•

1 Approving Competent Authonty ! Country

EA SA

2

4 Approved Orgamsatmn Name And Address

6 Item 7 Descr1pt1on

AUTHORISED RELEASE CERT: ATE

8 Part No

EASA FORM 1

Messier Services Americas, S.A. de C.V.

Av. La Noria 131, Parque Industrial Queretaro Queretaro, Oro. Mexico, 76220

Telephone : (521442 192 5800 Fax : (521442 192 5801 9 Ei1g1b1hty • 10 o,,

>-----+----------------+------------+--1

13 Remarks

SHOCK STRUT ASSY, MLG

10190-107 VARIOUS 1

11 Senal I Batch No

DCL3719-96

THIS COMPONENT WAS OVERHAULED IN ACCORDING TO MESSIER DOWTY, INC. C.M.M. 32-10-07 REV. 5 DATED FEB. 12/08. ALL TEST WAS SATISFACTORY. THE SB DHC8-32-88 WAS EMBODIED. (REDESING OF THE LOWER END). AND SB DHC8-32-82 WAS FOUND EMBODIED. TSN:25497:00 CSN:27836 TSOH: 00:00 CSOH: 00 TOTAL TIMES AND TOTAL CYCLES HAVE BEEN PROVIDED BY THE CUSTOMER. ALL DETAILS OF WORK CARRIED OUT PER WORK ORDER 113597.1.7

'ORI 3 Form Track•ne Number

EllSA 10/ 6853

5 Work order I Contract/ Invoice

113597 .1.1

RTl0-0152

12 Status Work

OVERHAULED

14 Cert1fres the items 1dent1f1ed above were manufactured m conformity to

D Approved design data and are rn cond1t1on for safe operation

19 ~Part 145A 50 Release to Service 0 Other regulation spec1f1ed rn Block 13

D Non approved design data spec1!1ed m Block 13

15 Authorised Signature

~ 17 Name~

~ EASA Form 1 Issue 1

~oval I Authonsatmn Number

18 Oate l d/m/y)

Certifies that unless otherwise specified in block 13, the work identified m Block 12 and described in Block 13, was accomplished m accordance with Part 145 and m respect to that work the items are considered re,dy for release to service . ',;

22 Name ? '

GUSTAVO CERECER F.

21 Cert1f1cate / Approval Ref No

EASA 145.0356

23 Date I dimly I

02/AUG/2010

* Installer must cross check ehg1b1hty N1th applicable technical data

USER /INSTALLER RESPOtJSIBILITIES

NOT E 1 It 1s important to understand that the existence of the document alone does not automat1catly constitute authority to install the part I component I assembly 2 Where the user I mstaller works m accordance with the national regulations of an A1rworthmess Authority different from the Airworthmess Authority specified m block 1, 1t is essential that the user/

msta11er ensutes that his/ her Airworthiness Authority accepts parts I components/ a:.sembhes from the A1rworthmess Authority specified m block 1 3 Statements 14 and 19 do not constitute mstallat1on cert1flcat1on In all case, the aircraft mamtenance record must contam an mstallat1on cert1f1cat1on issued m

accordance with the national regulations by the user I mstaller before the aircraft may be flown

Messier Services Americas S.A. de C V • • Av La.1a No 13.rque Industrial Queretaro

Santa a J8ureg:.. 220 Queretaro, ORO Mexico

LIFE LIMIT REPORT DGAC Repair Station No 346 FAA Repair Station No MXVY 496Y

REPORTE DE LiMITE DE VIDA EASA Repair Station No 145 0356 Descnpt1on Work Order Customer Descnpc16n SHOCK STRUT ASSY. MLG Orden de TrabaJo 113597 1.1 Cllente TYROLEAN AIRWAYS Assy Part No CMM Number Am:raft No de Parte del Coniunto 10190-107 Numero de CMM 32-10--07 Aeronave DASHB Assy Senal No Rev1s1on OEM No de Sane del Conjunto DCL3719/96 Rev1s16n 5 Fabncante MESSIER DOWTY INC.

Component Basic Part Number as Recerved Senal Number as Recerved Basic Part Number as Dispatched Senal Number as Dispatched Total Landings (1) Componente No de Parte Basico Rec1b1do No de Sene Rec1b1do No de Parte Enviado No de Sene Enviado Atemzaies T otales

Shock Strut Assy, MLG 10190-107 DCL3719/96 10190-107 DCL3719/96 27836

Cyhnder SIA 10195-101 DCL-3777 10195-101 08ALT0015 00

Piston SIA 10105-507 DCL-A375 10105-507 DCL-A375 25110

Torque Link S/A, Upper 10135-501 DCLA358 10135-501 DCLA358 21882

Torque Link S/A, Lower 10125-501 DCLA515 10125-501 DCLA515 20195

Pin, Strut to Yoke 10150·551 DCL-3813 10150-551 DCL-3813 27816

Pm, Upper Torque Lmk 10106-501 DCLA332 10106-501 08EXCA2491 00

Pin, Apex 10109-1 DCL1599 10109-1 DCL 1599 NOT REPORTED

Pm, Brake 10110-501 DCL-A740 10110-501 DCL-A740 NOT REPORTED

Pm, Brake 10110-501 EXC-A1880 10110-501 EXC-A1880 NOT REPORTED

Lock Segment 10128-1 NSN 10128-5 09CPS3426 00

Bearmg, Upper· Lmed 10130-5 00360 10130-5 00360 6846

1 D1scla1mers / Dechnac1ones

A The Total Landings information shown for the parts listed above has been provided by the customer and 1s assumed correct A la mformacl6n del total de aternza,es mostrada para las partes llstadas amba ha s1do proporc,onada por el Chante y se asume que es correcta

8 It 1s the operators respons1bdrty to ensure these records are fully and accurately maintained B Es Responsablhdad del Operador asegurarse que estos reg1stros esUln completos y mantenidos con prec1s16n

C For any ultimate life llmrt or inspection requirement refer to the appropnate Manufactures Approved Documents Ref Part 2 Rev 6 of MRM Appendix B A1rworthmess Umrtat1ons dated Dec 02/05 C Para tener el Ultimo lfmlte de vlda o requenm1ento de mspeccl6n, refierase al aprop1ado Documento Aprobado por el Fabncante, Ref Parte 2 Rev 6 de MRM Apend1ce B l1mrtac10nes de Aeronavegab1hdad de fecha Dec 02/05

Prepared by Preparado por

MSMX Form ENGF-016 Rev 01 - 02 Nov 06

/ ~.~~~!er, D 1 AIMW

~

Controlled Docu. T• • __ -~r'nto Control ado

Engmeerlng Approval MSMX \ l~uallty Approval

Aprobac16n de lngemerla L 1 l'"11m~ I Aprobac16n de Cahdad

11\,/ EN_9

~

\~~ Date ~vc. oz~·, 2-010 Fecha

Page 1 of 1

.. • • DESCRIPTION JOB NO

MESSIER SERVICES SB-AD MAIN LANDrNG GEAR SHOCK STRUT 113597 I I

AMERICAS S.A. DE C.V SHEET MANUFACTURER SERIAL NO

MESSIER-DOWTY rNC DCL3719-96

SB MOD ISS AD WORKSHEET

SB NO/SL REV NO NO DESCRIPTION ADNO REV ADDESC ACTION" REFE....,c:;;-

DHC'S-32-69 J NIL NIL DASH 8 MLG - SHOCK STRUT NIL NIL NIL MSMX

NI\ I l O l\ll 1

'\ - 90~ DHCS-32 74 2 NIL NIL MLG SHOCK STRUT NIL NIL NIL /Mess_,e,

MStJ.X

rJ A JOJ\llllm

DHCS-32-82 I NIL NIL MLG SHOCK STRUT NIL NIL NIL "-- ~ F C'vV

~ MS

JU DHC8-32-S8 0 NIL 'IL MLG SHOCK STRUT NIL NIL NIL ~

cvJ M~cll

MSMX

I JO IIUIO 909 SUP -

* Please md1cate the abbreviation :-

FCW Found Complied With NCW ~ot Compiled With (Please state reasons in remarks column) INFO - For Information Only

CW - Comphed With at this repair NA Not Applicable Due To Effect1V1ty Code l'li/R - Not Required by Customer

QCF-0025 Rev 5

Sheet I Or I

PART NO

10190-!07

CHAPTER REV NO

32-10-07 5

INSPECTOR

I '\.STAMP/ DATE REMARKS

M ~ -~ /-L7 I // ~ ~ey mo

~~ -

26 Jul 2006

Date Prmted: 5/19/2010

Work Order No.

111.3597 .1.1 1

PLEASE REFER TO THIS NUMBER FOR ALL INQUIRIES

Customer Name Customer Service Report

TYROLEAN AIRWAYS TIROLER LUFTFAHRT FUERSTENWEG 190 AIRPORT INNSBRUCK INNSBRUCK, 6020 AUSTRIA

GMBH Loaner No Date Received

'---------------'I I 1 7 1 o 5 1 1 J

Messier Services Americas, S.A

ON Av La Nona 131 Parque Industrial Oueretaro Santa Rosa Jauregui 76220 Oueretaro, Oro, M8x1co

DGAC Repair Station 346

de CV

Customer P O No

IRTl0-0152

Contract No / Delivery Order No "-D~o~cu~m~e~n~t~N~o ____ FAA Repair Statron MXVY496Y EASA Repair Station 145 0356

,P.,ar11t_N_o _________ _, nl 10190-107 LJ

Serial No Work Seo e

DCL3719-96 OVERHAUL

L-~ cr1pt1on

IMAIN LANDING GEAR

'\orted Failure (lf Applicable) ~ Confirmed D Unconfirmed Total Times Total Landings

TIME BETWEEN OVERHAUL EXPIRED. UNIT WILL BE SENT TO MSUK UNLESS A SPECIFIC REQUIREMENT IS INSTRUCTED TO SEND TO AUSTRIA.

J25491,00J J 278361

Times Since OH Ldg Since OH

L____ ______________ _____J I oo, oo 11 o 1

Assembly was ~ Overhauled D Repaired D Mod1t1ed D Tested D Inspected D Work was performed in accordance with

32-10-07 REV.5 DATED FEB 12/08

Remarks

_ IS COMPONENT WAS OVERHAULED IN ACCORDING TO MESSIER DOWTY, INC. C.M.M. 32-10-07, ALL TEST WAS SATISFACTORY. THE SB DHC8-32-88 WAS EMBODIED. (REDESING OF THE LOWER END). AND SB DHC8-32-82 WAS FOUND EMBODIED. IT WAS DISPATCHED IN ACCORDING TO LIFE LIMIT REPORT ATTACHED ALL DETAILS OF WORK CARRIED OUT PER WORK ORDER 113597.1.1

A D 's, S B , Mod's embodied

NONE

Returned As Is

As Dispatched

Pact Number 10190-107 " ,+h,....rized S1nnature

Senal Number DCL3 7 19 - 9 6

Form No ISF-067 Rev 02 02 Nov 06

Inspector 02/08/10

Name

L _______________ __cM.ccac,cJO"--r-'---Pa='-rt"'s-"R"'ep""la:.:cce::.:d:.._ _______________ __,

Part No

10101-555 10106-501 10107-551 10128-5 10132-5 10136-3 10139-1 10147-553 10148-1 10154-553 10155-11 10159-501 10165-5 10173-501 10174-3

181-1 .._ 183-1 10186-101 10195-101

847-1 ~ 848-3 1743B 1Cl010 7346FR-2T 7346FT-4780N 7346FT160 7346FT4780T B812

Remarks (1f any)

MSMX FDrm ISF 061 Ro• 02 02 r-.la• 06

Descnnt1on

SLEEVE UPPER TORQ. LINK PIN BUSHING SEGMENT (4PC SET) CARRIER, SEAL LOWER BEARING BLEED VALVE ADAPTOR ADAPTOR ASSY AXLE NUT INSTRUCTION PLATE INSTRUCTION PLATE WASHER, LOCK-CUP ROLLERS/A SLEEVE/BUSHING LOCKING KEY SLEEVE, BRAKE PIN BOLT, BRAKE PIN RETAINING COLLAR CYLINDER S-ASSY SPACER RETAINER,SEAL LUB FITTING VALVE BACK UP RING BACK UP RING SEAL BACK UP RING BEARING,LUBE CODE 5

Reason tor Rer lacement

100% REPLACEMENT CORRODED BEYOND REPAIR 100% REPLACEMENT MODIFIED PART per AD/SB/CMM CORRODED BEYOND REPAIR MODIFIED PART per AD/SB/CMM CORRODED BEYOND REPAIR CORRODED BEYOND REPAIR MISUSED 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT WORN OUT OF CMM LIMITS 100% REPLACEMENT RECEIVED DAMAGED BEYOND REP 100% REPLACEMENT CORRODED BEYOND REPAIR MODIFIED PART per AD/SB/CMM CONCESSION RELATED 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT LEAKAGE 100% REPLACEMENT 100% REPLACEMENT MODIFIED PART per AD/SB/CMM MODIFIED PART per AD/SB/CMM 100% REPLACEMENT

Part No

CRS85-142-1 CRS85-171-17 CRS85-172-16 CRS85-173-18 CRS85-174-18 CRS85-174-19 CRS85-48-2 CRS85-66-7 M8791-1-016 M8791-1-017 M8791-1-118 MS14144L5 MS17825-5 MS17826-10 MS17826-4

17826-5 • 24665-136 MS24665-153 MS24665-289

28774-010 • 28774-347 MS28774-349 MS28775-010 MS28775-015 MS28775-016 MS28775-017 MS28775-118 MS28775-156

MSMX Form ISF 067 Ae~ O? 02 Nov 06

Descnnt1on

BUSHING BUSHING BUSHING BUSHING

Ma or Parts Replaced

REPAIR BUSHING REPAIR BUSHING BUSHING BUSHING RING, BACK-UP RING, BACK-UP RING, BACK-UP NUT NUT NUT NUT NUT COTTER PIN COTTER PIN COTTER PIN RETAINER RETAINER RETAINER O-RING O-RING O-RING O-RING O-RING PACKING

Reason tor Renlacement

WORN OUT OF CMM LIMITS WORN OUT OF CMM LIMITS WORN OUT OF CMM LIMITS WORN OUT OF CMM LIMITS WORN OUT OF CMM LIMITS 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT MODIFIED PART per AD/SB/CMM 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT MODIFIED PART per AD/SB/CMM

Part No

MS28775-347 MS28775-349 MS28778-4 MS28889-2 NAS1149F0432P NAS1149F0463P NAS1149F0532P NAS1149F0563P NAS1149F1032P NAS1149Fl063P NAS43DD4-41 NAS509-17 NAS513-16 NAS6204-14D NAS6204-1H

S6204-26D S6204-28D S6204-31D S6204-SD S6204-8D S6205-116D

R010/473JPLB R010/473TLLB R2001-014S019 S32152-339PH S32925-638GS TAT125-3-0

Remarks (1f an )

MSMX form ISf 067 Re~ 02 02 No~ 06

Descr1nt1on

O-RING O-RING

Ma or Parts Replaced

PACKING, PREFORMED VALVE WASHER V80205 HX WASHER WASHER WASHER WASHER WASHER SPACER NUT, JAM LOCK WASHER BOLT BOLT BOLT BOLT BOLT BOLT BOLT BOLT BUSHING BUSHING SEAL RING, PISTON RING SCRAPER SHRINK SLEEVE

Reason for Reolacement

100% REPLACEMENT MODIFIED PART per AD/SB/CMM 100% REPLACEMENT 100% REPLACEMENT

·,00% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT 100% REPLACEMENT WORN OUT OF CMM LIMITS WORN OUT OF CMM LIMITS 100% REPLACEMENT 100% REPLACEMENT MODIFIED PART per AD/SB/CMM 100% REPLACEMENT

....... 1yrolean R0203810 Page l/2

. -REP AIR ORDER (External)

Number: R0203810 . Date: 20.Apr.2010 1111111111111111 Ill I I IIIIIII II Ill I Ill Proforma Invoice ODR0203810 Kmdly quote above order no and reference m all correspondence and when sendmg parts and mv01ce

REPAIR STATION ISSUED BY

MESSIER SERVICES LIMITED MATERIAL PROCUREMENT DEPARTMENT METEOR BUSINESS PARK TYROLEAN AIRWAYS CHELTENHAM ROAD ., " TIROLER LUFTFAHRT GMBH GL29QL-GLOUCESTER FUERSTENWEG 190 GREAT BRITAIN 6026 - INNSBRUCK TELEFAX: 00441452 716540 AUSTRIA E-MAIL: Sarah.Burris@Messierservices.com PHONE: 0044 1452 711 369

Pnonty NORMAL Responsible' Geir, Sandra Payment Cond1t1on 30 DAYS,NET Telecom +43 5 1766 31832 Return lncoterm EX WORKS Telefax +43 512 286293

Email· sandra.geir@tyrolean.at

rlerText I PLEASE CARRY OUT OVERHAUL!

Item Partnumber Descnpt1on Senalnumber

1 10190-107 STRUT, MLG SHOCK DCL3719-96

Label No: 1097917 TSN: 25497 CSN: 27836 Manufac. Date: 02.May.1998

Removed from A/C: L TL TBI· 19704 CBI: 21481 Date of Removal:

16.Apr.2010

Requirement

LIFE LIMITATION Dimension: FLIGHT CYCLES TOGO: 32164

Interval: 60000 ·Is1nce New: 27836 Since Req.: 27836

OVERHAUL/ RESTORATION Dimension: FLIGHT CYCLES TOGO: 2164

Interval: 30000 I since New: 27836 Since Req.: 27836

OVERHAUL/ RESTORATION Dimension: CALENDAR DAYS TOGO: 13

Interval: 4380 ISince New: 02.May.1998 Since Req.: 02.May.1998

SERVICING Dimension: FLIGHT CYCLES TOGO: 640

Interval: 7000 I Since New: 12715 Since Req.: 6360

Target Date: 20.May.2010 Return Condition: OVERHAULED Country of origin:

Qty UM Repair Pnce Each Total(gross) Discount Total(net)

1.0 EA 86'436.03 EUR 86'436.03 EUR 0.0 % = 0.00 EUR 86'436.03 EUR

Value for Customs: 300.00 EUR CM-No.:-

Authorised By J SCHOT

D1mens1on Weight m kg Packed by

BOX No Packing Length Width I Height Gross I Net

7 I Certified correct

R0203810 produced bv AMQSNww swiss-a;; co111

•

....... 1yrolean R0203810 Page 2/2

.

' •

,,

RETURN TO BILL TO

TYROLEAN AIRWAYS TYROLEAN AIRWAYS STORES DEPARTMENT TIROLER LUFTFAHRT GMBH FUERSTENWEG 190 ACCOUNTING DEPARTMENT INNSBRUCK AIRPORT FUERSTENWEG 176 6020 - INNSBRUCK 6026 - INNSBRUCK AUSTRIA AUSTRIA PHONE: 00435176631833

All repairs 1n connection with this order must be earned out by EASA/JAA APPROVED ORGANISATIONS!' The lnstallat1on of PMA 1s not accept, CERTIFIED DOCUMENT OF AIRWORTHINESS ACC EASA/JAA REGULATIONS REQUIRED"

R02038l0 produced by AMOS.vww swiss-as com

Part received by TM

TYROLEAN AIRWAYS 10190- 101-PN .......................................................

Extended Incoming SN: ... \) Cl-J'.t..1.~.::)3~ .. ... ..... rl.Q'LO;,tio ...... Inspection P.O ... ....... .......................................

Date: .... ... 2.). VI .1 .. 9. .................... ...

TM no fault found D new equipment D techmcal nonconformance D by repa1Tstat10n with TYR repalf or

incoming mspeclion Ji( purchase order

testeqmpment after D requested by TYR cahbrat10n

Reason for extended mcommg mspeclion.

Complet10n of 1m!lal Date· ZJ:.f.1. ! '?. Code~ .. S1gna7 t.~···-· .. mcommg mspect10n by TM: ...... . .

yes no TS techmcal nonconformance D !It Remarks: confirmed by repa1Tstat10n tJ ,_;; { -' v r .5---" ,a.c.- t )-.JS.,.- ,r?.e-CC cV

copy to TM D ~ C,:·,rc:: ( ,~ p~,-:::::--~,:::>-;- A~---_u

copy to TE D E!t (._ ( ,:::-cc (. (h. ( 7'- .._?-;;;-t7.::i,7 .~

Info to shop manager r -~1/ l t-'"" ~-- t"""D

or to shop foreman D [] 1--X? +- ( rv---;> r ,~ t; 1

Modstatus

.

shelf~fter cahbralion (rnrnrn/dd/yy) I I

Aoohcable for new eqmpment only: TS CALpenod: Beze1chnung (Deutsch):

CAL stat10n I: Cost at purchase:

CAL stalion 2: DT-Kennnummer:

------Locat10n: Inventory number· /-· Extended mcommg mspect1on yes no s !. L¼-t' i'

sa!Isfactory completed by TS· B D Date Of· 1?Y~ ... ~J--1 Signature ·, ~ Iii" I Code: .' ..... : ... .. ................

TM Complet10n of paperwork

Date: .5,_i~:\.~9. .. Code.~ .. ?

by TM Signature .... , .. ~. ..

TYR Forni 2024 Rev 3 06-03-01

6 0 7 3 2 3. 51:r. ZOIO

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acking Number

;A 10 / 6853

·der /Contract/ Invoice

L3597. 1. l

)-0152

Status Work

~RHAULED

, .

14. Certifies the items identified above were manufactured in conformity to : 19. f/J_ Part 145A .50 Release to Service D Other regulation specified in Block 13

O Approved design data and are in condition for safe operation.

D Non-approved design data specified in Block 13. Certifies that unless otherwise specified in block 13, the work identified in Block 12 and described in Block 13, was accomplished in accordance with Part 145 and in respect to t hat work the items are considered ready fo r release to service.

15. Authorised Signature 20. 21, Certificate / Appfoval Ref. No

EASA 145.0356

18. Date ( d/m/yl 23. Date ( d/m/y l

GUSTAVO CERECER F . 02/AUG/201 0

EASA Form 1 · Issue 1 • Installer must cross · check eligibility with applicable technical data

USER / INSTALLER RESPOIJSIBILITIES

N DTE : 1. It is important to understand that the existence of the document alo ne does not automatically constitute authority to install the part / component I assembly. 2. Where the user/ insta ller works in accordance with the national regulations of an Airworthiness Authority different from the Airworthiness Authority specified in block 1, it is' essentia l that the user /

installer ensu(es that his/ her Airworthiness Authority accepts parts/ components l a;semhlies, from the Airworthiness A·uthority spe~ified in block 1. 3. Statements 14 and 19 do not constitute installation certification. In all case, the aircraft maintenance record must con'tain an installation certification issued in

accordance with the national regulatio~ the user I insta ller before the aircraft may be flown . • 1J.

"

] OS: EASA PART-145 AT. 145.001, FAR-AUXY103F Austrian Airlines AG

I I I Q VO: EASA PART-145 AT.1 45.030 Tyrolean Airways - Tiroler Luftfahrt GmbH W.O. Rev. 3

.ire raft/ LTP Maintenance Workorder © ® ~ st. :

A32 D 877 0 MD8 .. Issued by "'ATA D Pirep """'""

A33 0 CRJ 0 3RD Date No.2115435 ] A34 0 OHS 0 COMP 17 . Apr2007 ID VGRA 32- 10 ~ Maint ] 873 0 F70 'rot (Side 1 of 6) ~ ] 876 0 F100 Flt No. From 181 Sched

Stn I NN Statistics l D Base =>/N

D Canni Project D Struct. Damage D Insurance 3/N D Tech. lrreg. D Warranty

MEL Ref: MEL Interval O HIL D Flt Deck Info D Cabin Info o soc :::lassification ~ [ill[g[Q] D F.B. req. 0 AOG Risk ETOPS Restr.: CAT Restr.:

OPS Reporting Text:

List any available Fault Codes, Messaaes, Observations either in Description- or Action Text ~

"'As PER BOMBARDIER CSLB-32-022 . REMOVAL OF MLG SHOCK STRUT PIN 10190 - 101 SIN DCL3610191 REOUIRED WITHIN &00 FLI GHT CYCLES . REINSTALL SHOCK STRUT WITH CORRECT PIN AS PER IPC (10190-111) .

;

I

. r,,afllog ID ETOPS/ ~ry req. C ritical Path

II T askcard Finding I I Zone I I Area I Date ID 1-'e~ormed reoort Task No.: inn

VAS PER BOMBARIER CSLB - 32-023 , REMOVAL OF MLG SHOCK STRUT t--

10190- 1 01 SIN DCL3610191 REQUIRED WHEN ORIGINAL UNIT IS AVAILABLE FRO RE INSTALLATION AFTER OVERHAUL (NO HRS I CYC ,

LIMIT) 30 . 05 VGRA -~ LH SHOCK STRUT ASSY REPLACED I AW AMM 32-10-1 2 . SHOCK STRUT SERVICE DONE . ANTI SKID TEST DONE . ITEMS 'STILL OPEN : / ,

: ·1GEAR F IC I WHEEL INSTALLATION, FAIRING INSTALLATION, 11 . 1 0 VPEE -1~ 1 DIMENSION X- CHECK WHEN A/ C ON GND BRAKE BLEEDING . - -- -- - 11 .1 0 VPFA ?i.L_

~ / A / o&~,_ ----- -- - -- - --BREAK SYSTEM BLEEDED, WHEELS I NSTALLED , FAIRINGS J ~ ~ A\_)

0

INSTALLED AND SEALED . FIC OF EXTENSION AND RETRACTI ON 12. 1 0 VPEE ,f.

SYSTEM PASSE . SHOCK STRUT SERVICE ON GND DONE SATI S . 12 . 10 VPFA -~¢;;;l_ .:; l _/J.-';,\ ,_. \' 590 '-1)

~ ·~~ :eference w 2 115057 w 2270350 w 2270 4.56

ype / No.: ',F,C , l,M

alid Ext. Codes: Combination of GT/ Groundlime MP/ Mannnwer TOI Tool HAI Ha"-"' PW/ P=IWOII<'. PR/ Part, •mest and CH/ Chanoe IC/ tnromr ele ISi Insufficient NA/ Not avail W R/ Wrona ·"-''1

Transfer Due Date TAH TAC Prio Ext. Codes , ID I Sign

D PIC for MEL Dispatch

0 15 ' 627 3 PLN VMEN 31 . Dec . 2007 0 0 5 PLN VGRA

'o be continued on next pag e J Administration-/ Service Task Worl<order, no Maintenance Refease required

Jg! Workorder Completion: CRS to be issued in T Al NO onlvl or Base Maintenance CRS ros onlvl

J This ain:ratt or airframe identified above was repaired and inspected in accordance with current Regulations of the Federal Aviation Admnlstration and Is approved lot return to seivice. The undersigned for the Austrian Airlines FAA 145 Approved Repair Station, Certif,cate Nurrber. AUXY 103F al Austrian Airlines Technical Base A-1300 Vienna Airport, Austria, Europe.

. . J Certmes tha1 !he worl< specified except as otherwise spectt,ed was carried out in accordance with PAAT-145 and in respect to that worl< the ain:,att/ain:ratt component is considered ready for release to

serv1ee .

.pproval No. : 0 OS EASA PART-145 AT.1 45.001 0 VO EASA PART-145 AT .145.030 D Other ··-

I/Closing I/ V

V [~ ""® :losing T ime UTC Last Flt No. Hrs: 21118 Raj, se ~ Dbl lnsp. lD (i~) ;tation Date Si,SnMC TEC<J) / Sign 1

~ 590 j ' I

INN 12 . 0ct . 2010 11 : 59 OS1481 Cyc: 23089 . Ch._ __ ,. PFA VBEU --

;iGINAL printed by VPFA on Tuesday, the t2.0ctober 2010 at 14:02 out ol database prod_vo hosted on amosp

THE FOLLOWING IS A LI~T OF SAFE LIFE COMPONENTS REFERENCE: PSM 1-83-7 MAINTENANCE PROGRAr")JLUME 1. PART 2 AIRWORTHINESS LIMITATION •. ST.

OHC-8 COMPONENT SERIALIZATION AIRCRAFT SERIAL NUMBER: 483

A.T.A.

32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 53 53 53 53 54 54 54 54 54 54 54 54 54 54 54 54 54 54 57 57

DESCRIPTION

YOKE ASSY MLG YOKE ASSY MLG DRAG STRUT MLG DRAG STRUT MLG SHOCK STRUT MLG SHOCK STRUT MLG PIN, STRUT TO YOKE MLG PIN, STRUT TO YOKE MLG STABILIZER STAY ASSY MLG STABILIZER STAY ASSY MLG DRAG STRUT ASSY SHOCK STRUT ASSY OUTER CYLINDER ASSY SHOCK STRUT ASSY INNER CLY SHOCK STRUT-TRAILING ARM PIN-YOKE TO NACELLE MLG PIN-YOKE TO NACELLE MLG PIN-YOKE TO NACELLE MLG PIN-YOKE TO NACELLE MLG PIN-DRAG STRUT TO NAC. MLG PIN-DRAG STRUT TO NAC. MLG PIN-DRAG STRUT TO NAC. MLG PIN-DRAG STRUT TO NAC. MLG RET. ACT. HINGE BOLT MLG RET. ACT. HINGE BOLT MLG TRUNNION PLATE NLG TRUNNION PLATE NLG TRUNNION CAP NLG TRUNNION CAP NLG NAC. FRONT-SPAR FRAME ASSY NAC. FRONT-SPAR FRAME ASSY NAC. FRONT-SPAR FRAME ASSY NAC. FRONT-SPAR FRAME ASSV LUG-ASSY ATTACHMENT FWD LUG-ASSV ATTACHMENT AFT LUG-ASSY ATTACHMENT FWD LUG-ASSY ATTACHMENT AFT LUG-ASSY ATTACHMENT FWO LUG-ASSV ATTACHMENT AFT LUG-ASSV ATTACHMENT FWD LUG-ASSY ATTACHMENT AFT LINK ASSY-NACELLE TO REAR LINK ASSV-NACELLE TO REAR FITTING ASSV-LUG CENTRE FITTING ASSY-LUG CENTRE

I/B 0/B I/B 0/B I/B 0/B I/B 0/B

I/B I/B 0/B 0/B I/B I/B 0/B 0/B

SPAR SPAR

POS. MANUFACTURER

L/H R/H L/H R/H L/H R/H E-fH R_,.H­L/H R/H NLG NLG NLG NLG NLG L/H L/H R/H R/H L/H L/H R/H R/H L/H R/H L/H R/H L/H R/H L/H R/H L/H R/H L/H L/H L/H L/H R/H R/H R/H R/H L/H R/H L/H R/H

DOWTY DOWTY DOWTY DOWTY DOWTY DOWTY DOWTY DOWTY DOWTY DOWTY DOWTY DOWTY DOWTY DOWTY DOWTY DE HAVILLAND OE HAVILLAND DE HAVILLAND OE HAVILLAND DE HAVILLANO DE HAVILLAND DE HAVILLAND DE HAVLLLAND DE HAVILLAND DE HAVILLANO DE HAVILLAND DE HAVILLAND DE HAVILLAND DE HAVILLAND DE HAVILLAND DE HAVILLAND OE HAVILLAND DE HAVILLAND DE HAVILLAND DE HAVILLAND DE HAVILLAND DE HAVILLANO DE HAVILLAND DE HAVILLAND DE HAVILLAND DE HAVILLAND DE HAVILLAND DE HAVILLAND DE HAVILLAND DE HAVILLAND

PART NUMBER

10300-555 10300-555 10200-553 10200-553 10190-107 10190-107 10150-551 10150-551 10400-551 10400-551 8200-105 8800-135 8815-11 8805-1 8835-7 83210350-111 83210350-111 83210350-111 83210350-111 83210437-005 83210437-005 83210437-005 83210437-005 83210453-103 83210453-103 85312779-001 B5312780-005 85310338-001 85310338-001 85411561-007 85411561-007 85411562-011 85411562-009 B5410276-003 85410276-003 85410276-003 85410276-003 85410276-003 85410276-003 85410276-003 85410276-003 85410279-003 85410279-003 85711439-001 85711439-001

SERIAL NUMBER

DCL3736/96 DCL3737/96 DCL3741/96 DCL3742/96 DCL3720/96 DCL3719/96l~ DCL3811 /'­DCL3813 /-{If DCL3697/95 DCL3696/95 DCL525/96 DCL526/96 DCL 5640 DCL649 DCL638 0210 0207 0213 0214 1456450 1456417 282496AG 282496AT 0268 0282 764229AC 290346AC 21184236287A 21104236201,)(r - 2118 11236.Zn r 101n1002-016- 1a,<3iJcJ1 -Oil'. 10773/002-013 - !0113.~0l -01.::. 1011a1002-01s- 11Fn3.001-011i 10773/002/013- 1011-3 002 - 013 43901AZ 43901CB 43901S 43901U 439016S 43901BJ 43901P 43901BQ 5371285D 537128SM 5055828E 505582BAF

THE ABOVE LISTED SAFELIFE COMPONENTS ARE CERTIFIED .ORIGINAL INSTALLATION AT O HOURS, 0 CYCLES.

1(®

1. Approving Civil Aviation Authority/Country 2.

Transport Canada

4. Orgamzation Name and Address

AUTHORIZED RELEASE CERTIFICATE Form One

Aviation Representatives Inc, 6245 Danville Rd. Mississauga Ont. L5T 2H7 Tel (905) 790-0244 Fax (905) 790-3957 www.av-reps.com

6. Item 7. Description 8. Part No. 9. Qty. 10. Serial/Batch No.

1 UPPER TORQUE LINK 10135-501 1 DCL-A234

12. Remarks

3. Form tracking No.

S60077

5. Work Order/Contract/Jnvoice

W59491

11. Status/Work

OVERHAULED

OVERHAULED in accordance with Messier-Dowty CMM 32-10-07 at Rev. 11 dated May 23/14. CSN: 19,789 CSO: 0 Full details held on Work Order W59491. Customer Ref R216472. Certifies that the work specified in block 11/12 was carried out in accordance with EASA-145 and with respect to that work the aircraft component is considered ready for release to service under EASA Part 145 approval Certificate# EASA.145.7105

(Prmously Form 2.t.0078)

[xl CAR 571.10 Maintenance Release.

[iJ Other regulations specified in Block 12.

Certifies that unless otherwise specifttd in Block 12, the work identified m Block 11 and dtscribcd in Block 12, has been performed in compliance with the Canadian Aviation R~gulations.

14c. Approved Organization Number

AMO 55-00

14<. Date (dd/mmm/yyyy)

Mike Milojevic 06-NOV-2014

~·Seenotes

INSTALLER RESPONSIBILITIES

f1'ns ceruficatc does not consbtute authonty lo ins1all

lnslallers wodctng m xcord.nce with the natrona regulab::ns cf a coL111try oiher lhan Iha! spcofied III Block I, mus! ensllfl! Iha! tlll!ir reg1lal:ons recogmze certificalrlns from the coon try speafied

Stalemen!s III blocks 13a or 14a 00 riot conshlule 1ns1allaton certlficabon In al cases the ledlmcal recmd for 1he aircraft mus I cuntam an 1~stallal1011 cerflficMron issued in accordance with the apphcctile national regural!ons before the aircraft may be flown

Work Order Scope and Traveler Paga: 1 of 6

Aviation Representatives Inc. Work Order#: W59491

PN: 10135·501

Qty: 1

Doser. UPPER TORQUE LINK

Make: Customer: 3 Points Aviation Code: PA9

I Serial Numbors: DCL-A234,

!Task: 3-TEARDOWN RESULTS TEARDOWN / INSPECTION FINDINGS

Instructions Incoming Teardown

1- Provide detailed teardown /faultfindings below.

2- Check applicable standard faults:

3- Technicians Training Log reviewed and updated

Lockwire Missing illb.. Dirty/Contaminated ./ Rec'd Dissassembled hi.£. Incorrectly Shimmed~

Seals & 8/U's Wom ~II\ Internal Corrosion I Bearings Worn ...itt\ Bushings Worn ../ Sealant Missing M Chrome Damaged ~

I Print Findings or Dlscrap&nclea Hore:

Station:

MOdol:

Site:

Parts Missing

Time: 2·34:03 PM Date Printed: 9/10/2014

!big:

TECH ~/ SEP 12 2014

TECH Sy SEP 12 21114

TECHS y SEP 1 2 2014 ~

Incorrectly Adjusted ~

Motor Burned

Paint Damaged

Plating Worn

Inspector

Work Order Scope and Traveler Aviation Representatives Inc. Work Order#: W59491

PN: 10135-501

Qty. 1

Cuatomer: 3 Points Aviation

.j Serial Numberw: DCL-A234,

!Task: 4-SERVICE BULLETINS

Deoc:r: UPPER TORQUE I.INK

Make:

Code: PA9

DETAIL APPLICABLE S.B 's &AD's

Instructions S.B's & A.D's

Station:

Model:

Stto:

1- List recommended I applicable Service Bulletins &Airworthiness Directives:

2- Detail Service Bulletins / Auworthiness Directives carried out:

JPrtnt Ftndlnaa or Dloc:rwpancloo Here: \,

. '

Page: 2 ofll

Time: 2·34:03 PM Dato Printed: 9110/2014

Rog:

Work Order Scope and Traveler Aviation Representatives Inc. Work Order #: W59491

PN: 10135-501

Qty: 1

Customer. 3 Points Aviation

Sortal Numbe"': OCL-A234;

Task: 7-0UTSIDE SERVICES

Doocr. UPPER TORQUE LINK

Mako:

Code: PA9

OUTSIDE SERVICES REQ'D

Instructions Outside Services A· Check applicable outside service.

Statton:

Model:

Sito:

1- NOT : LPI / (QTY 4- ) MPI J/4 (QTY ~ ) EDDY_ (QTY

·2.· CADPL.Ate,1_ (QTY 5 f , _ I •.' • '

3-1MAC)-IINING / (QTY '\

) Detail li- h>.st:IJt,>Cn , 1 l.J Nk. t'/N101!ft-So'\ c.oc.L-1\ ~!.<t)

) Deta,1 1 UN'K? ; • 2.. &g,e,s. Te"IIER. ~

4-. J.IIGlllik ·\/(QTY :L )Detail -\LIN~ f'/N 10i3l\-50~

5- CHROME _ (QTY , · ) Detail __________ _

6- OTHER _ (QTY ) Detail------------

Outside Services Completed & Approved ~ate __EEJ 2 7 2P!___ Prtnt Findings or DIKr.panclea Hare:

Q.c

Page. 3 of 6

Time: 2:34:03 PM Date Prtntod: 9/10/2014

Rog:

Q.c.

-----¥~ I t!J I S'f

Page· 4 of 6 Work Order Scope and Traveler L----------------------=--------------------A viation Representatives Inc. nme: 2:34:o3

PM Data Prtnted: Q/10/2014 Work Order#: W59491 PN: 10135-501

Qty: 1

Customer: 3 Points Aviation

I Serial Numberw: DCL-A234,

I Task: 8-CORRECTIVE ACTION

D111cr: UPPER TORQUE LINK

Mako:

Coda: PA9

· , UNIT ASSEMBLY/PRODUCTION

Instructions ' ,· . Assembly & Pro,duct1on Details 1- Unit Dlssassembled, Cleaned & Inspected.

2- Fits & Clearances carried out.

· I, ', t '; 3- Out~1de Services Completed

4- Install parts as required, per attached parts lists. ,

5- Assemble per CMM.

Slallon.

Model:

Sit.:

6- Fmsihing per CMM, Alodme as Req'd __ Prime & Paint .J Sealant Applied _j_

TECH 5:'f SEP 1 i 101~

TECH .S. )( SEP 1 2 2014

. -.

NOVO 3 201l

~ NOV Ol 201l 7- Test & Adjust Per CMM. T~ ·OO

~EC~rectiveAct1on ~mpleted (Check 1): d-.-erha~I / Repair_ lnspectrrest_ Modify_(i)1::v O 5.201' \Print Findings or Dlocrepanclaa Hen,: \

Work Order Scope and Traveler Aviation Representatives Inc. Work Order#: W59491

PN: 10135-501

Qty: 1

Customer: 3 Points Aviation

I S.rtal Numbe,.: DCL-A234,

!Task: 9-FINAL TESTING

Doer: UPPER TORQUE LINK , Malce: Code: PA9

TEST/INSPECTION &APPROVAL lnetructlons Q.C Test & Inspection

1- Final Test carried out per CMM / ATP.

2- Final Inspection :carried out. /

Slallon:

Model:

Site:

3- Approved for recert~lcation as ; Overhaul ~epair _ Inspect/ Test_ Modify_

4- Date w.o. Completed NOV O 6 2014

I Print Finding• or Dl1erapanclN He,.:

Page: 5 of 8

Time: 2.34:04 PM Datt Printed: 9110/2014

Reg:

NOVO S 2014

NOVO 5 21m

NOVO 6 2014

Work Order Scope and Traveler Aviation Representatives Inc. Work Order#: W59491

PN: 10135-501

Qty. 1

Customer: 3 Points AV1al:lon

Serial Numbers: OCL-A234:

Descr: UPPER TORQUE LINK

Mako:

Code: PA9

Statton:

Model:

S~e:

Page: 6 of6

Time: 2·3-4:04 PM Data Printed: 9110/2014

Rog:

.

~~~ Aviation Representatives Inc . Work d0 r . 6245 Danville Rd Work Order#: W59491 Mississauga, On LST ZH7

Date Printed: 9/10/2014 Canada. www.av-reps.com

~ Pb: (905) 790-0244, Fax: (90S) 790.3957 nma: 2:33:33 PM

P-: 1

To: Ship To: A'ITN: Clayton Coleman 3 Points Aviation 3 Points Aviation 1375 Almco Blvd 229 Conception Bay Hwy Units 7 & 8 Conception Bay South, NLAIW 3Hl Mississauga, ON L4W IBS Canada Canada

Rel#: R216472 Phone #:(905)6028145 Fax#: (519) 268- 7047 email: 3po1ntsyyzrepa1rs@3poin1'avlabon.o Codo:PA9 S~e: PN: 10135-501 Doser: UPPER TORQUE LINK Qty: 1 Sta1Jon: Make: Model: Mfg: None TSN: UNK TSO: UNK TSR: LINK CSN: 19789 CSO: UNK CSR: UNK

entry Dato: 9110/2014 NHd Data: 10/3/2014 Compl. Dato: Warranty: No Container: Sertal Numbers: OCL-A234, Task Description Status Seq Std Days Task Total 1-CUSTOMER COMMENTS Completed 1 1 $ 0.00

Noles· .,- OVERHAUL

2-RECEIVING COMMEITTS Completed 2 1 $0,00 Notes: NO SHIPPING DAMAGE NOTED

lrmructlona

Deacrfptlon: LIBRARY

MANUAL# 455 ATA # 32-10-07 MFR· MES~IER-OOWTY Rl!V· 11 DATED. 23-MAY-14

.

~lC.1'\J0£S Ot-.1 Fl\...E)

~, '

Date w 0. Compiete<j : Ngv O 6 2~4 Pallll Total: $000 -~--- LM>orTotal: $0.00

'

0 C Approval: lllac. Total: $0.00 ,._, • /)

-o~edSJgnatu~~/4 ·~

A ,- - Total: $ 0 00 (./ tr I/ Form created with Quantum Control(tm) technology Product Licensed to Awatlon Representatives Inc

/l ?"~

3POINTS ~ " ' ' . Order Date: 5111 /2015

Ship Date: 0

Salas Order: S331780 Customer#: UCA

To:

3 Points Aviation Urnt 7&8, 1375 Aimco Boulevard Mississauga, ON L4W 1 B5, Canada

Terms: NET 30

Cus1. P0#:0-88266 FOB:YYZ

Buyer:MICHAEL HOPKINS

AWB:

c, I •.l 'r:

Wolght:

#of Boxes:

Ship Log#: 0

TAXID/EIN:141695580

VAT#:

Ship To: COMMUTAIR

Invoice#: 1145269

lnvoic• Date: 5/1112015 nme: 1 55 05 PM

# of Items: 1 Page: 1

Ship Via: FEDEX P1

Ship Via Ace: 356770102

Ship Order:8619

Shipment:

COMMUTAIR COMMUTAIR 240 Valley Rd South Bllrllqton , ¥r 05403 USA

ATT: THOMAS ALLEN 14821 YONGE DRIVE JACKSONVILLE, FL 32211

Ph: 802- 951-2500 Fn: 802-951-2525

Ham Part Number/Description

1 10135-501 TORQUE LINK MLG

HS#: 8803200000

Shipped BackOrd CD

0

Serial #: DCL·A-234 OH Loc/Whse 06A05 MISSISSAUGA

Traceable To: DAC AVIATION INTERNATIONAL

Cert Agency: AV-REPS·F1·ro·oc

HST# 855742904

PLEASE SEND ALL PAYMENTS or INVOICES TO· 229 CONCEPTION BAY HIGHWAY CONCEPTION BAY SOUTH, NL A1W 3H1

1

MINIMUM PO IS S 150.00 Cosl Plus Exchange: Core is repaired/modified to the same mod 1evef/conditlon as the unit that was shipped to the customer

Flat Rate Exchange. OverhauVRepalr covers parts and repair as required per CMM. Parts and labor required outside the Overhaul/Repair INOrk. scope as per the CMM may require additional charges.

Unit Price UOM Total Am1

I hereby certify that the aircraft parts descnbed herein were acquired from a source of supply that 1s consistent with the conditions under which 3 Points Avla~on distributors approval No. 1·04 has be,"'1,-----------------1 granted by Transport canada

1) To the best of our knowledge, the matenal or part(s) were __ or were not__!__ subJect to cond1bons of extreme stress, heat or environment (check one) /

(I e maier engine/aircraft fallure, accident. fire or warehouse fire) 2) To the best of our knowledge, the material or parts(s) were __ or c!Jobta1ned from the US Government or _!!'.lilltary sel'Vlces (check one) ~ p ,q

~t 7~~ ~==================~ ' f-----------------Authorized Signature:

Form created with Quantum Control(tm) technorogy. Product Licensed to 3 Points A'./lat1on

3 PTS PACKING SLIP ISSUE 29 MAY 2014

2 Appro•mt C1v!I /1.VlallDll Authl'lnty.COWLIJ} Amon" ,t., l 'avumon c1vi.k1Pay qua app!OIIVI:' le bon&= IOl'tie

Transport Canada AUTHORIZED RELEASE CERTIFICATE. BON DE SORTIE AUTORISEE

FOP.MONE 5570318 7

I 4. Organization Name and Address - Nam et Addresse de I Orgamsme Agre~

Messier-Dowty Inc 574 Monarci, A venue Ajax, Ontario, Canada LIS 2G8

• °"""'Joo

001 TORQUB Lnat, S/A

i I

Pitone: '.iOS-683-:uoo Fax: 905-683-6S36

13BXCA0!J89

S \\'t.Jt QnlnA..IJ.UW..tiillWIDII • i!rn, di: 1nm1•V ~nc1tnel/ f-.tuic

2622.38

!---~-----------------~---------------~---------------'--------------! 12 Ri,111:ulc,i..Remmques 001 This document has been isauec! accor~tns; t.:, L"'l approved computer gene:ated signature procedure.

13u Ce,11fieg \bar the rll!m5 ideudtled :above wi,ni 11111U1factured m coofonNry ID ~ ... p1t5CO.t bun -..cnif1c quc kl arocles mJ1'iuU c1-dess111 0111 '6itcoasrndta wnforn..!i~.1t IL

181

0

Af1f110.-.:d tk:11gn dala IIDd.., mcnnd1Ullll for Jflfcupc111UOL V.,(doMkl de wn;.eplion lflPl'OUv6e.<. ,:t q11'1b peuvcnl ~ire uabSd en loute ~ 1U1!e.

Mon upprov.-,d tkJ18'1 da1a sre~1fied UL tolod: ll D,,,i •luonh, ,It- COLlOeJ'GOO IIDII aprrou, ~ 1odK[llk1 b 11 C;1SC 12

!lb..,... 13,.. Aprrm,-cd Or,amz«l'>n Numfl<.r­~1n de, I >Jr1wmmc: 11,-6:

QI 16 41-89

13d N1111J1: Norn

OThompson; - ~/FEB/20llf

Installer Respo!ISibWties

1~!.IS oeroflcace doe\ 110! eci11Mlruu,, autt,,:,nty to imlllll

lns1ulkts wut1c,11g.,. a:colWIIIC" wub (ht 11111alfLII RJlll1111011, uf II A>11PtryoLl.,,..than d,111 -r"'-,ricd 111 bl~I lllll&leasure that the1rn,111lllxms m;op,zc cerD.fJC1Wo1is fmm lhe courmy specified

S1>11emc11~ ,u M,,._t;- 131« 14• donritco~IS1:ll\llt! 11PIIIJ8b0n ceni.ftelllloa In an c....i:s d,e ,,,chn1~ ffOOllllf lilr, lh!: :11n:l'!lft mui oont,ur, on lll$llllllllt(ln L<:JUfleadon issued in 111.'COldani:e with t.'lt 11Jlflllc1.1hlc m11kirt:d ......,_ hi.fore tbc, a11~rul1 nmy h,: nOW11 r

'.

'

t i .. _

R~nsabnlties du.. Monteur le prisent ~ i:lt.!1111,eQc J'W> UPC:.WIIK!IIIIIOQ de rr-.m,IDF,

Le mootc.v1 <1ni 11UVa1lll:Olllfm111,!mo:..u OI t..rl1,~1~t11.hDII d'u11 l,;iys .ii.tie qu,e, ~'l!lw speufie • J.,, c..so l 11011 <'lllllllff quc lu rtslcmmta!loo cu lfllClt1011 l'ffll'llllllt S. c::i::rtlfiCUli('ll du ,-ys allm spcuf1e.

W \l<O(;h1nn,ons de, Co&S l]u l!l l4a nee<.11sut-1 p111 ur.e certUi.:1111 • ..., i!u t.llllllagc D1111s 1.111s lesc.as, le dosa~r 1et.bilq1K. de l'~f dull 111,;iian: urw airnficaboo de moa1111e dl-11~~ ... ,nfom:i,!arnt ill llL re1lemcn111ioo D110W1ck-qu1 s'apJllfqlle. a.vmu J'llbuncf pumt vole, ___ J

,.. ......... - ····-- ..... ¥_,,,-- .. -, ,\•11on1,! d• 1 nv,nl1on cnnlell'.-.,. qu, nppm,we le l,oc,dcsu11,e

Transport Canada

...... _,..~~

1 . 4~ " AUTHORIZED RELEASE CERTIFICATE - BON DE SORTIE AUTORISEE

FORM ONE 5509761

1------------...,_---------------------~1------------1 4 Orgamzahon Name and Address - Norn et Addresse de l'Organlsme Agree

Messier-Dowty Inc 574 Monarch Avenue AJ:tX, Ontario, Cnnndn LIS 2G8

6 Item' Cksmpl1on An1clc

It hrlno-Nodep1&:e

001 BRAKE PIN 10110-501

12 R,:rnarh Rcma,qu,, 001 None • •

Ila Ce-mf~ Ul,-u 1be 11ans ,denllfi..:I nbCl\c ""' uumuf11<t111o;I' m C'lrfomnty IO l.~ r«<-en1 t,,..n «111/icq11c le~ a,1,dcs md1qufs ci-dc:uu.; rml tit ,=1,,..11; cunfomocn,a,t ii

AJll.•rovnl t1csti:11 ,l~ia And MC 111 i:undmon for snfcopcm11orL Des """"RS de con,;cpl1<'n appro1vtn ct q• ,Is ~L'tW<lnl ~ ut,I,,,,.., on !nulc s~llc

Non "l'J)lllVed cks1i;n dntn Jp«11ied"' bhd. 12 D"" ll<'M0,:,i de conception no11 approuvhs 1ndJ.qu~"" a In ca,ic 11

11c APJlf",cd()qianiutiou tluml>i=r -t-lo de I mynni,1ne ocr6t

QI 19 41-89

tk Dn!c{dtl'nnn111!yy)

L Yeung 06-Sep-11

ln~tnller Rc~po11sib1l11I~

lnstallm u·111bng m ;ic:coid.uicc "'Hn 1hc n1110..r ~ula11011s or a cntmlfyo~ie-dam1ba1spttirie.111' Mock! mu.! ~nS\tre lh~I i11c1r 1c11ula11<'ns rc;;o~mic .cn11irnt10ll5 from 11,c t011111f} tJM.-C1fic,d

"-ln1n.-.cnl'i 111 blncks l \a or 1..io dD not ctlfU!Jmre mst.>llauoo co:t111ia11on. In •TI eases, !he k'ch•Klll record for 11,c n11cnf1 mllSI conl11n nn mslolbuon c,m,r.~1111011 ,ssurd 111 occor6\111:c with •he appllc:nblc Hbannl ~ln1,ons kr,, ... ,hc,, ~,~nm~,i,~n,,,..,

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Phone: 905-683-3100 Fax: 905-683-6936

10EXCA2342

S Work Ordff/Contndlnvo'" • Bon de tnYallf conineti' focrure

P8802130 3015442 2020667

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Les dcdr1110ns des e;i,n n1 et 14anccon..1,menl pas unc ccodie111>00 du mnnta;e Dam tDus Jes Al. !edoma-1echn1que de J'~oncf doll ....:1,n: unc«ltlfiulion de: 1non111;c <Wtvtl!e conl"cnnanm i la rt11~ 11•UOlllllc qu1 s·npphq11c, ll'l'lllll I tltmnefJILl,ne v<1lcr ..

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8111 To· -AVMAX-JAX 14Ut YONGE DR

A vmax Aviation Services Inc 369119th Street NE Calgary, AB, Canada T2E6S8 Phone: 403-250-3185 Fax: 403-250-7893

JA CKSONVlLLE, FL 32218

Carrier NWBIII

FEOEX P1

3567701D2

Qy UOM PartNo. Oescrtpllon •1 EA 8527-2 BRACKET RHS 1 EA 8627-1 BRACKET LHS

,

1 EA 83232041-001 LINK ASSY ,J,

2 EA 83232040-001 PUSH ROD ASSY ~ 2 EA 83232038-101. FORKASSY V

2 EA 10173-501 BUSHING ,,

1 oz MS21241--06C008 BEARING I•

ATA106

Part Material Car11ftcalion / Non-lnadenl Statement

V

PACKING Sl

SO #: SCS5675. Shipping Order No: HCS6721

Print Date: 04/27115 Deliver To: '---------------AVMAX-JAX 14821 YONGE DR JACKSONVILLE, FL 32218

'

Cust PO Numller cuotomer Contact/Phone

126467 THOMAS ALLEN

1-904-741--0056

S-INumber SIL COndition PO# 4 NS

4 NS

6 NE

2 NS

7 NE

1 NS

3 NE

1. To the best of our knowleclge. the matenal orpart(s) were [ ] or were not [ X] 8Ubject to conditions.cat.-ne stress, heat or .envlrorwnent, {dleck ona)(J e. major engtne/ain:raft failure, accident, fire or warehouse fil'9)

[ or were not [ X] obtained l'rom the US Gov.mment or mtlrta,y serv,ce

2. To the best of our knowledge, the material or parts(s] wetB [ _ ,-one) n I 1

---- ' "! \ '! -S,gned __ ...:··~-----~_-,_ C __ -_J.-1, ____ \ __ _ r or and ~n behalf o( Avmax Spares '

04127/15 ..... gf 114 Pages :::: , - -)

·- To JAZZAvi.llonLP ........... ..._ 5115 Airport Road Sulta 311 #2 HO M.-cTAVISH ROAD• Wncbrnaa, Oftn1o C-.,AB UV1Rt T21E7G$

To 1he best of ourknOWtedge, the matdrials lsted below ware not suti,ect ID extntme stress, heat, environment (le: maJOr engine/aircraft fellura, ace dent, fn or wareho1.1$8 fn) and were not obtained from• mwtary or government source

~ Leo Schrauwers Jazz Aviation LP, Manager Maintenance Quallty

I Part,_..,ber - 01y I Con_, actc:h Number I ..,o .... 1-1 1,. -067367-()11 ESCUTCHEON 118 NEW ,..n '" YHZ 087480-001 BIJW'ERRH " NEW 1727878 "' YHZ 08781!Ml01 AIW WEDGE ASSY • NEW 1"""6 "' YHZ 09020 ... 1 FUNGE

" NEW 4'021 "' YHZ -1 SPACER " NEW 6180 "' Yl<Z 092733-001 LEG ASSY,Mt AISLE.SEAT/AFT • NEW ,,..,. "' YHZ 0931561-001 $TIFFNER " NEW 81435 "' YHZ 097310-001 &RACKET ASSN' 17 NEW 54717 "' YHZ 111311,1 BRACKET ASSIY 2 SRV 1,12399 "' YHZ 10.1096-102 LENS-EMERGINCY E: ' NEW 73280 "' YHZ 1002610-101 $PINOLE • NEW ,....., "' YHZ 1002636-301.t.CL ENDl!AY • NEW 1TT5895 "' YHZ 1002636-354ACL ENDBAY, STANDARD • NEW 1744893 "' YHZ 1002688-001CAJ !AT MJDULe ARMCAP ASSY ' NEW 1796210 ... YHZ 1002688-001 CA.I IATMODULEARMCAPASSY 1 OEW 1796211 ... YHZ 1002888-002CAJ IAT MODULE NO/CAP ASSY 1 NEW 1489385 "' YHZ 1002992-237 LOCKDOWNASSY 2 NEW """' ... YHZ 1002993-001CAJ ARM CAP

' " NEW 131069 829 YHZ 100308i-001 J CLASS SEAT BTM CUSHION 19 50 2 NEW 1447797 829 YHZ 1003089-501 CUSHION ASSY BOTTOM I NEW 1738031 829 Yl<Z 1003011&-001 LIFEVEST POUCH ASSY " SRV 1421807 829 YHZ 10030~1 UFEVEST POUCH ASSY 75 SRV 1421807 829 Yl<Z 100309&-001 LIFEVIST POUCH ASSY 731 NEW ,,..., 829 Yl<Z 1003118-001 Llfl!Vl!ST STRAP 9 NEW 004'9 829 YHZ 1003118-001 UFEVEST STRAP ., NEW '"'"' 829 YHZ 1003118-001 LIFEVEST STRAP 1 NEW 173812 829 YHZ 1003118-001 UFEViST STRAP

" SRV 14211106 829 YHZ 100311&-001 LIFEVEST STRAP 31 NEW 1500001 .,. YHZ 1003540.503AKX COVER SEATBACK Y•PAX LEATHER 3 NEW 1720420 8'9 YHZ COVchSEAr 111\CK PA.X(Y 1,:e YHZ 1003M0-61!W<X CUTOUT) LEATHER " NEW 1507174 .,,

COVER SEATBACK J.PA.X -LEATHER• YHZ 10035,f().JOlAKX SPECTRIJM 12 SRV 11397~ .,.

COVERSEAT80TTOM PJlvf.-Y 1700" YHZ 10035'1-007AKX LEATHER

' NEW 1485782 829 COVER SEATBOTTOM Y...PJlvf. -17" YHZ 1003541-517"-KX EXIT R0W -L~THER NEW 40188 "' COVER SEATBOTTOM J-PA.X ORA. Y YHZ 1003541-70SA.ICX LEATHER-SPECTRUM NEW 1524550 829 1004147-()()3 BOTTOM SUPPORT TUBe-AISLE NEW 1490187 829 YHZ 1004141-()03 BOTTOM SUPPORT TUBE•AISlE ' NEW 1429036 829 YHZ 1004en~1A.DJ SHROUD ENO CAPS ' NEW 1478524 829 YHZ 1004877-tmANZ J Cl.ASS SEATI\IJBSTRIP • NEW 1813271 029 YHZ 1004677~ J CLASS SEAT RU8$TRIP • NEW 1493375 829 Yl<Z 1004TII0-109 ......... 20 NEW 170774 "" Yl<Z 1004760-109 SHEAR PIN • NEW 170774 "' YHZ 1006206-020CCN J CLASS SEAT AFT PAD 2 SRV '"""' 829 YHZ 1""200-020CCN J CLASS S&A TAFT PAD 3 NEW 22287 829 YHZ 1005331-0!51CAS ENOBAYASSY ' NEW 1n411 829 YHZ 1005847-321ACL VIDEO SCREEN TRM 23 NEW 1828.215 029 YHZ tOOS647-321Aa. VIDEO SCREEN TRM • NEW 1828219 829 YHZ 10058'7-321ACL VIDEO SCREEN TRIM 8 NEW 1815743 '" YHZ IOOS&el-006 FW:.EWAY TC SGl 12 NEW , ...... 029 YHZ 1005E00004 =- " NEW 14'3008 829 YHZ 10151-1 BUSH SI..EEVI!! SA " NEW .... '" YHZ 10164-M1 BUSHING,MI.G SHOCK STRUT 2 SRV 1752671 029 YHZ 10164-651 Ml.G BUSHING ASSY -8fJDO 1 NEW 1759979 829 YHZ 10173-601 BUSHING $TAHDARO SIZE 2 NEW 1519513 829 YHZ 10230-d<ll BUSHINQM..G DRAG STRUT • NEW 88757 '" YHZ 10230-601 BUSHINGM..G DRAG STRUT ' NEW ..... 829 YHZ 10235-1D WEATHER RADAR Dl!!SSICATOR ' $RV 20!873 829 YHZ 10533-o MLG ACTUATOR HYD FITTING 1 NEW 47!1!5 829 YH2 10633-&01 UNION RESTRICTOR 1 NEW 61886 829 YHZ 10533-501 UNION RESTRICTOR ' NEW 1""580 829 YH2 PLTER. FIRE RETARDANT - FOR HGS YHZ 10601-01 SYSTEM NEW 1732815 ,,.

FLTER. FIRE RETARDANT -FOR HGS YHZ 10601-01 SYSTEM

' NEW 1716598 829 10en2 SHAFT CONTROL DRIVE ' NEW 91883 829 YHZ 11-3721-1 BEZEL(GRMES) 8 NEW 72843 "' YHZ 11!MSC106-1 SEAL

' NEW 69083 829 YHZ 118864-1 SCRfW ACTIJA TOR 2 NEW """" 829 YHZ 12108«11 Pl.UNGER • NEW ,_, "' fflZ 12\404-01M l.ATCH,TABLe 10 NEW 0312 829 YHZ 121~1M LATCH, TABLE ' NEW '""'" .,. YHZ 12248l-01 PN BACK PIVOT ' NEW 1784028 029 YHZ 124-11001--01724 POCKET GRAY LITERATURE ' NEW 93382 029 YHZ 12411-2-150 LEADING EDGE THERMAL SWITCH 8 NEW 1430531 829 YHZ

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AVMAX NON-RO.,~INE WORK CAltD nv ~ r ~ lose ~~~ 7 i00 Wori< C•nl ¥

Dau:: Serial No. s.o.w:~:1>uc Trade • I \ ATA \ ~ r #

1,(,tf(l{) 5~ N llo YV) 3 2. ~L>Z.~:-s-' v-;0~ , Rcfcrcnco Task/Work Cant No. ~ wss-t Es1ima1ed Hrs &. Customer Approval Budget Hrs & t'11s1on,cr Arprovnl

J'll•/4CL )1Po1 ?.A-, t 2o.o ,4~ AAD---'T'"T.l '-" r Discrepancy/Required Action: Gcncnlcd By A~ .,~5 j

L 1-f tn Lin ---roe.~u F: Lt fvt..S ~ f)-V £ PXl ~)UE' ~v ,

-

Pans Requisition l qg-s 99 f o9 -f'i~ I I I I Numbers:

Recommended Action: f.'G 'ALI JA7t; A.-wtl ) 11 "" ~ ~- A::. .ti t: - A .•

Planned By:5.~ I; . ~ 'fstl RU Required'/ \JP'-, Write Yes or No:

J l{I I

Continuation Sheet Numbers:

rt; /9 t y,z <,, r 2.or 4'1(p3C\ \ Rectification: /If.,

:~ '\ A-vi\ fl. ,.,lJJ ,t_/ l c,') Lrl ulPJ:>..- _,.,,, r ,.,, .,,_.A - Tc-" .I\ ,- L2...,,~ ( • 1/P/lk"}. fol\.~t.6 L7-IK.. ft.u<w-z...,( I .A-vf'l SUevr~ A ....rl) HM/ct !7?_,./ Z4v { .N1 Pi/) c-"h,...,..,_ JL- Jo-01 ,Q -~CV .a AA - .~2.-1ero7. 32-1.11-11

I I A ll Clc""'• _ ,,1-1. 1.-J-,:.1HW To IF i1 ,Lj-vf ,:<. -47 (f-f.l ':, 77_,-,,,6

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f¼>re MlC-Oo~ '~'lbfl,, -f9f.a>'~~ , ,- 'le(,

1-.»V· "' ~~ ·~v?oi{ _/rv..., (>J TlfE: f~ .a, 14 i ~ 4 ~.nt.S-Approved Data or Manual Reference: • ¥

TiAf;. fl{..E:SS . - ~ -~

3 2_-- /r;v· rJ7 ' A1.r+u,1 q -1;)-SmBD CmM Q,'3tD0 ~ ?, 2 -to-o7J ?,2--4{-11

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Calibralcd ID Number ~V'fZ,l b I0Number ~ ·Av~ Tool~(f'( Tool De¥cription: 'fool Dcscri~ t,JL,t1, Tool Dcscriplion: Used M1c,u,ltfl!71!fl/l. Cal Due: PEA } Ca ~ - c.1 Due: M llt,\ail ~ 01'1 . 1JJ.tl, rw1 Cal Due: . l Jl ?nl -,.; nl i' - ~ rw(#~_I,,._ TQ V.J'l&vC..~ M"' "t'2;~ t', ~ ~ w~eivC..1-1 \ f-<V '-t' £,.V-7 \ 1- I ._:--

Qty Descriptio n Pos PIN Off: PIN On: SIN Off SIN On Batch No. .. I 1AllDer. ~ , q ·,N) I t/\¥- ~IH lol 3''5 - 'S"O\ lot?»~ - 150f tx.LA3~ t:1C,l.r/fZ5.Ji h-~,i \ (~ ~e.r

V ~tJ rp uJL ,,1',t {JJ+ f Cl1.lf - li"O \ ,012. 5 -s-o I ~l.A'5'15" ~!f)lcACli,

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Ult ·101 \6·· ,o \ 1&i;1.~ l 'Z-"11 t2) .,{) ,· (\ l6tm- SDl ~(,4&12.. 3 1 I ' -- 1:rs;-a.s-~ Pit,~ L, P.5 ¥7eJ 0-Z. l f'T ::

1; cn1inua1ion I 2 'f 5 ~7 I ' I I ' I Ops Check Transferred Leak Check Tunsfcrred Panel Closure Transferred SDR Required Tu Wor!c Card No. To Won< Card No. To Work Card No.

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- ./"... /I Tcchntcinn Sign Off: (ifrcqui% - 1~--P~~ Rl!Si~ n- \' ~ -~5S~

D --·-· -- > ~ >"S~ Date: ~-J <2- rl/11/7 /~ Dale: 1.5(' /'rv&-'7 / ~

FORM 40'JUS REV. I

ate: ..- .l"S: , - - 1 ,

, - V COPY (WHITE1 - C'l /S'IOMER C'Ol'Y (lll JI Tl C'0NTR0Ll .l·D

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

'\

CONTINUATION SHEET 618242 AVMAX

Recti fication:

lo 15°'-~ I

Tool Description:

Tool Description:;,, (Clo~ 1

Date: 2.5' A'()~ f) __,,.

Tool Description:

Date:

l:J NI

I OH!\~.J(,, Copy I (While) to ( u,lC11t1-r k c,1, i >1 1 I 111 Jmtf"

\

Aircraft SIN

l.D. No.

l.D. No.

Cal. Due:

( <'f') : IY:llu\\ l Conln~kd

Work Order Work Card

rtanned By·

RII Block

Planned By:

r

RllB!ock

JUI Block

\~~,s ~ I , 111 1 1 I

CONTINUATION SHEET 618205 AVMAX ' Aircraft SIN Work Order Work Card ~!;..,.

#<" ssi../ ·,:,f:J.

Page '2.of ] ~oza-s- 703(.,, Additional work: - . -a.vc:.u., .. ,/.. ~ ..... -· -1r:- -Iv ~· ,. ""'7 ~ LL .. ,.. ,. ... --·-- :C."""• 'I -------- ruM ?., -10-0, ' ' .•

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Rectrfication '?.....-. ........... -uc...__t..- •.,,,,. . . ~- -- 61'.l L./L.J ,,_,, ,-:, ST,11e.t1-, 1--- . - . .., . ' • .,-z._ ,,.. - ,._...,. • . a---

/I /f:'°"~""" ~4~ J, ' n, N~z- -7, "" • _,, RI! Block , Ml'/&f: c:M.lvejt. ,.._ Cito~ Cal. Du~ JVl../r l'ifal, 1/. ·,

' ~T• Date l~r. 6S Date: ~l~ cru: ' = .. ~~ ,~ ,~--..; ,c- (3 fl,t/f-1//S- I i Additional Work - .

~ 1.../>-J Ml/ • To!L$Jt= ,. ,.......,_c...1)1 I 'Nlf-

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~ ,"";"1_-~ Rectrfication: _.-,., -· --·-. J ~ \.,rt.I - . - ·- LI., -- - •

' ''->" - - . . .. ~- ... ., - 10' - r:r7. ' 1 ' -- . ..

'OJ •• ; 101-a.i;-oc...1 ::Sl'J: DCL-A7.3il ""Tl

-Tool Descnpt1on: LD No 1,.v-q,t..o----ii RU Block 17' ..,.. l>JUW(>i Cal. Due M......_I 1r 01) ,f , . -; Date: ~tor{:~ Date J!~lf i:::;r a .,. .,.-~ /2;, ltl~/~ 65 /3Mfti(1")" _,

Addit10nal Work. ' &../.J --· ,,_ -..- , ...... a,_ 1'J . s,.~ ,,pr ' ·' "'IC..

I I •

Rect1fication. , "I~ ~ :. _-. II ~ "'' 7i./\ ..c..,~ ' f;"..J , ./ J..f ,,, , _, "' I- .,,r ./..,.rr,, , - • I, 'I. ll, :z4W ii I,.$ r: 11 1;'1;;., .A • ,. • ? '2.. - ri-07- . ' ', ~ ..... ~ . i - . ,_._-, •. PIN I "i., <.-<"'O I <..7N I~ EXCAn't~'1 -

')_,.,, - ........ l)J' I / I,, ti /'I - .r,('J I <:l )./ IO~CI+ 2~'1-.:'. • •

Tol~escript10n. lDNo~/ RU Block

~ ,rtr~ l_,r,, .... k Cal Due: / JI b fi/ Mechll} ,fA Date, I'-/ MA-YJ) ]nsnecl9J'-? rrt:'J Date: "" itfM,,,___vrs- IY /f1dY /,5

... -._ 15" IA')

lllh\1-l(l 1 ( ''P\- I ( \I,, hik·, hl { 11,i,•m,•r ( orJ ~ tY,llo,1- I { <HlTro\l, J •l!I I I I Ile " "' I l!i I 111/

- - -- -------

--- ·- -- ----- ~- _, ________ _

CONTINUATION SHEET 616391 AVMAX Aircraft SIN \Vork Order Work Card

Page3_or .2 s-s~ ~62~5 ?oJ£ Addohonal Work: J:. h c:.L.. IJ ,. 1111 \, o1.'- ,'.,. I I J.I Ml r., Planned By: II I . i;jJ -+-.,-,,, ,. /.' .1u" , , u

. ,--... Rectification . /JR ~ ~ "' ~ l ( '=*" -~

T'.-L ,u/ -Jin./ ,.,'.,, .'.,, l /H A I/ f. -1-..-·,. f, ';i le,.,. ,...At,J £1 "' J t,,, "' .4. -" .1 M , ~ - 1 C, ---1 "7 ,

' . __ ,} nlAI to~-1 <IA. ' -, , ..... .., , 'I I

Tool Descnptoon: l.D. No. h-V'i ,f 7 RJI Block T'Clffl<!t. .. ~ Cal. Due. (ff

~ Mech:.,

Date I '{)lt1 r "5 ~~r. A~ Date· Jf,1 / ?,; I lifk"'--v/'S-- J 5 ""I ~ •fl

J • it/ 1114-(/) 'c Additional Work: T~ l f +vv, •. ,i::.,., " ct-'10( HY'R G<i;S,uc- Planned By.-JJJJt,~-, ~ JlS" t - , -' • ~ -~ -

Rectification: A I, -- ).--,c. "- If "I:JIJ ,. ..... IY/1 ,1-,>ro .:,.<SwS ( ' ..,., ,-, t,11... I "rr. ,.J...A ),.'d - .[... 7'' - - .V- ri I ~ ' • J IAan f r. <"' C',, :5 +.4.1 ~5-~< l,(VJ a.t,t,t,t ~-, - 1- I .

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To</ Description, ~ D .-.-----.-----,20'1 RJI Block I. .No, ~· • 11 W. Wf"Q/F'. Cal Due· , I/ / ,;-Mech:, M,f •. . Date: fl./.M,4 y,,- Inspector, Jv{f~:~ Date: •

1cJ. /JIM 1~ , ............

Additional Work < Q..l"l, 1/'LJ .,._~ . fr-e. c:, Planned By: I J ~u• - •Y:n ' .

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Rech ficatton · .s.-~ . -e- AJL.-(;. ,, ... ~. J ,,___ ·'P ~'N .,,.,,_. C.,. "-~ T"1M n-~ --.-'-...-. ....._, •~ .0 ? CD ~-:.. I ., -1 ,.r-. ., '1 ' -I A,,,.,

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-Tool Descnption: LD No Av ~I Rll Block

. -7j~p¥,CJJ-.i/E ~q: Cal. Due ID<;/(,> Mech: Date

ln,pe~~ f>"i6f 42-Q Date. ~~?>- 1. "2-l- p--,,-.r (\\ r --.iA U u fr'.11L_,,;

' {.-r· l1\\h11~)1,,(1is1,,,1,·1 '>ii I I

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PARTS CONTINUATION SHEET 29387

Aircraft Serial No. Work Order No. Work Card No. #Continuation Sheet

ss/ i/o-z.8S- 7tJ3C:, No. I of l PA .-.:·1 ,.-.. t 1~ ... ;1 I

Qty Description POS P/NOff P/NOn SIN Off S/NOn Batch No. z. BusH/•',tJ/1 ., .~ ..... _ .. ·-~-.1 1-/JI /0/ 7 -.. -Sol /o/ 73-SDI /-z '- Y~7 " I /lm'>ncu' 7 /" ,.

7CT{., rz.{' 2'·U; -'

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f---- - --

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Form402 Revision L 10 January 2007

Copy 1 (White) - Customer Copy 2 (Yellow) - Controlled

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Champlain Enterprises Maintenance Parts Control Tag

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1. Nomenclature ~

, -./\-W' \li\ 't.. 9. Acft Tail Number 15. Reason for Removal 2. Pait Number tJ'i"b"7' ~A D Troubleshoobng

)~:,< ~ 'So\ l-,!1o~o"'at""e'-'-.=,'-'-----f~;eduled ~--'-""-""-''--"'"'-''-------a . , ,~ king

3. Serial Number f-'l,_'!.:::e,__fY'l='=,.....,,-_;_..:...-;;, ___ --ll!l-lJ worn l)C\...-A~3!' 11. Position' D Backhghting

4. Po No. I • • ., i.. /14 o.. • /, D Will not test Q-"x'i!a\o(o CT ., ''~ REMOVED PART DATA O Maintenance Conv.

D Intermittent 6. RepairO Overhauled 12 Part Number Ne~nsp On!~ Fu net chkD \I'\ I gc:;. _ So I D Other. Explain on Reverse Side

Repair Exch D Ovhl ExchD 13. Sena! Number 16. Failed Part? >-7_-c_a_n_n-1b_a_liz_e_d_P_art_:_D_a_t_e_J _ _j ____ ..... TlC.L-A-S6i' D Yes ff°No

REM FM .. N ____ P0S:__ f-_1.,..4,"."'M=ec,::h::::_a-=-_n"'ic""'=--_...,..../...,---, Not!!' Falledisdefinedasotherthan ,__ · - 5 T c;,c,,- trou~eshoodnt, worn, Schffuled, or

I NSP ~ J ~ .. Maintenance Corw

.-INSTALLATION DATA REMOVED PART DATA (cont.)

~ , • 8. TSN__ TSO__ 17 Bin Location:

CSN cso Cert Date Due Date CA-70 Yellow; Record Green: Part (attach to part)

Champlain Enterprises Maintenance Parts Control Tag 1. Nomenclature INSTALLATION DATA REMOVED PART DATA (cont.)

T. ~ mr \\('\\I 9. Acft Tail Number 15 Reason for Removal

2. Part Number Alt370' D Troubleshooting

\ovas- so\ 10. Date D Scheduled

3 Serial Number / '!) ,..,,.,,., ,s- ~ak,ng

\3c. xC.'A Dq' ~ Worn

11. Position D Backhghbng

4. P O No. \c I 5 e , •• , ... LK /V\t../, D Will not test

0· 1,'3t>'3 ! Ii, V REMOVED PART DATA D Maintenance Conv

6. RepairD Overhau eau 12 Part Number D Intermittent

Ne~ lnsp Onl.,0 Funct chkD I ll 1,S-- S-o \ D Other Ex.plam on Reverse Side

Repair Exch D 0vhl ExchD 13. Serial Number 16. Failed Part? 7 Cannibalized Part· Date_} _J _ N'/A-,~/~ D Yes [2J'No

·-REM FM.'N POS: __ 14 Mechanic Note, Failtd 1s defined u other than

INSP. (i~ troubleshoottn1, wom, Scheduled, or

55~ Maintenalk;e Conv.

8 TSN __ TSO_ 17. Bm Location CSN cso Cert Date Due Date

CA-70 Yellow: Record Green· Part (attach to part)

I Champlain Enterprises Maintenance Parts Control Tag [ 1. Nomenclature INSTALLATION DATA REMOVED PART DATA (cont.) , PIN. BRAKE 9 Acft Tail Number 15 Reason for-Removal

2 Part Number ,/w-'h LA. D Trout;tteshoc;,ting \0110-501 10 Date D Scheduled

3. Serial Number ,'l. A"h"7 JII'. ~akmg llilEXCA2342 Worn

11 Position D Backl1ghbng

4 ... ~-R;~& Is~ l/11 ,NIL,{.,. D Will not test ---· D Maintenance Conv REMOVED PART DATA

6 RepairO OverhauledD 12 Part Number D Intermittent

New[J9--lnsp Onl~ Funct chkD I Dl/1)-)0 / D Other. Explain on Reverse Side

Repair Exch D Ovhl ExchD 13. Senal Number 16 Failed Part? 7 Cannibalized Part: Date_j_J_ LJA//c D Yes ~No •

REM FM.:N POS ~4~

Note· Faded 1$ defined as other than -- troubleshootint, worn, Sch•duled, or INSP ,<'<j'6f' Mounten~nce Conv,

8 TSN -- TSO __ 17 f~djs,ation CSN cso Cert Date Due Date - .

CA-70 Yellow Record Green P.irt (attach to part) ·-- - ------- ·- - ·--