnessing only, does not constitute installation approval of the material." PURPOSE OF DATA Demonstration of compliance with material flammability requirements in support of Major Repair & Alteration for S/1•1 151 APPLICABLE REQUIREMENTS (List specific sections) .,.,. 14 CFR PART 25.853(a) Amdt 25-116 App F Part I (a)(1)(ii) CERTIFICATION -Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. • Recom I (We) Therefore X: Approvmend approval of these data e these data SIGNATURE(S) OF DESIGIATED ENGINEERING REPRESENTATIVE DESIGNATION NUMBER(S) CLASSIFICATION(S) d e,.A.1/g../ Carin Demus 01 -7 , P0 ----- DERY-405143-CE Structural Special FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION EFTA00278145 _ • •, • EFTA00278146 L.:130 v • v • . vv A. U.S, DERAR7SAENT-Or.1 RAN'SPORTATION • OATE .: TEDERALAOATIONADMINiSTRATIDN . February 14, 2007 STATEMENT OF COMPLIANCE WITH.THEPEDERAk.:-AVIATION.REGULATIONS AIRCRAFT.OR AIRCRAFT COMPONENT IDENTIFICATION: MAKE. . . MOOELNO . . • ' TYPE 1)Ii!Pienel .r.41010. "encirki.'ef0 NAME OF A.OPLICANT Gultstream.Aerospace 3 HS Airplane International Jet Interiors Corporation • .LIST OF DATA IOWILEISAWN T1711 B/E Aerospace Inc,. LVIII "Elite" LED, fluorescent lighting system replaceMent on aircraft # 151 GLIB (see Report dated Feb, 14, attached report -10 pages) 2007 • Drawing No. 8/E Aerospace Cabin LED. Lighting System Installation JRW0706-WD, Rev.I/R Dated 2/8/07 Reference Documents: 1- inverter AL-5114 Installation InStruction AL-11026M, 2- Master ControllerInstallatibn Manual AL-11630M; Initial Rel;Oated 1/23/2007 3- TR Module Installation Manual AL-11625M, Initial Rel. Dated V26/2.007 4- Drawings; N©.: 6825 Rev. B, dated 1/30/2007. LE lighting unit; No. 81529 Rev. B., dated: 12/30/20QT COntrollet Module; No'. 81528 Rev. :B, dated 1/29/2007, TR Module 5- Envl0rtriental Test Report No. STR-07006-1 .6, EMI Test Report STR-07906-2 ,. This approval is fOrtrigineering•design data only. It indicates the data listed above demonstrates compliance only with the regUlations SpeCified.by.paragraph and. subparagraph listed Pelow:as "Applicable. Requirements". This form does constitute FAA • approval of all the engineering data necessary for substantiation of compliance to neceSsarYrequireMents for the entire alteration. This approval is subject to satisfactory ground functional check and ground EMI/RFI checks to be conducted by International Jet Interiors. puroose OF:nATA To support a major alteration on /N 151 APPUCAEILg REQUIREMENTS (List specificsections) •FAR 25,853(a) Arndt 115; 25.869 (a)(4)Aindt.11.3; 25.1301(?),(b),(c),(d); 25.1307(c) Amdt.72; 25.1309(a),(b),(d),(g) Amdt,41;.2 .1351a)(1) Amdt.72; 25.1353(a);(d)(1),(2),(3)Arndt.113; 25.1357(a):-25.1431(a)(c) Amdt:113; 25:1529.Amdt:54. CERTIFICATION:- kinciet eUthority vortad 1).y direction of the. AdniInistielee'and!•in aCCoreatxt ,w1h. CooriditioS end firnlatione of aPpOinimertf under. Pari 153 of the. Federal Avlatien.RetiulAtlenS. data Ilsted.aboveand on' ttaciled StrielS•nurnberral 1 filru 10 ha r: /Irian eirlairia In accordonee vOn e .oiilished procedures and found to corn* with apoilc.ablefeoulrements of the Federal Avration:Regulatfons 0 Recommend approver of the data I (We) Therefore i .Approve thooe data SICNATUREfSj OF DESIGNATE° ENGINEERING REFRESENTATNE(S) OES:GNATION NLIMBERS{S} CLASSIHCATION(S) Vito A. PUlera DERT-830134,NE Systems and Equipment- a.ti'-"-- • Electrical & Mechanical. FAA Form 81104 (11-?o) SUPERSEDES PREVIOUS COITION ELECTRONIC FORMAT OM) EFTA00278147 EFTA00278148 f UDC, FEB-16-2007 15:29 From:BALL DATE U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION 16 Feb 2007 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MODEL NO. TYPE (Airplane, Radio. Helicopter. ofc.) NAME OF APPLICANT MAKE Gulfstream Gl1B Airplane International Jet Interiors LIST OF DATA IDENTIFICATION TITLE JRW0707-WD Cockpit 14VDC Power Receptacle Installation Rev IR 2 Sheets dated 08 Feb 2007 Notes: 1. This Statement of Compliance addresses only the electrical aspects of the engineering design data in the referenced drawing. 2. This document documents a finding of compliance only for the regulations listed al below in the APPLICABLE REQUIREMENTS box. Compliance to addition regulations may be required. tion. 3. This document does not provide full FAA approval of the equipment installa Additional engineering data may be required for approval. (SN 4. This approval is valid for Gulfstream Model GIIB aircraft , tail number N909JE 151) only. PURPOSE OF DATA To demonstrate compliance with applicable FARs in support of an aircraft modification documented in FAA Form 337. APPLICABLE REQuIREmENTS (List specific 'tenons) FAR 25.1301(a), FAR 25.1357(a) CERTIFICATION - Under authority vested by direction of the Administrator sno In accordance with conditions and limitations of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on anacneo sneets numbered -NA- have been examined in accordance with established procedures end found to comply with applicable requirements of the Federal Aviation Regulatio ns. E Recommend approval of these data I (We) Tnerefore CZ Approve these data SIGNATURE(S) OF DESIGNATED ENGINEERING REP SENTATIVE(S) DESIGNATION NUMBERS(S) CLASSIFICATIONLS1 Karl M. Frantz 7 (4, 4 i DE RT-636280-NM Systems and Equipment orm /3110-3 (I t-70) SUPERSEDES PREVIOUS EDITION ELECTRONIC FORMAT (7.00) EFTA00278149 I.) EFTA00278150 1 . Approving National Aviation 2. Authority/Country: 3 . Form Tracking Number: • • 536641 FAA/UNITED STATES AUTHORIZATION RELEAS E CERTIFICATE FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG 4. Organization Name and Address: DECRANE AIRCRAFT SEATING CO., 701 MAPLE ST., P.O. BOX-129, PESHTIGO, WI 54157, USA 5. Work Order/Contract/Invoice Num: .. do P.L Porter Controls, Inc., 3000 Winona Ave., P.O.Box 7722, Burbank, CA 91510-7722.USA. 7. 0 2005-527 TSO C39b; TSO C127a . • 6. Item: 7- Description: 8. Part Number: 9. Eligibility:` 10. Qty: ii- Serial/Batch Number112. Status/Work 1 HYDROLOK SL02300-28 TSO Article: N/A 50 .,... • New 51 5 0 1 9 •:•‘....- . - •,4•::. ,..,:.., T.*. ..5tn•-; V.:All 1- IZe• . . 14.9..4.• • !,tt",'-.. 13. Remarks THE PART SHIPPED UNDER THIS APPROVAL IS A SUB COMPONENT OF A FAA-PMA HIGHER A.fi.S.EMBLY. DIRECT SHIP AUTHORIZATION II:..;. EER DECRANE AIRCRAFT SEATING CO., 701 MAPLE ST., P.O. BOX 129, PESHTIGO, WI 54157, USA do P.L Porter Controls, Inc., 3000 Winona Ave., P.O.Box 7722, Burbank, CA 91510-7722 USA • ISO C39b; TSO C127a . ' ,::'.,:• 14. Certifies the items identified above were manufactured In conformity to: . . . .. - . . . . . ,. .. .. . :.14 cFR.43: • • .. ...: 9 Return toSerV i4.• -:. Other regulation specified in Block.t3..:7:•:. . • X Approved design data and are in condition for safe operation .e- :.1;:”•:::. • • ,• • ..:, dertifiesthat iiii.10s Otneiirjte:s00:Ci4d in.iiiii;013;fthe work identifie.ii irBlack.1 and • .. I I Non-approved design data specified In Block 13. described inbiock.i was accomplished.in ootofdanee with. Title 14; Code of Feder's! ..,. - - ...,... f,feguletione,iikti4Otiii.in.fesj5ect to thSt work, the itemsSieapkOVedfoi return: to Service. .:: -, • - ...- ... . -";: :-.- 15. Authorized Signature: ,••-•.. „..s.. 16. Approval/Authorization No.: ..... . . . .. . _ / irij .Authorized.Signaiiire:r I- ••••`'... 1. - .. .. •• ,..: 21„:APproval/Certificate NO.;-- ... . tr:j L. L.X_____,_ k.),, •:----,-- ODAR F601987NM - - - -' 17. Name (Typed or Printed): 18. Date(m/d/y): JAN/26/2006 0>: ...1 .. •!.., /p0:(-f;psi , pr: 0nTni • Eva Alarcon 4 Date(mi '• -•• • •-• ... User/Installer Responsibilities t. At is important to understand that the existence of this document alone does not automatically constitute authority to Install the part/component/assemb ly. • . :'Where the user/installer performs work in accordance with the national regulations of an airworthiness authority differem •••.,.rthe airworthiness authority of the country specified inBlock 1, it is essential that the user/ins' Vier ensures that • his/her airworthiness axepts parts/components/assemblies from the airworthiness authority of the country specified i-. .. 1. . !'. ,,, Statements in B' ! i and 19 do not consitutue Installation certification. In all cases, aircraft mainenance records r : .intain an installation certification issued in accordance with the national regulations by the ut, aircraftcaircraftmay be :• i ..i .'!'er before the . • -.., - ••...: EFTA00278151 %.- EFTA00278152 Aircraft pelts Inc. P.O. Box 845 2000 Anders Lane Kemah Texas 77565 FAA R.S. #: YB1R632K TM AIRCRAFT BELTS, INC. Packing Slip: 208 Page: 1 " tt.nt Ship To: Sold To: International Jet Interiors • PO: 2073 Ship Via:FedEx PI FOB: ORIGIN Ship Date: 1/19/2007 SO: 73092 Sales Person: Terri Phillips -IRLO .f. 1W.1; t'Ot . antipc1446.- Ai* 641 • .0:01, _ ekz4 fssewsiq, 1 1.00 EA 1.00 0.00 r5ptrps IR 1 Description: Reweb Pac Sci 4pt Assy w/Inertia Reel # 210 / #12 2 2.00 EA 2.00 0.00 r4ptfps IR 2 Description: REWEB PAC SCI 4PT FIXED HARNES # 210/ #12 3 4.00 EA 4.00 0.00 r3ptrabi IR 3 • Description: Reweb ABI.3.PointAssy...w/Jpertiayeel #.12 . . • - ,• 4 7.00 EA 7.00 0.00 rlaabi IR Description: Reweb ABI Lap Belt # 210 5 1.00 EA 1.00 0.00 rlaabi-p IR 5 Description: Reweb Plated ABI Lap Belt # 210 CERTIFICATION T his is to certify that the above components have been manufactured/repaired and inspected in accordance with current Federal Aviation Regulations: ISO C-22 and/or TSO C-114 and found airworthy for service unless otherwise noted. The conditions and tests required for TSO approval of this article are minimum performance standards. It is the responsability of those desiring to install either on or within a specific type of class of aircraft to determine that the aircraft installation conditions are within the ISO standards. If not within the TSO standards, the article may be installed only if further evaluation by the applicant documents an acceptable installation and is approved by the administrator. Details of this manufacture/repair are on file at this facility. EFTA00278153 tit EFTA00278154 Form Approved MAJOR REPAIR AND ALTERATION OMB No. 2120-0020 oepariment us l of Transportation (Airframe, Powerplant, Propeller, or Appliance) For FAA Use Only Federal Aviation Office Identificaticgib4,—/ Administration INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instr tions 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 of 1958). Make Model GULFSTREAM AEROSPACE G1159B 1. Aircraft Serial No. Nationality and Registration Mark 151 U.S.A. N909JE Name (As shown on registration certificate) :. I s : 2. # • ,#§ • s :.• . : •• # z • cats) 2. Owner HYPERION AIR INC. 3. For FAA Use Only 4. Unit Identification - 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME (As described in Item 1 above) X POWERPLANT PROPELLER Type APPLIANCE Manufacturer ' 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. U.S. Certified Mechanic CRS EYKR782D JET AVIATION ASSOCIATES LTD. AIRFRAME 1,3. Foreign Certified Mechanic RADIO 1,2,3. X Certificated Repair Station LIMITED AIRFRAME, & P/P WEST PALM BEACH. FL. 33406 Manufacturer LIMITED INSTRUMENT 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 hereto have been made in accordance with 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. Date Signature of Authorized Individual . . . . . ---------- , _.. 8/20/04 John K. Urso, Inspector. 7. Approval for Return to Servi Pursuant to the authority given persons specified below, the unit identified in item 4 w nspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is r APPROVED ❑ REJECTED FAA Flt. Standards Other (Specify) Inspector Manufacturer Inspection Authorization BY Person Approved by Transport FAA Designee X Repair Station Airworthiness Group Date of Approval or Rejection Certificate or Signature of Authorized Individual Designation No. 8/20/04 EYKR782D John K. Urso, Inspector. / - ZI A-6"-- FAA Form 337 (12-88) EFTA00278155 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. 8. Description of Work Accomplished (If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and date work accomplished.) GULFSTREAM - II (G-1159), S/N 151, REG N909JE, W/O 20985 INSTALLED AN ARTEX 406 MEGAHERTZ EMERGENCY LOCATOR TRANSMITTER (ELT) SYSTEM (ISO C126), IAW ARTEX C406-N MHZ EMERGENCY LOCATOR TRANSMITTER OPERATION, INSTALLATION AND MAINTENANCE MANUAL, DOCUMENT NO. 570-5060, REV B, AND THE FOLLOWING JET AVIATION DRAWINGS: WIRING DRAWINGS: • G2B-20895-370, REV IR, DATED 8/10/04, TITLED - EMERGENCY LOCATOR TRANSMITTER SYSTEM. REFERENCE F.A.A. FORM 8110-3, DATED 8/16/04 BY SYSTEMS AND EQUIPMENT DER NO. DERT-510087-NM STRUCTURAL DRAWINGS AND REPORTS: • G2B-20895-1370, REV IR, DATED 8/9/04, TITLED - ELT EQUIPMENT INSTALLATION. • G2B-20895-1371, REV IR, DATED 8/9/04, TITLED - ELT ANTENNA INSTALLATION. • ER01489, REV IR, DATED 8/9/04, TITLED SUBSTANTIATION REPORT, ELT & EGPWS INSTALLATION FOR GULFSTREAM G1159B, S/N 151 REFERENCE FAA FORM 8110-3 DATED 8/9/04 BY STRUCTURES DER NO. DERT-810028-NE. THE NEW EQUIPMENT AND ASSOCIATED SYSTEMS WERE FUNCTIONALLY TESTED PER ARTEX 406 MHZ EMERGENCY LOCATOR TRANSMITTER OPERATION, INSTALLATION AND MAINTENANCE MANUAL, DOCUMENT NO. 570-5060, REV B, WITH NO DISCREPANCIES. AN EMI TEST, REPORT NO.: G2B-20895-080 WAS CONDUCTED AND THE INSTALLED EQUIPMENT DOES NOT INTERFERE WITH ANY OTHER INSTALLED EQUIPMENT. THE STATIC LOADING OF THE INSTALLED EQUIPMENT MEETS THE REQUIREMENTS OF AC 43.13-2A, CHAPTER 1, PARAGRAPH 3 AND WAS FOUND TO MEET THE REQUIREMENTS OF PARAGRAPH 2. MATERIALS AND PRACTICES COMPLY WITH PARAGRAPHS 4 THROUGH 12. THE ELECTRICAL LOAD ANALYSIS UPDATE REPORT NO O2B-20895-040 WAS COMPLETED IN ACCORDANCE WITH AC43.13-1B, CHAPTER 11, SECTION 3, PARAGRAPH 11-37. A LOGBOOK ENTRY REFLECTING THIS INSTALLATION WAS COMPLETED PER F.A.R. 43.9 AND ENTERED INTO THE AIRCRAFT LOGBOOK. THE EQUIPMENT LIST WAS AMENDED AND THE NEW WEIGHT AND BALANCE WAS COMPUTED AND ENTERED IN THE AIRCRAFT RECORDS IAW AC43.13-1B, CHAPTER 10, SECTION 2 AND AC 43.13-2A, CHAPTER 1 PARAGRAPH 9. MAINTENANCE FOR CONTINUED AIRWORTHINESS IS CONTAINED IN JET AVIATION DOCUMENT G2B-20895-050, TITLED - INSTRUCTIONS FOR CONTINUED AIRWORTHINESS FOR ARTEX C406-N MHZ EMERGENCY LOCATOR TRANSMITTER. THERE ARE NO COCKPIT PROCEDURAL CHANGES OR FLIGHT MANUAL SUPPLEMENT DUE TO THIS MODIFICATION -------- - END --------------- ------- D Additional Sheets Are Attached O U.S. G.P.O 1990-761-753 EFTA00278156 eiKnoN 4111.1.11ME GE4WITH-, ; ;cFED aK,10'449 16 . Ina leaCh 'ittlra:/:<09 .40.ttrAelektlaCti .'7,::;a:Nsi.k..acsewit}s1114.11. EFTA00278157 I • EFTA00278158 DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS August 9, 2004 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION ' MAKE MODEL NO. TYPE (Airplane, Radio, Helicopter, etc.) NAME OF APPLICANT Gulfstream G1159B Airplane Jet Aviation Associates LIST OF DATA IDENTIFICATION TITLE G2B-20895-1370 ELT Equipment Installation, Sht 1-4, Rev IR G2B-20895-1371 ELT Antenna Installation, Sht 1-3, Rev IR G2B-20895-1450 Minor Deviation to STC ST02789AT Mk VIII EGPWS Equipment Installation, ER01489 Sht 1-7, Rev IR Substantiation Report Substantiation Report - ELT & EGPWS Installation for Gulfstream G1159B, s/n: 151 Note: 1. This approval is for structural aspects only. 2. This approval is based on analysis and drawing review. 3. After the repair or alteration, the aircraft must be returned to service by FAA authorized personnel. PURPOSE OF DATA To approve structural aspects of an alteration to Gulfstream G1159B, s/n: 151, TCDS Al2EA APPLICABLE REQUIREMENTS (List specific sections) FAR 25.301 25.303 25.305 25.307 25.321 25.561 25.601 25.603 25.605 25.609 25.611 25.613 25.625 CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointm ent under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered 0 have been examined In accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulati ons. Recommend approval of these data. I (1)1 Therefore Approve these data. SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION(S) David E. Haralson Po.‘Evet. licerze.,__ DERT-810028-NE , Structural FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION ER01489.doc EFTA00278159 I EFTA00278160 REVISION STATUS REV REV DESCRIPTION APPROVAL DATE LTR BY (No data herein shall be deemed to have been approved by any regulatory agency). . . v iates, Ltd. ‘I'l _SWF 11117177711A1 am eac n rport CRS-EYKR782D West Palm Beach, FL 33406 PROPRIETARY NOTICE: This document contains specifications and/or data, technical material, proprietary information that are the sole property of JETAVIATION ASSOCIATES, LTD, to be held and treated by its recipient on a confidential basis andis not to be shown or disclosed to any unauthorized organization or person without the written authorization of JETAVIATIONASSOCIATES, LTD. Woric Order No.: 20895 MODEL: TITLE: NAME DATE Gulfstream INSTRUCTIONS FOR CONTINUED AIRWORTHINESS Prepared By: T. CARR 08/10/04 G-1159B FOR Checked By: J. URSO 08/16/04 S/N: ARTEX C406-N EMERGENCY Q/A: J. URSO 08/16/04 151 LOCATOR TRANSMITTER Engineer: N/A N/A DOCUMENT NO.: REV: SCALE: SHEET: Approved: N/A N/A G2B-20895-050 IR NONE 1 OF 9 EFTA00278161 I EFTA00278162 Form Approved , 0 MAJOR REPAIR AND ALTERATION OMB No. 2120-0020 US Department of Transportation (Airframe, Powerplant, Propeller, or Appliance) For FAA Use Only Federal Aviation Office Identificati Administration INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instr i s 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 of 1958). Make Model GULFSTREAM AEROSPACE G1159B 1. Aircraft Serial No. Nationality and Registration Mark 151 U.S.A. N909JE Name (As shown on registration certificate) Address As shown on r: .istration certificate 2. Owner HYPERION AIR INC. 3. For FAA Use Only 4. Unit Identification 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME • (As described in Item 1 above) X POWERPLANT PROPELLER Type APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. U.S. Certified Mechanic CRS EYKR782D AIRFRAME 1,3. JET AVIATION ASSOCIATES LTD. Foreign Certified Mechanic RADIO 1,2,3. .-......., x Certificated Repair Station LIMITED AIRFRAME, & P/P Manufacturer LIMITED INSTRUMENT D. I cert unit(s) identified in item 4 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 furnished herein is true and correct to the best of my knowledge. Date Signature of Authorized Indivi ual ....., -J-o tm K. Urso, Ins ----ector. -- - - — it- -- 7. Approval for Return to Sery Pursuant to the authority given persons specified below, the unit identified in item 4 inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is 4 APPROVED ❑ REJECTED FAA Flt. Standards Other (Specify) Manufacturer Inspection Authorization Inspector BY Person Approved by Transport FAA Designee X Repair Station Canada Airworthiness Group Date of Approval or Rejection Certificate or Signature of Authorized Individual Designation No. 8/20/04 EYKR782D John K. Urso, Inspector._ /(--• 66 v -- FAA Form 337 (12-88) EFTA00278163 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. 8. Description of Work Accomplished (If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and date work accomplished.) GULFSTREAM - II (G-1159), S/N 151, REG N909JE, W/O 20985 ACCOMPLISHED AN UPGRADE TO THE EXISTING HONEYWELL MST-67A TRANSPONDERS FOR THE INCORPORATION OF FLIGHT ID. REMOVED TRANSPONDERS PIN 066-01143-0601 (TSO C112) AND INSTALLED TRANSPONDERS P/N 066-01143-2101 (TSO C112). REMOVED HONEYWELL TRANSPONDER CONTROL UNIT P/N 071-01507-3603 (TSO C112) AND INSTALLED TRANSPONDER CONTROL UNIT P/N 071-01618-0021 (TSO C112, C I 18, C119b). REFERENCE AC20-41A, SUBSTITUTE TECHNICAL STANDARD ORDER AIRCRAFT EQUIPMENT. NO WIRING OR STRUCTURAL ALTERATIONS WERE ACCOMPLISHED. THE NEW EQUIPMENT AND ASSOCIATED SYSTEMS WERE FUNCTIONALLY TESTED PER HONEYWELL MST67A MODE S TRANSPONDER SYSTEM MANUAL 006-00681-0006 WITH NO DISCREPANCIES. AN EMI TEST, REPORT NO.: G2B-20895-080 WAS CONDUCTED AND THE INSTALLED EQUIPMENT DOES NOT INTERFERE WITH ANY OTHER INSTALLED EQUIPMENT. THE STATIC LOADING OF THE INSTALLED EQUIPMENT MEETS THE REQUIREMENTS OF AC 43.13-2A, CHAPTER 1, PARAGRAPH 3 AND WAS FOUND TO MEET THE REQUIREMENTS OF PARAGRAPH 2. MATERIALS AND PRACTICES COMPLY WITH PARAGRAPHS 4 THROUGH 12. THE ELECTRICAL LOAD ANALYSIS UPDATE REPORT NO G2B-20895-040 WAS COMPLETED IN ACCORDANCE WITH AC43.13-1B, CHAPTER 11, SECTION 3, PARAGRAPH 11-37. A LOGBOOK ENTRY REFLECTING THIS INSTALLATION WAS COMPLETED PER F.A.R. 43.9 AND ENTERED INTO THE AIRCRAFT LOGBOOK. THE EQUIPMENT LIST WAS AMENDED AND THE NEW WEIGHT AND BALANCE WAS COMPUTED AND ENTERED IN THE AIRCRAFT RECORDS TAW AC43.13-1B, CHAPTER 10, SECTION 2 AND AC 43.13-2A, CHAPTER 1 PARAGRAPH 9. MAINTENANCE INSTRUCTIONS FOR CONTINUED AIRWORTHINESS REQUIRED PER F.A.R. 25.1529 ARE CONTAINED IN JET AVIATION DOCUMENT G2B-20895-051. THERE ARE NO COCKPIT PROCEDURAL CHANGES OR FLIGHT MANUAL SUPPLEMENTS DUE TO THIS ALTERATION. -END ❑ Additional Sheets Are Attached O U.S. G. P.O 1990-761-753 EFTA00278164 REVISION STATUS REV REV DESCRIPTION APPROVAL DATE LTR BY (No data herein shall be deemed to have been approved by any regulatory agency). . . ' s, Ltd. ATE!' RIAERFICIII a m Bea n Airport CRS-EYKR782D West Palm Beach, FL 33406 PROPRIETARY NOTICE: This document contains specifications and/or data, technical material, proprietary information that are the sole property of JET AVIATION ASSOCIA TES, LTO. to be held and treated by its recipient on a confidential basis andis not to be shown or disclosed to any unauthorized organization orperson without the written authorization ofJETAVIATIONASSOCIATES, LTD. Work Order No.: 20895 MODEL: TITLE: NAME DATE Gulfstream INSTRUCTIONS FOR CONTINUED AIRWORTHINESS Prepared By: T. CARR 08/10/04 G-1159B FOR THE INSTALLATION OF THE HONEYWELL Checked By: G. L. KARR 08/16/04 S/N: PS-578A MODE S/TCAS CONTROL PANEL Q/A: J. URSO 08/19/04 151 N/A DOCUMENT NO.: REV: SCALE: SHEET: Engineer: N/A Approved: N/A N/A G2B-20895-051 IR NONE 1 OF 5 EFTA00278165 • EFTA00278166 e Form Approved MAJOR REPAIR AND ALTERATION OMB No. 2120-0020 US Department of Transportation (Airframe, Powerplant, Propeller, or Appliance) For FAA Use Only Federal Aviation Office ,lc ra_lioryt Administration INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for structions 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 of 1958). Make Model GULFSTREAM AEROSPACE G1159B 1. Aircraft Serial No. Nationality and Registration Mark 151 U.S.A. N909JE Name (As shown on registration certificate) A. :, ,, i•ir or :A.' . .IPI :IC . e) 2. Owner HYPERION AIR INC. 3. For FAA Use Only - 4. Unit Identification 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME .. (As described in Item 1 above) ----- -. X POWERPLANT PROPELLER Type APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. U.S. Certified Mechanic CRS EYKR782D AIRFRAME 1,3. JET AVIATION ASSOCIATES LTD. r- Foreign Certified Mechanic RADIO 1,2,3. X Certificated Repair Station LIMITED AIRFRAME, & PIP Manufacturer LIMITED INSTRUMENT D. I certi o the unit(s) identified in item 4 above and described on the reverse or attachments hereto have ements 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. Date Signature of Authorized Individual . — ---. — / -1 - -------- - 8/20/04 John K. Urso, Inspector. e---(A.--y^ 7. Approval for Return to Se e Pursuant to the authority given persons specified below, the unit identified in item as inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is APPROV ❑ REJECTED Other (Specify) FAA Flt. Standards Manufacturer Inspection Authorization Inspector BY Person Approved by Transport FAA Designee X Repair Station Airworthiness Group Date of Approval or Rejection Certificate or Signature of Authorized Individual Designation No. 8/20/04 EYKR782D John K. Urso, Inspector. /('CiA FAA Form 337 (12-88) EFTA00278167 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. 8. Description of Work Accomplished (If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and date work accomplished.) GULFSTREAM - II (G-1159), S/N 151, REG N909,1E, W/O 20985 REMOVED THE EXISTING HONEYWELL MK I GROUND PROXIMITY WARNING SYSTEM AND INSTALLED A HONEYWELL MK VIII ENHANCED GROUND PROXIMITY WARNING SYSTEM (EGPWS) IN ACCORDANCE WITH JET AVIATION ASSOCIATES, LTD. STC NO. ST02789AT PER JET AVIATION ASSOCIATES, LTD., MASTER DRAWING LIST, DOCUMENT NO. G1159-19760-010, REV A. DATED 01/30/04, TITLED - MASTER DRAWING LIST FOR THE INSTALLATION OF THE MK VIII ENHANCED GROUND PROXIMITY WARNING SYSTEM (EGPWS) IN THE G-1159 SERIES AIRCRAFT. CONCURRENTLY ACCOMPLISHED RADIO ALTIMETER UPGRADE BY REMOVING THE # 1 AND # 2 COLLINS RADIO ALTIMETER ALT-50 AND INSTALLING COLLINS RADIO ALTIMETER ALT-55B IAW COLLINS ALT-50/55 RADIO ALTIMETER SYSTEM INSTALLATION MANUAL 523-0775918- 004118 DATED 4/11/97. DEVIATIONS TO THE STC ARE DOCUMENTED ON THE FOLLOWING JET AVIATION DRAWINGS. WIRING DRAWINGS: • G2B-20895-450, REV IR DATED 8/13/04, TITLED - MINOR DEVIATIONS TO STC ST02789AT MK VIII EGPWS SYSTEM WIRING DIAGRAM. • G2B-20895-506, REV IR, DATED 8/13/04, TITLED - MINOR DEVIATIONS TO STC ST02789AT AUXILIARY ANNUNCIATOR SYSTEM WIRING DIAGRAM. REFERENCE FAA FORM 8110-3 DATED 8/16/04 BY SYSTEMS AND EQUIPMENT DER NO. DERT-510087-NM STRUCTURAL DRAWING AND REPORT: • G2B-20895-1450, REV IR DATED 8/5/04, TITLED - MINOR DEVIATIONS TO STC ST02789AT MK VIII EGPWS EQUIPMENT INSTALLATION. • ER01489, REV IR, DATED 8/9/04, TITLED SUBSTANTIATION REPORT, ELT & EGPWS INSTALLATION FOR GULFSTREAM G1159B, S/N 151. REFERENCE FAA FORM 8110-3 DATED 8/9/04 BY STRUCTURES DER NO. DERT-810028-NE. THE MK VIII EGPWS WAS FUNCTIONALLY TESTED PER JET AVIATION GROUND TEST PROCEDURE DOCUMENT NO. G1159-19760-060 REV. A DATED 01/30/04, TITLED - CERTIFICATION GROUND TEST PROCEDURE FOR THE MK VIII EGPWS, WITH NO DISCREPANCIES. A LOGBOOK ENTRY REFLECTING THIS INSTALLATION WAS COMPLETED PER F.A.R. 43.9 AND ENTERED INTO THE AIRCRAFT LOGBOOK. THE EQUIPMENT LIST WAS AMENDED AND THE NEW WEIGHT AND BALANCE WAS COMPUTED AND ENTERED IN THE AIRCRAFT RECORDS IAW AC43.13-1B, CHAPTER 10, SECTION 2 AND AC 43.13-2A, CHAPTER 1 PARAGRAPH 9. MAINTENANCE INSTRUCTIONS FOR CONTINUED AIRWORTHINESS REQUIRED PER F.A.R. 25.1529 IS CONTAINED IN JET AVIATION ASSOCIATES, LTD. DOCUMENT NO. G1159-19760-050, REV. IR, DATED 11/19/03. THE REQUIRED FAA APPROVED AIRPLANE FLIGHT MANUAL SUPPLEMENT DOCUMENT NUMBER G1159-19760-100, REV. IR, DATED FEB 09 2004 HAS BEEN INSERTED INTO THE AIRCRAFT FLIGHT MANUAL. END ❑ Additional Sheets Are Attached O U.S. G.P.O 1990-761-753 EFTA00278168 Anita, Atatts of jknuriat pepartment of Zranspartztlian gtbtral cikfliritiorc gaiministration Supplant/Ifni Type Terlifirate tiVel,9216,e ST02789AT oeio4jecale essaedlo tes, Ltd. Palm Beach, FL 33406 _ceirleXe4.4ea4.64-aeanfe 1;s 44, *Ai se Aujg"), e).• 44i 4a ,eorivywedaci-coae-44'471444144,-44-aisii-eillitiAWAt ccs .ysearXedievrws ',see& ezeiveoWdecizeos .v9a-eirmeysis elgirel 25 e/ Federal Aviation aiov:sa,g;od.e- .9;y7e Fe..4;4.74, Al2EA ,A6,718 Gulfstream Aerospace Corporation ../#20.41.• G-1159, G-1159A & G-1159B Series g"-1••04:91' e/Tf" "",""' Installation of a Honeywell Model MK VIII Enhanced Ground Proximity Warning System (EGPWS) in accordance with Jet Aviation Master Drawing List (MDL) G1159-19760-010, Rev. A, Dated January 30, 2004 or later FAA approved revision. ...Wthiezz.tievs4 ezepeinvu/44O,9 " .s... FAA Approved Flight Manual Supplement (AFMS) for Gulfstream Aerospace Corp. Models G-1159, G1159A & G- 1159B Series Aircraft with Honeywell Model MK VIII EGPWS, Jet Aviation Document No. G1159-19760-10 0, Rev. IR, Dated February 9, 2004, is a required part of this STC. This approval should not be extended to other aircraft of this model on which other previously approved modifications are incorporated, unless it is determined by the installer that the interrelationship between this change and any other previously approved modifications will produce no adverse effect upon the airworthiness of that airplane. If the holder agrees to permit another person to use this certifica te to alter the product, the holder shall give the other person written evidence of that permission. ces.-4/eoale czaatZ4 Jurpo"1.44, eaveic.42 a, Wale ,0,.< .3zuvinoelesm JeAyseved. ~W eider Iewmisalay, dale ss ode.~4se e,s4de.‘„i6. 46 ,AL/Z174/%3€4Z4710V. VW, le cy, gereo September 19, 2003 ros:isreed. 07.41 oi, s;ssuaekre February 9, 2004 grah, a'nevwfool. gri,..aetzejgae;TA5s, .Adme:44.V.sale ,990, c/46 6,1 414. gffled;" (w-gnature) ot Melvin D. Taylor j Manager Atlanta Aircraft Certification Office (Title) Any alteratico or this certificate is punishable by • fine of not exceeding $1,000, or imprisonment not exceeding 3 years, or both. SPA Poem $110-1(10-6I) PA= 1 of 1 PAGIS This certificate ray be transferred in accordance with fAR 21.47. EFTA00278169 I . EFTA00278170 SETRff711778111 SUPPLEMENTAL TYPE CERTIFICATE N°. ST02789AT BY USING THIS SUPPLEMENTAL TYPE CERTIFICATE, YOU AGREE TO THE FOLLOWING TERMS. IF YOU DO NOT AGREE TO THE TERMS OF THIS AGREEMENT, PROMPTLY RETURN THE SUPPLEMENTAL TYPE CERTIFICATE, MAINTENANCE INSTRUCTIONS, AND FLIGHT MANUAL SUPPLEMENT TO JET INCORPORATED FOR A FULL REFUND. Jet Aviation Associates, Ltd (JET) grants you (the "Licensee") the right to use the Supplemental Type Certificate ("STC") referenced above on the Gulfstream G-1159B aircraft Serial N°. 151 , (the "Aircraft"). You may not use the STC and related materials, including drawings, flight manual inserts, instructions or other materials for any other aircraft or for any other purpose. COPYRIGHT. The STC is owned by JET and is protected by United States copyright laws, other United States laws, and international treaty provisions. Therefore, you must treat the STC like any other copyrighted material. One (1) copy of the written materials accompanying the STC package may be made for each aircraft Serial Number listed above. CONFIDENTIALITY. Licensee will protect the STC Data Package, whether in storage or in use, with the same degree of care as the Licensee uses to protect its own confidential and proprietary material against public disclosure and unauthorized use, but in no case with any less degree than reasonable care. Licensee will keep the STC Data Package confidential and will not disclose it to anyone other than employees of the Licensee reasonably having a need to have access to it for the purposes specified above, and such disclosure to them shall be made only under conditions of strict confidentiality. LIMITED TRANSFER RIGHTS. You may not sell, rent or lease the STC, except that you may transfer your license to the STC to any purchaser of the Aircraft. INDEMNIFICATION AND LIMITATION OF LIABILITY. Licensee shall have no recourse against JET for, and hereby agrees to defend, indemnify and hold harmless JET, its shareholders, directors, officers, employees and agents, against any and all claims (whether in contract, tort, or otherwise, including negligence of any degree) for or in respect of any loss (including loss of use and/ or profit), expense, liability, property damage and/or bodily injury (including death) which may at any time be suffered or incurred (for any reason whatsoever) by Licensee and/or any third parties (including persons or any property being carried in the Aircraft in any capacity whatsoever), directly or indirectly arising out of or in connection with the use of the STC Data Package by Licensee or by any person obtaining access to the STC Data Package from or through Licensee. REMEDIES FOR BREACH. Licensee agrees that, without limiting any other available remedies, JET shall be entitled to an injunction or other equitable relief in the event of any breach of the terms of this Agreement. It is further agreed and understood that no failure or delay by JET in exercising any right or remedy hereunder shall operate as a waiver thereof, nor shall any single or partial exercise thereof preclude any other or further exercise of any such right or remedy. This Agreement is covered by the laws of the State of Florida. Cgoittkii/tY47447 Gordon Karr Engineering Supervisor JPBI-STCLA-2004 JET AVIATION ASSOCIATES, INC. PALM BEACH INTL AIRPORT WEST PALM BEACH, FL 33406 PHONE: (1-561) 233-7200 FAX: (1-561) 233-7240 www.jetaviation.com EFTA00278171 i L EFTA00278172 REVISION STATUS REV REV DESCRIPTION APPROVAL DATE LTR BY A G.L.K. Section A. Revised the following Document: G1159-19760-060 Rev A. Section B. Revised the following Document/Drawings: G1159-19760-003 Rev A, G1159-19760-450 Rev A, G1159-19760-506 Rev A, and G1159-19760-1450 Rev A. N.J. CURRAN 01/30/04 JET AVIATION ASSOCIATES, LTD. - Highly Sensitive This document and all information and expression contained herein are the property of Jet Aviation Associates, Ltd., and is provided to the recipient in confidence on a "Need To Know" basis. Your use of this document is strictly limited to legitimate business purpose requiring the information contained therein. Your use of this document constitutes acceptance of these terms. Jet Aviation Associates, Ltd. 44a& 117 ligiV1710111 CRS-EYKR782D PROPRIETARY NOTICE: This document contains specifications and/or data, technical material, proprietary information that are the sole property of JET AVIATION ASSOCIATES, LTD. to be held and treated by its recipient on a confidential basis and is not to be shown or disclosed to any unauthorized organization or person without the written authorization of JET AVIATION ASSOCIA TES, LTD. Work Order No.: 19760 MODEL: TITLE: MASTER DRAWING LIST NAME DATE Gulfstream FOR THE INSTALLATION OF THE HONEYWELL Prepared By: G.L. KARR 08/15/03 G-1159 Series MK VIII ENHANCED GROUND Checked By: T. CARR 11/18/03 S/N: PROXIMITY WARNING SYSTEM (EGPWS) Q/A: N/A N/A IN THE G-1159 SERIES AIRCRAFT Engineer: G.L. KARR 11/18/03 DOCUMENT NO.: REV: SCALE: SHEET: Approved: N.J. CURRAN 11/19/03 G1159-19760-010 A NONE 1 OF 4 EFTA00278173 [ _ EFTA00278174 REVISION STATUS l REV REV DESCRIPTION APPROVAL DATE LTR BY JET AVIATION ASSOCIATES, LTD. - Highly Sensitive This document and all information and expression contained herein are the property of Jet Aviation Associates, Ltd., and is provided to the recipient in confidence on a "Need To Know" basis. Your use of this document is strictly limited to legitimate business purpose requiring the information contained therein. Your use of this document constitutes acceptance of these terms. .t -..,.di.. . " Jet Aviation Associates, Ltd. JET HINFRATICAI CRS-EYKR782D PROPRIETARY NOTICE: This document contains specifications and/or data, technical material, proprietary information that are the sole property of JET AVIATION ASSOCIATES, LTD. to be held and treated by its recipient on a confidential basis and is not to be shown or disclosed to any unauthorized organization or person without the written authorization of JET AVIATION ASSOCIATES, LTD. Work Order No.: 19760 MODEL: TITLE: NAME, DATE Gulfstream INSTRUCTIONS FOR CONTINUED AIRWORTHINESS Prepared By: G. L. KARR 11/05/03 G-1159 Series FOR THE INSTALLATION OF THE HONEYWELL Checked By: T. CARR 11/05/03 SIN: MK VIII ENHANCED GROUND PROXIMITY Q/A: N/A N/A WARNING SYSTEM (EGPWS) Engineer: G. L. KARR 11/18/03 DOCUMENT NO.: REV: SCALE: SHEET: 1 Approved: N.J. CURRAN 11/19/03 G1159-19760-050 IR NONE 1 OF 7 EFTA00278175 . EFTA00278176 REVISION STATUS REV REV LTR DESCRIPTION APPROVAL DATE BY A G.L.K. Revised Section 7.2 Aircraft Configuration Chart, Test Section Column, Category 14 from 0 to 2. Section 7.3.7.4 added note. Section 7.3.9.5, corrected order of Voice Messages and corrected item n expected value from 0 to 2. Section 7.3.10, Ground Landing Gear Discrete added gear up simulation note, +28V Flap Landing Flap Discrete Level 6 Audio Readout and added note, Autopilot Disconnect Level 6 Audio Read Out, Momentary Flap Override Discrete correct Signal Type, added Press and Hold to Test Value. Section 8.1 Radio Altitude and Decision Height added note. Section 8.3 Navigation ILS, CVT Item RawAACCGS1 Test Value from 1 dot fly up to 2 dot fly up and CVT item RawAACLoc1 Test value from 1 dot fly left to 2 dot fly left. Section 8.8 Added gear up simulation note. Appendix B, CVT Items Table. N.J. CURRAN 01/30/04 JET AVIATION ASSOCIATES, LTD. - Highly Sensitive This document and all information and expression contained herein are the property of Jet Aviation Associates, Ltd., and is provided to the recipient in confidence on a "Need To Know" basis. Your use of this document is strictly limited to legitimate business purpose requiring the information contained therein. Your use of this document constitutes acceptance of these terms. Jet Aviation Associates, Ltd. 'ci& P .SET R11117177011/ CRS-EYKR782D PROPRIETARY NOTICE: This document contains specifications and/or data, technical material, proprietary information that are the sole property of JET AVIATION ASSOCIATES, LTD. to be held and treated by its recipient on a confidential basis and is not to be shown or disclosed to any unauthorized organization or person without the written authorization of JET AVIATION ASSOCIATES, LTD. Work Order No.: 19760 MODEL: TITLE: NAME DATE Gulfstream CERTIFICATION Prepared By: G.L. KARR 10/20/03 G1159-Series GROUND TEST PROCEDURE Checked By: T. CARR 10/30/03 S/N: FOR THE MK VIII EGPWS Q/A: N/A N/A Engineer: G.L. KARR 11/18/03 DOCUMENT NO.: REV: SCALE: SHEET: Approved: N.J. CURRAN 11/19/03 G1159-19760-060 A NONE 1 OF 34 • EFTA00278177 EFTA00278178 4 AFT IIVIR7////11 FAA APPROVED AIRPLANE FLIGHT MANUAL SUPPLEMENT FOR THE HONEYWELL MK VIII ENHANCED GROUND PROXIMITY WARNING SYSTEM (EGPWS) IN THE GULFSTREAM AEROSPACE CORPORATION MODELS G-1159/G-1159AIG-11598 SERIES AIRCRAFT REG. NO. N9 0_9JE SERIAL NO. 151 Document No, G1159-19760-100 This Supplement must be attached to the FAA Approved Airplane Flight Manual when the airplane is modified by the Installation of a Honeywell Enhanced Gratiyil proximity Warning System (EGPWS) In accordance with technical data approved by STC 5 TO a../Akr. The information contained herein supplements or supersedes the basic manual only In those areas listed herein. For Limitations, Procedures, and Performance Information not contained in this Supplement, consult the basic Airplane Flight Manual. FAA Approved: C Manager )1f1 Federal Aviation Administration Atlanta Aircraft Certification Office, ACE-116A One Crown Center 1895 Phoenix Boulevard, Suite 450 Atlanta, Georgia FAA Approved Date: /2 / 4 l q Page 1 of 20 EFTA00278179 i v EFTA00278180 .k c:.;TheaktiseM •-y ititorarirgrNrielIt. fit 1' tle , ...... Agy Uc 2..c.f..Egi: • 13:7 n DEPARTMENT OF TRANSPORTATION. DAM le FEDERAL AVIATION ADMINISTRATION August 16 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT4COMPONENT IDENTIFICATION MODEL NO. TYPE (Airplane Radio, Helicopter, etc) "NAME OF APPLICANT Jet Aviation Associates Gulfstream Aerospace Corp. G-1159B Airplane "krigtissi, lea Beach,,FL LIST OF DATA • IDENTIFICATION TITLE G3-20895-450, Initial Release MINOR DEVIATION TO SIC ST02789AT MK VIII EGPWS SYSTEIVINVIRING - dated August 13, 2004 DIAGRAM ;•.3./417?':„ • .. n N , t, .11 G3-20895-506, Initial Release MINOR DEVIATION •TO•STC.ST02789AT AUXILIARY ANNUNCIATOR SYSTEM , dated August 13 2004 WIRING DIAGRAM 'es PURPOSE OF DATA - In support of the major alteratIon to G-41590 serial number 151, registration number N909JE. r -e:„ differences between the data listed above and the similar data contained in SIC ST02789AT are minor, therefore STC7:44; ST02789AT can be used-as tbeibials of design approval on the aboVe listed aircraft.. APPLICABLE REQUIREMENTS (List specific sections) 14 CFR 25.21 (a) 14 CFR 25.1322 (a)(b)(c)(d 14 CFR'25.869 (a)(4) 14 CFR 25.1351 (a) k" 14 CFR 25.1301 (a)(b)(c)(d) 14 CFR 26.1353 (a)(b) 14 CFR 25.1309 (a)(b)(c)(d)(g) 14 CFR 25.1357 (a)(c) CERTIFICATION - thin mhotity vtsted try .d.iteees crib° isdirlethower one b accordant-a sybh tond Wats and lirniteciens of appetnthern undo Put ItIslipt ibe Fedtrel Av4aicn Reirubtiorts, dua rated above and co en:flaid sheets cumbered NONE tuve been esseefred in accardanw uith esteebed procedures am! Esund to coyuplyw:r.h to roquetircu or .feders1Miateort Rep [Micro, :* • ' t El ItcpontriteIldapPlov3I DfOcse iScrete.4 4/ 11tiad..,44 f tv t. 1. zpikcyr 44▪„.< „vsfet, Appnwe these date (Systemi &Equipment AspeOtscbieignzAnPreval Only, boos Not Constitute installation t•L:37 SIGNATURE OF D TED E INEERING REPItESENTATIVE(S) DLSIt;NATION NUMBERS) CLASSIFICATION(S), • DERT-510087-NM • ft, Systems:&:EqUiptrient. .. • ;.FAA Form 8110.!3 (I I-70)SISPERSEDES EDITION FILENAME: SC-N909JE-ECPWS.DOC )(I z ••• ..c..L :g.• " EFTA00278181 . .. EFTA00278182 DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS August 9, 2004 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane, Radlo, Helicopter, etc.) NAME OF APPLICANT Gulfstream G1159B Airplane Jet Aviation Associates LIST OF DATA IDENTIFICATION TITLE G2B-20895-1370 ELT Equipment Installation, Sht 1-4, Rev IR G2B-20895-1371 ELT Antenna Installation, Sht 1-3, Rev IR G2B-20895-1450 Minor Deviation to STC ST02789AT Mk VIII EGPWS Equipment Installation, ER01489 Sht 1-7, Rev IR Substantiation Report Substantiation Report - ELT & EGPWS Installation for Gulfstream G1159B, sin: 151 Note: 1. This approval is for structural aspects only. 2. This approval is based on analysis and drawing review. 3. After the repair or alteration, the aircraft must be returned to service by FAA authorized personnel. PURPOSE OF DATA To approve structural aspects of an alteration to Gulfstream G1159B, s/n: 151, TCDS A12EA APPLICABLE REQUIREMENTS (List specific sections) FAR 25.301 25.303 25.305 25.307 25.321 25.561 25.601 25.603 25.605 25.609 25.611 25.613 25.625 CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointm ent under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered 0 have been examined In accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulati ons. Recommend approval of these data. I 4)() Therefore Approve these data. SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION(S) David E. Haralson Pea.‘je. //ac.--- DERT-810028-NE Structural FM Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION ER01489.doc EFTA00278183 • • • EFTA00278184 Form Approved 0 MAJOR REPAIR AND ALTER ATION OMB No. 2120-0020 US Department of Transportation (Airframe, Powerplant, Propeller, or Appliance) . For FAA Use Only Federal Aviation Office fdenti • ation Administration • INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix B, and AC 43.9-1 (or subsequent revision ereof) for inPruc ionsf 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 of 195Q). . • Make Model GULFSTREAM AEROSPACE . . 1. Aircraft G1159B ' Serial No. Nationality and Registration Mark 151 - U.S.A.N909JE ---- ' . 1. --. ' - "`' -' '... • •.•.• Name (As shown on registration certificate) - . , ' • . 2. Owner HYPERION AIR INC. . • 3. For FAA Use Only • ,, .. .. ' • . :. • _ , . . • . • . .- . , ' • 4. Unit Identification 5. Type . .• . Unit Make Model Serial No. Repair r .• . Alteration i :4 i : !'.tt '-'%, 1 - II •: . •• • " i I:. V;Irr • z. % . . . 4 -'..:. ' ' .. .. '• . "AIRFRAME (As described in Item 1above) ' " •• ..,. • ••• • , -, ,..i..3.: : t!: .. : : • - ./ -;•! ^ ,. ' '. • %.,. : •• : ' . X . . , .. ' :?.:•41-4.: .!• . ...`i. :1 • :...• :'!.: o: :'... .,,'. ,. it. .. ,' , /O.i (VD .':: i i ‘ ,;• '~ :I. -, .: it':".R.I'l /kJ! ;..:.. . • . • .3. -- 7.,)i,i;:. .: , i" iJ I,". /i ;... .". : '...IN:1 !',"1.1.T(,‘ si ..t• ifri\'' Lig. NO rfri : ., :PPV!T.91.V./41N1-; P.-e:' i...-1.-.)4,;_;- s ,,,i ,T. .1404T:.:N . ;-:!:.: •" ,-• .,.4 34 i , ":— ')/1 • ;:•-- : :1.,-..,.. •. -`,.ehl %A% 11•.:ii• Ar.; ''' 1::.:ei.:: : '.)--el• :!D -Aii 1J -•-..). 4 _ !it ' f.. W I 5O49 - 4" :1 !.. • '4141A fl!). ! ' : . ";;PROPELLER ".,4 ;",":":O°:A!...: 1 ;•',..-:•_•;.F.•'. "1)A ---i0 .-.Ti .:-.!t/.. - . ' .. ....,:i l ii .t . i . ;-•':. . , :i• TV '..:1 vT. 54 1.: :1,.:03 (.00 1. .1 ?,;47 :illiT 1!) Dif,;12,AO. f)Iti.‘,1 ..i•le Y-.7.9MC.r.)?..Z' )1i.:24":5','‘ 1.1.--' A ?,:!!'-,.10.:':'Tttry", .S.• l'i,"': ' . ,:."! 9O .!.'i'e:::Ii.': J2,1 .'-' 'EIS: :.-.Aii• 1 .-:-;I:i:1 c )-!‘ (141./(*); Z/N.`" 0../. A I, :‘4161:4W'4`.;A`. .iCA .1! ,.2! V.:•1 Type 1: :•.F. ., • •i'..!) .0;:i "Uri )9:,.-::-, ; i : '' • i' .' _I/ VA (J .....1.- .! -1.-.).:.; :,-;. 1t 11 ..:1 iiO'...1O.'• .-J't 4% ,'•:.!.tri,fr.:4 .101N1 fiFiV . V3-.-F f WV. -. i ' '! . • . • : ' - i..1 71// .1'...:, ;. t".i!. ..... r:. ;.,. , r' uir `O'.. APPLIANCE • . J. i :- -,•1...r. ..!,. ,flanufactureri • , . :;-;,, ,.. .. , ,. • . . ' 7 - ' . . .! : Vd .. . ' . • ;1;10 - 1, i• .' t: . ,,. .i 1. , . . t I ; -,1 ., • • ... . .. -- - ' - . " :.'...‘.... .. ' ' . - 6. Conformity Statement '_ _ ' .• • .. , A. AgenCy's Name`and Address • ` • ' .'"' : . . . .- B. Kind of Agency " . ' C. Certificate No. ." _. ... . .. , ., . . ,. . - ., . ,.., . • -- , .. U.S. Certified Mechanic CRS EYKR782D OATES LTD. . Foreign Certified Mechanic " - AIRFRAME 1,3. , • • x Certificated Repair Station RADIO 1,2,3. WEST PALM BEACH. FL. 33406 Manufacturer LIMITED NF & ENG. 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 hereto have been made in accordance with 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. Date . . Signature of Authorized Individual 2/19/03 John K. Urso, Inspector. /6 7. Approval for Return to Servl Pursuant to the authority given persons specified below, the unit identified in item 4 w s inspected in the manner prescribed by the Administi.ator of the Federal Aviation Administration and is 0 APPROVED 0 REJECTED FAA Flt. Standards Other (Specify) Inspector Manufacturer Inspection Authorization BY . •, . Person Approved by Transport FAA Designee -' X Repair Station - - - -• - - Canada Airworthiness Group - Date of Approval or Rejection Certificate or Signature of Authorized Indivi I . 2/19103 . - Designation No. ,...... e. EYKR782D Donald D. Webb, Inspector. ,. ...... C\-c."-__ FAA Form 337 (t2-88) - a9 -tz EFTA00278185 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. Description of Work Accomplished • • '• • (If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and date work accomplished.) N909JE, GULFSTREAM G-IIB, S/N 151 W/O 18980. • ,• ACCOMPLISHED AN UPGRADE TO THE EXISTING AIRCELL TELEPHONE SYSTEM PREVIOUSLY INSTALLED UNDER FAA FORM 337 DATED 4/21/00. REMOVED MODEL AGT02 TELEPHONE TRANSCEIVER P/N 900002-2 AND INSTALLED MODEL AST- . 3500 AIR / SATELLITE TELEPHONE TRANSCEIVER P/N 400-10640-001. A NEW ANTENNA P/N 015-10306-001 WAS INSTALLED FOR SATELLITE OPERATIONS AT F.S. 280.0 AND AN ADDITIONAL HANDSET P/N 500-10036-001 WAS INSTALLED IN THE COCKPIT. THIS MODIFICATION WAS ACCOMPLISHED PER THE FOLLOWING JET AVIATION DRAWINGS: • WIRING DRAWING: ' • ... ..- • G2B-18980-342, REV A, DATED 1/10/03, TITLED - AIR / SATELLITETELEPHONE SYSTEM. REFERENCE FAA FORM 8110-3 DATED 2/14/03 BY SYSTEMS AND EQUIPMENT DER NO. DERT-51035-NM. STRUCTURAL DRAWII4GANP:12EPORT: - . - ' - : -"` ' -' •' .. ,.... - • G2B-18980-1342, REV IR, DATED 1/10/03, TITLED - IRIDIUM / GPS ANTENNA INSTALLATION. • ERO1304, REV IR, DATED 1/13/03, TITLED - STRUCTURAL SUBSTANTIATION-FOR IRIDIUM / GPS ANTENNA FOR '- •G1159B S/N-151:: --• • • - • - -- - '• - - ' • ----- - - • " ,:.` • :: • 'REFERENCE FAA FOR4131103 DATED 1/13/03 BY STRUCTURES DER NO. DERT-810028-NE • - ? • .t-iss.-.., -:• • ; 1:t4-,.ifi 1 _ , .. .. , !.-.,z: '1 i • • :THE NEW EQuiemENtwAs.y.uNcyjpN40, TESTED_PER....AIRCELL AST-3500 INSTALLATION MANUAL 80040640, REVIAWITH.. !NO DISCREPANCIES. ; X. • i ;' AN•EMI_TEST,REPORT,N6.:.G2B-18980t080,.REV.IR, DATED 1/29/03WAS CONDUCTED. AND.THE INSTALLED.EQUIPMENT.DOES- • (NOT INTERFERE WITH ANY OTHER INSTALLED EQUIPMENT. MAGNETIC DIRECTION INDICATORS WERE CHECKED FOR, .. ,_ ACCURACY,AND COMPENSATED ASNECESSARY:=PER-AC 43.4-3-1B,;CHAPTER--12TSECTION=3,--PARAGRApH-12-37 AN134C-'43(1-3e"; 2A, CHAPTER 2 PARAGRAPH 23f. • r I 4_ .. ._.,.._:_-_._:_t__-:-_-- ,- __.... ' . . - 1 ;I 1 THE STATIC LOADING O THE INSTALLED EQUIPMENT MEETS THE REQUIREMENTS OF AC 43.13-2A, CHAPTE10, • Ri1.41-LITZ)01: PARAGRAPH 3 AND WAS FOUND TO MEET THE REQUIREMENTS OF PARAGRAPH 2. MATERIALS AND PRACTICES COMPLY ,WiTif PARAGRAPHS HROUGH 12. THE ELECTRICAL LOAD ANALYSIS UPDATE REPORT NO. G2BL158134)0My IR; • WAS • .. COMPLETED IN ACCORDANCE WITH AC43.13-1B, CHAPTER 11, SECTION 3, PARAGRAPH 11-37. • . - i • • 4 AIRCRAFT METAL WORK INVOLVING METAL REPAIR OR-ALTERATION COMPLIES WITH AC43.132113;. CliAiiiili4, SEC;INTI•:. ,1, 2, 3 AND 4,.. CHAPTER 6,!SECTIONS 3 AND 8. HARDWARE AND MATERIALS USED IN THE INSTALLATION CONFORM TO AC43:13•=-1B;-CHAPTER'77SECTIONS 1-.5 AS-APPLICABLEf7CIRCVIT BREAKERS;-SWITCHES AND CONNECTORS. ARE'QF THE'Y"°"' TYPERECOMMENDEp, Ay:THE-AIRCRAFT MANUFAeiLikEkte,ARE.MIL SPEC APPROVED FOR' IRCRAFT:USEANP MEETV:4:: THE'REQUIREMENTS, OF Ac.0:13-1B;CHAPTER 11.,-SECTION 4 ELECTRICAUELECTRONIC WIRING WAS SELECTEDAND ---''':-.7:•-- INSTALLED IAW AC43:13-.1B, CHAPTER-11; SECTIONS 5-6;13, 15; 17-19 AND AC43.13-2A CHAPTER 2, PARAGRAPHS 21, 22 & 27.; ROUTING, LACING AND TYING COMPLIES WITH AC.43.1 1B, CHAPTER II, SECTIONS 9-12. WIRE MARKING COMPLIES WITH. AC43.13-I B SECTION 16:ELEcTRONIC EQUIPMENT INSTALLATION COMPLIES WITH THE AIRCRAFT. AND EQUIPMENT.. ' -• MANUFACTURER'S INSTRUCTIONS AND.AC43.13-2A, CHAPTER 2, PARAGRAPHS 21 THROUGH 26 AND CHAPTER 3, - PARAGRAPH.44.- ' - • . - ' '' .... - . '• -,. -' • ' • '' ' A LOGBOOK ENTRY REFLECTING-THIS INSTALLATION WAS COMPLETED PER F.A.R. 43.9 AND ENTERED INTO THE AIRCRAFT LOGBOOK. THE EQUIPMENT LIST WAS AMENDED AND THE NEW WEIGHT AND BALANCE WAS COMPUTED AND ENTERED IN .THE AIRCRAFT RECORDS IAW AC43.13-1B,.CHAPTER 10, SECTION 2 AND AC 43.13-2A, CHAPTER 1 PARAGRAPH 9. - .. • MAINTENANCE INSTRUCTIONS.FOR CONTINUED AIRWORTHINESS REQUIRED PER F.A.R. 25.1529 ARE CONTAINED IN AIRCELL INC:-DOCUMENT 820-10640-001, REV:B DATED 10/25/02 AND JET AVIATION DOCUMENT G2B-18980-050, REV IR, DATED 1/29/03. " •- - THERE ARE NO COCKPIT PROCEDURAL-CHANGES DUE TO THIS MODIFICATION. - END - t•-,0 • ", '' " Additional Afe Attached * U.S. G.P.O 1990-761-753 EFTA00278186 DATE DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS January 13, 2003 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane, Radio, Helicopter. etc.) NAME OF APPLICANT Gulfstream G1159B Airplane Jet Aviation Associates LIST OF DATA IDENTIFICATION TITLE G2B-18980-1342 lridium/GPS Antenna Installation, Sht 1-3, Rev IR ER01304 Structural Substantiation for Iridium/GPS Antenna Installation for Gulfstream G1159B, S/N: 151 Note: • 1. This approval is for structural aspects only and does not include flammability. 2. After the alteration, the aircraft must be returned to service by FAA authorized personnel. 3. This approval is based on analysis and drawing review. PURPOSE OF DATA To approve structural aspects of an alteration to Gulfstream G1159B, S/N: 151, TCDS A12EA APPLICABLE REQUIREMENTS (List specific sections) FAR 25.301 25.303 . . 25.305(a) 25.307(a) 25.601 25:603 25.605(a) . 25.609 - 25.611 . 25.613 , CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Part 183 of the Federal Aviation Regulatbns, data listed above and on attached sheetsnumbered 0 have been exarrined in accordance with estabished procedures and found to con-ply with applicable requirements of the Federal Aviation Regulations. Recommend approval of these data. I (1X Therefore Approve these data. SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION(S) David E. Haralson p,,,z7 gc,„2,....___ DERT-810028-NE Structural FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION ER01304 doc EFTA00278187 d• • • • • An! .• • • r • • • • • •• E... • a • • ••••. •• • •ealta la • • I ••• • ••••••• •• •• ••• • • •• • •••••••• e• • . • .• a .• . . I. .1 • v. • . • • • s e ••••• • • • • a • • ••• • ••• • • • • • . • I. . . •• . • r . , a • ....1. ••• • .: • : ' : • t' . . . - .. - .. - er • , • • a .e. • • t •. . • ' • . • • . • . - r i ... • - • • • • EFTA00278188 02/15/2003 11:09 4079090198 S ROBLIN PAGE 02 DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS 02/14/2003 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane, Radio, Helicopter, etc) NAME OF APPLICANT Jet Aviation Associates, Ltd. Gulfstream Aerospace G1159B Airplane West Palm Beach, Florida LIST OF DATA IDENTIFICATION TITLE G2B-18980-342, Revision A Air / Satellite Telephone System END PURPOSE OF DATA Approval of design data for the installation of the Aircell Satcom in aircraft serial no. 151, registration no. N909JE; Systems & Equipment Design Approval Only. APPLICABLE REQUIREMENTS of Title 14 CFR (List specific sections) FAR 25.869 (a)(4) FAR 25.1353 (a)(b) FAR 25.1301 (a)(bXc)(d) FAR 25.1357 (a)(cXd) FAR 25.1307 (c) FAR 25.1431 (c) ,. CERTIFICATION - Under authority venul by direction of the Administrator end in accordance whh conditions end limitations of appointment under Part ID of the Federal Aviation Regulation., data Ilned above and on attached them rumbaed NONE have bees examined in accordance with established procedures and found to comply with rpplicabk requiremeats of the Fedcral Aviation Regulations. I Recommend approval of these data I (We) Therelbre ID A prove these data SIGNATURE(S) OF DESIGN NG E• RSENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION(S) Leslio S. Roblin DERT-510335-NM Systems & Equipment FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION (g2B_satcorn-3a.doc) GPO 901.613 EFTA00278189 •• w • • •• •,• • . awes. obbsb•• • W be ••••••••• •••• ebb. • or • ••••• ...awe, • • • • • wow Yaw a ow ••• W.S••••••••••••••••• Wow • •• • ebb /wow • • b: .r. • • • • Or • • EFTA00278190 REVISION STATUS REV REV LTR BY DESCRIPTION APPROVAL DATE (No data herein shall be deemed to have been approved by,any regulatory agency). Jet Aviation Associates, Ltd. '11 JET RVIRT/0111 Palm Beach Intl Airport CRS-EYKR782D West Palm Beach, FL 33406 PROPRIETARY NOTICE: This document contains specifications and/or data, technical material, proprietary information that are the sole property of JET AVIATION ASSOCIATES, LTD. to be held and treated by its recipient on a confidential basis and is not to be shown or disclosed to any unauthorized oroanization or person without the written authorization of ,/ET AVIATION ASSOCIATES. crp. Work Order No.: 18980 MODEL: TITLE: NAME DATE Gulfstream MAINTENANCE REQUIREMENTS Prepared By: G. L. KARR 01/29/03 G1159B INSTRUCTIONS FOR CONTINUED AIRWORTHINESS Checked By: G.L. KARR 01/29/03 S/N: FOR THE INSTALLATION OF THE AIRCELL WA: J. URSO 01/29/03 151 AST-3500 AIR/SATELLITE TELEPHONE SYSTEM Engineer: N/A N/A DOCUMENT NO.: REV: SCALE: SHEET: Approved: N/A N/A G2B-18980-050 IR _ NONE 1 OF 4 EFTA00278191 ' I II EFTA00278192 -4 O Form Approved MAJOR REPAIR AND ALTERATION OMB No. 2120-0020 US Department of Transportation (Airframe, Powerplant, Propeller, or Appliance) FAA Use Only Federal Aviation O ce 'de to ( y o __// Administration INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix B, and AC 43.9-1 (or subsequ vision 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 of 1958). Make Model GULFSTREAM AEROSPACE G1159B 1. Aircraft Serial No. Nationality and Registration Mark 151 U.S.A. N909JE Name (As shown on registration certificate) l• 8 : 1 • • a • • • :•• ration certificate) 2. Owner HYPERION AIR INC. 3. For FAA Use Only 4. Unit Identification 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME (As described in Item 1 above) X POWERPLANT PROPELLER Type APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. U.S. Certified Mechanic CRS EYKR782D JET AVIATION ASSOCIATES LTD. ,—..., Foreign Certified Mechanic AIRFRAME 1,3. ' x Certificated Repair Station RADIO 1,2,3. WEST PALM BEACH. FL. 33406 Manufacturer LIMITED NF & ENG. 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 hereto have been made in accordance with 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. Date Signature of Authorized Individual 5/8/03 John K. Urso, Inspector. A.--, /e (..r(...-_,r-- 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is 0 APPROVED • REJECTED Other (Specify) FAA Flt. Standards Manufacturer Inspection Authorization Inspector BY Person Approved by Transport FAA Designee X Repair Station Canada Airworthiness Group Date of Approval or Rejection Certificate or Signature of Authorized Individual 5/8/03 Designation No. EYKR782D Ronald K. Bystrom, Quality Assurance Manage / FAA Form 337 (12-88) EFTA00278193 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. Description of Work Accomplished (If more space is required, attach additional sheets, identify with aircraft nationality and registration mark and date work accomplished.) N909JE, GULFSTREAM S/N 151 W/O 19499. REFERENCE FAA FORM 337 DATED 2/19/03 UPGRADING AIRCELL INC. AIR/GROUND CELL PHONE SYSTEM TO AIR/SAT PHONE SYSTEM. CONVERTED AIR/SAT PHONE SYSTEM BACK TO AIR/GROUND SYSTEM BY REMOVING AIRCELL INC. AIR/SAT TRANSCEIVER MODEL AST-3500 P/N 4000-10640-001, PREVIOUSLY INSTALLED UNDER FAA 337 FORM DATED 2/19/03 AND INSTALLING AIRCELL INC. TRANSCEIVER MODEL AGT.01 P/N 900002-2. NO WIRING CHANGES WERE NECESSARY FOR THIS ALTERATION. WIRING FOR THE AIRCELL AIR/GROUND CELL PHONE SYSTEM WAS ORIGINALLY INSTALLED USING JET AVIATION WIRING DRAWING ACS20001, REV IR, DATED 2/14/00, WHICH IS SUBSTANTIATED BY FAA FORM 8110-3 DATED 4/01/00 BY DER NO. SO-528. DISCONNECTED, CAPPED AND STOWED SATCOM ANTENNA COAX CABLE PREVIOUSLY INSTALLED USING JET AVIATION WIRING DRAWING G2B-18981-342, REV A, DATED 2/12/03, WHICH IS SUBSTANTIATED BY FAA FORM 8110-3 DATED 2/14/03 BY DER NO. DERT-510335-NM. RECONNECTED EXISTING GROUND ANTENNA CABLE, PREVIOUSLY INSTALLED USING JET AVIATION WIRING DRAWING ACS20001, REV IR, DATED 2/14/00, WHICH IS SUBSTANTIATED BY FAA FORM 8110-3 DATED 4/01/00 BY DER NO. SO-528. THIS ACTION RETURNS THE AIRCRAFT AIRCELL AIR/GROUND CELL PHONE SYSTEM TO THE ORIGINAL CONFIGURATION AS INSTALLED UNDER FAA FORM 337 DATED 4/21/00. THE EQUIPMENT WAS FUNCTIONALLY TESTED PER AIRCELL AGT-01 INSTALLATION MANUAL 800-10220, REV IR, DATED 12/2000 WITH NO DISCREPANCIES. AN EMI TEST, REPORT NO.: G2B-19499-080, REV IR, DATED 5/8//03 WAS CONDUCTED AND THE INSTALLED EQUIPMENT DOES NOT INTERFERE WITH ANY OTHER INSTALLED EQUIPMENT. MAGNETIC DIRECTION INDICATORS WERE CHECKED FOR ACCURACY AND COMPENSATED AS NECESSARY PER AC 43.13-1B ,CHAPTER 12, SECTION 3, PARAGRAPH 12-37 AND AC 43.13- 2A, CHAPTER 2 PARAGRAPH 23f. A LOGBOOK ENTRY REFLECTING THIS INSTALLATION WAS COMPLETED PER F.A.R. 43.9 AND ENTERED INTO THE AIRCRAFT LOGBOOK. THE EQUIPMENT LIST WAS AMENDED AND THE NEW WEIGHT AND BALANCE WAS COMPUTED AND ENTERED IN THE AIRCRAFT RECORDS IAW AC43.13-1B, CHAPTER 10, SECTION 2 AND AC 43.13-2A, CHAPTER 1 PARAGRAPH 9. MAINTENANCE INSTRUCTIONS FOR CONTINUED AIRWORTHINESS REQUIRED PER F.A.R. 25.1529 ARE CONTAINED IN AIRCELL AGT-01 INSTALLATION MANUAL 800-10220, REV IR, DATED 12/2000. THERE ARE NO COCKPIT PROCEDURAL CHANGES DUE TO THIS MODIFICATION. END ❑ Additional Sheets Are Attached * U.S. G. P.O 1990-761-753 EFTA00278194 APR. -11' 00 (ED) 06:38 JANZA1R TEL:954 359 0076 P. 002 U.& oEPASMAEHT OF rionsPOATATION Ox-re FEDERAL AVIATION AcoAnsTRATiOrd APRIL 01, 2000 STATEMENT OF COMPLIANCE.WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION moue. NO. —TYPE (AIRPLANE. RADAD,NEL1COPTER, NAME OF APPUCANT 404 GULFSTRF-AM G-11598 AIRPLANE JET AVIATION UST OF DATA IDENTIFICATION TITLE ACP20001, 1 SHT WIRING DIAGRAM: REV. IR CABIN 14VOC ACCESSORY POWER DISTRIBUTION DATE O2-28-00 ACS20001. 2 SHTS WIRING DIAGRAM REV. IR AIRCELL TELEPHONE SYSTEM DATEO2-14-00 ENT20002, 6 SHTS WIRING DIAGRAM: REV. A CABIN ENTERTAINMENT SYSTEM DATE:02-28-00 ENT20003, 3 SHTS WIRING DIAGRAM: REV. IA CABIN HEADPHONE SYSTEM MODIFICATION DATEO2-27-00 ENT20004. 3 SHTS WIRING DIAGRAM: REV. IR CABIN VIDEO SYSTEM DATE:02-28-00 IN V20001, 2 r.,1A IRAN' lit v. It( LADIN OvIlLJIJtCM DATE:02-23-00 IR20001. 1 SHT WIRING DIAGRAM: REV. IR CABIN EQUIPMENT INFRARED REPEATER SYSTEM DATE-02-25-00 PURPOSE OF DATA PROVIDE A RECORD OF APPROVAL OF COMPLIANCE WITH THE FOLLOWING FARs ON GULFSTREAM G-1159B AIRCRAFT N908JE (S/N 151). APPLICABLE REQUIREMENTS Wet spaplact imalSonsi 14CFR21.305 14CFR25.1301 14CFR25.1353 14CFR25 14CFR25.603 14CFR25.1309 14CFR25.1357 14CFR25.777 14CFR25.1321 14CFR25.1381 14CFR25.1351 14CFR25.1423 --....-- CER/IFICATION - Tinder authority vested by dir-,..;",-, Af fk. A ritnifsictrwr, ,,,, i•-• i ,-'-^ ,-,,, "^" ,,,,,'` ^"'''''''''^^ ,s^ A limitations of appointment under Fart 183 of Federal Aviation Regulations. data listed above and on attached sheets numbered 3000MICIOCX have been examined in accordance with established procedures and found to comply with applicable requirements of the federal Aviation Regulations. I (We) Therefore El Recommend approval of these data 0 Approve these data SIGNATURE(S) OF DESIGNATED RING REPRESENTATIVES) DESIGNATION NumBERM 1 CLASSIFICATION(SI I W . C . JANZER SO - 528 SYSTEMS & EQUIPMENT G1Is9BENTERTAnt 14909JE I FAA Form 81103 (,1- or suemseoca PREvious E01110.4 OPOW1413 EFTA00278195 r- EFTA00278196 ' - enr•ArrIP‘''' 02/15/2003 11:09 487909 98 ROBLIN • DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION 8 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS 02/14/2003 (---) AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MARE MODEL NO. TYPE (Airplane, Radio, Helicopter, ctc) NAME OF APPLICANT Gulfstream Aerospace Jet Aviation Associates, Ltd. G 1 I59B Airplane West paw Beach, Florida UST OF DATA ‘ IDENTIFICATION TITLE . G2B-18980-342, Revision A Air/ Satellite Telephone System END )• PURPOSE OF DATA Approval of design data for the installation of the Aircell Satcom in aircraft serial no. 151, registration no. N9091E; Systems & Equipment Design Approval Orly_ APPLICABLE REQUIREMENTS of Title 14 CFR (List specific sections) FAR 25.869 (a)(4) FAR 25.1353 (a)(b) FAR 25.1301 (a)(bXc)(d) FAR 25.1357 (aXcXd) FAR 25.1307 (c) FAR 2.5.1431 (c) CERTIFICATION - Undo eghodir Yartd by dIrectiott of Motinittretor sod in tgottattce with coadidot39 and rimittaloos of gpoinumt tttida• Pin 163 of tht Federal above and on arached shorts withered Jg;1/!EE..._,bave been examined in accordance with testa/110bl prod:dares and found to comply with cpylicabk AviiitioA RATutilitne. data, booed ratio emoted:: oleic Fedcral Aviation Regotationr. . O Recommend approval of these data I (We) Thereibre 0 prove these data SIGNATURE(S) OF DESI G SENTATIVE(S) DESIGNATION NUMIIER(S) CLASSIFICATION(S) Leslie S. Roblin DERT-510335-NM Systems & Equipment FAA Form 8110-3 (1,140) SUPERSEDES PREVIOUS EDMON (g20 satcom-3a_2104 GPO 90-613 EFTA00278197 I EFTA00278198 . 3 . Form Approved 6 MAJOR REPAIR AND ALTERATION OMB No) 2120-0020 US Department For FAA Use O I of Transportation (Airframe, Powerplant, Propeller, or Appliance) Office Identification Federal Aviation Administration SO — r 5 D-o - it'z, / INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instruc ns 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 ex eed $1,000 for each such violation (Section 901 Federal Aviation Act of 1958). Make Model GULFSTREAM AEROSPACE G1159B 1. Aircraft Serial No. • Nationality and Registration Mark 151 U.S. N908JE . Name (As shown on registration certificate) Address (As shown on registration certificate) 2. Owner HYPERION AIR INC 3. For FAA Use Only 4. Unit identification 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME (As described in Item 1 above) X POWERPLANT PROPELLER Type APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. U.S. Certified Mechanic JET AVIATION ASSOCIATES LTD. Foreign Certified Mechanic X Certificated Repair Station CRS EYKR782D WEST PALM BEACH. FL. 33406 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 hereto have been made in accordance with 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. Date Signature of Authorized lndivi ' ual 1/12/2001 John K. Urso, Inspector. 1-a-- 7. Approval for Return to Servi Pursuant to the authority given persons specified below, the unit identified in item 4 inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is El APPROVED ❑ REJECTED Other (Specify) FAA Flt. Standards Manufacturer Inspection Authorization Inspector BY . Person Approved by Transport FAA Designee X Repair Station Airworthiness Group Date of Approval or Rejection Certificate or Signature of Authorized Individual Designation No. 1/12/2001 EYKR782D . Ronald K. Bystrom, Manager Quality Assurance ,.. FAA Form 337 (12-88) EFTA00278199 NOTICE Weight and balance or operating limitation changes shall be enteredin the appropriate aircraft record. An alteration must be compatible with allprevious alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and date work accomplished.) GULFSTREAM 1159 B. SIN 151. REG N9081E. W/O 15813 / 15929 INSTALLED A NEW GARMIN GPS ANTENNA P/N 011-00134-00 AT FUSELAGE STATION 148.25, LBL 11.25 PER JET AVIATION DRAWING ABA99042-M01, REV IR, DATED 1/5/2001, SHEET 1 OF 1, ITILED - GPS ANTENNA INSTALLATION. REF F.A.A. FORM 8110-3 DATED 1/7/2001 BY STRUCTURES D.E.R. NO. DERT-810050-NE. WIRING PROVISIONS WERE INSTALLED PER JET AVIATION DRAWING G2B-15929-415, REV IR, DATED 1/2/2001, SHEET 1 OF 1,TITLED - GARMIN HANDHELD GPS ANTENNA PROVISIONS. AIRCRAFT METAL WORK INVOLVING METAL REPAIR OR ALTERATION COMPLIES WITH AC43.13-1B, CHAPTER 4, SECTIONS 1, 2, 3 AND 4, CHAPTER 6, SECTIONS 3 AND 8. HARDWARE AND MATERIALS USED IN THE INSTALLATION CONFORM TO AC43.13-1B, CHAPTER 7, SECTIONS 1- 5 AS APPLICABLE. CIRCUIT BREAKERS, SWITCHES AND CONNECTORS ARE OF THE TYPE RECOMMENDED BY THE AIRCRAFT MANUFACTURER OR ARE MIL SPEC APPROVED FOR AIRCRAFT USE AND MEET THE REQUIREMENTS OF AC43.13-1B, CHAPTER 11, SECTION 4. ELECTRICAL/ELECTRONIC WIRING WAS SELECTED AND INSTALLED IAW AC43.13-1B, CHAPTER 11, SECTIONS 5-8, 13, 15, 17-19 AND AC43.13-2A CHAPTER 2, PARAGRAPHS 21, 22 & 27. ROUTING, LACING AND TYING COMPLIES WITH AC43.13-1B, CHAPTER 11, SECTIONS 9-12. WIRE MARKING COMPLIES WITH AC43.13-1B SECTION 16. ELECTRONIC EQUIPMENT INSTALLATION COMPLIES WITH THE AIRCRAFT AND EQUIPMENT MANUFACTURER'S INSTRUCTIONS AND AC43.13-2A, CHAPTER 2, PARAGRAPHS 21 THROUGH 26 AND CHAPTER 3, PARAGRAPH 44. A LOGBOOK ENTRY REFLECTING THIS INSTALLATION WAS COMPLETED PER F.A.R. 43.9 AND ENTERED INTO THE AIRCRAFT LOGBOOK THE EQUIPMENT LIST WAS AMENDED AND THE NEW WEIGHT AND BALANCE WAS COMPUTED AND ENTERED IN THE AIRCRAFT RECORDS IAW AC43.13-1B, CHAPTER 10, SECTION 2 AND AC 43.13-2A, CHAPTER 1 PARAGRAPH 9. CONTINUING AIRWORTHINESS INSPECTION REQUIREMENTS ARE CONTAINED IN G1159B MAINTENANCE MANUAL CHAPTER 53-00-00, (FUSELAGE PENETRATION INSPECTION). THERE ARE NO COCKPIT PROCEDURAL CHANGES DUE TO THIS INSTALLATION. END ❑ Additional Sheets Are Attached * U.S. G.P.O 1990-761-753 EFTA00278200 I I r- 1 g= VC. *c.c.! 1 - 0 :E. a DEPAR I MINT of I RANtSParm rAt con DATE FEDERAL AVIATION ADM INISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS Jan. 7. 2001 MAKE AIRCRAFT OR AIRCRAFT CO MODEL NO MPONENT IDENTIFICATION TYPE fa/tepid/Ie. /Vedic. NAME OF APPLICANT Gutfstream hio/icopler. a/c. ,/ _ .., G11598 Airplane Jet Aviation Associates, LTD , --- UST OF DATA IDENTIFICATION TITLE ABA99042-M01 Mod. Drawing: CAPS Antenna Ins tallation: Sh. 1 . Rev. IR dated Jan. 5. 2001 PURPOSE OF DATA to approve structural aspects only of GP S antenna insti as part of a major alteration to A/C SiN 151 APPLICABLE REOUIPIEUENTS (List apcciftc: saCtic -tns) FAR 25.307(a), 809(a) CERTIFICATION - Under authority vestud by oirec-non of the Adreinistt appointment widen Part 183 of thy rator and in accordance with conditi Federal Aviation Regu ons and limitations of O lations. data listed above and on attach have been examined in ed sheets nurnborud _— requirerrnints of the Federal Av accordance with established procedure iation Regulations. s an d found to comply with applicable [ Recommend approval of these dat ) Iharefore a rig Approve these data SiGNATURE(S) OF DESIGNATE D ENGINEERING REPRESEIT IATIVE(5) DESIGNATION, NUL413O1(S1 OLASSIF ICATI(Xi(51 Lauren Napier /..---a.4.442," DERT-810050-NE Structural ett Le' t --• AA Form 8110-3 07.7osuit FASEDeS PREMOVSELItTroN •Gt-uwi ,51) EFTA00278201 • i a EFTA00278202 - Form Approved MAJOR REPAIR AND ALTERATION OMB No. 2120-0020 us Department (Airframe, Powerplant, Propeller, or Appliance) For FAA Use Only of Transportation Federal Aviation Office Identification Administration S-(5 --P3Do- /7 INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructio s 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 of 1958). Make Model GULFSTREAM AEROSPACE G1159B 1. Aircraft Serial No: • Nationality and Registration Mark 151 U.S.. N908JE Name (As shown on registration certificate) Address (As shown on registration certificate) 2. owner HYPERION AIR INC 3. For FAA Use Only 4. Unit Identification 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME (As described in Item 1 above) X POWERPLANT PROPELLER Type APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. U.S. Certified Mechanic JET AVIATION ASSOCIATES LTD. Foreign Certified Mechanic CRS EYKR782D X Certificated Repair Station WEST PALM BEACH. FL. 33406 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 hereto have been made in accordance with 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. Date Signature of Authorized Individual 1/12/2001 John K. Urso, Inspector. K. (.)-- 7. Approval for Return to Sery Pursuant to the authority given persons specified below, the unit identified in item 4 s inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is "r APPROVED • REJECTED Other (Specify) FAA Fit. Standards Manufacturer Inspection Authorization Inspector BY Person Approved by Transport FAA Designee X Repair Station Canada Airworthiness Group Date of Approval or Rejection Certificate or Signature of Authorized Individual Designation No. I#9, 1/12/2001 EYKR782D Ronald K. Bystrom, Manager Quality Assurance FAA Form 337 (12.88) EFTA00278203 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. 8. Description of Work Accomplished (If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and date work accomplished.) GULFSTREAM 1159 B. S/N 151. REG N908JE. WIO 15813 / 15929 INSTALLED AN ALLIED-SIGNAL CAS67A TRAFFIC ALERT AND AVOIDANCE SYSTEM (TCAS II) AND DUAL MODE S TRANSPONDERS PER MIDCOAST AVIATION INC. STC ST00298WI, DATED 3/22/95, USING MIDCOAST AVIATION INC. CERTIFICATION DRAWING LIST NO. AD950003, REV H, DATED 4/28/00. MINOR DEVIATIONS TO THE STC ARE DOCUMENTED ON THE FOLLOWING JET AVIATION DRAWINGS WHICH ARE SUBSTANTIATED BY F.A.A. FORM 8110-3 RESPECTIVELY. WIRING DRAWINGS: • G2B-15813-440, REV IR, DATED 12/7/00, SHEETS 1 THRU 4, HILED - DUAL MODES TRANSPONDER SYSTEM MINOR DEVIATION TO STC ST00298WI (MST-67A). • G2B-15813-441, REV A, DATED 12/22/00, SHEETS 1 THRU 4, 111 LED -TCAS II SYSTEM MINOR DEVIATION TO STC ST00298WI (CAS-67A). REFERENCE F.A.A. FORM 8110-3, DATED 1/9/2001, BY SYSTEMS AND EQUIPMENT DER NO. DERT-510087-NM. STRUCTURAL DRAWINGS: • G2B-15813-1441, REV ER, DATED 12/28/00, SHEETS 1 THRU 8, TITLED -MINOR DEVIATION TO STC ST00298WI TCAS / TRANSPONDER EQUIPMENT INSTALLATION. • G2B-15813-1441-M01, REV A, DATED 12/4/00, SHEETS 1 THRU 11, III LED - MINOR DEVIATION TO STC ST00298WI TCAS / TRANSPONDER ANTENNA INSTALLATION. REFERENCE F.A.A. FORMS 8110-3, DATED 1/7/2001 & 1/9/2001, BY STRUCTURAL DER NO. DERT-810050-NE. THE NEW EQUIPMENT AND ASSOCIATED SYSTEMS WERE FUNCTIONALLY TESTED PER ALI .TFD-SIGNAL INSTALLATION MANUAL 006-05340-0005, REV 5, DATED 8/99 WITH NO DISCREPANCIES. THE STATIC LOADING OF THE INSTALLED EQUIPMENT MEETS THE REQUIREMENTS OF AC 43.13-2A, CHAPTER 1, PARAGRAPH 3 AND WAS FOUND TO MEET THE REQUIREMENTS OF PARAGRAPH 2. MATERIALS AND PRACTICES COMPLY WITH PARAGRAPHS 4 THROUGH 12. THE ELECTRICAL LOAD ANALYSIS UPDATE REPORT NO. G2B-15813-041 REV IR, SHEET 1, DATED 1/4/01 WAS COMPLETED IN ACCORDANCE wrm AC43.13-1B, CHAPTER 11, SECTION 3, PARAGRAPH 11-37. AIRCRAFT METAL WORK INVOLVING METAL REPAIR OR ALTERATION COMPLTRS WITH AC43.13-1B, CHAPTER 4, SECTIONS 1, 2, 3 AND 4, CHAPTER 6, SECTIONS 3 AND 8. HARDWARE AND MATERIALS USED IN THE INSTALLATION CONFORM TO AC43.13-1B, CHAPTER 7, SECTIONS 1- 5 AS APPLICABLE. CIRCUIT BREAKERS, SWITCHES AND CONNECTORS ARE OF THE TYPE RECOMMENDED BY THE AIRCRAFT MANUFACTURER OR ARE MIL SPEC APPROVED FOR AIRCRAFT USE AND MEET THE REQUIREMENTS OF AC43.13-1B, CHAPTER 11, SECTION 4. ELECTRICAL/ELECTRONIC WIRING WAS SELECTED AND INSTALLED TAW AC43.13-1B, CHAPTER 11, SECTIONS 5-8, 13, 15, 17-19 AND AC43.13-2A CHAPTER 2, PARAGRAPHS 21, 22 & 27. ROUTING, LACING AND TYING COMPLIES WITH AC43.13-1B, CHAPTER 11, SECTIONS 9-12. WIRE MARKING COMPLIES WITH AC43.13-1B SECTION 16. FT.FCTRONIC EQUIPMENT INSTALLATION COMPLIES WITH THE AIRCRAFT AND EQUIPMENT MANUFACTURER'S INSTRUCTIONS AND AC43.13-2A, CHAPTER 2, PARAGRAPHS 21 THROUGH 26 AND CHAPTER 3, PARAGRAPH 44. A LOGBOOK ENTRY REFLECTING THIS INSTALLATION WAS COMPLETED PER F.A.R. 43.9 AND ENTERED INTO THE AIRCRAFT LOGBOOK THE EQUIPMENT LIST WAS AMENDED AND THE NEW WEIGHT AND BALANCE WAS COMPUTED AND ENTERED IN THE AIRCRAFT RECORDS IAW AC43.13-1B, CHAPTER 10, SECTION 2 AND AC 43.13-2A, CHAPTER 1 PARAGRAPH 9. INSTRUCTIONS FOR CONTINUED AIRWORTHINESS ARE CONTAINED IN MIDCOAST AVIATION REPORT NO. 03-027E009, REV IR, DATED 4/19/00, SHEETS 1 THRU 6. THE REQUIRED F.A.A. APPROVED FLIGHT MANUAL SUPPLEMENT, MIDCOAST AVIATION REPORT NO. 03-328M002, REV A, DATED 2/22/00, SHEETS 1 THRU 11, HAS BEEN INSERTED INTO THE AIRCRAFT FLIGHT MANUAL. END ❑ Additional Sheets Are Attached * U.S. G. P.O 1990-761-753 EFTA00278204 pniirb States Of czA nurictt epurintent of caransporiation - jiijeberal gkbiatirrn miniziration Zupe Certif0ica te r2, E P t .-s THESE TECHNICAL DATA & THE OI.Si2115 DISCLOSED HEREIN ARE THE EXCLUSIVE !;ROPERTY OF MIDCOAST AVIATION, INC. i4e7A4 e ST00298WI ../.// OR CONTAIN PR0PRIDARY RIGHTS OF OTHERS & ARE NOT TO BE USED OR DISCLOSED TO OTHERS WITHOUT THE WRITTEN F;-Vec,a, e<-3Jeeed-zo. Midcoast Aviation, Inc. CONSENT OF MIDCOAST AVIATION, INC., ST LOUIS, MO 63145. Box 10056, Lambert Airport THIS DATA HAS BEEN RELEASED FO:i USE ON AIRCRAFT MODEL ..,.... ,-7.:.fz!STRATION St. Louis, MO 63145 d„/ oe,„,,, g,/eize wdezeizoi/49 ad a.qe/e4274J.Gee,e4, a,t44ec eon,, ,- -"ee ezeive,a -, zrV 4b Civil Air Avir&Z4ion4, av:fri zsg - e .- We4ecakt./feem, Al2EA ‘/XaZ Gulfstream Aerospace Corp. G-1159,G-1159A,G-1159B .0e,leol iw94: 9;r4e.ea50,gaivev Installation of an AlliedSignal, Inc., (Bendix/King) CAS 67A Traffic Alert and Collision Avoidance System (TCAS II) and MST-67A Mode S Transponder (Dual). Data Required: (1) Midcoast Aviation Inc., Certification Drawing List No. AD950003, Revision B, dated March 17, 1995, (2) Midcoast Aviation Inc., Report No. 03-328M002 FAA Approved Airplane Flight manual Supplement, dated March - 22, 1995, or later FAA Approved revisions to (1) or (2). Seei.n.Z.4rao,a<4.44. wrega,544,44,,A3-.- Compatibility of this design change with previously approved modifications must be determined by the installer. fffect ce/iejec t Jet/zne/itiz, torced4S eryz,ovaicvfae,,,,,,,4› 4,, e awl" aeavwx/erweKJ‘e4aeneiee4//evo d a der4s Zs. airee,zo4Se ‘45 6›, ' ,9- e.cfe.,.wfAve r;.,/geime.:ze<ver vA. 454Yaefoc>4y7,doeze .- February 06, 1995 ..Tea3.-eea.ie.eed.- eAtieceznatt.- March 22, 1995 .ga4;ez.yzcnehd_- (Signature) es M. Peterson sociate ACO Mgr., Systems & Propulsion Wichita Aircraft Certification Office (Title) Any alteration of this certificate is punishable by a fine of not exceeding $1, 000, or imprisonment not exceeding 3 years, or both. FAA Form 8110-2(10-68) This certificate may he transfered in accordance with FAR 21.47. EFTA00278205 • • • t I EFTA00278206 Ar+ MIDCOAST READ THIS LETTER FIRST - STC PURCHASE AGREEMENT November 27, 2000 Jet Aviation Palm Beach International Airport West Palm Beach, FL 33406 RE: STC ST00298W1 Data Package for a TCAS ll CAS-67 w/7.0 softwre in a Gutfstream II Series Aircraft. Reference: O3177 Dear Ms. Snowball: This letter authorizes Jet Aviation to use the enclosed drawings for the installation of a TCAS II MST-67A in a G-I1 aircraft, namely Serial Number 151, Registration Number N980JE. This drawing package is approved under Supplemental Type Certificate ST00298WI. This agreement is a license agreement between Midcoast Aviation, Inc. and Jet Aviation for the one time use of the attached drawings. The design depicted in these drawings is the exclusive property of Midcoast Aviation, Inc. In acceptance of these drawings, the recipient agrees that it will not be used for the purpose of manufacture or procurement of parts or assemblies shown herein, reproduced or otherwise copied or disclosed to any other person except as authorized in writing by Midcoast Aviation, Inc. Acceptance of this dr,awing package and agreement occurs when the sealed package attached to this letter is opened. In no event will Midcoast Aviation, Inc. be liable for any damages including lost profits, cost of cover or other special incidental, consequential or indirect damages arising from the use of these drawings, however caused and or any theory or liability. This limitation of liability will apply even if Midcoast Aviation, Inc. or anyone connected with the TCAS II CAS-67 project has been advised of the possibility of such damage. You acknowledge that opening the drawing package reflects this allocation of risk. This agreement will be governed by the laws of the State of Illinois not by the 1980 U.N. Convention on Contracts for the International Sales of Goods. This agreement is the entire agreement between us and supersedes any other communication or advertising with respect to the attached drawings. If any provision of this agreement is held invalid, the remainder of this agreement shall continue in full force and effect. Midcoast Aviation, Inc. Chris Carter Engineering Director CC/glh . Midcoast Aviation, Inc. #14 Archview Drive Cahokia, Illinois 62206 618-337-2100 EFTA00278207 •• • I • • I EFTA00278208 •-• • DRAWING NUMBER - REV. CONFIGURATION 1 ITTLE: . 03-302W002. B Dual Transponder Mod. (MST-67A) (ND). 63-32SF002 B TCAS/Transponders Antenna insti. (CAS-67A) O3-328l ocy3 B TCAS /Transponders Equipment Just). (CAS-67A) 03-328M002 A TCAS Flight Manual Supplement. BbMTP 3 C TCAS (CAS-67A) (WD ) 03-3287t01 NC Ground Functional Test - 03-328T002 NC Flight Functional Test 03-027E009 NC Instructions for Continued Airworthiness e . CONFIGURATION 2 03-302W011 A Dual Transponder Mod_ (MST-67A) (W14 - 03.328F002 B TCAS/Transponders Antenna Intl. (CAS-67A) 03-328F003 B TCAS /Transponders Equipment li rs-11_ (OAS-67A 03-328M002 ) A TCAS Flight Manual Supplement 03-328W009 A r STc-4* ST 00 al f? Loa TCAS (CAS-67A) (WD ) 03-328F0 t5 - DCN # N/C-1 . NC TcAsrrransP"I Mice de' i 0 F. AA, 03-328T001 Equi imnt 'IT P R 0 V E D • NC Ground Functional Test Wichita Aircraft Certification 03-32811)02 NC Flight Fuirt_tional Test Offied CE-1 5W Cr2-627E009 NC Cential Region Instructions for Continued AirwwthIness REV. DATE P. Date V :. 28 - c.6 DESCRIFTION H y-27-00 Added DCN #1 to drawing 03-328F015 • . Ace' --tit. Gd G 04-24-00 J. B. Revised drawings 03-302W011 and 03-328W009 to Rev. A. F ' 04415-00 J. B. Added Instructions for Continued Airworthiness 03-027E00 9 and • -• corrected drawing numbers 03-328T6a1 and 03-32811Dua • . 3-28-00 J. B. Add CONFIGURATION 2. Add Follow-on Functional Tes E • CONFIGURATION 1. ts to.. • .. Added DCN # C-4 ix) 03-328W002. Removed AfC serial riurnber. D 1-20-00 J.B. Update.AFMS to Rev. A. • G 8115/96 T.J.C. Dwg. 03-328F002 was Rev.A,Dwg 03-328W002 was Rev_ B_ B 3117/95 T.J.C. Update drawings 03-328W00Z 03-323W002, 03-328W003 ' to Rev. B and change Rev on .03-3213M0021aNIC_ ' A 3/14195 T.J.C. pja (Upclgto pIttzkawkigs tcLReV. A. - Retern THESE TECHNICAL !IA FA t-, fiit t::::Si:Ti jS OISCLOS HE AN ' E EXCLUSIVE. PROPERTY Ci: MIDCOAST A • 0itfialq REICERTIFICATION DRAWING LIST 2/23/96 OR' I AIN PROPStETARY RIGHTS OF OTHERS 8,gE ri Pro). DI ST0.857W1-T , i r MID § (tU i -• ALLATION OF AWED SIGNAL r i •TA HAS , RELEASED FO'cl USE STC , le _ 8f. ON NICS CAS-67 (TCAS II) w/Dual • ... i 45 71 e;;:.1 REnSTRATION ST00298W1 • TA MODE S TR ANSPONDERS. App - AIC G1159, SIN j Dwg. No. REV. • sheet T.J. Cummins G1159A,G1159B AD950003 II 1 of 1 ..VITTursy rcuri-NolTU EFTA00278209 IP 41 IP a I EFTA00278210 /OW MIDCOAST AVIATION, INC., ST. LOUIS, MO REPORT 03-328M002 FAA APPROVED AIRPLANE FLIGHT MANUAL SUPPLEMENT FOR THE GULFSTREAM AEROSPACE G-1159, G-1159A, G-1159B REG. NO, N'?08J-E SIN: - SI This supplement must be attached to the FAA approved Airplane Flight Manual when the Bendix/King CAS 67A TCAS II System is installed in accordance with STC number ST00298WI. The information contained herein supplements the information of the basic Airplane Flight Manual; for limitations, procedures, and performance information not contained in this supplement, consult the basic Airplane Flight Manual. PROPRIETARY' DATA THESE TECHNICAL DATA 4 THE DEMONS DISCLOSED HEREIN ARE THE EXCLUSIVE PROPERTY OF MIDCCAST AVIATION, INC. OR CONTAIN PROPRIETARYRIGHTS Of OTHERS a ARE NOT TO FAA APPROVED:097 BE USED OR DISCLOSED- TO OTHERS WITHOUT THE WRITTEN CONSENT Of MIDCOASTAVIATPON, INC, ST. LOUIS,MO E3 For: THIS DATA HAS BEEN RELEASED FOR USE ON AIRCRAFT MODEL t t SIN AND REGISTRATICN I Everett W. Pittman, Manger Aircraft Certification Office Federal Aviation Administration Wichita, Kansas FAA APPROVED DATE: March 22,1995 FAA APPROVED DATE REV A: February 22, 2000 PAGE 1 OF 11 EFTA00278211 a a • a EFTA00278212 ••• ••M•MIO ti.• •t 41. AT/O:q DATE OEPARTheNT OP TRANSPORT creotAtAL AVIATION Aom mitb TRA TioN REGULATIONS 1/09/2001 THE FEDERAL AVIATION I OF COMPLIANCE WITH STATEMEN ENT IDENTIFICATION AIRCRAFT OR AIRCRAFT COMPON NAME OF APPLICANT MODEL NO. TYPE (Airplane. Radio. Helicopter, ctc) MAKE , Jet Aviation Associates Corp. G-1159B Airplane W. Palm Beach, Florida Gulfsrrearo Aerospace LIST OF DATA TITLE IDENTIf ICATION STEM MINO R DEV. TO S.T.C. S'T00298WI 5813-440, Initial Release, dated DUAL MODE-S TRANSPONDER SY G2B-I (MST-67A) 12/7/2000 S.T.C. ST00298W1 (CAS-67A) TCAS II SYSTEM MINOR DEV. TO C26-15813-441, Revision A, dated 12/22/200-0 L____ STC PURPOSE OF DATA -11 59B , ser ial num ber 151 , registration number N908JE using al on Gulfstrezun Aerospace G To obtain airworthiness approv al. ST00298W1 as the basis of approv (List specific sections) APPLICABLE REQUIREMENTS FAR 25.1351 (a) - FAR 25.1529 (a) (4) FA R 25. 131 6 (A) FAR 25.869 25.1322 (d) FAR 25.1357 (a)(c) FAR 25.1301 (a)(b)(c)(d) FAR FAR 25.138t (a)(b) 130 3 (b) (3) FA R 25. 133 1 (a)(b) FAR 25. FAR 25.1431 (a)(b)(c) • R 25.1333 (a) FAR 25.1309 (a)(b)(c)(g) FA ran its at tilt rult-nd .1•Aszto• try %Mitten, at tkt AtiMinittliWt .14 Is •tcsr amact srtt.b cosi:What litti Law-awes .1 a.pinhatanet maiter CA TIO N - Omit: nanny venu e twills otab lisse ct ptsic tJsre, seal torn.) ts ces.P7 Iii-tio •POILaable rtStatlitg a an CERTIFI suisi.ent4 NONE. kr.< born cra iso l is stis r.hr a• ,t, fthipatstiva. this linc.1 'Dave .no .n siticlial ralc..1A.Loteit iittalatiisk 0 RettnninCral ;approval of tha n data I (We) Therafare Aspects, Design Approval Only) 0 A rove tAclor data (Sy3terru &Et:oaten:mat CLASSISICATIOStS) Dr.SIGNATION NIIHDLIt(S) KIN D{ SttirATIVE(S) saGNATti• OF D SIGMA D rtic DERT-510087-NM Systems & Equipment Norm I Cu C S PREVIOUS EDITIO N GPO 901-613 FILENAME: ge-N90LIE-TCAS.DO FAA Form 8110-3 (11.70) SUPERSEDE EFTA00278213 • la • • • • • • EFTA00278214 I it -4H — tit; — to 1 u9 :25 Yt9 t-ilL4PIER 561 795 9179 . ct4 er.:=cre: =6 •• Ot.PARTuct4 I OF THANSYLIRTATIOU DATE FEDERAL AVIATION ADMINISTRATION STATFMFNT nr COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS Jan. 7. 2001 AIRCRAFT OR AIRCRAFT COMPONENT IDEN11F1CATION MAKE MODEL NO TYPE (Airplane. antio. NAME OF APPLICANT H er /icooter. 0 fc Gulfstream G11599 Jet Aviation Associates, LTD Airplane LIST OF DATA IDENTIFICATION TITLE G?F1-15813-1441 Minor Dev. To STCST00298WI TCAS/Transponder Equipment Instl. (CAS-67A). Sh 1-8 . Rev. IR dated 12/28/00 G2D-15013-1441-M01 Minor Dev To STC ST00298WI. TCAS/Transponder. Equipment Inst. (CAS-67A); Sh. 1.10. Rev. IR. dated 12/4/00 PUTIJOSCOF DA IA to approve structural aspects only of Modifications to the TCAS instl as part of a major alteration to SIN 151 ApPut E OUilitfMEN tS ft s specific sections) FAR 25.307(a), 561(c), 609(a) diff - Under authority vostud by direction of the Administrator and in accordance with conditions and limitations of appuiningv under Part 183 of the Federal Aviation Regulat ions. data listed above and on attached shoats nurnborud have been examined in accordance with established procedures and found to comply requirements of the Federal Aviation Regulations. with applicable D Recommend approval of these data Wiejlherefore 235Approvis these data SIGNATURE:V:1 OP DESIGNATED ENGINEERING REPRESENTATfVt(S) DESIGNATION NUftilitIMS) CLASSIFICAlION(S) Lauren N spier DERT-810050-NE Structural •••• mm. .• • m• FAA Fotm 8110.3 tit-A:1st sit stsFots keVIOVSEIJMON CPU1V: EFTA00278215 • • Y 10. • EFTA00278216 • • • If A. 4- • z3e, 1 (- 9,5 9179 P_ 1 • ••• CsEPARIMENT OF FiAt/SPORTAT X)N FEDERAL AAATiON STATEMENT OF COMP ADMINISTRATION LIANCE WITH THE FEDE RAL AVIATION REGULATI Jan. 9. 2001 ONS UAN AIRMAFT OR AIRCRA uooeL FT COMPONENT IDEN I IHCA TYPE(Airp/arta. TION /f ore/o, Gulfstream GI 159B Ha eicapter, etc J NAME OF APPLICANT Airplane Jet Aviation Associates, LTD LIST OF DATA IDENTIFICATION TITLE G28 -15813-1441-M01 Minor NA/ To STC ST00298WI. TCAS/Transpo Rev. A. dated 12/4100 nder. Equipment Inst. (CAS -87A): Sh. 1-11. PURPOSE OF DATA to approve structural aspects only of Modifications to the ICAS instl as part of a major alteration to S/N 15 APPUC.ABI.E RECrUIREME 1 NYS /1 i i 1 s pac/Iic sac/1O179) FAR 25.307(a), 561(c), 609(a) CERTIFICATION - Under au thurity vested by direction appointment under Part of the Administrator and in 163 of the Federal Aviat accordance with conditions ion Regulations. H data listed el..h,,OVO and on and limitations tit haver burin examined In ac at ta ched sheets numbered __ ir,guiremonts of the Federc cordance, with eoabliand _..., il Aviation Regulations. procedures and found to comply With applicablki Recommend approval of the ) Therefore se data Approve these data SIGNATURES) OF DE SIGNATED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUI,T8ER(S Lauren Napier ) CLASSIFICATION S DERT -810050-NE Structural FAA Form 8110-3 O mr) iPt.PcS:E.D.ES ivwvu-lt r.; cornocsa -GPO 10141 EFTA00278217 .4 4 4 • EFTA00278218 - ,* „ 0+0 MIDCOAST REPORT NO: 03-027E009 REPORT TITLE: Instructions for Continued Airworthiness G1159A - SIN 324 PROJECT TITLE: Installation of TCAS with Mode S Transponders PREPARED BY: Gerhard A. Dickman DATE: 04/04/00 1 CHECKED BY: (Avionics) L i, -/J2i -fe----- DATE: V - - 6d • CHECKED BY: (Mechanical) DATE: ----/.9 — 0 - 0 APPROVED BY: = 6/ - __„45> DATE: -14 --i, ---,= . c> REV APPROVED: DATE: REVISIONS AND/OR ADDITIONS: LTR: -. - • 1 1-- ROPRIETARY DA1A THESE TECHNICAL DATA & THE DESIGNS DISCLOSED HEREIN ARE THE EXCLUSIVE PROPERTY OF MIDCOAST AVIATION, INC. OR CONTAIN PROPRIETARY RIGHTS OF OTHERS & ARE NOT TO BE USED OR DISCLOSED TO OTHERS WITHOUT THE WRITTEN CONSENT OF MIDCOAST AVIATION, INC., ST. LOUIS, MO 63145. THIS D4TA HAS BEEN RELEASED FOR USE ON Al FT MODEL(-1( , M_1:5:1__,(14.3 K,Z-C-::STRATIOU # t.., - ' - - Page 1 of 6 Rpt. No: 03-027E009 Rev IR —Aprf2000 EFTA00278219 • ,. • 4r • EFTA00278220 Form Approved MAJOR REPAIR AND ALTERATION OMB No. 2120-0020 us Department 0 2 of Transportation (Airframe, Powerplant, Propeller, or Appliance) For FAA Use O ly Federal Aviation Office Identification ... Administration 5O - r SD 0-17 c-1 INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for inst Lions 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 xceed $1,000 for each such violation (Section 901 Federal Aviation Act of 1958). Make Model GULFSTREAM AEROSPACE G1159B 1. Aircraft Serial No. Nationality and Registration Mark - 151 U.S.A. N909JE Name (As shown on registration certificate) Address As shown on registration certificate) 2. Owner HYPERION AIR INC. 3. For FAA Use Only 4. Unit Identification 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME (As described in Item 1above) X POWERPLANT PROPELLER Type APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. . - U.S. Certified Mechanic CRS EYKR782D JEtAVIATION ASSOCIATES LTD. Foreign Certified Mechanic AIRFRAME 1,3. X Certificated Repair Station RADIO 1,2,3. WEST PALM BEACH. FL. 33406 Manufacturer LIMITED NF & ENG. 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 attachm ents hereto have been made in accordance with 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. Date Signature of Authorized Individual 4/6/01 John K. Urso, Inspector .e- . , 7. Approval for Return to Service i Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is .. APPROVED • REJECTED FAA Flt. Standards Other (Specify) Inspector Manufa cturer Inspecti on Authoriz ation BY FM Designee X Repair Station Person Approved by Transport Canada Airworthiness Group Date of Approval or Rejection Certificate or Signature of Authorized Individual 4/6/01 Designation No. EYKR782D Ronald K. Bystrom - Mgr Quality Assurance 1 11/ FAA Form 337 (12-88) EFTA00278221 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. Description of Work Accomplished accomplished.) (If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and date work N9094E, GULFSTREAM G-IIB, S/N 151 W/O 16478. FLIGHT REFERENCE F.A.A. FORM 337 DATED 4/8/98 (INSTALLING A DUAL UNIVERSAL AVIONICS SYSTEMS UNS-1D MANAGEMENT SYSTEM WITH GLOBAL POSITIONING SYSTEM UNDER F.A.A. FIELD APPROVAL) SYSTEM WITH GLOBAL THE INSTALLATION OF THE DUAL UNIVERSAL AVIONICS SYSTEMS UNS-1D FLIGHT MANAGEMENT DATED1/23/2001, USING JET POSITIONING SYSTEM CONFORMS WITH JET AVIATION ASSOCIATES, LTD. STC ST02270AT, AVIATION MASTER DRAWING LIST DOCUMENT NUMBER MDL98001, REV A, DATED 3/11/1999. ENTERED INTO THE AIRCRAFT A LOGBOOK ENTRY REFLECTING THIS INSTALLATION WAS COMPLETED PER F.A.R. 43.9 AND LOGBOOK. TED AND ENTERED IN THE THE EQUIPMENT LIST WAS AMENDED AND THE NEW WEIGHT AND BALANCE WAS COMPU 1 PARAGRAPH 9. AIRCRAFT RECORDS IAW AC43.13-1B, CHAPTER 10, SECTION 2 AND AC 43.13-2A, CHAPTER AVIATION DOCUMENT DAS98001, MAINTENANCE FOR CONTINUED AIRWORTHINESS REQUIREMENTS IS CONTAINED IN JET REV A, DATED 3/11/99 01, DATED 1/23/01 HAS BEEN THE REQUIRED F.A.A. APPROVED FLIGHT MANUAL SUPPLEMENT, DOCUMENT NO. FMS980 INSERTED INTO THE AIRCRAFT FLIGHT MANUAL. END ❑ Additional Sheets Are Attached * U.S. G.P.O 1990-761-753 EFTA00278222 gititth gitates of Suateritzt print:damn/ of Zrznispartatiart Xateral Aftizttimt garministratirat $umalentental Zgin Grtifirate eiree,12,-efe ST02270AT • , Inc. Palm Beach International Airport West Palm Beach, FL 33406 A.,4;4“.46.‘ aeeiy. 4,44 4,/x, 44,ex,o47,,,,,,,,dava 44 emi. ..aexcia is.i- a&-,O^as /•erAdZ.,..aq•m4•4-LPs ae;w0A(.4)2&.ss.wyrae›Av1.6l4s9ejaAe 25 9ik, Federal Aviation Avrairtavi.i. • aig2, .d - 4, SW«r..4./rtu,34..• Al 2EA dea4.- Gulfstream sik.d•e!: G1159 (GE) G1159B (GM) G1159A (GBI) Installation of a dual Universal Avionics Systems UNS-1D Flight Management System with Global Positioning System in accordsnr-P with Jet Aviation Associates' Master Drawing List, MDL98001, Rev A, dated March 11, 1999, or later FAA approve d revisions. .K9U7614.91J.1 ez4eiganeliZavu- This installation must be accompanied by Jet Aviation Associates' Airplane Flight Manual Supplement, FMS98001, dated January 23, 2001, or later FAA approied revisions. Compatibility of this design rhnnge with previously approved modifications must be determined by the installer. If the holder agrees to permit another person to use this certificate to alter the product, the holder chsll give the other person written evidence of that permission. • .ZS cw4eaz4 cr4d4/ ,k,4e;visiyt aztez /443eG. LPs 4,..544",y3,4.-afiazvege, 47. - 44.5 a/ZrecOo &34riddod ‘ ,4 ..gr49 , cyrdetr4on July 27, 1998 2farraw,;(daeti.- 96.4euzlas.-January 23, 2001 gra4 anuna(oar.• AiAle;z4,("7,0" . (Signature) Eugene L. Bollin Associate , ACE-116A Atlanta Aircraft Certification Office (Title) Any alteration of this certificate is punishable by a fine of not exceeding 51,000, or iMprlsoament not exceeding 3 years, or both. FAA Emit 8110-2(10-68) PAGE 1 of 2 PAGES This certificate say b. transferred in accordance' with FAR 21.47. EFTA00278223 r • • EFTA00278224 JET 171/APRTMAI MASTER DRAWING LIST FOR THE UNIVERSAL AVIONICS SYSTEMS FMS SYSTEM IN THE GULFSTREAM MODEL: G-II, G-IIB AND G-III AIRCRAFT c' Report: MDL98001 Page 1 of 3 Rev.: A 11 March, 1999 JET AVIATION 1515 PERIMETER ROAD PALM BEACH INTERNATIONAL AIRPORT WEST PALM BEACH, FL 33406 USA PHONE: (561) 233-7242 • FAX (561) 686-7553 • MAINTENANCE DEPT. FAX: (561) 233-7279 wnwjetaviation.com EFTA00278225 • - I. EFTA00278226 JETfIVINTAIDIII DESCRIPTION AND SUBSTANTIATION FOR THE UNIVERSAL AVIONICS CORP. DUAL UNS-1D FLIGHT MANAGEMENT SYSTEMS IN THE GULFSTREAM MODEL G-II, G-IIB AND G-III AIRCRAFT Report No: DAS98001 Rev: A Page 1 of 8 March 11, 1999 JET AVIATION PALM BEACH INTERNATIONAL AIRPORT WEST PALM BEACH, FL 33.6 USA PHONE: (561) 233-7242 - FAX: (551) 686-7553 • MAINTENANCE DEPT. FAX: (561) 233-7270 wnwjetaviation.com EFTA00278227 S ... S EFTA00278228 FAA APPROVED AIRPLANE FLIGHT MANUAL SUPPLEMENT FOR GULFSTREAM G-II, G-IIB AND G-III AIRCRAFT "REGISTRATION NO. N909 T, SERIAL NO. 15- 1 WITH DUAL UNIVERSAL AVIONICS FLIGHT MANAGEME NT SYSTEMS (UNS-1D) INSTALLED This supplement must be attached to the FAA, Approved Airplane Right Manual when the airplane modified by the installation of dual Universal Avionics System is Corp. (USAC) UNS-1D Flight Management Systems (FMS) in accordance with STC / ST022 7 0AT. The infO'rmation contained herein supplements, or superse des, the FM Approved Flight Manual only in those areas listed herein. For limitations, procedures and performance information not contained in this supplement consult the basic FM Approved Airplane Flight Man ual. FAA Approved: R, J4-7-Etall, / 23,1 Eugene L Bollin, Manager ACE-116A One Crown Center 1895 Phoenix Boulevard Suite 450 Atlanta, GA DATE: JAN 2 3 2001 http://www.jetaviation.com ---- JET-4- AVIATION11111111 PALM BEACH INTERNATIONAL AIRPORT WEST PALM BEACH, FL 33406 USA PHONE: (561) 233-7242 • FAX: (561) 686-7553 • MAINTENANCE DEPT. FAX: (561) 233-7279 Report FMS98001 Pane I rlf 14 EFTA00278229 ••• TO • EFTA00278230 UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE 1 NATIONALITY AND 2 MANUFACTURER AND MODEL 3 AIRCRAFT SERIAL 4 CATEGORY REGISTRATION MARKS NUMBER N909JE GULFSTREAM G11.59B 151 TRANSPORT 5 AUTHORITY AND BASIS FOR ISSUANCE This airworthiness certificate is issued pursuant to the Federal Aviation Act of 1958 and certifies that, as of the date of issuance, the aircraft to which issued has been inspected and found to conform to the type certificate therefor, to be in condition for safe operation, and has been shown to meet the requirements of the applicable comprehensive and detailed airworthiness code as provide by Annex 8 to the Convention of International Civil Aviation, except as noted herein. Exceptions: NONE 6 TERMS AND CONDITIONS Unless sooner surrendered, suspended, revoked, or a termination date is otherwise established by the Administrator, this airworthiness certificate is effective as long as the maintenance, preve ative maintenance, and alterations are performed in accordance with Parts 21, 43, and 91 eF ral Aviation Regula as appropriate, and the aircraft is registered in the United States. DATE OF ISSUANCE FAA REPR T DESIGNATION NUMBER July 6 1989 JOHN A. D AZ (1 ASO-FSDO-17 Any alteration, reproduction, or misuse of thi certificate may be punishable by a fine not exceeding S1,000, or imprisonment not exceeding 3 years or both. THIS CERTIFICATE MUST BE DISPLAYED IN THE AIRCRAFT IN ACCORDANCE WITH APPLICABLE FEDERAL AVIATION REGULATIONS. FAA Form 8100-2 (8432) AFS Electronic Forms System - JetForm FormFlow -1211998 EFTA00278231 • & 1 EFTA00278232 UNITED STATES Ot:t AMERICA DEPARTMENT OF TRANSPORTATION -FEDERAL AVIATION ADMINISTRATION STANDARD AIRWOR SS CERTIFICATE I. NATIONALITY AND 2. MANUFACTURER AN IRCRAFT SERIAL 1. CATEGORY REGISTRATION MARKS ABER N908JE TRANSPORT 5. AUTHORITY AND BASIS FOR ISSUAN This airworthiness certificate is and certifies that, as of the date of issuance, the aircraft nform to the type certificate therefor, to be in condition f uirements of the applicable comprehensive and detailed ntion on International Civil Aviation, except as noted he Exceptions: 6. , TERMS AND CONDITIONS Unless sooner surrendered, suspe ablished by the Administrator, this airworthiness certificat s e aintenance, and alterations are performed in accordance ations, as oppropriote, and the aircraft is registered in DATE OF ISSUANCE DESIGNATION NUMBER R-07-06-89 AEA-FSDO-25 Any alteration, reproduction, or misuse of this certificate t ay be pun' able by a fine no exceeding $1,000, or im- prisonment not exceeding 3 years, or both. THIS CERTIFICATE MUST BE DISPLAYED IN THE AIRCRAFT IN ACCORD- ANCE WITH APPLICABLE FEDERAL AVIATION REGULATIONS. FAA Form 8100-2 (7-67) FORMERLY FAA FORM 1362 GPO 1987-0.270 931 EFTA00278233 • fik a. EFTA00278234 ........x. Form Approved MAJOR REPAIR AND ALTERATION OMB No. 2120-0020 0 uS Department (Airframe, Powerplant, Propeller, or Appliance) For FAA Use Only I of Transportation OM Ide?tif ation Federal Aviation Administration INSTRUCTIONS: Print or type all entries. See FAR 43.9 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 S1,000 for each such violation (Section 901 Federal Aviation Act of 1958). Make Model GULFSTREAM AEROSPACE G1159B 1. Aircraft Serial No. Nationality and Registration Mark 151 U.S.A. N908JE Name (As shown on registration certificate) Address (As shown on registration certificate) 2. Owner - • HYPERION AIR INC. 3. For FAA Use On y 4. Unit Identification 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME (As described in Item 1 above) X POWERPLANT PROPELLER Type APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. U.S. Certified Mechanic JET AVIATION ASSOCIATES LTD. Foreign Certified Mechanic X Certificated Repair Station CRS EYKR782D WEST PALM BEACH. FL. 33406 _ 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 hereto have been made in accordance with 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. Date $ Signature of Authorized Individual - 6/28/00 _,L6(34- 7 RONALD K BYSTROM MGR QUALITY CONTROL 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is X APPROVED ❑ REJECTED Other (Specify) : FAA Flt. Standards Manufacturer Inspection Authorization Inspector BY Person Approved by Transport FAA Designee X Repair Station Airworthiness Group Date of Approval or Rejection Certificate or Signature of Authorized Individual Designation No. '"2-z-r- 6/28/00 EYKR782D RONALD K BYSTROM, MGR UALITY CONTR FAA Form 337 02-88) EFTA00278235 NOTICE alteration must be compatible with Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An all previous alterations to assure continued conformity with the applicable airworthiness requirements. ,.. 8. Description of Work Accomplished work accomplished.) (If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and date G-IIB S/N 151, REG N908,1E, W/O # 15278, ACFT TT8831.9 LANDINGS 4792 THE FOLLOWING WORK WAS ACCOMPLISHED UNDER THE ABOVE WORK ORDER NO. 15278. FORM 337 THE AIRCELL PHONE HANDSET INSTALLED IN THE CONFERENCE TABLE AT F.S STA. 305.25 BY F.A.A WAS DATED 4/21/00 WAS RELOCATED TO THE LEFT DRINKLEDGE AT F.S STATION 305.25. THE EXISTING WIRING LATION OF THE ROUTED IN ACCORDANCE WITH JET AVIATION MODIFICATION DRAWING ACS20001-1. THE INSTAL AIRCELL HANDSET WAS ACCOMPLISHED IN ACCORDANCE WITH THE FOLLOWING JET AVIATION DRAWING WHICH IS SUBSTANTIATED BY F.A.A FORM 8110-3. STRUCTURAL DRAWING FORM • HBPA00008 REV "IR" DATED 6/27/00 SHEETS 1 OF 1 TITLED AIRCELL HANDSET RELOCATION REF F.A.A 8110-3 DATED 6/27/2000 BY STRUCTURES DER DERT-510159-CE. WITH THE A OPERATIONAL CHECK OF THE AIRCELL PHONE SYSTEM WAS ACCOMPLISHED IN ACCORDANCE AIRCELL INSTALLATION MANUAL AGT.O1 A LOG BOOK ENTRY HAS BEEN MADE REFLECTING THIS MODIFICATION IN THE WEIGHT THE AIRCRAFT EQUIPMENT LIST WAS AMENDED AND THERE WAS NO APPRECIABLE CHANGE AND BALANCE. INSPECTION THIS MODIFICATION DOES NOT CHANGE THE MANUFACTURER'S CONTINUING AIRWORTHINESS REQUIREMENTS. END ❑ Additional Sheets Are Attached U.S. G.P.O 1990-761-753 EFTA00278236 • .• r DATE DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION June 27, 2000 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane, Radio, Helicopter, etc.) NAME OF APPLICANT Gulfstream G1159B Aircraft Jet Aviation LIST OF DATA IDENTIFICATION TITLE HPA00008 Aircell Handset Relocation, Sht 1, Rev IR Note: 1. This approval is for structural aspects only. 2. After the alteration, the aircraft must be returned to service by FAA authorized personnel. 3. This approval is based on -drawing review and comparison to similar installations. ,-_ ._ . PURPOSE OF DATA To approve structural aspects of an alteration to G1159B S/N 151 APPLICABLE REQUIREMENTS (List specific sections) FAR 25.307 25.561(c) 25.601 25.603 25.605 25.609 25.789 under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered 0 have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. I Recommend approval of these data I ( ) Therefore Approve these data. SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION(S) David E. Haralson p,_„:ee-: 11,„_,L,.._._ DERT-510159-CE Structural . n FAA Form R11 (11-70) SUPERSEDES PREVIOUS EDITION ER0112:1doc EFTA00278237 s• •L t EFTA00278238 2r; Form Approved OMB No. 2120-0020 ' ,,. MAJOR REPAIR,-AND A LTERATION - us Department - (Airframe, Pow-erplant, Propeller, or Appliance) _ . -.-, u For,FAA Use Only. • of Transportation Office Identification ,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 form is required by law (49 U.S.C. 1421). Failure to report can result in a civil penalty not to exceed S1,000 for each such violation (Section 901 Federal Aviation Act of 1958). Make Model GULFSTREAM AEROSPACE G1159B 1. Aircraft —' . ... _ Serial No. Nationality and Registration Mark 151 - . N908JE . . . Name (As shown on registration certificate) ., Address (As shown on registration certificate) 2. Owner HYPERION AIR INC _ 1013 CENTRE ROAD SUITE 300 , . . WILMINGTON, - DE 19805 ... 3. For FAA Use Only. The data identified herein complies with the applicable airworthiness requirements and is approved only for the ..se,_,r_sav_ v_7 above described aircraft, subject to conformity inspection / rig FAR 43, Section 43.7. (g I by a person authorized in a. Yom, --- 4. Unit Identification 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME . ... ..",.....„.„ (As described in item 1 above) 4.0~480~0040480~~~~4181, X POWERPLANT PROPELLER Type APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. JET AVIATION ASSOCIATES, LTD. U.S. Certificated Mechanic - ORT Foreign Certificated Mechanic 33406 x Certificated Repair Station CRS EYKR782D , 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 hereto have been made in accordance with 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. Date Sign re of Authorized Indiv" 03/19198 eery L. h ppard, Av. Mng . 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is LI APPROVED REJECTED El FAA Flt. Standards Other (Specify) Manufacturer Inspection Authorization Inspector BY FAA Designee x Repair Station Person Approved by Transport Canadian Airworthiness Group Date of Approval or Rejection Certificate or Signat e of horiz Individ al Designation No. CRS EYKR782D Oii0a/?8 Henry L eppard, v. Mngr. AA 1-orm 331 (12-88) EFTA00278239 NOTICE Weight and balance or operating limitation changes shall be entered m the appropnate aircraft`record. An alteration must be compatibleWith all previous alterations to assure continued conformity with the applicable airworthiness requirements:- 8. Description of Work Accomplished • (Ifmore spaceis required, attach additional sheets. Identify with aircraft nationality and registration mark and date work complete d) Aircraft: Gulfstream, Type: G-1159, SIN 151, Date: 03119/98, W.O. 12307 Page 1 oft Removed the existing Universal Avionics model UNS-1A FMS systems and Canadian Marconi VLF/Omega sensor, and installed new Universal Avionics UNS-D FMS systems. The existing Universal Radio Ttining Unit, Database Transfer Unit and the Universal Loran C sensor were retained. This installation was accomplished using Jet Aviation drawings, FIVIS98001, FMS98002 and IPB98001, Rev. IR, dated 01/20/98 are substantiated by FAA Forms 8110-3, dated 03/11/98 submitted by FAA D.E.R. Mr. Norman J. Curran, FAA D.E.R. No. SO-780. The structural installation of 'the GPS antennas was accomplished using Jet Aviation Drawing HPA98001, Rev. A, dated 03/02/98 and is _structurally substantiated by FAA Form 8110-3, dated 03/12/98 submitted by Lauren Napier, D.E.R. No. SO-815. -The CDU's replaced the removed units at the same station using the existing DZUZ rails installed by the airframe manufacture. The Navigation Computer Units replaced the existing UNS-1A NCU's using the same mounting technique and hardware. The required annunciators were furnished and installed. The following annunciators were installed: MSG (message) annunciator, color amber WPT (wayoint) annuciator, color amber APPR (approach), color white SX (parallel track), color amber HDG (heading), color blue INTEG (integrity) color amber The above annunciators were installed in each instrument panel for their associated system. The existing No. 4 airdata computer was interfaced to provide the required airspeed input and baro- corrected altitude. The existing Honeywell Laser-ref INS system was interfaced as a blended sensor c. as well as the existing Loran C sensor. The No. 1 compass system is interfaced to the No. 1 FMS and the No. 2 compass system is interfaced to the No. 2 FMS. This system, the Universal Avionics UNS-1D FMS system has been previously installed and 'has obtained a STC approval in another type of aircraft, which qualifies this installation as a follow on • • ''sv- installation per AC 20-130A and is qualified for FAA Form 337 Field Approval. The Static Loading of the installed equipment meets the requirements of AC 43.13-2A, Chapter 1, Paragraph 3 and was found to meet the requirements of Paragraph 2. Materials and practices comply with Paragraphs 4 through 12. The Electrical Load Analysis was performed in accordance with 43.13-1A, Chapter 11, Section 2, Paragraph 424 and was found to meet the requirements of paragraph 424, 426 and 428. Aircraft Metal Work involving metal repair or alteration complies with AC 43.13-1A, Chapter 2, Section 1 and 3, Chapter 6, Paragraphs 248 and 249. Hardware and materials used the installation conform to AC 43.13-1A, Chapter 5 and 7, Sections 1, 4 and 5 as applicable. Circuit Breakers, switches and connectors are of the type recommended by the aircraft manufacture or are MIL SPEC approved for aircraft use and meet the requirements of AC 43.13-1A, Chapter 11, Paragraphs 429 and 430. Electrical/electronic wiring was selected and installed lAW AC 43.13-1A, Chapter 11 and AC 43.13-2A Chapter 2, Paragraph 21, 22 & 27. Routing, lacing and tying complies with AC 43.13-1A, Chapter 11, Section 7. Wire marking complies with Section 4. Electronic equipment installation complies with yj Additional Sheets Are Attached U.S. GOVERNMENT PRINTING OFFICE: 1992-769-012160157 EFTA00278240 . • NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with allprevious alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) Aircraft: Gulfstream, Type: G-1159, SIN 151, Date: 03119/98, W.O. 12307 Page 2 of 2 the aircraft and equipment manufacture's instructions and AC 43.13-2A, Chapter 2, Paragraphs 21 through 26 and Chapter 3, Paragraph 44. The aircraft static wicks and control surface bonding was tested per the manufacture's maintenance manual and no discrepancies were noted. The UNS-1D FMS systems were functionally tested and no discrepancies were noted. The UNS-1D FMS systems do not interfere with any other installed system and all of the existing systems do not interfere with the UNS-1D FMS systems. Magnetic direction indicators were checked for accuracy and compensated as necessary per AC 43.13-1A, Chapter 16, Section 5, Paragraphs 927, 928 and 929 and AC 43.13-2A Chapter 2, Paragraph 23f. The Equipment List was amended and the new Weight and Balance was computed and entered in the aircraft records IAW AC 43.13-1A, Chapter 13, Paragraphs 659 and AC 43.13-2A, Chapter 1 Paragraph 9. The UNS-1D systems have been show to meet the requirements of VFR11FR flight en route, RNAV, terminal, over water, in remote areas and for approach modes per AC 20-130A according to the limitations indicated in the aircraft flight manual supplement. The FAA Approved Flight Manual Supplement dated 14 I$ (5? must be installed in the aircraft flight manual with this installation. END Additional Sheets Are Attached U.S. GOVERNMENT PRINTING OFFICE: 1992-769-012/60157 EFTA00278241 EFTA00278242 ; Form Approved " MAJOR REPAIR AND ALTERATION 2120-0020 OMB No. US Department of Transportation (Airframe, Powerplant, Propeller, or Appliance) • For FAA Use Only Federal Aviation . . _ . -- . - . Office Identification - - Administration S 0 — F.S t O ^ li 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 form is required by law (49 U.S.C. 1421). Failure to report can result in a civil penalty not to exceed 51,000 for each such violation (Section 901 Federal Aviation Act of 1958). Make Model GULFSTREAM AEROSPACE G1159B 1. Aircraft • Serial No. Nationality and Registration Mark 151 N908JE Name (As shown on registration certificate) Address (As shown on registration certificate) 2. Owner HYPERION AIR INC 1013 CENTRE ROAD SUITE 300 WILMINGTON, DE 19805 3. For FAA Use Only The data identified herein complies with the applicable airworthiness requirements and is approved only for the _VI9j9 t' above described aircraft, subject to conformity So -rS1YJ—\`7 inspection by a person authorized in FAR 43, Section 43.7. /3 :Y"-\ str•o- 4. Unit Identification 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME ..., „,,„,,,,„. (As described in item 1 above) ...........,,,„„,......, X POWERPLANT PROPELLER Type APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. JET AVIATION ASSOCIATES, LTD. U.S. Certificated Mechanic . ORT Foreign Certificated Mechanic 3( Certificated Repair Station CRS EYKR782D , 33406 Manufacturer a 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 hereto have been made in accordance with 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. Date • Signatur uth• - ed ndividual . 03-19-1998 , -Henry L. She ard, Av. Mngr. 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescrib ed by the Administrator of the Federal Aviation Administration and is tit APPROVED REJECTED FAA Fit. Standards Other (Specify) Manufacturer Inspection Authorization BY Inspector FAA Designee x Repair Station Person Appr d by Transport Canadian rthiness Date of Approval or Rejection Certificate or Si• atur ut -d Individu- Designation No. 03/19/98 CRS EYKR782D enry L. hep , Av. Mngr. OI'M X31 (12-88) EFTA00278243 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.' - 8. Description of Work Accomplished c • : (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work complete d.) Aircraft: Gulfstream, Type: G-1159, SIN 151, Date: 03/19/98, W.O. 12307 Page 1 of 1 Removed the existing Universal Avionics model UNS-1A FMS systems and Canadian Marconi VLF/Omega sensor, and installed new Universal Avionics UNS-D FMS systems. The existin g Universal Radio Tuning Unit, Database Transfer Unit and the Universal Loran C sensor were retained. This installation was accomplished using Jet Aviation drawings, FMS98001, FMS98002 and 1PB98001, Rev. IR, dated 01/20/98 are substantiated by FAA Forms 8110-3, dated 03/11/98 submitted by FAA D.E.R. Mr. Norman J. Curran, FAA D.E.R. No. SO-780. The structural installation of the GPS antennas was accomplished using Jet Aviation Drawing HPA98001, Rev. A, dated 03/02/98 and is structurally substantiated by FAA Form 8110-3, dated 03/12/98 submitted by Lauren Napier, D.E.R. No. SO-815. The CDU's replaced the removed units at the same station using the existing DZUZ rails installed by the airframe manufacture. The Navigation Computer Units replaced the existing UNS-1A NCU's using the same mounting technique and hardware. The UNS-1D circuit breakers were pulled and collared pending FAA Form 337 Field Approval of this installation. The CDU's are placarded "INOP". These systems are installed for provisions only. The Static Loading of the installed equipment meets the requirements of AC 43.13-2A, Chapter 1, Paragraph 3 and was found to meet the requirements of Paragraph 2. Materials and practic es comply with Paragraphs 4 through 12. The Electrical Load Analysis was performed in accordance with 43.13-1A, Chapter 11, Section 2, Paragraph 424 and was found to meet the requirements of paragraph 424, 426 and 428. Aircraft Metal Work involving metal repair or alteration complies with AC 43.13-1A, Chapter 2, Sectio n 1 and 3, Chapter 6, Paragraphs 248 and 249. Hardware and materials used the installation confor m to AC 43.13-1A, Chapter 5 and 7, Sections 1, 4 and 5 as applicable. Circuit Breakers, switches and connectors are of the type recommended by the aircraft manufacture or are MIL SPEC approved for aircraft use and meet the requirements of AC 43.13-1A, Chapter 11, Paragraphs 429 and 430. Electrical/electronic wiring was selected and installed JAW AC 43.13-1A, Chapter 11 and AC 43.13-2 A Chapter 2, Paragraph 21, 22 & 27. Routing, lacing and tying complies with AC 43.13-1A, Chapte r 11, Section 7. Wire marking complies with Section 4. Electronic equipment installation complies with the aircraft and equipment manufacture's instructions and AC 43.13-2A, Chapter 2, Paragraphs 21 through 26 and Chapter 3, Paragraph 44. Magnetic direction indicators were checked for accuracy and compensated as necessary per AC 43.13-1A, Chapter 16, Section 5, Paragraphs 927, 928 and 929 and AC 43.13-2A Chapter 2, Paragr aph 23f. The Equipment List was amended and the new Weight and Balance was computed and entere d in the aircraft records JAW AC 43.13-1A, Chapter 13, Paragraphs 659 and AC 43.13-2A, Chapter 1 Paragraph 9. END Additional Sheets Are Attached U.S. GOVERNMENT PRINTING OFFICE 1992-769-012=157 EFTA00278244 tck F el eV US Deportment MAJOR REPAIR AND ALTERATION Form Approved OMB No. 2120-0020 of Transportation (Airframe, Powerplant, Propeller, or Appliance) For FAA Use Only Federal Aviation Office Identification Administration GEORGIA FSDO 11 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 e-u-1.1 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 of 1958). Make Model 1. Aircraft GULFSTREAM G11598 Serial No. Nationality and Registration Mark 151 U.S,A. N979RA Name (As shown on registration certificate) Address (As shown on registration certificate) 2. Owner GULFSTREAM AEROSPACE CORPORATION P. O. BOX 2206 SAVANNAH, GA 31402-2206 3. For FAA Use Only 4. Unit Identification 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME ,....s."......................4.04,....N., (As described in Item 1 above) 4.,............................. X POWERPLANT ,-.---c 1, PROPELLER t,,,,, V131 , t; ; et-•:- c ,,,,,, , 1. 1 1D —\ 0' 1.)•-) -`-\ Type . '\ I/ _ 1 '-'-`t , ELEVATOR '; 1159CS20002r 0, 1 APPLIANCE 1; 1)L/H Manufacturer -- WS0.0-R? 1,1.„, GULFSTREAM 1159CS20002-2 '' '151-5 R/H X 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. U.S. Certificated Mechanic GULFSTREAM AEROSPACE CORPORATION Foreign Certificated Mechanic P.O. BOX 2206 - TRAVIS FIELD X Certificated Repair Station GR4R216M SAVANNAH, GA 31402-2206 Manufacturer D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and describe d 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 furnished herein is true and correct to the best of my knowledge. Date Signature of Authorized Individual 08/31/93 JIMMIE K. SMITH . - )( .027".e4 7. Approval for Return To Service Pursuant to the authority given persons specified below, the unit identified in item 4 was inspecte d in the manner prescribed by the Administrator of the Federal Aviation Administration and is EX APPROVED O REJECTED FAA Flt. Standards Other (Specify) Inspector Manufacturer Inspection Authorization BY FAA Designee Repair Station Person Approved by Transport X Canada Airworthiness Group Date of Approval or Rejection Certificate or Signature of Authorized Individual Designation No. 08/31/93 GR4R216M JEFFREY C. NEVILLE FAA Form 337 112 RR) EFTA00278245 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. 8. Description of Work Accomplished Of more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) AIRCRAFT MODEL: G1159B AIRCRAFT TIME SINCE NEW: 7173 AIRCRAFT SERIAL NO: 151 AIRCRAFT CYCLES SINCE NEW: 3959 AIRCRAFT TAIL NO: N979RA REFERENCE: GULFSTREAM AEROSPACE CORPORATION WORK ORDER NO. CO2B-151-093-6035. 1. INCORPORATED GULFSTREAM AEROSPACE CORPORATION CUSTOMER BULLETINS CHANGES LISTED: CB NO. SUBJECT 357 CABIN FLOOR STRUCTURE AND INTERNAL INSTALLATION STRESS ANALYSES 374 INSPECTION & REINSTALLATION OF NONPRODUCTION BLADE ANTENNAS MOUNTED TO FUSELAGE STRUCTURE 2. COMPLIED WITH ELEVATOR BALLAST WEIGHT INSPECTION I/A/W GAC DWG NO. 1159SB30189 REV. D. 3. COMPLIED WITH BEAM STRENGTHENING AT F.S. 345.88 TO F.S. 379.00, BL 18.50 AND BL 30.50 L/H & R/H I/A/W GAC DWG NO SE25105105. THIS REWORK COMPLIES WITH CUSTOMER BULLETIN 357. REFERENCE REPORT NO. 1159SER93-177 FOR DETAILS OF THE ABOVE REWORK. 4. MANUFACTURED AND INSTALLED A DOUBLER P/N SE25202111-11 AT F.S. 630 BETWEEN STRINGER 23 AND 24 R/H I/A/W GAC DWG NO. SE25202111. THIS REWORK COMPLIES WITH CUSTOMER BULLETIN 374. -END- O Additional Sheets Are Attached IttU.S. GOVERNMENT PRINTING OFFICE: 1952-769-012/60157 EFTA00278246 . . • Form Approved •CS • . • MAJOR REPAIR AND•ALTERATION OMB No. 2120.0020 US Deprxernent For FAA Use Only CI kanSx•anon (Airframe, Powerplant, Propeller, or Appliinte) • Federal Aviation • entificaalop z07 Administration - • INSTRUCTIONS: Print or type all entries. Sei FAR 43.9, FAR 43 Appendix.B, and AC 43.9-1 (or subsequent revision thereof) for instructions and dispotition 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 of 1959). __ _ Make Model —GuIfstream Q-1159B 1. Aircraft ' Serial No. Nalioricility and Registration Mark ' 151 N908JE ' Name (As shown on registration . , certificate) Address (As shown on regiitration certificate) • 2. Owner . HYPERION AIR,: INC. 1013 Centre Road, Suite 300 • WIlmInton DE 19 8 05 • 3. For FAA Use Only • • ! ! h, . • ,; •,; • a7,-.!:?=. •,•,..•1 - 4. Unit Identification .. . 5. Type . . • Unit - • • . . . Make ' Model _. , -. • ••••• 1 Serial No. Repair Alteration ' •• - • . ._. • :, ... , X. AIRFRAME ..- . (As described in item;1 above) ......:44........;..~....... • • k . ' . POWERPLANT , . ,',' • . . . _. PRDPELLER : ' '• Type • APPLIANCE ..- . Manufacturer 6 Conformity Statement A. Agency's Name and Address - • •, • . - B: Kind of Agency C. Certi icate No. : Elcctrosonics Division - : - • • ^'.r: U.S. C-ertiliCated Mechanic- • • • Repair Station AE1R005K • • Foreign Certificated- Mechanic AiRadio Corporation '. • '-. • - • ' Radio Class 1, 2, & 3 Limited Port Columbus International' Airport , X Certificated Repair Station • Instrtiments Limited Columbus. Ohio 43219 Manufacturer Six.cialized Services • i3. .I certify that the repair andidetteration made lathe tin't(s)'dentifkid initem 4 ibove iandieleribectiiii itierthrse 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 furnished herein is true and correct to the best of my knowledge. • ,- • • . .. .. . ._ . Date Signature of Authorized yid I • AUG 0 7 1994: - 1--- • . 7. nice Ptisiiant to the authority given persons specified below,,the 4nit i nfed in item 4 was inspected in the manner prescribed by the ' Administratorof the Federal Aviation Administration and is 3:4 APPROVED O REJECTED '. o., FAA Fit Standards :. . • — Other (Specify) Inspector ' • Maiiiiiacturer ' Inspection Authorization . • BY • FAA Designee , • X Repair Station Person Approved by Transport Airworthiness Group Date of Approval or Rejection Certificate or Signature of Authorized Ind • ual . Designation No • .2 ,. .. ... SEP 1 9: 1994 . . • AEI R005K i .... . .. ..• vi . Malt . D.:Haycock re: EFTA00278247 .NOTICE Weight and balance or operating limitation changes shallbe enteredin the applopriate aircraftrecord. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (It more space is required, attach additional sheets. Identify with aircraft nationality and Apistration . •. . • mark and date work completed.) PART NO. PART NAME . Sony Compact Oise- Changer 321-.50 EIS Drawing E Sony Digital Preamp • 355i50 Sony Digital Croisover ' 355:50 .: Sony Amplifier 't • 385.50 Sony Amplifier . - • , a85.50 --- 2 ea. 'Sony Amplifici ....:, :,7j ; ... c ,... . "34..56 :' • _ XESTI lea. Sony Timer - 385.50 •-:. QM25HC tea. Sony Speaker (Tweeter). -- - 7193.00 . Sony Speaker (Tweeter) ;4,12.60 Sony Speaker (Midrange) ..193M0 -, Sony-Speaker (Midrange)- .:.. ' ‘442.00 - ---,--'•-• • - --• - -5 A404 2 ea. Precision Power Amplifier • -" •%-: 1 :- -: 383:50.'- : a: --;- :-. -.-- •--r: 1:ea. Stillwater Designs Subwoofer .... 193.00 -.: :.....". SIOA lea Stillwater Designs SubWricirei-h-t xr j--442M0 -- g ea. MS Quart Speaker 193.00 2 ca. isIS Quart Speaker . 442.00 ' ,. . 4 ca. KGS DC-to-DC Cnverter Convener , . 580 . . M0 :: 1 ea. Audiolniemitional Tcmp Control . 275 00 - • VB/VDA - , i ea. Video Accessory Video Amplifier _ _ .. 93.00_ . 2. The above work was accomplished I.A.W. A.C. 43.1171A; Chapter:11: and A.C. 43.13-2A, . Chapters 1, 2, and 3., , 3. Electrical load check LA.W. A.C.43.13-2A, Chapter 2, Paragi:aph-27 and found to be yithin lint This work his been accomplished under E/S W0rieggier442748, - The Cabin Entertainment System has been installed L'ANI: FAA Advisory Circular A.C. 25.10 and ElectroSonics Drawing #ES1159c151-90 dated April 25$1994. The aircraft has been weighted by Gulfstreath concurrent withihis installation. • Aircraft must be loaded:LA:W.. the prescribed loading information from the manufacturer. " -Tga7 ac t . co •ocic-2Ip-31 c ' '.CA-7 6 - • O Additional Sheets-Are- /Ctratingt EFTA00278248 J . . . . —, - — eve‘-••— — nes - -.- Form Approved - , ; .• .. . OMB No. 2120-0020 MAJOR REPAIR AND ALTERATION:, : For FAA Use Only • itStiorehmers ' • otsolsoonotor „.. v..-; (Airframe, Powerplant, Propeller; or tAtt• •••,.. ,, • office Identificathin' vliessfr iiii . . -,,----- .. .. . . ....— ...... , r51,0 ell of7i A. 6 4k, INSTRUCTIONS:Print or type all entries. See FAFI;t3.9:iiiR iiiithiendix e.and AC43.9-1(or subsequent revision thereof) for instructions and disposition of this form. This report is required bylaw (49U.S.C. 1421). Palliate terepcirl can result in a civil penalty nol to exceed $1.000 toreach such violation (Section 901 Federal Aviation Act of !got. , L. , c /: ; Make . ' ?3..!3f0 T41..ir:AFAA . Model . \ . . 1. • Skin GULFSTREAM . . •. — G1159B • . • _a-. i ,..,.i • .i. s,.. Serial No. .. Nationality and Registration Mark 151 - %.- U.S A_ N908JF 1 !/1 (As, shown on cepstrstl,ppq!)550?5,eA.-,y 1 1.10 ., ,:. : Address (AS shown on registration certificate), , .. ; . • • • 2. Censer •. HYPERION • AIR Ititis. ZA 1371.;.:',, attio--t.-. 1813 CENTRE ROAD SUITE .300 )..... . , , . ,: . ....:::. 1 itoir.le.:0A- -; t se-1kci.o.-:t. - WILMINGTON. DE 19805, • „ , .2 •..4 '%•n::.. 272:0!fl773; FistFAA4,1sethity.. .:.2f1. ..:., , .,. . . .; . „ . 7 .. / i): PI 111;4;b1 .w-,'t'i' LI' ;I :1131.i) itin: . . ..),:.•. ,: : ....11/4fr. . .. .:. ,1 3 . LI ;A i E . 1.,..c ; l,.",? i Na; t! a I ..);'. 1litilit - Hi! . i • I I 2 --• I II .2) 2. f .i 0 2 2•;` i - ... • .. ; 1 .- I i •, '11... '. ,-i / ;.: ‘' . 4: Ural IderUfficatkut .-. - i. , .- S. Type i ••,, 1 ! f •;;I, - riiic • ' Make' • ' ' - •-• ' Model Serial No. .Rapair Alteration . • - I 112 . : ., , -; ,,...-- iitcy";•-1 . , • '! !4 . i7 1,Al4..-4: ;•, ()A t , , .- ... .. .. . • AIRFRAME • .. ;,-..,;,...1.":-; .:,-.•• . 7 11". (As described in Item 1 above) - t • • •2 0 . • -.. POYVERPLANT . ... : :M. t! :: I, A!,! __ . _ _ _ _ A ,3 9V4 . . PROPELLER . . )1A ',. ci l ',t,,t 1 ,Ai:4E,ii 4_ 111 • ... I • Tre! •,:1f,-, i ,tr, :!•.)51.70? 1, ;7..! _1. . 4 ortiFSftr" ektra it. • ii4LiAtiCE . . . ?i,c,f1:: Manufacturer/4y.! • ; • \R -• , : tf“ ,;•! ;'..,...; II ; . i , . t 1 1 r :01 ; -. -if ;,'. 5. 6. Confonnity Statement • . '- A.3Agencyi game and Address • 4 ,, .-'" if : ;_ . I in' EL,,Kind of Agency . . • C. Certificate No. . • :i , , .. I I US. Certificated Mechanic : • i s' GULFSTREAM AEROSPACE CORPORATION Foreign Certificated Mechanic i P.O. BOX 2206. - TRAVIS FIELD x Certificated Repair Station: , GR4R216M , :. SAVANNAH, GA 41402-2206.: J., • Manufacturer: , 6. I certify that therepair and/or alter:itkinmade to the un t(s) identified in item 4 above and described on thereverse or attachments hereto requirements of Part 43 of the U.S..Fecteral Aviation Regulations and Mat the information I have been made,inace.Ordanrie with the i furnished herein is true and eeriest to the best of my knowledge. Date I, , . . ' Signature of Authorized individua . . . I • • 08/05/94 . i- I.,-," „ JAMES M. GRANT.. ... 7. Approve for Return To Service • Pursuant to the authority given persons specified beldw, the unit identified In item 4 w inspected in the manner prescribed by the Mmiriistrator of the Federal Aviation Administration antis .,.Ill APPROVED . 0 REJECTED - ,- • . .. .. .. ...,A FAA Fit. Standards • ' ' ,, • : Other (Specify) ' .. MinufactOrei Inspection Authorization' • . . Inspector . . ... _. • ,.. . i.J •• 84 t. • Person Approved by Tranapon - • FAA Detignee . Repair Station . . . . Xi ),..-1, .• i Canada Airworthiness,GrOvp ; .i . . Lr. .. • Dee of Approval or Rejection Certificate or Bigneture of Authorized lnilivfdeel I' ; ' - i Designation NO. _t._, - 08/05/94 GR4R216M .. JIMME.K..... SMITH , f itnniniaTh • . A...- ....(inj " 1 ;:r". 4. AC•/%5 • • • • ••t h. r• tiCi EFTA00278249 • . • Weight andbalance or operatinglimitation changes shallDO entered in the briptePriate aircraftrecord. An alteration must be Ctinipitibliii with previous alterations to assure contirkietitcohloiMily-Witfrtife apbliCableaitworthiness•raquirements. • DescdpUon of Work Accomplished' • •, ,., ; e r.= "..,:- 4 ;-_, •,. t• . % 'fIf mOre anise is required, Attach additional sheets: Identify with tdrteaft nationality and registration mark and date work completed.) • AIRCRAFT MODEL: G1159B . _. . — --- ,- ---- - AIRCRAFT. TIME SINCE NEW: 7224 ' ' .'':: ,.,'. ': AIRCRAFT SERIAL NO: 151 . "'-' 1 -- AIRCRAFT CYCLES' SINCE NEW: 3992'; AIRCRAFT TAIL NO: N908JE(f.2;.', 10.. ____ 1-- . ' . ' '. • . ... . •,-.. ., •--:,,,r1;:.•,..-.•,.:.,- !,:r.f.,; I 1_ • REFERENCE: GULFSTREAM AEHOSPACi-CfliOIATION WORK' ORDER NO.- CO26-151-64673i; 1. INTERIOR FURNISHINGS:WERE REFURBISHED AS STATED_. BELOW. ALL MATERIAL MEETS AND- EXCEEDS F.Azie 25.853 (06/20/68); APPENDIX F (10/24/67):'FLAME _ RESISTANT STANDARDS. COPIES' OP_ LABORATORY REQUESTS AND BURN REPORTS ARE ON FILE UNDER THE ABOVE- WORK ORDER AT THIS REPAIR STATION. DRAWING NO. REVISION SC21 491001 _ . _N/C ___.__. MAIN POWER DISTRIBUTION SC21 551001 .. N/C ' ELECTRIC SEATS'(ERDA) SC21 581005 N/C - CABIN INDIRECT. LIGHTS' SC22 208006 N/C CABIN SEATING INSTL-, SC22 800002 N/C •• . .1/10 FLOORPLAN SC22 236003 MID CABIN- STORAGE cA01,7 • , ! 11 USAGE NATERIA I Ii , IPSU &' H-EADLINERS NOMEX, FOAM; FABRIC ~ FWD CABIN BULKHEAD'S__ FABRIC, METAL, FOAM %trazIAIDtiAnti-PANELS ' FIBERGLASS; FABRIC',` ` ! FOAM BR8100 DIVAN, AFT SINGLE.' SEATS • FABRIC, FOAM::' • _ .FLOOR CARPET • .! CARPET, WOOL . BR8102 .• . . CHAIR BASE , .. AIR DUCT - CARPET, METAL BR8103 ... WINDOW PANEL, CLAM`SHELL • FIBERGLASS; FABRIC INSULATION' BLANKET . NOMEX; ISO DAMP, GLUE • CARPET PADDING' . • NOMEX ' j-: • CHAIR SHROUDS . f • LEATHER; METAL;' GLUE • TABLES, RADIO RACK _ VENEER, FINISH, HONEY. • • !COVER, CABNT COMB • r BR8259.::r4,-)po rr;< •q-;, -% DIVAN CABINET;• R/111 .-' LAMINATE, HONEYCOMB • • . PANEL " BR8260 - - CABINET, '6ALLEr0/01 LAMINATE,- HONEYCOMB PANEL BR8261 LEDGES, CAOINET.ITOP-S„:---... VENEER, GILFAB, FINISH".; BR8262 _ . . . , BULKHEAD -DECORAT.IVESLA.:'. A=LOOK MIRROR 8R8262.-. • <, • DIVAN CABINET, CREDEN2Ar- AL HONEYCOMB, LAMINATE BR8282 • TOILET SEAT- / SHROUD LEATHER, NOMEX, FOAM' BR8283. .t CABIN SEATS . „. .; LEATHER; FOAM ; .BR8284 HORSE COLLAR LEATHER;: METAL, FOAM _ .' WEIGNT4N6!BftLANCE. OATA REVISED AND . AIRCRAFT ELECTRONICALLY WEIGHED: INSERTED INTO THE. AIRCRAFT-WEIGH:FANO, BAL%NCE MANUAL. " G,. 1- END-'• 1 • • .1!: 0 _1a2 • O.; '3 • *U.S. GOVERNMENT PRINTINGOFFICE: 1992-7fie,otaliam 't..;-,4afrl iFf userr•roar . „. EFTA00278250 Att UNITED STATES or a:mend* . ' • " 4 DEPARTMENT OF TRANSPORTATION -FEDERAL AVIATIOlt#312MINLSTRATION STANDARD AIRWO SS CERTIFICATE.- '4 MANUFACTURER AN 5. AUTHORITY AND BASIS FOR ISSUAN This airworthiness certificate is and certifies that as of the •• dote of issuance, the aircraft form to the type artifice% • therefor, to be in condition f ufrements of the applicable • • comprehensin and detailed on International Civil Aviation, except as noted Exceptions: it 6. TERMS AND CONDITIONS Unless sooner surrendered, su ablished by the Administrate(;' this airworthiness certificat intenonce, and alterations ate— performed in accordance ationa, as appropriate, and the aircraft is registered in tyj Any alftratione reproduction, or misuser of this °Mikan be pure by a Snit no exceeding 51.000. Or km prisonment not exceeding 3 yews. or both. THIS CERTIFI TE MUST BE DISPLAYED IN THE AlltatAFFINI3ONDIQ1 • ANCE WITH APPLICABLE FEDERAL AVIATION REGULATIONS. • 'V. '"!"-"'iTtrr • rrarre r f an • .. 'Aste r•-- -3Sr%w / . ."• ;'. -; . 11-rwrodiniayse .j.se ex • -. ' „ - - • -:isestri - _— EFTA00278251 • •• • '• . • ."-cIte7eFi; • t.e.. EFTA00278252 • UNITED STATES OF AMERCA DEPARTMENT OF TRANSPORT AT ION—FEDERAL /ORATION ACIASSTRATION , STANDARD AIRWORTHINESS CERTIFICATE AUTHORITY AND BASIS FOR ISSUANCE Ths torwortinness certificate a ctsued pursuant to theFetters' Avrahon Act 01958 and rendes *Lateits den of ISSWITCO. The me raft to witch axed ha been respected and COMM to ccintorrn to the type certificate theroba. tkbe el coition tor sale operation and ha been shown to meet me redo:Icemen of the applicable comprehensive and Staled arworthress code a Perded by Annex a to the Convention on Internat.:nal CAI Anton. excePt as noted teen Exceptions TERMS AND CONDITIONS i Unless soarer surrendered. suspended. choked or a termrnatiorf date is oMeninse eStabtaned by the Ad:nu-testator. the tenvortruness cenrfr-ate a effective n Icing es Ito maintenance preventative mantenance. wed alterations we performed n accordance with Parts 2l. C. and 9l of the Federal Anton Rego Latons. as apgrgp4aIe. end Me thrUa ft a regained m the Une] Sayers Any Vleraimn reproduchon or misuse altars certtlata may S ponaltabie by alts not execcdong $11:00. or empraonmerd not exceecing3 leis or bah THIS CERTIFICATE MUST BE DISPLAYED IN THE AIRCRAFT IN ACCORDANCE WITH. APPLICABLE FEDERAL. AVIATION REGULATIONS . EFTA00278253 _ • ;-: • ' ‘•• ; • "r t 74 hT• eilfi - = lir; "i• ••• tn .. "...A j •••ANg •.. • •.•+. gi•••- •••. • ., • lass. . • a i't • •i• • • • illiillam•aarCieleala•• •-• •• •• EFTA00278254 • UNITED STATES OF AMERICA DEPARTMENT OF TRANSP ORTATION-FEDERAL AVIATION ADM INISTRATION STANDARD AIRWORTHINESS CERT IFICATE 4 CATEGORY S AUTHORITY AND BASIS FOR ISSU ANCE This a iiwonniness centhcate is essuedborsuant tO FederalAviationAct of 1958andcenee eircran to whin issued has been sMat, otthedete of issuanceth inspected and loon' To contr.- ',to e• ; ePeranOn and has been shown to awe the type certificate therefor. the requ:rements at the ilibctic to be in COnditen for sale „. r.sc-ndad by Annex 8 to the Conv abite comp rehen sive and detailed airwOrthineSSCOdeaS ention onIntenetiore Cml Aviat Exceptions ion. except as noted herein f 6 TERMS AND CONDITIONS Unless sooner surrendered. - suspended. revoked. Or a termi afrworthiness certificate U etteim nation dates otherwise 4 taNrs n.; as tong as vie maintenance. preve hed by the Administratoc thn acconsance withPans 2I.43.and n:ative maintenance. and altera St of Me Federal AviationRezifations. tions are perfOntied States as top? ie. and the aircraft is registeredintheUnited • AT= ; I 'A DESIGNATION NUMBER Any alteration. reproduction. Of MI use Oi this cerhficale may be O352 years or both THIS CERTIFICATE AVIATION REGULATIONS puns .:-' by MUST 8E DISPLAYED IN THE AIRCa line not eaceecang ST000. o imprisonment notWeedinga RAFT IN ACCORDANCE WITH APPL ... I.i . ICABLE FEDERAL ! ' FAA Form 81O0-2 18-62) i 1 -- °DPI" -./ .. ..o.". *U.S. GPO: 1989-662-97* , • • ...mr 0. ... i • : L. ./ i • r ';' : ' re l5c 4librAA,tom •=r•-• . : . • ••:•••• ' • -. 1. EFTA00278255 .; • EFTA00278256 UNITED STATES OF AMERlc* DEP.MiTMENT OF TRANSPORTATION—FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE . ISPORT AUTHCRITY Ase.BASIS FCR ISSUANCE . . '. . . . , . ... nt.'s airtienhiness certif.:ate is issued puritan: tofheFsderal Aiiation evil-lesthat as of the date°, issuance. in, • '''' &imp?: to Writah issued has been itopected and lecnd to Ctr cirtifi te thireter. to be in condition for safe -• 0pera:manta has been ShtSn to meet Me recuirenems - - - comcrehensive and detailed airworthiness Cede as - • ,1 . a rov:ded ty Anrerefl h the Comer:tic:a on Inferrar cri except as rated herein. . . . Snipers . t - . • 6: TSAI/SAND CCNCITICNS Unless-sooner...Wein• ..susoened.• revoked, cr a terhunat4n dee h otherwise established by. the Administrator. this .. : ; • saw:Minos% e is illicit* as lvig as the maintenance: oreventarnnt ma•ntenance.-and et/Mimi are performed in ;" % - • . . .accoreince ans21.43.and9.1 oltheitederalAviaticnReeutatrons.asanorconate. and theraircrihriregeterir4IntheUoted f f . . • DATEOr) DESIGNATION NUMBER: rfr • " 7-689 STL-FSDO .• •-•., Any ai;eration.reproduct;ch cr mi use crtnis certificatemay be punisnabv by a Lne not exceeding SIDDII.or imprisavnent not escisedarg 3 I 'years. or bosh. THIS CERTIFICATE MUST BE DISPLAYED IN THE AIRCR.A.:T IN ACCORWICE WITH APPLICABLE TEDEflAc. . . PrIATiOi:RSGULATIOMS. • • • .• • - v.rstiati. as* EFTA00278257 - -- • -• . t - -• EFTA00278258 • Form Approved US OenCarlene MAJOR REPAIR AND ALTERATION OMB No• 2120-0020 or acintoonorcn (Airframe, Powerplant, Propeller, or Appliance) For FAA Usie Only Newel iberafron 0,(fice Identificati geninistroecet ,.. &N, STL-F INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appe and disposition of ?hit form. This report is required by law (49),I. ndix B, and AC 43.9-1 (or subsequent revision thereof) for instru for each such violatIoil (Section 901 Federal Aviation S.C. 1421) . Failure to report can result in a civil penalty not to excee ctions Act or 1958). d stair Make • • .. Model Gulfstream Aerospade Corporation • 1. Aircraft , G-1159B • Saha; No Nationality and Registration Mark 151 • - N979RA Name (As shown on registration certificate) : Address (As shown on registration certificate) . . ,_ 2. Owner Ogden Managemeit serviceii,Inc. • Westchester COunty Airport, Hgr D3 • White Plains, New York 10604 3. For FAA Use Only - • C. -- 4. Unit Identification II 5. Type Unit I Make I Model 'Serial No. Repair Alteration AIRFRAME -.... (As described in Item 1 above) X POWERPLANT '1'. • • PROPELLER • ert fit Cretr:: L• @t' .', ". A: . ; Type , AlPf? APPLIANCE 13 Manufacturer . 499e Si/ - 6. Conformity Statement /Si j u A. Agency's Name and Address . . I B. Kind of Agency I C. Certificate . Midcoast AviatiOn, Inc. I U.S Certificated Mechanic # 8 Archivew Drive I Foreign Certificated Mechanic Cahokia, IL 62206 . I Certificated Repair Station ZtO3R822L Manufacturer D. I certify that the repair and/or alteration made to the unit(s have been made in accordance with the requirements of Part ) identified in item 4 above and described on the reverse or 43 attachments hereto furnished herein is true and correct to the best of my knowledgeof the U.S. Federal Aviation Regulations and that the information . . Date Signature of Authorized Individual • April 1, 1992 Joseph L. Allen 2 11--- 7. Approval for Return To Service Pursuant to the authority given persons specified below, Administrator of the Federal Aviation Administration and is the 6 unit identified in item 4 was inspected in the mann er prescribed by the • APPROVED 0 REJECTED I FAA Flt. Standards Inspector 4 Manufacturer Inspection Authorization Other qpecity.). BY 4- FAA Designee Person Approved by Transport . Repair Station Canada Airworthiness Group Date of Approval or Rejection ., Certificate or S' ture_of Authorized Individual Designation No. ....,ent i s, /,‘ ; a -- 07c dor__ • 4-1- 92 ' . RO3R9221. Jimmie A. McCrary - ▪ "• • • • - • • • . _ . • • -. _._-_.- • - • ' EFTA00278259 . . . . . NOTICE .. . An alteration must be Weight and balance or oPeraring 4mitation changes Thallbe enteredin the appropriate aircraft record. airworthin ess requirements. compatible with all previous alterations to assure continued Conformity with the applicable .,• B. Description of Work Accomplished work completed) (If more space is required, attacr additionalsheine. Identify with aircraft nationality and registration mark and date 1.) Removed left eievatbr P/N 1159CS20002-1 S/N 151 and riaht:elevatcir P/N 1159C920002-2 9/N 151, 'Conducted inspection for corrosion 'on balance beams, no corrosionjound.• Performed _steps 1, 2, and 3 of Sulfstream Drawing No. 1159S830189 Revision "C" date, 2-4-92 "Corrosion Repair - Ballast Instl., Cont. Surf., Elevator". Balanc,:. checked aoth ' eleVatOrs, found to be within liMiti per Maintenance Manual chapter 27. Reinstalled elevator_ same part number .and serial number, op's checked DR. 2.) An appropriate entry was made in the aircraft records. - :7 aCt ..7. ::e.v=S: :7 (f!q: :t;te,r :sterns a,. ors: t.: :.1 r e eo: • ' ^:' - •• ty;:i? •;:t • . . tft . ‘C • • l. titsRs,,:4 ..P•v..1 1- : oil ar.vi .!. flyig‘t.ett ,1/2.volod Ocift2urea • . ' in • 0-.7 .';')SS-t1A ) . • rif r' 7' ' 234!2) C.04.r.:11C es;:vt% . .:tin:. ...: ":f ell • utrT;;; .1;.° •tO 7 •1::.::::!-:;r1 : C:j '" O Addrtionel sheasAitAttactied tt• r• %.0? "t EFTA00278260 iy - Form Approved OMB No. 2120-0O20 MAJOR REPAIR AND ALTERATION US Otoortment For FAA Use Only aIrani==hal (Airframe, Powerplant,- Propeller, or Appliance) . Office Ident:rcation. Moroi Mb don Admhnistmtlon . ... .. _ 1 cfPrZ-fS: •. .. .. INSTRUCTIONS: Print or type all entries:See FAR 43.9. FAR 43 Apc-endix B. andAC 43.9-1 (or subsequent revision thereof) for instrittions and disposition of this form. This report is required by law (491.J•S.6.1421). Failure to report can result in acivil penalty not to exceed 51,000 for each such violation (Section 901 Federal. Aviation Act of 1958). Make Model Gulfstream Aerosoace Corporation G-11598 1. Aircraft Serial No. . Nationality and Registration Mark 151 N979RA • Name (As'shown on registration certificate) . Address (As shown on registration certificate) 2. Owner Ogden Manageiaent Servicts, Inc. - Westchester County Airport, Hgr D3 White Plains, NY 10604 "The••alteration identified ho44;i0hFA4-kriFto,ntr, flip App;irphta airworthiness requirement's and is approved for the above thscribzd 'eirc..r.Ift: sk,b-fect to :nntormity inspection by a person authorized in. FAR rat •!1:32 Section 43.7..."- 5-1 - ic3 A9 -3 -4' Se;" ezete44 7 -District Office Qat? - EALL4aspector . 5. Type • 4 tint Identification Unit - Make • Model . Serial No. Repair I Alteration L AIRFRAME • ... (As described in Item 1 above) X ... . POWERPLANT . • --- PROPELLER •• Type APPLIANCE Manufacturer • . _ ----- •-• : ; 6. Confo'rmity Statement .. A. Agency's Name and Address B. Kind of Agency C. Certificate No. U.S. Certificated Mechanic Airframe Class 3, Midcoast Aviation, Inc. Foreigntertificated Mechanic Limited # 8 Archview Drive . Cahokia, IL 62206 X Certificated Repair Station - RO3R822L Manufacturer • D. I certify thatthe repair and/or alteration made:o the un t(s) identified in item 4 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 furnished herein is true and correct to the best of my knowledge. Date Signature of Authorized Individual Barry D: Griffin ' • Seotember 13. 1991 7. Approval for Return To.Service Pu suant to the authority given persons speCified be:ow, the unit identified in item 4 was inspected the manner p cr ed by the Administrator of the Federal Aviation Administration and is IR APPROVED .O REJECTED FAA Flt. Standards Other (Specify) Manufacturer Inspection Authorization , Inspector .. . • BY • Person Approved by Transport ' FAA Designee x Repair Station Airworthiness Group Date of Approval or Rejection Certificate or Signature of Authorized'Individu Designation No. RO3R822L .,.. •• /O - ; 7 - el/ o-.... \/ EFTA00278261 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. 8. Description of Work Accomplished (If more space is required. attach additional sheets. Identify with aircraft nationality and registration mark and date work completed ) Updated the existing C011ins'AVR-101tockpit•Voice'Recorder System which was previously approved on FAA Form- 337 dated' March 14, 1975 and. STC #SA999SW, inaccordanCe with.Midtoatt-Aviation, Inc. wiring diagram no. 02-344W011 Rev A. "CVR Mod (WD)", and . the manufacturer's - AVR-101 Airborne Voice-Recorder. SyttemjMaintenance Manual # 523- . 0757366-201114 2nd Revision1.5.Feb.' 196.8 and•Baker Electronics Manual # 23-50-08 Rev. .1 InStallation and Operating Instructions. The update complies with FAR 25.1457. . A satisfactory preflight-functional check was conducted per Midcoast Aviation, Inc. report .no AB910001.-A.satisfactory ground and flight -test was conducted per FAA CVR 6round and Flight Test Procedure and the recording was down - loaded on two. (2) cassette tapes. All channels'operated.normal. The tapes are on file at this facility. The operator was supplied with "Pilots Operation Instructions" for Collins AVR-101 Cockpit Voice Recorder", report no. A8910001. This report must be aboard.the aircraft during all flight operations. The above mentioned installation drawings were D.E.R. approved on Form 8110-3 dated 9-1.3-91, Midcoast File No. MC910261. Inspection requirements per Collins AVR-101 Airborne Voice, Recorder System Maintenance Manual .* 523-0757366-201114 15 Feb. 1968 2nd Revision. Perform the "Preflight Functional Test" and the "Additional System Test" every 30 calendar daySas-prescribed in the manual. *B: -The-Underwater Locator Beacon Battery is to be replaced years from the date of fabrication. . . An Appropriate entry was made in the -aircraft records. O Additional Sheeti Are Attachicl .• !• •-khrfj-: • EFTA00278262 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) for fAA u. Office loentitication • • • INSTRUCTIONS' Print or type au 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 mon is requiredby law (49 U.S.C. 1421):Failuretti report can result in a civil penalty not to exceed 31.000 tor each such violation (Section 901 Feoeral Aviation Act of 1958). . c.... 7.- N979RA .7 :‘•' 7. AaareSS (As shown on rep:strewn certificate/ . 4-.. iv. 1,4 . Westchester County Airport, Mgr D3' • .';.-:- ,:....c.;“.'. White Plains, New York 1O6O4 Midcoast Aviation; Inc: * 8 Archview Drive Cahokia, IL 622O6 ' D. t cent'ytnat tne repair anttoe alteration mace to ine Linitis) ioentifiet in item 4 abcive andbescribec onIne reverse or attacnmerns nereto have been mace in accoroance with the reouirements of Pan •43 of the U.S. Fecieral Aviation Regulations anc mat me informatioh furntsned herein is irue anc correct to the DP—S1 Of my knowieope. . . Pursuant to the authority given pei-sonispecified below.line.Unit. Identified in. item 4 was inspected in the manner prescribed by tne Acministrator of the FeoeralAviation Aommistration ant is' APPROVED ' p REJECTED :Signature of Authorize0 inowicual IL.C.77.,tyr.(..; • at fit EFTA00278263 •• . NOTICE Weigir andbalance Of orienting limitation chansfeis corntotible with ell-prewiouS alterations to assure tuilebe enteredin the appropriate aircraft record. An alteration must be • • ., .. , .• . continued conformity with.the applicable airworthiness requi rements. 1. Dosnption of Vera Accomoissobso (If more space a required, atiao additionsl sheet s: ldentilywith aircraft nationality and registration mark and date work completed.) 1HC• upcatec tna e:;iszinc czil4ne: Atrn-*ol ;:eciceit Recoroer System .which. was previOltslyHappro-4ed on .FAA Form 537 dated Marc;, 145. 1975 and accordance . with- Midcoast- Avi at-ion.. Inc. ioram ho. 13344W0!1 "CVR Moo . (WD)" wiring • land'-the mental acturer s AYR-101 'Airborne':cite Rscfrtsr aystem Maintensnce Manuel # CM-0757:68-201114 .'2nd Revieion 15 Feb: 1 .959 -mind T.Iii?er.ElecironicE Manua. 4.- den-5c---JS zvzi on- ..q.mc Dperati Hp :ns.tructicirise he Rew. update tompIiet witn. • -s y' unczi br s, check per: MlOccast report no: AB91(≥c,Q1.fending a sati cfi ipht sfactory ground And C1-5R Arks/PI sht, TeSi. firoeenurs. 7ie system • k 87 -zr.E. CirCtO,breaker. SULirei 1 ek 4:1h "Pi lotr... Operation Inst :plains 1WR-1:01 ;cc !pit . Voi ce Recorder:', ructions. for • recur.t-• no.. AB910001.. report must- .be-. . 41-card 'the' cur no all fliont operations. The. above raentiOnedinstal I ti on drawings Were D.E.R. approved. on:FAA Form eliciz dated J-22-91. midcdast Fie No. mp9loo26.'• .L.:. .1a.4. ,.insoection_requirements per Collins. AVR-101:Afcbortie Voice Reto :•• . . ey..tem F.sintonante. Mantis! rder. 523L0757754 -1i0t114. 15 Feb:. 196E 2nd • .‘. . , . vi a i cn . . . . - ,Rav ' • . . '• .- .. _ _. . . A. Fat-form'the -"Preflight Functional • • Test" and the "Additional System Test" every 3(0 caiendarYdays as pres cribed in' the manual... , _The weight .46.0 balance was.revised 5 .and an apprOPr4 Ate. entry'was. made the aircraft.-records. . _ • . EFTA00278264 TERATION MAJOR REPAIR AND AL opeller, or Appliance) US Osocerreenr asavoravomors (Airframe, Powerplant, Pr evevraes mar f) for mat:Litton; asernemaavaren -en d AC 43.9-1 (or subsequent revision thereo exceed S1.000 R 43.9. FAR 43 Appendix 8. report can result in a civitpenalty not to type ail enures.See FA INSTRUCTIONS: Print or This report is required by law (49 U.S.C.1421). aiitore to and disbo%ition of Mis form t Ct 1958) ction 901 Federal Aviation Ac far aeon such vioiation (Se G-1159B Make spac e Gulf stream Aero tion Mark Nationality and Registra Serial No. N979RA istration certificate( ( Ad dress (As snows on reg Hgr D3 n certificate Airport, Name (As shown on registratio W estchester County Services, Inc. 4 New York 1060 Ogden Management White Plains, 3. For FAA Use Only 15. 'type 4. Unit Identification wl & AIRFRAME. PROPELLER • APPLIANCE I C. Certificate No ress A. Agency s Name anc Aco .f U.S. Certificate, Mectranc , - Inc. I Foresaw. Censlicare0 Methane: Midcoast Aviation CRS R03R822L # 8 Archview Drive , Certificates Atom'. Station 6 manufacture. Cahokia, IL 6220 , s nevem 4 abo ve and des crib ed on the reverse or attacnment lied in item rmatton t me rep air and s or alte rat ion mace to the unit l s) ibinti U.S . Fe der al Av iati on Re gulations and that me into O. I canny ma at Part 43 ol me e with me requirements have been maoe in accoroanc t of cm/ kno wieoge. ed her ein is tru e and cor rect toUte bes lurntsn January 24, 1991. . Approval torfietum Service r prescriber; by the ide ntif ied in item A wa s inspected in the manne low; me unit given persons soecitied be C REJECTED Pursuant t0 the at:thorny Aviation Administration and is QC APPROVED Administrator of the Fed era l IFAA Fit. Stan=ros I!• 'manufacturer }Ins pec tor - • BY , . 1 I FAA Designee I x 'Repair Station Signature Autriorized inonnouai tion . 1Ceniiicate or . . Date of Approval or Remo 1Designation No _ey Cif., 1 e•C CRS R03R822L 1-24-91 . Sief pate. . •• 4 EFTA00278265 Weight and balance or operating limita • ICE NOT tion changes shall be entered in the Compatible with all previous alterations appropriate aircraft record. An alteration to assure continues Conk:trinity with ritual be the applicable airworthiness reotnietpents. 8. D•scnpuon of Wort Accomphistea (h more :pith* rs mound. attach additi . onal sheets. Identity with aircraft nationality and registration mark and dale work complitad.) . 1.0 ‘Instaned, a Sensor System Lt. VHF TV Antenna.VM 865-8282721 It 2.3 Lbs TSGNo. C37b and.C3Sb in acco rdance.wiin Midcoast Aviation, ine. structural drawing -.no. 02-139F005 s!T.V. Antenna • The data 4cr the aboVe.insial.lizion :8810-3 dated 1-24791 Midcoast AviE.tion approved on FAA Ford) ..File No.; MCS10026.. 3.0>•ifiaight and balan•ze wai • . an pr oar ;Ay entry was :Ana aircraft recorc..s. - - F.-:4 ;f kw • 1.• I. A Olit tat ii 674 L.• ••• •I tird liar - hi ili.j; . • •. • Y. EFTA00278266 O Form Approved OMB No. 2120-0020 MAJOR Sr.,PAIR AND ALTERATION • US Deoceirrem For FAA Use On!) or licriscorximn (Airframe, Powerplant, - Propeller, or Appliance). Off' Idenc ication haseeer eimemen e. ; • . . .., . . mwne , ftm 6 - 03 , . • - . INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 A ppendix B. and AC43.9-1(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 muff in a civil penalty not to exceed $1.000 for eachaisch violation (Section 901 Federal Aviation Act of 1958). • Make . Model Guifstreara Aerospace • G-11598 1. Aircraft ' Serial No. • Nationality and Registration Mark . 151 ! . ... , N979RA • Name (As shown on registration emeriti:ate) Address (As shown on registration certificate) • Ogden Management Services; Inc.' Westchester County Airport, Hgr D3 2. Owner . •. :White Plains, New York 10604 .. ... -. ••• - . , --:" 3. For FAA Use Only • • . . 1 4. Unit Identification S. Type • . Unit ' Make • Model Serial No: Repair Alteration • 1 . . • .• • • AIRFRAME (As described in Item 1 above) ~mow« . "• • - •• . • • • • X . • • , POWERPLANT •• ' • • . • PROPELLER • - ,.- _ .. .• . _ TYpe • .... - • •.• ' - • APPLIANCE Manufacturer _ • • _ _ s _ _. ._____ 6. Cantormi Statement A. Agency's Name and Address • I B. Kind of Agency C. Certificate No. Midcoast Aviation, Inc. I I U.S. Certificated mechanic • . I I Foreign Cenditated Mechanic I # 8 Archview Drive. • ' • !1 y i Certificated Repair Station CRS R03R822L ' I. • Cahokia, IL 62206 . _ .. .. _ _.. • ... . . . - .--• O I certify that the repair anctior alteration made to me unit(*) identified in item 4 above and described on the reverseor attachments hereto have been made in accordance with the requirementsof 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. - Date . Signature f Authorized Individual • - - " . . . . _ • ..-January-•24 ; - •1993.: ."•-•-:- -- , :77.-.77 - - '..: .• Si.... - • ••••. •• • - • •• .. . T. Approval for Return To Service - ' • Pursuant to the authority given persons specified below, tne unit identified in item 4 was inspected in the manner prescnbed re the , 'i Administrator of the Federal Aviation Administration 'and is . EirAPPROVED O REJECTED ..._ "iFAA FltStandards I 4.--: ..__......___: _ -- • -• Other (Specify) -. - • - -- .• - 7 ' Manufacturer k tpector . ... •- .: ....1......-r..: . .. -... ,-----;.. .[Inspection Authorization . ... • - - - - • ••• ..- -.• -_ - rt___ • Person Approved try Transport FAA Designee ' 7 1 x - Repair Station . . CanadiAinvonhoness Group Date al Approval or Fleteetipri •••••••: Certificate or , . Signature of Authorized Individual '.. .,; .. . .. . . .. - _ ..1 . ••- . -.•-t- • - - .• • ' --"?'. Designation No. .. . - — - -• %:... .: ' ..:•-det.:1, il I 7..' - . - % • ::• •; .. • -- t1" --t : icitS R03R822L • • 1-24-91 • • • - ••-• • crt :i.y.e•••-, • • yeeorqtzgSt. f eP4Cei t ig 41 int* s,1,‘S;4' - . • EFTA00278267 NOTICE i Weight and balance or Operatinglim compatible with all previous itation changes alterations to assure con shallbe enteredin the app ropriate aircraftrecord.An tinues: •;:.: •`ormity with 'he ..a.b...:: ' applicable airworthiness alterationmust be requirements. • Ortserlption of Work Aoconfo (If more space is required nthod , attach additional sheets. Identify will, afrcraft neonal ity and registration mark and date work completed.) Complied with' VertiCal Stabiliz er COrrosion Inspection Special •InsPection Procedure No .- GSIP7RS71159.70001 and drawing and specifidations as fistedr •• • _ 1159CS .2p000 Tail Erection 1159CS' 20650 Front Beam Instal lation 7 Vertical Fin 115905 20051 Mid Beam Installat ion;-Vertical Fin - 115909 20052 Aft Beam Installation . _:=vertical Fin . 1159CS'20074'Shear 'Deck Instillation .".;:115/CS•20154. Skin all ati On 7 Vertical :Fin Maintenance Manual - Flight Cc intror Ri:agino- Procedures .• SE 25400901 Standard Repair -V ertical Fin to Fuselage Attach Fitting ee • • . . • .. • _ • - - • • • • EFTA00278268 ..).:.C.1:2- ctd.••-•..:c.:••••:;1-1:;•- t.'404:::kval4T-rr: ••-'•-, • - FAA AIPCRAF CAMERA NO. -4 44O, .3j Form Approved . , . e , • - . . . . .. . • ' OMB No. 2120-0020 . ' 7- — --- —'— '- ' MAJOR REPAIR AND ALTERATION us ck.,...tiner. - For FAA Use Only of Trcnsporicrocn : (Airframe, Powerplant, Propeller, or Appliance) Office Identification Federcd „ anon Actrrelstr , L52 5-(- ' 475;! 2C) INSTRUCTIONS: Print or type all entries. See FAIR 43.9, FAR 43 Appendix 8l end 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.14211. Failure to report can result in a Civil penalty not to exceed $1,000 for each such violation (Section 901 Federal Aviation Act 01 1956)_ . -i • - ' - Make ' Model ' 1. Aircraft Culfe4tream Aerospace .G1159B Serial No. Nationality and Registration Mark 151 ' N979RA . Name (As shown on registration certificate) Address (As shown on registration certificate) r 2. Owner Ogden Management Services, Inc. Westchester County Airport, Hgr D-3 White Plains, New York 10604 3. For FAA Use Only • - . 1' 4. Unit Identification 5. Type Unit Make . Model Serial No. Repair Alteration _ ..• r7 AIRFRAME .., - ..(As described in If= f above) '......,. X , ' .- •.. • fr 77. -; 1 N _.: POWERPLANT • • • • rijI- - -1.2.Lt: hlt•I...: .. • PROPELLER 1A i ; ',3 T.:-., i . - •- . - i Type , .• ' SR Fr:: nr las ••••• \e / i APPLIANCE , Manufacturer • ...1•• . oser 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. Midcoast Aviation, Inc. • U.S. Certificated Mechanic #H8 Archview Drive Foreign Certificated Mechanic • • St. Louis Downtown Parks Airport X Certificated Repair Station CRS RO3R8221, G • ' Manufacturer . D. I certify that the repair and/or alteration made to the un't(s) identified in item 4 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the US. Federal .Aviation _ Regulations and that the information furnished herein is true and correct to the best of my knowledge. Date •1 ., Signature of Authorized Individual • • . • i — / A -ci 0 .......___ c - 7. Approval for IR n To Service Pu suant to the authority given persons specified below, the unit iden died in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is jX. APPROVED 0 REJECTED FAA Fl t. Standards Other (Specify) Manufacturer . inspection Authorization Inspector BY Person Approved by Transport FAA Designee x Repair Station Canada Ainvoithiness Group Oate of Approval or Rejection Certificate or Signature of Authorized Individual Designation No. r " - V A / ‘ — 7 c CRS R0311822L 7 c •Oe,i/i--"e2, FAA Form 337 it.ari i t. • ... ,.... ..-. "..:• ,a, : .. . . . .... •:: :‘..- • • --... -.ease - . •4-1: • ,. . • •• • •• - • . , . • .• .• (0 111'? 3?..ei i9 1.. .Z ee :AP 4112 ,.. . ; irgt : ' ..."-iic .5;.;:rg..„ ;:a. :ci....„_.-2_,...,_-z,_:_;;;LI..;!..11:.......a.....z..,......_ _______ te Sat EFTA00278269 . •• NOTICE alteration must be .. sha llbe ent ere din the app ropriate aircraft record. An requirements. nges s Weight and balance or operating limitation chaure continued conformity with the applicable airworthines alte rati ons to ass compatible with all previous k and date work completed.) B. Description A Wcsk ACCompllsped • itional sheets. Wordily with aircraltnajimmilly and nrclstration mar (if more space is 70c:directs atta ch .add • . • . , . _ to act iva te th e V Nay function of ,the Collins 1.) Amend STC SA250BCE ope rat ion at 18,000 feet and below. The . EFIS-86C (14 ) Sys tem for was in acc ord anc e wit h Midcoast Aviation, Inc. amendment following ica tio n dca win g.l ist # AD890009 Rev. .C, and with' the certif notices; wiring diagram design change 86C (14) No. 1159-06000-151=C1 'EFIS- dcoastSwitching_Unitu "Mi No. 1159-34010-151-B1 & 82 dra win gno ... 000 008 7_1 ite ...,11.!!§AUbelErISAnStallation", v- Structural ance. with'MideoaSt Aviation, Inc. a fl I ght .te st acc ord conduCted November. 27,' Report Na. ASS90038. dated D.E .R. app rov ed on FAA FOrm'S 8110-3 dated 27 The above data was 0, Mid cOadt Aviation, Inc. file no. 9 and 9-J anU ary 199 • November' 198 03. MC890114, MC890116 and MC9000 ne Fli ght Man ual Sup ple ment dated 1-12-90 Rev. A is FAA approved Airpla (14 ) Electronic Flight Instrument a Col lin s.E FIS -86 C. require0 when System is initalled.' - .No . 2 fli ght .Di rec tor s in accordance with wiring 2.) Updated the No. 1 and s n6. -1 15 9— 040107151A1 "No.1 Flight diagram design -ch ang e not ice Mod". " and no. 115 9=0 401 1-1 51- A1 "No. 2 Flight Director Dirdttor Mod FAA Form 8110-3 dated 27 November was D.E .R. ' app rov ed on The .data . file no. MC890115. 1989, Midcoast Aviation, Inc cha nge s wer e mad e, 'we ight and ',Mance change was . No equipment negligible. Additional Shecils Are'Attactied ' - ye • . ' . ., • -: • •• . • _ • sr t- • • r".-14:tri zt e. 4 - 5,4% ; p. • ,4 , 4; j i 7 41 • , •i .;Liefaiep:. ...axe; EFTA00278270 .usonani.,,,8 .,_. MAJOR REPAIR AND ALTERATION • . Form Approved OMB No. 2120-0020 or troneaorsomin . (Airframe, Powerplant, Propeller, or Appliance) -For FAA Use Only ico.rvmarmnampri -. Identificati Office on Arannwmeari • • ,57, •Igien INSTRUCTIONS: Print or 'type all entries. See FAF143.9. FAR 43 Appendix El, andAC 43.9-1 (or s-uaseq,:ent revision thereof) for instructions and disposition of this form. This report Is required bylaw (49U.S.C. 1421). Failure to report can result in a civil penally not to exceed $1,000 for each such violation (Section. 901 Federal Aviation Act of 1958), • • Make • • . Model ' Gulfstream Aerospace ; G-1159B 1. Aircraft • Serial No. Nationality and Registration Mark 151 • N979RA . Name (As shown on :hilts -what certificate; Address (As shown on registration certificate) • . . . . .. -. 2_ Owner . • • ' • - ---- • • ' • • • Ogden Management Services Inc. Westchester County Airport, Hgr. D-3 . ,.. - White Plains,.New York 10604 ' 1. For FAA Use Only • • . • - . . . 4. Unit Identification • S. Type Unit Make . Model Serial No. Repair Alteration e AIRFRAME (As deftribed in Item 1 above) X . , . • • POWERPLANT . _ ' - PROPELLER Type APPLIANCE Manufacturer - ••• 6. Conformity Statement A. Agency's Name and Address I B. Kind of Agency C. Certificate No. Midcoast Aviati.m, Inc. . • u.s Cenificated Mechanic " t4 a Archview Drive .. Fctreigil Certificated Mechanic • • I .8t. Loris Dbwntown Parks Airport ' X Certificated Repair Si111041 CRS -RO3R822L Cahokia, IT, 62206 ManufacEiner , D. I certify that the repair and/or alteration made to the un't(s) identified in item 4 above and described on the reverse or attachmentshereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulation s and that the information c furnished herein is true and correct to the best of my knowledge. Date . Sionature of Authorized Indiyidual • 0" - 1-16-90 7. Approval fur lc;turn To Service Pu suant to the authority given persons specified below. the wit identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is 0 APPROVED 0 REJECTED FAA Flit Standards Other (Speedy) Inspector Manufacturer Inspection Authorization BY FAA Designee x Repair Station Person App by Transport Canada Airworthiness Group • Date of Approval or Rejection Certificate or Signature of Authorized Individual x Designation No. - t- 1-16-90 CRS -RO3R822L -• _. v//1-6C, a , •C/172-/ .- re (--......e.--f-•-•,•-' FAA Form 337 (4-an ra k . ..• EFTA00278271 • " NOTICE • We/gin: and balance or operating limitation chingei shell be enteredinthe'apprOpiiate aircraft record. An alleratiortmust be compatible with all previous alterations to assurevontinued conformity with the applicable airworthiness requirements. ; • • DW Olin of Work Accomplished . • more space is required, attach additionalinsets. Identify alai airontli nationality and registration mark and date wore. completed.) • thardiedithcllual- Universal Navigation UNS-1A Multi-Sensor . avigation•Systems V Nay to the Flight -Virectors and Autb Pilot Systein I . l: in accordance -With- wiring 'diagram- design. change notices # 1159-030S0- - -.. : 151-1Ai "No: 1 Fl ight"Management System (ONS-1A). " • and # , 1159-03081-151- Al "No.... 2 Flight Mahagement System •(UNS1A1"..:-. The. data •was D.E.R. apprOved ant FAA Form 8110-3 .dated .27 November. ,89, • Midcoast Aviation, - Inc. ire no. 'MCS90115: •-' - -- . . . 7- ."- .. .---: --- • • • Opei-ation ' stir-1g' 6+. the system was performed -and, all functions- tested . normal: • .. . -. . , . -Pending FAA approval of the Fright Manual' Supplethent Report AM02589• '• -the aircraft-is pkacarded,t."Use -tf "the V•:Nav:-it prohibited below 18,000 rt ; •• feet PA - 3. i eiwipment was chiriged, weight and balance; chahtje is negligible. EFTA00278272 ea, . . . .. ' . • : Form Approve° •OMB No. 2120-0020 MAJOR REPAIR AND ALTERATION . - For FAA Use Only usDecarterien • isi soniciormon • .(Airirarrpe, Powerplant,Propeller,, Appilartce) . .. Office loentification .i3.5 745, , c; rooms Ammon _ . _ saivernvenen • • .• INSTRUCTIONS:Print or type ell entries-See FAR 43.g. FARO„" Apvenche a.sad AC 43.9.1 for subseouent revision thereof) for Instructions 51.000, and disposition of this'larm. This report is repaired by law (49 US:C.1420.Failure toreport can result in e civil penalty not to exceed " for earth such violation (Section 901 Federal Aviation Act of 1958). Maze - • . ' Model 1. Alreraft Gulfstream Aeroscare - C-11.5211. Serial No. ' Nationality and Registration Mere . . • • 41979RA • . 151 Name (As sinner( on roussustson cartikale) Adonis (As mown an antsualson cartillssio) . . • ... 2. Owner Ogden Management Service, Inc.' , NestchesterCounty Airport, Hgr D3 White Plains, New York 10604 v . . . 3. For FAA Use Only ' ' • -- ..--•.-- - - ... .. .. , ... . -- • • •- • • . •• • • .. . • - • . -: Y. Unit Ideottrication . • S. Type • • • • Repair Alteration Unit 'stake • . Model ' .' . ' Serial No. •- - • . .. . AIRFRAME (As described in Henri abovi • . . • ' POWERPLANT • ..., ..• • I • ,..,--r—,t `..:'‘ --- 1(t.,s... --rc ,. ..4.; , t •::.-.;... . c. .1999 . t . . • PROPELLER h • • -5 — • •• Type . -e ...,. • 0.,e.. " . . • . .. • n..ger APPLIANCE . ...,,AN.c., • Manutacturer - ••• 4•1?-•-• . -stri-7, 1 t•ti, - . . -- ' '• - 6. Conlormity Statement ' . A. Aciency's Narrie and Address • '. - ' I e. Kind of AettnCY • I C. Certificate No. . Midcoast Aviation, Inc. • I U.S. Centlioned Metnanie • It 8 Archview Drive •t ' I Felton Crime:wed mechanic St. Louis DowntoWn Parks.Ariport x I Celli jested Repair Staten CRS RO3R1322L Cahokia. IL 67706 . 1 manutschner • • I D. t certify that the repairindior alteration matte to Ina unit(s) is:lentil ieci in item 4 above end described on the reverse or attachments hereto have been mace in accoroance with the reoutrements of Part 43 at the .US. Fecntrat Aviation Regulations end Gnat the information furnished herein is true and correct to the oesibl my knowledge. 1 " ' __,... ___. Signature of Aulhonzed Individ I Date ' 0 • -• 12-1-89 . . . .2.44A-09 0 “,,-,--,;.---- ' T. Approval for Return To Service -Pursuant to the auttiority'0,ven persons specified below. the unit ide.nlilied in item 4 was inspected in the manner prescribed by the Aominatrator of the Federal Aviation Administration and is g APPROVED 0 REJECTED FAA FR. Standards Other Atan:ilracI R stati urer on I Inspection Authorization • I 'mentor SY I Person Approved by TranspOrt (Spicily) • I FAA Designee . I Canada Airworthiness Group X Date of Approval or Refection. Certificate or Signature of Authorized Individual • Designation No. ..:. .- . /) —7 — 9 ' . CRS Ft03882.2.L ..e...-mtin-ea, emc- tv-r . - '• • :,...-.--....: . .: ,..- .. - ... . - --4... ... ..:1-: ,...--.4- •- - 1 . _....... ....; ..-% ..T...1. 1 .., ...r..-en . ••4.............. .r.4.;:....:-2:7?,asi..1.7i:Z .s{. ia...." .• --. ..,:....sa - 4. N • .. . dia.r iteeni C.::C • EFTA00278273 • FAA AIPCRAF REGI ST/a n CA) ERA NO. DATE: 446 NOTICE Weigh(and balance orpperatinqlimitatidn changes shall oa enteredin the appropriate aircraft teased. An alteration must be compatible with allprevions alterations to assure continued conforinity with the applicable airworthiness requirements. . 8. Descnption of Work Acconiplistmet.. . lit more spactlie-required; altneh kediti0nal sheens. Idontily with aircraft itainthallt anOrigistration mar* and date work completed.) • Instalied landing gear ncirn silence switches in the pilot's & co- pilot'S - control wheel! in accordance. WittiMidcoast Fliation, Inc. • --1)..E;.ki.+-a0proved wiring diagram # 1159,L20001-151 "Gear...fiorn Mgr. .The data" .tie414P ,• proved on FAA Form 811'G-3 dated 11-27-89 Midcoast Aviation,. . • ....• _.- \ 2.) Updated SA2507CE Hones*ell: YC7-18778217 Laser..Reference System. • • - ReMbve.d a Collins Battery FVhisIT2th978--001 :and indtalledia Litton N . - Battery FIN 28002-001 and 100 Watt resistor..: in accordance with •\ . •Mi dEbast- Atiati ons- . ap Proved Wiring _diagram it .1.15970040-151 DUO it 441:.qtated 11-70-89 "IRS (_asor Re-f ) and striktural drawing 41 0000086- R.evision 93"-dated 11-27-89. The data .Was.. D.E.R. approved FAA Form B1103 dated 11-301 89 Midcoast Aviatiohi •InC. File No, MC890118 ind- Plo890119. ....N. • :1 fr • • i rfl, 1.: r'r; Si IiT :!;. rt t. r; ,-J 4 .. • r . . . • ; *-1b•O• • • . EFTA00278274 . .• • • Form Approved • e, ate . MAJOR REPAIR AND ALTERATION • (Airframe, Powerplant, Propeller, or Appliance) • OMB No. 2120-0920 - For FAA Use Only Mos trientilicaticm-aTh T. 6Lz.s4. eiwww awns ' . • .. Aiwnwinereeri •. • end AC43.94 itneubsettuent revision thereof) forInstructions INSTRUCTIONS:Print or type sit entries-SeeFAR 43.9.PAR C Apre...rWits B. 21.090 • I421).Failure toreponnit result Uncivil penally not to exceed and disposition of ibis tont. The: report is recurred try tow (49 US.C. • for each such violation (Section 901 Peoeral Aviation Act of 1950). • • Mace Moire! --.... . Gulfstream AAerospace r--1 1 SqR 1. Altera Nobonality end Regtsuation Mont . \ Serial Na •- 151' tslciliaPA • '. ACtansa (Aswan"? On rewsitairCi n carliiscals) - Name (As:mown on repatralron cortibale Ogden Management 'Service, Inc. . Westcheiter County Airport, Ngr D3 2. Owner . • • r .. 'White Plains, New York 10604 • . . • - • • . 3. For FAA WM Only .4 ' . _ . ". • • • • . • . . -- • .• • • • . •. • - . i • • - . • 4: Unit Identification • S. Type •' • - . . - — . Alteration M .- Serial No. Repair Unit 14ake •. • . - • • AIRFRAME , ' -1As described in nein 1 above/ .. • . . r -t • • ' • • - .. - •.;.- 4-C, ' • POWERPLANT - -4" .' • .1 2 .7'fil ...-.7. -- I SC... . .i . ‘ Er: -.L . . . • . 1° 89 •''' • 4 r- -r. 6 • v H --i • PROPELLER 6' ../ • "'''I - a..4 I .. • ...a. •'.'-_: c:r -N O Type •••\ felt 1 62. • APPLIANCE -• '74,--,.. Manusasturv- . 1, IM"---"-- ' * - . • . • ' 6. Conlormity Statement . - • . I B. Kind of Acenty I C. Certi irate No. A. Apency's Narita and Address Midcoast Aviation, Inc. . • I I us. Cerellicated Mecnanic : •• • # 8 Archiyew Drive - I I Femme Certificated Meenanic •- . St. Louis Downtwon Parke Arinort X I Ceralicand Renoir Station CRS R03R822L . • Cahokia r IL 62206 • • I Manufacturer described on the reverse or attaChments hereto D. I dertilv that the repair and/or itineration mace to tfte unitts) toentitiedinitem 4 above and Federal Aviation Regulations and that the information have been mace in aCcorCianCe with the reouirements of Part 43 of the L'.S. furnished herein is true and cisirectits tne pest tit my knowledge . •o azr,...... ) Date • Signature of Authorized Instrvioual . 12-1—89 ... s . . T. Approval for Return To Service _4:„...../.4.4., • inspected in the manner prescribed by the Pursuant to the authority liven persons soecilied below, the unil identified in item 4 was Aominseator of the Federal Aviation Aomirustra hors and is • CC APPROVED 0 REJECTED _ ..._ ..... ,• ' . Other (Specify) I FAA Flt.Stanovas Manufacturer inspecifors Authorization inspector BY ___ Person Armored by tnoW, I FAA Designee I (Repair Station !Caftan AsnvcrnluneSS &Otto • . ' x . • • • - Certificate Or. Signature of Authorized Individual . • • Date of Approval or Refection . , . Designation, Na • ,. 7.'7Z - 7 - A f CRS R03R822L a— - -.: .‘ 4-,--er..... A ..-e-:-"7-7L.. t.We • : ...*:".",:TA4gt;C4 'AirtritC)1.24.Ci€kr‘;j4 EFTA00278275 • • Weight and balance or operating limitation changes shallbe enteredin the appropriate aircraft recrad. 4n alteration must be compatible with all Previous alterations to assure continued conformity with the applicable airworthiness requirements. DescreRtion of work Acccrelisffird — 1 1 - - (llmorespace alb* additionoliheatildintily withairaalinatonalg• ii*id ilaistration mark and date work comPlennt) .. • 1.) (iptlyttg:STC # SA25DBCE dated76.H69:Collin'S S Tube- EFIS-86C (14) System tp. indorridiaier Verti,atal and lateral approach modes :from the UNS-1A Flight. Mandgement:.Systemito the" existing auto pilot and Fight . DireMtort. inaccordante with-MidoeSt Aviation,- Inc. D.E.R. approved prawing.Change7'MpticesT(DCWS)Itb7the folloWing . Witing diagrams, No. 1159"6:6000-151JRevision ."EYbdNALC-1 dated:117*TO "EFIS-86C (14) ", NO::Igt036804151'ReVision-"N/t"- DCN LA71,:date64:17-22-89 "No. 1 Flight managithenir cy-steM -(0NS-1)"*No61159:-'03081t.-151- ROVision "N/C" DCN 4 dated.:11*22A9J:"No,;7?2 Flight Manageinent'Syqtenr -CONS—lre s No.1159- 0010J15i keViiacin -aN/C"-DCW4- A-1.dated -112:7-891°No.1 Flight Director Abd" . NO.61.1596401±-1=4 ne%44fte."N/d".DCN-#- A-1 dated 11-22-89 "No. 2 Flight Pirect0c Mod" and No-Alt9.-7734010Mti- Revision.:"A" DCN # B-1 dated 11-22-89 "Midcoast.B-vadirni7Uhit" andiSti'uctural-D6E.R6'approved drawing 41 0000087 RWIiibh-n5wThated'fri-27±89 "5-Tube EFIS Installa— tiOn"......;Aflight, test of the System.was cOn-ducted' in accordance with MidCoast Aviation, inC.-Flight Testa A9890039. --t--. • • The abbve'clAtaHws D.E.R. -approved -On FAATobes 8110-3 dated 11-27-89 „Midcoast'Aviation.r Ine6%File'No. MC89011‘.:MC890115 and MC890116. . • 26) Pending aPprOVil of thehfghtliariiiar'Sdpiiiement the aircrraft is . placarded to'i-ead "'Use 04 the c/..NaV approan from:the UNST1A Flight ManageMentLSystem is not Approved": -3.) No eiaiiiMent'Ohahges%werEteade tthe weight change•is negligible. • ..ettriirzawac;:-, - A EFTA00278276 •• . .... .. Form Approved • * . . ''.•-•7 • • - -- • • . • ' ' • I •• ' . - • .. OMB No. 21200020 _ ; '.• .• ._I' ' ' ta us ueoarmeni.v ;,. - . !•,, -a MAJOR • ,7;aiy, , . REPAIR AND ALTERATION . ,.4-•,.:t. , • att:11411 .1% ,1!:.:L 3 • For FAA Use Only::' ,--4 aitrepartvoct•,z •• .•. y .. (Airframe, Powerplant, Propeller, or Appliance) t‘tt,,,,-...ri:11/21, Office Identification. • - -' — • - rsirik=l Ad Ir. -,;1•:=4:it:.., .. .: y.:..:!: ....t. i• . ;•:,:1:7. :40.-rzz.-:.: - r 1..7 7. :77. - t.`:!7" --;":? ...;;. ::1": ': r,.* s'kj.: ...Sri .../e2et..: t:t.C.:.:.:. s INSTRUCTIONS:Print ditties ell entries. See PAR 43.9, FAR 43 ApPendlx B,'Iind AC 43.91 (oesubiaquent retslon thereob kir inetrualon's and disposition of this form. This report is requiredby4w (49 U.S.C:1421). Failure to report can rest:illIn ik civil penalty not to &tailed S1,000 . for each such violation (Section901 Federal Aviation Act of 1953). 7 .. *: ••• - • • . . . Make . . :. i Model ' . •I GULFSTREAM AEROSPACE; *, ••.•• : 41 . 0. 1 -. :if f *N -G7 11 B 1fli lVTh 7.-• • '. :9.is4:-9,1 1 Aircraft , Serial No: •• ' ., I .: -i7 i w - -. • , Mationali and.Registration Mark La il j ,.., . !, ,j ...1 :.':• - • • 1.51.L.: €'. .: f, : 979RA • Name (As shown on registration Cartificetb) .! r[ i.::!3::•, . :,. 3 Address (A.Isbowrrpn regiltratiarcertificate) , f. . , . _...._. • . . . . .. . - • • 2. Owner,' ' . • .:. jr••; • :.:• :1,1 Pit% ., III c:4‘). Lz: •14-WeicliceSiii4 County.. ,lAirp'cirt t. 'Hgr. D3 I * . 1. ..i: Ogden Matitietheil.fiSeticce,..-ttiC-P,) - ' •141Iird'illains, NY 10604 ' • • t •'-' :i ! i. ,. . t 1. ' , • i. • -; _.",,?1 f • :1 3.; For FAA Use °Myr. • I.; ? -• • ;;..-;'4 in : ti;: t • I ; g• • 1; . . . ': ; ; • • r c ' I, '. ;'• •1• €' ' n b b O i ' • OWII ..-:- J ii i . anl :it :,.t :a 4.... ! ...:44.11 ,:titu ii..:1; 3 I. ta:t. s !.:- t n ni. ;;:,611,1 ±11161155.vi ci, jr - MVI. Ilif.',.•6:.-th shiga.)E ;if. b:fi ct3 plied !:.i. f . %III; igi,ss. j •1.. : •,. (:: ,E:23.2S: .S:-,1•11:••ritur 5:h:info:Act:. ',ix :3:: ,"--.; i•-sa!;‘,1 0:-; is as -sub:J..O"H :sell' I .. •I• • • : -c,.• • t t •'; r:*re• He: 4 t•:-..rti • :: ••; : •1 ii:c trrtre.itn . . ITT tilt .; . ;I ' . •: : ".7::"A • , . ; r' .• . 4. Will Identification-: i" I • ! . A I IA . •• : S. •Type :•5i i . Unit i; • ' ... • _ _ • Make c • Model Serial No. Repair _ Alteration , . _ • : AIRFRAME : : (AS 'described in Item I above)' — • - • X . • i• I. • , . 0 • POWERPLANT • .•>, V..9:- ii-l; -• ..... ...•:., cc." • .,•9• z---_1. _sr ••-••• ......)- • 1 r •,:••• ) • ‘,.-- • , • • ._/- PROPELLER t i AUG 23:1989 C— • . • —sI ..,_ is . • - Type ..~ Af.' s - . .! APPLIANCE. - Manufacturer ' • :9 ' II i . . • ,. . EL Conformity Statement ,.,--- A. Agency's Name and Address -. • B. Kind of Agency C. Certificate No. U.S. Certificated Mechanic , Midcoast Aviation, Inc. Foreign Cereficated Mechanic - 8 Archview Drive X Certificated Repair Station CRS R03R822L Cahokia, IL 62206 • Manufacturer , 1 D. I Certify that the repair andkr alteration made to the un t(s) identified in item 4 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 furnished herein is true and correct to the best of my knowledge. Date ,' Signature of Authorized Individu . July 10, 1989 • '.. h - e, • , 7. Approval for Return To Service Pu suant to the authority given persons speCilied below; the unit identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal AViation Administration and is (i5 APPROVED ' 0 REJECTED FAA Ell. Standards Other (Specify) Manufacturer Inspection Authorization Inspector BY . . FAA Detignee L . Repair Station . • Person Approved by Transport Canada Airworthiness Group - Date of Approval orRejection . Certificate or .• Signature of Authorized Individual r Designation No.: . . • i ' - - • July 10,• 1989 ' R03R822L •:: EFTA00278277 :.•••NOTICE : 0:.t:i'. • I Jr• • Weight andbalance OrOperiting limitationchanges shallbe enteredin the appropriate iiirerattrecord. An alteration must be compatible Witkallprevious alterations to assure continued conformity with the* applicable airworthiness requirements. S. Dosaiptlen of Wort Accomplished . . . . . Identify with aircraft national ty and registrittiOn mark and date work completed.) .•"' (If more spaoe Is required, attach additional enders. • • , - • -• - • • ••• Assembled and installed Cabin Seat Cushions for flame blocking 'per the.: et•••:;.114. following Midcoast Aviation, Inc. drawings. : •• •• • • - , . • . .._• 1.) -0000115 •;Production“Seai*- Cabin Sirigles-". ‘: " ‘34' 5'1i•• , • 2:) , 0000116 • Production,Seat - Cabin Singles ; : litr: -• 3.) 01100117 ProduCtiont Seit - Cushion TW641ace , Divan . ; • __if.) 0080118 Prodnction Seat_ 7.Cashion Three-Place Divan _ L .2 .E.) 0000119 Prdcluction Test cushions, Midcoast Aviation, Inc.. part number 0000120; 0000121, and 0090122 were tested in accordanCe with FAktapproved Flame Blocking Teat Frpcedurei and -found to tie in compliance with 0./tiR. 25.853(c), • • ; , -• APPendix F, part.ii. Tests were conducted by Designated. Engineering. Representative, _Alien • • • ; : “1. 6.1-.. • • • • . • r!'s • ••••• . • : I. . 7. . • :I. ' . • 41 • , 'nom' .. -"-- • •- ..• ••• • ••••••• •• ••• •••••••• A etZt • rri•Ir• rt ni!!: :: •!. • •{ah1ri 'a - nt i)• •- '04 r VI) 'OS? Ztri: •;1 1...°/tt ^ r'7; t':. t 5.11 • •:: CPO ---0;; •;" i ;• -•• ;• . . • . 411, 1-•:.;• .4. •.• • • • i••••• ••• • - . /34. b A`z-wroaszt--- Lzil VC. . • 4 ".---12.1."../1.* • e -•• 'Pet I e?t ar-4_ 1••• •: -.Y .:r3"‹ . ,I•Lt . " 3,15 7 • • .:' •11.12 • €.11.:} Z•iia'rrak ;,•-••Ai • .g..S.Ri‘S..:47.5.71.4.1;1:. • ‘.4". 'Mies • •cie. stc.rs! • a EFTA00278278 . - . . UN:TED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE • 2 MANUFACTURER AND MOOEL L • AUTHORITY AND EPS SFOR ISSUANCE . ' This arwonhiness cent/Kate is issued pursuant to MtFederalAvietco Act of 1993 andcendies that. as of the datebt *nature. the ' aircraft to which issued has been insisected and found to conform to the type ciptificebe therefor. to bean condition for sate operation. and has been shown to meet the reouiremems of the aPpiveable comprehensive and detailed eirworterness code as provided by Annex 8 to the Convention on Internabonei Civil Aviation excePt es noted Main . Exceptions TERMS AND CONDITIONS '., • • . Unless sooner surrendered. suspended. revolted. Of a terroonatiOn date is Olherwtte atatenaile by Pie' Administrator. Inn airworthiness certiricate is erreCwe as Ionia as the rownfenarce preventative maintenance:and StleratiOrtS are Performer/ in accordancewithParts21. 43, and 91of the FederstA • Request amwopnate. andItienrcratt is registered in theUnited States. Any alteration, re2roduct.on. or misoso.ot ths Certificate may be punishable by a fine not exceeding St.CK10. or impasonment not eitteeding 3 years or both. THIS CERTIFICATE MUST BE 'DISPLAYED IN THE AIRCRAFT IN ACCORDANCE WITH APPLICABLE FEDERAI, AVIATION REGULATIONS . f .• • .• ' • • •- ,• • . . • . . , • •v • • it it 4. •1 v.:vb.:. 3” ..2•6•37tv ;7 j ..-S:71 .74' *el ' ti rialliasa theitk..• Av- •- .•." . EFTA00278279 :7.21.' .2 : 2.V: r 2CJ.S:212— -FAA A 1 R DEAF REGI STET CAXERA DATE: • " ....." ,emia7:4 • •• • • i•al: P . • ". • • • • 4 elmja.m, •Z a.::•6;SL• ••• •• • EFTA00278280 .... • . •. . -1 • .• Form Approved • . . :. - . . - •.. • • . : , 0MB No. 2120-0020 ---.. - • • -- MAJOR REPAIR AND.ALTERATION.: .. • • • For FAA the Only US Davanewre -. . . e s erA t et tomoomman ' erpIant, Propeller, or Ayptlarece) . • • - • • ippnranie, PTA/ Owen Identification I • • ' • • • Peckseal seacien Alanweernmen ' — - - - . iii7)- FS" a s and AC 4319-1 (or subsequent nvirislon thereof) for Instruction INSTRUCTIONS:PrintOr type SI entnes.See FAR 43_9. FAA 43 Appendix S. result In-a civil penalty not to exceed 31.000 14t21). Failure to report can anddisposition of Mil foam this report Ismouired by law (49 U.S.C. - for each such violation (SeCtiOn 901 Fading' Aviation Act of 1958). ' Model . - • Make . Guffstreamlsrosnace -•G-1159B 1. AfrcraIt . ' Nationality and Registration Mark Serial No. i 151 - - N979R4 • .. Address (As shown an registration sendinsta)' - Name (As shown an registration certificate) - - -- Westche ster County. Airport, Hgr D3 2- Owner - -- - . Ogden Managem ent Service, inc.. _ White Plains, Niro York 10604 • • . .•: -. • .. • . I. For FAA Use Only • . • . .. . . • . t.s. • — ..-. _. _. . '.: • • - i • - . --- - --- .--- . :,. • ... 3. Type - • - e. Unlit Identification _ __ .. - Alteration nil • Serial No. ' • Repair Unit Make • -- Model . _. .. . ._.c• L- -_; _. . __t 7 el . .V........•:: .- . • • (AS describedIn Item 1 above) ---- - AIRFRAME • • • .-... • X. - • -. ,- • • • • ' • .. • - -- POWERPLANT . . . -- ... - - - • - f..- -`<er:\ .. - . - •.,-;.' ,- .. es; • ::-:•-•••:-etii:21j.-3.sa: . • : ..- I PR0PFI t PR . - • .-• -1.- 261951 izki -:-.- - • /4)4. - .sc3 .. . -. . . . . :•.i .4,1 •4•... 32 .--:-..-_--t s- . ........ • • APPLIANCE , • •• Manufacturer : -"-Yrrg.59) I Conformity Statement • • B. Kind of Agency ' C. Certificate No. A. Agency's Name and Address • useettacated wocname _ • ' Midcoast Aviation, Inc. Torsion Certincated Mechanic # 8 Archview Drive:". . • cardocowd Rwizir Stilton . CRS R03R822L . Cahokia, IL 62206 , Mantritacturer in item 4 above and described on the reverse or attachments hereto O. I certify that the repair and/or alteration made to the un t(s) identified s and that the information have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulation .. - - _. furnished herein is true and correct to the best of my knowledge . Date • Signature of Authorized Indivi ....teh ztte, -71/4/5) 4. • , `"c- • 0, • . • • 7. Approval for Return To Service item 4 was inspected in the manner prescribed by the Pursuant to the authority given persons specified below. the unit identified in et APPROVED O REJECTED • Administratorof the Federal Aviation Administrat;on and is . Other (Spectiy) - • • FAA Ft Striindards Manufacturers , Inspection Authorization • Inspector ' .. BY by Transport . Person App u • FAA Designee Repair Station Canada Airvrarthiness Grcruo - X • • . Certificate or Signature of Authorized Individual Date of Approval or Reiection ••• Designation No. . - ..- • - 4;77 • • _,(- -- - -47 ,---•4-- -- _.•-e-liti'irz-92/1 . a .77 / /f CRS R03R822L , . • • . ' • EFTA00278281 •. NOTICE' Weight and baleliceoropei*Ing antilidOn ChangesShall beenteied In the appiiprilite aircraft record. n alteration mt;st be compatible with all prgvious alterations to assure continued conformity with the applicable airworthiness requirements. 8. Oinception of Wont Aer.orne!Ished . . .• _ . • . mars space is mmdriii.-ittsen additional idtatdvidentitturith.aircrail natkineety„spd registration mark and date work completed.) • . • . . INSTALLED A HONEYWd•L'YG17:82D LASER R&V.ENOE aysmm IN ACCORDANCE WITH.. -• f. STC #8A2507CE DATa - 7-6789e. THE SYSTEM CONSIST ;8F- THE FOLLOWING ;.• : 77.7-.:EclUIPPIENT;7.17 -7%; • INERTIAL RE:001:S UNIT I . P/N :1101.0:17!Ip04-••• . ........ • • S/N 499 . • P/N• 70089782-101 7 S/N KE5718' C.) IRS BATTERY 7- • _. - • P/N 792-4978001. S/N 195 • ._ D. ) MODE SELECT UNIT - 7 rP/N• CBI:04241803 S/N 711 . , E. ) INERTIAL SYSTEM DISPLAY UNI : `P/N CG1:230AC10 S/N'.107' F. ) SWITCHING UNIT i59.#.;4o10-1151 —.-S/N 151 PERFORMED A. FUNCTIONAL TEST (GROUND .& FLIGHT) OF THE SYSTEM AND ALL OPERATION OPERATED NORMAL* APPROVE? 0-161-677-fiAki.JAL- SUPPLEMENT -DATED 7-6-89,- 'IS REQUIP.ED WHEN A • - • ..1::A-klONEYWP-.4.. LASERE= INERTIAL REFERENCE -SYSTEM IS INSTALLED - • ••• • . INSTALLED -A COLLINS 5 TUBE EF1S=§6C (arSYSTEM IN ACCORDANCE WITH STC # SA2508CE DATED 7-6-89 THE SYSTEM CONSIST OF THE FOLLOWING EQUIPMENT. $ • A.) DISPLAY CCNTROL PAWEL 622-9P65-002 -- SIN 115 & I32 -- (DCP-B5H) 2 EACH ) E=-ECTRONIG F1,-IGEIT DISPLAY P/N 62.2-6:42-024 . -- S/N -2078,2079, - . . ' (E-D-86) .4 EACH ' •• 2101, 2102 , . . - ) DISPLAY PROCESSOR UNIT.. . • IDPU-86R) 2 EACH • -' • D. ) MULTI .FUNCTION _PROCESSOR ?•.= • -- UNIT • • F. ) SWITCHING UNIT • F. 6. ) COURSE. HEADING PANEL * • ) . •••• =•.-••• - 2 EACH - •• r• -1O114.::071:.- • • J.0 •• •• . ,1;; .0 • . • 1.1 • .H. ) MULTI F4-NCTION-.DIFPLAX. - - . •• _ - • I.) LATE.RAL.AC OMSTER. ••• • )CII=IFI'Ter, (LAC-80) •• . . - • - 'L : J. ) Fgti 6 EALI-f • • _' *.•. •• • - j. _ _ - . • .- . K. FIIME.1: Er EAt.. • K. . . . . • .„ , L../ L. S ROGRA,17.ER (RDP4300) - . . . • H0107511304-- S/N 499 :-.•P/N H0107511304-- ,S/N 499 ' •-•P/N 70080782-101 7 S/N KE.5718' P/N• 700841762-101 7 S/N KE571E •• P/N 792•4478001. SIN 195 -'.P/N :792-6478001. SIN 195 *rP/N• CGi042ABOE • -;-1 S/N 711 !P/N• CG1:042ABO3* • •--1 S/N 711 CE1E30Ad10 S/N.107' .P/N C3.1230Ad10 S/N.107' `i7."0.1N-:115.934610-151 —.-S/N 151 •701N-115§t34610-151 —.-S/N 151 ND.& FLIGHT)0F;THE SYSTEM AND ALL FLIGHT) OF; THE SYSTEM AND ALL . • • . . HEW -DATED 7-b-89,71S'REQUIRED WHEN A • -• -DATED 7-6-89,"IS •REQUIP.ED WHEN A SYSTEI IS INSTALLED' ct. -SYSTEM IS INSTALLED. - • . . . .• • 6C '(143 SYSTEM IN ACCORDANCE WITH STC # C. '(143 SYSTE:`7 IN ACCORDANCE WITH STC •# • i--- CONSIST . OF THE FOLLOWING .EQUIPMENT; NSIST • OF THE FOLLOWING EQUIPMENT; • P/N 62Z-91'65-002 7-7 --SIN 115 & -132 P/N 6ZZ-91%5-002 7-7- SiN 115 & -132 . • • •. u A .. P/N 6224342-024 7- S/N 2078,2079, -' P/N 622-6342-024 7- S/N 2078,2079, - , : 2101, 2102 • : 2101, 2102 . • EFTA00278282 .Ogden Carp. .N979RA SIN 'SI PAGE 2 cf 2 2.) PERFrAMGD .A.FUNCTICNAL TEST (GROUND ANA LIGT CP:THE:SYSTEM, AN11 ALL OPERATION-OPERATED:NOGNiFIL. FAA APPROVED FLIGHT MANUAL SUPPLEMENT DATED 76-SC, IS'REMUIRED EFTS-86 (14) ELECTRONIC FLIGHT 'INSTRUMENT SYSTEN':E INSTALLED Z.) PRECISE FLIGHT, INC. SA2622NM, INSTALLED A PRECISE AiLSELITE' CONTRCL UNIT IN THE LANDING/TAXI LIGHT SYSTffM IN ACCORDANCE WITH PRECISE FLIGHT INGTALLAT:ON INSTRUCTIONS NC. PPRI-1000 REVIGtON it 7 DATA 2-15-ES .AND D.E.R. APPROVED.WIRING DIAGRAM 115.9:-08010-:51-40ULSE LIGHT SYSTEM". , PULSE LIGHTAONTRICL UNIT P/N 2400-25-4-4 S/R K00147. - 4.) THE AIRCRAFT WAS WEIGHED AND A NEW WEIGHT AND BALANCE WAS COMPUTED. THE EDUIPMENT LIST WAS SUPPLEMENTED, AND.AN APPROPRIATE ENTRY WAS MADE IN THE AIRCRAFT RECORDS. .. • EFTA00278283 r. 4. • .4 . .-gailk . .• • , • . %Agar: ::••••••••••=m• ; 4 e V:4 44. • • r:•••••: • ' . •• EFTA00278284 - FAA AlFCFAft,REGiSTEY CAMERA NO. ,CD DATE: it - . ,. 0 . r, • APPLICATION FOR • INSTRUCTIO . . NS — Print or type. Do not write in shaded areas: these are for FAA use Only.. SubMit original only to an authorized FAA Representative. If aDditiOnaI es al atibOrtMon of ' • AIRWORTHINESS • • space 'IS required: use an attachment For special flight permiti complete sections PedarciAr laffon 0 AttnIristredlon • CERTIFICATE . -. • II and VI or VII as applicable. • ' 1.1LEGISTRATION FAAR/t...,. 2AIRCAAFT BUILDERS NAME Wake, 3. AIRCRAFT MODEL DESIGNATION 4. YIVIAFR FAA CODING - - . N9791A: . . .Gulfstream. - G-1159/3- • - ' 1974 3960//0 1 S. AIRCRAFT SERIAL NO ' 6. ENGINE BUILDERS NAME r/Anei • 7, ENGINE MODEL DESIGNATION ,. I AIRCGI DESCRIP1 151 -: Rolls4telyce Spey. . :.•• .:, RB511-8 • • • . 5Y5.22 3 & NUMBER OF ENGINES . 9. PROPELLER BUILDER'S NAME Wake I .-- 10. PROPELLER DESIGNATION II. AIRCRAFT IS I Check it aDPliCable1 Two(2'•) .N/A . . : .. .. 1IMPORT APPLICATION IS HEREBY MADE FOR: (OW eta/shame dams) .. . - , ..._ . A 1 X STANDARD AIRWORTHINESS CERTIFICATE (Indicate category) I 'NORMAL I • I UTILITY I I ACROBATIC I X I TRANSPORT I 1GLIDER I I BALLOON B t SPECIAL PIPWORTHINESS CERTIFICATE (ChesprarOPnate itemal . . C .. .. .. 2 LIM:Tcr• • •. . • - " • II. CERTIFICATION REQUESTED • - •• 1 CASS i 5 • • PROVISIONAL (ind•cela :Ansi .- 2. CLASSh • • • . 1 AGRICULTURE AND PEST CONTROL 2 AERIAL SURVEYING 3 AERIAL ADVERTISING 3 RESTRICTED (IfidiCete operahOreS) to -. a FOREST tWilable CenServabOni S PATROLLING 6 WEATHER CONTROL' be conducted) • '7 CARRIAGE OF CARGO • 0 OTHER alsecifr) • . , 1 RESEARCH AND DEVELOPMENT 2 3 AMATEUR BUILT EXHIBITION ' EXPEFIIMENTAL;Mrstateogetatiari • - to be Condo:riot 4 RACING 6 CREW TRAINING ' MKT SURVEY ... 0 TO SHOWCOMPLIANCE FAR - . 1 FERRY FLIGHT FOR REPAIRS. ALTERATIONS, MAINTENANCE OR STORAGE SPECIAL FLIGHT PERMIT (Indicate 2 EVACUATE FROM AREA OF IMPENDING DANGER • operation to ors conducted. then. • - - . B 3 OPERATION IN EXCESS OF MAXIMUM CERTIFICATED TAKE-OFF WEIGHT complete Section VI or Was' "' -- - - • " '- applicable on /erase:4er 4 DELIVERING OR EXPORT 1 51 1 PRODUCTION FLIGHT TESTING • t . 6 CUSTOMER DEMONSTRATION FLIGHTS • C I_6 _I MULTIP E AIRWORTHINESS CERTIFICATE (Check ABOVE -Restricted Operation- am( "Standard' or trintea. — a applicable, ' A. REGISTERED OWNER (As shown on certificate of aircraft registration) ' IF DEALER. CHECK HERE NAME I • ADDRESS OGDEN MANAGEMENT SERILICESi INC. Westchester City Arpt., Hgr. D3 White Plains_ NY 106044. -- B. AIRCRAFT CERTIFICATION BASIS (Check appticable blocks and comp4le items as stelae ad) III. OWNERS CERTIFICATION AIRCRAFT SPECIFICATION OR TYPE CERTIFICATE DATA SHEET (Gore No - AIRWORTHINESS DIRECTIVES ,Check if all appticab:e AD's cerraneo with and give and Revision No.) ..rear AO Nut X AI2EA, Rev. No. 17 X 89-05-05 • AIRCRAFT LISTING (One page nun:balsa SUPPLEMENTAL TYPE CER; IF !CATE i List number of each S TC giros/30.4Na) - ': •1\ X See Attached List C. AIRCRAFT OPERATION ANC MAINTENANCE RECORDS' • ' . ...—. . . CHECK IF RECORDS IN TOTAL AIRFRAME HOURS : EXPERIMENTAL ONLY /Ellies bows flown since last co/hi:care Fgantr 34CE WITH . X 3 issued Or renewed) • •.-• • - 5684:33 15:20 • - D. CERTIFICATION — I hereby unify that I m the mg:stereo owner (or his agent) of um aircraft described above. that the aiic all is regesteicd with Administration in accordance with Section 50 of the Federal Aviation Ad of 1958.-and applicable Federal the Federal Anal or Aviation Regulation . and that the social, has been .nspected and is airworthy and elrgible for the airworthiness cer iliaile retKiested:" • ' • " ' v • DATE OF APPLICATION .NAME . . . AND TITLE (Punt or typo • . - . .. SIGNATUR - • July 6, 1989 Carl E, Jones — Agent- A. THE AIRCRAFT DESCRIBED ABOVE HAS BEEN INSPECTED AND FOUND AIRWORTHY BY: (Complete ttr. , 011 only it FAR 2: Won applies! IV. INSPECTION FAR PART 121 OR 127 curruncgg joupEfit9snit . . CERTIFICATED MECHANIC (Give 9 CERTIFICATED REPAIR STATION (Give Cot:ace', , 2 Certificate No.) 3 Certificate/4i • AGENCY • 6 X N" R03R822L AIRCRAFT MANUFACTURER (Gus name of Mal . ... . . . __ .- ' VERIFICATION 5 DATE • E E• • • - • - SIGNATURE July 6, 1989 ,Chief Inspector • - - (Check ALL applicable blocks in items A and Bs ' fr efifE CERTIFICATE REQUESTED .A:1 find that the aircraft described in Section I or VII meets requirements for 1-. 4 AMENDMENT OR MODIFICATION OF CURRENT AIRWORTHINE SS CERTIFICATE V. FAA B. Inspeclion fora special Marc penny under Section VII • - FAA INSPECTOR FAA DESIGNEE was cored sled by: . REPRESENTATIVE . . . .: . CERTIFICATE HOLDER UNDER. DATE / DISTRICTOTHCE •:. DESIGNEES SIGNATURE AND NO -- . FAA INSPE FAR 65 I OR ... SIGNAT I FAR 121. 127 or 1351 . 1FAR 145 \ CERTIFICATION . . .., • • I 7 64 grl-- /TP() • 4 ,. • -• '- - . • 1 \4 , -A - 1/1 ...11 FAA FOND 81304 I11-881 SUPERSEDES PREVIOUS EDITION a.. • ay • .•••• ..aral• ••••••••••••••••a.mm. EFTA00278285 FAA AI. Cf.AY . NO, DATE: e. W 4 A. MANUFACTURER. • , NAME . 4 ' o• O ' . z . Zp 2: B. Pc 1DUCTION BASIS (Check apphcatsle arm) - Ie.. I. PRODUCTION CERTIFICATE (Gin driadUchlwr cettilicatt nu-stew) . 23 11h TYPE CERTIFICATE ONLY APPROVED PRODUCTION INSPECTION SYSTEM C. GIVE QUANTITY OF CERTISRATES REQUIRED FOR OPERATING NEEDS DATE OF AFFIXATION - NAME AND TI (LE faint a cyan --. SIGNATURE' 6- . . r . -• . . .. A. DESCRIPTION OF AIRCRAFT:: .- - - • s•• RE3ISTEREO OWNER . • . . ....._ • ., - . BUILDER (Make/ . ...........• ... • ... - . WIODEL • SERIAL NUMBER • ... - REGISTRATION MARK_ - .. . . „ • • - - :. _ ...... - . . . . B. DESCRIPTION OF FLIGHT - . CUSTOMER DEMONSTRATION FLIGHTS CI (Check it apatreata•si FROM, - - .. , TO .' ".. . . • VIA DEPARTURE DATE DURATION VII. SPECIAL FLIGHT PERMIT PURPOSES OTHER MANPRODUCTION FLIGHT TEST . / . • . • . :. . . C. CREW REQUIRED TO OPERATE THE AIRCRAFT AND ITS EQUIPMENT . I PILOT I I CO-PILOT 1. • I NAVIGATOR 1 I OTHER apeeitis D. THE AIRCRAFT DOES NOT MEET THE APPLICABLE AIRWORTHINESS REQUIREMENTS AS cottows...- • .. .. . • . . - ..- . ... ., . . . ... _ .... . . , .• • r..- • .. . .. , .. . . • .. . .. .- . . . . • .• -. .- - - : ' r::::"" "- tt5:.. • • . . - . .. . . - . _ .. . .... . . . .- . .. . . . . ." • - • • - . • ... . _ . .. . s• , _. .. . .-. • -• E. THE FOLLOWING RESTRICTIONS ARE CONSIDERED NECESSARY FOR SAFE OPFAATIOI./ Use attachment if necessary, - . . . .... ., • . •- . — . • .• 2 1 . •• • , . . _- : •• ' ..• - - • , . _ ... - -• - .. .. . . . .. .• .. , . . . . . F. CERTIFICATION — I hereby caddy that I am Me registered aineitor hisagain of Me antra Oescribetiatiove: Mat the aircraft isiegistered wan the federal Aviation Adam:pd.-on in accordance NMI Sec-bon 501of the f ears, Aviation Act of 1958. and avocet* Fears! Avtatiolit pegolitioni: andlhai the airCralltias been inspected and is airworthy to, ire night ascribe& .. .... . • .„. _ . .. . . .. .. , ... . . • DATE NA/AE ANC? TITLE /Print a type( . ' .. SIGNATURE , . . I . - A. Operating Limitations and Markings in Compliance miff G.Statement of Conformity. FAA Form 9130-9 (Attach when required) . • . FAR- • . VIII. AIRWORTHINESS . • 9131 as Applicable . . . -- • H. Foram AM./ontoids Certification for hived Aircraft ; (Anted) ;hetiiequired) • • " B. Current Operating Limitations Attached i t" . r DOCUMENTATION 7 . -... ' - Data. Drawings. Photographs. etc. (Attach when requintd):_,••• i_ . .... - I. Previous Ainumhiless Certificate Issued in Accordance ith (FAA use only) . Current Weight and Balance Information Available in Aircraft . . . FAR . git I CI( ' CAR (Original Attached) / E. Major Repair and Alteration- FAA Forin 337 (Attach Whin required) -.I. Current Airworthiness C.tertificate Issued in Accordance will F. This Inspection Recorded in Aircraft Records -. ... .• : . :. _ , , . "FAsi 91:1 '2 •. /51 3 (Copy attached) • • : . . • • - ..... • •••••••••aj•ito.t.74:-;" . . • • , • • • - . • - • . - ........................ ..w..—.......... ............... .........................................—....—...................—...—........... .—...... .........s.........—..............1........,.... EFTA00278286 • ........••••••••••• FAA A1PCEAF CA!'ERA NO. SA2622NM SA2907SW SA722EA• SA1193SW SA1057SW . .SA1087SW SA1553SW SA1861SW . SA999SW • SA1918SW SA951SW SA2512WE SA1613SW - SA2507CE SA2508CE c_ Tale • • . 7aL:a.•••4•4.2.. .;;.;• wad - • : . • • ea. :. Chi ra';‘ • . S.C.D $465ft r a EFTA00278287 -711•1174 FAA A1FCFAF RE GI SIRE CAMERA NO. DATE: I 1; C. .~ • •••• • . .I; . - - =74'er4+2'e • EFTA00278288 :EXPERIMENTAL AIRCRAFT OPERATING:LIMITATIOkS. • . , :iteieirch & Development, ShOWing:CoMpliance Withi .,.Regulations, Crew Training, Market Surveys REGISTRATION NO. :. Aicy‘Ichtc)„,40 1. No person may operate this.pircraft'for other than the purpose(s) of .c.1,04,,yrD6 Ar.7-44'wefueg' (FAR 21.191), to accomplish tests outlined in the applicant's program letter dated g5,—.;1?-1V, describing compliance with FAR' 21.193(d). Additionally, this aircraft shall be operated in accordance With applicable air traffic and general operating rules of FAR 91, and.ell additional limitations herein prescribed under the provisions.of FAR - 2. All flights shall he conducted within the geographidal area described as follows: coistrbi g)r.,44., -2/4./rah .S7;47, . • 3. No operations, including takeoffs and landings, shall be conducted over densely populated areas.or. in'oongested-airwaysr.except those takeoffs and landings authorized as follows: A4.4 ACTIVE' ,4/A2.49,600e0175 "we ;e‘/.1)./z),4t 4.° Unless appropriately equipped for night and/or instrument flight in , 'accordance with FAR 91.33, this aircraft must be operated Day VFR only. •7. • 5. No perSon may be carried -in' the aircraft during flight unless that person is required for the pOrpose:of the flight, • 6. No person may operate-this' aircraft' for..Orrying persons or property for compensation or hire. ' 7. This aircraft shall contain the- Flight' Manual, markings and placards required by FAR 91.31. • 8. This aircraft is prohibited from aerobatic flight; that is, an intentional maneuver involVing am-abrUpt change in the aircraft's attitude, an abnormal 'attitude, or abnormal acceleration not necessary for normal flight. 9. The cognizant FAA Flight Standards District Offide must be notified and their response received'in'uriting prior to flying this'aircraft after incorporating a major thange:*defined by FAR Part 43, Appendix A. Post-IrbmndfaxtmnsmMalmemo7671 OofPagesi• -- IbMi ti 0Anc7L- 46//arn: F 41C,Allar,......., Cr-elel ZDTMIA-S. y4014,7 ae/VAtAr;..— Dept c%/.:P--,?..5-—/vss--7 FaX 9Ya- 79 /y EFTA00278289 Page 2 of 2 10. The pilcitin.4cOmnand aircraft- ust,as aPplicable,hold'an appropriate tategory/clasS rating, have aneircraft type rating, have a flight instructor's lop43qo ndOrtement.or possess a "Letter of Authorization" issued by an FAA Fli Standards'DiStrict-Office or Air Carrier ()Orations Inspector: , ::•• 11. This aircraft shill's* be flown unless it is maintained and operated in accordance with apprOpriate military technical publiCatiOns, manufacturer's instructions, orTAkOpprove0 maintenance. program -for this aircraf t. 12. If aircraft', engineor prOpeiler:OperetiOn.lImiXationi are exceeded, an appropriate entry will. b4umdeln the histOritai records. (Applicable only to Research and DevOziptient and ShoWing.COmgiance with Regulations.) . . . _ . 13. This aircraft-shall not be opeeated:for glider towing or parachute jumping operations.,.: 14. The aircraft shall bear the-Word "Experimental" near each entrance to the cabin or cockpit in accordance with FAR 45.23, . 15. Additional Operating Limitatiobt Wer/vi57 • th ci-M -SI 6- -LiAckOrti . 6 — ,;.?—.F9 .- A"' C"---‘16, Date of Issue - Represent ive Designation/Office No. EFTA00278290 fa • ... , -. MAJOR REPAIR AND ALTERATION . • - . • • Form Approved OMB No. 21213-0020 US Dti,‘_, hiut.4 • . , For FAA Use Only of Ircrsoce Nation (Airframe, Powerplant, Propeller, or Appliance)-. Office Identification federal ?Marlon - • Adahlr•hrrarlon 57/ "r5 006 ' . 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 thilform. This report is required by law (49 U.S.C. 1421). Failure to report can result terra-civil penalty not to exceed $1.000 for each such violation (Section 901 Federal Aviation Act of 1958). - . . Make - Model Gulfstream Aerospace - G-1159B 1. Aircraft Serial No. ' Nationality and Registration Mark 151 N979RA Name (As shown on registrelbifn outificale) Address (As shown on registration certificate) , •- • • 2. Owner - Westchester County. Airport, Hgr D3 Ogden Management Service, Inc.. White Plains, New York 10604 • ' 3. For FAA Use Only •. " - • . . • : . - • . • • - . • • - ' 4. Unit IdentitIcation 5. Type Unit ' Make • . Model Serial No. Repair Alteration •I _ .. ' _ • - AIRFRAME • . (As described in Item 1 above) .. X • • . . POWERPLANT • 14: ; PROPELLER RED1'1.1Ln‘C.,S- -{.- ' .' ' rz-;• JUL 12 j939 p- Type L 851- r s•J 7- • e. 62 I: APPLIANCE Manufacturer " • ' 4 - 6. Conformity statement - . A. Agency's Name and Address • . B. Kind of Aiency C. Certificate No. ' Midcoast Aviation, Inc. U.S. Certificated Mechanic # 8 Archview Drive Foreign Certilicatexl Mechanic 5 Cahokia, IL 62206 X Certificated Repatr Station . CRS R03R822L — Manufacturer D. I certify that the repair and/or alteration made to the un t(s) identified in item 4 above and described on the reverse or attachments hereto have been made in accordance with the requirementi 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. nate Signature 61 Authorized Indivi .., • 7447 . 7. Approval for Return To Service ; Pu auant to the authority given persons specified below. the unit identified in item 4 was inspected in the manner prescribed by the Administratorof the Fecle.al Aviation Adminielration and is - 1:2 APPROVED 0 REJECTED FAA FIL Standards Other (Specify) • • Manufacturer; • Inspection Authorization Inspector BY . Person Approved by Transport FAA Designee Repair Station X Canada Airworthiness Group Date of Approval or Rejection Certificate or Signature of Authorized Individual ' Designation No. - ..-- 1;7, CRS RO3R822L --ediurt-ez ' 'C c.ecze..---47 •• •--‘1` • . • ...'..(3.1‘••••; Oa • ;St • Or • ••—••• • ..—;•• • ••—•••• •• . • •-• • . • .7.7-1••- ' EFTA00278291 .• ,. . • NOTICE -: • • . . Weight andbalance or operating limitation changes Shanbe enteredinthe appropriate aircraft record. An alteration must be compatible with all previoits alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work AccomPastsod . - . '(It more space is required. attach additional shaets.tde ndly with.aircrali mamma* andregistration mark and date work completed.) , . --. • . . . 1; ).-.• INSTALLED. A HONEYWELL.:yGiaze LASER' REFERENCE 1SYSTEt1 IN' ACCORDANCE WITH,: •' STC #SA2507CE DATED .7-6-89. nig SYSTEM CONSIST OF THE FOLLOWI NG EQUIPMENT P/N 'H61075A804. 7 S/N 499 P/N 70089782101 S/N KE5718 P/N 7926978001 S/N 195 D.) MODE SELECT UNIT P/N cp1042ABO I S/N 711 E.) -INERTIAL SYSTEM DISPLAY UNI P/N:C4-1-B30C10 S/N:107 F.) SWITCHING UNIT' • il5§7:340i0 1.51 • S/N 151' PERFORMED A FUNCTIONAI, TEST (GROUND. & FLIGHT). OF THE SYSTEM AND ALL OPERATION OPERATED NORMAL. FAA APPROVED FLIGHTLi.i46AU661 6.1gliT DATED 77.6r89, 'IS 'REQUIRED WHEN A •HONEYWELL LASEREF. INERTIAL! REFERENCE. SYSTEM IS • INSTALLED: INSTALLED A COLLINS 5 TUBE EFIS-'86C:(14):SYSTEM IN ACCORDANCE WITH SIC # SA2508CE DATED .7=6.,-139 THE' SYSTEM CONSIST '0F THE FOLLOWING EQUIPMENT; A.) DISPLAY CONTROL PANEL P/N 622-9165-002 • S/N 115 & 132. (DCP-85H) 2. EACH: B.) ELECTRONIC FLIGHT DISPLAY P/N 622-6342-024 S/N 2078,2079, (EFD-86).4 EACH • - 2101, 2102 *C. ) DISPLAY PROCESSOR~UNIT P/N 622-9009-001 S/N 2687 & 3512 aPU-86R) 2 EACH • ' • •--P/N.622-9010001 • S/N 2203 F.) SWITCHING UNIT P/N.:1159=34010-151" S/N 151 G.) COURSE! HEADING PANEL- L :• P/N 622-7875,-002 S/N 130 & 131 (CHP-86c) 2-EACH ---..--;•- MULTI FUNCTION .D1S?LY A .. -• • P/N 2277876'-002 S/N f645 (MFD-85B) ' , . . " I.) LATERAL ACCELEROMETER P/N'229-03240-020 S/N 363 J.) FAN 6.EACH. PiN 0o9-1963-.0::;0 NONE K. FM-6.7, 6 EACH. • P/N 6t2-71Z-74-002 L.I REMOTE 'RCGRAMMER (RDP-:,..00) P/N 622-5110-001 S'N 2081 EFTA00278292 • FAA A1RCPAF5REGISTRT CAMERA NO. DATE: Oaden Corp. N979RA SIN 151 7-6-89 - Pape 2 of 3 (Continued): . . l Co lI in sT DR -9 0 Tr an sponder System contro installed Dual C control with A CAD- 62 5.) The previously a Co ll in s CT L- 92 AT Gables to was changed froth a l. he ad an d ad ap te r unit is an approved control-adapter. This cont ro TD R- 90 Tr an sp on de rSysteM. No changes e Dual Collins n of the Transponder control device for th nn a' s. Th e op er at iO sponder ante ions were normal. were made to the Tran ec ke d an d al l op er at flight ch agram 1159-11000-151 system was. ground and ap pr ov ed wi ri ng Ai c. D.E.R. Midcoast Aviation, In 2T " re fl ects the aircraft.wir ing. ' nt ro l (C TL -9 "Transponder Co unit and 12 00 Ra da r Sy st em r, radar indicator, RI' B50A 6.) Removed a Bendix RDR- Co ll in s Ra da r An te nna RT Unit and WXP- stalled a e syStem was ground and radar antenna and in ls . Op er at io n of th Radar Pane and. & WXP-850BWeather nc e wi th .m an uf ac tu re.s.maintenance manual ccorda r flight,checked.in.a to be no rm al , co mpleted in flight rada un d E.R. approved wiring all operations-were fo st Av ia ti on , In c. D. ure. Midcoa the aircraft wiring an d stabilization proced (T WR -8 50 )" re fl ec ts 1 "Radar tenna diagram 1159-14010-'15 dr aw in g sh ow s th e installation of the an ural. D.E.R. approved struct lation". TA-858 Antenna Ihitai RT Unit, 0000088 "R mp ut er AD C- 80 H‘ Da Dc , ADA-85 ADC adapter llins Air Data Co ting temp probe. The 7.). Installed a Co indica to r, us in g th e ex is t and TAI-80A TAS/TEMP t se ct io n pa p wi th -flat plates and the ha to a ha isting computer is mounted• bo lt s to ra di o rack.shelf using ex th AN section is mounted wi ma nu fa ct ur ed from .063 2024T3 alum inum io n is inserts. The hat sect th AC 43 .1 3- 24 Ch ap ter 2 paragraph 25, ance wi installation in accord R. ap pr ov ed wi ri ng diagram 1159-04040-151 c. D. E. nal • Midcoast Aviation, In fl ec ts th e ai rc raft wiring. Operatio uter " re normal. "No; 3 Air Data comp rf or me d an d. all function testing wa s pe testing of the system n au di o/ vi de o/ st er eo/airshow system. Cabi tic 8.) Installed a cabi n is pr ov id ed fo r by a 10,000 foot pneuma . depressurization protec ti on in st al le d as a no n-required system and system is oast disconnect switch. The EM I wi th re qu ir ed avionic systems,. Midc assure no 1159-21010-151 "Cabin has been tested to ed wi ri ng di ag ra m approv ng, and. Aviation, Inc. D.E.R. 51 Ai rs ho w re fl ec ts the aircraft wiri 1011 -1 Entertainment" 1159-2 dr aw in gs 00 00 133 "5 inch pop-up TV ct ur al D.E.R. approved stru an d VC R" in stallation 0000135 "S FS 3068 "T V the installation" 000013 4 p in st al la ti on " an d AC 43-13-2A reflects dio am inverter and M10600 au . structural installation - a mi cr ow av e ov en , inverter, and coffee wUrked to add er operation and foun d to 9.) The galley was re test Vf or EM I an d pr op 1159-:- maker. These items were , In c. 1L E. R. ap proved wiring diagrams iati on AEC 151-2 "Coffee be normal. Midcoast AV 10 -1 51 ,"G al le y" an d OVen", 1159-300 wave oven 30001-151 "Microwave st ru ct ur al dr awings 0000132 "micro ov ed . Maker" and D.E.R. ap pr 06 E- 3" in ve rt er in st allation - R/H galley 6 "SPH 16 installation", 000013 t. ""••--'w."` - . _ . ..„. EFTA00278293 • Ooden Corp. N979RA S/N151 7-6-89 Page 3 of 3 2 (Gontinued)1 / tor sWitch This was an existing 10,) •Instaliad -a IRS'/TRU gel ct annuncia ches" 4Sature- that•was molt+ .to use another navigation souree. The swit installed on the pilot'..rand co-pilot's switch panel. IRS/TRU selact , gives a magnetic headi when deselected or a true heading when annunciator is lit (IRS Mode).. selected..In the selacted position the ch on the pilots and co— Installed a ATT/ADG-select annunciator swit when not lighted is in the INS pilots switch panel. The pilots switch om the AS 1 VG and # 1 DG source tprimaryle and when lighted comes-fr ch when not lighted comes from the .source, (Secondary); The co—pilot swit lighted comes from the INS #,2 VG and # 2 .DG scarce (primary), •and when switches were ground and flight source (secondary). The operation of the Aviation, Inc. D.E.S. tested and +dung to operate normali:Midcoatt "Instrument Panel & Annunciator apprOved wiring diagrams, 1159-20007.151 and 1159-35000-151 "Altitude Mod", 1159,-3260o-151 "CompasS Transfer Mod" Transfer Mod" reflects the aircra:ft Wiring. • rter P/N SPS 1307 S/N 440 in 11.) Installed.a. cabin 60 HZ AC Syste0 Inve R. approved wiring AED 151,4 accordance with Midcoast Aviation; inc: D.E. .; and mounting in accordance with AC't1L-1.32A uter (# 4 ADC) P/N 2800A-041 S/N Installed a B&D Instrument'Air Data Comp 74498.. to interface with the UNS- A01023 and Rosemount Probe P/N 129H S/N ,•pilat's ALTM & ALT Data 1 Flight Management System, IRS (Laser Ref) nal testing of the system was System, ALT Select-& Alert System: Operatio all function tested normal. performed (ground and flight testing) and wiring diagram # 1159-04041-151 .Midcoast Aviation, Int.'D.E.R.7 approved aircraft wiring. Ii,stallation of "No. 4 Air Data Computer" reflectS the. forward radio rack in accordance the Air Data Computer installed in the with AC 43.13-2A. ht and balance was computed. The The aircraft was weighed and a new weig appropriate entry was rude in the equipment list was supplemented.and an aircraft records. -----END - EFTA00278294 -FAA A1PCRAT REGISTRY CAmERA ND. DATE: e ••• • -• . .. • . - .• .. ...." :• • - Form Approved OMB No. 2129-0020 MAJOR REPAIR AND.ALTERATION • For FAA Use Only in Deco-al-erg ., ler, or Appliance) . . .. Office Identification of kcersoomarron • 1 (Airframe, Powerplant, Propel Sri - - ,S.60 .. . Federal A...Union • Adrrinl oration . - for instructions and AC4 3.9- 1 (or subsequent revision thereof) all entries. See FAR 43.9, FAR 43 App end ix B, alty not to exceed 11,000 iNstRuCTIONS: Print or type by law (49U .S.O .142 1). Fail ure to report can result irra civil pen report Is required and disposition of this !arm. This n (Se ctio n 901 Federal Aviation Act of 1958). for each such violatio Model Make . C-1159H Gulfstream Aerospace k 1. Aircraft -- - Nationality and Registration Mar Serial No. N979RA • 151 Address (As sho wn on registration ConiliCa(0)• wn on regi stra tion cert ifica te) Name (As sho .• er Cou nty Air port, Hgr D3 vic e, Inc . ' - Westchest 2. Owner Ogden Manage men t Ser 10604 k White Plains, New Yor • •- • 3. For FAA Use Only . . . • • 5. Type • ' a. Unit Identification Repair Alteration • Serial No. ' Model Unit Make I - .... . (As described in Item 1 above) AIRFRAME \., 1WI / . . • . fr: . ,,,---., .. :., .42 . - :•.-;:, •'..7., .___ s? . , POWERPLANT n t t•- "IQ 12 7989 r_ PROPELLER S—I SILL E;300 •.-7.7,r '.;:-• Kr - 62 -..._ Type . - . - I APPUANCE Manufacturer - 6. Conformity Statement • C. Certificate No. . B. Kind of Agency A. Agency's Name and Address U.S. Certificated Mechanic Midcoa st Aviation, Inc. Foreign Certificated Mechanic • ≥f 6 Archview Drive X Certirrcatee Reaair Station CRS .R03R822L Cahokia, IL 62206 _ manufacture ents hereto cribed on the reverse or attachm ratio n mad e to the un't(s) identified in item 4 above and des ions and that the info rma tion D. I certify that the repair and/or alte Aviation Regulat nce with the requ irem ents of Part 43 of the U.S. Federal . have been made in accorda to the best of my knowledge. furnished herein is true and correct ... Signature dl Authorized Individu Date •... Lie,./k/frr-cre --- . 71 47 if 49 - .2-Cita/L-e- - ice 7. Approval for Return To Serv ner prescribed by the • w, the unit iden tifie d in item 4 was inspected in the man n persons specified belo Pursuant to the authority give PPROVED O REJECTED Avia tion Administration and is . "KA Administratorof the Federal Other (Specify) dard s Insp ectio n Auth oriza tion FAA FIL Stan Manufacturer! • • Inspector . BY . Person Approved try Transport - FAA Designee X Repair Stat ion Canada Airworthiness Group Signal of Authorized Individual Certificate or Date of Approval or Rejection . Designation No. C.- vvirLiet : a: 7/o/677 • CRS R03R822L INtesfidarrarefeett. . f-d-1 . ' • ,• EFTA00278295 . . NOTICE raft record. An alteration mus▪ t be inettle appropriat e airc llbe entered ight and bal anc e or ope rating limitation changes sha tinu ed conformity with the applicable airworth iness requiremen ts. We alterations to ass ure con compatible with all previous •. completed.) Ace omp lish ed ralt nati ona lity and regi stration mark and date work B. Description of Wor k svith airc more space is required. attach addition al sheets. Identity • . h Dual l Col lin s VHF -20 B Sys tem was removed and replaced wit .:. 1.) The Dua tem , The •VH Fi2 2A rad ios are 'TSO'D replacement for the • -/- Collins VHF 22A Sys l heads blieremain the same. New contro VHF-20's. Form, fit and fUnctA ght, dia gno sti bef unc tio ns' are installed with new radios. Wei .displaying with the VHF con sum pti on, per for man ce, iand reliability are improved power of the system The ant enn a was not .ch anged therefore,ftight testing 22A . Ope rat ioh al - tes tin g. Of the syttem was performed and all is not required: on, - Inc. D:E.R. approved wiring : ted nor MaL _Mi dco ast Avi ati functions tes 115 9-f d01 0-1 5l_ No. . 1 VHF Com muhiCatitii (VHF-22B) and 1159- diagrams craft -15 1, No. 2 VHF Com mun ica tiom (VHF-22B) reflects the air . 10.011 ., wiring. radios Dua l Col lin s-V IR- 30A 'S to' Collins VIR-,32's. The VIR-32 2.) Updated- the int erchangeable. The -weight, pow er sic all y and -fu nct ion all y -are phy not been sum pti on, and ,re lia bil ity of the navigatkon.system has • con enn a cha nge s wer e Mad e.t her eforeAlight testing of the' • degraded. No. ant wer e not -necessary. The control • enn a -ra dia tio n pat ter ns installed ant heads to the 'na vig ati on sys tem wer e changed from Gables control • .heads for flight lin s CTL -32 .Co ntr ed- hea ds. System operation was ground and Col Inc. D.E.R. cke d and all ope rat ion s were normal. Midcoast Aviation, • che dia gra ms 115 9-0 361 0-1 51T No. 1 Navigation System (VIR-32) . Approved wiring n System (VIR-32) reflects the air craft 301 1-1 51, No. 2 Nav iga tio and 1159-0 wiring. . l'C oll ins DME -40 's to Col lin s DME-42's. The DME-42 radios 3,..) Updated the Dua , power cat ly and fun cti ona lly interchangeable: The weight . are.physi on and rel iab ili ty of- the DME radio System had not been • consum pti testing -of were made and therefore flight degraded. No antenna changes ns were not necessary. The contro l ant enn a rad iat ion pat ter the installed tion the DME Sys tem are the con trol heads of the VHF naviga heads for e . Ope rat ion was gro und and flight checked all bperations wer - System ms 1159- ;D:E.R. approved wiring diagra normal. Midcoait'Aviation, Inc (DME-42) and 1159-13001-1511 No. 2 DME L3000-151 No. 1 DME (DME-42) .. reflects the aircraft- wiring. each ADF ve da Ga bl ea- ADF :cOh tro l hea d, 4 each•ADF receiyers and 2 40. Remo lac ed wit h,a Col lin s CTL -62 control head, 2 each CAD-62 . antennas and cep Dua l .AN T608 ADF antenna. This contro l r. uni ts. .in d. 1 eac h control adapte approved control' device for the - head ada pte r ili a ari a ant enn a is an und and - s ADF -60 sys tem . The ope rat ion. of, the ADF system was gro Collin ation, inc. ions were normal. Midcoast Avi flight checked and all operat 00-151 Dual ADF (ADF-60) reflects ed wir ing dia gra m 115 9-' 120 D.E.R. approv ng: ft wir ing . The -Du al 4D F ant enna was installed in the existi the aircra . , mounting of removed antenna. • • . I EFTA00278296 Ogden Corp. N979RA . S/N*151 .• PAGE 2 of 2 (Continued)2 , _ PERFORMED A FUNCTIONAL TEST (GROUND AND FLIGHT) OF,THE SYSTEM. AND - ALL OPERATION OPERATED NORMAL. FAA APPROVED. FLIGHT MANUAL SUPPLEMENT DATED 7-6-B4, IS REQUIRED WHEN .A EFIS-86 (l4)' ELECTRONIC FLIGHT INSTRUMENT SYSTEM'IS •INSTALLED. '- PRECISE FLIGHT, INC. STC # SA2622NM, INSTALLED A PRECISE PULSELITE CONTROL UNIT IN THE 6ANDING/TAXI LIGHT SYSTEMIN- ACCORDANCE WITH PRECISE FLIGHT INSTALLATION INSTRUCTIONS NO. PPRI-1000 REVISION it 7 DATED 2-15-BB AND G.E.R. APPROVED WIRING DIAGRAM 11.59-0800715t "PULSE LIGHT SYSTEM" PULSE LIGHT CONTROL UNIT P/N.2400-25-4-4 S7NK00147. THE AIRCRAFT WAS` WEIGHED AND ANEW WEIGHT AND BALANCE WAS COMPUTED. - THE EQUIPMENT LIST WAS SUPPLEMENTED,:AND•AN APPROPRIATE ENTRY _WAS MADE IN THE AIRCRAFT RECORDS. . . . . • ^. - • - .• t '•-•••••' .• • .. •• • ' EFTA00278297 EFTA00278298 - -"I • 71 • • sf•-r :. . -• " e n ! •, ;-...4:'• • .g yi 'OM Y314.13 AVIS i1311 IV:13dIV YY3 - .::- .i. e - • -.-: - .. : Form Approved OMB No. 2120-0020 • MAJOR REPAIR ANDALTERATION ' ' -. ... .:; : :: • For FAA Use .Only US Dem:men -. - (Airframe, Powerplant, Prcpeller, or Appliance) ; .. . . 3 - - ix konsponoion Office Identification " Federal Aviation ' • Actinktfrarkin . • • ' 571-frice :' • -• subsequent revision thereof) for instructions INSTRUCTIONS: F4iniser type all entries. See FAR 43.9;FAR 43 AppendixO, and AC 43.9-1 (or result!ma civil penalty not to exceed $1,000 1421). Failure to report Can and disposition of thii form. This report lsreqUired by law (49 U.S.C. for each such violation (Sectibp 901 Federal Aviation Act of 1958).. . • . Model ' • . . Make ,. . G713.59B " GULFSTREAM SPACE 1: Aircraft '• • ., Nationality and Registration Mark Serial- No. . 153; . . N979RA , , Address (As shown on registration certilicate) • Name (As shown on registration certilkate) ' Westchester County Airport, ' Hgr 1D3 2. Owner Ogden Management Service,••InC.- • New _York 10604 • . White Plains, . • . . • •. P " -.'i"..3 silerAfinn irishrifed hero n c o “ les Inflic•W Cke-efslY••••: • • ax:iy,oritiiness requirements and is approved:for the above. cif):...:::@—• • / 445MaA vr 704/ / 5 • . tircraft, sub;ect to conformity inspection by a person autliazi..,:). CO/HP.947Rbe tVirli Pii6Nr— , ic!.FAR Part 43, Section 43.7." ".• . MAIL/tent- 5 &few-to-sr: PAA• • . . .sari.- Fsbo 77-iff gi.bf 8 ,4a , 6,4roverte.v , ... 4 Ante..b.t. 17M- InspectiO . -:n:.:tric-f (Wit°. Dato 4. Unit IdenlIfIcallan S. Type • ..• • • Repair' Alteration • Make • Model • 2.i• - • Serial No. Unit . . . . ' •• • • AIRFRAME . - (As described in Item 1 abovd) . 1 - ' • ' • • ' • ' " POWERPLANT' . . • . ' ' _.• . • .• ' • PROPELLER . . • • ' •• . .. . •• Type . ,7-• • APPLIANCE • . Manufacturer e: Conformly Statement . B. Kind cl Agency C. Certificate No. A. Agency's Name and Address . U.S. Certificated Mechanic - • Midcoast Aviation, Inc. • Foreign Certificated Mechanic .t•-• . . #8 Archviebi- Drive Airport X CerillicalTed RePeir Station . .. CRS R03R822L St. LoUis Downtown-Parks .. Masiulacturer . Cahokia. IL 62206 the ieverse or attachmedi hereto D. I certify that the repair and/or alteration made to the un t(s) dentilied initem 4 above and described on U.S. Federal Aviation Regulation s end that the information 'have been made in accordanCe with the requinimenti of Part 43 of the furnished herein is true and correct to the best of my knowledge : Signe tuft 61 Authorized Individual ' .I .. Date a „142,„. __ . .: . 30, 1989 June • • )d.Z440-a T. Apploval for Helium To Service • • . .. ,i • manner prescribed by the ' Pu avant to the authority given persons specified below.; !ha unit identified in item 4 was inspected in the Administratortl the Federal Aviation Adminiitrition and i3 . APPROVED 0 REJECTED a ., Other (Specify) • • FAA Fit. Standards Manufactur er! • insCection Authorizatio n • • Inspector - BY • ‘ • • •' * ; Person Approved by Transport • • FAA Designee X Repair Station Canada Airworthiness Group ' , Certificate or Signature of Authorized Individual • •' •' Date of Approval or Rejection Designation No. . . ' . . . _ June 30, 1989 R03R822L •- „...r• • -; ' •••,• ft-p- ;• "- . knarei 4itle ; . . . • . f•-•, ' EFTA00278299 - FAA GISTET rt 3 .AIRCF.AFLREDA TE : CAMERA 140. . . *NOTICE alteration must be . . sha ll be ent ere din the appropriate aircraft record. An requirements. reling limitatiorpthanges conforenity, with the applica ble airworthiness .Weight and balance'or bpe to ass ure con tinu ed alterations compatible with all previous ed.) omplished reels:ration mark and date work complet a. Description of Work Acc attach additional sheets. Identity with aircraft nationality and more space is required, . . ation lle d a Du al .Un iva rsa l giv iga timn UNS-1A•Mufti-Sensor Navig :Insta was ins tal lpd and app rov ed. in atcordance with AC- • System. The system for the mounting of the equipment. "-es , & Ac. :43 -12 -2A - '20L130 dated- 9-1 ce• Report: AC890006, dated 6-30-89. Av iat iOn t _In c. Cc imp lian See Midcoast s tested tion tes tin g of th ee sys tem was perfornied and :all function Opera normal. • 7 • pplement dated 7-&-g9 is FAA approved Flight Manual. Su System is. installed: a UNS-1 MultiLSenior Navigation ighed and a ipm ent lis t was sup ple mented and the aircraft was we The equ lan ce was - coi npu ted s .-an ap pro priate entry was made in the new weight ,and- ba aircraft records: - • cOmOatijile with aircraft. The Flight Kanuai. P. -eft' n- • t .;., a itei• • EFTA00278300 Milliattraft . . _ ' '• • . I • —• Form Approved ' •, OMB No. 2120-0020 • -. . ' •• • • • MAJOR REPAIR AND.ALTERATION ' • ' •.; • k u:oeoormw+ .. . • For FAA Use Only oftnycnomn (Airframe, Powerplanli Propeller; or Appliance) ..:.• Office Identification Federal /Marlon ' . Adrninktrarion . ...-_.. . ' " Cil : fi Stin • • INSTRUCTIONS .Printor type all entrles.SedFAR 43.9, FAR 43Appendix El. and AC 43.9-1(or subsequent revision thereof) foe InstructIons and disposition of this form. This report is required by law (49 U.S.C.14292.Failiare to report canresult bra civil penalty notto exceed $1.000 for each such violation (Section 901 Federal Aviation Act of 1958). ; ' ' • Make - -• ' Model • ' .• • . -GOLFSTREAM AEROSPACE - il, ' . G-1159B 1. Aircraft Serial No.• Nationality and Registration Mark - ' • • .1. 1 :. . - N979RA Name (As shown on registration certificate) • , Address (As shown on registration certilicate)• . . • . .Westchegter County Airport, Hgr D3 2. Owner Ogden Management Service, Inc. • White Plains, New -York 10604 - • • . . • 3. For OAA Use Only • •• . . • • .- . • . -- • • • . . . ' i • •• ".. ;1 • . • • • - • 4. Unit IdenUfloatIon • S. Type • -. Unit Make - - Model • ;:: Serial No. Repair Alteration ,.. - - - • ' • ' .- ' : • . • AIRFRAME ' • (As described in Item 1 above) . • :;.„ - • . ' . . -• - . • 4 Ite• ta Q • . • • • PoWEFIPLANT • . . bb• 4 <13' firclifill --:-. • ' . `Hi 12 1989 c- • PROPELLER • •- • ITI‘ MOO' Type • 62: • . • . • .\ • , APPLIANCE i ' . ' • • Manufacturer . . . . ll Conformity Statement A. Agency's Name and Address • . B. Kind of Agency ' C. Certificate No. • Midcoast Aviation, Inc.. • U.S. Certificated Mechanic • #8 Achview Drive Foreign Cenificaled Mechanic St. Louis Downtown-Parks. Airport X Cerilfirsaied Fleriair Station . CRS R03R822L Cahokia. IL 62206 ....- ' Manulacturer . . D. I certify that therepair and/or alteration made to the un t(s) identified in item 4 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 furnished herein is true and correct to the best of my knowledge. Signatu e of AuthorizedIndividu - • Date . . . • • ... .. Juhe 30, 1989. . -tact/t4 :• 0 "..e12,104 --- • •. ., • T. Ap • royal for Return To Service . • i Pursuant to the authority given persons specified below. the unit identified in item 4 was inspected In the manner prescribed by. the. ' Adminiatratorof the Federal Aviation Administration and is . tit APPROVED O REJECTED Other (Specify) ' , . FAA Flt. Standards Manufacturer. • Inspection Authorization • • Inspector • _ • BY .. - . . Person Approved by Transport • • FAA Designee x. Repair Station Canada Airworthiness Group .. ' • . . . Date of Approval or Rejection Certificate or Signature of Authorized Individual . • " Designation No. or. .. / pm ,Z, • June 30 , 1989 RO3R822L . ' /....4.57f.eirtel../ 4; 7 i if ..„4.•.-•: r LI . ti• • '1 •11. 'co • • t : . r -• • ' - •_ • — t --̀'21%. • • •i.- ' • • • ; •- • • • • • EFTA00278301 -FAA AIPCRAISRFCTSTILT CAXERA NO. DATE: - --A-fraste . 4 .. . . NOTICE ration must be ion cha nge s sha ll be ent ere din the appropriate aircraft record. An alte Weight and balancebr operating lim itat uirements. to ass ure con tinu ed con form ity with file applicable airworthiness req ons compatible with all previous alterati • k and date work com pleted.) B. Description of Work Accomplished al she ets. Iden tify with aircraft nationality and registration mar '(!f more space is required , atta ch add ition • • • • . • . . • • . UNS-1A:Multi-Sensor Navigation . • l Nav iga tio n ft.) Installed a Dual -Un ive rsa - and *Approved'inaCcordance with AC- ' ee Wa s ini tar ted . •Sistem. The syst 12- 2A for theMounting.of the equipment 42 -6 8, 4 ACA ,3- 6-30-8 9. 20-136 dated.9, pli pnc e Report-AC840006, dated Avi ati On; :In C. . - -COM • See MidcOast - . ted f. ,th eis ytt em was per for med:and-all functions tes Operation teating,o normal. the Fli ght .Man Ual .Su ppl emento -NavigatiOn shall • ding FAA approval of Navigation UNS-1A • .• 2..) • Pen th e Use 64 the Uni ver tal not be predicated upon ._ ght Man age men t Sys tem . Aircraft has been placarded Fli ppI eme nte d and the air cra ft was weighed and a _su 3.) The equipment.11St was cOM pUt ad, jan app rop riate entry was made in the new weight and balance was ••• aircraft records. • END • • .• . .. • J. .• • ., • I .4 • ' • il 4t4:40.:‘,.... •,- , • -••-4br•-**-7 • %a ...;;;I‘rrAtt.;;44jHz?.;_...tti i rr .. t"4; -6; • .. EFTA00278302 , sch.1 • APPLICATION FOR DiSTRUCTIONS - Ptint or type. Do not write in shaded areas: these are for FAA W . oaly.Submit original only to an authorized FAA Representative. If additional U3Leartor . AIRWORTHINESS . • use spuieis;squire& use anattachment. For special flight permits complete Sections OrITIIIOnFal fiadorat moan — CERTIFICATE • II and VI or VII as applicable . Admilstralfen 1.REGISTRATION MARK l• • a 2.MRCIa an inHUMPS NAME (Make( 3. AIRCRAFT MODEL III2SIGNATION IL YR. MFR. FM COOING• N979RA GULFSTREAM _ 'Gt1159a• '1974 t-eS CIS cl\ \C- . • I. AIRCIld 5. AIRCRAn SFPIAL NO. • S. ENGINF BUILDERS NAME (Make) 7.ENGINE MODEL DESIGNATION ---- TESCRIP1 151 .-- Rolls-Royce Spey . - . RB511-8 • - - 4 553 S. NUMBER OF ENGINF4 „ I. PROPEArgi BUILD RS NAME (Mate) 10. PROPELLER WOK DESIGNATION 11. AIRCRAFT IS (Check if applicable) 'Two(2) ._._., N/A I N/A - I IMPORT APPLICATION IS HEREBY MADE FOR: (Check appidebb gems) A 1 STANDARD AIRWORTHINESS CERTIFICATE (Indicate Cals907) I 1N0fUSIAL 1 I UTILITY I I ACROBATIC' 1 TRANSPORT 1 I GLIDER _ r.. I BALLOON B X SPECIAL AIRWORTHINESS CERTIFICATE (Chock appeal:dam der* 2 LIMITED S • II. CERTIFICATION, REQUESTED . I CLASS I ' . S PROVISIONAL (Wale asst . 2 CLASS II • 1 AGRICULTURE AND PEST CONTROL 2 AERIAL SURVEYING 3 AERIAL ADVERTISING 3 RESTRICTED Unchcara operation(s) to 4 • FOREST (Weds consenatton) _ S PATROLLING 6 WEATHER CONTROL be concise-red) . . . CDIAIAGE OF CARGO . a ' OTHER (Simon 7 I RESEARCH AND DEVELOPMENT 2 AMATEUR BUILT •3 EXHIBITION 4 x tExbepERDA.ENTAtfintleat• opitiat.on(s) 4 RACING S CREW TRAINING MKT. SURVEY o ed/ • 0 X TO SHOW COMPLIANCE WITH FAR . . - 1 FERRY FLIGHT FOR REPAIRS. ALTERATIONS. MAINTENANCE OR STORAGE • . SPECIAL FLIGHT PERMIT (WIWI 2 EVACUATE FROM AREA OF IMPENDING DANGER r operation to be conducted. Men • 3- OPERATION IN EXCESS OF MAXIMUM CERTIFICATED TAKEOFF WEIGHT I • - complete Section VI Of VII as r applicable on reverse stool 4 DELIVERING OR EXPORT.. a $ PRODUCTION ;LIGHT TESTING . .--- • • CUSTOMER DEMONSTRATION FLIGHTS . 2 MULTIPLE AIRWORTHINESS CERTIFICATE 'Once ABOVE 'Rostra red Operation" and -Slardard- or -Limited.- as applicable-1 C I 1 I A. REGISTERED OWNER (As shown on certificate of Sweep IVIVISIftlIOO) IF DEALER. CHECK HERE I NAME • ADDRESS Westchester City Arpt., HGR D3 : 7; OGDEN MANAGEMENT SERVICES, INC. White Plains, NY 10604 B. AIRCRAFT CERTIFICATION BASIS (Check applscabee blocks are complete;rens as inccaled) III. OWNER'S CERTIFICATION pr AIRCRAFT SPECIFICATION OR 1 iPE CERTIFICATE DATA SHEET (Gres No. AIRWORTHINESS DIRECTIVES (Check if ad amicable ADC complied wan and give end Revision No.) latest AD No ) 374. X . Al2EA, Rev. No. 17 X 89-05-05' AIRCRAFT LISTING Kin.Pan number(-.) SUPPLEMENTAL TYISE CERTIFICATE (Lat number of each S TC incorporated) •:; . . s C. AIRCRAFT OPERATION AND MAINTENANCE RECORDS - TOTAL AIRFRAME HOURS EXPERIMENTAL ONLY (Enter hours florin since last combust .........• CHECK IF RECORDS IN X COMPLIAN 1.173 CE WITH 5669.13 3 issued Or mowed) FAR • D. CERTIFICATION — I hereby certify that I am the registered owner (or bus *gent) of the Limit described above. Ihal Me aircraft Is registered with the Federal Aviation Aornenishaoon in accordance with Section 50 of the Federal Aviation Act of Irak and applicable Federal Anshan Regulations/ and that the aircraft has been inspected Ind is airworthy and Ogitife lot the ainvontimess certificate unveiled . _ DATE OF APPLICATION NAME AND TITLE term! Or type) SIGN RE c ...7 • F'! June 28, 1989 ..Carl E. Jones - Agent . - C--. r." A. THE AIRCRAFT DESCRIBED ABOVE HAS BEEN INSPECTED AND FOUND AIRWORTHY BY. (Complete this section only it MR 21 62td(applies) ' IV. INSPECTION FAR PART 121 OR 127 CERTIFICATE HOLDER (Give CERTIFICATED MECHANIC (Give CERTIFICATED REPAIR STATION i Gabe CitlidiCale 2 Cerblicate No.) 3 Certificate No.7 ' 4 No) • • ' ' ' • AGENCY AIRCRAFT MANUFACTURER (Give name of Ewen) . I S e • . VERIFICATION . ._ 7 • - . DATE I TITLE • SIGNATURE _ . . _ . .. i • , • • I • a (Check ALL applicable (Necks on items A and 13J X THE CERTIFICATE REQUESTED . • &Imo that the aircraft described m Seaman I or VII meets recturremersts kic 4 AMENDMENT OR MODIFICATION OF CURRENT AIRWORTHINESS CERTIFICATE id Z ai. 0 B. Inspechon for a metal fight Devine under Section VII FAA INSPECTOR FAA DESIGNEE <r4 ass conduCte0 by - FAR 65 1 . 1 FAR 121. 127 or 1351 1FAR 115 . • CERTIFICATE HOLDER UNDER: 4 <Zu tr. .., — FAA INSPECTOR'S SIGNATURe . .., IS DATE DISTRICT OFFICE • • • DESIGNEE'S SIGNATURE AND NO Y a ci. Iso - • f „......- a ?. .• . ; • . • •••...a • . . . . • EFTA00278303 A. MANUFACTURER • . NAME t r.., ADDRESS - -, . • . • ... B. PRODUCTION 13ASISIChick apptcatAattami WC' PRODUCTION CERTIFICATE (Gni c004act•Oh cedar-ate number) . - IT T TYPE CERTIFICATE ONLY APPROVED PRODUCTION INSPECTION SYSTEM C. GIVE ouAtenn OF CERTIFICATES REOUIRED FOR OPERATING NEEDS DATE OF APPLICATION NAME AND TITLE Min 00 IOW) - • .SIGNATURE . .. . . •. . f . •- - A. DESCRIPTION OF AIRCRAFT I . • REGISTERED OWNER • • - .• ADDRESS A BUILDER (Ma/re) - MODEL - : r. 9 - % . _ SERIAL NUMBER 11* REGISTRATION MARK a\ I 8. DESCRIPTION OF FLIGHT . CUSTOMER DEMONSTRATION FLIGHTS 0 (Chen 4 appAcabir) • TO . • FROM VIA • • - DEPARTURE DATE DURATION. VII. SPECIAL FLIGHT PERMIT PURPOSES OTHER THAN PRODUCTION FLIGHT TEST C. CREW REOUIRED TO OPERATE THE AIRCRAFT AHDITS EOUIPMENT , I PILOT I f , JNAVIGATOR • I CO-PILOT - I . I OTHER apecoly7. - D. THE AIRCRAFT DOES NOT MEET THE APPIJCABLE AIRWORTHINESS REQUIREMENTS AS FOLLOWS: ` - - t. • • .• . • . • • ... . - • E. THE FOLLOWING RESTRICTIONS ARE c.orissoutEo NECESSARY FOR SAFE OPERATION(Aa attactmett si ninarstagy) . • ' •. - • '... - . .. • .- • . . . . .. . ' • , • • • • F. CERTIFICATION— thereby ctrlity lhat 1enitheiegislerecl owner (or h4 agent) ot the aircraft described Mame: that at encratIoregistereiS with the Federal Aviation Administration in accordance wills Sechon 501 of the Faders, Aviation Ad of 18613. end applicable Fodivid Aviilion Regastions: and Mat Me aircraft has been enspecled and is airworthy for the Ilighi ' described. • • ' • • -• • • - — • - : ". • • ' • . . • .. • DATE f4A/AE AND TITLE (Pheifiar train SIGNATURE - _ . •••• G. SCIANAWA of Conformity. FAA Form 8130-9 (Attach when Nature) A. Operatav Lorritatorts•rd Mirlungs tratcrrolarr-it wit• FAR Pr VIII. AIRWORTHINESS X ' 91 31 as'Applicable • " •. • N. Fair /unworthiness Cendication lot Import Aircraft (Attach than manned) • ) /14/ EL Current Operitmc Lirritat errs Attached -. . , DOCUMENTATION C. Data. Drawings. Photogiaphs. etc. (Attich whin inuated) . L Pretoria Asnionniness Cen iticate (wired in Accordance men FAR, /. s83 C4%) CAR (cgromaimiaow") X D. Current Weight and Balance Info/mats, Astable inLiman . (FAA us. only) E. Maim Repair and Alteration. FAA Form 337Mdean when rahuirect) J. COMM Airworthiness Cersiticate Issued in Accordance with • , X F. Trois Inspection Recorded m Aircraft R•soids ' FAR A). iqi a) • (copy attached) 1. e • 1 •. . . • •• •• • . • • ••• ••44.1P+ . L. .• • : ••• '" • • 0. • . . • •- EFTA00278304 • FAA? AUCPAFT RiC ISTET _CA..EFA h p1 DATE: sji - ors am, •„ AMERICA umITED STATES OF WATION ADMINI STRATION U TRANSPORTA TION - FEDERALA . DEPARTMENT OF HINESStERTIFICATE . ' SPECIAL AIRWORT .- /D ES IG NA TION . EXPERIMENTAL CA TE GO RY EGOLATIONS- . A PURPOSE SHOWING' COMPLIANCE WITH'R , , . . AN U- NAME - N/A pt. M 1' FACTURER ADDRESS N/A .> N._ 979R FR:OM N/A C FLIGHT To - :N/A . SERIAL NO. • 151 - - MODEL C-1159A D C E AM A U D ?A 6-28-90 BUILDER GULFSTRE 6-2$-89 EXPIRY RTIFICATE: DATE OF ISSUANCE 8 -8 9 ' ' AR EA PART OF THIS CE IONS DATED ' 6-2 SIGNATION OR OFFICE NO. : OPERATING LIMITAT . DE TYRE Of FAA RW A .. . E . .-./ . ' -: CE 4 • 5 ing 51.000 or E . JA SO N ble by a fine not exceedAIRCRAFT IN JAMES y be pu nis ha 01 MIS bertittate maCATE MUST BE DISPLAYED IN THE duction.or misuse CERTIFI Any attention. repro or bo th. TH IS S. 'imprisonment not ex ceeding 3 ye FEDERAL AVIATION REGULATION ars . ROC OFVFOSF SIDE H APPLICABLE ACCORDANCE WIT M FAA FORM MSS? MO • ..":".Wir, taw • -• .: 'h.\ • EFTA00278305 rity:rtzraiavig„lip Acopf 1958 te is issued under the autho T4iS'airworafiness certifica . . A ions (FAR). ^ and the Federal Aviation Regulat manufacturer named onthereveed rteside to candugt ines s cert ifica te auth orize s the ster in his name. No This airworth uction flight tests, of aircraft regi production flight tests. and only prod fligh t tests und er this certificate:. (1) Carrying persons of ' B person may conduc t prod ucti on essential to the purpose of . erty for com pen satio n or hire ; and/or (2) Carrying persons not prop . • the flight . . a . fligh t spe cifie d on the reve rse side for the purpose orizes the This airworthiness certificate auth `-' shown C in Bloc k A. . • .- . . • e, theairc raft to whic h issu ed This airworthiness certificate certmee ifies thatasof the date of isEuanClicab le FAR. The aircraft does t the requ irem ents of the app has been insp ecte d and foun d to iled airworthiness code as licable cornpretbensiwiand deta not meet the requirements of the app tion On International Civi l Avia tion . No person may operate . provided by Ann ex 8 to the Con ven ce withthe appliCableFAR End n the airc raftd escr ibed on the reverse side: (1) except in accordan pres cribed by the Actininistratora:s — ce with con ditio ns and limit atio ns which may be permission of that in accordan foreign country without the special part of this certificate: (2) over any country.' • • . - ..• • • orth ines s cert ifica tais effe ctive for soo ner surr end ered . suspended. or revoked. this airw 21. Sec tion 21.1 81 or 212 17. E the dura tion and und er the conditions prescribed in FAR Part L. • Nttrc .. 7: 4 •I t 4 • EFTA00278306 t ‘ EXPERIMENTAL AIRCRAF T OPERATING LIMITATIONS Research & Development, Showing Compliance With Regulations, Crew Training, Market Surveys: (Over 8O0'HP. 12,500 Dm) CGOLit-57ZN5Afin AaeosPasia) MAKE:Geatriir7.41t) SERIAL NO.: /5/ MODE-:6:1-/iF5-77eXiscen7 6;-1/5" REGISTRATION NO.: Apg7959/9 1. No person may operate this aircraft for other-than the purpose(s) of S -1/72ze.m.2'1 (7,0,77,01.1.4/tn- Aolni AlE614I4-4177,-,.45C (FAR 21.191), to accomplish tests outlined in the applicant's program letter dated 6 - _2?-2W, describing compliancewith FAR 21.193(d). Additionally, this aircraft snail be operated in accordance with applicable air traffic and general operating rules of FAR 91, and all additional limitations herein prescribed under the provisions of FAR 91.42(e). - - 2. All flights shall be conducted within the geographical area described as follows: COATIIDF/V72 -4A-, !7"1/17"6/9 S7 9r 3. No operations, including takeoffs and landings, shall be conducted over __ --densely populated areas or in congested airways; except those takeoffs and landings authorized as follows: ALL Al(7:7-ifttaF Al/Apick)A?)75 / We Ez/i.V1/1.4-c1C- 4. Unless appropriately equipped for night and/or instrument flight in accordance with FAR 91.33, this aircraft must be operated Day VFRonly. 5. No person may be carried in the aircraft during flight unless that person is required for the purpose of the flight. 6. No person may operate this aircraft for carrying persons or property for compensation or hire. 7. This aircraft shall contain the Flight Manual, markings and placards required by FAR 91.31. onal- 8. This aircraft is prohibited from aerobatco_flight; that is, an intenti l maneuver involving an abrupt change in the aircraft's attitude, an abnorma attitude, or apnormal acceleration not necessary for normal flight. 9. The cogniiant FAA Flight Standards District Office must be notified and their response received in writing prior to flying this aircraft after incorporating a major change as defined by FAR Part 43, Appendix A. (Continued an Reverse) , EFTA00278307 . .Page 2 cf 2 10. The pilot-in..commard of this aircraft must,•as applicable, hold an' . Appropriate category/class rating, have an aircraft type rating,'have a flight .instructor's log-book endorsement or possess a 7Letter.Of Authorization" 4ssued .by an FAA Flight Standardi Distridt Office or. Air Carrier Operations. Inspector. 11. This aircraft shall- not -be-flown unlesSitii maintained and operated in accordance with approprigte military tedhniCal pUblicatiOnS, manufacturer's instruCtions, or FAA approved maintenance program ft:sr this aircraft. . . , 12. If aircraft, engine or propeller operatiOn limitations are exceeded, an appropriate entry will-be—made in- the historical records. (Applicable only to Research and Development and Showing COmpliande with Regulations.) 13. This aircraft shall-not- be`operated for glider towing or parachute jumping operations. 114 - The-aircraft shall bear the word "Experimental" near each entrance to the cabin or cockpit -in accordance with FAR 45.23. 6 -4.5?-8P9 Date of Issue Representative Designation/Office No. EFTA00278308 U.S. DEPARTMENT OF TRA FAA_ NSPORTATION FEDERAL AVIATION ADMINIST Form Antlered RATION . . • Baer Bonn No. 04-R060 ". MA .I JOR REPAIR AND ALTERA (Airframe, Powerplan TION FOR FAA L'SE ONLY t, Propeller, or Appliance) oFFINOSoatfola111) INSTRUCTIONS: for instructions andPrint or type all entries. See FAR 43.9. FAR 43 Ap . 7-0-67 • disposition of this form. pendie 8. and AC 43.9-1 (or subsequent revision the MAKE reof) GULFSTREAM MODEL 1. AIRCRAFT I • G1159 SERIAL ha t 101 !NATIONALITY AND REGIS ' TRATION MARK NAME (4.5 shown on registration certificsde I • U.S.A. . N9 79 RA 2. OWNER ) ..., ADDRESS (As shown on reg istration certificate) OGDEN AMERICAN.CORPORATION 1 HANGAR D-3 - WESTCHESTER COUN A WHITE PLAINS, NY 10604 TY 3. FOR FAA USE ONLY • .. .. .- . . 4. UNIT IDENTIFICATION Witt Mal . MODEL S. TYPE • i an rat NO. WAR AMA- • AIRFRAME AMON neeneene••••••••••• (As described in item I above) ••• ••••neenermeneee .POWERPLANT FP „rep!?PSI ,i-r.7. 177 ₹ 4I .• JAM 1 4_ . .: : ;‘ !, PROPELLER 11 LI I lir....cu.... -.))._..._:,i !_-s,.., ,b. _,,.._Li__ TYPE R/H ELEV. ASSY. !.:.',..).3(1':i.r: _ ..:t • ‘-rt rare , r• APPLIANCE 1159C520002-1 S/N 151- MANIJIACTiall . • . .• • .X GULFSTREAM • • 6. CONFORMITY STATEMENT • A. AGENCY'S NAME AN D ADDRESS • • B. KIND OF AGENCY C. CERTIFICATE NO. GULFSTREAM AEROSPACE CORP u.s. cteroncArEo MECHANIC P.O. 80X. 2206— TRAVIS FIELORATION toseinN Mt/IMAM MECHANIC SAVANNAH,GA. 31402 D • x CEETIPICATED MANI STA TION ssassuractuara 701-10 D. I.certify that the repair attachments hereto have and/or alteration made to the unit(s) identified ' end that the information been made in accordance with the requirements in item 4 -above and described on the revers furnished herein is true and of Pa e or correct to the best of myrt 43 of the U.S. -Federal Aviation Regulation, DATE knowledge. SIGNATURE OF AUTHOR 1-8-87. IZED INDIVIDUAL PATRICKAL LYNCH e best orS . cm.m....€4....., 7. APPROVAL FOR RETURN TO SER Pursuan to the authority given persons specified VICE the Administrator of the Fed bel ow the unit identified in item 4 was eral Aviation Administr inspected in the manner pre ation and is go APPROV scribed by PIA FM STANDARDS ED OREJELC ...„--...., INVICTOI . fitanura.cruin INSPECTION AUTTIOIJZATIO ONES 'In . BY N ; . ) FAA DESIONEE X CANADIAN DEPARTMENT REPAIR STATION Of TRANSPORT IMPECT OS DATE OF APPROVAL OR Of Ammar REJECTION CERTIFICATE OR SIGNATURE OP AUTHOR eaz,2 • 1-487 . DESIGNATION NO. . 701-10 - PATRICK 'J. LYNCH . ,_.-4, IZED INDIvIrWAL FAA Fenn 337 (7-67) (8320) EFTA00278309 P4()1rICEi, Weight and balance or operating limitation changes shall be entered alteration must be compatible with all previous alterations to in the appropriate aircraft record. An assure continued conformity with the applicable airworthiness requirements. 8. DESCRIPTION OF WORK ACCOMPLISHED (If More space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) . REF: GULFSTREAM AEROSPACE CORPORATION WORK ORDER NO. CO2B-0151-087-2654 REPAIRED L/H ELEVATOR ASSY. P/N 1159CS20002-1 S/N 151 PER GULFSTREAM AEROSPACE CORPORATION DWG. NO. 1159CS20431•MASS BALANCE CHECK PER GULFSTREAM AEROSPACE CORPORATI CUSTOMER BULLETIN 264 HOW TO MEASURE CONTROL SURFACE STATIC BALANCE. (REPLACED DAMAGED TIP AREA SKIN WITH NEWHPART-PANITED SAME) ❑ ADDITIONAL SHl±IS ARE ATTACHED C FAA AC 72-4908 EFTA00278310 . r. DEPAPIMENT OR TRANSPORTATION . Foto: Approved • FEDERAL AVIATION ADMINUSTaATION - Budget Bureau No. 04-R060. t FOR FAA USE ONLY; p • MAJOR REPAIR AND ALTERATION OFFICE 41 IFIr N it -,,: (Aiiitatne.,Powerplant, Propeller; or Appliance) INSTRUCTIONS: Print of:type all entries.-• See FAR 143..9,• PAR 43.Apii,n44.B, and AC 43.9-1 (or subsequent uent revision thereof) . for instructions. arid diSposition of this fbrm. • '. • . • - . ' ' • •• . MAKE G1112912111111 mopia 0.1159B • 1. AIRCRAFT SERIN. NO: 181 .. . NATIONALITY . AND REGISTRATION MARK 7 219799,9 NAME (As shown on registration certificate) ADDRESS (As shown on registration certificate) 2. OWNER 09912/ AMER/CAN MIL' 277 PARK AVENUE N.Y., A.Y. 10017 3. FOR FAA USE ONLY , . ... . . . . . . 4. UNIT IDENTIFICATION 5. TYPE UNIT MODEL SERIAL NO. . ALTER- ItElMit " .ATIoti AIRFRAME ne.reemenommen (M destrind in item ; above)(men•npnewswem POWERPLANT PROPELLER - - - - TYPE • • • : w:.,... •• • .• • • •' - APPLIANCE MANUFACTURER ' - . -- • • . . ... •• • - 1• 6. CONFORMITY S1ATEMENT • • • A. AGENCY'S NAME AND ADDRESS, ! • B. KIND. (IF AGENCY C. CERTIFICATE NO. MIDWAY AVION/CS-CORPORAT/ON U.S. CERTIFKi.TED•MECHANIC BLDG. 15 FOREIGN .cuifFIC.ATI0 MECHANIC .. • . WESTaignim COUNTY AIRPORT . lac CERTIFICATED.Remit STATION • 111-92 -n,Erp 4iNs, NEw YORK .10604 - MANUFACTURER--. , D. 1 certify that the repair and/or alteration lade to the unit(s) identified in item 4 above and described 'on the reverse or attachments hereto -have•teea.made in accordance with the reqiiitements.cf Part 43 of the U.S. Federal Aviation Regulations and that the infortgatiod furniihed hereiniktrue•ind-correct to the best. sf my knowledge. . DATE • ..... -. -,„..-.-•,. 5, • • . • 4IGikii.: • firt:ok AUTHORIZED I DIVIDUAI • 4 12--30-85 V. iiht • - .. . THOMAS V. MCGRATH ' 7: APPROVAL FOR RETURN TO. SERVICE • Pursuant to the authority given persons speCified below the unit identified in item 4 was iicipetie.d in the manner prescribed by the Adininistragor of the Federal Aviation Administration and is APPROVED • REJECTED OTHER (Specify) • • FAA at StAtiPAPS '- s FA.F.NUF*Aatiiiii.: • INSPECTIONAuitieitthArtori • . . . INSPECTOR •• BY CANADIAN DEPARTMENT ....• FAA DESIGNEE lInt FEEIAIR• STATION OF TRANSPORT. INI.PEaCit : - OF AIRCRAFT • i ,- • ' • DATE OF A112Q130-(85 CERTIFICATE .OR • TORE OP LITHORIM e XI IVIDUAL • REJECTION 12-30-85 DEtIGNAntirciiti ergo . iThe . 111s93. :•.1 • 'MMU$ - 18862428 it (832I:” I • EFTA00278311 - TAA ATPCP.AFT_J:EGISTFLI‘ r CAMERA NO. DATE: figenAe..4;fr A • -I. V • .. • , . " NOTICE aircraft record. ngeshall be'entered in the Weight and balance or operating limitation cha continued conformity with'the An alteration must co_ mpatible with all previous.aberalions to assure applicable airworthiness requirements. \- 8. DESCRIPTION OF WORK ACCOMPLISHED (If more space is requ ired, attach additional sheets. d.) . • craft nationalitrond'registration mark and date work complete ?;. TIO N_W AS ACC OMP LIS HED III ACCORDANCE WITH MULFSBER0 TEE,INSTA LLA 119-00 REV. El SECT. II. .INSTALLATION/OPERATORS MANUAL. P/N. A.04/ WIR E INS , TAL LED AND INS PEC TED IN ACC ORD ANC E WITH FAA AC THE DRITEI 11 am 1SJ and FAA AC 419.1S-EA, CHAPTER 10. 43.13-1A, CHA PTE RS WER E PER FOR MED , AS WEL L AS, SYSTEMS, OPKRATIONAL EMI AND RPI CHECKS ED AND SYSTEM OPERATIONAL CHECKS TENT. NO ADV ERS E EFF ECT S WER E NOT /BLE EFFECT ON THE TOTAL WERE GOOD. THE SYSTEM HAS A NEOTIO THE AIRCRAFT EODIPMENT LIST AND ELE CTR ICA L LOA D OF THE AIR CRA FT. REFLECT. THE CHANGES. WEIGHT AND BALANCE WERE UPDATED TO • • • , • • 4.1-e-. . - Itru.s Govastascr PRINTING OFFICE: 1977-711-02O200 • • EFTA00278312 DEPARTMENT Of TRANSPORTATION • Forte Approved FEDERAL AVIATION ADMINISTRATION Budget Bureau No. 04-R060.i - • FOR FAA USE oNLy7.4+7C, MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) OFFICE IDENTIFICATION r AZ 4 INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instruction's and disposition of this form. c... • MODEL ' . . GULFSTREAM G-11598 1. AIRCRAFT SERIAL NO. - NATIONALITY AND REGISTRATION MARK 151 N 979RA NAME (As shown on registration certificate) ADDRESS (As shown on mgistralion certificate) 2. OWNER • •277 PARK AVENUE OGDEN :AMERICAN CARP. . .-- - NEW YORK, N.Y. 10017 _ . 3. FOR FAA USE ONLY • , . .. . . .- 4.- UNIT IDENTIFICATION S. TYPE UNIT MARE • ' MODEL SERIAL NO. ALTER- REPAIR i . ATION • . AIRFRAME . nomenneenniens (As described in item 1 abore)••••••*4••••••••••••• XX . . POWERPLANT .... 0 . PROPELLER .. - • - ••• - • ' . . .... .... - -,- . • ' . • • APPLIANCE . MANUFACTURER ' . ' - • 6.- CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS B. KIND OF AGENCY C. CERTIFICATE NO. THOMAS V. Mc-GRATH X U.S: CERTIFICATED MECHANIC • FOREIGN CERTIFICATED MECHANIC - 731 Hungry Harbor. Rd. No. Woodmere, N.Y. 11581 CERTIFICATED REPAIR STATION ---• 1886228 . . MANUFACTURER. . . T- • D. I certify that the repair and/or alteration made to the tiiiii.(s) identified in item 4 aboye 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 furnished herein ,is' true and correct to the best of my knowledge. DATE SIGNATURE OF AUTHORIZED INDIVIDUAL g - 1- sc. .. . ,.. Thomas V. McGrath Plar Y Al Clas2Se • • • • - .• 7. APPROVAL FOR .RETURN TO SERVICE Pursuan to the authority given persons specified below the - unit identified - in item 4 was inspected in the manner prescribed by the Administrator of the Petrel Aviation Administration' and i-: O APPROVED O REJECTED OTHER (Spocifr) FAA RT. STANDARDS ,. MANUfACTURER X INSPECTION AUTHORIZATION . . . .. . INSPECTOR BY • CANADIAN 'DEPARTMENT' '' FAA DESIGNEE ' REPAIR STATION OF TRANSPORT INSPECTOR y OF AIRCRAFT .• • DATE OF APPROVAL OR CERTIFICATE OR SIGNATURE OF AUTHORIZED INDIVIDUAL' • REJECTION ,. ' . DESIGNATION NO. 8 - -2- - g C IA 1886228 Thomas V. 'McGrath 01/4t1-0 V. cjt(440f---- , . . .47 r • / .• • •. •. • • •--- -._.•• EFTA00278313 record. Weight and balance or operating limitation changes shall be entered in the appropriate aircraft An alteration must be compatible with all previous alterations to assure continued conformity with the /applicable airworthiness requirements. 8. DESCRIPTION OF WORK ACCCIMPLISNED.(If more space is required, attach additional sheett:--- Identify with air- craft nationality and:registration mark and date work completed.) • A Sunstrand Dititontrol Ground Proximity Warning .Systeni, tomputer P/N ed in 965 13411-010,- wes'installed on:the aircraft..':The installation was perform ao nrdance With'the instructions of,STC. SA36NW. ;of' The units-Were installed and inspected -in accordance with Chapters 11 & 15 -• :037A.,;;ESI:and RFI tests were FAA AC'43;13-1A. andr.CfiaPter10. OfFAA:AC4'. performed. An electricalfiloackanalysis;vas-perfoimed with the -results being negligible. - • Number 'A flight teet-VIS .8eindilated-in:StCapitante...WitiOlonUfadturer's pacument 060-0?78-007. The:syptem-perfotmed;vitliin::011:iolerenites. An FAA' Approved- night Manual Supplement :v9aS ;incorporated into Flight Manual. The aircraft- Weight -and-Bilante:Report dated 6-71-84 was updated with a .including a revised EquipMent:LiSt.-_ ' • ADDITIONAL SHEETS ARE ATTACHED. ikUS. GOVERNMENT PRINTING OFFICE: 1977-771-071ngo • . EFTA00278314 UNITED STATES OF AMERICA RATION DEPARTMENT OF TRANSPORTATION• -FEDERAL AVIATION ADMINIST STANDARD AIRWORTHINESS CERTIFICATE I. NATIONALITY AhO 2. MANUFACTURER 14,5... rMODEL REGISTRATION MARKS If. . , ' •••• • —• GULFSTREAM G-1159B •5. AUTHORITY AND BASIS FOR ISSUANCE ) ..:&:-.t -T-.. This airworthiness certificate:is itsUed pursuant•to:elet.. 958 and certifies that/at of the date of Issuance, the aircraft tot hick issudd'hers'berc conform to the him RATI;6034 requirements of the applicable therefor, to be in condition for safe operotiOn,:and: Convention on International Civil comprehensive and detailed airetwthinessloid• Or --.....; \ A Aviation, except as noted.herein. ... Eroeptions: 4. 7±e—..—_—_ L.( ' • ! • 'NONE 7/ 1, A. TERMS AND CONDITIONS ' " y. CI Unless sooner surrendered, , revoked, at a tirinincrliondate is atlstameho established by the alterations Administrator, ate 'this airworthiness certifies • it effective as long os-the , 44 snaintenance, and • perionnod in accordance th Parts 21, OS and 91 oft Aura' ,yriladOrrThen. MI appropriate, and the . aircraft is registered in the United. States. I DATE OF ISSUANCE DMIGNARtirrigl Al 6/4/84 SAV-MIS0 i • by a not exceeding $1,000, or ins. Any alteration, reproduction, or misuse of this aertiAcate THE AIRCRAFT IN ACCORD• prisonmeni not exceeding 3 yews, or bath. THIS CURING T MUST BE DISPLAYED IN ANCE WITH APPLICABLE FEDERAL AVIATION REGULATIO FM Form 8100-2n-671 FORMERLY FAA FORM 1362 Yl Cimae• Pam. COMO • • t': • : it A - - ,c1. - - • ••••=.•=. EFTA00278315 Irt . - • ' ••••-- E' • . t . • : -T. - • - ' EFTA00278316 No cStificlitemey bli issued unless a completed ...Station • loan has bleat received (14 C.F.R...21) after FAA DEPARTMENT OF TRANSP9RTATION II.OTRUCIIONS — Pionebs.type: Do not write in shaded areas; these MA Representativ e II addiiional space ' FEDERAL AVIATION ADMINISTRATIRN * use only. Submit original only to an authorised and VI or is required. use an attachment. For special flight permits. complete Sections II APPLICATION FOR AIRWORTHINESS CERTIFICATE irpa5 applicable. . , 2. AIRCRAFT BUILDER'S NAME Woo (.AIRCRAFT MODEL DESIGNATION 4.YR. MFG. ' FAACODING . • 1. REGISTRATION MARK g9gii //, I.AIRCRAFT N979RA •GULFSTREAM . 6-11598 1974 B. ENGINE BUILDER'S NAME Wake; ' 7.ENGINE MODEL DESIGNATION i -5- 0.5.2- 3 '• . 5. AIRCRAFT SERIAL NO. ROLLS ROYCE,: • .SPEY MK 511-8 DESCRIPTION 151 /14 • S. NUMBER OF ENGINES 9. PROPELLER BUILDER'S NAME IMAM IO.PROPELLER MODEL DESIGNATION 1LAIRCRAFT IS. • TWO • N/A • N/A *HOMO ORX X X IMPORT. , APPLICATION IS HEREBY MADE FOR: (Check seplkable items) A IS, X STANDARD AIRWORTHINESS CERTIFICATE twicartesreSionf I IffORMALI ' 1 tint) UTILITy. ' ACROBATIC X 'TRANSPORT I I GLIDER ' BALLOON B SPECIAL AIRWORTHINESS CERTIFICATE (Check satliroonnt 1.. ..e - . LIMITED . CLASS( - I': 5M • PROVISIONAL fIncleitit demi n..' CLASS II AERIAL SURVEYING 3 l I :Otilt riitiING AGRICULTUREPADPEST CONTROL 'ION REQUESTED inn. RESTRICTED (Indiansi anntion to - FOREST Ulan Coneentnnl PATROLLING 5 I WEATHER CONTROL be conducted, • •- -.. OTHER iSiieWO oils AMATEUR BUILT 3 EXHIBITION RESEARCH ANTICIEVELOPMENT l',.#1 EXPERIMENhl (IndOleoperationgs/ - .... RACING CREW TRAINING 5 I I SURVEY ,- 4 to be conducted) . ' TO SHOW COMPLIANCE WITH FAR • c•-• ._ . Adel . • _ FERRY FUGHT FOR REPAIRS, ALTERATIONS, MAINTENANCE OR STORAGE C45 iA SPECIAL FLIGHT PERMIT (Indicate EVACUATE FROM AREA OF IMPENDING DANGER . L*4 operation to tie conducted. the. - complete Section nor Vitas . • . .. OPERATION IN EXCESS OF MAXIMUM CERTIFICATED TAKEOFF WEIGHT aoolicaln on reverse sal DELIVERING OR EXPORT . 5 I PRODUCTION FLIGHT TESTING ' • "Standard" or "Lennin. - as exec-salsa C 5 MULTIPLE AIRWORTHINESS CERTIFICATE !Check ABOVE -RestriCtedOpenrion"and A. REGISTERED OWNER Ms shown on ceilificate of aircraft registration/ IF DEALER. Ci4ECK•HERE I - NAME ADDRESS • • , WESTCHESTER COUNTY AIRPORT WHITE PLAINS. NY OGDEN-AMERI CAM CORP. indicated) B.AIRCRAFT CERTIFICATION BASIS (Check applicable blocks and complete iteeWezt III. OWNER'S CERTIFICATION SPECIFICATIO N OR TYPE CERTIFICATIO N DATA SHEET (Gaelic. AIRWORTHINE SS DIRECTIVES (Check if allnotice:3e AD's compaed wan and give AIRCRAFT X andIrritA REV . •15 X inn""`" 82-11-02 AIRCRAFT LISTING Mire page numeerlsil SUPPLEMENTAL TYPE CERTIFICATE (Lest nano..r of each STCintonate:ern • N/A.. X . SEE ATTACHED LIST . • • C. AIRCRAFT OPERATION.AND MAINTENANCE RECORDS EXPERIMENTAL ONLY tenter:nuts flown 'glee last cartilicste issues CHECK IF RECORDS IN TOTAL AIRFRAME HOURS (Entter kr usedincraft only1 .. X RL.tair7IICE WITH . 3593.7 HRS. "'in' 7.3 HRS . the aircraft is registered with the Federal Aviation D. CERTIFICATION — I hereby certify that I am the owner for his agent) of the fl ash described above; that and applicable Federal Aviation Regulations; and that the aircraft has Administration in acccordance wi It Section 501 of the Federal Aviation Act of 1958, been :nspected and is airworthy and eligible for the airworthiness certificate mutated. NAME AND TITLE !Print Or NON -. • SIGNATURE DATE OF APPL•CATiON 6/1/84 PATRICK J. LYNCH ea.c..ix b' this section Only if FAR 21.183 id) apples) A. THE AIRCRAFT DESCRIBED ABOVE HAS BEEN INSPECTED AND FOUND AIRWORTHY BY: (COMO:Ste CERTIFICATED REPAIR STATION (Give Ceinficete IV. INSPECTION FAR PART 121 OR 127 CERTIFICATE HOLDER (Gin CERTIFICATED MECHANIC /give . . N 2 Certificate No.1 Cilrleate No.i X 1' • 701-10 *tit AGENCY AIRCRAFT MANUFACTURER (Ginner* of firml li aiaa GULFSTREAM AEROSPACE CORPORATION \ VERIFICATION TITLE SIGNATURE . DA E 6/1/84 QUALITY `CONTROL MANAGER ?ara.A Si (Check ALL applicable eiocksinitems A end 81 fl THE CERTIFICATEREOUESTED • yr OR MODIFICAT ON OF CURRENT AIRWORTHINESS CERTIFICATE V:FAA A. I find that the aircraft described in Section I or meets requirements for: . ,AMENDMENT . FAA INSPECTOR B. Inspection for a special flight permit under section VII • REPRESENTATIVE was conducted by• CERTIFICATE HOLDER UNDER: . F A 65 I F 210R 127 I FAR 145 DESIGNEE'S SIGNATURE ANON°. . FAA I C 'ATURE DATE DISTRICT OFFICE . CERTIFICATION 6/4er.- ACE-181A-1 . t : 6/4/84 t SAV-MISO .. .. - . • EFTA00278317 I A.MANUFACTURER .. • • • N . - NAME. • • - . :. — ' ADDRESS • 't PRODUCTION • B.PRODUCTION BASIS (Check eseltable awn) • PRODUCTION CERTIFICATE (Ginpi-admits, estficste number/ FLIGHT TESTING . TYPE CERTIFICATE ONLY r -VI. APPROVED PRODUCTION INSPECTION SYSTEM C.GIVE QUANTITY OF CERTIFICATES REQUIRED FOR OPERATING NEEDS —....-,- —.10. . • , DATE OF APPLICATION NAME AND TITLE JAHN wisp& , . . SIGNATURE A.DESCRIPTIQN Of AIRCRAFT _ - FIEGISTERED OWNER ADDRESS . . • ,. .". .• BUILDER (Mete - MOOD. •: ' SERIAL NUMBER REGISTRATIONAAARK • • . .. , B.DESCRIPTION OF FLIGHT . ' FROM TO -' . . . . - . • . VIA • DEPARTURE DATE DURATION . C.CREW REQUIRED TO OPER ATI THE AIRCRAFT AND ITS EQUIPMENT PILOT I CO-PILOT 1 1 NAVIGATOR I OTHER doeeork.-• • • - —I- - • D.THE AIRCRAFT DOES NOT MEET THE APPLICABLE AIRWORTHINESS REQUIREMENTS AS FOLLOWS: .1 • .... • - .. • ( . . • .., r ‘... • -0., : . . - '• '-• ..• '"" . . VII. SPECIAL FLIGHT PERMIT PURPOSES OTHER THAN PROD' .. . _ E. THE FOLLOWING RESTRICTIONS ARE CONSIDERED NECESSARY FOR SAFE OPERATION (Useartachmont if necessary) .. ea ' .-. - • t •• •• - - - -- . .. .. . . .... . • —. _ . . .:-. ---- ... . —• .. - ei • .. - . ,.. - a ' • >.. . • e F. CERTIFICATION — thereby certify that I am tits rtgistared owner la he agent) of the tweraft described • above; that the aircraft is registered with the Federal Aviation Administration in accordance with Section 501 of the Cadged Aviation Act of 1958. and applicable Federal Aviation Regulations; and that the aircraft has been inspect4andis airworthy for the flight deserted. DATE NAME AND TITLE AweWine •... i I SIGNATURE I r .I V,II.AIRWORTHINESS A. Operating Limitations and Milricingairi Compliance trth FAR. Y 0. Statement of Conformity, FAA Form 8130-9 (Attach when required; X 91.31 as Applicable : H. Foreign Ainvonhiness Cenificatioi for Import Aircraft B . Current Operating Limitations Attached (Attach whenrequired, DOCUMENTATION .., • C. Data, Drawings, Photographs. etc. (Attach when required) I. Previous Airworthiness Certificate Issued in Accordance with X .. D. Current Weight and Balance InIormatkin Available in Aircraft FAR 21.191 (b) (FAA use only) X CAR (Originalattached) X E. Major Repair and Alteration, FAA 337 (Attach WhIlf/ Mtlefadi J. Current Airtiorthiness Certificate Issued in Accordance with . F: This Inspection Recorded in Aircraft Records X . X • FAR 21.181 (d) /copy imachoth • . . . :t•—• --<"•---7--14"-e',.:s,17- - - . • • . I • • • - • :••••••re . . EFTA00278318 I , . UNITED STATES OF AMERICA DEPARTMENT OFIRRNSPORTATIOI:s1) ' • -• . FEDERAL AVIAT1O-WADMINISTRATION \ . 4C:. . A STATBAENT OF CONFORMITY *IN .PART THERE OF 1- SECTION I - AIRCRAFT / 1. MAKE GULFSTREAM - -G-11598 3. SERIAL NO. 151 4. REGISTRATION NO. N-979RA SECTION ,II ENGINE 1 • MAKE 2. MODEL • 3. SERIAL NO. •• SECTION III PROPELLER I. MAKE 2. NUB MODEL. 3. BLADE MODEL' _ I. Hue SERIAL. NO.. _ 5 BLADE SERIAL NOS =nom Iv - CERTIFICATION • I hereby certify that: . • . • • ... . . El A. I have complied with Section 21.33(a).' - 0 B. The aircraft described above, produced under type certificate only (FAR 21 Subpart FL conforms to its type certificate, is in a condition for safe operation and was flight cher:lied on • • • (1)oft) . C. 0 C. The engine or propeller described above, presented herewith for type certification, conforms to the type design therefor. \'' • D. The engine or propeller described above produced under type certificate only (FAR 21 Subpart F), conforms to its type certificate end is in a condition for safe operation. The engine or, if applicable, the variable pitch propeller was subjected by the manufacturer to a final operational check on Mara/ • GULFSTREAM AEROSPACE CORPORATION. DWG. NO. 1159-2500 REV. NO-DEO Fl (G.A.C. A.S.C. NO. 300 "GIIB WING MODIFICATION") ..., • . •s Deviations: . NONE , - .. • • . e---, . • . • • . . . • . - • . . . • • • . \ - .. - • . itiisivagat . SIG/4Afr TITLE -‘,.\ PATRICK J. LYN MANAGER QUALITY CONTROL ORGANIZATION • DATE GULfSTREAM AEROSPACE CORPORATION p r' 6/1/84 ' EFTA00278319 - This IQ* sboutd be latsnitted to • . teprostritative pram Aldaikstuttir ander the following circumstances: . . • .. • L. By the applicant for o type certificate. ca • suppleseatel type certificate at the time be presents c aircraft or parts tinfoil to the FAA for Loa By the applicant fin • type certBintt• at a sopplarantal type certificate for each engine or prepeller submitted for type certificatican- _ — . By the type certificate holder or licensee msmnfaCtnring products under a type certificate only, upon the initial transfer by him of the ownership of each product or upon application for the original issue of an aircraft airworthiness certificate:or en -Attworthiness Approval Tag (FAA Form 8130-3k. This form should be completed as Lotion Section I. Aircraft. Complete the pertinent pest of only this Sidon volsa1 certification covers an aircraft or part thereof. Section lL Engine. Coriplete this section when ceirtifiarlionfloiliiiieitgine- .. _ . Section III. Novell er...:Caterplete this section when certifications carvers a propeller. • / Section IV. Certification. .. - been A. Check this block when an aircraft or partttierettcbt presented fir (Met or ground tests during type certification or supplemental type certification.. heat B. Check this block -when the bolder or licensee of a type certificate only, initially transfers the owner- ship of an aircraft manufactured under that type certificate, or applies for the original issuance of an air- worthiness certificate. • - Item C. Check this block when an engine or propeller is presented for type certification. Item D. Check this block when an engine or propeller islpitiented for anorthines's approval and insert the • date the product completed a final operational check. • • ' • • aa, 'S \rel.-sr-A:m. t sit , -' EFTA00278320 Attachment for Application for Airworthiness Certificate for.G-IIB S/N 151 N-979RA SA 722 EA. W/FMS SA 1057 SW W/FMS SA 1553 SW W/FMS SA1861. SW W/FMS SA 1037 SW W/FMS SA 951 SW W/FMS. G-II B-82-001 G-II B-82-003 EFTA00278321 EFTA00278322 FAA AIRCRAFT REGISTRY CAMERA NO. 3/V DATE : 3 7- Ea Attachment "8" Page 1 of 1 Date 6/1/84 Certificate for G-II8 S/N 151 N-979RA Attachment for Application for Airworthiness Listing Of SupOleMental Type Certificate Subject S.T.C. Safe Flight SCAT System 1. SA 722 EA W/FMS IDC Sat/Tas Indicator with 2. SA 1057 SW , Rose Mount Probe and Collins W/FMS FD-109-Y Flight Director System and Provisions for Flight data Recorder Collins INS - 61-B 3. SA 1553 SW W/FMS. Sperry ADC-200 Altitude Computer 4. SA 1861 SW and Alt Preselect System W/FMS Interior Emergency Lighting 5. SA 1037 SW W/FMS (32 System, Long Range 6. SA 951 SW W/FMS Weather Radar RT Mounting 7. SA 1193 SW- (Provisions.For) Collins AUR-101 8. SA 999 SW Cockpit Voice Recorder. Jump Seat Installation 9. SA 1918 SW Relocate APU Speed Logic Control 10. SA 2512 WE Unit BKM Master Warning Interface 11. SA 1613 SW 'Oil Tank Sight Gage Float 12. SE 994 EA .: • • EFTA00278323 . • • L. • :; " I,9% c • .` -." . •. - -sez••;"r -7.4%. -0,2' 'in '''. . -‘ • • • • • EFTA00278324 'Attachment "C" Page 1 of 22. • Date 6/1/84. • Attathment for Applica tion for Airworthiness,certificate-for T-111B S/NI151 N-979RA Subject Incorp ASC 216 Speed Brake Flap Alarm In conjunction With BKM Lighted S/B Handle (STC SA 2366 SW) 1. Infttllal BKM Pitot Heat Monitor Per 2. Modified Rudder Hinge Points For ASC 300 PER 1159CS25000 ' 3. Repaired enter And Upper Hinge Points on Rudder Per 1159CS20092, 1159CSM 30080 Aand 1159CS20080 Installed VLF/ADF Coupler For Coupling ADF Sense Ant To Existing VLF (TSO C-94) Repaired R/H Wing Structure Flap, and Gear Door Due to Tire Blow Out Per SC 1159CS806 t/W AD 74-17-05 Reactivate Ground Splr System Per ASC 180 And Installed Ground Splr Inspector Window Per 1159RDF260 C/W Safe Flight "Spded Control Auto' Throttle" Modification STC SA 722 EA Relocated Safe Flight Accelerometer Per 1159RDB343 Installed Dual Collins NCS-31 System Wiring Per EAS DWG 180601 Structural Attachment I/A/W AC 43-13-1 Chapt 11 Ibstallation of complete Avionics Package (Wiring And Sheetmetal) 8 Pages Installed Interior Emergency Lighting "System, Installed Page Gulfstream Jufflpseat STC 1918 SW Installed Cabin inSulation, Relocated APU Speed Logit Control Per STC SA 2512 WE Installed BKM Master Warn Interface Unit Per STC SA 1613 SW. Installed Oil Tank Sight ;Gage Flout Per STC SA 994 EA . . CoTplete Int9rjor Installation (10 pages) •W/ Eiec load analysis.`, EFTA00278325 FAA AIRCRAFT REG/STRY•• CAMERA NO. 3A/ DATE: 3 —42 7 — c7-5: • .:"; 45, - • 7e. • t•-eniVrtir :•• jet;t.as • .• agt1:, • •'.4iv•at '..1Col: ••: • • *- EFTA00278326 IB S/N 151 N-979RA Attachment for Application for Airworthiness Certificate for,GI EFTA00278327 .4 1 • • atrTte...C..• at i t ••." .41470 ., 7:.? ...:0-st. 4. e: • •. - ▪ 'LL- etrallow- . EFTA00278328 ..,. • DEPARTMENT OF TRANSPORTATION INSTRUCTIONS —, Prir.t or type. Dc not write in shaded areas; these are for F 4A FEDERAL AVIATION ADMINISTRATION : . - use only Submit original crgy to an authorized FAA Representative. II additional space use ts required, an attachment. For 'special flight minus complete Sections ll and VI or APPLICATION FOR AIRWORTHINESS CERTIFICATE vii as aPPliCable • ICRAFT1 1. REGISTRATION MARK 2 AIRCRAFT 'UILDER'S NAME Wend 3. AIRCRAFT MODEL DESIGNATION le .YR. MFG. FAA CODING . - N-979RA GULFSTREAM G-11596 1 .1974 SCR IPTION 5. AIRCRAFT SERIAL NU. B. ENGIN9 BUILDER'S NAME Marl 7. ENGINE MODEL DESIGNATION 151 - ROLLS-ROYCE SPEY MI:511-8 8:NUMBER OF ENGINES I. PROPELLER BUILDER'S NAME Mahe 10.PROPELLER MODELDESIGNATION 11.AIRCRAFT IS. TWO "N/A . - ' N/A . KKKKXXXXXXI I IMPORT APPLICATION IS HEREBY MADE FOR: lava no:tat* items/ A fc STANDARD AIRWORTHINESS CERTIFICATE Proms cap:WI INORMAL 1 UTILITY ACROBATIC TRANSPORT I I GLIDER 1 I 3ALLOuN X SPECIAL AIRWORTHINESS CERTIFICATE (ClocUerretet• tonal • LIMITED C., ,. • us • -' - CLASS I PROVISIONAL ithelicets duel • nit. tu CLASS It 3 ,----7 0 i A" GRICULTLHTEANDPEST CONTROL tu 2 • AERIAL SURVEYING 3 i $114 : ' I tK IA LTISING REST RICTED andicat mention to ..,, . 2 be conducted/" FOREST (Wedge conservation, 4 PATROLLING i I I WEATHER CONTROL 0 • ISM ... L.11 ,• " OTHEn Mosey/ IgrAll V RESEARCH AND DEVELOPMENT 2 AMATEUR BUILT 3 I EXHIBITION EXPERIMENTAL (lactate opeciNonis/ • tobecondueral) t_'. .,4 RACING I ---..:,- CICW TRAINING 4 MKT SURVEY TO SHOW COMPLIANCE WITH FAR .. " Lq r, FERRY FLIGHT FOR REPAIRS. ALTERATIONS. MAINTENANCE OR STORAGE • Sc'ECIAL FLIGHT PERMIT (indicate r. -r operand" robe conducted. then 6 it EVACUATEFROM AREA 0F9.1PENDING DANGER 0 ccfneNteSeirion Woe Win Vadat* on Jenne sloe! 2 OPERATION IN EXCESS OF MAXIMUM CERTIFICATED TAKEOFF WEiGHT 4 I DELIVERING OR EXPORT 4 PRODUCTION FLIGHT TESTING C 1I I MULTIPLE AIRWORTHINESS CERTIFICATE (Check ABOVE "RettfiCtOd °prawn"and "Standen:I- or "bmgeo." es ODDiCable ) A. REGISTERED OWNER fAs shown on certificate ot aircraft registration' • IF DEALER. CHECK HERE I NAME ADDRESS • OGDEN-AMERICAN CORP. WESTCHESTER tOUNTY AIRPORT WHITE PLAINS, NY. El .AIRCRAFT CERTIFICATION BASIS !Check applicable blocks andcornplete 'firsts III. OWNER'S CERTIFICATION indicated) .. AIRCRAFT SPECIFICATION OR TYPE CERTIFICATION DATA SHEET (GinNo.- AIRWORTHINESS DIRECTIVES (fleck if arrappl-cao:e AD's compieo awn ono cve and Revision Nod . N/A AIRCRAFT LISTING (Give page nomberfin - • Attest AD Nod Na SUPPLEMENTAL TYPE CERTIFiCATE Iter numoet ot taco S7.:axon:lowed) N/A N/A C. AIRCRAFT OPERATION AND MAINTENANCE RECORDS • - - b._or---diN/A HECK IF RECORDS IN di TOTAL AIRFRAME HOURS (Enter for usedaircraft °Nei EXPERIMENTAL ONLY 'Enter Frours lbws since Last Certibcare caved' t, OMPLIANCE WITH A AR 9i.i 73 3586.00 HR. ' /' D. CERTIFICATION - I hereby certify that I am the owner (or his agent) of the aircraft described above; that the aircral: is registered with the Federal A;iialtof - Administration in ecccordence with' Section 501 of the Federal Aviation Act of 1958, and applicable Federal Aviation Regulati,ms; and that the aircrati. has been inspected and is ainvortiw and eligible for the airworthiness certificate requested. DATE OF APPLICATION NAME ANDTITLE /Print or Time/ 5/16/8.4 ROY CHRISTIANSEN - AGENT A. THE AIRCRAFt• DESCRIBED ABOVE HAS BEEN INSPECTED AND FOUND AIRWORTHY BY: (Complete this rion only if FA .183 (di appbes) VERIFICATION FAR PART 121 OR 127 CERTIFICATE HOLDER (Give IV. IANINZT 10N CERTIFICATED MECHANIC (Gat ' CERTIFICATED REPAIR STATins IGin Certificate 2 Corn:Kate No.I Cettikste No.! • . ..• No .. • AIRCRAFT MANUFACTURER (GNI; monied finn1 aml DATE TITLE SIGNATURE • . - I (Check ALL topic** blocksin nen A andEl . ... Vi„)( THE CERTIFICATE REQUESTED V . FAA is A.I find that the aircraft described in Section I or VII meets requirernentS for: AMENDMENT OR MODIFICATION OF CURRENT AiRwORIHINESc CFR 1 FICATE B. Inspection for a special flight permit under section VIE FAA INSPECTOR REPRESENTATIVE • was conducted by CERTIFICATE HOLDER UNDER'. i • FAA 65 FAR 121 OR 127 I FAR 145 DATE DISTRICT OFFICE DESIGNEE'S SIGNATURE AND N CERTIFICATION FAA INSPECTOR'S SIGNATURE . , ACE 181A-1 for.../KS-. DMIR 5/24/84 SAV-MISO PATRICK J. L CH ACE-1 FAA Form 8130-6 14.801 SUPERSEDES PREVIOUS EDITION . ,••• n. • '• . • , .4-mun : 34 aliar. .. • eu:n2.:YM• 1.77,7:-- • • S—• • - .411:714irast... • • air • EFTA00278329 .. A.MANUFACTURER • Fumed \ 3'. \ 3 I I — • .....: - ' ADDRESS • ' . • • VI. PRODUCTION • . B.PRODUCTION BASIS (fleck spoficabb item/ . • - IPROc • '•N CERTIFICATE Winprocksticm aninalts Humble ' TYPE CERTIFICATE ONLY • . . FLIGHT TESTI? APPROVED PRODUCTION INSPECTION SYSTEM r • • ' C.GIVE QUANTITY OF CERTIFICATES REQUIRED FOR OPERATING NEEDS ti;--i"---a-So _ DATE OF APPLICATION NAME AND TITLE (Prot et shift . . , • SIGNATURE • • •• • • A.DESCRIPTION OF AIRCRAFT • REGISTERED OWNER ADDRESS • .• • . • BUILDER (Mats/ MODEL . . ...-. —.. ‘ o!'• ' • ' • i SERIALNUMBER • • REGLSYBATON MARX • rn" :• ... . l ... l N, B.D SCR IPTION OF FLIGHT VII. SPECIAL FLIGHT PERMIT PURPOSES OTHER THAN PRODUCTION FLIGHT TEST FROM . T .: • e . , ..• VIA . . . •• DEPARTURE DATE DURATION - I C .CREW REQUIRED TO OPERATE THE AIRCRAFT AND ITS EQUIPMENT : - L PILOT CO-PILOT NAVIGATOR I OTHER afracifv/ ... • ' D.THE AIRCRAFT DOES NOT MEET THE APPLICABLE AIRWORTHINESS REQUIREMENTS AS FOLLOWS: - • • . , .. S' . • • . . . . .-.. '• - •• ' • . . . .. . - f•• - . . . " / • I • ' - .. .. • • .. . ' . • • i E. THE FOLLOWING RESTRICTIONS ARE CONSIDEREO NECESSARY FOR SAFE OPERATION IllsofittocAmont it necessary) . •• . . . : • • N. . • • ' . . F. CERTIFICATION — I hereby certify Mallon the regal for his agent/ of the aircraft described above; that the aircraft is registers, with the Federal Aviation Administration in accordance with Section 501 of this al Aviation Act of 1968, and applicable Federal Aviation Regulations; and that the airciaft has been inspected and is airworthy lot the flight dirtied. • DATE NAME AND 'NILE nhint or owe; SIGNATURE . . 2 top A. Operating Limitations and Markings in Cornpliande with FAR G. Statement of Conformity, FAA Form 8130-9 (Attach when.requiredl to— ww 91.31 as Applicable H. Foreign Airworthiness Certification for Import Aircraft z ot it 1-. X B ,Current Opeating Limitations Attached . . . IA torch when requinxf1 t- It 0 I. Previous Airworthiness certificate Issued in Acmdanco with et • C. Data, Drawings, Photographs. etc. (Amen soften required) 0... 2 ; 3 4 X et 0 4 D. Current Weight end Balance Information Aviilable in Aircraft ' FAR 21.183 (d) CAR - !Original enschern <Oil: J . Current Airworthioass Certificate Issued in Accordance with E. Major Repair and Alteration. FAA 337 fIttsch when ',oz.:Trod) . ≥ X F. This Inspection Recorded in AircraftFtessords .. X -- FAR 21 191 (b) . so-Rye/ate& • nY • .;:*: ,.. kt tOrti llt.i l f>n r: ' '741;17.de , EFTA00278330 UNITED STATES OF AMERICA DEP4R•TMENT OF TRANSPORTATION -FEDERAL AVIATION ADMINIST RATION STANDARD •AIRWO NESS CERTIFICATE 5. AUTHORit T AND BASIS FOR 1551JATICEJ -'1‘-----t- -=:" iTh \\\zi This airworthiness certikohrtisfissued pursuenCiel lie ire o) Aviation NO ok 958 and ' . dote of issuance. Ow oircrtift to."-rerhich issued hial-inirs•- certifies that, os of the • inipectvel and fogad cordage; therefor. to be in condition fed...sole opedstian,_dad.A6C-Isiers 'shown to Mak therequiremeto the type certificate reatatrhentivst and detailed oirworthines4 'code as-inracred by Alien nts of the applicable Aviation, except as noted'herein. i TO- TS Hors en Intermission& Civil ' . .---..--7.: Alai t Exceptions: -/ TERMS AND CONDITIONS • ✓ Unless sooner surrendered. 'statische). revolted, or a is m:notion this airworthiness certificate is Aective as long Orem KICH", performed in accordance with'Partyll.r 43, and 91 of the aircraft is registered in the Unitodekftes. Any olterotIon. roorodutlion. or misuse of this certificate prisonment not exceeding 3 years, or both. THIS CERTIFICATE ANCE WITH APPLICABLE FEDERAL AVIATION REGULATIONS. . FAA Form 8100-2 (7 671 . PORMERLY FAA FORM 1362 EFTA00278331 1...try‘cr - . EFTA00278332 'UNITED STATES OF AFIERICIle DEPARTMENT OF TRANSPORTATION — FEDERAL AWATIONADMININTRATION SPECIAL AIRWORTHINESS CERTIFICATE: A CLASSIFICATION: EXPER . PURPOSE: gm 'S MANU- FACTURER ACTOR - - CRON C FLIGHT In ' TO N— 97944.A S 7. .4R NO. ibl. D ii BUILDER a M liele11596 DATE OF ISSUANCE r io 5 RY 6/24/84 OPERATING LIMITATIO Bil 5/ 4/4 /411 E A PART OF THIS CERTIFICATE E SI E T a I"' ESIGNATION OR OFFICE NO. PAIR . fli OPI1R ACE 1055 Any &Imam. tvprcatortal. or mime of this oertacato may to potilhabie by n Enno con -- enthwg late tit not ninandlas 3 yawn, or beds. TIM WG ITHPICATE MUST BE DISPLAYED IN TEEL MR- CRAET EN ACCORDANCE IWITFI APPLICABLE; FEDERAL AVIATION REGITIATIONE. B • tasatrt-IRROSir--t---- amTRI6•MerEltrolgati__LIRSIERF ", • ..• .• r• v• ^-• . ---311W r ..ertw•-• " ed' EFTA00278333 . . • This airworthiness certificate' b head ttadat the authority of the Federal Aviation Ast a 1958 end the Federal Aviation Regulations (FoR). @. • This eh.. Linnets certificate authorise the coantrfacturer netted on the reverse side to conduct production flight tests, and only production flight tests, of Aircraft registered in his B name. No person may conduct production flight tests order this certificate: (1) Carrying persons or property ter compensation or hiniu atallor (2) Coming persons not essential to the purpose of the flight. _ • .- . . c This sirworthinen certificate authorises the flight apecifisd ad the reverse side for the pur- pose shaven in Block A.. Tara airworthiness certificate certifies that. as of the date of issuance, the aircraft to which issued has been inspected and found to meet the requirements of the applicable FAR. The aircraft does not ...neat the requirements nf the applicable comprehensive end detailed aft; D worthiness code as provided by. Armes 8 to the Convention On International Civil Avis- - thin. No person may operate the aircraft described on the reverse side: (1) ercept in accord- ance with the applicable FAR and in accordance with creiclitions and limitations which run be prescribed by the Administrator a pan of this certificate; (2) over any foreign country • without the special permission of that country. .-.-4 Unless sooner nupentled, or revoked, this eirwortlxinets certificate is effective' E for the duration and, under the conditions prescribed in FAR Part 21, Section 2L181 or 21217. . • • - nen= `.." ---..'-' nff e .tr . ...anIDAS•ITCASITTPTagniai .... _ ditei = .:• •7 C.%"n . iCp ft- !.t•ir CilterwrazdarafiSr s7-.-Itera'SOF TWOI•nt• — — EFTA00278334 Vilick i 4 DEPARTMENT Of tautsFosnanotLI:i" - • FormAAPromIci- FEDERAL AVIATION ADMINISTRATION " Budget Bureau No. 04—R0i50.1 MAJOR REPAIR AND ALTERATION FOR FAA USE ONLY OFFICEmlifigeffeftoo (Airframe, Powerplant, Propeller, or Appliance) 74.67 INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B, and AC 43.9-1. (or subsequent revision for instructions and disposition of this form. thereof) MAKE MODEL GULFSTREAM i 1. AIRCRAFT .. , G-1159B SERIAL NO. . . ... NATIONALITY AND REGISTRATION MARK 1.51 -.: .- -...-. , •- • - . .. U . S .A . N -979RA NAME (As shown on registration certificate) ADDRESS (As shown on registration certificate) 2. OWNER • WESTCHESTER COUNTY AIRPORT OLDEN-AMERICAll CORP.. WHITE PLAINS, NY 10604 3. FOR FAA LISE ONLY. • c, -• &.:: • . ::.:.•-!-:•-: • .: .. . . .. -. . . ... •• • . .. •• . . • ..- . ....-.. .. .. . .... . , 4. UNIT IDENTIFICATION S. TYPE UNIT aMUCF . MADOEL SERIAL NO. ALTER- REPAIR ATION . _ AIRFRAME sienetenest (As descra,ed in item I above)siNianntreetann X X POWERPLANT _. . . . . ..._....... • - . . . a PROPELLER TYPE / . I APPLIANCE MANUFACTURER \-\\ 6. CONFORMITY STATEMENT A. AGENEY'S NAME AND ADDRESS S. Kil4D Of AGENCY C. CERTIFICATE NO. GULFSTREAM AEROSPACE CORPORATION u.s. csansic.Asso MECHANIC P. 0. BOX 2206 —. TRAVIS FIELD FOREIGN CERTIFICATED MECHANIC SAVANNAH, GA.. 31402 X CERTIFICATED REPAIR STATION • 701-10 isAssusAcrusit D. I certify that the repair and/or alterationmade to the ubii(s) identified in item 4 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 and that the information furnished herein is true and correct to the lieu of my knowledge. Regulation?, DATE • SIGNATUR . . . E. OF AUTHORIZ .. ED INDIVIDUAL . 5/ 30/84 PATRICK J. LYNCH 7. APPROVAL FOR RETURN TO SERVICE en Pursuan to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and. is ['APPROVED LLREJEC. FAA H.T. STANDARDS MANUFACTURER OTHER (Specify) INSPECTOR IN:SPKTIC44 AUTHORIZATION BY CANADIAN DEPARTMENT ./14. FAA DESIGNEE „, REPAIR STATION . Of TRAM:SPORT IN A Of P.M:RAFT DATE OF APPROVAL OR CERTIFICATE OR SIGNATURE OF AUTHORIZED INDIVIDUAL REJECTION DESIGNATION NO. 5/31184 701-10 PATRICK J. LYNCH ec.cue h• -„--e-d___ - • •alas' ,4c-Al EFTA00278335 • NOTICE . Weight opdsbolance or operating, mitation changes shall be..entered in the appropriate aircraft record. An alteration must be compatible withall--previoas alterations to assure continued conformity with the applicable airworthiness requirements. DESCRIPTION OF WORK ACCOMPLISHED.(If more spaceis required, attach additional sheets. Identify with air- • craft nationality and registration mark ancrdate work completed.) . . -. ACTL: 488 LANDINGS REF. GULFSTREAM AEROSPACE CORPORATION WORKORDER NO CO2-1517084-2924 SECTION INCORP. GULFSTREAM AEROSPACE CORPORATION AIRCRAFT SERVICE CHANGE NO.299 "45,000 FOOT OPERATING ALTITUDE": . .•.,. NOTE:'-' 1 = REF.'41SC'299 "45,000 FOOT'ORERATIN6ALTITUDE - CERTIFICATION 4k ..• REVISE WEIGHT AND- BALANCE REPORT,AND AIRCRAFT EQUIPMENT LIST AS DUE 3.-'INCORP.'GULFSTREAM AEROSPACE CORPORATION AIRCRAFT SERVICE CHANGE NO.299 "45,000 FOOT OPERATING. ALTITUDE" 'NOTE: AIRCRAFT FLIGHT MANUAL SUPPLEMENT NO. G-II-81 -02 (FAA APPROVED) PLACED IN OPERATOR AIRCRAFT FLIGHT MANUAL.. •,, PRE-REQUISITES INSTALLED: - 1.- GULFSTREAM AEROSPACE CORPORATION A AIRCRAFT SERVICE CHANGE NO. 114-AIR- COND. AND STRUCTURE CABIN PRESSURIZATION 6000 FT. CABIN ALTITUDE AT 43,000 FEET,- REWORK OF: - 2. GULFSTREAM AEROSPACE CORPORATION AIRCRAFT SERVICE CHANGE NO. 122 "FUEL BOOST PUMP PROVISIONS FOR NEW=MODEL". 3' FUEL BOOST PUMP'P/N 1159SC011 INSTALLED. 4- ENGINE FUEL FLOW REGULATIONS (LEFT & RIGHT) PIN CASC174 OR LATER IN- STALLED: 5. REF. GULFSTREAM AEROSPACE CORPORATION CUSTOMER BULLETIN NO. 302 "ENGINE ACCELERATION AND DECLERATION TIME TEST/ADJUSTMENT" - ENGINE ACCELERATIO, AND DECELERATION TIME CHECKS COMPLETED. 6 -PLACARD P/N 1159820283-11 INSTALLED. . . 7-- FOLLOWING -AIRCRAFT- RECORDS REVIEWED: ...iA FAA FORM 337'S -- B SUPPLEMENTAL TYPE CERTIFICATE ' C CURRENT STATUS OF-ALTIMETER CERTIFICATION (0 WEIGHT'AND BALANCE REPORT CURRENT STATUS' ... EFTA00278336 FAA AIRCRAFT REGISTRY CAMERA NO. 3A/ DATE: 3 -.V745 . . PAGE 2 of 2 FAA FORM 337 G-1159B PROD. NO. 151 N-979RA DATED 5/31/84 CONT. 2 - INCORP. GULFSTREAM AEROSPACE CORPORATION AIRCRAFT SERVICE CHANGE NO: 300 "GIIB WING MODIFICATION" PER GULFSTREAM AEROSPACE CORPORATION TOP DRAWING NO.115925000'REV:ILE:0:•E4*&*E7- . , A; PAINT EXTERIOR OF AIRCRAFT PER GULFSTREAM AEROSPACE CORPORATION DWG# SC*26505501 INSTALL GII LANDING.LIGHT MOD. PER GULFSTREAM AEROSPACE CORPORATION DWG.#*SE'2128800101 INSTALL GIII RADOME PER GULFSTREAMAEROSPACE CORPORATION DWG.# 1159SCB2064 . . INSTALL LIFELIN E ATTACHMENT MOD. ON WING.PER GULFSTREAM AEROSPACE CORPORATION DWG.#'1159RDF631 REPAIR V. FIN R. BEAM DEV. TO ASC 231 SP 50G DEV. AV 25006 DEV. TO ASC 294 , DEV. AOA W.D. LOG. NUTCRACKER W.O. STALL BARRIER SYSTEM SE 21318004-01 A.F.M.S. REQUIRED G-IIB-82-001 RETRACTABLE LANDING LITES G-IIB-82-003 SIX PANEL SPEED BRAKES 41118EFAC tR"sF EFTA00278337 .'• ! 14" . WCI.7 I re . - • sIlitcy• ..• EFTA00278338 - - DEPARTMENT OE TUNSPORTATION - . ,..„, Fen* Akfuotud • FEDERAL AVIATIONAWAINISTitATIOW • - 'N . Budget Bureau No. GE-R060.t • FOR FAA USE ONLY MAJOR REPAIR AND ALTERATION . OFFICE thialtifTELOym fAirfrcime, Powerplant, Propeller, or Appliance) 7-0-::. 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 forte. •• • i " • • -' ' ' ' •' MAKE .- MODEL • • ' • . GULFSTREAM • % -- •• : •.: G-1159ri. 1. AIRCRAFT >SERIAL NO.' • NATIONALITY AND REGISTRATION MARK ..> 1.51 U,S.A. N-979RA . NAME (As shown on regidiatieri eeetifioatel ADDRESS (As shown on registration certificate) 2. OWNER - -• , WESTCHESTER COUNTY AIRPORT OGDEN-AMERICAN CORP. . ' WHITE PLAINS, NY 10604 • 3. FOR FAA USE ONLY • • . - . . • -- . . . . .:...:— s••• , . ;• . _ " . - . • - '• , . . _ _.. . .. '. • -.• • - • 4. UNIT IDENTIFICATION • • S. TYPE MAXI . .. "SERIAL NO. ALTER- UNIT REPAIR • — . AVON , • AIRFRAME ww•••••••••••••••••••• (Asdeseralled in itern I above)••••••••••••••••••••••• : X X . . POWERPLANT . • - . - • ... .• • . . . - • PROPELLER .• • - • • .. • TYPE ' • _ .. .- . , • .. • APPLIANCE MANUIACTUIER - .. - .. ... . .. - . . ,......- . . • 6. CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS B. KIND OF AGENCY C. CERTIFICATE NO. GULFSTREAM AEROSPACE CORPORATION ' u. . aRTNICATED MECHANIC P..0. BOX 2206 - TRAVIS FIELD FOREIGN EIRTINCATED MECHANIC ' SAVANNAH, GA. 31402 . ' - -- x CERP.EICATED REPAIR siAtioN 701-10 .... • MANUFACTURER • D. I certify that •the repair and/or alteration niade'to the•unit(s) identified in item 4 above and described on the reverse Of attachments hereto have been made in accordance with the requirements of Pact 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is tree and correct to the best of my knowledge. DATE - SIGNATURE _ . OF AUTHORIZED INDIVIDUAL • • - • -- . • ,.. a_!..„ ., • 5/30/84 • PATRICK J. LYNCH fro.... .../C . • 7. APPROVAL FOR RETURN TO SERVICE - Pursuant to the authority given persons 'periled below -the unit identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is []APPROVED QREJECT£D OTHER (Siseify) , fAA H.T. STANDARDS MANIKFACTUREW INSPECTION AUTHOMEATION INSPECTOR . - . _ . .. .. BY ... CANADTAN DEPARTMENT FAA DESIGNEE X REPAIR STATION - OE TRANSPORT ftsrearot . c • Of AMOUUT .. CERTIFICATE OR SIGNATURE OF AUTHORIZED INDIVIDUAL. • DATE OF APPROVAL OR • REJECTION • . DESIGNATION' NO: . .„,...eff ...... . 5/31/84 . - 701-10. . PATRICK J. LYNCH Po— --ki • 410*:.o.--Tmiserirkumeoceeorow‘lie.,,;. .•••••• EFTA00278339 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, - 8. DESCRIPTION OF WORK ACCOMPLISHED (If more space is required, attach additional sheets. Identify with air- : croft nationality and'registration mark and date work cempleted.) ACTT: 3586 ACTL: 488 LANDINGS REF. GULFSTREAM AEROSPACE CORPORATION WORKOROER NO CO2-151-084-2924 SECTION 1 - INCORP. GULFSTREAM AEROSPACE CORPORATION AIRCRAFT SERVICE CHANGE NO.299 "45,000 FOOT OPERATING:ALTITUDE". . _ . . . REF..ASC 299 "45,000 FOOT OPERATI NG ALTITUDE - CERTIFICATION R4VISEWEIGHTANOBAL. ANCE-REPORT' _ AND AIRCRAFT EQUIPMENT LIST AS DUE 3 - INCORP...GULFSTREAM AEROSPACE CORPORATION AIRCRAFT SERVICE CHANGE NO.299 "45,000100T OPERATING ALTITUDE" , NOTE: , AIRCRAFT FLIGHT MANUAL SUPPLEMENT NO. 6-II-81-02 (FAA APPROVED) PLACED IN - • ; OPERATOR AIRCRAFT FLIGHT MANUAL. PRE-REQUISITES INSTALLED: 1.- GULFSTREAM AEROSPACE CORPORATION A AIRCRAFT SERVICE CHANGE NO. 114-AIR COND. AND STRUCTURE CABIN PRESSURIZATION 6000 FT. CABIN ALTITUDE AT 43,000 FEET, REWORK OF. -- . GULFSTREAM AEROSPACE CORPORATION AIRCRAFT SERVICE CHANGE NO. 122 "FUEL 'BOOST PUMP PROVISIONS FOR NEW.MODEL". 3.. FUEL BOOST PUMP P/N 1159SC011 INSTALLED. 4 ENGINE FUEL FLOW. REGULATIONS (LEFT & RIGHT) P/N CASC174 OR LATER IN- STALLED. • 5 REF. GULFSTREAM AEROSPACE CORPORATION CUSTOMER-eULLETIN.NO. 302 "ENGINE ACCELERATION AND DECLERATION TIME TEST/ADJUSTMENT" - ENGINE ACCELERATIO3 AND DECELERATION TIME CHECKS COMPLETED. PLACARD P/N 1159820283-11 INSTALLED. 7 FOLLOWING AIRCRAFT RECORDS REVIEWED: A FAA FORM 337'S 8 SUPPLEMENTAL TYPE CERTIFICATE C CURRENT STATUS OF ALTIMETER CERTIFICATION D WEIGHT AND BALANCE REPORT CURRENT STATUS o- EFTA00278340 FAA AIRCRAFT REGISTRY CAMERA ' NO . '3A/ DATE: 3 7- _ . • •• • . - • . SECTION 2 - INCORP. GULFSTREAM AEROSPACE'CORPORATION AIRCRAFT SERVICE CHANGE NO. 300 "GIIB WING MODIFICATION" -PER GULFSTREAM AEROSPACE CORPORATION TOP DRAWING NO. 115925000 REIL.D.E;O:. E4.8.1E7 SECTION 3. A. PAINT. EXTERIOR4F AIRCRAFT-PERGULtSTREAM AEROSPACE CORPORATION DWG.# SC 26505501 . • . , . . INSTALLGII'e.AN6ING LIGHT MOD..PER GULFSTREAM AEROSPACE. CORPORATION OWG.# SE21488001-01 -••••3. • . . . ' C. INSTALL.EIII RADONiPER.GULFSTREAM AEROSPACE CORPORATION DWG. # .1159SCB206B D. INSTALL LIFELINE ATTACHMENT•MOD. ON WING PER GULFSTREAM AEROSPACE CORPORATION DWG.# 1159RDF631 SECTION 4 BELOW LISTED GULFSTREAM AEROSPACE CORPORATION DRAWINGS APPLY. DWG. NO. , SUBJECT REPAIR V. FIN R. BEAM SE 23124043' - DEV. TO ASC 231 SE 23322013 SP,t0G DEV. AV 25006 SE 231.04046 DEV. TO ASC 294 SE 21338006 DEV. AOA SE 23132003 • • W.D. LDG. NUTCRACKER SE 23127002 \ W.D. STALL BARRIER SY - SE 23139005 A.F.M.S. REQUIRED . G-IIB-82-001 'RETRACTABLE LANDING LITES RETAIN G-IIB-82-003 SIX PANEL SPEED BRAKES t• EFTA00278341 FAA AIRCRAFT REGISTRY CAMERA1/4 NO. 3// 3 -.1 7 43 DATE: ••• - nct- - ..Ez. -"-l'n, illnars- • ;..,--- :,..-- ---' 7 51'7-"Tenr, ---4:•:-4. .)"- .:IX-.."?'"A. T.,- Aft.,.., ,WrZli;:mi..P•••-•.:x4k; e.**•;-:-4..7. Ty- - kt.......;.- - ...,•r.. • ''' k, A' ;.irtitZ.17,14,5 i - 5... '" N;,..i.n-n, . ". linY.. ,.ilier _,- 4.-, 4;1 . V •• • z1•-iii .1 4 ti n ..ft‘'.7‘;‘:1--% • c -; • • . , EFTA00278342 DEPARTMENT OF naanSPOitiAMON' Fora Approned . FEDERAL AVIATION ADMINISTRATION •••••• : :.: • - - - Budget Bureau No. 04-R06O.1 -MAJOR REPAIR AND ALTERATION, - FOR Fill IISE ONLY • OFFICE Ipityl i gle2N . (Airframe, Powerplant, Propeller, or Applian ce) 7-0-01 INSTRUCTIONS: Print or type all entries_ See FAR'43.9, FAR 43 Appendix El, and AC 43:9-1 (or subsequen for instructions and disposition of this form. • t revision thereof) - - • MAKE I MODEL GULFSTREAM G-1159B 1. AIRCRAFT ea SERIAL NO. NATIONALITY AND REGISTRATION MARK 151 - U.S.A. N —979RA NAME (As shows: on registration certificate) - ,. ADDRESS (As shown on registration certiFcate) 2. OWNER WESTCHESTER COUNTY AIRPORT OGDEN-4311ERICAN CQRP. WHITE PLAINS, NY 10604 3. FOR fAA USE ONLY .• - - 4. UNIT IDENTIFICATION 5. TYPE - . UNIT MAX/ . MOOR ALTER- SERIAL NO. REPAIR ATION • AIRFRAME . eeenairens (As descraied in item 1 Save)noineeto-nonneenon X POWERPLANT PROPELLER TYPE APPLIANCE MANUFACTURER 6. CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS , B. KIND OF AGENCY C. CERTIFICATE NO. U.S. CERTIFICATED MECHANIC GULFSTREAM AEROSPACE CORPORATION FOREIGN CLITIFICATED MECHANIC P. O. BOX 2206 - TRAVIS FIELD SAVANNAH, GA. 31402 X CERTIFICATED REPAIR STATION 701-10 - MANUFACTURER D. I certify that the repair and/or alteration made to the unit(s) identified in ;kern 4 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 furcultied herein is true and correct to the best of my knov. ledge. DATE SIGNATURE OF AUTHORIZED INDIVIDUAL .... 5/12/84 PATRICK J. LYNCH (E)o-C--A /k. 7. APPROVAL FOR RETURN TO SERVICE Pursuant to the aLthority given persons specified below, the unit encified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is APPROVED U REJECTED FAA ELT. STANDARDS OTHER (SponEr) MANUFACTURER INSPECTION AUTHORIZATION INSPECTOR BY CANADIAN tEPARTMENT., - FAA DESIGNEE X REPAIR STATION OP TRANSPC2T INSPECTOR Of AJRCIAFT DATE OF APPROVAL OR : CERTIFICATE OR SIGNATURE OF AUTHORIZED INDIVIDUAL REJECTION DESIGNATION NO. 5/14/84 701-10 ' PATRICK J. LYNCH 1 / 4"cknj - k-/cis - ---42,0( -• • ' ^ flicepr4.F• EFTA00278343 NOTICE-. . Weight and balance or operating limitation changes shall be enteredIn the oppropiiate aircraft - An alteration must be compatible with all previous alterations to assure continued record. cpnformity with the applicable airworthiness requirernents. 8. DESCRIPTION OF WORK ACCOMPLISHED. (If more space is required, attach additional sheets. craft nationality and registration mark and date work completecf.) REF. GULFSTREAM AEROSPACE CORPORATION WORKORDER NO. CO2-151-084-2924 REPAIR VERTICAL FIN BEAM MIDDLE HINGE RIB ATTACHMENT PER G.A.C. DWG. NO. SE 25407101 • :•-- ••-• ••• SUS. o.r.o. 1972/720494/545/1303 M7 ' • • .744,.s.:A3 ' EFTA00278344 DEPARTMENT OF TANSPORTATION ' . Fora Approved BadgerBureau Na.04-R060.1 . FEDERAL AVIATION ADMINISTRATION ' FOR FAA USE ONLY . MAJOR REPAIR AND ALTERATION. • C"--pThETEFRTI (Airframe, Pewerplanf, Propeller, or Appliance) OFFI ON 7-0-0 I INSTRUCTIONS: Print or type all entries. See FAR 43.9. FAR 43 Appendix B, and AC 43.9—I (ot subsequent revision thereof) for instructions and disposition of this form. MAKE MODEL- GULFSTREAM I G-11598 1. AIRCRAFT SERIAL NO. NATIONALITY AND REGISTRATION MARK 15I -• U.S.A. N-979RA NAME (As shown on registration certificate) ADDRESS (As shown on regixtrcrtion certificate) 2. OWNER Westchester County Airport OGDEN-AMERICAN CORP. White. Plains,' NY - 10604 3. FOR FAA USE ONLY - • ••• • . •..- . . • •• ..-- .,. •. - - . .. .-...- - • - • ••• • •. --- -• •-- • . • • .- •• - - • . .• :- ...-- 4. UN IDENTIFICATION S. TYPE UNIT MARE MODEL SERIAL. NO. tin IR ALTER- ATION • AIRFRAME amentaannamaan (As described in item 1 above)nneenensemenne X X POWERPLANT ... .. . PROPELLER _ TYPE . APPLIANCE - •• MANUFACTURER - .• . • 6. CONFORMITY $TATETAENT A. AGENCY'S NAME AND ADDRESS 5. LINO •.Of AGENCY C. CERTIFICATE NO. U.S. CERTIFICATED MECHANIC GULFSTREAM AEROSPACE CORPORATION FORE /ON CERTIFICATED MECHANIC P. 0. BOX 2206 - TRAVIS FIELD x CERTIFICATED REPAIR STATION 701-10 SAVANNAH, GA. 31402 MANUFACTURER D. I certify that the repair and/or alteration made to the units) identified in item 4 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 (washed herein is true and correct to the best of my knowledge. DATE SIGNATURE OF AUTHORIZED INDIVIDUAL 5/11/84 PATRICK J. LYNCH eank1 7. APPROVAL FOR RETURN TO SERVICE Pursuan to the authority given persons specified below, the unit entified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is APPROVED IIICREJEL. f}-0 OTHER (SpersFy) FAA RT. STANDARDS PAANUFACRIttlt INSPECTON AUTHORIZATION INSPECTOR BY CANADIAN DEPARTMENT FAA DESIGNEE X REPAIR STATION OF TRANSPORT INSPECTOR Sit AIRCRAFT DATE OF APPROVAL OR CERTIFICATE OR SIGNATURE OF AUTHORIZED INDIVIDUAL REJECTION DESIGNATION NO. 5/12/84 701-10 PATRICK J. LYNCH r eit.A.A71wAY,A,,,,j_ki • reditia 4 :=Iic=t1t• ' EFTA00278345 NOTICE • Weight and balance or operating limitation changes shall be entered in the appropriate aircraft reco An alteration must be compatible with all previous alterations to assure continued conformity with rd. applicable airworthiness requirements. the ' - • 8. DESCRIPTION OF WORK ACCOMPLISHED (If more space.is required, attach'additional sheets. craft nationality and registration mark and date work coinpleted.) Identify with air- ACTT: 3586 ACTL: 488 LANDINGS REF. GULFSTREAM AEROSPACE CORPORATION WORK ORDER NO. CO2-151-084-2924 1. INCORP. GULFSTREAM AEROSPACE CORPORATION AIRCRAFT SERVICE CHANGES LISTED. .. A.S.C; NO;., \ f:SUBJECT • 63,300 POUND INCREASED GROSS WEIGHT MODIFICATION EXHAUST-NOISE ABATEMENT PROGRAM THRUST REVERSER INSTALLATION FLIGHT CONTROLS NORMALIZED ANGLE OF. ATTACK INDICATION INSTALLATION OF AUTO FLIGHT-INSTALLATION OF A SPLIT TRIM SWITCH AUTOMATIC FLIGHT CONTROL SYSTEM-TRIM BRAKE MODIFICATION OF SP5OG ELECTRIC TRIM BRAKE WINGS-GIIB WING MODIFICATION EXHAUST-THRUST REVERSER IMPINGEMENT DEFLECTOR INSTALLATION OF POWERPLANT-PYLON ELECTRICAL JUNCTION BOX, MODIFICATION OF ELECTRICAL POWER-LOOSE GENERATOR WIRING .s ENGING JUNCTION BOX-MODIFICATION OF ELECTRICAL:POWER-DC POWER SUPPLY SYSTEM PROTECTION-MODIFICATION OF TAIL JUNCTION BOX .LANDING GEAR-MAIN LANDING GEAR RESTRICTOF INSTALLATION OF a FLIGHT CONTROCSFUSELAGE CONT•ROL CABLE FAIRLEAD, REPLACEMENT OF 1)8.0.9.0. 1972/720.694/545/1303 -Piny • -• EFTA00278346 -PAGE 2 of 2 FAA FORM 337 DATED 5/12/84. A/C MODEL G-11598 S/N 151 -1,1-979RA' 1. INCORP GULFSTREAM AEROSPACE. CORPORATION AIRCRAFTSERVICE CHNAGES LISTED A.S:C: NO. SUBJECT. . LIGHTS-TAIL CONE LENS-REPLACEMENT OF ELECTRICAL POWER-PC17A-1 "E" INVERTER CURRENT PROTECTION-MODIFICATION • AIR CONDITIONING-AIR CONDITIONING SHUTOFF VALVE INSTALLATION . NACELLES-PYLON COOLING BAFFLE 5: EFTA00278347 cir.Wailttit :4 *-7"; • •• • EFTA00278348 3 of 3 Fg DEPAIDLENT Or TRANSPONTATION :. . • Form Approved • '-% Beeket Bateau No. 04—R060.1 J ?UAL AVIATION ADMINISTRATION l. . • FOR FAA USE ONLY MAJOR REPAIR AND ALTERATION . oFFia IDENTIFICATION (Airframe, Powerplant, Propeller. or Appliance) :. FTY FSDO .. 7 43.9.4 (or subsequent revision thereof) INSTRUCTIONS: Print or type aU entries. See FAR 43.9, PAR 43 Appendix B, and AC for instructions and disposition of this form. • . MAKE _ .. i MODEL • • -. G-1159B 1. AIRCRAFT GULFSTREAM - " SERIAL NO. NATIONALITY AND - REGISTRATION MARK 151 " . . - U.S.A. -N-979RA NAME (As shown an registration aortieteMe) . . ADDRESS (As shown eogrogistration certificcrTs) 2. OWNER N, - WESTCHESTER COUNTY AIRPORT • - -,.OGDEN-AMERICAN CORP.' : . WHITE PLAINS, NY 10604 3. FOR FAA USE ONLY - -.,.. . • . \ • - • \ • • • . . - • \ 4. UNIT IDENTIFICATION \ • S. TYPE •-• UNIT MAO MOOS \ SERIAL NO. ALTER- REPAIR ATION ' . . • AIRFRAME ••••i*••••••••••••••••• (As tiesented in item 1 above) ••••••••••••40* - X X • \- POWERPLANT -•- •.. - ' . _ . .. .. PROPELLER- . _ - • *.-. ETPE - • . . .. • ' APPLIANCE MANUFACTINIER - . . _ ' • - - - • • 6. CONFORMITY STATEMENT . . A. AGENCY'S NAME AND ADDRESS ' IL KIND OF AGENCY C. CERTIFICATE NO. GULFSTREAM AEROSPACE CORPORATION U.S. CIEDFICAND MECHANIC P. O. BOX 2206 - TRAVIS FIELD' \ fOttIGN CERTITICATI0 MECHANIC SAVA NAH, GA. , _31402 -. . .. . -. • X CRITIFICATI0 IMPAIR STATION ' 701-10 . 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 hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and thit the information furnished herein is true and correct to the best of my knowledge. DATE ' ..- ' . • -_" SIGNATURE OF AUTHORIZED INDIVIDUAL -.. - - .A/9/84 . - PATRICK J. LYNCH al:Zjeti ,,,' / 7. APPROVAL FOR RETURN TO SERVICE Pursuan to y‘ authority given persons specified below, the unit IA ntified in item 4 was • , ted in the manner prescribed by the Administrator of the Federal Avistion Administration end is . - eAPPROVED CI REJEIt'slM (3 PAS, ay. STANDARDS OMER (Smelly) MANULACIIIIER . INSPECTION AUTNORIZATION . BY CANADIAN DEPARTMENT PM DESIGNEE REPAIR STATION Of TRANSPORT INSPECTOR IP ,or AIROLAPT . DATE OF APPROVAL OR CERTIFICATE OR - SIGNATURE OF AUTHORIZED INDIVIDUAL '•IREJECTION DESIGNATION NO. 5/10/84 • " -- • PATRICK J: LYNCH (:)4.‘‘.;-)1/4:1 ' c"c.,412___ EFTA00278349 NOTICE Weight and balanCe or operating-limitatinn changes shalt be entered in the appropriate ciiriicift record. An alteration must be compatible .with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. DESCRIPTION OF WORK ACCOMPLISHED (If more space is required, attach additional sheets. Identify with o~- craft nationality and registration mark and,date work completed.) PRESENT ACTT ` 3586 HRS. ACTL • 488 'LANDINGS REF. NO. 1 - GULFSTREAM AEROSPACE CORPORATION WORKORDER NO-0O2-151-081-2588 NO. 2 - F.A.A. FORM 337 DATED 9 APRIL 1981 NO. 3 - ACTT 2741.5 HR. Att. 1617 LANDINGS - • . - . NO. 4 - PRESENT GULFSTREAM AENSPACE• CORPORATION WORKORDER NO. CO2-151-084-29' - ' A. INSTALLED BKM PITOT HEAT MONITOR MOD. PER-S.T.C. NO. SA*2907 SW PER REFERENCE NO. 1 B. REPAIRED CENTER AND UPPER. RUDDER.HINGE FITTNGS PER GULFSTREAM AEROSPACE CORPORATION DWG. NO. 1159CS20092- 1159CSM30080, AND 1159CSM20080, REF. GULFSTREAM AEROSPACE CORPORATION AIRCRAFT SERVICE CHANGE NO. 300 "GIIB WING MODIFICATION" MODIFIED RUDDER HINGES PER GULFSTREAM AEROSPACE CORPORATION DWG. NO. 1159CS5000 PER REFERENCE NO. 1&2 AT ACTT 8t ACTL LISTED AS REFERENCE ' ND. 3.. -/PCi ADDITION& SHEETS. At EFTA00278350 • DEPARTMENT OP TRANSPORTATION Li ; ,),' -.. 'FormApkrona' - . , FEE*RAL AVIATION ADMINISTRATION • - f -rat et Budget Bureau No. 04-R060.1 ,..- rift:, MAJOR REPAIR AND ALTERATION ..r.: . FOR FAA USE ONLY (Airframe, Powerplant, Propeller,.or Appliance) OF ICE IDENTIFICATION 1 (2 RilD INSTRUCTIONS: Print or type all entries. See FAR , 43.9, FAR 43 Appendix B, and AC 43.9-1 (or subsequent for instructions and disposition of this form. revision thereof) MAKE MODEL I. AIRCRAFT Gulfstream G-1159* SERIA .NO.,.. NATIONALITY AND REGISTRATION MARK 151 U.S.A. N-979RA • NAME (As shown on registration certificate) ADDRESS (As shown on registration certificate) 2. OWNER Westchester County Airport -Ogden - American Corporation White Plains, New York 10604 3.. FOR FAA USE ONLY .. . -... ... . , . , . 4. UNIT IDENTIFICATION - 5. TYPE UNIT MAKE MODEL SERIAL NO. REPAIR ALTER- ATION - AIRFRAME niterneeernnenenete (As described in item 1 above , ) X • POWERPLANT : PROPELLER TYPE i --, APPLIANCE MANUFACTURER 6. CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS '8. KIND OF AGENCY C. CERTIFICATE NO. U.S. CERTIFICATED MECHANIC Gulfstream American Corporation FOREIGN CERTIFICATED MECHANIC P. O. Box 2206 - Travis Field Savannah, Georgia 31402 X CERTIFICATED REPAIR STATION 701-10 • MANUFACTURER D. 1 certify that the repair and/or alteration made attachments hereto have been made in accordanceto the unit(s) identified in item 4 above and described on the reverse or with the requirements of Part 43 of the U.S. Feder and that the information furnished herein is true al Aviation Regulations and correct to the hest of my knowledge. DATE SLAT E F IZ D DIVIDU - 21 April 1982 - Patrick J. ync 7. APPROVAL FOR RETURN TO SERVICE Pursuan to the authority given perso ns specified below, the unit identified in item 4 was inspected in the Administrator of the Federal Avia tion Admi nistra tion and is bil APPROVED the manner prescribed by • REJECTED FAA at. STANDARDS MANUFACTURER OTHER (Sperofy) INSPECTOR utSRECIION AUTHORIZATION BY CANADIAN DEPARTMENT FAA DESIGNEE , REPAIR STATION Of TRANSPORT INSPECTOR A OF AIRCRAFT DATE Of APPROVAL OR CERTIFICATE OR " 11.,:_...... SIr cr eyellRIZED IVIDU REJECTION DESIGNATION NO. 22 April 1982 701-10 Patrick J. qinc EFTA00278351 NOTICE • Weight and balance or operating limitation changes shall be enterecl,in the appropriate aircraft record. An alteration must be compatible with all previous qftercrstions to assure continued conformity with the applicable airworthiness requirements. DESCRIPTION OF WORK ACCOMPLISHED,(If more space is required, trttado additional sheets. Identify w craft nationality and registration mark and date work completed.) 1833 Landings..; Reference Gulfstream American Corporation Woiksorder No.'"'CO2-151-082-2079' Incorporated Gulfstream American Corporation Aircraft Service Change No. 216 "Spied Brakes with Flaps and/or Landing Gear' Additional Warning" in conjunc- tion with (S.T.C. SA 23665W).BIGI Lighted Speed Brake Handle Mod. EFTA00278352 FAA AIRCRAFT REGISTRY CAMERA NO. DATE: I. 12-c; DEPART/of, lb, TRANSPORTATION , .:. l, Form Approved - FEDERAL AYIA-ICON ADMINISTRATION .:_;,_'Budge! Bureau No. 04-R060.i FOR FAA USE ONLY REPAIR AND ALTERATION MAJOR OFFICE IDENTIFICATION • • :Airframe, •Powerplant, Propeller, or Appliance) DAL GADO INSTRUCTIONS: Print or type all entries. See FAR. 43.9, FAR 43 Appendix B, and AC 43.9-1 (or subsequent revision thikkg? for- . irtirrJctions and disposition of this form. MAKE . . . MODEL ., • Grumman - G-1159 1. AIRCRAFT. .,. • . SERIAL NO. NATIONALITY AND REGISTRATION MARK - 151 . - _._.... .-- ... • ..N-97CRA - NAME (As shown on registration certificate) .. ADDRESS (As shown on registration certificate) 2. OWNER Ogden American 277 Park. Lane Corporation- New York, New York 10017 3 FOR FAA USE ONLY _ . : • • - • _ .• . ..• -, .. • • . '-• 4. UNIT IDENTIFICATION 5. TYPE'--: • ..• - . • • •• . . . • UNIT . - - MODEL SERIAL NO. ALTER- REPAIR ATION . . . . . _ .. . - . . AIRFRAME •Nrie4449:40;ine‘seani-ing (Ai qescirilked in item 1 ahove)nnenikimmenner . . . . POWERPLANT PROPELLER _. ... • .- -- --------- TYPE . • APPLIANCE MANUFACTURER ' o. • •• 6: CONFORMITY STATEMENT A AGENCY'S NAME AND ADDRESS- • B. KIND OF AGENCY C. CERTIFICATE NO. X U.S. CERTIFICATED MECHANIC D.L. Coppinger 3628 Woodleigh FOREIGN .CERTIFICATED MECHANIC • Drive - . . A&P 5032.§9 Dallas; Texas 7522? CERTIFICATED REPAIR STATION MANUFACTURER D. I certify that the repair and/pi alteration made to the unit(s) identified in item 4 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 furnished- herein is true and correct to the best of my knowledge. .. . DATE " SIG TURE OF AUTHO INDIVIDUAL " , • March 24,:1978 44 D.L. Coppinger 7. APPROVAL FOR RETURN TO ILE A Pursuaa._ to du; authority given persOns specified below, the unit ident;fied it itt-t:: 4 was inspected in the manner prescribed by - the Administrator of 'the Federal. Aviation Administration and is fl APPROVED - f LUJE...itu FAA FLT: STANDARDS OTHER (Specify) ' - MANUFACTURER • X INSPECTION AIJTHORIZAION INSPECTOR • - . BY . • CANADIAN DEPARTMENT - FAA -DESIGNEE • REPAIR STATION OF TRANSPORT INSPECTOR • OF AIRCRAFT ' . DATE OF APPROVAL 'OR • CERTIFICATE OR. -, SIGNATURE OF AUTHORIZED INDIVIDUAL REJECT:ON .., - DESIGNATION NO. ' March 24, -1978 ' • D.L. Coppinger 'ono 3' 2 4)9* 7 7 0.7stiscar-4-- "e.,••i-•t'sbs-..N. tv: • EFTA00278353 • • . NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alte,ration must be compatible with all previous; alterations: to assure. continued conformity with the applicable airworthiness requirementi. 8. DESCRIPTION OF WORK ACCOMPLISHED (If rAore space is required, attach additional sheets. Identify with air- . craft nationality and registration _.. mark and date work • completed.) • • ' • . , . . . . VLF/ADF coupler," , GNS 500A P/N 111305.±.2 S/N 120 Weight 1.5 2 Lbs. , • for coupling ADP sense antenna' to existing VLF. This unit is T.5.O. C94 approved, This -Coupler installed on a-sack-,--attached- between bulkhead& • between fuselage' stations .5.39.150 and 556.0 in upper fuselage. • • Coupler _rack fabricated of• 2.024T3 in thickness, and dimenaionally 2.75 . . • X-• It..0" • with ..025 flangs bent up for strength. Rack attached —by:. four MI Wo. 8 aircraft screws and nuts. The Coupler attached to above rack by four (41 each aircraft, :Screws/nuts as provided for by the equipment manufacturer. Coupler location is approximately 6.0" from original anten.na• connection. Balance changeis negligible. • This installation' made. in accordance with FAA. AC 0.13-1A 'Chapter 11 & .15 as guidelines for wire routing, clamping and in.stallation in general, and 43.13-2A Chapter .3; with structural testing of. eqUiPment per Chaptar...1. : Operational test was satisfactory. END 0 ADDITIONAL SHEETS ARE ATTACHED: EFTA00278354 iJ -4 5e, 477. 41-,i: ._ . n.lia - Form Appeared c, DEPARTMENT OF TRANSPORTATION - • -..........- . Budget Bureau it 04-RONLI f ERA,. AVIATION ADMINgStRATION . S . ____, ..i_FOR Felei UV •OSI it.k •-- '41' 151v . MAJOR REPAIR AND ALTERATION OFFICE IDENTIFICATION ----.'''; —.Z-.-.. . . ,: . . (Airframe, Powerplant, Propeller, or Applianc - . • AceL.-•) ".,-, r4r • - . igk:gr1 te AC 43.9-1_ for'siflaqUint revision thereof) iNsTRUCTIONS: Print or type all entries: See FAR 43.9, 1.--.1r:h-,.rratriOns. Ha disposition of this form. : FAR. 43 Appendix. B. ' .• • .. 0- - more . • • •- • . . • /mum • G-1159 :Ix . . • Grumban - NATIONALITY AND REGISTRATION 1 A 1. AIRCRAFT SERIAL NO., . 51 1 .7 • . - • - rfit, •rp7 .-. _ ADDRESS (As own on registration certificate) ..... . NAME (As •• shaven •••.• - on regist — ration certificate) • • , . Hangar D Westchester .County . Nevr ..Yoris 10604 A/P .. Z OWNER Whites Plains, • Ogden tmerican.Qorporation . •••• . . . •••:-; 3: FOR FAA USE ONLY.. • -• - • . . • - , • • 4. UNIT IDENTIFICATION • 5. .TTPE UNIT • , • - --- MODEL - SERIAL NO. REPAIR •. • .• ALTER- ATIOPI • I ...:.--. . .. . X . item I above)enneeeitweenneien# 'AIRFRAME. • -.43flawiTisnihtana40-00!(As described in . • . • i ' • . '-- • PQWERPLANT . . ' • PROPELLER .' . :.• -. • - .. TYPE • .. >t - 1].59C200005-2- 151- R/H — Flap . asSebb - APPLIANCE MANUFACTURER . . Grumman. . .• 6..CONFORMITY , STATEMENT :. ... . B. KIND 'or AGENCY C. CERTIFICATE NO. A. AGENCY'S NAME 'AND ADDRESS U.S. CERTIFICATED MECHANIC poration Grumman American A-dation .Cor . FOREIGN CERTIFICATED MECHANIC . • . P.O. Box .?206.- Travis Field • ' . ' X CERTIFICATED REPAIR STATION • • 703.-10 Savannah, Georgia -31.402 . MANUFACTURER .'....". . . .. • • • unit(s): identified in item 4 above and feder described. on•the- reverse or D. I certify that flit:repair an-silor. alteration made -to the the requir ement's of Pan 43 of the U.S. al .Aviation Regulations attachments hereto have been rdadc -in .accor dance with t to the bek of my knowledge. • and that the informatial furnished .hereinis true and correc SIGNATURE OF- AUTHORIZED NDIVLD L. . DATE - • • ... .. ' - • . . .. . • i --..__ - . . tri . ynch 20 July 1976 - • - ...• • . • -.:•-• _ - • . - 7. APPROVAL FOR RETURN-TO SERVICE - . . prescribed by n ni.ipe ciked below : the anit'id entifi ed in item 4 was insUccted in the manner pursu _ix the atitho rity, given perso ['REJECTED ilta Adminiitrator of the F.,deral Aviation' Administration and is . M APPROVED -.1 !OTHER (Specify) . . FAA KT. STANDARDS ' MANUFACTURER 11. - INSPECTION AUTHORIZATION . • INSPECJOR . • • . • , - - ...- . .. -.• ' • ' CANADIAN DEPARTMENT. . . . . ' • PORT ..INSPE CTOR . *AA DESIGNEE - .x REPAIR StAilON. - t .. %. .•'. OP TRANS - . . • ' ' • . • •• . OF. AIRCRA FT ' - . D DA1 • 2F APPROVAL OR . CERTIFICATE OR . ; SIGNATURE OF AUTHORIZED IN k riEEMON • • . - . , .. ,,.DESIGNATION NO.- •-• •••••• • •.eat-ei.,_.e t - - ?a : .,.. . Patric Jo2y 1 976 . ' 701-10 ._......_-. EFTA00278355 FAA AIRCRAFT. REGISTRY • CAMERA NO. 0.- DATE: I ti:72- q EFTA00278356 NOTICE • , 1 .. Weight and balance or pirating limitation phanges'ihall be entered in the appropriate aircraft record, I • An alteration must be compatible with all previou:e alterations to assure continued conformity with applicatile airworthiness 'requirements. • • '8.. KKR) PT! ntterii9811 ..fitc01/21. I SHED Of more space lc ri•quired,'attach additioncl sheets.. Identify : craft nctiiinarity.. .anct re gh:tration mark and dcree.:work .coinpleted4 • • ' Below listed renal:?s- If,ex.e.,cormaletel at Grumnan American Aviation CornoratLon, Savannah, Georgia. Pertinent "detailaon thii maintenance. are an file at this facility (Certified Repair 'Station. . )14..(5).• under- -"Ott q-02 -151-076-670 /.: ,669 dazed ‘• • ••:. • • . . RePairS to RAI wing structure, flip and R/11 gear door_due to tire bloY out. • ilePaire'd RAI flap per $44.4., approved.Engineering bra nng #80:a59-CS-806. Replaced PA landing gear clOcir;•RIN 13.591720400-1 S/N ON S-3. Repaired'Ilt t wing T.E. bole area ptr‘G.A..A.C.,..Commeflcal Minor. Discrepancy Repair Menial. • ADDITIONAL SliEET• Atte 'AT1AHED EFTA00278357 "rti.t • •.:•• • . •-. • ••••7/•:' .. . .... , EFTA00278358 Fans Approved DEPARTMENT Of TRANSPORTATION Bcdgef Bureau No. 04.4060 I FEDERAL AVIATION ADMINISTRATION. !t .••4 • Ca 21 Pr ' FOR F.4.i USF ONLY ERATION °POLE IFICATION MAJOR REPAIR AND ALT 0GP1/400 -1 7 . nce y (Airframe, Po werplant, Propeller, or Ap piia ihereof; 43.9 , FAR 43 App end ix ll:1; ii.4 AC43.9-1 tar subsequent revision INSTRUCTIONS: Print or typeof all entries. See FAW . • . . disp osit ion this form . . '•'' ' for ic?tructions and • MODEL ' - MAKE G-,1159 ' • .•-.-• Grill:man - TI MARK• a NATIONALITY AN I AIRC RAF T'' SERIAL NO. . . - .; 3.5 1- - ::-. :- : . . • ' • H979 - • .1)/ A/4 -. • '• certificate; • cati l . ADDRESS (As shown on registration nnt y . air po rt NAME (As shown on'r egis trat iona rrtifi Hangar A Westcheste r Co 2. OWNER Ogden-Americtin Corporation White Plains; New York 10604 . • 3: FOR FAA. USE ONLY . ••••• • . . -; . • .. . • • .. . % - 5. TYPE 4. UNIT IDENTIf!CATION ALTER- SERIAL NC:: REPAIR . ADON - • _ . - - :-.4r.I . • . .•.--.. . .. . . . • - . te X d in item 1 above)nneneen.:•••;ileni ' • .. . . • -- • . • . :461INAPinfen eenre4~ —4 (As Clascribe AIRFRAME - . ''. ..... .. . -.. .i. . POWERPLANT .7 • PROPELLER • •• --. r• . . • ' TYPE . • •. . - •' •, .- - APPLIANCE MANUFACTURER • . • . 4 • - . .- ' 6. CONFORMITY STATEMENT • C.' CERTIFICATE NO. • B. KIND OF AGENCY A. AGENCY S NAME AND ADDRESS U.S. CERTIFICATED MECHANIC Corporation Grumman American Aviation ICHIE/ON CERTIFICATED. MECHANIC e1s1 . ' .P.O. Box 2206 - ttravik•gi IR .14 CERTIFICATED REPA STAT ION . 701.10 " • Savannah, Georgia .311+02 MANUFACTUREIT'' and described on the reverse•or t /or alte ratio n Mad e to the uni t(s) identified in hem 4 ;hoveU.S. Federal Aviation Regulations D. 1 certify chat the repair andn made in accordance with the: requirements of Part 43 of the . ' attachments hereto have bee olmy klibwledge the info rma tion furn ishe d here in it true and conics to the best and that U SIGNATURE OFWTHORFD INDIVID DATE • . a r3. ' L4ync . 19 March 1976 . . 7. -APPROVAL FOR RETURN TO SERVICE. • r prescribed by. - - . nne ected in the 'ma inspED was ECT in item 4 REJ Alvin persons specified bells*, the unit identified ..... Pu stiant :43 the authorityFed APPaOVED ID the Administrator of the eral Aviation Administration' and is )pi man...... •• INSr...-... .rn .-AUTH ORIZATION I °11.":(sPecifil . -FAA FLT. STANDARDS 'MANUFACTURER .. . ' INSPECTOR •• CANADIAN DeARTMENT R BY OF TRANSPORT INSPECTO FAA DESIGNEE X REPAIR STATION . . Of Amain -• D D - CERTIFICATE •ClR . SIGNATURE OF AUTHOWE DATE OF APPROVAL OR . ... IC . . 0 -'- ' • DESIGNATION NO. . REJECTION . Patrick . . 701-10: -- 20 !arch -197,6 (8320) . FAA Form 337: v -on EFTA00278359 yy r•s - - - 7 Ali._ .r CI:t ...... > -:"-' 12 c" := .ri..T.. .? • C. a, - •. ' tz. EFTA00278360 ',Taco •€,V. e Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all preyious alterations to.assure continued conformity with the aFiplicable•airworthiness requirements. 8. :DESCRIPTION OF WORK ACCOMPLISHED (If more space is required, attach additional sheets. craft nationality and registration mark ond date work completed.) .. - • .. s: . •. : , Alterations -completed per GI-Ur-Man American Aviation Corporation We ,.....; . 0-02+151076-527%.dated 9 -March::1974., 'References :' .- •. . ••• •••1 Airworthines4. Directive 7k-17-05 "Reactivate, ground spoiler •. 2. ,Grumman .American Aviation Corporation Service Cnange No. 180 #.L..&.#2 Reactivate ground spoiler ,rsystem".. ' Safe-rflight "Speed Control Automate' Throttle" modification F.A.A. • S.T.C. No. "SA7222A". - - Relocated Safe-flight accelerometer In Main gear. wheel well area per drawing #D.591M34•3 due to incorporation of Servik4 'Change. #180 'ReactiVate ground spoiler system". NOT .Safe-flight recommended aligdment check complied with. • • • .. • • • .. b.. Installed. "Grou$ spoiler Manilal d ctivation valve inspection:window" ..per Grumban American Aviation Corporatibn engineering approved drawing. . ,r1159RDF26O. •• Ref: Sertice .Change #180 "Reaetivate ground spoiler system ADDITIONAL SHEETS ARE ATTACHED 2 EFTA00278361 • 4. • Im••••• AA A ...A • AEI •• •... . 1 • •• ••••-*.- EFTA00278362 Form Approrrd • FEDERAL. AVIATION AGENCY • . Budget Bureau No. 0-1.—R060.1 . FOR FAA USE ONLY MAJOR REPAllt. AND ALTERATION • s: (Airframe, Powerplant, Propeller, or Appliance) OFFICE IDENTIFICATICal L GAD° 4 2i$.2 INSTRUCTIONS: Print nr type all entries. See FAR 43.9, FAR 43 Appendix B, and AC 43.9—i (or subsequent revision thereof) for instructions and disposition of this form. MAKE , MODEL Grumman 6.1159 1. AIRCRAFT NATIONALITY AND REGISTRATION MARK SERIAL NO. • 152 • N979RA O • ... (As shown on registration certificate) NAME ADDRESS (As sho‘sts on registration certificate) 2. OWNER 77 Park Avenon Ogden .Auserican Gorse ow York. Nn York 10017 3. FOR FAA USE ONLY :Thrctiber ed rinasiritIs artaefralg tusilFbrajecelilttiaoansdd coihsnefoarenn i:Pnritoycttlemd inP.isoliileit yvif:o itnrhtabpeypaliablbpelerdsacitsr:n • authorized in PAR. 43.7. 3 -IX 75" a 7:747,1_, Date FAA Inspector, SW GAD0.2 IDALI 4. UNIT IDENTIFICATION t/ • S. TYPE . . UNIT MAKE . - MODEL , SERIAL NO. REPAIR ALTER- • ATION AIRFRAME 44doenneen:rwnwaiewir (As described in item 1 above) x POWERPLANT . . E ffhi ng f-Ft D • I L I: PROPELLER UAR 1 c iv t TYPE &IAA.0&LELA APPLIANCE GA nO MANUFACTURER L. CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS B. KIND OF AGENCY ..C. CERTIFICATE NO. - Mt-clew:1W Aircraft itel U.S. CERTIFICATED MECHANIC Redbird Airport . (FOREIGN CERTIFICATED MECAMMIC RS 3834 Radio P. Co $O=24889 i CERTIFICATED REPAIR STAT1bN sat! Airframe Danes, Tens 75224. • MANUFACTURER 1: 14 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 hereto have been -made in accordance with the requirements of Parq 43 of the U.S. Federal Aviation -Regulations and that the information furnished herein is true and correct to th best of inylknowledge. DATE SIGN I O -.AUT (ZED I .... ..--y lisich,14. 1975 - rs'Vee-..(- - 7 7. APPRO Al FOR RETURN TO SERVICE Pursuant to the authority even persons specified below, LI:Want identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Agency- and s 0 APPROVED REJECTED Vz. OTHER (Specify) • FAA FIT. STANDARDS I MANUFACTURE* INSPECTION AUTHORIZATION INSPECTOR BY _ . -- CANAD!AN DEPARTMENT FAA DESIGNEE x REPAIR STATION •' Of IRANSPORT INSPECTOR : - Of AUtatAFT DATE OF APPROVAL OR CERTIFICATE OR SIGNA OF AlfilORIZED VID -R.tfar g IN 17. 1975 ifiti"°. , , _.,/,,/, z,A4-./20 FAA Form 337 (I-65) OBSOLETE PREVIOUS EDITION 0052-025 00 (8320) •• - • EFTA00278363 F; - AIRCRAFT AFGISTRY. a.. DATE: ia.-7 2-v) CAilF.-:A NO. NOTICE appropriate TtirCrTiff=—record, Weight: and balance or operating limitation changes shall be entered in the d conformity with the An alteration must be compatible with all previovs alterations to assure continue applicable airworthiness requirement's. Identify wi DESCRIPTION CF WORK ACCOMPLISHED/If more space is. reguired,- attach additional sheets. croft nationality and registration mprk 'and date work completed.). .5: -.. • Installektinal CollinatICS.3iaysteme cceisisting of the fallo,hing: . .. . • • • •;• each Collins NCS.31 Control 114aplay Unita It each Collins 339R-1 Progress Ramat Readout tinfta • 4 .each Collins 899P-1 Radio Adaptor Units . 1 each Collins 339R-7 Remote Readout Unit • 1 each Collins 339R.8 a Unit. each.Collins 33911.10 Remote Readout Unit 1 each.Collins 339R.11 Remote Readout Matt 1 each Collins 339R-12 Remote Readout Wt. 1 each Collins 913Y-1 Mode Selector_ — The two NeS.41 'control, -339R-0 RRU, 339R-10 RRU, 339-R-12 RRU and 913Y-1 NOV are installed in the center console. The 339R-I PRRU's, 339R-7RRU and 339R-11 RRU are installed In the instrument panel glare shield. The two 1399P-1 radio adapters are installed on the top shelf of the radio compartment at r..s. 140. The systems are wired per EAS drawing 180601. . . Wiring installed by Aircraft Service. Inc. conforms to MIL-W-5036 or MIL-W-161378 and is in. stalled in accordance with AC 43.13-2. chapter 2 and AC43.13.1, chapter 11. All structural attachments and installations performed by Executive Aircraft Service are in accordance with applir-Ablet sections AC 43.13-2. These eystems are approved under the following TSO's: C34c. C36c, C37b. C38b, C40a. C41c, C66a and C74c. This equipment has been certified as meeting the accuracy requirements of AC90.46. reference FAA letter ACE -213/8110.6.1 project Z4030CE. Operational and accuracy checks were conducted with the eaaipment Installed in the aircraft for compliance with 1%C90.45 appendix A paragraph 3C. ADDITIONAL SHEETS ARE ATTACHED . EFTA00278364 "Area navigaticcs use approved for 1FR enroute and approach categories. Refer to Collins pilot guide for the 1,103..31 RNAV system for operating informa- !keit' EFTA00278365 rialYso ••••<'. ^ c'oc-...istai•54.-ki • es...?. .. . . - ' .... . • 4. . • .... • . . • . . . , . . •. . . - • • . .. . . •• . .• • • • • •• -' . .. .. • . - .. ..- .i... - - •.-. - . -- ----...a.:-. - ....7..:Zi• -.jeeiv - -..';!': ..• - • ';' :.i. .* • ' •• • • •. • ..• .• - — • . 44. . •..:. -. - • • • ..• ' . r....h.;...t.:: 25.".I.agt....... a • .....i......,. . . . ' .Stf4g....4...a i fizatr .. .als .... ! . ft.......Z.:;12.•:Z : : . . • .. . . , p a.. .. L.... .•.. . ' • . . •......• . ••• • ••..... . .• ...• •............ ......• . ' _alma. • • .... ..l...•••••••• •6....;•••••••••• ••••.....1............••••• ••••.•••••••••••••••.••••••••.•••••••••••• ••.•••••MINA I ••:••••• \../.1•••••• •• ...RE. I. . ••••ltd•• Y .M.1.16.1•1•,. Il••••••:.Y .. . EFTA00278366 FAA AIRCRAFT REGISTRY L CAMERA NO. ;°,1, DATE: igc- I2-2i I • For, Arra r FEDERAL AVIATION AGENCY -,...--..• , Budget stream No. 04-R060.1 • MAJOR REPAIR AND ALTERATION . FOR FAA USE 0NV: . (Airframe, Powerplant, Propeller, or Appliance) • OFFICE IDENTIFICATI9 GADD 2102 INSTRUCTIONS: Print or type all entries. See FAR. 43.9, FAR 43 Appendix B, and AC 43.9—i (or subsequent revision thereof) for instructions and disposition of this form. MAKE N MODEL 1. AIRCRAFT Cif G-U59 SERIAL NO. NATIONALITY AND REGISTRATION 'MARK 151 • ‘ N979RA - NAME (As shown on registration certificate) ADDRESS (As shown on registration certificate) 2. OWNER .. 277 Park Avenue ,.. Ogden American Corpo New York. Nei*v.._To - sk 10017 .1. FOR FAA• USE ONLY - • .1 • • ' -• . • 4. UNIT IDENTIFICATION • 5. TYPE UNIT • MODEL .... SERIAL NO. • REPAIR ALTER- . • ATION AIRFRAME nestoon.onotomeneeteeen (As described in item 1 above)nomemennornohne • POWERPLANT • PROPELLED TYPE APPLIANCE MANUFACTURER 6. CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS B. KIND OF AGENCY C. CERTIFICATE NO. Executive Aircraft Service U.S. CERTIFICATED MECHANIC • RS 3834 Radio and Division of Cooper Airn2otive FOREIGN CERTIFICATED MECHANIC Airframe P.O. Box 24889 lir . (TIFICATED REPAIR STATION Deltas, Texas 75224 MANUFACTURER D. I certify that the repair and/or alteration made to the unit(s) identified in item 4. aboye 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 furnished herein is true and correct to the best of my knowledge. DATE SIGNATU U RIZED INDIVID March 14, 1975 • 7 -Li 7. APPROY L. FOR RN•TO SERYI Pursuant to the authority given persons specified below, thesinit identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Agency and s bia, APPROVED 3 REJECTED . OTHER (Spacify) . FAA ELT. STANDARDS MANUFACTURER INSPECTIONAtm:Nut:nom • - . ... . • BY CANADIAN DEPARTMENT FAA DESIGNEE yr REPAIR STATION OF TRANSPORT INSPECTOR • Of AIRCRAFT DATE OF APPROVAL OR VES ECTa14, 1975 min. CERTIFICATE OR NO. SIGNA t.e.., --F A ORIZED IVID / r.. EFTA00278367 • FAA AIR:.CRAFT REGISTRY CAMERA .NO. L DATE; 1.2-" 12 - c?) record. ht and, bala nde or oper ating limit ation chan ges shat! .be -entered in the appropriate aircraft the Weig ious alter ation s to assure continued conformi ty with An alteration must be com patib le with all prev applicable airworthiness requirements. ACCOM PLISHE D (if mare spac e is requ ired, attach additional sheets. Identify with air- 8. DESCRIPTION.OF WORK work completed.) craft nationaliti, and registration mark and date transceivers. Two of the twits are 1. Installed three (3) VHF communications on the top shelf of the electronics Colltne VHF-ZOB transceivers installed function as the primary VHF compartment at F.S. 153. These two units lins VHF -20B transceiver conurautications system. The third is a Col compartment at F. S. 170. This unit installed on the second shelf of the radio nts for these units are attached functions as a standby VHF system. The mou 517-2 screws and anchor nuts- to the shelf channels with four (4) each NAS led by_dual Collins NCSL-31 systems -__The_two primary transceivers are contr_ol sceiver is controlled by a. -installed in the center commie. The third tran VC seri es con trol . Exi stin g GAE C installed antennae are utilized witk Gables unan antenna. System wiring is -1410.1 and No. 3 transceivers sharing a con shown on EAS drains° 180606 and 180607. sisting of the following: Installed an H. F. conummicatione system con 1 each Collins 618T -3B Transceiver Leach Collins 4908-i Coupler 1 ascii 114E-03 Control No. 2 of the forward radio The transceiver is installed at F.S. 139 on shelf drawing 680083 in the tail compartment. The'coup1er is installed per EAS tion is approved by DER SW compartment at F.S. 682. The coupler installa 3. Complete wiring and 167 Walter T. Clark on FCRM 8110-3 dated 6-29-7 e also installed. both mounting provisions for a second H.F. system wer . These systems are systems will utilise the G.A. C. installed H. F. antenna wired per FAS drawings 180454 and 180455. • ivers and 699Z-1 aia-drivers. Installed. dual Collins V1R-30 VCRALS rece radio compartment at The receivers are located on the top obeli of the ched to the shelf channels F.F. 158.• They are installed in a dual mount atta RMI drivers are with four (4) NAS 517-2 screws and anchor nuts. The ched with four (4) AN 526- located at F. S. 178 an the top shelf. They are atta are controlled by duet 632 screws and anchor nuts per unit. The receivers on EAS drawings 180602 Collins NCS-31 systems. - System wiring is shown pe and marker and 180603. The Grumman installed VCR /LOC, glideelo antennae are used for this installation. . _ evs.Weivttti%74..:.•tr ••" - • . —•. . . • - • . . • . I. . • • : • .-------- EFTA00278368 FAA AIRCRAFT REGISTRY. CAMERA NO. DATE: jO,— (2 -- &) Ogden Ameri‘Corporation 4 277 Park Avenue New York, New York 10017 March 14, 1975 ATTACHMENT TO FAA FORM 337 dated s and two Collins 137A -6A loop antennas. Installed dual Collins 51Y-7 AM..' receiver below the baggage compartment floor. The two receivers are located at F.S. 546 (2) .063 2024T3 aluminum hat sections The receiver mounts are attached to two nuts per mount. The hat sections are using four (4) NAS 221 screws and anchor t (8) NAS 221 screws and ppnrio-10/ attached to the cabin floor panel using eigh channel and six (6) in the outboard S104D1032-08 Delron. fittings in the inboard alled. The second loop antenna is in- channel. One loop antenna is GAEC inst 0Z which is approved on FAA Form stalled in accordance with EAS drawing 6800 -167 Walter T. Clark. The top GAC 8110.3 dated 10-31-69 and signed by DER SW No. 1 and the skeg sense antenna for installed sense antema is used for system in accordance with EAS drawings 180610 ADF-2. The dual ADF systems are wired the Collins NCS-31 systems. and 180611. Both systems are controlled by s on the top shelf of the electronics Installed dual Collins DME-40 interrogator men t at F.S . 145 . The dua l mou nt for these units is attached to the shelf compart and anchor nuts. Dual Collins 339F-12 channels with four (4) NAS 517-3 screws d on the instrument panel using MSP distancelground speed indicators are installe 3 clam ps. The exis ting GAE C inst alle d Collins 237Z-1 antennas at F, S. 172 996 E systems are wired in accordance and 228 are used for this installation. The DM with EAS drawings 180604 and 180605. g the dual Collins NCS-31 systems Installed dual Collins TDR-90 transponders usin d on the top shelf of the electronics for control. The transponders are installe nt for these units is attached to the shelf compartment at F.S. 150. The dual mou and anchor nuts. The existing GAEC channels with four (4) NAS 517-2 screws= 2 ATCT.. A New Collins 237Z-1 installed antenna at. F.S. 562 is used for No. This antenna is installed antenna installed at F.S. 515 is used for No. 1 ATCT. d 10-21-72. The dual transponder systems in accordance with EAS drawing 680061 date ing 180600. are wired in accordance with EAS draw er systems consisting , of the following: Installed dual Collins Al-T-50 radio altimet 2 each Collins ALT -50 Transceivers 2 each Collins 339H-4 Indicators 2 each Collins 437X-1 Antennas 2 rach Collins 437X -1A Antennas ics compartment at F. S. 170. The mount One R/T unit is installed in the electron with, four (4) NAS 517-2 screws and for this unit is attached to the shelf channels anchor nuts. I 7.... • ••••0 feta , f r. • ..141•=eL".74.2217..C•••••••••,...." • • .- EFTA00278369 • .:".11'• • EFTA00278370 (Cont'd) The second -8/T unit is installed at F.S. 550 R. H. side below the baggage compart- ment floor. The unit mount ie attached tc the bat sections of Item 4 above with four (4) HAS 517-2 screws and anchor nuts. The 437X-1A antennas are installed at F. S. 213 and F.S. 238 on GAC installed mounts. The 437X-1 antennas are installed per EAS drawing 680074 dated 1-4-73 and approved by DER Walter T. Clark on Form 8110.3 dated 3.7-73. The indicators are clamp mounted on the pilot's and co- pilot's instrument panels using MEP 9963 clamps, , The 21141Loisit Ira et e r systems are wired per EAS drawing 18t 642. Installed an Aero Electronics Development :anuAkii.r ft Automatic emergency locate: beacon at F.S. 682 inside the fairing at the base of the vertical stabi- lizer. The installation is accomplished in accordance with FAS drawing 680066. Installed a J.E. T. AI-804 JG Standby Horizon and PS-823B power Supply. The horizon is installed in the instrument panel glareshield panel on the aircraft center line. The aircraft frame in this area was modified in accordance with FAS draw- ing 680060 dated 10-21-72 and is approved on FAA Form 8110.3 dated 10 November 1972 and signed by DER SW-167 Walter 1'. Clark. The power supply is installed at F.S. 165 on shelf No. 2 of the radio compartment. The system is wired in accordance with HAS drawing 180628. Installed a second Sperry VC-311 vertical gyro using existing GAC mounting provisions in the main wheel well area. The system is wired per EAS drawing 180599 and includes attitude switching. The attitude system is a part of STC SA 1553SW. Installed a Motorola NA-135 Selcal Decoder on sknaf No. 3 of the electronics compartment at F.S. 155. The mount for this Init is attached to the shelf equipmnat mounting channels using four (4) each NAS 517.2 screws and anchor nuts. System wiring is shown on EAS drawing 180456. Installed a cockpit audio system consisting of one, each Smith M-1035 YL and M-1035 YR audio selector/amplifier panels and two (2) each Jensen C613 speakers. The two audio panels are installed on either side of the center console. The two speakers are installed in the cockpit overhead per £AS drawing 680006. The system is wired per FAS drawing 180663. 5,: EFTA00278371 ••.nt ••• • EFTA00278372 FAA AIRCRAFT REGISTRY CAMERA NO DATE: I 0.- f .-. 2 ) • .1 :to Page 4 Ogden American Corpora$4,3:a.2 Gm G-1159 277 Park Avenue S/N 151 New York, New York 10017 N979RA ATTACHMENT TO FAA FORM 337 dated March 14,:1975 13. Installed a cabin paging and electronic chime system consisting of a Collins 346D-18 paging amplifier and ten. (10) each Jensen C6T3 speakers. The amplifier is installed on shelf No. 2 of the electronics compartment at F.S. 161. The speakers are installed and approved as a part of the interior installation. A Jensen C4T8 speaker is also installed in the lavatory for paging. This system is wired in accordance with EAS drawing 180660. 14. Installed a cabin entertainment system consisting of a Craig 3129 stereo tape player and Genave PSI-1 24 VDC to 12 VDC converter. The tape player and radio are installed in a cabin interior cabinet at F. S. 310 L. H. side. The cabinet installation and tape player and radio mounting are approved as a part of the interior installation. System wiring is shown on EAS drawing 180657. 15. Installed a Collins 54W -1C Comparator Monitor system. The monitor is located on the top shelf of the radio compartment at F. S. 161. The mount for this unit is attached to the shelf equipment channels with four (4) each NAS 517-2 screws and anchor nuts. The 914G-1 comparator warning controller is located in the center console forwaid of the power levers. System wiring is shown on EAS drawing 180623. 16. Installed VHF NAV and compass switching systems as detailed on EAS drawings 180597 and 180533. The transfer relays for these systems are installed on an aluminum licit section located at F.S. 777 on. the shelf No. 2 of the avionics compartment. The control switches are located on either pilot's instrument panel. Installed IDC 575-25850-309 MACH/Airspeed indicators for the pilot and co- pilot. These indicators are approved to TSO C-46 and have range and markings appropriate to the G-ll59 speed limitations. The instruments are clamp mounted in the L. H. top position of the basic "T" on each pilot's flight instrument panel using MEP 9963 clarnks. The existing pitot/static air lines are connected to the indicators. System wiring is shown an EAS drawing 180417. 18. Installed dual Sperry 2594620-908 servoed altimeters. The instruments are clamp mounted in the R.H. top position of the basic "T" on each pilatf0 The pilot's altimeter is driven by the Sperry 2587400-844 air data computer and the co-pilot's altimeter by the Sperry ADC-2OO altitude computer. These 4.Oest.: altimeters are approved to TSO C9 and ClOb and have a maximum range of 50,000 feet. System wiring is shown on EAS drawings 180608 and 180609. 19. Installed an Aero Mechanism 8047-10 pneumatic altimeter on the engine instru- ment paiiel. This altimeter is approved on TSO ClOb and is used as a back-up to the servoed altimeters. ;.•.. 5 - . . . • EFTA00278373 ...;;;Qult.=:,•.;?;;* - • :.!er . . ' 7'7.1 .-....---.--- `,....f. _• ;..-...„.a.,:• - .,, ._ .....r ....... _.......--....‘....,...,........., __ ... - . . -7:• • , . !•• . . . . • I , .. . •si ...:-.. .. . . . : tit.• . - ---- — • -.2 - . -----::.._.:......::.-". i;:tv 4.- :Zt. --... '4...L.:V.'. . .... . • t• EFTA00278374 • Ogden America Corporation. 277 Park Avenue Page 5 New York. New York 10017 Grurnt.an G-1159 S/N 151 Nri 9RA ATTACHMENT TO .FAA FORM 337 dated March 14, 1975 20. Installed dual L'Sno NIB digital clocks, one located on the outboard side of each piatotia panel. 21. Installed dual Teledyne Model ream IY&I indi cators approved to TSC G83. The instruments are clamp mounted on both pilo t's flight instrument panels and are connected to existing static lines. 22. Metalled a Lear Avis 800134F synchroscope on the L. H. engine instrument Eanel. System wiring le shown on FAS drawing 180582. 23. Relocated TVI indicator and selector switch from overhead panel to engine instrument panel. Relocated C.A. T. indi cator from main instrument panel to overhead panel. 24. Removed tae existing Bendix 39B153-1-A inst rument inverter and replaced with a Flitetronics PC -17A. This change increas es instrument inverter bus cafracity from SOOVA to 750 VA. The inverters are approved to the same TEC. Wiring modifications ace shown on EAS drawing 180 470. 25. Installed a wire rotting trough along the inbo ard edge of the R.11. cockpit side console. Lostallution is shown on FAS draw ing 680016. 26. Removed Grumman installed elttctronice junction box and replaced it with a smaller junction box in the top section of the radio compartment. The new box is constructed using .040 2024T3 aluminum panels nicking up the Cirturman installed fasteners. Deutsch terminal bloc ks are mounted on the new tanels. 27. Installed an auxiliary electronic compartmen t blower on shelf No. 4 at F.S. 155. The blower is a Joy Mfg. Co. Model AVR-45-30t714 PIN X702 -137B. The blower le wired in accordance with EAS drawing 180429 . 28. Installed an Airpathe CBZLOO-T6D magneti c compass in the GAC installed cornpass =oust. 29. Installed a Bendix RDR-1200 -weather radar system consisting of the following: 1. each Bendix AT -120/A R/T I each Bendix IN -1202A Indicator I each Bendix DA -1203A Antenna Drive 1 each Bendix AA.-1218A Phased Array (18") - • • EFTA00278375 . •• .. . . r—• • .• , caC"--"*•• '•-:' 4,,••-•••••a•!•#!•••••rae-aneThryagdi __L . • •••;-:.-:.' Z.: •• O P : • ••••• •••••• • .•• ••• • •C; .• • •. •• • Z a • . ' . • •. 4. . . . . . . . .. . .• • : • •• • - ........-- ..7: , _„4 . • 4.•••• •:•,: . —.... : .;•:.„,.-......r,_ _ ,44.42,.....-.,.:•:,. • „. . ...., t............„_••••:c .. EFTA00278376 -•;,)-7:47. The antenna driveand phased array are attached to the existing CAC installed antenna mount at F.S. 43. The R/T unit is attached to a shelf installed per STC SA1193SW at F.S. 36. The indicator is installed in the center instrument panel. The system is v=ired per EAS dreNt-ing 18(1495c Installed deal Collins ¶3-169Y flight director sys&n-ts consisting of the following: 2 each Collins 329E-8Y Flight Director Indicators 2 each Collins 331A-9C Course Indicators 2 each Collins 161E-2A Mode Coupler Z each Collins 562A-5M Computers 2 each Conine 614E-22B Remote Controls 2 each Collins 614E-23R fode Selectors 2 each Collins 345A-7 Turn Rate Sensors This system is installed in accordance with STC SA1057SW except that the it-emote instrument amplifier is eliminated ant; all servo amplifiers incor- porated in the later model instruments. Iz wiring variations are in accord- ance with manufacturers required equipment interconnect. Collins Radio Company pilot's guide for the FD-109Y/FD-109Z integrated flight system is a required part of this installation. System wiring is shown an EAS drawings 180658 and 180659. Installed a radio maste? system wired in accordance with EAS drawing 180581. The master relay is installed on the outboard side of shelf No. 2 of the radio compartment at F.S. 160.. A master switch is installed on the aft end of the center console with an override switch on the co-pilot circuit breaker nand. Installed a Flitetronics PC-164 115VAC 60 Hz static inverter on the cabin floor panel at F.S. 579 below the alt baggage sub-floor. This inverter provides power for the cabin 60 Hz AC system. Installed mode ar-st;aator system for the autopilot on each pilot's instrument • •• • 7•••.• „.0 . • Hoe . . • •• , . • . • ••• ••.. • - •- • . • • • • • ••- . •• - ••••••-..:;• • • ••.: • . . •. •••:. • • • . • EFTA00278377 EFTA00278378 jot. •3, • each Global 10050-1 ACV 'I each Global 10060-2 CM .1 each Global 10045-1.OEU . 1 each Global 10085-1 Antenna The RCU and oru are installed on the third shelf of the radio compartment at F. S. 170. The ant." is installed at F.S. 139 per FAS drawing 680086 and is approved by DER SW 167 Waiter T. Clark on FORM 8U0. 3 dated May 3, 19 -(4. This system is wired per FAS drawing 180598 and is installed on a "NC HAZARE" basis and is placarded as follows: Installed a Safe Fligizt SCAT system in accordance with STC SA722FA. Flagt Manual Supplement dated 5.5-72 inserted in AFM. A Safe Plight 6002-1 approach indexer control and two 965-0U3-003 indexers vr<,re added to the SCAT system fast/slow output to provide ii- heads up display of the flight director fazt/slow indicator. The Indexer control is installed on shelf No. 1 of the electronics compartment at F.S. 169. Installed an 1DC 18495E SAT/TAS Indicator with a Rosemount 107.h.7.11AF probe in accordance with SIC SA1057SW. Flight Manual SuppleMent dated 10-29-69 inserted in AFM. Installed a Collins INS-61E i3ertial navigation system in accordance with SSG SA15535W. Flight Manual Suppternent dated 11-15-72 inserted in AlLs,f. Installed Soerry ADC-200 altitude computer and 2593564-910 altitude pre- select system in accordance with STC SA1861SVir. Flight Manual Supplement dated 3-26-74 inserted in AFM. - " EFTA00278379 rt • -Jo% ..-4•• • EFTA00278380 .. • Wiring ins tatl i by Executive Aircraft Service, Inc., fcr the show: systeu--,s conforms to MIL-W-5086 or MIL-W-16878 and Is.installed in accordance with AC 43.13-1, Chapter IL and AC 43.13-2, Chapter 2. Al structu . rel. attachments and installations required for the above systems are in accordance with applicable evictions of AC 43.13-2. A functLonal check of the equipment listed on this form has been nerforrned in accordance with FAR 25.1301 and h operated satisfactorily and did not affect any other aircraft system adversely. EFTA00278381 • •••+:*wt. 01+ 0 • .. EFTA00278382 - • ,• — vs -penned • FEDERAL A`" 'ION AGENCY k... :2.4-„xi• .fi nwst No. 04-R000.1 . . . MAJOR REPAIR-AND ALTERATION • ., i:/it FAA USE ONLY ' (Airframe, Powerplant, Propeller, or Appliance} • OFFICE IDENTIFICATIOdaq. GADQ • . SPI-GADO•2 4/ c?' • INSTRUCTIONS: Print or type all entries. See FAR 43.9; FAR 43 Appendix B, and Ac 43.9-1 for instructions and disposition of this form. (or subsequent revision thereof) , MAKE • • mom - 1. AIRCRAFT Q1159 SERIAL NO. - NATIONALITY AND REGISTRATION MARK . 151 --°--- 979RA " . NAME (As, shown on registration certificate) ADDRESS (As shown on registration certificate) 2. OWNER • Ogdaa • kaar Loan Canketak ion 277 Park Ammo New York, Sew York 10017 . 3. FOR FAA USE ONLY • le -fthililt:V..": itl:taifiz,:! iltrein UST,:r:E1•with ariini.te :it- .• • itW,trt:3 %;,:irEcthIs 27..1 is z,-.;:tued evil ft% ;he acredis7 . --.. ' :•. .1 ttitzi :Itzitit s:r.!:•:t te czarcity long:lion a-, s* • rahtirize! in RS 43.7. /- ' --• . • . ..-- I 6 . bp at Incerinr LWCA •' 4. UNIT IDENTIFICATION . . • S. VE 9,411.. MODEL. SERIAL NO. . ALTEE, REPAIR I ATION ' . • . AIRFRAME ••••••••••4t*.***••••••• (As described in item 1 above) XX .. _. • ' POWERpLANf . _ . . • .. - - PROPELLER • • TYPE APPLIANCE MANUFACTURER - - - 6. CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS B., KIND OF AGENCY C. CERTIFICATE NO. Cooper Airmotivee , Inc. • U.S. CERTIFICATED MECHANIC MS 3834 Executive A.Lrctratt iluntice.Dit., Ft:imam CERTIFICATED MECHANIC • Aiirfreme Reilt•ird Airpirt . X CERTIFICATED REPAIR STATION • Limited Dallas texas 75232 MANUFACTURER Ratings' . 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 hereto have been made iv accordance with the requirements of Part -43 of the U.S. 1- and that the information furnisbed herein is true. and correct to the best of my knowledge. Federal Aviation Regulations DATE SI TURE O AUTItORIZAD INDIVIDU • • February.19"1975 • • - t v„...--10. (t. a • - ''' , eck D. A . 7. APPROVAL FOR RETURN TO SERVICE " Pursuan to the authority given persons specified below, the identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Agency and is laIW l pia'tPPROVED • REJECTED FAA.RT. STANDARDS OTHER (Specify) MANUFACTURER INSPECFOI AUTHORIZATION frisPEcroi! • :r BY . CANADIAN DeARTAUNT - FAA DESIGNEE .... REPAIR STATION • : OF TRANSPORT. INSPECTORR A ' eir dr Arilauen DATE OF APPROVAL OR ainga t ig io clit.t .) . .,.obtu5v IDUAL REJECTION DES; March 12, 1975 RS3834 4. -- .,carts.,k_, P-44-,aL...........: , . ••••:: . . . . _• • .• - - EFTA00278383 FAA AIRCRAFT REGISTRY ..'31.1E4A DATE:.19,- ) 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 conformlty with the applicable airworthiness requirements. 8. DESCRIPTION OF WORK ACCOMPLISHED (If more space is required, attach additional sheets. Identify with air- craft nationality and registration mark and date work completed.) a. Completed interior installations and service equipment in accordance with'drawings listed on dtawing list #386789 (1 Sheet) dated 2-6-75, Structural appioval and approval of oxygen system deviations 12 FAA Form #8110-3 dated 19 Feb. 1975 by DER °W-167, Walter T. Clark, Jr. b. Installed electrical circuits as shown on drawing 3 525 (47 Sht, dated 7-23-71 in accordance with advisory circular #AC43-13-1, Chapter 11, section 2,3,4,5, & 7. The total DC electrical load increase on this aircraft by above circuits is 56.15 amps. The total DC load, less radio and electronics is 330.48 amps. The aircraft is equipped with two (2) 300 amp generators. Functional check of all items installed as shown on this FAA 337 Form had no adverse effect on other systems in this aircraft. The electrical circuits installed to meet the intent of 41).606 (a) & (b) and 4b.615 (a) , (b) (c). c. Weighed the aircraft and computed EW and MCCG and prepared a sample zero fuel weight loading in accordance with Grumman Weight & balance repctt t4T-11598 for aircraft S/N 151. d. Made emergency lighting check in accordance with AC20-3~A dated 2-8-66. e. Tri::and interiOr materials used in this instaliation meet the flame resistant requirements of 41).381 (b). f. The baggage compartment is lined with fire-resistant material to meet the requirements of 4b.383 (b) EFTA00278384 . . . - .. .. . .. . ..- • ',...: . .. • • . .-.... . • .:...----.7S‘............:*......atlit...:..............-..4-...L. --.4.i.- , -:•-...:-. ----.-.7•••-•-•--4.-.L..- - - OEPARTmEt, ir TRANSPORT."-TION FEDERAL AVlicflON ADMINISTRATION • STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS 19 Feb. 1975 - AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE .' • MODEL NO. TYPE (Airplane, Radio. Helicopter. Cooper NAME OF APPLICAN 0,0 Airmotive Inc.ExecutiN GrumMan G1159 Airplane • tarcraft Service Div. LIST OF DATA .7- .. . TITLE : IDENTIFICATION 386403 (2 Shts) Headliner support structure. (11-26-69) 386776 (2 Shte) Ledge and side panel structure. (11-20-74) 386507 (Shts 1&2)Air duct support structure (5-24-71) '. 386409 (Shts '3,4 &5) Air ducts and reading lights (12-3-69) 386687 (1 Sht) Air duct deviation. (1712774) , . 386676 (I Sht) • Speaker brackets (12-15-73) • • 386640 (1 Sht) Blkhd. retainer FS181 LH.(4-3073) 386627 (2 Slits) Blkhd. retainers FS200 Lk & RH. (3-14-73 386586 (1 Sht) Bulkhead retainers FS496 (11-20-72) 386779•(1Sht) FS181•Bhd. LH (11-26774) 386730 (1 Sht) ' FS200 Bulkhead LH (11726-74) 386781 (1 Sht)'.. Bulkhead FS452 L&R. (11-27-74) / 386778 (1 Sht) ' Bulkheads L&R FS496. (11-26-74) 386132 (Slit 8) Bulkhead Patterns (11-26-68) 286777 (4 Slits). Crew service compartment. (i1—S-74) 386643 (1 Sht) Wire routing double installation. (5-12-7.3) 386680 (1 Sht) Aft cabin door 'frame at baggage. (12-27-73) 386684 (2 Slits) Aisle doors. (1-9-74) ' 386636 (1 ShtYl Fold up desk. (4723-73) '• - 386786 (1 Sht) 'Divan fwd. arm cabinet LH. (1-28-75) . 386774 (3 Slits) Service cabinet .‘(11-11-74) . . 386701 (1 Sht) . Game. table ins all tion.(2-5-74) . P*48 386791 (1•Sht). Chair track installation (2L11-75) !'Ilte*OSE OF DATA . . To install interior items for Field Approval. . . . APPLICABLE REQUIREMENTS (14•1 specific sections) 4b.200(a), 4b.201,4b.210(a).,4b,211,4b.260,4b.306,4b.307(c) . 4b.358,4b.359,4b.362,4b.381,4b.382,4b.651 '(b) (3), 7 - % . . CERTIFICATION • Under iuthcrity vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Part 183 of the iceLerdl Aviation Regulations, data listed.above and on attached sheets numbered 1 of 3 ' have been examined in accordance with estirblihed procedure's and found to comply waft -applicable requirenients of the Fedeial Aviation Regulations.' . . • RecomMend approval of these data I (We) Therefore • fl Approve these data • SIGNATUREfS) OF DESIGNATED ENGINEERING RE.PRESENTATTIM DESIGNATION NUMBERS(S) - CL ASSIFICATION(S) Structural and ?,.,r/ c ... (-2-)e,1 SW-167 Oxygen systems. F.i.pi OLAVRAi • .. • • - FAA Form 8110.3 (11-70) SUP., RSEDES PREVIOUS EDITION ..• •• - t•••‘a • sAMILI.,.:r." ••4 •-:.•••;:••%1 ;"7:..... 4-••••.+4.41 .4 1 : 4 ft " • . : : • . . ................-..,„ ,. ....... ; . Tr • -•-- - -.. e. .....:... - a. - LL.....:1- ..i. .S...................a......1......................... • •- .a-.... .,...... EFTA00278385 .• 4 . vas ki; - EFTA00278386 FAA AARCRAFT REGISTRY CAMERA NO. L DATE: ta-! . , ....,• .• OATS OEPARTmEt • F TRANSPORTATION • FEDERAL AVIATION ADMINISTRA TION 19. Feb. *35 UL.A1;ONS STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REG IDENTIFICATION ...‘ AIRCRAFT OR AIRCRAFT COMPONENT NAME OF APPLICANT Cooper MAKE - t MODEL HO. TYPE (Airplenes, Radio, Helicopter, Airm oteive Inc. Executiy . *.G1159 "Wirplane Aircraft service Div. Grumman • 0 . LIST OF DATA TITLE • ,LiENTIFICATION 386720 (1 Sht) Power shield door . (4-9-74) ) • 386426 (2 Slits) Emerge exit handle rework (12-19-69 386694 (1 Sht) Escape hatch handles (1-24-74) (1-21-75) 386783 (1 Sht) Two & Three place divan inst'l. provisions. (11-11-68) • 386120 .(1 Sht) Chair installat'on Entrance door c4tain. (5-14-69) 36E254 (1 Sht) 386765 (3 Slits) CommissarY . LH° (10-10-74) • t.. . 386746 (3. Slits) Commissary RH. (10-10-74) (10-11-74) 386767 (2 Slits) L&R commissary support structure. 386633 (2 Slits). Water heater & bracket.(4 .-11-73) -74)- 386775 (3 Slits) Pressuriied water system. (11-19 386668. (3 Slits) Lavatory & vanity. (11-9-73) ' - . 3866E6 (1 Sht) Lavatory support structure (1-11-74) 386737 (1-Sht) Air lay deviations. '(6-27-74) 3.86685 (6 Chts) Aft baggage (1-19-74) Smoite detector & amplifier. (4-15-68). 38656 (1 Sht) 386500 (2 Slits) Law.tory floor mod. (5-10-71) 386702 (2 Slits) _Radio. rack doors. (2-8774) 7, 386441 (1 Sht) FS540-572 floor board mod. (1-49-74) (9-5-72). 386553 (Shts1,2 ,4&5) Continuots flow oxygem system ) . 386679 (1 Sht) . Continuous flow oxygen, system. (12-27-73 73) 386637 (1 Sht) Continuous flow oxygen system (4-24- 386401' (1 Sht Cock it ste manual storage (11-26-69) . PURPOSE OF DATA 0 To install interior items for Field Approval, • APPLICABLE REQUIREMENTS (List specific sections) b.260,4b.306,4b.307(C) 4b.200(a), 4b:201,4b.210(a),4b.211,4 ) (3). 4b.358,4b.359,4b.362,4b.381,4b.651.(b with conditions Ind limitations Unde r autho tity -veste d by direction of the Administrator and in accordance on attached khects tostbered _- CERT IFICA TION • Aviation Regulations, data listed above and of appointment under Parr 183 of the Federal applicable lished protares and fuund to comply with 2 Of 1 - have been examined in accordance with estab requirements of the Federal' Aviation Regulations. • El Recommend appro val of these data t (We) Therefore 0 Approve these data CLA$SIFICATION(S) DESIG NATE D ENGIN EERIN G REPR ESEN TATIVE,lj DESIGN A.TIOK NUMBEIZRS) SIGNATUREIS/Pr 77-77-- ---) .7- :. -; SW7167 . Structural and. prygen qyqtramq FAA OtT/CIUML 4---..zrea.a!Vavartroorav--avv.,c;te7: •vt./ -7. • ..- .I' 4. ' . • • • 't ; -7 • EFTA00278387 maleigt,yrrilat • •. a.—. ' • ••7. -t•r-s-- • mv-r---.•••••,;.-- • .: •' ,• -.•:r EFTA00278388 \_ . DATE • DE0 ARTMEt. .F TRAN3PORTATION . ' • FEDERAL AVIATION ADMINISTRATION 19 Feb 1975 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR-AIRCRAFT COMPONENT IDENTIFICATION MODEL NO. TYPE (Airplane, Recife, Helicopter, NAME OF APPLICAN TI:(DOper MAKE oft° irmotive Inc. Executit Grumman 61159 Airplane #ircraft Service Div. . ..- LIST OF DATA • - - . • •- TITLE IDENTIFICATICo - • . . 386688 (1 Sht). Desiccant .installation '(1-14-74) - 386782 (1 Sht) Tow bar.storage, (1-4-75) , . . - • • 386554 (6 Shts) L&R•aux. engine oil full system. (96-72)• 386592 (1- Sht) Pre-fill pump installation (11-29-772) - 386551 (1 Sht) APU interlock switch. (8-23-72) 386665 (1 Sht) Utility box. (11-5-73) 386569 (1 Sht) Cockpit'portable oxygen bottle inst'l. (10-27-72) 386580 (1 Sht) Entrance area floor mod. (11-4-72) 386566.(1 S)t) Wheel Well.lights (10-13-72) 386515 (1 Sht). - Overboard drains. (6-9-71) ---- • 386593 (2 Shts) Aux. landing lights LH & RH (11-29-72) 386758 (1 Sht • - Oil gauge sight door alteration. (§-7,-74) 386539 (1 Slit) . Jack pad -stofege.. (7-27-71) 386761. (1 Sht) Access inst'l. starter & H.P.cock. • 386 . . NOTES: 1. ,This approval- is for the structural substantiation and oxygen system only. .• . 2. This approval does not include the electrical system- approval. . 3. This approv al is for Grumma n Model G1]59. S/N 151, N979RA - 4. Aircraft released fozYservice by rAA Form 337 dated 19 Feb. 1975 by RS3834. ' PURPOSE OF DATA :. ' To install interior items for Field approiral. .., APPLICABLE REQUIREMENTS (List specific sections) . • 4b.2OO(a),4b.2O1,4b.21O(a),4b.211,4b.26O.4b.3O6;4b...3O7(c) 4b.358,4b.359,4b.362,4b.381,4b.382,4b.651 ,(b) (3). , • and limitations CERTIFICATION - Under authority vested by direction of the Administrator and in amprdance- with conditions sheets numbered _ of appointment under Part )83 of the Federal Aviation Regulations, data listed above and on attached 3 of 3 • have been examined in accordance with established procethres and found to.comp!y with applicable requirements of the Federal Aviation Regulations. • 0 Recommend approval of these data' • 1 (We) Therefore Approve these data DESIGNATION NUMBMS) CLASSIFICATION(S) SIGNATURE(S) OF DESIGNATED ENGINE ERIN.; REPRESENTATIVES/ --- . Structure' and .)77:- -SW-167 OxYgen systems. ..-- - FM ORIGIN4L. • .. . - - , FAA Form 811a3 (11-70) SUPERSEtFa -PREVIOUS' EDITION •57.._ ,A35 : • . . • • . • • . • - EFTA00278389 A/tab's...4r_ v. • t -•"•• • re -- • •we. 7•••....• • • .• • . . -•. • •• ' ? .-:"nl•a t refrear: - -.!.• ;:. : '` ' • .t:' •••••St --• • i?"'Cr` C't• • • •-••••'•"'-'----• ....."'"••"- '''' i f : .- .. -• "--.. :.... .-42. ., ;' :. .,.;. a'4.... -7.• ...........r. • • I., . ... . ........... ............ EFTA00278390 vas a frfr rored FEDERAL A'— VON AGENCY • 1 trket Bureau No. 04—R0604 MAJOR REPAlk-AND ALTERATION i FOR FAA USE ONLY (Airframe, Powerplant, Propeller, or Appliance) I OFFICE IDENTIFICATION . . INSTRUCTIONS: Pnnt 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. MAKE MODEL • Orman G-1159 ..... 1. AIRCRAFT SERIAL NO. NATIONALITY. AND REGISTr.ATION MARK 151 N979RA • NAME (At shown on registration certificate) ADDRESS as shown on registration certificate) 2. OWNER Ogden AzOrican Corporation • 277 Park Avenue . New York, New York 10017 3. FOR FAA USE ONLY • is • . . . . . • ,. .. . • _ - - 4. UNIT IDENTIFICATION S. TYPE UNIT MARE MODEL SERIAL ALTER- - - . NO. REi'AIR AVON . gai• AIRFRAME nkneenommenewsee(.4i:described in item I above)••••••••emomoonnamoe . P6WERK.ANT • ••• .. - . PROPELLER . . TYPE APPLIANCE. MANUFACTURER • 6. CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS B. KIND of AGENCY • C. CERTIFICATE NO. Cooper Airmotive, Inc. U.S • CERTIFICATED MECHANIC 119 . E Div 3834 Executive Aircraft Service, FOREIGN CERTIFICATED MECHANIC Airframe Redbird Airport - X CERTIFICATED REPAIR STATION • Limited Dallas, Tens 75232 MANUFACTURER Rat inge D. I certify, that the repair and/or alteration made to. the unit(s) identified in item 4 above and described on the reverse cr attachments hereto have been made in accordance with 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. C.4.TE SIGNATURE Of AlcHORIIp INDIVIDUAL March 12, ...975 "Ac„ga A ,-; 4. OLS—k-AL..c se's:V9- Gaston D. Alexander 7. APPROVAL FOR RETURN' TO SERVICE Pursuan to the authority given persons specified below, the unit identified in item 4 was inspected it: the manner prescribed by the Administrator of the Federal Aviation Agency and is ICIS.PPROVED O REJECTED FAA RT. STANDARDS • OTHER (Spicily) MANUFACTURER INSPECTION AUTHOWATION INSPECTOR BY . CANADIAN DEPARTMENT FAA .DESIGNEE REPAIR. STATION OF TRANSPORT TI4SPECTOR X OF AIRCRAFT DATE OF APPROVAL OR CERTIFICATE OR ; SISNATURE OF ARTH9111.Fp, INDIVDIUt REJECTION . DESIGNATION NO 4,07Lig... ,.....A.). LA.Leffa-Nn_ • March 12,. 1975 RS 3834 Gant= D. Alexander FAA Form 337 (1-65) OBSOLETE PREVIOUS EDITION • 0052-025-8000 • (8320) -.•••- ••••-•.? , ........... . - . • .. .. • .. -•:.-_-:,. • ,.. ..; : •. ... ..... . _ .; ., . .., -.....- • EFTA00278391 oper ating limit ation chan ges shal l be entered in the appropriate aircraft record. Weight and balance or the Must be com patib le with all prev ious alterations to assure continuec 2onformity with Art alteration applicable airworthiness requirement:. spac e is required, attach additional sheets. Identify with air- 8. DESCRIPTION or iVORK ACCOM PLISHE D (If more date work completed.) craft nationality and registration mark and a. Installed interior emergency lighting system as shown on Cooper ision drawing #396218 Airmotive, Inc., Executive Aircraft Service, Div 9 approved by (13 Sheets) dated 3-25-69 Rev. "A" dated 6-30-6 ment #3 dated STC #SA1037SW. BAS FAA approved Flight Manual Supple June 23, 1969 applicable to this allteration. approved for use b. Installed Page Gulfstream II cockpit jump seat STC #sA1918SW;. Oxygen during take-off or landing in accordance with . e h-STC #sa5tisw supply. for this seat installed in accordanc wit -9 cubic feet each, NOTE' 1. Long range oxygen supply, Two (2) 114 ge oxygen installed in this aircraft. Passenger and Long Ran 10-3 dated system approved by STC #SA951SW and FAA form *51 Jr. reference Feb. 19, 1975 by DER SW-167, Walter T. Clark, 337 form dated Feb. 19, 1975. il 25, 19,69 2.- Flight Manual Supplement #II dated Apr applicable to this aircraft. from sta. 111I1 to pressure c. Installed insulation inside the fuselage ed 8-21-68, except dome as shown on Drawing *38681 (1 Sheet) dat was installed by for the aft side of the pressure dome, which ream II Specification Grumman Aircraft Company, The Grumman Gulfst d as a guide for #AE-159—I-21 Section "C" datdd 11-15-67 use installation. ordance with d. Relocated the APU speed logic control unit in acc STC *SA2512wR. . ice between master warning e. Installed BKM Master Warning Interface dev to RKK drawing list control panel and aircraft inputs according 1, 1973 Rev. 1 dated #EKM1000-501 and STC *SA1613SW dated March installed. Sept. 5, 1974. MOTE: The warning bell is not ordance with STC *S8994EA. f. Installed oil tank sight gage float in acc EFTA00278392 FAA AIRCRAFT REGISTRY CAMERA NO. LDATE: 10-- Cooper Airmotive ..OGi,P..'N AMERICAN CORPORATION " :' • . Exec: Aire. Serv.• Div. . - 277 Park Avenue • Page 11 . ', ) DATE March 8, 1975 New York, New York 10-1.7 N978RA W.O. 215 • ; GRlit.7.‘AN• dULFSTREAM II SIN 151 WEIGHT AND _ BALANCII .. . DATA FM --- / 0% MAC 100% MAC I PIT. 28 VERT DATUM (WLRDE) JIG POINT INCHES DISTANCE FI' & IN. IN; MAIN GEAR HORIZONTAL ARM = •a. +.15. OD i = INCHES N a NOSE GEAR HORIZONTAL ARM = (a-b) " MOIL ARM IN INCHES) S3) 0,1 . 1 I M. A. C. b , i_ C. G. IN PERCENT 1,4728 a-b . i extended. NOTES 1. All C. G. 's arc for the. airplane with landing gear Ws 2. A'reraft should be level (FRL =.0°), doors and windo closed, brakes released, and flaps and thrust reversers retracted, "when weighing. AIRPLANE ON WHEELS TOT. A NEVT IjOR. ARM ' MOMENT WHEEL, LOCATION • GROSS TARE ERRQR , -----. LEFT MAIN , ...------ --.- RIGHT MAIN i SUBTOTAL MAINS I NOSE TOTALS AIRPLANE ON JACK PADS TOT. A NET . NOR. ARi.] MOMENT GROSS TARE 'ERROR SCALE LOCATION 16,460 -2 -2 16.458 LEFr WING _-_:›-_____ 16,470 -9 • -9 16,461 RIGHT WING 32,919 489 il 00 4,097,391 ' SUBTOTAL WINGS • 32,930 +8 +8 .2,373 120 !10 2 84,997 NOSE 2,365 TOTALS _15.292 -464 ; 19 11087,38A - 35,2951 N EMPTY WEIGHT & C. G. DETERMINATIO C. G. IN % M. A. C. • MOM ENT ITEMS WEIGHT C. G. IN HOR. ARM TOTAL ACTUAL NET see .page 11.1A dated — TOTAL ADDITIONS ' March _8. 1975 for — ----•''----- •— TOTAL SUBTRACTIONS empty weLcsht computation At equipment included_ in the empty weicrh:. . EMPTY WEIGHT WEIGHED BY: WITNESSED BY: Grumman Amkrican Aviation Corp. • EFTA00278393 1. .••••• • r.. • -• . 'L.` • . •• EFTA00278394 ( FAA AIRCRAFT REGISTRY LiAMERA DATE: 1O,- 12- ;5 OLDEN AMERICAN COIIPORATION Cooper Airmotive 277 Park• Avenue. . GRUMMAN GULFSTREAM II . Inc? Executive 4 • New York, New York, 10017*. S/N15I N979RA • Aircraft Service ACTUAL WEIGHT AND BALANCE AS WEIGHED Division • Page I1.1A 3-8-75 W.O. 215 COMPUTATIONS TO SHOW AIRCRAFT EMPTY WEIGHT ' Weight Aircraft. Scale-reading* 35,292: Uflusable fuel (drainable) 104 Ehgine Oil - , -56 Undrainable•fuel in •tanks' (16 .lbs) and fuel in lines from tanks to engineS (44 lbs.) included in the scale reading. rile:above empty weight included equipment added by Cooper Airmotive, .Inc., Executive Aircraft Service Division listed below including radio and electronics. .Items Weight and/crnot-weighed: 1. Utility bOx. : 21. Crash axe. 2.. Engine oil pump system (full). 22.. Crew service & compt. (complete 3. Hyd. oil pump (empty).. -'..' 23. Long range oxyg. (2) Tow bar - v 24. Passenger oxygen (3) Baggage compt. cpthplete„. • 25. Jump seat (Pa4S). EAS water system (empty). 26, Fire ext. CO2 (CP) First Aid Kit. 27. Crew.seats. Lavatory complete. • . 28. Crew 92 masks. a. "Air-Lav" 125-Serviced. 29. Manual holders. b. Vanity. 30. Step storage (CP). c. Mirrors (2). 31. Radio Complete. • d. Fire Ext. CO2. 32.* Fuel drained. e. Wardrobe & curtain. 33. Engine oil full. Commissary complete:- .34. Emergency lights .& battery. a. - (1). 35: Batteries installed (a/c). b. Tray Carriers 36. Entrance door curtain. Hot cups (1). .37. Spare Apu Speed logic box. d. Ice Bpx 38. Eng..plugs e. Coffee.Maker. 39. Jack pad box (Pees Out). Divan (3 pl. & 2 .Place).• Seven single chairs. Three fold-up tables. Three aisle doors. Fold-up desk (3). Service Cabinet °Aid-cabin a::Tape player.. b. Storage & phone Cabinet'(1) (divan Radio rack. doors. Fwd. Wardrobe. & curtain. . Fire Ext. (water).-:. Portable oxygen (sp). • t • ••••••••‘• •• • . nt • ' • • . -4:1•••11;fiil •-••••••“.• . • • • • - •▪ ' woe 9 •• • • -leg.•••• _ • r • .••• • • •-•.• . • . • • : • EFTA00278395 .i smga:trx,, no or-, -ragaile Sisine va.:44: . —... ---- a- 7-- • ..,-- •-• ......; i . r . ........ 7-•••••-...-:•., i'•-•-- - • •.-- .. . . '..t • . • ... ., . :- • • ' ir 'A ‘ • ' • • • .... EFTA00278396 . - •,... ......- . OGDEN AMERICAN CORPORATION ' - Grumman 'G1159 277 Park Avenue ' S/N 151 jN979RA New York, New York 10017_ :--'.' i - viarch 8, 1975 .‘„ `_..4.O. 215 ) • SAMPLE LOADING. FOR ZERO FUEL WEIGHT CONDITION #1: Ferry Flight with Crew of Two (2) Item Weight- Arm ,Moment . . Aircraft Empty Weight 35,340 463.95 16,396,292 40.61% MAC Engine Oil 56 554.00 31,024 Crew (2) 340 113.00 38,420 Crew Kit 50 113.00 5,650 Zero Fuel Wt,= crew 2 35,786 460.27 16,471,386 38.11% MAC Baggage . 600 565.00 339,000 CONDITION #2: Loading for 3 Crew & baggage ZFW - 2Crew &R.e.ggage • 36,386 462.00 16,810,386 39.29% MAC . Jump Seat 170 142.00. 24,140 Baggage 250 565.00 141',250 ZFW-3 CrewNt Baggage 36,806 461.22 16,975,776 38.76% MAC CONDITION #3: -Loading forlPassengers & supplies (Passengers aft to fwd.) ZFW -Crew 2 35,786 46C 27 16,471,386 38.11% MAC Crew Baggage '(.2) '60 565.00 . 3?,900 Lavatory. Water (10 gal.) 80. 544.00 43. 250 Lavatory Supplies 20 .519.00, 10,380 Galley SupplieS 100 474.00 47,400 Galley Supplies 100 474.00 47,400 Crew Galley ., 40 190.00 7,600 Utility , Box .(aft' 100 745.00 74,500 ZFW - 2 Crew& Supplies • 36,286 461.21 16,735,816 38.75% MAC .,....x Passenger D5 170 433.00 73,610 Baggage . 30 565.00 ZFW — Pass. (2 Crew) 36,486 461.17 16,826,376 38.72% MAC Passenger R5 170 420.00 71,400 '..Baggage 30 565.00 16,950 ;.. . • . • ". • EFTA00278397 FAA AIRCRAFT REGISTRY 'CAMERA FO 0.- DA : 1 ic-.71- * 12 - • . • Zr••• ictlr" .' ...;OS!...••••••••117. 'I T: Ilaiallirle a,•" . ciai ll.r. 1 4r1••111rafai• • •-.•••,4r .• • .. " r . • .MIIII•••••••• •••••••.••••••• , •••••••••.”••••am. l'•••=1•••• ••••• •••••••• ..• ••• •!•.=••••.••. ,.••• ••rii....• • ..••..MM. • =••. • •••••••••.. , ••••••i•••,•••••••.. EFTA00278398 pAA AIRCRAFT REGISTRY CAMERA NO.0.-• DATE: 10- -"I cI' J OGDEN AgERICAirabilPORATI0N.--- - Grumman G1159 277 Park Avenue S/N 151, N979RA New York, NeW York 10017, March 8, 1975 I.O. 215 SAMPLE LOADING FOR ZERO FUEL WEIGHT Item Weight Arm Moment 36,686 461.06 • 16,914,726 38.65% MAC ZFW - 2 Pass. (2 Crew) Passenger D4 170 407.00 69,190 Baggage 30 5r,5.00 16,950 - • ZFW - 3 Pass. Crew) 36,886 460.90 17,00U,866 38.54% MAC -170 381.00 64,770 'PaSsenger D3 '30 565.00 16,950 : Baggage 37,086 460.62 17,082,•586 38.35% MAC ZFW -.4 PasS: (2 Crew) . 170 363.00 61,710 Passenger R4 . •Baggage• 30 565.00 16,9504 37,286 460.25 17,161,246 38.10% MAC ZFW Pass. (2 Crew). P . Passenger R3 170 345.00 58,650 Baggage ' 30 565.00 16,950 37,486 459.82 17,236,846 37.81% MAC ZFW - 6 Pass. ( 2 Crew) Passenger D2 170 336.00 57,120 Baggage 30 565.00 16,590 ZFW - 7 Pass.. (2 Crew) 37;686 459.34 1.7,310,916 37.4b,‘ MAC • 7 • Passenger D1 170 318.00 54,060 Baggage 30 565.00 16,950 ZFW —8 Pass. (2 Crew) 37,886 458;79 17 381,926 37.11% MAC . . • Passenger R2. 170 272.00 46,240 • Baggage 30 . 565.00 16,950 ZFW -9 Pass. (2 Crew) 38,086 458.04' 17,445,116. .36.60% MAC ' Papsenger.R2 170' 272.00 46,240 Baggage 430 565.00 16,590 ZFW - 10 Pass. (2 Crew) 38,286 457.30 17,508,3.06 36.10% MAC Passenger R1 170 219.00 37,230 Baggage 30 56,:00 16,950 ZFW - '11 Pass. (2 Cre1 38,486 456.33 17,562,486 35.44% MAC ••••••, , • EFTA00278399 ••• z • •• •• • . :.•• • • EFTA00278400 FAA AIRCRAFT REGISTRY cn r, CAMERA NO. DATE; • _ *-. • OGDEN AMERICAN cdApoRAtraa . Grubman Gi159 277 Park Avenue • • • ' S/N 151 • N979RA New York,.New York 10017,- March 8, 1975 W.O. 215 SAMPLE LOADING FOR. ZERO FUEL WEIGHT Item Weight Arm . MOME,: ;.ii Pass. -(2 Crew) 38,486 456.33 17,,A'7.,486 5.44 MAC Passenger RI - 170 219.00 • 37,230 Baggage 30 565.00 16,950 • .• ZFW - 12 Pass. (2 Crew) 38,686- 455.37 17,616,666 34.79% MAC Passenger . .- Jump Seat : 170 142.00 24,140 Bagc#ge 30 565.00 16,950 ZFW - 13 Pass. (2 Crew) ----..138,886 454.09 33.92% MAC CONDITION #4: Loaded for Forward C. G. Limit- . ZFW - 2 Crew & Sul6Plies 36,286 461.21 16,735,816 38.75% MAC Passenger Jump Seat:. 170 142.00 24,140 Baggage . 30 565:00 16,950 ZFW 1 Pass (2 Crew) 36,486 T-159'.81 16,776,906 37.80% MAC Passenger R1 - 170 219.0C• 37,230 Baggage 30 565.00 16,950 ZFW — 2 Pass. (2 Crew) 36,686 458.78 16,831,086 37.10% MAC Passenger R1 170 '219.00 37,230 Baggage 30 565.00 16,950 ZFW - 3 Pass: (2 Crew) .36,886 457.76 16,885,286 36.41% MAC . . CONDITION #5: Loading for Additional baggage ZFW - 13.Pass. (2 Crew) 38,886 . , 454.09 17,657,756 33.92% MAC Remaining Baggage • '1 060' 565.00 -" 598,%900 . :- • • ZFW — 13 Pass. &.Baggage 457.03 18,256,656 .35.91% MAC EFTA00278401 : ..”.-44marr"-- ' .:,••-• — ' A- ;•"' 41r••••• %-• ~y C':• • i z;%:::— ••: : ''. • .• . t or...L.: A.Citini.:;1•:• —2.......' . ....., . . . . .. ..., 160 ''',.•- ” t;•'&4•::•'—'1•4;:i • . '''' . . • • ..•••••••••••••= ••••••• ••• ••.•••••MIN• I ••••••• ••••••••• ••••• •••••••d•• 1•••••••IWAI••••••• EFTA00278402 FAA ,AIRCRAFT RnISTRY :— DATE: f;(*l o. .) CAMERA NO, t;a }mt • • . . EFTA00278403 balitt'ssa. •• •• • '. • • • • - . . EFTA00278404 • . UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATIO N-FEDERAL- AVIATION ADMINIST RATI ON STAND 1'D AIRWO S. AUTHORITY AlsP•SASIS fuR tsSuAts This airwarthiness certificate is dOte as issuance, ths• Stir:raft end cert.fies that, as of the therefor, to be at condition f s. operat form to the type certificate cornprehentiee'and detailed iftvorthiness Cod uirements of the applicable Aviation, triceps as noted ht. • mien- on litematiOno civi; Exceptions: Ex.emption No. 6 46 4d ti . • t,‘ 6 TERMS AND CONDITIONS Unless sooner surrendered, wipe eked, or this airworthiness certificate is eR ate is other Wished by the Administrator, • Lierfornied in accordance with Part long as the mortenanct wy nd Preverive oinipnance. and alterations ore circroft Is registered in the Ude' ' 91 of titr federo l Ark yO (Pions, et nppropriate, and the • "•• in:um: Rep I c etneccnt ATE.cF I FAA REPRES... 9-27-74 I Glen IL Any alteration, reproduction, or misuse of arison:nent not er.xeding 3 years, Cr both.this certificate may be punishable by a (me cart enteeding 51.000, or ;fn.' ANCE WITH APPLICABLE FEDERAL AVIAT THIS CERTIFICATE MUST BE DISPLAYED IN THE AIRCRAFT IN ACCORD ION REGULATIONS. FAA Form 8100-2 t7-67) FORMERLY FAA FORA" .362 • - • • • -•"' . : • • EFTA00278405 . . n<c, • • • • s.ssrursis r /no, ••••••• ..—eig• Is • • • EFTA00278406 FAA AIRCRAFT REGISTRY CAMERA NC. 4. DATE: id. INSTRUCTIONS-Print or rope. Do not write in shaded aieas: these DEPARTMENT Of TRANSPORTATION are for FAA use only. SubMit original only to an authorized FAA FEDERAL AVIATION ADMINISTRATION , Representative. If additional space is required, use an attachment. For special flight permits complete Sections II and V! or VII as APPLICATION FOR AIRWORTHINESS CERTIFICATE apolicable. 3 Al.:RAFT MODEL DESIGNATION 4. YR. MFG. fAA COOING T. REGJITTRATION:M.47 2. AIRCRAFT BUILDERS NAME (NAY/ RCRAPT 3 9-3' 3 4-# 5- --- — N804GAI/2IGAA 79L7t Grumman American C.4159 1974 S. Al Ita. AL NO • . 6. ENGINE BUILDER'S NAME (A.the1 7. ENGIT.It'/AODEL DESIGNATION • SCRIPTION 151 Rolls ROyce Turbo Fan Spey Mk 511-8 - ;5 Ji..-- :2. PROPELLER WILDER'S MUTE (miff) 10. PRO. ELUR MODEL DESIGNATION 11. AIRCRAFT IS 8. NUMBER a Mit( 00 I. bettbdotttit i IMPORT . Twa ° N/A 8 t3. N/A APPLICATION IS MERRY MADE FOR: (Cock applicable kens) XIItANSFORAT : GLIDER I I BALLOON A 1 X STANDARD AIRWORTHINESS CERT. (indicate category) NORMAL UTILITY i ACROBATIC K SPECIAL AIRWORTHINESS CERTIFICATE (Check appropriate item) . • 2 LIMITED II. CERTIFICATION REQUESTED • 5 PROVISIONAL (iaslicatt thus) . CLASS I . 2 CLASS II DUAL , — 1 AGRICULTURE & PEST CONTROL AERIAL SURVEYING ' 3 • sovERnsING RESTRICTED (Ixdic.ee opernon(t) to FOREST (wild life tottereatrott 1 PAMOTAING C EATHIR CONTROL 3 #e attaistattO , . . 0 OTHER (Sfrefifr) RESEARCH AND DEVELOPMENT •2 J AMAIEUP. WILT 3 EXHIBITION 4 EXPERIMENTAI fladiratf operatican) RACING CREW TRAINING 6,j. MKT. suRyre to be ccularre:0 TO SHOW COMPLIANCE WITH FAR • • 0 FERRY FLIGHT FOR REPAIRS, ALTERATIONS, MAINTENANCE OR STO.AGE SPECIAL RIGHT PERMIT (Italia:, °paying to ie 'neatened Ilya racket 2 EVACUATE FROM AREA OF IMPENDING DANGER 8 Sretiott VI or VII as apphosalt es OPERATION IN EXCESS OF MAX. CERTIFICATED TAKE-OFF WEIGHT •4 / DELIVERING OR EXPORT • I 5.I IPRODUCHON FUCK TESTING C j6I MULTIPLE AIRWORTHINESS CERTIFICATE (Cheik appropriate Restricted Operation and Standard or Limited as applicable abase).- ) IF DEALER, CHECK HERE --.- I n A. REGISTERED OWNER (fir shown on Cerificate of Air,-raft Registration NAME ADDRESS . • . . Grumman American Aviation Corporation Savannah, G . 31402 B. AIRCRAFT CERTIFICATION BASIS (Check applicable bfr,cis and smplete items as indicated) III. OWNER'S CERTIFICATION AIRCRAFT SPECIFICATION OR TYPE CERTIFICATION DATA SHUT (Gist No. LAIRWORTY.INESS DIRECTIVES (Check if allunlit-61e AM orrpred to :th atLIgt:e Jed Rtrifhlt NG.) liteit . CD No.) x Al2EA Rev 7 5/1/73 74-19 SUPPLEMENTAL TYPE CERTIFICATE (Litt number of tad, STC incoriorait..) AIRCRAFT UST** (Gist page Sotto.) . N/A -NIA C. AIRCRAFT OPERATION AND MAINTENANCE RECORDS CHECK IF RECORDS a. TOTAL AIRFRAME HOURS—EIGE90062(XEOGEr EXPERIMENTAL ONLY —Ester .reef but sine Ian arttif,.ar:tt......1 . cr etraurd . X COMPLIANCE WITH FAR 91.173 IA:Do -F_OURS • • D. CERTIFICATION—I hereb) certify that I am the owner (CC his agent) of the ircraft described above; that the aircraft is registered with the Federal Aviation Adminisuanon in accordance with Section 501 of the Federal Aviation Act of 1958, and applicable Federal Aviation Reguia- and is airworthy and eligible for he airworthines s certificate requested. dons; and. that the aircraft has been inspected ., NAME AND TITLE (Print cr WO 1 socs9ue re, DATE OF APPLICATION - 1k September 197 2- V_ 0 anzron Agent I /7 A. THE AIRCRAFT DESCRIBED ABOVE HAS BEEN INSPECTED AND FOUND AIRWORTHY BY: (Complete Ibis section on!) if AR 21.183 (d) applies) CERTIFICATED REPAIR STATION (Gut Ctrieitatt IV. INSPECTION; 11/412 PART 121 01.327 CERTIFICATE HOLDER (Girt CERTIFICATED MECHANIC (Gist 3 orri(inar &Nisi) 6 No.) 2 Certijirate Na) - AGENCY AIRCRAFT MANUFACTURER (Gist Nagle ofFirm) 5" VERIFICATION TDIE SIGNATURE DATE he requirements for: g,The certificatiat. • V. FAA (Check ALL. applicable blocks). .Iliad that the aircraft described in Section I or VII meets certificate. In pection For a special fAht permit wider requested, or car —l'Amentiment.or modification of its current airworthiness holder under FAR 65, ' FAR 121 or 127, or NU FAR 145: REPRESENTATIVE Section VII was conducted by: 0 FAA Inspector; certificate .2. DISTRICT OffKE r• .. . -1 . .2 1. f F.: , / INSPECTORS SIGNATURE OATI. CERTIFICATION 2 7 Set.i97.4 ASOEHDO; 4 smi;ral.t.. . J. yn 7-0-42 h. DmIR # SO-118-2 I EFTA00278407 o; A. MANUFACTURER, NAME ADDRESS VI. PRODUCTION B. PRODUCTION BASIS (Check applicable hot) PRODUCTION CRITIC-ATE (Cite produetzed certificate number) TYPE CERTIFICATE ONLY ►LIGHT TESTING. APPROVED PRODUCTION INSPECTION SYSTEM C. GIVE QUANTITY Of CERTIFICATES REQUIRED FOR OPERATING NEEDS: . NAME AND TITLE (Print er opt) • SIGNATURE DATE OF APPUCATION It" . A. DESCRIPTION OF AIRCRAFT REG4STERED OWNER ADDRESS • WILDER (.5F.iFy) r. • MODEL 6 SERIAL. NUMBER REGISTRATION MARK . . . . -. B. DESCRIPTION Of FLIGHT VII. SPECIAL FLIGHT PERMIT PURPOSES OTHER THAN PRODUCTION FLIGHT TEM FROM TO ' - - DEPARTURE DATE I DURATION VIA C. CREW REQUIRED TO OPERATE THE AIRCRAFT AND ITS EQUIPMENT CO-PILOT 1 NAVIGATOR OTHER FSAteib) -. ) PILOT D. THE AIRCRAFT DOES NOT MEET THE APPLICABLE AIRWORTHINESS.REQUIREMENTS AS FOLLOWS: .. .. . 1 • .. • ... ... . . '... .... - ... ' • . •e neutsan) E. THE FOLLOWING RESTRICTIONS ARE CONSIDERED NECESSARY FOR SAFE OPERATION (Use Ottachinent if . . . - . • Dese. . • . le • • aircraft described above; that the aircraft is registered F. CERTIFICATION-I hereby certify that I am the registered owner (or his agent) of the Act of 1958, and applicable Federal Aviation with the i' -decal Aviation Administration in accordance with Section 561 of the Federal Aviation and is airworthy for thedlighede scribed. Regulations; and that the aircraft has been inspected DATE NAME AND TITLE (Print or t;70. SIGNATURE • " A. Operating Limitations and Markings in Camp:ionce with FAR G. Statement of Conformity, FAA Form 317 fyirrafb when reautre.l) VIII. AIRWORTHINE 1M 9i:31'as Applicable • - H. Foreign Airworthiness Certification for Import Aircraft (Attach a Ina • required) — B. Current Operating Limitations Attached DOCUMENTATIO I. Previous Airworthiness Certificate Issued in Accordance with I C. Dolce, Drawings, Photographs. etc. (Attach when readire.1) (Original attached) frill D. Current Weight and Balance Information Available in Aircraft . FAR CAR - (FAA use only) E. Major Repair and Alteration, FAA 337 (Attach ulxn rebuked) J. Current Airworthiness Certificate Issued in. Accordance with MI F. This Inspection Recorded in Aircraft Records x FAR 21.183 (a) (Cep) attached) , • EFTA00278408 • UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION -FEDERAL AVIATION ADMINISTRATION ST/nARD AIRWORTHINESS CERTIUATE I. NATIONALITY AND It - MANUFACTURER A 3. AIRCRAFT SERIAL (1. CATEGORY REGISTRATION MARKS • NcR • A V\s"B ,i I / C . ..., . s' 103040A G.1 151 , It:\ 51 l Transport I •' S. AUTHORITY AND BASIS FOR ISSUA42 --..A\ • %---,.._. . this airworthiness certificate h its pursuant.-nr: dets ceation ,* Ps \,1\58 and certifies that, es cf the' dote of issuance, the aircraft .temer.Pids issue:1, gal= lid and fer,d to o\ to the type certificate tForefcr, to be in condition/fat operatIon.:__ ' ' sitawn to meef the requirements cf the applicable ' comprehensive and detailed'isir thiness tad. ,-..._ f me as 'rev' ....... ibLknysx 8 to ." Cptvention on International Civil ../ . Aviation, except as noted Mein.sin. ; .. I • 1 -1 10 .1. if_ IS: . f ..... Exceptions: 1 ' N i.- Tr:7-1;777T— S t: d 0, 4 'IC.. . ..‘ -Tr; , ' mo tion No. 03 -to 4N.113t 4• .77 w1.JJ ti- t/ S. TERMS AND CONDITIONS \\\ - surremiered, revoked>ar—a- WernaationAate is atbeIlMq stablished by the Administrator, this airworthiness certificate iskeffascrisee as long al-thea hicterdirionce, prey ive maintenance, and alterctiogs are t.. cnd the performed in accordance witF PaetnY, 4.7, and 91 of the Federal Avian A Regi:Ictions, as appropriate, I REPTtia: . aircraft is registered in the UreNted 561,ers• t /7/ DESIGNATION SOMBER DATE OF ISSUANCE 13ePt • 19711 f 130•118-2 F" punishable by a fine not exceeding $4,000, or irn- •. Any alteration, reproduction, or misuse of this ce nt AIRCRAFT IN ACCORD- t prisonment not exceeding 3 years, or both. THIS CERTIFICATE MUST BE DISPLAYED IN THE ANCE WITH APPLICABLE FEDERAL AVIATION REGULATIONS. FAA-Form 81004.(7-67) FORMERLY . -. itt rmt..‘e:-.'ravel•-•••• .••••• EFTA00278409 r ••1.7_,..!••••••••=4:,••.3*‘. -v.-' •• st-z. • • -• EFTA00278410