McCAULE Y LOGBOO K R PROPELLE - ASO · kep t b y thi s sectio n fo r th e followin g periods. (1)...
Transcript of McCAULE Y LOGBOO K R PROPELLE - ASO · kep t b y thi s sectio n fo r th e followin g periods. (1)...
FAA
LOG
BOO
K
91.1
73 M
aint
enan
ce R
ecor
ds
A.
Exce
pt fo
r wor
k pe
rform
ed i
n ac
cord
ance
with
91.
170,
ea
ch re
gist
ered
own
er o
r op
erat
or s
hall
keep
the
follo
wing
'
reco
rds
for t
he p
erio
ds s
peci
fied
in p
arag
raph
(b) o
f thi
s se
ctio
n:
(1)
Reco
rds
of m
aint
enan
ce a
nd a
ltera
tion,
and
reco
rds
of
the
100-
hour
, ann
ual,
prog
ress
ive,
and
othe
r re
quire
d or
ap
prov
ed i
nspe
ctio
ns, a
s ap
prop
riate
, for
eac
h ai
rcra
ft (in
cludi
ng th
e ai
rfram
e) a
nd e
ach
engi
ne, p
rope
ller,
roto
r, an
d ap
plia
nce
of a
n ai
rcra
ft. T
he r
ecor
ds in
clud
e:
(i)
A de
scrip
tion
(or
refe
renc
e to
dat
a ac
cept
able
to
the
Adm
inist
rato
r of
the
work
per
form
ed;
(ii)
The
date
of c
ompl
etio
n of
the
work
per
form
ed;
(iii)
The
signa
ture
and
cer
tifica
te n
umbe
r of t
he
pers
on a
ppro
ving
the
airc
raft
for
retu
m t
o'se
rvice
. (2
) Re
cord
s co
ntai
ning
the
follo
wring
info
rmat
ion;
(i)
Th
e to
tal t
ime
in se
rvic
e of
the
airfr
ame.
(ii
) Th
e cu
rrent
sta
tus
of li
fe-li
mite
d pa
rts o
f eac
h ai
rfram
e, e
ngin
e, p
rope
ller,
roto
r, an
d ap
plia
nce.
(ii
i) Th
e tim
e si
nce
last
ove
rhau
l of a
ll ite
ms
inst
alle
d on
the
airc
raft
which
are
requ
ired
to b
e ov
erha
uled
on
a sp
ecifi
ed ti
me
basis
.
REG
ULAT
ION
S
(iv)
The
iden
tifica
tion
of th
e cu
rrent
insp
ectio
n st
atus
of
the
airc
raft,
inclu
ding
the
times
sin
ce th
e la
st In
spec
tions
re
quire
d by
the
insp
ectio
n pr
ogra
m u
nder
whi
ch th
e ai
rcra
ft an
d its
app
lianc
es a
re m
aint
aine
d.
(v)
The
curre
nt s
tatu
s of
app
licab
le a
irwor
thin
ess
dire
ctive
s, in
cludi
ng th
e m
etho
d of
com
plia
nce.
(v
i) A
list o
f cur
rent
maj
or a
ltera
tions
to e
ach
airfr
ame
engi
ne, p
rope
ller,
roto
r, an
d ap
plia
nce.
B.
Th
e ow
ner
or o
pera
tor
shal
l ret
ain
the
reco
rds
requ
ired
to
be k
ept b
y th
is s
ectio
n fo
r the
follo
wing
per
iods
. (1
) Th
e re
cord
s sp
ecifi
ed in
par
agra
ph (a
) (1
) of t
his
sect
ion
shal
l be
reta
ined
unt
il th
e wo
rk is
repe
ated
or s
uper
se
ded
by o
ther
wor
k or
for o
ne y
ear
afte
r th
e wo
rk is
per
fo
rmed
. (2
) Th
e re
cord
s sp
ecifi
ed In
par
agra
ph (
a) (2
) of t
his
sect
ion
shal
l be
reta
ined
and
tran
sfer
red
with
the
airc
raft
at th
e tim
e th
e ai
rcra
ft is
sol
d.
C.
The
owne
r or
ope
rato
r sha
ll m
ake
all m
aint
enan
ce re
cord
s re
quire
d to
be
kept
by
this
sec
tion
avai
labl
e fo
r ins
pect
ion
by th
e Ad
min
istra
tion
or a
ny a
utho
rized
repr
esen
tativ
e of
the
Natio
nal
Tran
spor
tatio
n Sa
fety
Boa
rd (N
TSB
).
NO
TE-
Reg
ulat
ions
are
sub
ject
to
rev
isio
n at
any
da
te w
ithou
t no
tice.
McC
aule
y Pr
opel
ler W
arra
nty
Polic
y
Dea
r Cus
tom
er,
Con
grat
ulat
ions
on
the
purc
hase
of y
our n
ew M
cCau
ley
prop
elle
r. En
gine
ered
with
the
cust
omer
in m
ind,
it is
des
igne
d to
pro
vide
ye
ars
of re
liabl
e an
d tro
uble
-free
ser
vice
.
Sche
dule
d m
aint
enan
ce o
r ser
vici
ng o
f you
r McC
aule
y pr
opel
ler
shou
ld b
e ac
com
plis
hed
at y
our n
eare
st M
cCau
lev
Appr
oved
Se
rvic
e St
atio
n.
For l
ocat
ion
of th
e M
cCau
ley A
ppro
ved
Serv
ice
Stat
ion
near
est
you,
ple
ase
call 1
-316
-831
-402
1 an
d as
kfor
Pro
duct
Sup
port.
NO
TE
Hav
ing
wor
k pe
rform
ed a
t a fa
cilit
y ot
her t
han
a M
cCau
lev
Appr
oved
Ser
vice
Sta
tion
may
voi
d yo
ur w
arra
nty.
USE
OF
LOG
BO
OK
1.
Prop
er m
aint
enan
ce o
f thi
s lo
gboo
k is
the
owne
r's re
spon
sibi
lity.
It i
s an
impo
rtant
rec
ord
desi
gned
for t
he o
wne
r's in
form
atio
n an
d pr
otec
tion.
2.
If th
e pr
opel
ler i
s so
ld o
r ins
talle
d on
ano
ther
ai
rcra
ft, th
e lo
gboo
k sh
ould
be
trans
ferre
d w
ith
the
prop
elle
r.
3.
It is
reco
mm
ende
d th
at m
aint
enan
ce re
leas
e ta
gs a
nd w
ork
orde
rs b
e at
tach
ed in
side
the
back
cov
er o
f thi
s bo
ok.
If a
copy
of t
he w
ork
orde
r is
not a
vaila
ble,
the
repa
ir st
atio
n an
d w
ork
orde
r num
bers
sho
uld
be re
fere
nced
in
the
logb
ook
entry
.
4.
All A
irwor
thin
ess
Dire
ctiv
es, S
ervi
ce B
ulle
tins,
an
d Se
rvic
e Le
tters
hav
e be
en c
ompl
ied
with
at
the
time
of p
rodu
ctio
n.
CO
NTE
NTS
Inst
alla
tion
His
tory
Serv
ice
His
tory
AO
's, S
ervi
ce B
ulle
tins
Mai
nten
ance
Rel
ease
Tag
s
Ow
ner N
ame
Add
ress
Prop
elle
r M
odel
'B3V
37-C
cfi7
^^
Bla
de M
odel
j^n
^l])-!
Hu
b Se
rial N
o.
0<^l
W
Bla
de S
eria
l No.
1
//.2
c:^Z
(^
2 /j
3 ^/
j 2^
4
OM
B C
ontr
ol N
o. 2
120-
0018
09
/30/
2007
1. A
ppro
ving
Nat
iona
l Avi
atio
n
Aut
hori
ty /
Cou
ntry
:
FAA
/UN
ITE
D S
TA
TE
S A
UT
HO
RIZ
ED
RE
LE
ASE
CE
RT
IFIC
AT
E FA
A Fo
rm 8
130-
3, A
IRW
OR
TH
INE
SS A
PPR
OV
AL
TA
O
4. O
rgan
izat
ion
Nam
e an
d A
ddre
ss:
.lOR
DA
N P
RO
PEL
LE
R S
ER
VIC
E,
INC
. 10
3 Ea
st R
haps
ody
- Sa
n A
nton
io, T
exas
782
16
EK
2R79
7K
13.
Rem
arks
:
3.
Form
Tra
ckin
g N
umbe
r:
1390
9
5.
Wor
k O
rder
/Con
trac
t/ln
voic
c N
o.
3026
375-
3
Item
: D
escr
ipti
on:
g Pa
rt N
umbe
r:
^' El
igib
i ity
: *
10.
„ Qua
ntity
: ''
' Se
rial
/ B
atch
Num
ber:
St
atus
/ W
ork:
One
Pr
opel
ler
B3D
32C
417-
D
N/
1 ea
. 04
1149
In
spec
ted
Perf
orm
ed L
ong
Ter
m S
tora
ge I
nspe
ctio
n Pe
r M
cCau
ley
Serv
ice
Bul
letin
I37
AD
. R
emov
ed C
ylin
der a
nd I
nspe
cted
For
Moi
stur
e an
d/or
Cor
rosi
on.
No
Dis
crep
anci
es f
ound
. C
ylin
der R
eins
talle
d an
d Sa
fetie
d.
19.
14 C
FR 4
3.9
Ret
urn
to S
ervi
ce
| [
Oth
er r
egul
atio
n sp
ecif
ied
in B
lock
13
Cer
tifie
s th
at u
nles
s ot
herw
ise
spec
ifie
d in
blo
ck 1
3. th
e w
ork
iden
tifie
d in
Blo
ck 1
2 an
d de
scri
bed
in B
lock
13
was
acc
ompl
ishe
d in
acc
orda
nce
with
Tit
le 1
4, C
ode
of
Fede
ral
Reg
ulat
ions
, pa
rt 4
3 an
d in
res
pect
to
that
wor
k, t
he i
tem
s ar
e ap
prov
ed f
or
retu
rn t
o se
rvic
e.
15.
Aut
hori
zed
Sign
atur
e:
16.
App
rova
l/Aut
hori
zatio
n N
o.;
18.
Dal
e( 00
/00/
00
20.
Aut
hori
zed
Sign
atur
e:
22.
Nam
e (T
yped
or
Prin
ted)
:
Car
y C
. Jor
dan
21.
App
rova
l/C
erti
fica
te N
o.:
CR
S E
K2R
797K
23.
Dat
c(m
/d/y
):
Feb
25,2
010
Use
r/In
stal
ler
Res
pons
ibili
ties
It is
im
port
ant t
o un
ders
tand
tha
t th
e ex
iste
nce
of th
is d
ocum
ent
alon
e do
cs n
ot a
utom
atic
ally
con
stitu
te a
utho
rity
to in
stal
l th
e pa
rl/c
ompo
nent
/ass
cmbl
y.
Whe
re t
he u
ser/
inst
allc
r pe
rfor
ms
wor
k in
acc
orda
nce
with
the
nat
iona
l reg
ulat
ions
of a
n ai
rwor
thin
ess
auth
ority
dif
fere
nt t
han
the
airw
orth
ines
s au
thor
ity o
f the
cou
ntry
spe
cifi
ed i
n B
lock
1, i
t is
esse
ntia
l th
at t
he u
ser/
inst
allc
r en
sure
s th
at h
is/h
er a
irw
orth
ines
s au
thor
ity
acce
pts
part
s/co
mpo
ncnt
s/as
sem
blie
s fr
om t
he a
irw
orth
ines
s au
thor
ity
of th
e co
untr
y sp
ecif
ied
in B
lock
1.
Stat
emen
ts i
n B
lock
s 14
and
19
do n
ot c
onst
itute
Ins
talla
tion
cert
ific
atio
n.
In a
ll ca
ses,
air
craf
t m
aint
enan
ce r
ecor
ds m
ust
cont
ain
an i
nsta
llatio
n ce
rtif
icat
ion
issu
ed i
n ac
cord
ance
with
the
na
tiona
l re
gula
tions
by
the
user
/inst
alle
r be
fore
the
air
craf
t m
ay h
e fl
own.
FAA
Form
813
0-3
(6-0
1)
•Ins
tall
er m
ust
cros
s-ch
eck
elig
ibili
ty w
ith a
pplic
able
tec
hnic
al d
ata.
NS
N:
0052
-00-
012-
9005
App
rovi
ng N
atio
nal
Avi
atio
n
Aut
hori
ty/C
ount
ry:
FAA
/UN
ITE
D S
TATE
S A
UTH
OR
IZE
D R
ELE
AS
E C
ER
TIFI
CA
TE
FAA
FO
RM
813
0-3,
AIR
WO
RT
HIN
ES
S A
PP
RO
VA
L T
AG
3. S
yste
m T
rack
ing
Ret
. N
o.
05-3
002
4.
Org
aniz
atio
n N
ame
and
Ad
dre
ss.
McC
aule
y P
rope
ller
Sys
tem
s 4
4800
Car
go D
rive
Pro
duct
ion
Cer
tific
ate
3 C
olum
bus,
Ga
3190
7
5. W
ork
Ord
er,
Con
trac
t, or
Inv
oice
N
umbe
r:
SS
0741
1
6.
Item
: 7.
D
esc
rip
tio
n:
8.
Par
t N
um
be
r:
9.
Eli
gib
ilit
y:*
10.
Qu
an
tity
: 11
. S
eri
ai/
Ba
tch
Nu
mb
er:
12
. S
tatu
s/W
ork
:
1 P
rope
ller
Ass
embl
y B
3D32
C41
7/82
NR
D-7
P
4176
251-
01
M0(
)NE
Y M
20
1 04
1149
N
EW
13.
RE
MA
RK
S
Ttie
abo
ve m
entio
ned
prop
elle
r as
sem
bly
was
fou
nd t
o m
eet
type
des
ign
requ
irem
ents
on
Sep
13,
200
5
• ••
AiR
WO
RT
Hir
iES
o A
PP
RO
VA
L-P
RO
PE
LLE
R.
"
14.
Cer
tifie
s tt
ie i
tem
ide
ntifi
ed a
bove
wer
e m
anuf
actu
red
in c
onfo
rmit
y to
:
[2]
App
rove
d de
sign
dat
a an
d ar
e in
a c
ondi
tion
for
safe
ope
rati
on
• ,
Non
-app
rove
d de
sign
dat
a sp
ecif
ied
in B
lock
13
^T
^t4
-C£
R 4
2.9
Re
turn
to
Se
rvic
e •
Oth
er
reg
uia
tio
n sp
eci
fie
d in
Bio
ck 1
3 ^
^^
--
-'^
^
Cer
tifie
s th
aTtm
less
othe
rwis
e sp
ecifi
ed i
n B
lock
13,
the
wor
k id
entif
ied
In B
locj
i^^'
''''^
12
end
des
crib
ed l
itBtO
ckJS
was
acc
ompl
ishe
d in
acc
orda
nce
with
Tyie
-TA
T^
Cod
e of
Fed
eral
Reg
ulat
ions
rpar
t-42
^d I
n re
spec
t to
thaW
yopk
rlFie
i tern
s ar
e ap
prov
ed fo
r re
turn
to s
ervi
ce.
^"^
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^^
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15.
Aut
hori
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Sig
natu
raK
j/y
^^^'
-^y^
^y^
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16.
App
rova
l/A
utho
riza
tion
No.
:
DM
IR41
0251
-CE
20.
Aut
hori
zed
Sig
natu
re:
^^
^^
^^
^^
^^
^^
^^
^^
^-
^^
"^
^^
^^
^^
^^
^ 21
. C
ertif
icat
e N
um
be
r
17.
Nam
e (T
yped
Pr
inte
d): M
ei T
olie
18
. D
ate
(m/d
/y):
Sep
13,
200
5
22. N
ame
{l^pe
d^or
Pm
y^^i
y^
23.
Dal
e:
"^^
^^
^^
^^
^^
^^
^^
^^
^^
^^
^
Use
r/In
stal
ler
Res
pons
ibili
ties
It
is i
mpo
rtan
t to
und
erst
and
that
the
exi
sten
ce o
f th
is d
ocum
ent
alon
e do
es n
ot a
utom
atic
ally
con
stitu
te a
utho
rity
to
inst
all t
he p
art/
com
pone
nt/a
ssem
bly.
Whe
re t
he u
ser/
inst
alle
r pe
rfor
ms
wor
ks i
n ac
cord
ance
with
the
nat
iona
l re
gula
tions
of
an
airw
orth
ines
s au
thor
ity d
iffer
ent
than
the
air
wor
thin
ess
auth
ority
of t
he c
ount
ry s
peci
fied
in
Blo
ck 1
it i
s es
sent
ial t
hat
the
user
/inst
aile
r en
sure
s th
at h
is/h
er a
i™ro
ithin
ess
auth
ority
acc
epts
par
ts/c
ompo
nent
s/as
sem
biie
s fr
om t
he a
irw
orth
ines
s au
thor
ity o
f th
e co
untr
y sp
ecif
ied
in B
lock
1.
Sta
tem
ents
in
Blo
cks
14 a
nd 1
9 do
not
con
stit
ute
inst
alla
tion
cert
ifica
tion,
in
ail
case
s, a
ircr
aft
mai
nten
ance
rec
ords
mus
t co
ntai
n an
ins
talla
tion
cert
ifica
tion
issu
ed i
n ac
cord
ance
wit
h th
e na
tiona
l re
gula
tion
by t
he
user
/inst
aile
r be
fore
the
air
craf
t m
ay b
e fl
own.
j f
FAA
For
m 8
130-
3 (6
-01)
*(
Op1
iona
l Ins
talle
r m
ust c
ross
che
ck e
ligib
ility
with
app
licab
ie t
echn
icai
dat
a N
SN
:005
2-00
-012
-
INST
ALLA
TION
HIS
TORY
Da
te
Airc
raft
Mod
el &
Reg
istra
tion
Num
ber
Engi
ne S
eria
l Num
ber &
Pos
ition
SEP
13 a
i Jm
PR
OPEL
LER
W
AS M
ANUF
/CTU
REO
m
w A
T M
CCAU
LEY
PRU
PLLL
ER S
YSTE
MS.
IW
SPEC
TEP
AND
FOU
ND
TO
BE
AIRW
ORTH
Y «»
TM
tt D
ATE.
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7 -
JOR
DA
N P
RO
PELL
ER S
ER
VIC
E, I
NC
. 10
-1 B
iist
Rh
apso
dy
San
An
ion
ic,
Tex
as
78
21
6 C
eiti
fica
led
Rep
air
Siat
ion
No
. E
K2
R7
97
K
PRO
PELL
ER
.S/N
04
1149
l/A
/W
McC
aule
y Se
rvic
e B
ulie
lin
I37A
D.
HA
S B
EE
N
INSP
EC
TE
D
Rem
oved
Cyl
inde
r an
d In
spec
led
For
Moi
slui
e an
d/or
Cor
rosi
on.
No
Dis
crep
anci
es
Obs
erve
d. C
ylin
der
Rei
nsta
lled
and
Safc
ticd.
PER
TIN
EN
T D
ET
AIL
S O
N F
ILE
UN
DER
SIG
NE
D
^ '
' -
-
VO
RK
OR
DE
R N
UM
BE
R
1390
9
. D
AT
E 02
-25-
10
^ /
M
EC
HA
NIC
MA
KIN
G I
NST
AL
LA
TIO
N O
N A
/C M
UST
C/W
FA
R 4
3.9
MA
INTE
NA
NC
E &
SER
VIC
E H
ISTO
RY
Dat
e To
tal P
rope
ller
Tim
e Ti
me
Sinc
e O
verh
aul
Des
crip
tion
of W
ork
Auth
oriz
ed S
igna
ture
s R
epai
rman
and
Sta
tion
Cer
tific
ate
Num
bers
PRO
P M
OD
EL:
B3D
32C
417-
D
PRO
P S/
N- 0
4114
9 R
EG N
O N
381K
H
WO
RK
OR
DER
20
82-0
1-20
10
Mo
on
cy A
irp
lan
e C
om
pa
ny,
In
c.
Rep
air
Stat
ion
No
CR
S# M
PYR
456X
16
5 At
Moo
ney
Roa
d N
odti
Kertv
itte
TX 7
8028
Pt
ione
: 83
0-79
2-29
11
DAT
E 3/
22/2
010
A/C
TSN
: 423
9
PRO
P IT
: 0
TAC
H: 4
23 9
Pro
p E
ntri
es
(57)
Ins
talle
d tti
is n
ew
McC
aule
y B
3D32
C41
7 sn
041
149
on
Moo
ney
M20
M N
381K
H s
n 27
-034
5 af
ter
com
plia
nce
witt
i M
cCau
ley
SB
137
AD
by
Jord
an P
rope
ller
Ser
vice
, In
c C
RS
EK
2R97
K R
epla
ced
spin
ner
bulk
head
pn
D-6
199
with
ne
w. P
erfo
rmed
100
hr
insp
ectio
n in
acc
orda
nce
with
Moo
ney
M20
M s
ervi
ce
man
ual.
I cer
tify
that
this
Pro
pelle
r in
stal
led
on N
381K
H Ir
as b
een
ins|
de
term
ined
to b
e in
Airw
orth
y co
nditi
on.
Perti
n^n(
'det
ails
^,dn
^Yep
a N
o. 2
082-
01-2
010
DAT
E: 3
/22/
2010
SI
GN
ED;
acco
rdan
ce w
ith a
100
hou
r in
spec
tion
and
is
are
on fi
le a
t thi
s re
pair
stat
ion
unde
r EB
is 3
Wor
k O
rder
t/M
Mt
Wor
k O
rder
: 20
82-0
1-20
10
Bria
n Ke
ndric
k C
ertif
ied
Rep
air
Stat
ion
No
CR
S# M
PYR
456X
Pr
inte
d by
EBi
s 3
(dat
com
edia
.com
)
Not
e: E
nter
Con
nplia
nce
With
Ail
App
licab
le F
AA
A.D
. & F
acto
ry S
ervi
ce B
ulle
tins
On
Pag
es 1
1 &
12
4
MAI
NTEN
ANCE
& S
ERVI
CE H
ISTO
RY
Date
To
tal P
rope
ller
Time
Time
Sinc
e Ov
ertia
ul
Desc
riptio
n of
Wor
k Au
thor
ized
Sign
atur
es
Repa
irman
and
Sta
tion
Certi
ficat
e Nu
mbe
rs
N38
1KH
Dat
e 04
-08-
11
Tach
: 51
1.6
Perfo
rmed
An
nual
In
spec
tion.
AD
's
com
plie
d wi
th
thro
ugh
2011
-07.
I
certi
fy
this
pr
opel
ler
has
been
in
spec
ted
in a
ccor
danc
e wi
th F
AR
43 A
pp D
ann
ual
insp
ectio
n an
d fo
und
airw
orth
y.
LUH
TE
CH
JET
,,
Note
: Ent
er C
ompl
ianc
e W
ith A
ll Ap
plic
able
FAA
A.D
. & F
acto
ry S
ervic
e Bu
lletin
s On
Pag
es 11
& 1
2 5
MAI
NTE
NAN
CE &
SER
VICE
HIS
TOR
Y Da
te
Tota
l Pro
pelle
r "T
ime
Tim
e Si
nce
Ove
itiau
l De
scrip
tion
of W
ork
Auth
orize
d Si
gnat
ures
Re
pairm
an a
nd S
tatio
n Ce
rtific
ate
Num
bers
N3
81
KH
M
od
el:
M2
0M
S
/N:
27
-03
45
PR
OP
ELL
ER
4
/18
/12
TA
CH
: 5
93
.6
Perfo
rmed
An
nual
In
spec
tion.
AD
's c
ompl
ied
with
th
roug
h 20
12-0
6.
I ce
rtify
th
is
prop
elle
r ha
s be
en
insp
ecte
d in
acc
orda
nce
with
FA
R 4
3 App
D a
nnua
l in
spec
tion
and
foun
d ai
rwor
thy.
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in^
i&^
TA
. LU
HTE
CH J
ET
Not
e: E
nter
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plia
nce
With
All
Appl
icab
le F
AA
A.D
. & F
acto
ry S
ervi
ce B
ulle
tins
On
Page
s 11
& 1
2
6
MAI
NTE
NAN
CE &
SER
VICE
HIS
TOR
Y Da
te
Tota
l Pro
pelle
r Ti
me
Tim
e Si
nce
Ove
itiau
l D
escr
iptio
n of
Wor
k Au
thor
ized
Sign
atur
es
Repa
irman
and
Sta
tion
Cer
tifica
te N
umbe
rs
] ^(
\ \
\
Not
e: E
nter
Com
plia
nce
With
All A
pplic
able
FAA
A.D
. & F
acto
ry S
ervi
ce B
ulle
tins
On
Pag
es 1
1 &
12 7
PROP
ELLE
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D
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1. Approv ing Civil Aviat ion Authori ty/ Country:
FAN United States A U T H O R I Z E D R E L E A S E C E R T I F I C A T E
FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG
3. Fo rm Track ing Number :
40796 4. Organizat ion N a m e and Address
New England Propeller Service, Inc FAARSNRC2R130L EASA 145.5972
5, Work Order /Contract / Invoice Number :
6 Matthews Drive (P.O. Box 244) East Haddam. CT 06423-2388 (860) 873-1494 • Fax: (860) 873-2388 CR-40796
6. I tem: 7 Descr ipt ion: 8 Part Number : 9 Quanti ty: 10. Serial Number- 11 . Sta tus /Work:
PROPELLER GOVERNOR DC290D1-F/T11 050004 OVERHAULED
12 Remarks :
THIS COMPONENT WAS INSPECTED AND REPAIRED IN ACCORDANCE WITH MANUFACTURER'S MANUAL(SI
THE FOLLOWING WORK WAS PERFORMED:
780401R8 SPM100.4
THIS GOVERNOR WAS OVERHAULED. GOVERNOR DISASSEMBLED AND CLEANED. PARTS VISUALLY, DIMENSICNALLY AND NDT INSPECTED. PARTS REPLACED AS REQUIRED. PARTS PAINTED AS NECESSARY. GCVERNCR ASSEMBLED, BENCH TESTED AND CALIBRATED IN ACCCRDANCE WITH MANUFACTURER'S 3PECIFICATICNS. THE FCLLCWING SERVICE BULLETINS AND AIRWCRTHINESS DIRECTIVES WERE CCMPLIED WITH: SB215C.
N E W E N G L A N D P R O P E L L E R S E R V I C E , INC C E R T I F I E S T H A T THE W O R K SPECIF IED IN BLOCK 11/12 W A S C A R R I E D O U T IN A C C O R D A N C E W I T H EASA P A R T -145 AS D E F I N E D IN ED D E C I S I O N 2004/04 /CF, AS A M E N D E D BY ED DECIS ION 2007/001/C A N D IN R E S P E C T T O T H A T W O R K T H E C O M P O N E N T IS C O N S I D E R E D R E A D Y FOR R E L E A S E T O SERVICE UNDER EASA P A R T -145 A P P R O V A L N U M B E R : " E A S A 145 5972 "
14 CFR 43 9 Return to Serv ice • Other regulat ion speci f ied in Block 12
Cert i f ies that unless otherwise speci f ied in Block 12, the work identified in Block 11 and descr ibed in Block 12 w a s accompl ished in accordance with Tit le 14, Code of Federal Regulat ions, part 43y^nd in respect to that work, the i tems are approved for retuirpto serv ice.
:ed S i g m t u r e : 14c Approval /Cer t i f icate No.:
RC2R130L 1 4 d Name ( T y p e d p r Printed):
STEVEN J.RITCHIE 14e. Date {dd/mmm/yyyy):
08 MAY 2014 User/Installer Responsibilities
t IS important to understand ttiat the existence ot this document alone does not automatically constitute authority to install the aircraft engine/propeller'article. Where the user/installer performs worl< in accordance with the national regulations of an airworthiness authority different than the airworthiness authority of the country specified in Block 1, it is essential that the user/installer ensures that his/her airworthiness authority accepts aircraft engine(s)/propeller(s)/ai1icle(5) from the airworthiness authority of the country specified in Block 1. Statements in Blocks 13a and 14a do not constitute installation certification In all cases, aircraft maintenance records must contain an installation certification issued in accordance with the national regulations by the user/installer before the aircraft may be flown.
FAA FORM 8130-3 ( 0 2 - 1 4 ) N S N : 0 0 5 2 - 0 0 - 0 1 2 - 9 0 0 5
DES
CRIP
TIO
N O
F A
LL O
PERA
TIO
NS
PERT
AIN
ING
TO
AIR
WO
RTH
INES
S D
IREC
TIVE
S.
SERV
ICE
BULL
ETIN
S. S
ERVI
CE L
ETTE
RS.
& M
INO
R A
DJU
STM
ENTS
DA
TE
TACH
TI
ME
DES
CR
IPTI
ON
OF
WO
RK
IIPT
ION
clu
4i^
llo^
\^
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o .7
AV
/
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NA
TUR
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or-
ctrn
u^t
AD T
itle
: M
ake;
M
odel
: Se
rial N
umbe
r: Ta
il N
umbe
r:
Prop
ello
r M
cCau
ley
B3D
32C
417/
82N
RD-7
04
2040
YL2
6318
YL2
6320
YL2
6325
N
381K
H
Date
: 28
-Jun-
15
lA :
Cliff
Elli
s Ph
one
: 443
-415
-056
5 (c
ell)
Tach
time: 7
"*
Dat
e:
2003
-13-
17
2005
-14-
11
2006
-24-
07
07/1
8/20
03
08/1
7/20
05
1/3/
2007
Prop
elle
r bla
de
Faile
d pr
opel
ler
blad
e
Insp
ectio
n an
d Re
pair
by C
SE A
viat
ion
X
N/A
no
T&W
0/H
N/A
no
SCPS
0/H
N/A
no
CSE
Repa
ir