EFTA00278135.pdf

I. US Department of Transportation MAJOR REPAIR AND ALTERATION Federal Aviation (Airframe, Powerplant, Propeller, or Appliance) Administration , Form Approved OMB No. 2120-0020 For FAA Use Only 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). 1. Aircraft Make Gulfstream Aerospace Model G-IIB Serial No. 151 Nationality and Registration Mark N909JE 2. Owner Name (As shown on registration certificate) Hyperion Air, Inc. Address (As shown on registration certificate) 103 Foulk Road, Suite 202 Wilmington, DE 19803-3742 he alteration aircraft subject DATE identified herein complied to conformity inspection 2-1/4 -4/ 2-6'D 7 with applicable by a person FAA Inspector 3. For FAA Use Only air-worthiness requirements and is approved authorized in FAR 43.7. only for the above described 4. Unit Identification 1 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME (As described in Item 1 above) ------- X POWERPLANT PROPELLER APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. 1111111111111 U.S. Certified Mechanic 11JR439Y LIMITED AIRFRAME Foreign Certified Mechanic X Certified Repair Station Manufacturer D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments 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 2.--- c / /: , 7 Signature of Authorized Individual Glenn Tietjen 7. Approval for Return to Service Pursuant Administrator BY to the authority given persons specified below, the unit of the Federal Aviation Administration and is identified in item 4 was inspected in the manner prescribed by the APPROVED • REJECTED FAA Flt. Standards Inspector Manufacturer Inspection Authorization Other (Specify) FAA Designee X Repair Station Person Approved by Transport Canada Airworthiness Group Date of App oval or ejection 2.— e_c" a 7 Certificate or Designation No. I1JR439Y Signature of Authorized Individual 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. K Additional Sheets Are Attached EFTA00278136 U.S. DEPARTMENT OF TRANSPORTATION . . . FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE 01/24/07 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE Gulfstream MODEL NO. • GlIB TYPE (Airplane, Radio, Helicopter, etc.) Airplane NAME OF APPLICANT Skandia, Inc. International Jet Interiors LIST OF DATA IDENTIFICATION TITLE Work Order # 155311-07 Document ID 74756 Purchase 0rder _.# 2092 FLAMMABILITY TEST RESULTS REF:Skandia, Inc. Design Data # S155311 ..SPECIMEN.#1, Test specimens are 3 1 N..12" compos4es consisting of Teddy & Arthur Edelman 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 of appointment under Part 183 of have vested by direction of the Administrator and in accordance with conditions the Federal Aviation Regulations, data listed above and on attached sheets been examined in accordance with established procedures and found to comply Regulations. approval of these data these data and limitations numbered with applicable requirements of the Federal Aviation • ecommend 1 (We) Therefore Approve SIGNATURE(S) OF SI NATED ENGINEERING REPRESENTATIVE DESIGNATION NUMBER(S) CLASSIFICATION(S) 0 -j9 ' - DERY -405143-CE Structural Special Carin Demus FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION EFTA00278137 • U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE 02/13/07 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE Gulfstream MODEL NO. GII TYPE (Airplane, Radio, Helicopter, etc.) Airplane NAME OF APPLICANT • Skandia, Inc. International Jet Interiors LIST OF DATA IDENTIFICATION TITLE Work Order # 15651 1-07 Document ID 75004 Purchase Order # 2139 FLAMMABILITY TEST RESULTS REF:Skandia, Inc. Design Data # S156511 SPECIMEN # I Test specimens are 3" x 12" composites consisting of AAR Composites 1/8" ATR-FP-12IF1 bonded to Carl F Booth & Co Elm Burl Veneer. Veneer is finished as per International Jet Interiors Process Specification #01IJINVIAB. 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 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 (a) Amdt 25-116 Appendix F Part I (a)(1)(i) CERTIFICATION -Under authority of appointment under Part 183 have vested by direction of the Administrator and in accordance with conditions of the Federal Aviation Regulations, data listed above and on attached sheets been examined in accordance with established procedures and found to comply Regulations. approval of these data • these data and limitations numbered with applicable requirements of the Federal Aviation Recommend I (We) Therefore Approve 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 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE 02/09/07 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE GULFSTREAM MODEL NO. G-1159B TYPE (Airplane, Radio, Helicopter, etc.) Airplane NAME OF APPLICANT Skandia, Inc. International Jet Interiors LIST OF DATA IDENTIFICATION TITLE Work Order # 156074-07 Document ID 74969 Purchase Order # 2126 FIREBLOCKING FLAMMABILITY TEST RESULTS REF: Skandia, Inc. Test Plan #15724 Rev IR Dated: 02/06/07 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 of appointment under Part 183 have vested by direction of the Administrator and in accordance with conditions of the Federal Aviation Regulations, data listed above and on attached sheets been examined in accordance with established procedures and found to comply Regulations. approval of these data these data and limitations numbered with applicable requirements of the Federal Aviation • Recommend I (We) Therefore Approve 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 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION ; - STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE 01/18/07 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATJON MAKE • GULFSTREAM MODEL NO. G1159B TYPE (Airplane, Radio, Helicopter etc.) Airplane _ NAME OF APPLICANT Skandia, Inc. International Jet Interiors LIST OF DATA IDENTIFICATION TITLE Work Order # 153082-06 Document ID 74710 Purchase Order # 2074 FIREBLOCKING FLAMMABILITY TEST RESULTS REF: Skandia, Inc. Test Plan #15465 Rev IR Dated: 01/10/2007 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 of appointment under Part 183 of have vested by direction of the Administrator and in accordance with conditions and limitations the Federal Aviation Regulations, data listed above and on attached sheets numbered been examined in accordance with established procedures and found to comply with applicable Regulations. approval of these data these data requirements of the Federal Aviation 0 Recommend I (We) Therefore Approve 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 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE 01/09/07 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE GULFSTREAM MODEL NO. GlIB TYPE (Airplane, Radio, Helicopter etc.) Airplane NAME OF APPLICANT Skandia, Inc. International Jet Interiors LIST OF DATA IDENTIFICATION TITLE Work Order # 154634-07 Document ID 74508 Purchase Order # 2070 . FLAMMABILITY TEST RESULTS REF:Skandia, Inc. Design Data # V154634 SPECIMEN #1 TEXSTYLE: CARPET, 58A, 58B, 58C, CUSTOM WOOL TO BE . , • • . • . • INSTALLED UNBONDED IN. AIRCRAFT 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 of appointment under Part 183 of have vested by direction of the Administrator and in accordance with conditions the Federal Aviation Regulations, data listed above and on attached sheets been examined in accordance with established procedures and found to comply Regulations. approval of these data these data and limitations numbered with applicable requirements of the Federal Aviation • Recommend I (We) Therefore X: Approve SIGNATURE(S) OF DESIGIATED ENGINEERING REPRESENTATIVE DESIGNATION NUMBER(S) CLASSIFICATION(S) d e,.A.1/g../ 01 -7, P0 ----- DERY-405143-CE Structural Special Carin Demus FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION EFTA00278145 _ • •, • EFTA00278146 L.:130 v • v • . vv A. U.S, DERAR7SAENT-Or. 1 RA N'S PORTATION • . : TEDERALAOATIONADMINiSTRATIDN . STATEMENT OF COMPLIANCE WITH.THEPEDERAk.:-AVIATION.REGULATIONS OATE February 14, 2007 AIRCRAFT.OR AIRCRAFT COMPONENT IDENTIFICATION: MAKE. . Gultstream.Aerospace Corporation . MOOELNO • ' . . 3 HS TYPE 1)Ii!Pienel 41 .r. 010. "encirki.'ef0 Airplane NAME OF A.OPLICA NT International Jet Interiors • .LIST OF DATA IOWILEISAWN T1711 B/E Aerospace Inc,. Report dated Feb, 14, 2007 Drawing No. JRW0706-WD, Rev.I/R Dated 2/8/07 LVIII "Elite" LED, fluorescent lighting system replaceMent on aircraft # 151 GLIB (see attached report -10 pages) • 8/E Aerospace Cabin LED. Lighting System Installation 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 under. Pari 153 of the. Federal Avlatien.RetiulAtlenS. data Ilsted.aboveand on' ttaciled StrielS•nurnberral accordonee vOn e .oiilished procedures and found to corn* with apoilc.ablefeoulrements of the Federal 0 Recommend approver of the data I (We) Therefore i .Approve thooe data end firnlatione of aPpOinimertf 1 filru 10 ha r: /Irian eirlairia In Avration:Regulatfons SICNATUREfSj OF DESIGNATE° ENGINEERING REFRESENTATNE(S) OES:GNATION NLIMBERS{S} CLASSIHCATION(S) Vito A. PUlera ati'-"-- . DERT-830134,NE Systems and Equipment- Electrical & Mechanical. • FAA Form 81104 (11-?o) SUPERSEDES PREVIOUS COITION ELECTRONIC FORMAT OM) EFTA00278147 FEB-16-2007 15:29 From:BALL f UDC, U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE 16 Feb 2007 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE Gulfstream MODEL NO. Gl1B TYPE (Airplane, Radio. Helicopter. ofc.) Airplane NAME OF APPLICANT International Jet Interiors LIST OF DATA IDENTIFICATION TITLE JRW0707-WD Rev IR 2 Sheets dated 08 Feb 2007 Cockpit 14VDC Power Receptacle Installation 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 below in the APPLICABLE REQUIREMENTS box. Compliance to additional regulations may be required. 3. This document does not provide full FAA approval of the equipment installation. Additional engineering data may be required for approval. 4. This approval is valid for Gulfstream Model GIIB aircraft , tail number N909JE (SN 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 Part 183 of the Federal Aviation Regulations, data listed above and on anacneo established procedures end found to comply with applicable requirements of E Recommend approval of these data I (We) Tnerefore CZ Approve these data sno In accordance with conditions sneets numbered -NA- and limitations of appointment under have been examined in accordance with the Federal Aviation Regulations. SIGNATURE(S) OF DESIGNATED ENGINEERING REP SENTATIVE(S) DESIGNATION NUMBERS(S) CLASSIFICATIONLS1 Systems Karl M. Frantz 7 (4, 4 i DE RT-636280-NM and Equipment orm /3110-3 (I t-70) SUPERSEDES PREVIOUS EDITION ELECTRONIC FORMAT (7.00) EFTA00278149 1 . Approving National Aviation Authority/Country: FAA/UNITED STATES 2. 3 • • . Form Tracking Number: AUTHORIZATION RELEASE CERTIFICATE FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG 536641 4. Organization Name and Address: 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. TSO C39b; TSO C127a . 5. Work Order/Contract/Invoice Num: .. 7. 0 2005-527 • 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 .,... •:•‘....- . •,4•::. ,..,:.., T.*. ..5tn•-; V.:All 1- IZe• . 14.9..4.• !,tt",'-.. 50 5 1 5 0 1 9 • New . 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 toSerVi4.• • • - . . . . . ,. .. . . . . :.- Other regulation specified in Block.t3..:7:•:. .. ...: • • , • • ..:, dertifiesthat iiii.10s Otneiirjte:s00:Ci4d in.iiiii;013;fthe work identifie.ii irBlack.1 and • .. 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. .:: • - ...- -";: :-.- -, ... . X Approved design data and are in condition for safe operation .e- :.1;:”•:::. I I Non-approved design data specified In Block 13. 15. Authorized Signature: ,••-•.. „..s.. / tr:j L. L.X_____,_ k.),, •:----,-- 16. Approval/Authorization No.: ODAR F601987NM . . • : irij .Authorized.Signaiiire:r I- •••• `'... 1. - .... .. . • ,.. - - - -' . . . . . . _ 21„:APproval/Certificate NO.;-- ... . 18. Date(m/d/y): JAN/26/2006 0>: . ...1.•!.., /p0:(-f;psi , pr: 0nTni • ... 4 Date(mi ' • -•• • •-• 17. Name (Typed or Printed): Eva Alarcon User/Installer Responsibilities At is important to understand that the existence of this document alone does not automatically constitute authority to Install the part/component/assembly. • t . . :'Where the user/installer performs work in accordance with the national regulations of an airworthiness authority differem •••.,.rthe airworthiness authority of the country specified in Block 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, .'!'er before the • - aircraftcaircraftmay be :• i -.., i .. . ••...: EFTA00278151 Aircraft pelts Inc. P.O. Box 845 2000 Anders Lane Kemah Texas 77565 FAA R.S. #: YB1R632K Packing Slip: 208 Ship To: PO: 2073 Ship Date: 1/19/2007 AIRCRAFT BELTS, INC. TM t " t.nt Sold To: International Jet Interiors • Ship Via:FedEx PI SO: 73092 -IRLO .f. 1W.1; . antipc1446.- Ai* 6410:01, _ • . ekz4 1 1.00 EA 1.00 0.00 r5ptrps Description: Reweb Pac Sci 4pt Assy w/Inertia Reel # 210 / #12 FOB: ORIGIN Sales Person: Terri Phillips Page: 1 t'Ot fssewsiq, IR 2 2.00 EA 2.00 0.00 r4ptfps Description: REWEB PAC SCI 4PT FIXED HARNES # 210/ #12 IR 3 4.00 EA 4.00 0.00 r3ptrabi IR • 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 Description: Reweb Plated ABI Lap Belt # 210 1 2 3 5 CERTIFICATION This 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 MAJOR REPAIR AND ALTERATION us l oepariment (Airframe, Powerplant, Propeller, or Appliance) of Transportation Federal Aviation Administration Form Approved OMB No. 2120-0020 For FAA Use Only Office Identificaticgib4,—/ 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). 1. Aircraft Make Model GULFSTREAM AEROSPACE G1159B Serial No. Nationality and Registration Mark 151 U.S.A. N909JE 2. Owner Name (As shown on registration certificate) :. HYPERION AIR INC. I s : 2. # • ,#§ • s :.• . : •• # z • cats) 3. For FAA Use Only 4. Unit Identification - 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME described in 1 X (As Item above) POWERPLANT PROPELLER APPLIANCE Type ' Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. JET AVIATION ASSOCIATES LTD. WEST PALM BEACH. FL. 33406 U.S. Certified Mechanic CRS EYKR782D AIRFRAME 1,3. RADIO 1,2,3. LIMITED AIRFRAME, & P/P LIMITED INSTRUMENT Foreign Certified Mechanic X Certificated Repair Station Manufacturer D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments 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 Administrator BY to the authority given of the Federal Aviation persons specified below, the unit Administration and is identified in item 4 w nspected in the manner prescribed by the K REJECTED r APPROVED FAA Flt. Standards Inspector Manufacturer Inspection Authorization Other (Specify) FAA Designee X Repair Station Person Approved by Transport Airworthiness Group Date of Approval or Rejection 8/20/04 Certificate or Designation No. EYKR782D Signature of Authorized Individual 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 4111.1.11 ME eiKnoN GE4WITH-, ; ;cFED .'7,::;a:Nsi.k..acsewit}s1114.11. aK,10'449 16 . Ina leaCh 'ittlra:/:<09 .40.ttrAelektlaCti EFTA00278157 DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE August 9, 2004 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION ' MAKE Gulfstream MODEL NO. G1159B TYPE (Airplane, Radio, Helicopter, etc.) Airplane NAME OF APPLICANT Jet Aviation Associates LIST OF DATA IDENTIFICATION TITLE G2B-20895-1370 G2B-20895-1371 G2B-20895-1450 ER01489 ELT Equipment Installation, Sht 1-4, Rev IR ELT Antenna Installation, Sht 1-3, Rev IR Minor Deviation to STC ST02789AT Mk VIII EGPWS Equipment Installation, 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 under Part 183 of the Federal Aviation In accordance with established procedures I (1)1 Therefore by direction of the Administrator and in accordance with conditions Regulations, data listed above and on attached sheets numbered and found to comply with applicable requirements of the Federal Recommend approval of these data. Approve these data. and limitations of appointment 0 have been examined Aviation Regulations. SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION(S) Structural David E. Haralson Po.‘Evet. licerze.,__ DERT-810028-NE , FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION ER01489.doc EFTA00278159 REVISION STATUS REV LTR REV BY DESCRIPTION APPROVAL DATE (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 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. Woric Order No.: 20895 MODEL: TITLE: INSTRUCTIONS FOR CONTINUED AIRWORTHINESS FOR ARTEX C406-N EMERGENCY LOCATOR TRANSMITTER Gulfstream G-1159B NAME DATE Prepared By: T. CARR 08/10/04 Checked By: J. URSO 08/16/04 S/N: 151 Q/A: J. URSO 08/16/04 Engineer: N/A N/A DOCUMENT NO.: G2B-20895-050 REV: IR SCALE: NONE SHEET: 1 OF 9 Approved: N/A N/A EFTA00278161 , 0 MAJOR REPAIR AND ALTERATION US Department of Transportation (Airframe, Powerplant, Propeller, or Appliance) Federal Aviation Administration Form Approved OMB No. 2120-0020 For FAA Use Only Office Identificati 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). 1. Aircraft Make Model GULFSTREAM AEROSPACE G1159B Serial No. Nationality and Registration Mark 151 U.S.A. N909JE 2. Owner Name (As shown on registration certificate) Address As shown on r: .istration certificate HYPERION AIR INC. 3. For FAA Use Only 4. Unit Identification 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME • described X (As in Item 1 above) POWERPLANT PROPELLER APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. JET AVIATION ASSOCIATES LTD. U.S. Certified Mechanic CRS EYKR782D AIRFRAME 1,3. RADIO 1,2,3. LIMITED AIRFRAME, & P/P LIMITED INSTRUMENT Foreign Certified Mechanic .-......., x Certificated Repair Station Manufacturer D. I cert have furnished unit(s) identified in item 4 above and described on the reverse or attachments hereto Part 43 of the U.S. Federal Aviation Regulations and that the information been made in accordance with the requirements of herein is true and correct to the best of my knowledge. Date Signature of Authorized Indivi ual ....., -Jo- tm K. Urso, Ins ----ector. -- - - — it - -- 7. Approval for Return to Sery Pursuant Administrator BY to the authority given persons specified below, the unit of the Federal Aviation Administration and is identified in item 4 inspected in the manner prescribed by the K REJECTED 4 APPROVED FAA Flt. Standards Inspector Manufacturer Inspection Authorization Other (Specify) FAA Designee X Repair Station Person Approved by Transport Canada Airworthiness Group Date of Approval or Rejection 8/20/04 Certificate or Designation No. EYKR782D Signature of Authorized Individual 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 K Additional Sheets Are Attached O U.S. G. P.O 1990-761-753 EFTA00278164 REVISION STATUS REV LTR REV BY DESCRIPTION APPROVAL DATE (No data herein shall be deemed to have been approved by any regulatory agency). ATE!' RIAERFICIII . . ' s, Ltd. a m Bea n Airport West Palm Beach, FL 33406 CRS-EYKR782D This document contains specifications ASSOCIA TES, LTO. to be held and organization or PROPRIETARY NOTICE: the sole property of JET AVIATION or disclosed to any unauthorized LTD. and/or data, technical material, proprietary information that are treated by its recipient on a confidential basis and is not to be shown person without the written authorization of JET AVIATION ASSOCIATES, Work Order No.: 20895 MODEL: TITLE: INSTRUCTIONS FOR CONTINUED AIRWORTHINESS FOR THE INSTALLATION OF THE HONEYWELL PS-578A MODE S/TCAS CONTROL PANEL Gulfstream G-1159B NAME DATE Prepared By: T. CARR 08/10/04 Checked By: G. L. KARR 08/16/04 S/N: 151 Q/A: J. URSO 08/19/04 Engineer: N/A N/A DOCUMENT NO.: G2B-20895-051 REV: IR SCALE: NONE SHEET: 1 OF 5 Approved: N/A N/A EFTA00278165 e MAJOR REPAIR AND ALTERATION US Department of Transportation (Airframe, Powerplant, Propeller, or Appliance) Federal Aviation Administration Form Approved OMB No. 2120-0020 For FAA Use Only Office lc, ra_lioryt 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). 1. Aircraft Make Model GULFSTREAM AEROSPACE G1159B Serial No. Nationality and Registration Mark 151 U.S.A. N909JE 2. Owner Name (As shown on registration certificate) A. :, ,, i•ir or :A.' . .IPI :IC . e) HYPERION AIR INC. 3. For FAA Use Only - 4. Unit Identification 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME .. described in X (As Item 1 above) ----- -. POWERPLANT PROPELLER APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. JET AVIATION ASSOCIATES LTD. U.S. Certified Mechanic CRS EYKR782D AIRFRAME 1,3. RADIO 1,2,3. LIMITED AIRFRAME, & PIP LIMITED INSTRUMENT Foreign Certified Mechanic X r- Certificated Repair Station Manufacturer 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 8/20/04 Signature of Authorized . Individual — ---. — / 1 - - -------- - e---(A.--y^ John K. Urso, Inspector. 7. Approval for Return to Se e Pursuant Administrator BY to the authority given of the Federal Aviation persons specified below, the unit Administration and is identified in item as inspected in the manner prescribed by the K REJECTED APPROV FAA Flt. Standards Inspector Manufacturer Inspection Authorization Other (Specify) FAA Designee X Repair Station Person Approved by Transport Airworthiness Group Date of Approval or Rejection 8/20/04 Certificate or Designation No. EYKR782D Signature of Authorized Individual 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 K 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 oeio4jecale essaedlo tiVel,9216,e ST02789AT tes, Ltd. Palm Beach, FL 33406 _ceirleXe4.4ea4.64-aeanfe 1;s 44, *Ai se Aujg"),e).• 44i4a ,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. G1159-19760-100, 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 certificate 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, ,0,.< Wale .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 6,1414. gffled;" (w-gnature) j ot Melvin D. Taylor 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 SET Rff711778111 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 REVISION STATUS REV LTR REV BY DESCRIPTION APPROVAL DATE A This document and is G.L.K. and provided to 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. JET AVIATION ASSOCIATES, LTD. - Highly Sensitive all information and expression contained herein are the property the recipient in confidence on a "Need To Know" basis. Your use to legitimate business purpose requiring the information contained Your use of this document constitutes acceptance of these N.J. CURRAN of Jet Aviation Associates, of this document is therein. terms. 01/30/04 Ltd., strictly limited 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: Gulfstream G-1159 Series TITLE: MASTER DRAWING LIST FOR THE INSTALLATION OF THE HONEYWELL MK VIII ENHANCED GROUND PROXIMITY WARNING SYSTEM (EGPWS) IN THE G-1159 SERIES AIRCRAFT NAME DATE Prepared By: G.L. KARR 08/15/03 Checked By: T. CARR 11/18/03 S/N: Q/A: N/A N/A Engineer: G.L. KARR 11/18/03 DOCUMENT NO.: G1159-19760-010 REV: A SCALE: NONE SHEET: 1 OF 4 Approved: N.J. CURRAN 11/19/03 EFTA00278173 l REVISION STATUS REV LTR REV BY DESCRIPTION APPROVAL DATE This document and is and provided to JET AVIATION ASSOCIATES, LTD. - Highly Sensitive all information and expression contained herein are the property the recipient in confidence on a "Need To Know" basis. Your use to legitimate business purpose requiring the information contained Your use of this document constitutes acceptance of these of Jet Aviation Associates, of this document is therein. terms. Ltd., strictly limited .t di" ,. -.. .. . JET HINFRATICAI Jet Aviation Associates, Ltd. CRS-EYKR782D This document contains specifications and/or data, technical ASSOCIATES, LTD. to be held and treated by its recipient organization or person without the PROPRIETARY NOTICE: the sole property of JET AVIATION or disclosed to any unauthorized LTD. material, proprietary information that are on a confidential basis and is not to be shown written authorization of JET AVIATION ASSOCIATES, Work Order No.: 19760 MODEL: TITLE: INSTRUCTIONS FOR CONTINUED AIRWORTHINESS FOR THE INSTALLATION OF THE HONEYWELL MK VIII ENHANCED GROUND PROXIMITY WARNING SYSTEM (EGPWS) Gulfstream G-1159 Series NAME, DATE Prepared By: G. L. KARR 11/05/03 Checked By: T. CARR 11/05/03 SIN: Q/A: N/A N/A Engineer: G. L. KARR 11/18/03 DOCUMENT NO.: G1159-19760-050 REV: IR SCALE: NONE SHEET: 1 OF 7 1 Approved: N.J. CURRAN 11/19/03 EFTA00278175 REVISION STATUS REV LTR REV BY DESCRIPTION APPROVAL DATE A This document and is G.L.K. and provided to 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. JET AVIATION ASSOCIATES, LTD. - Highly Sensitive all information and expression contained herein are the property the recipient in confidence on a "Need To Know" basis. Your use to legitimate business purpose requiring the information contained Your use of this document constitutes acceptance of these N.J. CURRAN of Jet Aviation Associates, of this document is therein. terms. 01/30/04 Ltd., strictly limited 'ci& P .SET R11117177011/ Jet Aviation Associates, Ltd. CRS-EYKR782D This document contains specifications and/or data, technical ASSOCIATES, LTD. to be held and treated by its recipient organization or person without the PROPRIETARY NOTICE: the sole property of JET AVIATION or disclosed to any unauthorized LTD. material, proprietary information that are on a confidential basis and is not to be shown written authorization of JET AVIATION ASSOCIATES, Work Order No.: 19760 MODEL: TITLE: CERTIFICATION GROUND TEST PROCEDURE FOR THE MK VIII EGPWS Gulfstream G1159-Series NAME DATE Prepared By: G.L. KARR 10/20/03 Checked By: T. CARR 10/30/03 S/N: Q/A: N/A N/A Engineer: G.L. KARR 11/18/03 DOCUMENT NO.: G1159-19760-060 REV: A SCALE: NONE SHEET: 1 OF 34 • Approved: N.J. CURRAN 11/19/03 EFTA00278177 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 )1f1 Manager 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 • Gulfstream Aerospace Corp. k. c:.;TheaktiseM ititorarirgrNrielIt. fit 1' tle , Uc •-y . . . . . . A g y 2..c.f..Egi: • 13:7 DEPARTMENT OF TRANSPORTATION. FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS n DAM le August 16 AIRCRAFT OR AIRCRAFT4COMPONENT IDENTIFICATION MODEL NO. G-1159B TYPE (Airplane Radio, Helicopter, etc) Airplane LIST OF OF DATA "NAME OF APPLICANT Jet Aviation Associates "krigtissi, lea Beach,,FL • IDENTIFICATION TITLE G3-20895-450, Initial Release dated August 13, 2004 G3-20895-506, Initial Release dated August 13 2004 MINOR DEVIATION TO SIC ST02789AT MK VIII EGPWS SYSTEIVINVIRING - DIAGRAM ;•.3.1/47?':„ • .. n .11 N , t, MINOR DEVIATION •TO•STC .ST02789AT AUXILIARY ANNUNCIATOR SYSTEM , WIRING DIAGRAM r -e:„ PURPOSE OF DATA - In support of the major alteratIon to G-41590 serial number 151, registration number N909JE. 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, :* • ' El ItcpontriteIldapPlov3I t. DfOcse 1. t iScrete.4 4/ 11tiad..,44 f tv Appnwe these date (Systemi &Equipment AspeOtscbieignzAnPreval Only, boos Not Constitute installation t•L:37 zpikcyr 44▪ „.< „vsfet, SIGNATURE OF D TED E INEERING REPItESENTATIVE(S) DLSIt;NATION NUMBERS) DERT-510087-NM ;.FAA Form 8110.!3 (I I-70)SISPERSEDES EDITION FILENAME: SC-N909JE-ECPWS.DOC z ••• • ft, ..c..L:g.• " CLASSIFICATION(S), • Systems:&:EqUiptrient. .. )(I 'es EFTA00278181 DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE August 9, 2004 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE Gulfstream MODEL NO. G1159B TYPE (Airplane, Radlo, Helicopter, etc.) Airplane NAME OF APPLICANT Jet Aviation Associates LIST OF DATA IDENTIFICATION TITLE G2B-20895-1370 G2B-20895-1371 G2B-20895-1450 ER01489 ELT Equipment Installation, Sht 1-4, Rev IR ELT Antenna Installation, Sht 1-3, Rev IR Minor Deviation to STC ST02789AT Mk VIII EGPWS Equipment Installation, 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 under Part 183 of the Federal Aviation In accordance with established procedures I 4)() Therefore by direction of the Administrator and in accordance with conditions Regulations, data listed above and on attached sheets numbered and found to comply with applicable requirements of the Federal Recommend approval of these data. Approve these data. and limitations of appointment 0 have been examined Aviation Regulations. 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 0 MAJOR REPAIR AND ALTERATION US Department of Transportation (Airframe, Powerplant, Propeller, or Appliance) . Federal Aviation Administration • Form Approved OMB No. 2120-0020 For FAA Use Only Office fdenti • ation INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix B, and AC 43.9-1 (or subsequent revision ereof) for inP f ruc ions 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). . • 1. Aircraft Make GULFSTREAM AEROSPACE . Model G1159B ' . Serial No. 151 Nationality and Registration Mark - U.S.A.N909JE ---- ' . 1. --. ' - "`' -' '. • •.•.• .. ' • 2. Owner Name (As shown on registration certificate) HYPERION AIR INC. - . , . . • 3. For FAA Use Only • ,, .. .. ' • . :. • _ • . . . . • ' , . . - • , 4. Unit Identification 5. Type Unit i :4 i : !'.tt '-'%, 1 - Make II •: . •• • r .• " i I:. V; Irr • z. % . Model . . Serial No. -' . . . 4 ..:. ' ' . . Repair . • Alteration '• "AIRFRAME ..,. • ••• • , -, ,..i..3.: : t!: .. : : • - ./ -;•! ^ ,. (As described in Item 1 above) ' '. • %.,. : •• : ' . . . , . . ' :?.:•41-4.: .!• . ...`i. :1 • . . ' :...• :'!.: o: :'... . " • • X .,,'. ,. it. . . ,' , /O.i (VD :PPV!T.91.V.1/4N1-; .'::i i ‘ ,;• '~ :I. -, .: iJ I,"../i it':".R.I'l /kJ! P.-e:' i...-1.-.)4,;_;- s ,,,i ,T. 1.404T:.:N ;..:.. . • . • .3. -- 7.,)i,i;:. .: , i" . ;-:!:.: •" ,-• ., .4 34 i • , ":— ')/1 ;:•-- ;....". : '...IN:1 !',"1.1.T(,‘ si : :1.,-..,.. •. -`,.e hl %A% 11•.:ii•Ar.; _ !it ' f.. W I ..t• ifri\'' Li g. ''' 1::.:ei.:: : '.)--el• 5O49 -4":1 !.. • NO rfri : ., :!D -Aii 1J -•-..). 4 '4141A fl!). ! ' ";PROPELLER ".,4 Y-.7.9MC.r.)?..Z' ;",":":O°:A!...:1 ;•',..-:•_•;.F.•'. "1)A ---i0 .-.Ti )1 i.:24":5','‘ 1.1.--' A ?,:!!'-,.10.:':'Tttry", .S.• .:-.! t/.. - . ' ......,:i l ii .t.i . ;-•':. . , :i• TV '..:1 l'i,"': ' . ,:."! 9O .!.'i'e:::Ii.': J2,1 .'-' vT. 54 1.: :1,.:03 (.00 1. .1 ?,;47 :illiT 'EIS: .:-.Aii• 1.-:-;I:i :1 c )-!‘ (141./(*); 1!) Dif,;12,AO. Z/N.`" 0../. A I, : . f)Iti.‘,1 ..i•le :‘4161:4W'4`.;A`. .iCA . , APPLIANCE • . J. .1! ,.2! V.:•1 Type 1: :•.F. ., • •i'..!) .0;:i "Uri )9:,.-::-, V3-.-F f WV. -. ; i : '' • i ' .' _I/ VA (J .....1.- i ' ' ! , ,. • Vd . . . ' .! -1.-.).:.; :,-;. 1 t 1 1 ..:1 iiO'...1O.'• . • . • : ' - i..1 71// .1'...:, ;. . . ' . ., • • .-J't 4% ,'•:.!.tri,fr.:4 t".i!. ..... r:. ;.,. 7 - ' .101N1 fiFiV r' uir `O'.. . . • i :- -,•1...r. ..!,. ;1;10 - ,flanufactureri • , . :;-;,, ,.. .. 1, i• .' t: . ,,. .i 1. , . . t I ; -,1.! : ... . .. - - - ' - . " :.'...‘.... .. ' ' . - 6. Conformity Statement ' _ _ ' .• • .. , A. AgenCy's Name`and Address • ` • ' .'"' : . . . .- B. Kind of Agency " . ' C. Certificate No. ." _. .... .. , ., . . ,. . - ., . ,.., . • -- , .. OATES LTD. . , • • WEST PALM BEACH. FL. 33406 U.S. Certified Mechanic CRS EYKR782D AIRFRAME 1,3. RADIO 1,2,3. LIMITED NF & ENG. Foreign Certified Mechanic " - x Certificated Repair Station Manufacturer D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments 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 . . 2/19/03 Signature of Authorized Individual John K. Urso, Inspector. /6 7. Approval for Return to Servl Pursuant Administi.ator BY to the authority given of the Federal Aviation persons specified below, the unit identified in item 4 w s inspected Administration and is 0 APPROVED 0 REJECTED in the manner prescribed by the FAA Flt. Standards Inspector Manufacturer . Inspection Authorization • Other (Specify) . FAA Designee ' - - - - - • - - X Repair Station - , Person Approved by Transport Canada Airworthiness Group Date of Approval or Rejection 2/19103 . - ,...... Certificate or Designation No. EYKR782D . Signature of Authorized Indivi I e. 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 1/29/03 WAS 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. • I ' . . ;I 1 4_ .. __.... ._.,.._:_-_._:_t__-:-_-- - 1 r ,- 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 PARAGRAPHS ,WiTif 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.0:1 3-1B;CHAPTER 11.,-SECTION 4 ELECTRICAUELECTRONIC WIRING WAS SELECTED AND ---''':-.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 ", ' ' " Attached Afe * U.S. G.P.O 1990-761-753 EFTA00278186 DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE January 13, 2003 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE Gulfstream MODEL NO. G1159B TYPE (Airplane, Radio, Helicopter. etc.) Airplane NAME OF APPLICANT Jet Aviation Associates LIST OF DATA IDENTIFICATION TITLE G2B-18980-1342 ER01304 lridium/GPS Antenna Installation, Sht 1-3, Rev IR 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 under Part 183 of the Federal Aviation Regulatbns, data listed above and on attached sheetsnumbered in accordance with estabished procedures and found to con-ply with applicable requirements of the Federal Recommend approval of these data. I (1X Therefore Approve these data. and limitations of appointment 0 have been exarrined Aviation Regulations. 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 ••• • ••••••• •• •• ••• v. • s e ••••• • • • •• • •••••••• e• • . • . • . • • • • a • • ••• ' • . • • • • ••• a . • • . . I. .1 • • • • • . • I. . . • • . • r . , a • ....1. ••• • .: • : ' : t' . . . - .. - .. - er • , • t • . . • • a .e. • • • • . • . - r i ... • - • • • • EFTA00278188 02/15/2003 11:09 4079090198 S ROBLIN PAGE 02 DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE 02/14/2003 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE Gulfstream Aerospace MODEL NO. G1159B TYPE (Airplane, Radio, Helicopter, etc) Airplane NAME OF APPLICANT Jet Aviation Associates, Ltd. 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 above and on attached them rumbaed NONE have bees examined of the Administrator end in accordance whh conditions end limitations of appointment under Part ID of the Federal Aviation Regulation., data Ilned in accordance with established procedures and found to comply with rpplicabk requiremeats of the Fedcral Aviation Regulations. these data I Recommend approval of 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 • • b: .r. • Or • be ••••••••• •••• ebb. • or • ••••• ...awe, • • • • • wow Yaw a ow ••• W.S••••••••••••••••• Wow • •• • ebb /wow • • • • EFTA00278190 REVISION STATUS REV LTR REV BY DESCRIPTION APPROVAL DATE (No data herein shall be deemed to have been approved by,any regulatory agency). '11 JET RVIRT/0111 Jet Aviation Associates, Ltd. Palm Beach Intl Airport West Palm Beach, FL 33406 CRS-EYKR782D This document contains specifications ASSOCIATES, LTD. to be held and oroanization or PROPRIETARY NOTICE: the sole property of JET AVIATION or disclosed to any unauthorized crp. and/or data, technical material, proprietary information that are treated by its recipient on a confidential basis and is not to be shown person without the written authorization of ,/ET AVIATION ASSOCIATES. Work Order No.: 18980 MODEL: TITLE: MAINTENANCE REQUIREMENTS INSTRUCTIONS FOR CONTINUED AIRWORTHINESS FOR THE INSTALLATION OF THE AIRCELL AST-3500 AIR/SATELLITE TELEPHONE SYSTEM Gulfstream G1159B NAME DATE Prepared By: G. L. KARR 01/29/03 Checked By: G.L. KARR 01/29/03 S/N: 151 WA: J. URSO 01/29/03 Engineer: N/A N/A DOCUMENT NO.: G2B-18980-050 REV: IR SCALE: _ NONE SHEET: 1 OF 4 Approved: N/A N/A EFTA00278191 -4 O MAJOR REPAIR AND ALTERATION US Department of Transportation (Airframe, Powerplant, Propeller, or Appliance) Federal Aviation Administration Form Approved OMB No. 2120-0020 FAA Use Only O ce 'de to(y o __// 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). 1. Aircraft Make GULFSTREAM AEROSPACE Model G1159B Serial No. 151 Nationality and Registration Mark U.S.A. N909JE 2. Owner Name (As shown on registration certificate) HYPERION AIR INC. l• 8 : 1 • • a • • • :•• ration certificate) 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 APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. JET AVIATION ASSOCIATES LTD. ' WEST PALM BEACH. FL. 33406 U.S. Certified Mechanic CRS EYKR782D AIRFRAME 1,3. RADIO 1,2,3. LIMITED NF & ENG. Foreign Certified Mechanic ,—..., x Certificated Repair Station Manufacturer D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments 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 5/8/03 Signature of Authorized Individual John K. Urso, Inspector. A.--, /e (..r(...-_,r-- 7. Approval for Return to Service Pursuant Administrator BY to the authority given persons specified below, the unit of the Federal Aviation Administration and is identified in item 4 was inspected in the manner prescribed by the 0 APPROVED • REJECTED FAA Flt. Standards Inspector Manufacturer Inspection Authorization Other (Specify) FAA Designee X Repair Station Person Approved by Transport Canada Airworthiness Group Date of Approval or Rejection 5/8/03 Certificate or Designation No. EYKR782D Signature of Authorized Individual 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 K 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 FEDERAL AVIATION AcoAnsTRATiOrd STATEMENT OF COMPLIANCE. WITH THE FEDERAL AVIATION REGULATIONS GULFSTRF-AM IDENTIFICATION ACP20001, 1 SHT REV. IR DATE O2-28-00 ACS20001. 2 SHTS REV. IR DATEO2-14-00 ENT20002, 6 SHTS REV. A DATE:02-28-00 ENT20003, 3 SHTS REV. IA DATEO2-27-00 ENT20004. 3 SHTS REV. IR DATE:02-28-00 IN V20001, 2 lit v. It( DATE:02-23-00 IR20001. 1 SHT REV. IR DATE-02-25-00 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION moue. NO. —TYPE (AIRPLANE. RADAD,NEL1COPTER, 404 G-11598 AIRPLANE UST OF DATA TITLE Ox-re APRIL 01, 2000 NAME OF APPUCANT JET AVIATION WIRING DIAGRAM: CABIN 14VOC ACCESSORY POWER DISTRIBUTION WIRING DIAGRAM AIRCELL TELEPHONE SYSTEM WIRING DIAGRAM: CABIN ENTERTAINMENT SYSTEM WIRING DIAGRAM: CABIN HEADPHONE SYSTEM MODIFICATION WIRING DIAGRAM: CABIN VIDEO SYSTEM r.,1A IRAN' LADIN OvIlLJIJtCM WIRING DIAGRAM: CABIN EQUIPMENT INFRARED REPEATER SYSTEM 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 ,-'-^ ,-,,,"^" appointment under Fart 183 of Federal Aviation Regulations. data listed above and on attached have been examined in accordance with established procedures and found to comply with applicable Aviation Regulations. I (We) Therefore El Recommend approval of these data 0 Approve these data --....-- ,,,,,'` ^"'''''''''^^ ,s^ A limitations of sheets numbered 3000MICIOCX requirements of the federal SIGNATURE(S) OF DESIGNATED RING REPRESENTATIVES) DESIGNATION NumBERM 1 CLASSIFICATION(SI . C . JANZER SO- 528 SYSTEMS & EQUIPMENT I W G1 Is9BENTERTAnt 14909JE I FAA Form 81103 (,1- or suemseoca PREvious E01110.4 OPOW1413 EFTA00278195 02/15/2003 11:09 487909 98 ' - • ROBLIN enr•ArrIP‘''' DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION 8 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE 02/14/2003 (---) AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MARE Gulfstream Aerospace MODEL NO. G 1 I59B TYPE (Airplane, Radio, Helicopter, ctc) Airplane NAME OF APPLICANT Jet Aviation Associates, Ltd. 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 above and on arached shorts withered Jg;1/!EE..._,bave been examined O Recommend approval of I (We) Thereibre 0 prove these data Motinittretor sod in tgottattce in accordance with testa/110bl with coadidot39 and rimittaloos of gpoinumt tttida• Pin 163 of tht Federal AviiitioA RATutilitne. data, booed prod:dares and found to comply with cpylicabk ratio emoted:: oleic Fedcral Aviation Regotationr. . 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 . 3 . 6 MAJOR REPAIR AND ALTERATION US Department (Airframe, Powerplant, Propeller, or Appliance) of Transportation Federal Aviation Administration Form Approved OMB No) 2120-0020 For FAA Use O I Office Identification 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). 1. Aircraft Make GULFSTREAM AEROSPACE Model G1159B Serial No. • 151 . Nationality and Registration Mark U.S. N908JE 2. Owner Name (As shown on registration certificate) HYPERION AIR INC Address (As shown on registration certificate) 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 APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. JET AVIATION ASSOCIATES LTD. WEST PALM BEACH. FL. 33406 U.S. Certified Mechanic CRS EYKR782D Foreign Certified Mechanic X Certificated Repair Station Manufacturer D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments 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 1/12/2001 Signature of Authorized lndivi ' ual John K. Urso, Inspector. 1-a-- 7. Approval for Return to Servi Pursuant Administrator BY to the authority given persons specified below, the unit identified in item 4 inspected in the manner prescribed by the of the Federal Aviation Administration and is El APPROVED K REJECTED . FAA Flt. Standards Inspector Manufacturer Inspection Authorization Other (Specify) FAA Designee X Repair Station Person Approved by Transport Airworthiness Group Date of Approval or Rejection 1/12/2001 Certificate or Designation No. EYKR782D . Signature of Authorized Individual Ronald K. Bystrom, Manager Quality Assurance ,.. FAA Form 337 (12-88) EFTA00278199 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. 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 K Additional Sheets Are Attached * U.S. G.P.O 1990-761-753 EFTA00278200 I I r- 1 g= VC. a *c.c.! 1 - 0 :E. DEPAR I MINT of I RANtSParm rAt con FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE Jan. 7. 2001 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE Gutfstream _ .., MODEL NO G11598 TYPE fa/tepid/Ie. /Vedic. hio/icopler. Airplane a/c. ,/ NAME OF APPLICANT Jet Aviation Associates, LTD , UST OF DATA --- IDENTIFICATION TITLE ABA99042-M01 Mod. Drawing: CAPS Antenna Installation: Sh. 1 . Rev. IR dated Jan. 5. 2001 PURPOSE OF DATA to approve structural aspects only of GPS 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 Adreinisttrator and in accordance with conditions and limitations of appointment widen Part 183 of thy Federal Aviation Regulations. data listed above and on attached sheets nurnborud _— O have been examined in accordance with established procedures and found to comply with applicable requirerrnints of the Federal Aviation Regulations. [ Recommend approval of these data ) Iharefore rig Approve these data SiGNATURE(S) OF DESIGNATED ENGINEERING REPRESEITIATIVE(5) DESIGNATION, NUL413O1(S1 OLASSIF ICATI(Xi(51 Lauren Napier /..---a.4.442," ett Le' t DERT-810050-NE Structural --• AA Form 8110-3 07.7osuit FASEDeS PREMOVSELItTroN •Gt-uwi ,51) EFTA00278201 • a i EFTA00278202 - MAJOR REPAIR AND ALTERATION us Department (Airframe, Powerplant, Propeller, or Appliance) of Transportation Federal Aviation Administration Form Approved OMB No. 2120-0020 For FAA Use Only Office Identification 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). 1. Aircraft Make GULFSTREAM AEROSPACE Model G1159B • Serial No: 151 Nationality and Registration Mark U.S.. N908JE 2. owner Name (As shown on registration certificate) HYPERION AIR INC Address (As shown on registration certificate) 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 APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. JET AVIATION ASSOCIATES LTD. WEST PALM BEACH. FL. 33406 U.S. Certified Mechanic CRS EYKR782D Foreign Certified Mechanic X Certificated Repair Station Manufacturer D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments 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 1/12/2001 Signature of Authorized Individual John K. Urso, Inspector. K. (.)-- 7. Approval for Return to Sery Pursuant Administrator BY to the authority given persons specified below, the unit of the Federal Aviation Administration and is identified in item 4 s inspected in the manner prescribed by the "r APPROVED • REJECTED FAA Fit. Standards Inspector Manufacturer Inspection Authorization Other (Specify) FAA Designee X Repair Station Person Approved by Transport Canada Airworthiness Group Date of Approval or Rejection or Certificate 1/12/2001 Designation No. EYKR782D Signature of Authorized Individual Ronald K. Bystrom, Manager Quality Assurance I#9, 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 K Additional Sheets Are Attached * U.S. G. P.O 1990-761-753 EFTA00278204 pniirb States Of czA nurictt epurintent of caransporiation - jiijeberal gkbiatirrn miniziration F;-Vec,a, e<-3Jeeed-zo. Zupe Certificate .././/i4e7A4 e ST00298WI Midcoast Aviation, Inc. Box 10056, Lambert Airport St. Louis, MO 63145 P 0 r2, E t .-s THESE TECHNICAL DATA & THE OI.Si2115 DISCLOSED HEREIN ARE THE EXCLUSIVE !;ROPERTY OF MIDCOAST AVIATION, INC. OR CONTAIN PR0PRIDARY 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 DATA HAS BEEN RELEASED FO:i USE ON AIRCRAFT MODEL ..,.... ,-7.:.fz!STRATION 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 - We4ecakt./feem, e .- ‘/XaZ Al2EA 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<4.4.4wrega,544,44,,A3-.- Compatibility of this design change with previously approved modifications must be determined by the installer. ffect 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 eAtieceznatt.- March 22, 1995 ..Tea3.-eea.ie.eed.- .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 - CONFIGURATION 1 03-302W002. 63-32SF002 O3-328l ocy3 03-328M002 BbMTP 3 03-3287t01 - 03-328T002 03-027E009 e CONFIGURATION 2 03-302W011 03.328F002 03-328F003 03-328M002 03-328W009 REV. . B B B A C NC NC NC A B B A A ITTLE: Dual Transponder Mod. (MST-67A) (ND). TCAS/Transponders Antenna insti. (CAS-67A) TCAS /Transponders Equipment Just). (CAS-67A) TCAS Flight Manual Supplement. TCAS (CAS-67A) (WD ) Ground Functional Test Flight Functional Test Instructions for Continued Airworthiness . Dual Transponder Mod_ (MST-67A) (W14 - TCAS/Transponders Antenna Intl. (CAS-67A) TCAS /Transponders Equipment li rs-11_ (OAS-67A) TCAS Flight Manual Supplement r STc-4* ST 00 al f? Loa TCAS (CAS-67A) (WD ) 03-328F0 t5 . NC TcAsrrransP"Ide' Mice Equi - DCN # N/C-1 03-328T001 • NC Ground Functional Test 03-32811)02 NC Flight Fuirt_tional Test Cr2-627E009 NC Instructions for Continued AirwwthIness i 0 F. AA, imnt 'IT P R 0 V E D Wichita Aircr CE-1 aft Certification Offied 5W Cential Region D V : .28 - c.6 ate REV. DATE P. 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 03-027E009 and corrected drawing numbers 03-328T6a1 and 03-32811Dua • . E • 3-28-00 J. B. Add CONFIGURATION 2. Add Follow-on Functional Tests to.. • CONFIGURATION 1. . . D 1-20-00 J.B. Added DCN # C-4 ix) 03-328W002. Removed AfC serial riurnber. 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 AN ' 0 HEREICERTIFICATION DRAWING LIST 2/23/96 E EXCLUSIVE. PROPERTY Ci: MIDCOAST A • OR' I AIN PROPStETARY RIGHTS OF OTHERS 8,gE itfialq ri Pro). ST0.857W1-T DI r MID § (tU i -• ALLATION OF AWED SIGNAL , ir i •TA HAS , RELEASED FO'cl USE ON NICS CAS-67 (TCAS II) w/Dual • STC ST00298W1 , le _ 8f. i 4571 e;;:.1 REnSTRATION ... • TA MODE S TRANSPONDERS. App - T.J. Cummins AIC G1159, G1159A,G1159B SIN j Dwg. No. AD950003 REV. • II sheet 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. FAA APPROVED:097 For: Everett W. Pittman, Manger Aircraft Certification Office Federal Aviation Administration Wichita, Kansas PROPRIETARY' DATA THESE TECHNICAL DATA 4 THE DEMONS DISCLOSED HEREIN ARE THE EXCLUSIVE PROPERTY OF MIDCCAST AVIATION, INC. OR CONTAIN PROPRIETARY RIGHTS Of OTHERS a ARE NOT TO BE USED OR DISCLOSED- TO OTHERS WITHOUT THE WRITTEN CONSENT Of MIDCOASTAVIATPON, INC, ST. LOUIS, MO E3 THIS DATA HAS BEEN RELEASED FOR USE ON AIRCRAFT MODEL t t SIN AND REGISTRATICN I FAA APPROVED DATE: March 22,1995 FAA APPROVED DATE REV A: February 22, 2000 PAGE 1 OF 11 EFTA00278211 a a • a EFTA00278212 •t ti.• ••• ••M•MIO 41. OEPARTheNT OP TRANSPORTAT/O:q creotAtAL AVIATION AommitbTRATioN STATEMEN I OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE 1/09/2001 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE , Gulfsrrearo Aerospace Corp. MODEL NO. G-1159B TYPE (Airplane. Radio. Helicopter, ctc) Airplane NAME OF APPLICANT Jet Aviation Associates W. Palm Beach, Florida LIST OF DATA IDENTIf ICATION TITLE G2B-I 5813-440, Initial Release, dated 12/7/2000 C26-15813-441, Revision A, dated 12/22/200-0 L____ DUAL MODE-S TRANSPONDER SYSTEM MINOR DEV. TO S.T.C. S'T00298WI (MST-67A) TCAS II SYSTEM MINOR DEV. TO S.T.C. ST00298W1 (CAS-67A) PURPOSE OF DATA To obtain airworthiness approval on Gulfstrezun Aerospace G-1159B, serial number 151, registration number N908JE using STC ST00298W1 as the basis of approval. APPLICABLE REQUIREMENTS (List specific sections) FAR 25.869 (a)(4) FAR 25.1316 (A) FAR 25.1351 (a) - FAR 25.1529 FAR 25.1301 (a)(b)(c)(d) FAR 25.1322 (d) FAR 25.1357 (a)(c) FAR 25.1303 (b)(3) FAR 25.1331 (a)(b) FAR 25.138t (a)(b) FAR 25.1309 (a)(b)(c)(g) FAR 25.1333 (a) FAR 25.1431 (a)(b)(c) • CERTIFICATION - Omit: nanny fthipatstiva. this linc.1 'Dave .no .n siticlial ralc..1A.Loteit iittalatiisk 0 RettnninCral venue try %Mitten, at tkt AtiMinittliWt .14 Is •tcsramact ,t, suisi.ent4 NONE. kr.< born craisol srtt.b cosi:What litti Law-awes .1 a.pinhatanet maiter ran its at tilt rult-nd .1•Aszto• is stisr.hra• twills otablissect ptsictJsre, seal torn.) ts ces.P7 Iii-tio •POILaable rtStatlitg a an Design Approval Only) ;approval of than data tAclor data (Sy3terru &Et:oaten:mat Aspects, I (We) Therafare 0 A rove saGNATti• OF D SIGMA D rtic KIN D{ SttirATIVE(S) Dr.SIGNATION NIIHDLIt(S) CLASSISICATIOStS) DERT-510087-NM Systems & Equipment Norm I Cu FAA Form 8110-3 (11.70) SUPERSEDES PREVIOUS EDITION GPO 901-613 FILENAME: ge-N90LIE-TCAS.DOC EFTA00278213 • la • • • • • • EFTA00278214 I it -4H — tit; — to 1 u9 :25 Yt9 t-ilL4PIER er.:=cre: =6 •• 561 795 9179 . ct4 DATE Ot.PARTuct4 I OF THANSYLIRTATIOU FEDERAL AVIATION ADMINISTRATION STATFMFNT nr COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS Jan. 7. 2001 AIRCRAFT OR AIRCRAFT COMPONENT IDE N11F1CATION MAKE MODEL NO G11599 TYPE (Airplane. antio. NAME OF APPLICANT er H /icooter. 0 fc Gulfstream Airplane Jet Aviation Associates, LTD IDENTIFICATION LIST OF DATA TITLE G?F1-15813-1441 G2D-15013-1441-M01 Minor Dev. To STCST00298WI TCAS/Transponder Equipment Instl. (CAS-67A). Sh 1-8 . Rev. IR dated 12/28/00 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 Regulations. data listed above and on attached shoats nurnborud have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. D Recommend approval of these data Wiejlherefore 235Approvis these data SIGNATURE:V:1 OP DESIGNATED ENGINEERING REPRESENTATfVt(S) Lauren N spier DESIGNATION NUftilitIMS) DERT-810050-NE CLASSIFICAlION(S) Structural •••• mm. .• • m• FAA Fotm 8110.3 tit-A:1st sit stsFots keVIOVSEIJMON CPU1V: EFTA00278215 Y • • 10. • EFTA00278216 • ••• z3e, 1 -(9,5 9179 • • • If A. 4- • P_ 1 CsEPARIMENT OF FiAt/SPORTAT X)N FEDERAL AAATiON ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS UAN Gulfstream IDENTIFICATION Jan. 9. 2001 AIRMAFT OR AIRCRAFT COMPONENT I DEN I IHCATION uooeL TYPE(Airp/arta. /f ore/o, NAME OF APPLICANT Ha eicapter, etc J GI 159B Airplane LIST OF DATA Jet Aviation Associates, LTD TITLE G28-15813-1441-M01 Minor NA/ To STC ST00298WI. TCAS/Transponder. Equipment Inst. (CAS-87A): Sh. 1-11. Rev. A. dated 12/4100 PURPOSE OF DATA to approve structural aspects only of Modifications to the ICAS instl as part of a major alteration to S/N 151 APPUC.ABI.E RECrUIREMENYS /1 i i 1 s pac/Iic sac/1O179) FAR 25.307(a), 561(c), 609(a) CERTIFICATION - Under authurity vested by direction of the Administrator and in accordance with conditions and limitations tit appointment under Part 163 of the Federal Aviation Regulations. H listed h data el..,,OVO and on attached sheets numbered ___..., haver burin examined In accordance, with eoabliand procedures and found to comply With applicablki ir,guiremonts of the Federcil Aviation Regulations. ) Therefore Recommend approval of these data Approve these data SIGNATURES) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) Lauren Napier DESIGNATION NUI,T8ER(S) DERT -810050-NE CLASSIFICATION S 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 REPORT PROJECT PREPARED CHECKED CHECKED APPROVED NO: 03-027E009 TITLE: Instructions for Continued Airworthiness G1159A - SIN 324 TITLE: Installation of TCAS with Mode S Transponders BY: Gerhard A. Dickman DATE: 04/04/00 1 BY: (Avionics) L i, -/J2i -fe----- DATE: V - - 6d BY: • (Mechanical) DATE: ----/.9 — 0 -0 BY: = 6/ - __„45> DATE: -14 --i, ---,= .c> REV LTR: APPROVED: DATE: REVISIONS AND/OR ADDITIONS: - ' -. - 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.., - Rpt. No: 03-027E009 Page 1 of 6 Rev IR —Aprf2000 EFTA00278219 • ,. • 4r • EFTA00278220 0 2 MAJOR REPAIR AND ALTERATION us Department of Transportation (Airframe, Powerplant, Propeller, or Appliance) Federal Aviation Administration Form Approved OMB No. 2120-0020 For FAA Use O ly Office Identification ... 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). 1. Aircraft Make GULFSTREAM AEROSPACE Model G1159B Serial No. 151 Nationality and Registration Mark - U.S.A. N909JE 2. Owner Name (As shown on registration certificate) HYPERION AIR INC. Address As shown on registration certificate) 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 APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. . - JEtAVIATION ASSOCIATES LTD. WEST PALM BEACH. FL. 33406 U.S. Certified Mechanic CRS EYKR782D AIRFRAME 1,3. RADIO 1,2,3. LIMITED NF & ENG. Foreign Certified Mechanic X Certificated Repair Station Manufacturer D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments 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 4/6/01 Signature of Authorized Individual John K. Urso, Inspector .e- . , 7. Approval for Return to Service i Pursuant Administrator BY to the authority given of the Federal Aviation persons specified below, the unit Administration and is identified in item 4 was inspected in the manner prescribed by the .. APPROVED • REJECTED FAA Flt. Standards Inspector Manufacturer Inspection Authorization Other (Specify) FM Designee X Repair Station Person Approved by Transport Canada Airworthiness Group Date of Approval or Rejection 4/6/01 Certificate or Designation No. EYKR782D Signature of Authorized Individual 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 (If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and date work accomplished.) N9094E, GULFSTREAM G-IIB, S/N 151 W/O 16478. REFERENCE F.A.A. FORM 337 DATED 4/8/98 (INSTALLING A DUAL UNIVERSAL AVIONICS SYSTEMS UNS-1D FLIGHT MANAGEMENT SYSTEM WITH GLOBAL POSITIONING SYSTEM UNDER F.A.A. FIELD APPROVAL) THE INSTALLATION OF THE DUAL UNIVERSAL AVIONICS SYSTEMS UNS-1D FLIGHT MANAGEMENT SYSTEM WITH GLOBAL POSITIONING SYSTEM CONFORMS WITH JET AVIATION ASSOCIATES, LTD. STC ST02270AT, DATED1/23/2001, USING JET AVIATION MASTER DRAWING LIST DOCUMENT NUMBER MDL98001, REV A, DATED 3/11/1999. 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 REQUIREMENTS IS CONTAINED IN JET AVIATION DOCUMENT DAS98001, REV A, DATED 3/11/99 THE REQUIRED F.A.A. APPROVED FLIGHT MANUAL SUPPLEMENT, DOCUMENT NO. FMS98001, DATED 1/23/01 HAS BEEN INSERTED INTO THE AIRCRAFT FLIGHT MANUAL. END K 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. • a ig2, .d - 4, SW« r..4./rtu,34..• Al 2EA de a4.- 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 approved 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 96.4euzlas.-January 23, 2001 2farraw,;(daeti.- 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 JET fIVINTAIDIII 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 Page 1 of 8 Rev: A 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 MANAGEMENT SYSTEMS (UNS-1D) INSTALLED This supplement must be attached to the FAA, Approved Airplane Right Manual when the airplane is modified by the installation of dual Universal Avionics System Corp. (USAC) UNS-1D Flight Management Systems (FMS) in accordance with STC / ST022 7 0AT. The infO'rmation contained herein supplements, or supersedes, 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 Manual. 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 -----4- 11111111 JET AVIATION http://www.jetaviation.com 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 REGISTRATION MARKS 2 MANUFACTURER AND MODEL 3 AIRCRAFT SERIAL NUMBER 4 CATEGORY 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 e F ral Aviation Regula as appropriate, and the aircraft is registered in the United States. DATE OF ISSUANCE July 6 1989 FAA REPR T JOHN A. D AZ (1 DESIGNATION NUMBER 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 AVIATION REGULATIONS. ACCORDANCE WITH APPLICABLE FEDERAL 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 REGISTRATION MARKS N908JE 2. MANUFACTURER AN 5. AUTHORITY AND BASIS FOR ISSUAN This airworthiness certificate is date of issuance, the aircraft therefor, to be in condition f comprehensive and detailed Aviation, except as noted he Exceptions: 6. , TERMS AND CONDITIONS Unless sooner surrendered, suspe this airworthiness certificat s e performed in accordance aircraft is registered in DATE OF ISSUANCE R-07-06-89 IRCRAFT SERIAL ABER 1. CATEGORY TRANSPORT and certifies that, as of the nform to the type certificate uirements of the applicable ntion on International Civil ablished by the Administrator, aintenance, and alterations are ations, as oppropriote, and the DESIGNATION NUMBER 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. 0 MAJOR REPAIR AND ALTERATION uS Department (Airframe, Powerplant, Propeller, or Appliance) I of Transportation Federal Aviation Administration Form Approved OMB No. 2120-0020 For FAA Use Only OM Ide?tif ation 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). 1. Aircraft Make GULFSTREAM AEROSPACE Model G1159B Serial No. 151 Nationality and Registration Mark U.S.A. N908JE 2. Owner - Name (As shown on registration certificate) • HYPERION AIR INC. Address (As shown on registration certificate) 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 APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. JET AVIATION ASSOCIATES LTD. WEST PALM BEACH. FL. 33406 _ U.S. Certified Mechanic CRS EYKR782D Foreign Certified Mechanic X Certificated Repair Station Manufacturer - - D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments 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 $ - 6/28/00 Signature of Authorized Individual _,L6(34- 7 RONALD K BYSTROM MGR QUALITY CONTROL 7. Approval for Return to Service Pursuant Administrator BY to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the of the Federal Aviation Administration and is X APPROVED K REJECTED : FAA Flt. Standards Inspector Manufacturer Inspection Authorization Other (Specify) FAA Designee X Repair Station Person Approved by Transport Airworthiness Group Date of Approval or Rejection 6/28/00 Certificate or Designation No. EYKR782D Signature of Authorized Individual RONALD K BYSTROM, MGR UALITY CONTR '"2-z-r- FAA Form 337 02-88) EFTA00278235 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.) 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. THE AIRCELL PHONE HANDSET INSTALLED IN THE CONFERENCE TABLE AT F.S STA. 305.25 BY F.A.A FORM 337 DATED 4/21/00 WAS RELOCATED TO THE LEFT DRINKLEDGE AT F.S STATION 305.25. THE EXISTING WIRING WAS ROUTED IN ACCORDANCE WITH JET AVIATION MODIFICATION DRAWING ACS20001-1. THE INSTALLATION OF THE AIRCELL HANDSET WAS ACCOMPLISHED IN ACCORDANCE WITH THE FOLLOWING JET AVIATION DRAWING WHICH IS SUBSTANTIATED BY F.A.A FORM 8110-3. STRUCTURAL DRAWING • HBPA00008 REV "IR" DATED 6/27/00 SHEETS 1 OF 1 TITLED AIRCELL HANDSET RELOCATION REF F.A.A FORM 8110-3 DATED 6/27/2000 BY STRUCTURES DER DERT-510159-CE. A OPERATIONAL CHECK OF THE AIRCELL PHONE SYSTEM WAS ACCOMPLISHED IN ACCORDANCE WITH THE AIRCELL INSTALLATION MANUAL AGT.O1 A LOG BOOK ENTRY HAS BEEN MADE REFLECTING THIS MODIFICATION THE AIRCRAFT EQUIPMENT LIST WAS AMENDED AND THERE WAS NO APPRECIABLE CHANGE IN THE WEIGHT AND BALANCE. THIS MODIFICATION DOES NOT CHANGE THE MANUFACTURER'S CONTINUING AIRWORTHINESS INSPECTION REQUIREMENTS. END K Additional Sheets Are Attached U.S. G.P.O 1990-761-753 EFTA00278236 • . • r DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE June 27, 2000 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE Gulfstream MODEL NO. G1159B TYPE (Airplane, Radio, Helicopter, etc.) Aircraft NAME OF APPLICANT 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 been examined in accordance with Regulations. I ( ) Therefore Regulations, data listed above and on attached sheets numbered established procedures and found to comply with applicable I Recommend approval of these data Approve these data. 0 have requirements of the Federal Aviation SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION(S) Structural David E. Haralson p,_„:ee-: 11,„_,L,.._._ DERT-510159-CE FAA Form R11 n . (11-70) SUPERSEDES PREVIOUS EDITION ER0112:1doc EFTA00278237 s• •L t EFTA00278238 2r; ' MAJOR REPAIR, A -AND LTERATION - ,,. Form Approved OMB No. 2120-0020 us Department - (Airframe, Pow- erplant, Propeller, or Appliance) _ . Transportation -.-, u For,FAA Use Only. • of ,Federal Aviation— - - • - — -- Office Identification — -- -- • — - — - Administration INSTRUCTIONS: Print 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). 1. Aircraft Make GULFSTREAM AEROSPACE — ' . Model G1159B ... _ Serial No. 151 . - Nationality and Registration Mark N908JE . . . 2. Owner , Name (As shown on registration certificate) . , HYPERION AIR INC _ . . ... Address (As shown on registration certificate) 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 / by a person authorized in FAR 43, Section 43.7. (g I rig 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 APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. JET AVIATION ASSOCIATES, LTD. ORT , 33406 U.S. Certificated Mechanic - CRS EYKR782D Foreign Certificated Mechanic x Certificated Repair Station Manufacturer D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments 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 03/19198 Sign re of Authorized Indiv" eery L. h ppard, Av. Mng . 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified Administrator of the Federal Aviation Administration and is LI in item 4 was inspected in the manner prescribed by the APPROVED El REJECTED BY FAA Flt. Standards Inspector Manufacturer Inspection Authorization Other (Specify) FAA Designee x Repair Station Person Approved by Transport Canadian Airworthiness Group Date of Approval or Rejection Oii0a/?8 Certificate or Designation No. CRS EYKR782D Signat e of horiz Individ al 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 • (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 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 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 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 • • ''sv- c. yj Additional Sheets Are Attached U.S. GOVERNMENT PRINTING OFFICE: 1992-769-012160157 EFTA00278240 . • 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. NOTICE 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 ; " MAJOR REPAIR AND ALTERATION US Department (Airframe, Powerplant, Propeller, or Appliance) • of Transportation Federal Aviation . . _ . -- . - . - - Administration Form Approved OMB No. 2120-0020 For FAA Use Only Office Identification 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). 1. Aircraft Make GULFSTREAM AEROSPACE • Model G1159B Serial No. 151 Nationality and Registration Mark N908JE 2. Owner Name (As shown on registration certificate) HYPERION AIR INC Address (As shown on registration certificate) 1013 CENTRE ROAD SUITE 300 WILMINGTON, DE 19805 3. For FAA Use Only The data identified herein complies with the applicable _VI 9j9 t' airworthiness requirements and is approved only for the So -rS1YJ—\`7 above described aircraft, subject to conformity 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 APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. JET AVIATION ASSOCIATES, LTD. ORT , 33406 U.S. Certificated Mechanic . CRS EYKR782D Foreign Certificated Mechanic 3( Certificated Repair Station 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 • 03-19-1998 Signatur uth• - ed ndividual . , -Henry L. She ard, Av. Mngr. 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified Administrator of the Federal Aviation Administration and is tit in item 4 was inspected in the manner prescribed by the APPROVED REJECTED BY FAA Fit. Standards Inspector Manufacturer Inspection Authorization Other (Specify) FAA Designee x Repair Station Person Appr d by Transport Canadian rthiness Date of Approval or Rejection 03/19/98 Certificate or Designation No. CRS EYKR782D Si• atur ut -d Individu- 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 completed.) 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 existing 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 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 JAW 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 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, Paragraph 23f. The Equipment List was amended and the new Weight and Balance was computed and entered 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 MAJOR REPAIR AND ALTERATION US Deportment of Transportation (Airframe, Powerplant, Propeller, or Appliance) Federal Aviation Administration Form Approved OMB No. 2120-0020 For FAA Use Only Office Identification GEORGIA FSDO 11 e-u-1.1 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 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). 1. Aircraft Make GULFSTREAM Model G11598 Serial No. 151 Nationality and Registration Mark U.S,A. N979RA 2. Owner Name (As shown on registration certificate) GULFSTREAM AEROSPACE CORPORATION Address (As shown on registration certificate) 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 et-•:-D \ , t; ; 1 1 — -`-\ 1. c ,,,,,, , ' 1.)•-) 0 , APPLIANCE Type ELEVATOR . '\ I/ _ '; 1159CS20002r 0, 1 -- WS0.0-R?1,1.„, 1159CS20002 -2 1 '-'-`t 1;1)L/H X '''151 -5 R/H Manufacturer GULFSTREAM 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. GULFSTREAM AEROSPACE CORPORATION P.O. BOX 2206 - TRAVIS FIELD SAVANNAH, GA 31402-2206 U.S. Certificated Mechanic GR4R216M Foreign Certificated Mechanic X Certificated Repair Station Manufacturer D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments 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 08/31/93 Signature of Authorized Individual JIMMIE K. SMITH . - )( .027".e4 7. Approval for Return To Service Pursuant Administrator BY to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the of the Federal Aviation Administration and is EX APPROVED O REJECTED FAA Flt. Standards Inspector Manufacturer Inspection Authorization Other (Specify) FAA Designee X Repair Station Person Approved by Transport Canada Airworthiness Group Date of Approval or Rejection 08/31/93 Certificate or Designation No. GR4R216M Signature of Authorized Individual 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 SERIAL NO: 151 AIRCRAFT TAIL NO: N979RA AIRCRAFT TIME SINCE NEW: 7173 AIRCRAFT CYCLES SINCE NEW: 3959 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 . . • •CS • . • MAJOR REPAIR AND•ALTERATION US Deprxernent CI kanSx•anon (Airframe, Powerplant, Propeller, or Appliinte) • • Federal Aviation Administration - • Form Approved OMB No. 2120.0020 For FAA Use Only entificaalopz07 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). __ 1. Aircraft _ Make —GuIfstream Model Q-1159B ' Serial No. ' 151 Nalioricility and Registration Mark N908JE ' 2. Owner Name (As shown on registration certificate) • . , . HYPERION AIR,: INC. • Address (As shown on regiitration certificate) 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 AIRFRAME ..- . (As • : . . ._. , .. , described in item;1 above) ......:44........;..~....... • k . ' X . . • POWERPLANT . . , . ,',' • . PRDPELLER : ' '• _ . APPLIANCE Type • ..- . Manufacturer 6 Conformity Statement A. Agency's Name and Address - • •, • . - B: Kind of Agency C. Certi icate No. : Elcctrosonics Division - : - • • ^'.r: AiRadio Corporation '. • '-. • - • Port Columbus International' Airport , Columbus. Ohio 43219 U.S. C-ertiliCated Mechanic- • • • Repair Station AE1R005K ' Radio Class 1, 2, & 3 Limited • Instrtiments Limited Six.cialized Services • • - Foreign Certificated Mechanic X Certificated Repair Station Manufacturer • i3. .I certify that the repair andidetteration made lathe tin't(s)'dentif have been made in accordance with the requirements furnished herein is true and correct to the best of my kid in item 4 ibove of Part 43 of the U.S. Federal knowledge. • ,- Signature of Authorized 1--- iandieleribectiiii itierthrse or attachments hereto . Aviation Regulations and that the Information • • . .. .. . ._ . Date AUG 0 7 1994 : - yid I • • . 7. 4nit i nfed is 3:4 APPROVED Inspection Authorization nice Ptisiiant ' Administratorof BY • to the authority given persons specified the Federal Aviation Administration below,,the and in item 4 was inspected O REJECTED Other (Specify) . in the manner prescribed by the '. o., • FAA Fit Standards Inspector ' • • — : . . Maiiiiiacturer ' FAA Designee , • X Repair Station Person Approved by Transport Person Airworthiness Group Date of Approval or Rejection SEP 1 9: 1994 .. . Certificate or Signature of Authorized Ind • ual Designation No • • AEI R005K i . .... .. .2 ,. .. ... ..• . vi . Malt D. :Haycock re: EFTA00278247 .NOTICE Weight and balance or operating limitation changes shall be entered in the applopriate 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 (It more space is required, attach additional sheets. Identify with aircraft nationality and A mark pistration 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. S DC-to-DC Cnverter , M0 :: KG Convener 580 . . . 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 h. J . . . . —, - — eve‘-••— — nes - -.- Form Approved - , ; .• . . . OMB No. 2120-0020 REPAIR AND : MAJOR ALTERATION:, itStiorehmers ' • For FAA Use Only • otsolsoonotor „.. v..-; (Airframe, Powerplant, Propeller; or tAtt• •••,.. ,, • office Identificathin' vliessfr iiii . . -,,----- .. .. . . ....— ...... , r51,0 ell of 7 i 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 (49 U.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 . GULFSTREAM . . • . — Model . . . G1159B • . • _a-. i , .. ,.i • .i. s,.. 1. Skin Serial No. .. 151 - %.- Nationality and Registration Mark U.S A_ N908JF 1 ; 2. Censer !/1 (As, shown on cepstrstl,ppq!)550?5,eA.-,y 1 1.10 ., ,:. : . • • • • . HYPERION • AIR Ititis. attio--t.-. ZA 1371.;.:', )..... . , , . ,: . ....:::. 1 itoir.le.:0A- -; t se-1 kci.o.-:t. Address (AS shown on registration certificate), , . . , 1813 CENTRE ROAD SUITE .300 - WILMINGTON. DE 19805, • „ , .2 •..4 '%•n::.. .:.2f1. 272:0!fl773; FistFAA4,1sethity.. ..:., , .,.. . .; . „ . 7 .. / i): . LI ;A i E PI 111;4;b1 .w-,'t'i' LI' ;I :1131.i) itin: . . ..),:.•. ,:: ....11/4fr. . .. .:. 1, 3 .. ..);'..1litilit - 1.,..c ; l,.",? i Na; t! a Hi! I . 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 - riiic . • - ••,, 1 ! f • •;;I, ' Make' • ' ' - •-• ' I 112.. : ., , ..-- -; ,,. - iitcy";•-1 . Model , • '! Serial No. !4 .Rapair . i7 Alteration • 1,Al4..-4: ;•, t , , . - ()A . described in Item 1 above) - . • . ... . .. t • • AIRFRAME .. ;,-..,;,...1.":-; .:,-.•• 7 11". (As •2 0 . • -.. POYVERPLANT . : :M. t! :: I, A!,! A ... . PROPELLER __ . _ _ _ . .. )1 A ',. ci l ',t,,t 1 ,Ai:4E,ii _ ,3 9V4 1 • ... I • ii4LiAtiCE Tre! •,:1f,-, i ,tr, :!•.)51.70? 1 , . . . ?i,c,f1:: _ 4_ 11 ;7.. ! 1. . ortiFSftr" 4 ektra it. • : t Manufacturer/4y.! • ; • \R tf“,;•! ;'..,...; II ; , -• . i , . 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 s' , . I US. Certificated Mechanic : • i . 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 the repair and/or alter:itkin made to the un I have been made,inace.Ordanrie with the requirements i furnished herein is true and eeriest to the best of my t(s) identified in item 4 above and described on the reverse or attachments hereto of Part 43 of the U.S..Fecteral Aviation Regulations and Mat the information knowledge. Date I, , . . ' . . I • 08/05/94 . i- I., -, " Signature of Authorized individua . • „ 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 , - - • . .. .. .. •• FAA Fit. Standards Inspector. . .. • ' ' MinufactOrei ... _. • ...,A , , • : Inspection Authorization' • Other (Specify) ' . . ,.. . i.J 84 t. • • FAA Detignee .. . . . Xi ),..-1, Repair Station Rep . • i Person Approved by Tranapon Canada Airworthiness,GrOvp ; .i - . . Lr. .. • Dee of Approval or Rejection i 08/05/94 Certificate or Designation NO. GR4R216M Bigneture of Authorized lnilivfdeel I' ; ' - _t._, - .. JIMME.K..... SMITH , . A...- ....(inj f itnniniaTh • " 1 ;:r". 4. AC•/%5 • • • • • • t r •tiCi EFTA00278249 • . • Weight and balance or operating limitation changes shall DO entered in the briptePriate aircraft record. An alteration must be Ctinipitibliii with previous alterations to assure contirkietitcohloiMily-Witfrtife apbliCableaitworthiness•raquirements. • DescdpUon of Work Accomplished' • •, ,., ; e r.= "..,:- 4 ;-_, •,. t• . % ' f If mOre anise is required, Attach additional sheets: Identify with tdrteaft nationality and registration mark and date work completed.) — • AIRCRAFT MODEL: G1159B . _. . --- ,- ---- - TIME SINCE NEW: 7224 ' ' .'':: ,.,'. ': AIRCRAFT. 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 ___.__. SC21 551001 .. N/C ' SC21 581005 N/C - SC22 208006 N/C SC22 800002 N/C •• . SC22 236003 • , ! 11 USAGE Ii ~ FWD CABIN BULKHEAD'S__ I , IPSU &' H-EADLINERS %trazIAIDtiAnti-PANELS ' ! BR8100 DIVAN, AFT SINGLE.' SEATS • _ .FLOOR CARPET • .! BR8102 .• . . CHAIR BASE , .. AI R DUCT - BR8103 ... WINDOW PANEL, CLAM` SHELL INSULATION' BLANKET . • CARPET PADDING' . • CHAIR SHROUDS . f • TABLES, RADIO RACK _ • !COVER, CABNT BR8259.::r4,-)po rr;< •q-;, -% DIVAN CABINET;• R/111.-' • . BR8260 - - CABINET, '6ALLEr0/01 BR8261 LEDGES, CAOINET.ITOP-S„:---... BR8262 _ . . . , BULKHEAD -DECORAT.IVESLA.:'. 8R8262.-. • <, • DIVAN CABINET, CREDEN2Ar- BR8282 • TOILET SEAT- / SHROUD BR8283. .t CABIN SEATS . „. .; .BR8284 HORSE COLLAR MAIN POWER DISTRIBUTION ELECTRIC SEATS'(ERDA) CABIN INDIRECT LIGHTS' . CABIN SEATING INSTL-, .1/10 FLOORPLAN MID CABIN- STORAGE cA01,7 NATERIA NOMEX, FOAM; FABRIC FABRIC, METAL, FOAM FIBERGLASS; FABRIC',` ` FOAM FABRIC, FOAM::' • CARPET, WOOL . CARPET, METAL • FIBERGLASS; FABRIC NOMEX; ISO DAMP, GLUE NOMEX ' j-: • LEATHER; METAL;' GLUE • VENEER, FINISH, HONEY. • COMB • r LAMINATE, HONEYCOMB • PANEL " LAMINATE,- HONEYCOMB PANEL VENEER, GI LFAB, FINISH"..; A=LOOK MIRROR AL HONEYCOMB, LAMINATE LEATHER, NOMEX, FOAM' LEATHER; FOAM ; LEATHER;: METAL, FOAM AIRCRAFT ELECTRONICALLY WEIGHED: .' _ WEIGNT4N6!BftLANCE. OATA REVISED AND . 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 'V. rrarre r f an • - . „ - - • -:isestri - 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 • • dote of issuance, the aircraft • therefor, to be in condition f • • comprehensin and detailed Aviation, except as noted Exceptions: it 6. TERMS AND CONDITIONS Unless sooner surrendered, su this airworthiness certificat performed in accordance aircraft is registered in tyj and certifies that as of the form to the type artifice% ufrements of the applicable on International Civil ablished by the Administrate(;' intenonce, and alterations ate— ationa, as appropriate, and the 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. • 'Aste r•-- ' _ — '"!"-"'iTtrr • • .. -3Sr%w / . ."• 11-rwrodiniayse ;'. -..j.se ; ex EFTA00278251 • • • • ' • . • • t.e.. ."-c -Ite7eFi; EFTA00278252 • UNITED STATES OF AMERCA DEPARTMENT OF TRANSPORT AT ION—FEDERAL /ORATION ACIASSTRAT ION , STANDARD AIRWORTHINESS CERTIFICATE AUTHORITY AND BASIS FOR ISSUANCE Ths torwortinness certificate a ctsued pursuant to the Fetters' 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 TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE 4 CATEGORY S AUTHORITY AND BASIS FOR ISSUANCE This a iiwonniness centhcate is essuedborsuant tO FederalAviationAct of 1958andceneesMat, otthedete of issuancethe • ; eircran to whin issued has been inspected and loon' To contr.- ',to the type certificate therefor. to be in COnditen for sale „. ePeranOn and has been shown to awe the requ:rements at the ilibcticabite comprehensive and detailed airwOrthineSSCOdeaS r.sc-ndad by Annex 8 to the Convention onIntenetiore Cml Aviation. except as noted herein Exceptions f 6 TERMS AND CONDITIONS - Unless sooner surrendered. suspended. revoked. Or a termination dates otherwise 4 taNrshed by the Administratoc thn afrworthiness certificate U etteimn.; as tong as vie maintenance. preven:ative maintenance. and alterations are perfOntied acconsance with Pans 2I.43.and St of Me Federal Aviation Rezifations. as top? ie. and the aircraft is registeredintheUnited • States AT= ; I 'A DESIGNATION NUMBER O352 ... I . Any alteration. reproduction. Of MI use Oi this cerhficale may be puns .:-' by a line not eaceecang ST000. o imprisonment notWeedinga .i years or both THIS CERTIFICATE MUST 8E DISPLAYED IN THE AIRCRAFT IN ACCORDANCE WITH APPLICABLE FEDERAL ! ' AVIATION REGULATIONS i 1 -- -./ , FAA Form 81O0-2 18-62) °DPI" *U.S. GPO: 1989-662-97* i • L. ./ i • r ';' : : .. ..o.". • • ...mr 0. ... ' re l5c 4librAA,tom : . • •=r•-•- . ••:•••• ' • 1 . - . EFTA00278255 .• • UNITED STATES OF AMER lc* DEP.MiTMENT OF TRANSPORTATION—FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE . AUTHCRITY Ase.BASIS FCR ISSUANCE . ' . . ... nt.'s airtienhiness certif.:ate is issued puritan: tof he Fsderal Aiiation • '''' &imp?: to Writah issued has been itopected and lecnd to Ctr -• 0pera:manta has been ShtSn to meet Me recuirenems - . a rov:ded ty Anrerefl h the Comer:tic:a on Inferrar Snipers . t ISPORT . . . , . evil-lesthat as of the date°, issuance. in, cirtifi te thireter. to be in condition for safe - - comcrehensive and detailed airworthiness Cede as - • 1, cri except as rated herein. . . . - . • 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 certificate may 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 • MAJOR REPAIR AND ALTERATION Form Approved OMB No• 2120-0020 US OenCarlene acintoonorcn Powerplant, Propeller, or Appliance) For FAA Usie Only or (Airframe, Newel iberafron ,.. geninistroecet 0,(fice Identificati &N, STL-F 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 ?hit form. This report is required by law (49),I.S.C. 1421). Failure to report can result in a civil penalty not to exceed stair for each such violatIoil (Section 901 Federal Aviation Act or 1958). 1. Aircraft Make • • . . Gulf stream Aerospade Corporation Model • G-1159B • , Saha; No 151 • - Nationality and Registration Mark N979RA 2. Owner Name (As shown on registration certificate) : . _ . , Ogden Managemeit serviceii,Inc. • Address (As shown on registration certificate) • Westchester COunty Airport, Hgr D3 White Plains, New York 10604 3. For FAA Use Only • - C. - - 4. Unit Identification 5. Type Unit II I Make I Model 'Serial No. Repair Alteration AIRFRAME -.... (As described in Item 1 above) X POWERPLANT '1'. • • PROPELLER • . ert Cretr:: ', L• @t' . fit ". A: ; APPLIANCE Type , AlPf? 1 3 499e Manufacturer . Si/ - /Si 6. Conformity Statement j u A. Agency's Name and Address . . I B. Kind of Agency I C. Certificate . I U.S Certificated Mechanic Midcoast AviatiOn, Inc. I Foreign Certificated Mechanic # 8 Archivew Drive Certificated Repair Station ZtO3R822L Cahokia, IL 62206 . I 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 • April 1, 1992 Signature of Authorized Individual Joseph L. Allen 2 11--- 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 6 APPROVED 0 REJECTED I 4 FAA Flt. Standards Inspector Manufacturer Other qpecity.). Inspection Authorization BY 4- FAA Designee Repair Station . Person Approved by Transport Canada Airworthiness Group Date of Approval or Rejection ., • 4-1-92 ' Certificate or Designation No. . RO3R9221. S' ture_of Authorized Individual ....,ent i s,/,‘ ; a -- 07c dor__ Jimmie A. McCrary - ▪ "• • - • • • _ • • • . . • - . _._-_.- • - • ' EFTA00278259 . . . NOTICE . . . . . Weight and balance or oPeraring 4mitation changes Thall 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. . , • B. Description of Work Accomplished (If more space is required, attacr additionalsheine. Identify with aircraft nationality and registration mark and date work completed) 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:. ...: ":fell • 77•1::.::::!-:;r1.1;.°•tOutrT;;; C:j: '" O Addrtionel sheasAitAttactied tt• r• %.0? " t EFTA00278260 iy - MAJOR REPAIR AND ALTERATION Form Approved OMB No. 2120-0O20 US Otoortment Appliance) For FAA Use Only a Irani= =hal (Airframe, Powerplant,- Propeller, or . Moroi Mb don Admhnistmtlon 1 Office Ident:rcation. 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). 1. Aircraft Make Gulf stream Aerosoace Corporation Model G-11598 Serial No. . 151 Nationality and Registration Mark N979RA • 2. Owner Name (As'shown on registration certificate) . Ogden Manageiaent Servicts, Inc. - Address (As shown on registration certificate) Westchester County Airport, Hgr D3 White Plains, NY 10604 "The••alteration identified ho44;i0hFA4-kriFto,ntr, flip A pp;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 • 4 tint Identification . 5. Type Unit - Make L • Model . Serial No. Repair I Alteration ... (As described in Item 1 above) X AIRFRAME • ... POWERPLANT . • . --- PROPELLER • • APPLIANCE Type Manufacturer • . _ ----- •-• : ; 6. Confo'rmity Statement .. A. Agency's Name and Address B. Kind of Agency C. Certificate No. Midcoast Aviation, Inc. # 8 Archview Drive Cahokia, IL 62206 U.S. Certificated Mechanic Airframe Class 3, Limited RO3R822L • Foreigntertificated Mechanic X Certificated Repair Station . - 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 Seotember 13. 1991 Signature of Authorized Individual Barry D: Griffin ' • 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 Inspector Manufacturer Inspection Authorization , .. . Other (Specify) • BY • FAA Designee x Repair Station Person Approved by Transport Airworthiness Group ' Date of Approval or Rejection /O - ; 7 - el/ Certificate or Designation No. RO3R822L Signature of Authorized'Individu 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 on Ine 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 and balance Of orienting limitation chansfeistuilebe entered in the appropriate aircraft record. An alteration must be corntotible with ell-prewiouS alterations to assure continued conformity with.the applicable airworthiness requirements. • • ., .. , . • . 1. Dosnption of Vera Accomoissobso (If more space a required, atiao additionsl sheets: 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. wiring ioram ho. 13 344W0!1 "CVR Moo ..(WD) " • 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 Rew. zvzi on- ..q.mc Dperati Hp :ns.tructicirise he update tompIiet witn. • -s y' unczi br s, check per: MlOccast report no: AB91(≥c,Q1.fending a satisfactory ground And cfi ipht C1-5R Arks/PI sht, TeSi. firoeenurs. 7ie system • k 87 -zr.E. CirCtO,breaker. SULirei 1 ek 4:1h "Pi lotr... Operation Instructions. for • :plains 1WR-1:01 ;cc !pit . Voi ce Recorder:', 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 Retorder. . . ey..tem F.sintonante. Mantis! 523L0757754 -1i0t114. 15 Feb:. 196E 2nd • Ravi . , vi a i cn . . ‘ . . . - . ' • . ' . • , . . . .- • • .. _ _. A. Fat-form' the "Preflight - Functional Test" and the "Additional System Test" every 3(0 caiendarYdays as prescribed in' the manual... , _The weight .46.0 balance was .revised 5 .and an apprOPr4 Ate. entry 'was. made the aircraft.-records. • . . _ EFTA00278264 wl & US Osocerreenr asavoravomors evevraes mar asernemaavaren MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) INSTRUCTIONS: Print or type ail enures. See FAR 43.9. FAR 43 Appendix 8.-end AC43.9-1 (or subsequent revision thereof) for mat:Litton; and disbo%ition of Mis form This report is required by law (49 U.S.C.1421). aiitore to report can result in a civit penalty not to exceed S1.000 far aeon such vioiation (Section 901 Federal Aviation Act Ct 1958) Make Gulf stream Aerospace Serial No. Name (As shown on registration certificate( Ogden Management Services, Inc. AIRFRAME. PROPELLER • APPLIANCE A. Agency s Name anc Acoress Midcoast Aviation, - Inc. # 8 Archview Drive, Cahokia, IL 62206 G-1159B Nationality and Registration Mark N979RA Address (As snows on registration certificate( Westchester County Airport, Hgr D3 White Plains, New York 10604 3. For FAA Use Only 4. Unit Identification 15. 'type .f U.S. Certificate, Mectranc I Foresaw. Censlicare0 Methane: Certificates Atom'. Station , manufacture. I C. Certificate No CRS R03R822L O. I canny mat me repair ands or alteration mace to the unit l s) ibintilied in item 4 above and described on the reverse or attacnments nevem have been maoe in accoroance with me requirements at Part 43 ol me U.S. Federal Aviation Regulations and that me intormatton lurntsned herein is true and correct toUte best of cm/ knowieoge. January 24, 1991. . Approval torfietum Service Pursuant t0 the at:thorny given persons soecitied below; me unit identified in item A was inspected in the manner prescriber; by the Administrator of the Federal Aviation Administration and is QC APPROVED C REJECTED IFAA Fit. Stan=ros I }Inspector - ! • 'manufacturer • BY , . 1 I FAA Designee I x 'Repair Station Date of Approval or Remotion 1-24-91 . 1Ceniiicate or . Signature Autriorized inonnouai 1Designation No. _ey CRS R03R822L 1 e•C Cif., Sief . pate. . • • 4 EFTA00278265 F.-:4 ; f kw NOTICE • Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration ritual be Compatible with all previous alterations to assure continues Conk:trinity with the applicable airworthiness reotnietpents. 8. D•scnpuon of Wort Accomphistea . (h more :pith* rs mound. attach additional 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 accordance.wiin Midcoast Aviation, ine. structural drawing-.no. 02-139F005 s!T.V. Antenna • The data 4cr the aboVe.insial.lizion approved on FAA Ford) :8810-3 dated 1-24791 Midcoast AviE.tion..File No.; MCS10026.. • . 3.0>•ifiaight and balan•ze wai an pr oar ;Ay entry was :Ana aircraft recorc..s. - - Y. • 1.• I. A Olit tat i i 674 L.• ••• liar - hi •I tird ili.j; . • • . • EFTA00278266 I. • :i.y.e•••-, • yeeorqtzgSt.f O MAJOR Sr.,PAIR AND ALTERATION Form Approved OMB No. 2120-0020 • US Deoceirrem For FAA Use On!) or licriscorximn (Airframe, Powerplant, Propeller, or Appliance). haseeer eimemen e . ; • - . . .., . . mwne, ftm Off' Idenc ication 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). Aircraft • Make . Guifstreara Aerospace • Model G-11598 ' 1. Serial No. • 151 . ! . ... , Nationality and Registration Mark N979RA • 2. Owner Name (As shown on registration emeriti:ate) Ogden Management Services; Inc.' . •. .. ... -. ••• - Address (As shown on registration certificate) • Westchester County Airport, Hgr D3 :White Plains, New York 10604 . , --:" 3. For FAA Use Only • • . . 1 4. Unit Identification S. Type Unit ' Make • • 1 Model Serial No: • . Repair Alteration . • AIRFRAME (As . .• • • described in Item 1 above) ~mow« " • • - •• . • • • • • X . . • POWERPLANT •• . , ' • • • PROPELLER • ,.- - .. _ . . • • _ TYpe .... - • •. ' APPLIANCE - • • Manufacturer _ • • _ _. ._____ _ _ s 6. Cant ormi Statement A. Agency's Name and Address • I B. Kind of Agency C. Certificate No. Midcoast Aviation, Inc. I I U.S. Certificated mechanic • . # 8 Archview Drive. I I Foreign Cen ditated Mechanic I • ' • ! 1 y Certificated Repair Station Cahokia, IL 62206 i • CRS R03R822L ' . - .-- . _ .. .. _ _.. • ... . . 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 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 . • - - . . . . _ • ..-January-•24 ; -•1993.: ."•-•-:- -- , :77.-.77 Signature f Authorized Individual " - - '..: .• 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 ..._ "i FAA FltStandards I 4.--: ..__......___: _ -- • - 7 ' Manufacturer ,-----;.. k tpector . ... • .: ....1......-r..: ... -... - • .[Inspection Authorization . Other (Specify) -. - • - -- .• - ... • - - - - _ rt___ - - • ••• - - • • .. . FAA Designee ' 7 1 x - Repair Station Person Approved try Transport CanadiAinvonhoness Group . . '.. .,;.. . . . . Date al Approval or Fleteetipri •••••••: Certificate or , . Signature - of Authorized Individual . . . — - _ ..1 . ••- . -.•-t- • - - .• • ' --"?'. Designation No. .. . - - • ' 7..' - . - % • ::• •; .. • -- t1"--t : icitS R03R822L • %:... ..:•-•det.:1, il I .: • 1-24-91 • • • - ••-• • eP4Cei t i g 41 int* s,1,‘S;4' • • - . crt EFTA00278267 ee i 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 continues: •;:.:•`ormity with 'he applicable airworthiness requirements. • ..a.b...:: ' Ortserlption of Work Aoconfonthod (If more space is required, attach additional sheets. Identify will, afrcraft neonality and registration mark and date work completed.) Complied with' VertiCal Stabilizer COrrosion Inspection Special •InsPection Procedure No.- GSIP7RS71159.70001 and drawing and specifidations as fistedr •• • _ 1159CS .2p000 Tail Erection 1159CS' 20650 Front Beam Installation 7 Vertical Fin 115905 20051 Mid Beam Installation;- 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 Ccintror Ri:agino- Procedures .• SE 25400901 Standard Repair -Vertical Fin to Fuselage Attach Fitting . . • • . . • _ • - - • • • • EFTA00278268 r7 G V it. ..).:.C.1:2-ctd.••-•..:c.:••••:;1-1:;•- t.'404:::kval4T-rr: ••-'•-, • - FAA AIPCRAF CAMERA NO. -444O, .3j e us ck.,...tiner. of Trcnsporicrocn Federcd , • . ' 7 - . , - . . . . .. . • . ' — --- —'—'- ' MAJOR REPAIR AND ALTERATION - : (Airframe, Powerplant, Propeller, or Appliance) , Form Approved OMB No. 2120-0020 For FAA Use Only „ anon Actrrelstr Office Identification 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 • - ' - 1. Aircraft Make ' Culfe4tream Aerospace Model ' .G1159B Serial No. 151 ' Nationality and Registration Mark N979RA . 2. Owner Name (As shown on registration certificate) r Ogden Management Services, Inc. Address (As shown on registration certificate) 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 AIRFRAME _ ..• .., - ..(As described in If= f above) ' - • X '......,. • POWERPLANT _.: • • • , . .. • rij I- - fr 77. -; 1 N hlt•I -1.2.Lt: ...: .. PROPELLER • . - •- . - 1A i ; ',3 T.:-., i i APPLIANCE Type , . • ' • . SR Fr:: n r las ••••• \e oser i / , ...1•• Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency C. Certificate No. Midcoast Aviation, Inc. • #H8 Archview Drive St. Louis Downtown Parks Airport • U.S. Certificated Mechanic • CRS RO3R8221, X Foreign Certificated Mechanic • Certificated Repair Station ' 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 ., • • i — / A -ci 0 Signature of Authorized Individual • .......___ c . - 7. Approval for IR n To Service Pu Administrator BY suant to the authority given persons specified below, the unit iden died in item 4 was inspected in the manner prescribed by the of the Federal Aviation Administration and is jX. APPROVED 0 REJECTED FAA Fl t. Standards Inspector Manufacturer . inspection Authorization Other (Specify) FAA Designee x Repair Station Person Approved by Transport Canada Ainvoithiness Group Oate of Approval or Rejection A / ‘ — 7 c Certificate or Designation No. CRS R0311822L Signature of Authorized Individual " r 7 c - •Oe,i/i--"e2, FAA Form 337 it.ari • ... ,.... . . .. • • • ..-. • :: :‘..- • • --... -.ease - "..: , .. •4-1: . • ,a : . • ,. . .. • • . , . • .• (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 •• . . 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. NOTICE B. Description A Wcsk ACCompllsped • (if more space is 70c:directs attach additional sheets. Wordily with aircraltnajimmilly and nrclstration mark and date work completed.) • . • . . , . _ 1.) Amend STC SA250BCE to activate the V Nay function of ,the Collins . EFIS-86C (14) System for operation at 18,000 feet and below. The amendment was in accordance with Midcoast Aviation, Inc. certification dcawing.list # AD890009 Rev. .C, and with' the following wiring diagram design change notices; No. 1159-06000-151=C1 'EFIS-86C (14) No. 1159-34010-151-B1 & 82 "MidcoastSwitching_Unitu Structural drawingno...0000087_1itev-...,11.!!§AUbelErISAnStallation", conduCted a fl I ght .test accordance. with'MideoaSt Aviation, Inc. Report Na. ASS90038. dated November. 27,' The above data was D.E.R. approved on FAA FOrm'S 8110-3 dated 27 • November' 1989 and 9-JanUary 1990, MidcOadt Aviation, Inc. file no. MC890114, MC890116 and MC900003. FAA approved Airplane Flight Manual Supplement dated 1-12-90 Rev. A is require0 when a Collins.EFIS-86C. (14) Electronic Flight Instrument System is initalled.' - 2.) Updated the No. 1 and .No. 2 flight.Directors in accordance with wiring diagram design-change notices n6.-1159—040107151A1 "No.1 Flight Dirdttor Mod" and no. 1159=04011-151-A1 "No. 2 Flight Director Mod". The .data was D.E.R. ' approved on FAA Form 8110-3 dated 27 November 1989, Midcoast Aviation, Inc. file no. MC890115. . No equipment changes were made, 'weight and ',Mance change was negligible. Additional Shecils Are'Attactied ' - ye • ' . . -: • r".-14:tri zt e . 4 - 5,4% ; p. • .;Liefaiep:. ...axe; •• • . • _ 741,4 , 4; j i • , • i • sr . , t- • • EFTA00278270 ••• • .,_. . MAJOR REPAIR AND ALTERATION Form Approved OMB No. 2120-0020 -For .usonani.,,,8 . Powerplant, Propeller, Appliance) FAA Use Only or troneaorsomin (Airframe, or -. ico.rvmarmnampri Arannwmeari • • Office Identification ,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), • • 1. Aircraft Make • • . Gulfstream Aerospace ; Model ' • G-1159B Serial No. 151 • Nationality and Registration Mark N979RA . 2_ Owner Name (As shown on :hilts -what certificate; • . . . . .. -. . • • - ---- • • Ogden Management Services Inc. . - ,.. Address (As shown on registration certificate) • ' ' • • • 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 AIRFRAME e (As deftribed in Item 1 above) X POWERPLANT • • . , . . ' - PROPELLER _ APPLIANCE Type - 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) have been made in accordance with the requirements furnished herein is true and correct to the best of my identified in item 4 above and described on the reverse or attachmentshereto of Part 43 of the U.S. Federal Aviation Regulations and that the information c knowledge. Date . • 0" 1-16-90 Sionature of Authorized Indiyidual - 7. Approval fur lc ;turn To Service Pu suant to the authority given persons specified below. Administrator of the Federal Aviation Administration and the wit identified in item 4 was inspected in the manner prescribed by the is 0 APPROVED 0 REJECTED FAA Flit Standards Inspector Manufacturer Inspection Authorization Other (Speedy) BY FAA Designee x Repair Station Person App by Transport Canada Airworthiness Group • Date of Approval or Rejection x 1-16-90 Certificate or Designation No. CRS -RO3R822L Signature of Authorized Individual - t- - • _., •C/172-/v//1-6C, a .- re (--......e.--f-•-•,•-' FAA Form 337 (4-an r a k . ..• EFTA00278271 ' • tr; • " NOTICE • We/gin: and balance or operating limitation chingei shell be entered inthe'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 additional insets. 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 •• feet PA - 3. i eiwipment was chiriged, weight and balance; chahtje is negligible. EFTA00278272 . . ea, . . . . . ' • . MAJOR REPAIR AND ALTERATION us Decarterien • isi soniciormon • .(Airirarrpe, Powerplant,Propeller,, Appilartce) rooms Ammon saivernvenen • : - . .. • .• Form Approve° •OMB No. 2120-0020 For FAA Use Only Office loentification .i3.5 745, c; _ . _ INSTRUCT IONS:Print or type ell entries-See FAR 43.g. FARO„" Apvenche a. sad AC 43.9.1 and disposition of thi s'l arm. This report is repaired by law (49 US:C. 1420. Failure to report " for earth such violation (Section 901 Federal Aviation Act of 1958). for subseouent revision thereof) for Instructions can result in e civil penalty not to exceed 51.000, 1. Alreraft Maze • . ' - Gulfstream Aeroscare - Model C-11.5211. Serial No. ' . • . 151 Nationality and Registration Mere . • 41979RA • 2. Owner Name (As sinner( on roussustson cartikale) Ogden Management Service, Inc.' , Adonis . . • ... NestchesterCounty White (As mown an antsualson cartillssio) Airport, Hgr D3 Plains, New York 10604 v . 3. For FAA Use Only ' . ' . - - ..--•.-- - - ... .. .. , ... -- • • • • • - • . . . • . • • . • • - • . -: Y. Unit Ideottrication . • S. Type • • Unit 'stake • • - • - . Model ' '. . ' Serial No. • Repair Alteration AIRFRAME • . . . described in Henri • . (As abovi • POWERPLANT • I • ,..,--r—,t . ..., `..:'‘ ..• . • ' PROPELLER . --- --rc c. ,. ..4.; , 1(t.,s... -5 t •::.-.;... t. .1999 . h — • • • . • • • APPLIANCE . Type . e- ...,. • 0. ,e.. • . .. - ••• 4•1?-•-• . ...,,AN.c., . -stri-7, . " • n..ger 1 t•ti, - . • Manutacturer - . - • - 6. Conlormity Statement ' ' ' . A. Aciency's Narrie and Address • '. - ' I e. Kind of AettnCY • I C. Certificate No. Midcoast Aviation, Inc. • It t ' 8 Archview Drive • St. Louis DowntoWn Parks.Ariport Cahokia. IL 67706 . I U.S. Centlioned Metnanie • . I CRS RO3R1322L I Felton Crime:wed mechanic x I Celli jested Repair Staten 1 manutschner • • D. t certify that the repairindior alteration matte to Ina unit(s) is:lentil ieci in item 4 above have been mace in accoroance with the reoutrements of Part 43 at the .US. Fecntrat furnished herein is true and correct to the oesibl my knowledge. end described on the reverse or attachments hereto Aviation Regulations end Gnat the information 1 " ' __,... ___. Date ' 0 Signature of Aulhonzed Individ 12-1-89 . I. . .2.44A-09 0 • • “,,-,--,;.---- - ' T. Approval for Return To Service -Pursuant Aominatrator SY to the auttiority'0,ven persons specified below. the unit ide.nlilied in item of the Federal Aviation Administration and is g APPROVED 0 REJECTED 4 was inspected in the manner prescribed by the FAA FR. Standards I 'mentor I Inspection Authorization • Other (Spicily) • I FAA Designee . I X RAtan:irlacI stati urer on I Person Approved by TranspOrt Canada Airworthiness Group 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- •- - .. ,..- --. ..,:....sa - 4. . N 1 _....... ....; ..-% ..T...1. 1 .., ...r..-en . ••4.............. .r.4.;:....:-2:7?,asi..1.7i:Z .s{.ia...." .• • .. . dia.r iteeni C.::C • EFTA00278273 :1 fr • • i rfl, 1.: r'r; Si IiT :!;. rt t. r; ,-J 4 .. • r • FAA AIPCRAF REGI ST/a n CA) ERA NO. DATE: 446 NOTICE Weigh( and balance or pperatinq limitatidn changes shall oa entered in the appropriate aircraft teased. An alteration must be compatible with all previons 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".tie414Pproved 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 11-30189 Midcoast Aviatiohi •InC. File No, MC890118 ind- Plo890119. ....N. • • ; *-1b•O• • • . EFTA00278274 • • • e, . . ALTERATION • • Form Approved • OMB No. 2120-0920 . MAJOR REPAIR AND ate - For FAA Use Only (Airframe, Powerplant, Propeller, or Appliance) eiwww awns ' . Aiwnwinereeri • . Mos trientilicaticm-aTh T. 6Lz.s4. • .. • INSTRUCTIONS: Print or type sit entries-See FAR 43.9. PAR C Apre...rWits B. end AC43.94 itneubsettuent revision thereof) for Instructions and disposition of ibis tont. The: report is recurred try tow (49 US.C. I421). Failure to repon nit result Uncivil penally not to exceed 21.090 • for each such violation (Section 901 Peoeral Aviation Act of 1950). • . Mace Moire! • • Gulfstream AAerospace r--1 1 SqR --.... 1. Altera Serial Na Nobonality end Regtsuation Mont . \ • - 151' tslciliaPA • 2. Owner . Name (As :mown on repatralron cortibale '. Ogden Management 'Service, Inc. • • r .. • ACtansa (Aswan"? On rewsitairCin carliiscals) - . Westcheiter County Airport, Ngr D3 'White Plains, New York 10604 . . • - • • . 3. For FAA WM Only .4 ' . _ . ". • • • • . . -- . • • • • • • . .• . - . • - . i • • • • - 4: Unit Identification • S. Type • ' . Unit 14ake - — . M - • . . . Serial No. Repair Alteration • AIRFRAME ' -1As . - • described in nein 1 above/ • , . .. r-t • • . • ' POWERPLANT .i . ' .. - • .1 • • - .;.- 4-C, ' • • - -4" ...-.7. --2 7.'fil I SC... . ‘Er:-.L . . PROPELLER • 1° 89 •''' --i r -r. 6 • v H • 4 - 6' ../ - • "'''I • ...a. •'.'-_: c:r -NO a..4 . . . • I .. • APPLIANCE Type ••• \ felt -• 1 62. '74,--,.. ' * Manusasturv- . • 1, IM"---"-- - . ' 6. Conlormity Statement . . • - A. Apency's Narita and Address • . I B. Kind of Acenty I C. Certi irate No. 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 • D. I dertilv that the repair and/or itineration mace to tfte unitts) toentitied in item 4 above and described on the reverse or attaChments hereto have been mace in aCcorCianCe with the reouirements of Part 43 of the L'.S. Federal Aviation Regulations and that the information furnished herein is true and cisirectits tne pest tit my knowledge. Date • . ... 12-1—89 Signature of Authorized Instrvioual . . s _4:„...../.4.4., •o azr,...... ) . T. Approval for Return To Service • Pursuant to the authority liven persons soecilied below, the unil identified in item 4 was inspected in the manner prescribed by the Aominseator of the Federal Aviation Aomirustra hors and is • CC APPROVED 0 REJECTED _ ..._ ..... I FAA Flt.Stanovas , • ' . inspector Manufacturer inspecifors Authorization BY ___ I FAA Designee I (Repair Station Person Armored by tnoW, . ' x . • • • - !Caftan AsnvcrnluneSS &Otto Other (Specify) • Date of Approval or Refection . 7.'7Z - 7 - A f ,. CRS Certificate Or. Signature of Authorized Individual • • . , Designation, Na • . R03R822L ..-e-:-"7-7L..4-,--e a— t. A -.: .‘ r..... - We • : ...*:".",:TA4gt;C4 'AirtritC)1.24.Ci€kr‘;j4 EFTA00278275 • • Weight and balance or operating limitation changes shall be entered in 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 withairaalinatonalgii*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 •• • • . .... .. - -- • • . • ' ' • I • • ' . - • • _ . . ._ ; '• • I' ' ' • - MAJOR REPAIR AND ALTERATION . . . us ueoarmeni.v ;,.ta,7;aiy, . !•,, -a , . ,.4-•,.:t., att:11411.1% a itrepartvoct•,z••.•.y.. (Airframe, Powerplant, Propeller, or Appliance) t‘tt,,,,-...ri:11/21, Ad rsir l ik = Ir. -,;1•:=4:it:.., .. .:y.:..:!: ....t. i•.;•:,:1:7.:40.-rzz.-:.:- r 1..7 7. :77. - t.`:!7" --;":? ...;;. ::1": ': r,.* s'kj.: Approved ''.•-•7 Form • * . . OMB No. 21200020 ,1!:.:L 3 • For FAA Use Only::' ,--4 Office Identification. • - -' — • - ...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 (Section 901 Federal Aviation Act of 1953). 7 .. *: •• • - • • . . . • I 1 Aircraft , :.':• Make . . : . i GULFSTREAM AEROSPACE; *, ••.•• : 41 . 0. 1 Model ' . -. :if f *N -G7 11 B 1fli lVTh 7.-• • '. :9.is4:-9,1 Serial No: •• ' ., I .: -i7 i w - -. • , - • • 1.51.L.: €'. .: f, : Mationali and. Registration Mark Lail j ,.., . !, ,j ...1 979RA • . , 2. Owner,' I * . 11 i: . .. Name (As shown on registration Cartificetb) .! r[i.::!3::•, . :,. 3 • . _...._. • . . . . .. ' . • .:. jr•; • :.:• :1,1 Pit% ., III c:4‘). Lz: Ogden Matitietheil.fiSeticce,..-ttiC-P,) - Address (A.Isbowrrpn regiltratiarcertificate) , f. . - • •14-WeicliceSiii4 County.. ,lAirp'cirt t. 'Hgr. D3 ' •141Iird'illains, NY 10604 ' • • t •'-' :i ! i.,. . ' t 1. • i. • -; _.",,?1 f • :1 3.; For FAA Use °Myr. • I.; ? -• • ;;..-;'4 in : ti;: t • , ; g• I ; • 1 . . . ': ; ; • • r c ' I, '. ;'• •1• €' ' n b b O i ' • OW II ..-:-Jii i . anl :it :,.t :a 4....!...:44.11 ,:titu ii..:1; 3 I. ta:t. - s t ni. !.: n ;;:,611,1 ±11161155.vi ci, jr- MVI. Ilif.',.•6:.-thshiga.)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 • ' • i; . . Unit ... _ _ • Make c • Model Serial No. Repair _ Alteration , AIRFRAME : : . . : (AS 'described in Item I above)' • i• _ • — • - X • I • . . • POWERPLANT , • -• 0 . V..9:- ii-l; •>, ..... ...•:., cc." • .,•9• z---_1. _sr ••-••• PROPELLER s APPLIANCE. . , • • ......)- • 1 r •,:••• ) • ‘,.-- • • t ._/- i AUG 23:1989 C— I —s ..,_ is . • • - - Type . .! - ..~ ' Af.' • . . :9 Manufacturer ' I I i • , . . ,.,--- EL Conformity Statement A. Agency's Name and Address -. • B. Kind of Agency C. Certificate No. , Midcoast Aviation, Inc. 8 Archview Drive Cahokia, IL 62206 • U.S. Certificated Mechanic - CRS R03R822L , Foreign Cereficated Mechanic X Certificated Repair Station 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 ,' July 10, 1989 • '.. h Signature of Authorized Individu - • e, . , 7. Approval for Return To Service Pu Administrator BY suant to the authority given persons speCilied below; the unit identified in item 4 was inspected in the manner prescribed by the of the Federal AViation Administration and is (i5 APPROVED ' 0 REJECTED FAA Ell. Standards Inspector Manufacturer Inspection Authorization Other (Specify) - FAA Detignee L . . . Repair Station . • Person Approved by Transport Canada Airworthiness Group Date of Approval or Rejection . . • i ' • July 10,• 1989 Certificate or .• Designation No.: ' R03R822L •:: Signature of Authorized Individual r - . - EFTA00278277 • 0:.t:i'. • I Jr• NOTICE • : :.••• Weight and balance OrOperiting limitation changes shall be entered in the appropriate iiireratt record. An alteration must be compatible Witkallprevious alterations to assure continued conformity with the* applicable airworthiness requirements. S. Dosaiptlen of Wort Accomplished . . . . (If more spaoe Is required, attach additional enders. . Identify with aircraft national ty and registrittiOn mark and date work completed.) .•"' • - • -• - • • • , ••• Assembled and installed Cabin Seat Cushions for flame blocking 'per the.: et•••:;.114. following Midcoast Aviation, Inc. drawings. - : •• • • • • , . . • • .._ 1.) -0000115 2:) , 0000116 -• 3.) 01100117 __if.) 0080118 .E.) 0000119 Prdcluction •;Production“Seai*- Cabin Sirigles-". ‘: " ‘34' 5'1 • • i• , • Production,Seat - Cabin Singles ProduCtiont Seit - Cushion TW641ace , Divan . ; • ; :litr: Prodnction Seat_ 7.Cashion Three-Place Divan _ L .2 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 • b A`z-wroaszt--- Lzil ".---12.1."../1.* • 3/4. VC. . • 4 • - . e -•• 'Pet I e?t • : • • ;,•-••Ai • ar-4_ 1•••. ,I•Lt . " 3,15 7-.Y .:r3"‹ .:' •11.12 • €.11.:} Z•iia'rrak .g..S.Ri‘S..:47.5.71.4.1;1:. • • ; : “1. 6.1-.. • • • • . • r!'s • ••••• . • : I. . 7. . • :I. ' . • 4 1 • , '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-•:.;• •.• • ••••• i ••• • • .4. • ‘.4". 'Mies • stc.rs! • a •cie. EFTA00278278 f . • • • • - . , it it 4. . - . . UN:TED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE • 2 MANUFACTURER AND MOOEL L • AUTHORITY AND EPS S FOR ISSUANCE . ' This arwonhiness cent/Kate is issued pursuant to Mt FederalAvietco 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 accordancewith Parts21. 43, and 91 of the FederstA • Request amwopnate. and Itienrcratt 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. M THIS CERTIFICATE UST BE 'DISPLAYED IN THE AIRCRAFT IN ACCORDANCE WITH APPLICABLE FEDERAI, AVIATION REGULATIONS . ' • . • ,• . • . • . 3” ;7 j ..-S:71 .74' *el ' tirialliasa theitk..• Av- •- . ..2•6•37tv • •v• • • 1 v.:vb.:. .•." EFTA00278279 -FAA A 1 R DEAF REGI STET CAXERA DATE: • ....." ,emia7:4 • ••• • " i•al: P . • ". • • • • 4 :7.21.' .2 : 2.V: r 2CJ.S:212— elmja.m, •Z a.::•6;SL • • • • •• • EFTA00278280 • • . . :. - . . .... • • . . . - 1 • . • - • .. • • ---.. - • • -- MAJOR REPAIR AND.ALTERATION.: .. . : US Davanewre -. . . e s erA • et tomoomman • • - • • ippnranie, PTA/' erpIant, Propeller, or Ayptlarece) . t Peckseal seacien I • • ' Alanweernmen ' — - - - Form Approved , 0MB No. 2120-0020 • • For FAA the Only Owen Identification • • • . iii7) - FS" a INSTRUCTIONS:PrintOr type SI entnes.See FAR 43_9. FAA 43 Appendix S. and AC 4319-1 (or subsequent nvirislon thereof) for Instructions and disposition of Mil foam this report Ismouired by law (49 U.S.C. 14t21). Failure to report can result In-a civil penalty not to exceed 31.000 for each such violation (SeCtiOn 901 Fading' Aviation Act of 1958). - 1. Afrcra It Make . ' Guffstreamlsrosnace Model . - • -•G-1159B Serial No. . ' 151 - Nationality and Registration Mark i - N979R4 • .. 2- Owner • Name (As shown an registration certificate) - - - - - - - Ogden Management Service, inc.. _ . Address (As shown an registration send insta)' - - Westchester County. Airport, Hgr D3 White Plains, Niro York 10604 • . .•: -. • .. I. For FAA Use Only • . • . • . .. . . • . t.s. • _. . ' • — ..-. _. • - .: i• - . --- - --- .--- . . :, • ... • - e. Unlit Identification _ 3. Type - Unit __ .. - Make • • -- Model nil Serial No. ' • Repair Alteration . AIRFRAME • _. .. • (AS ._.c• . L- -_; _. . described In Item 1 above) __t 7 el . .V........•:: .- . ---- - • .-... • • . • X - • POWERPLANT • ' • .. • • . - -. ,- • . . -- ... -- - - - .. f.- -`<er:\ • - • PR0PFI t PR . - . - - • ;.' - • • .,- , .- • .. • ::-:•-•••:-etii:21j.-3.sa: es; : ..- I -1.- 261951 izki -:-. - - • . APPLIANCE . . . :•.i .4,1 , • : .sc3/44. ) - .. •4•... 32 .--:-..-_--t s- . ........ -"-Yrrg.59) . • -. . • •• Manufacturer I Conformity Statement • • A. Agency's Name and Address • B. Kind of Agency ' C. Certificate No. ' Midcoast Aviation, Inc. # 8 Archview Drive:". . • Cahokia, IL 62206 useettacated wocname _ • CRS R03R822L . Torsion Certincated Mechanic cardocowd Rwizir Stilton . Mantritacturer , O. 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 U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. . . - - _ . Date • , `"c- • 0, • -71/4/5) • 4. Signature of Authorized Indivi ....teh ztte, • • 7. Approval for Return To Service . Pursuant Administratorof • BY to the authority given persons specified below. the unit identified in item 4 was inspected in the manner prescribed by the the Federal Aviation Administrat;on and is . et APPROVED O REJECTED • FAA Ft Striindards Inspector Manufacturers , Other (Spectiy) Inspection Authorization ' - • • .. • FAA Designee - Repair Station X . Person Canada Transport Grcruo App u by Airvrarthiness Date of Approval or Reiection 4;77 Certificate or Designation No. CRS R03R822L Signature of Authorized Individual • • . - ..- • - / 7 ,---•4-- -- _,(- -- ---47 ••• • • _.•-e-liti'irz-92/1 . a .7 /f . , . • • . ' EFTA00278281 •. NOTICE' Weight and baleliceoropei*Ing antilidOn Changes Shall 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 . . • C.) IRS BATTERY 7- • _. - • P/N :1101.0:17!Ip04-••• • • S/N 499 . ........ P/N• 70089782-101 7 S/N KE5718' 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 CC NTROL 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 6. ) COURSE. HEADING PANEL - 2 EACH - •• r•-1O114.::071:.- • •J.0 ,1;; • • 1.1 .H. ) MULTI F4-NCTION-.DIFPLAX. . •• I.) LATE.RAL.AC OMSTER. ••• • (LAC-80) •• - • - 'L : J. ) Fgti 6 EALI-f • • ' *.•. _ . • .- . K. FIIME.1: Er EAt.. • . . L. S ROGRA,17.ER (RDP4300) - H0107511304-- S/N 499 •-• P/N 70080782-101 7 S/N KE.5718' •• P/N 792•4478001. SIN 195 *rP/N• CGi042ABOE • -;-1 S/N 711 CE1E30Ad10 S/N.107' `i7."0.1N-:115.934610-151 —.-S/N 151 ND.& FLIGHT)0F;THE SYSTEM AND ALL HEW -DATED 7-b-89,71S'REQUIRED WHEN A • -• SYSTEI IS INSTALLED' - • . . 6C '(143 SYSTEM IN ACCORDANCE WITH STC # CONSIST . OF THE FOLLOWING .EQUIPMENT; P/N 62Z-91'65-002 7-7 --SIN 115 & -132 • • F. * • ) . •• • • . .0 • . •••• =•.-••• - - _ - )CII=IFI'Ter, • . . •• • - j. _ _ - K. . . • .„ , L./ . . :-.•P/N H0107511304-- ,S/N 499 P/N• 700841762-101 7 S/N KE571E -'.P/N :792-6478001. SIN 195 !P/N• CG1:042ABO3* • •--1 S/N 711 .P/N C3.1230Ad10 S/N.107' •701N-115§t34610-151 —.-S/N 151 FLIGHT) OF; THE SYSTEM AND ALL • . • . . -DATED 7-6-89,"IS •REQUIP.ED WHEN A ct. -SYSTEM IS INSTALLED. . . • • C. '(143 SYSTE:`7 IN ACCORDANCE WITH STC # • i--- NSIST • OF THE FOLLOWING EQUIPMENT; • P/N 6ZZ-91%5-002 7-7- SiN 115 & -132 . • • u A .. P/N 6224342-024 7- S/N 2078,2079, -' , : 2101, 2102 . • • • . P/N 622-6342-024 7- S/N 2078,2079, - • : 2101, 2102 . • EFTA00278282 .Ogden Carp. .N979RA SIN 'SI PAGE 2 cf 2 2.) PERFrAMGD.A.FUNCTICNAL TEST (GROUND ANA LIG T 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 %Agar: ::••••••••••=m• ; 4 . • • r. 4. e V:4 44. • • • .4.-gailk . . . • • • , . r:•••••: • ' EFTA00278284 - FAA AlFCFAft,REGiSTEY CAMERA NO. ,CD DATE: - • APPLICATION FOR • 0 r , es of atibOrtMon ' • • al • • • AIRWORTHINESS 0 AttnIristredlon . PedarciArlaffon CERTIFICATE . -. . ,. INSTRUCTIONS — Print or type. Do not write in shaded areas: these are for FAA . . use Only.. SubMit original only to an authorized FAA Representative. If aDditiOna I space 'IS required: use an attachment For special flight permiti complete sections II and VI or VII as applicable. ' • 1.1LEGISTRATION FAAR/t...,. . N9791A: . . 2AIRCAAFT BUILDERS NAME Wake, - - . .Gulfstream.- 3. AIRCRAFT MODEL DESIGNATION G-1159/3- • - ' 4. YIVIAFR 1974 FAA CODING 3960//0 1 I AIRCGI DESCRIP1 S. AIRCRAFT SERIAL NO ' 151 -: 6. ENGINE BUILDERS NAME r/Anei • Rolls4telyce Spey.. :.•• 7, ENGINE MODEL DESIGNATION ,. .:, RB511-8 • • • . 5Y5.22 3 & NUMBER OF ENGINES . 9. PROPELLER BUILDER'S NAME Wake I .-- 10. PROPELLER DESIGNATION II. AIRCRAFT IS I Check it aDPliCable 1 Two (2'•) .N/A . .: .. 1 IMPORT .. • II. CERTIFICATION REQUESTED 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 1 GLIDER I I BALLOON B t SPECIAL PIPWORTHINESS CERTIFICATE (ChesprarOPnate itemal . . C .. .... • 2 LIM:Tcr• • • . - " . • • - •• 1 CASS i 5 • • PROVISIONAL (ind•cela • • :Ansi .- 2. CLASSh • 1 AGRICULTURE . AND PEST CONTROL 2 AERIAL SURVEYING 3 AERIAL ADVERTISING 3 RESTRICTED (IfidiCete be conducted) operahOreS) to -. a FOREST tWilable CenServabOni S PATROLLING 6 WEATHER CONTROL' • '7 CARRIAGE OF CARGO • 0 OTHER alsecifr) • . , 1 RESEARCH AND DEVELOPMENT 2 AMATEUR BUILT 3 EXHIBITION ' EXPEFIIMENTAL;Mrstateo to be Condo:riot getatiari • - 4 RACING 6 CREW TRAINING ' MKT SURVEY ... 0 TO SHOW COMPLIANCE FAR - . 1 FERRY FLIGHT FOR REPAIRS. ALTERATIONS, MAINTENANCE OR STORAGE SPECIAL FLIGHT PERMIT (Indicate 2 EVACUATE FROM AREA OF IMPENDING DANGER • B operation to ors conducted. Section VI then. • - - . or Was' "' -- - - • " '- 3 OPERATION IN EXCESS OF MAXIMUM CERTIFICATED TAKE-OFF WEIGHT complete 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 I • III. OWNERS CERTIFICATION NAME OGDEN • MANAGEMENT SERILICESi INC. ADDRESS Westchester City Arpt., Hgr. D3 White Plains_ NY 106044. -- B. AIRCRAFT CERTIFICATION BASIS (Check appticable blocks and comp4le items as stelae ad) X AIRCRAFT SPECIFICATION OR TYPE CERTIFICATE and Revision No.) AI2EA, Rev. DATA SHEET (Gore No - No. 17 X AIRWORTHINESS DIRECTIVES ,Check if all appticab:e AD's cerraneo with and give ..rear AO Nut 89-05-05 • AIRCRAFT LISTING (One page nun:balsa •1\ - ': X SUPPLEMENTAL TYPE CER; IF !CATE i List number of each S TC giros/30.4Na) See Attached List C. AIRCRAFT OPERATION ANC MAINTENANCE RECORDS' • ' . ...—. . . X CHECK IF RECORDS IN Fgantr 34CE WITH . TOTAL AIRFRAME HOURS : • -5684:33 •.- • 3 EXPERIMENTAL ONLY /Ellies bows flown since last co/hi:care issued Or renewed) • 15:20 • - D. CERTIFICATION — I hereby unify that I m the mg:stereo owner (or his agent) of um aircraft Administration in accordance with Section 50 of the Federal Aviation Ad of 1958.-and applicable airworthy and elrgible for the airworthiness cer iliaile retKiested:" • ' • " ' described above. that the aiic Federal Aviation Regulation . and all is regesteicd with the Federal Anal or that the social, has been .nspected and is v • DATE OF APPLICATION July 6, 1989 NAME AND TITLE (Punt or typo . . .. • . - . .. Agent- Carl E, Jones — - SIGNATUR 9 IV. INSPECTION AGENCY VERIFICATION A. THE AIRCRAFT DESCRIBED ABOVE HAS BEEN INSPECTED AND FOUND AIRWORTHY BY: (Complete ttr. , 011 only it FAR 2: Won applies! 2 FAR PART 121 OR 127 curruncgg joupEfit9snit Certificate No.) . 3 . CERTIFICATED Certificate/4i MECHANIC (Give • • 6 X CERTIFICATED REPAIR STATION (Give Cot:ace', , N" R03R822L 5 AIRCRAFT MANUFACTURER (Gus name of Mal . ... . . . __ - . ' DATE • E E• • • - • - July 6, 1989 ,Chief Inspector SIGNATURE 1-. - • - I V. FAA REPRESENTATIVE CERTIFICATION (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 4 AMENDMENT OR MODIFICATION OF CURRENT AIRWORTHINESS CERTIFICATE B. Inspeclion fora special Marc penny under Section VII • - FAA INSPECTOR FAA DESIGNEE was cored sled by: . . . . . : . CERTIFICATE HOLDER UNDER. FAR 65 I I FAR 121. 127 or 1351 . 1 FAR 145 DATE 7 64 / DISTRICTOTHCE •:. • • grl--/TP() • 4 DESIGNEES SIGNATURE AND NO . . . .., • ' , . • 1 - - - . • -- FAA INSPE OR ... SIGNAT \ - A \4 , - 1/1 ...11 FAA FOND 81304 I11-881 SUPERSEDES PREVIOUS EDITION a.. • .•••• ..aral• ••••••••••••••••a.mm. ay • it EFTA00278285 • FAA AI. Cf.AY . NO, DATE: e. W O z Z p 2: I e.. 23 11h A. MANUFACTURER. 4 • NAME . 4 ' o• - . ' , . B. I. Pc 1DUCTION BASIS (Check apphcatsle arm) PRODUCTION CERTIFICATE (Gin driadUchlwr cettilicatt nu-stew) . 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 . .. • I . s• • VII. SPECIAL FLIGHT PERMIT PURPOSES OTHER MAN PRODUCTION FLIGHT TEST . . . / . . A. DESCRIPTION OF AIRCRAFT:: .- - - • B. RE3ISTEREO OWNER . • . - • ., . ....._ BUILDER (Make/ . • • .............. ... - . WIODEL • SERIAL DESCRIPTION NUMBER • - ... - .. . . „ • • - - :. _ ...... - REGISTRATION MARK_ . . . . OF FLIGHT - . CUSTOMER DEMONSTRATION FLIGHTS CI (Check it apatreata • si • FROM, - - , .. TO . ' ".. . . VIA • . • . :. . DEPARTURE DATE DURATION 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 OPFAAT IOI./ 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 501 of 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 , . VIII. AIRWORTHINESS DOCUMENTATION (FAA use only) A. Operating Limitations and Markings in Compliance miff FAR- • . . • . . 9131 as Applicable • . . . - - G. Statement of Conformity. FAA Form 9130-9 (Attach when required) H. Foram AM./ontoids Certification for hived Aircraft ; (Anted) ;heti iequired) • • " B. Current Operating Limitations Attached i t" . r 7 . -... ' - Data. Drawings. Photographs. etc. (Attach when requintd):_,••• i_ . .... - I. Previous Ainumhiless Certificate Issued in Accordance ith ' FAR . git I CI( CAR (Original Attached) . Current Weight and Balance Information Available in Aircraft . . . / E. Major Repair and Alteration- FAA Forin 337 (Attach Whin required) -.I. Current Airworthiness C.tertificate Issued in Accordance will • "FAsi 2 . 1 ' /51 3 (Copy attached) F. This Inspection Recorded in Aircraft Records -.... .• : . :. _ , , . 91: • • - . . . . . • • • : . . •••••••••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 • . 7aL:a.•••4•4.2.. .;;.;• wad - ea. :.ra';‘Chi • . a c _ Tale S.C.D $465ft r : . • • • • EFTA00278287 1; C. .~ • I FAA A1FCFAF RE GI SIRE CAMERA NO. DATE: -711•1174 =74'er4+2'e • ••• • . .I; • . - - 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. ae/VAtAr;..— Dept y4014,7 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 aircraft. 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 thci-M -SI 6- -LiAckOrti • . 6 — ,;.?—.F9 . - A"' C"--- ‘1 6, Date of Issue - Represent ive Designation/Office No. EFTA00278290 fa US of Ircrsoce federal Adahlr•hrrarlon ... . • • • - • , -.MAJOR REPAIR AND ALTERATION . . • . (Airframe, Powerplant, Propeller, or Appliance)-. - • Form Approved OMB No. 21213-0020 , For FAA Use Only Dti,‘_, hiut.4 Nation ?Marlon Office Identification 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). - . . 1. Aircraft Make - Gulf stream Aerospace Model - G-1159B Serial No. ' 151 Nationality and Registration Mark N979RA • 2. Owner Name (As shown on registrelbifn outificale) , • - • - Ogden Management Service, Inc.. Address (As shown on registration certificate) Westchester County. Airport, Hgr D3 White Plains, New York 10604 • ' 3. For FAA Use Only " - • . - • : • - . • . . • . • . • • - ' 4. Unit IdentitIcation 5. Type Unit ' Make •I • . Model Serial No. _ .. Repair Alteration ' AIRFRAME • . (As _ described in Item 1 above) • - . . X • POWERPLANT • . • 14: ; . PROPELLER - ' . ' ' {.- RED1'1.1Ln ‘C.,S- • JUL 12 j939 p- rz-; - APPLIANCE Type • L 851- r s•J 7- e. I: 62 ' " 4 • Manufacturer - 6. Conformity statement - . A. Agency's Name and Address • . B. Kind of Aiency C. Certificate No. ' Midcoast Aviation, Inc. # 8 Archview Drive Cahokia, IL 62206 — U.S. Certificated Mechanic 5 CRS R03R822L Foreign Certilicatexl Mechanic X Certificated Repatr Station . 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 • 7447 . Signature 61 Authorized Indivi .., 7. Approval Approval for Return To Service ; Pu Administratorof • BY auant to the authority given persons specified below. the unit identified in item 4 was inspected in the manner prescribed by the the Fecle.al Aviation Adminielration and is - 1:2 APPROVED 0 REJECTED FAA FIL Standards Inspector Manufacturer; • Inspection Authorization Other (Specify) • FAA Designee X Repair Station . Person Approved by Transport Canada Airworthiness Group Date of Approval or Rejection 1;7, Certificate or Designation No. CRS RO3R822L Signature of Authorized Individual ' - ..-- --ediurt-ez ' 'C c.ecze..---47 • . • • •-• ••—••• 7.7-1••-..—;•• ••— • •••• •• . • . ' • . • • • • •--‘1` ...'..(3.1‘••••; Oa • ;St • Or EFTA00278291 • . • NOTICE -: • • . . . , . Weight and balance or operating limitation changes Shan be entered inthe 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.tdendly with.aircrali mamma* and registration 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 FOLLOWING EQUIPMENT D.) E.) F.) MODE SELECT UNIT -INERTIAL SYSTEM DISPLAY UNI SWITCHING UNIT' • P/N 'H61075A804. 7 S/N 499 P/N 70089782101 S/N KE5718 P/N 7926978001 S/N 195 P/N cp1042ABO I S/N 711 P/N:C4-1-B30C10 S/N:107 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.i46AU 661 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 (DCP-85H) 2 .EACH: B.) ELECTRONIC FLIGHT DISPLAY (EFD-86).4 EACH • *C.) DISPLAY PROCESSOR~UNIT aPU-86R) 2 EACH • ' • F.) SWITCHING UNIT G.) COURSE! HEADING PANEL- L (CHP-86c) 2-EACH ---..--;•- MULTI FUNCTION .D1S?LY. A . (MFD-85B) ' " I.) LATERAL ACCELEROMETER P/N 622-9165-002 • S/N 115 & 132. P/N 622-6342-024 S/N 2078,2079 , - 2101, 2102 P/N 622-9009-001 S/N 2687 & 3512 •-- P/N .622-9010001 • P/N .:1159=34010-151" :• P/N 622-7875,-002 -• • P/N 2277876'-002 , . . P/N' 229-03240-020 J.) FAN 6.EACH. PiN 0o9-1963-.0::;0 K. FM-6.7, 6 EACH. • P/N 6t2-71Z-74-002 S/N 2203 S/N 151 S/N 130 & 131 S/N f645 S/N 363 NONE L.I REMOTE 'RCGRAMMER (RDP-:,..00) P/N 622-5110-001 S'N 2081 EFTA00278292 • FAA A1RCPAF5REGISTRT CAMERA NO. DATE: t. . _ . ..„. Oaden Corp. N979RA SIN 151 7-6-89 - Pape 2 of 3 (Continued):. . 5.) The previously installed Dual ColIinsTDR-90 Transponder System control was changed froth a Gables to a Collins CTL-92 ATC control with A CAD-62 control-adapter. This control. head and adapter unit is an approved control device for the Dual Collins TDR-90 TransponderSysteM. No changes were made to the Transponder antenna's. The operatiOn of the Transponder system was.ground and flight checked and all operations were normal. Midcoast Aviation, Inc. D.E.R. approved wiring Aiagram 1159-11000-151 "Transponder Control (CTL-92T" reflects the aircraft.wiring. ' 6.) Removed a Bendix RDR-1200 Radar Systemr, radar indicator, RI' unit and radar antenna and installed a Collins Radar Antenna RT Unit and WXP-B50A & WXP-850BWeather Radar Panels. Operation of the syStem was ground and flight,checked.in.accordance with.manufacture.s.maintenance manual and. all operations-were found to be normal, completed in flight radar stabilization procedure. Midcoast Aviation, Inc. D.E.R. approved wiring diagram 1159-14010-'151 "Radar (TWR-850)" reflects the aircraft wiring and D.E.R. approved structural. drawing shows the installation of the antenna RT Unit, 0000088 "RTA-858 Antenna Ihitailation". 7.). Installed a Collins Air Data Computer ADC-80H‘DaDc, ADA-85 ADC adapter and TAI-80A TAS/TEMP indicator, using the existing temp probe. The computer is mounted•to a hat section pap with -flat plates and the hat section is mounted with AN bolts to radio rack.shelf using existing inserts. The hat section is manufactured from .063 2024T3 aluminum installation in accordance with AC 43.13-24 Chapter 2 paragraph 25, Midcoast Aviation, Inc. D.E.R. approved wiring diagram 1159-04040-151 "No; 3 Air Data computer" reflects the aircraft wiring. Operational • testing of the system was performed and.all function testing normal. 8.) Installed a cabin audio/video/stereo/airshow system. Cabin depressurization protection is provided for by a 10,000 foot pneumatic disconnect switch. The system is installed as a non-required system and . has been tested to assure no EMI with required avionic systems,. Midcoast Aviation, Inc. D.E.R. approved wiring diagram 1159-21010-151 "Cabin Entertainment" 1159-21011-151 Airshow reflects the aircraft wiring, and. D.E.R. approved structural drawings 0000133 "5 inch pop-up TV installation" 0000134 "TV and VCR" installation 0000135 "SFS 3068 inverter and M10600 audio amp installation" and AC 43-13-2A reflects the structural installation. 9.) The galley was rewUrked to add a microwave oven, inverter, and coffee - maker. These items were testVfor EMI and proper operation and found to be normal. Midcoast AViation, Inc. 1LE.R. approved wiring diagrams 1159-:- 30001-151 "Microwave OVen", 1159-30010-151 ,"Galley" and AEC 151-2 "Coffee Maker" and D.E.R. approved structural drawings 0000132 "microwave oven installation", 0000136 "SPH 1606E-3" inverter installation - R/H galley. ""••--'w."` - EFTA00278293 • (Gontinued)1/2 Ooden Corp. N979RA S/N151 7-6-89 Page 3 of 3 10,) •Instaliad -a IRS'/TRU gel ct annunciator sWitch This was an existing 4Sature- that•was molt+ .to use another navigation souree. The switches" installed on the pilot'. rand co-pilot's switch panel. IRS/TRU selact . , gives a magnetic headi when deselected or a true heading when selected..In the selacted position the annunciator is lit (IRS Mode).. Installed a ATT/ADG-select annunciator switch on the pilots and co— pilots switch panel. The pilots switch when not lighted is in the INS source tprimaryle and when lighted comes-from the AS 1 VG and # 1 DG .source, (Secondary); The co—pilot switch when not lighted comes from the #,2 VG and # 2 .DG scarce (primary), •and when lighted comes from the INS source (secondary). The operation of the switches were ground and flight tested and +dung to operate normali:Midcoatt Aviation, Inc. D.E.S. apprOved wiring diagrams, 1159-20007.151 "Instrument Panel & Annunciator Mod", 1159,-3260o-151 "CompasS Transfer Mod" and 1159-35000-151 "Altitude Transfer Mod" reflects the aircra:ft Wiring. • 11.) Installed.a. cabin 60 HZ AC Syste0 Inverter P/N SPS 1307 S/N 440 in accordance with Midcoast Aviation; inc: D.E.R. approved wiring AED 151,4 and mounting in accordance with AC't1L-1.32A.; Installed a B&D Instrument'Air Data Computer (# 4 ADC) P/N 2800A-041 S/N A01023 and Rosemount Probe P/N 129H S/N 74498.. to interface with the UNS- 1 Flight Management System, IRS (Laser Ref),•pilat's ALTM & ALT Data System, ALT Select-& Alert System: Operational testing of the system was performed (ground and flight testing) and all function tested normal. .Midcoast Aviation, Int.'D.E.R.7approved wiring diagram # 1159-04041-151 "No. 4 Air Data Computer" reflectS the. aircraft wiring. Ii,stallation of the Air Data Computer installed in the forward radio rack in accordance with AC 43.13-2A. The aircraft was weighed and a new weight and balance was computed. The equipment list was supplemented. and an appropriate entry was rude in the aircraft records. -----END - EFTA00278294 fr: f-d-1 • ' . . ,• -FAA A1PCRAT REGISTRY CAmERA ND. DATE: . .. e • . - . . • . ••• ...." MAJOR REPAIR AND.ALTERATION • - • : • • - in Deco-al-erg ., of kcersoomarron • 1 (Airframe, Powerplant, Propeller, or Appliance) . . .. Federal A..Union Adrrinl oration . • - Form Approved OMB No. 2129-0020 • For FAA Use Only Office Identification Sri - - ,S.60 ... iNstRuCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B, and AC43.9-1 (or subsequent revision thereof) for instructions and disposition of this !arm. This report Is required by law (49U.S.O.1421). Failure to report can result irra civil penalty not to exceed 11,000 for each such violation (Section 901 Federal Aviation Act of 1958). 1 Aircraft . Make . Gulf stream Aerospace Model C-1159H Serial No. -- - 151 • Nationality and Registration Mark N979RA 2. Owner • Name (As shown on registration certificate) Ogden Management Service, Inc. Address (As shown on registration ConiliCa(0)• .• ' - Westchester County Airport, Hgr D3 White Plains, New York 10604 • 3. For FAA Use Only • - . . • . • • ' a. Unit Identification 5. Type Unit Make • ' Model Serial No. Repair Alteration AIRFRAME . (As described in Item 1 above) I - .... POWERPLANT - . \., 1 WI / . . ,,,---., .. :., .42 . , :•.-;:, •'..7., .___ s? . • . PROPELLER t t•-• S—I '.;:-• "IQ 12 798 n 9 r_ SILL E;300 •.-7.7,r APPUANCE - Type . Kr - 62 -..._ I . - Manufacturer - 6. Conformity Statement A. Agency's Name and Address . B. Kind of Agency • C. Certificate No. Midcoast Aviation, Inc. • ≥f 6 Archview Drive Cahokia, IL 62206 _ U.S. Certificated Mechanic CRS .R03R822L Foreign Certificated Mechanic X Certirrcatee Reaair Station manufacture D. I certify that the repair and/or alteration made to the un't(s) identified in item 4 above and described on the . have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations furnished herein is true and correct to the best of my knowledge. reverse or attachments hereto and that the information Date •... ... 71 47 if 49 - Signature dl Authorized Individu .2-Cita/L-e- - Lie,./k/frr-cre --- . 7. Approval for Return To Service Pursuant Administratorof • BY to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the the Federal Aviation Administration and is . "KAPPROVED O REJECTED • FAA FIL Standards Inspector Manufacturer! • Inspection Authorization Other (Specify) - FAA Designee X . Repair Station . Person Approved try Transport Canada Airworthiness Group Date of Approval 7/o/677 or Rejection . • Certificate or Designation No. CRS R03R822L Signal of Authorized Individual vvirLiet : a: C.- INtesfidarrarefeett. EFTA00278295 . . NOTICE Weight and balance or operating limitation changes shall be entered inettle appropriate aircraft record. An alteration mus▪ t be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. B. Description of Work Aceomplished • . . more space is required. attach additional sheets. Identity svith aircralt nationality and registration mark and date work completed.) • .:. 1.) The Dual Collins VHF-20B System was removed and replaced with Dual • -/- Collins VHF 22A System, The•VHFi22A radios are'TSO'D replacement for the VHF-20's. Form, fit and fUnctAblieremain the same. New control heads .displaying diagnostibefunctions'are installed with new radios. Weight, power consumption, performance, iand reliability are improved with the VHF 22A. The antenna was not.changed therefore,ftight testing of the system is not required: Operatiohal -testing. Of the syttem was performed and all functions tested norMaL_Midcoast Aviation,- Inc. D:E.R. approved wiring: diagrams 1159-fd010-15l_No.. 1 VHF CommuhiCatitii (VHF-22B) and 1159- . 10.011-151, No. 2 VHF Communicatiom (VHF-22B) reflects the aircraft wiring. . , 2.) Updated- the Dual Collins-VIR-30A'S to' Collins VIR-,32's. The VIR-32 radios -are physically and -functionally interchangeable. The -weight, power • consumption, and,reliability of the navigatkon.system has not been • degraded. No. antenna changes were Made.thereforeAlight testing of the' installed antenna -radiation patterns were not -necessary. The control • • .heads for the'navigation system were changed from Gables control heads to Collins CTL-32.Contred-heads. System operation was ground and flight • checked and all operations were normal. Midcoast Aviation, Inc. D.E.R. . Approved wiring diagrams 1159-03610-151TNo. 1 Navigation System (VIR-32) and 1159-03011-151, No. 2 Navigation System (VIR-32) reflects the aircraft wiring. 3,..) Updated the Dual'Collins DME-40's to Collins DME-42's. The DME-42 radios . are.physicatly and functionally interchangeable: The weight, power • consumption and reliability of-the DME radio System had not been degraded. No antenna changes were made and therefore flight testing -of the installed antenna radiation patterns were not necessary. The control heads for the DME System are the control heads of the VHF navigation - System. Operation was ground and flight checked all bperations were normal. Midcoait'Aviation, Inc;D:E.R. approved wiring diagrams 1159- L3000-151 No. 1 DME (DME-42) and 1159-13001-1511 No. 2 DME (DME-42) reflects the aircraft- wiring. . . 40. RemovedaGablea-ADF:cOhtrol head, 4 each•ADF receiyers and 2 each ADF . antennas and ceplaced with,a Collins CTL-62 control head, 2 each CAD-62 control adapter. units..ind. 1 each Dual .ANT608 ADF antenna. This control - head adapter ilia aria antenna is an approved control' device for the Collins ADF-60 system. The operation. of, the ADF system was ground and - flight checked and all operations were normal. Midcoast Aviation, inc. D.E.R. approved wiring diagram 1159-'12000-151 Dual ADF (ADF-60) reflects the aircraft wiring. The -Dual 4DF antenna was installed in the existing: 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 - -"I • 71 • sf•-r :. . • -• " e n ! • , ;-...4:'• .g • 'OM Y314.13 AVIS i1311 IV:13dIV YY3 - yi EFTA00278298 e - • -.-: .:: .i. - .. : - REPAIR ANDALTERATION ' ' -.... .:; : :: - MAJOR US Dem:men -. - 3 - . ix konsponoion (Airframe, Powerplant, Prcpeller, or Appliance) ; . - Federal Aviation ' • Actinktfrarkin . • ' .. • - • Form Approved OMB No. 2120-0020 • • For FAA Use .Only Office Identification " 571-frice :' • INSTRUCTIONS: F4in iser type all entries. See FAR 43.9;FAR 43 AppendixO, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of thii form. This report lsreqUired by law (49 U.S.C. 1421). Failure to report Can result !ma civil penalty not to exceed $1,000 for each such violation (Sectibp 901 Federal Aviation Act of 1958).. . • . 1: Aircraft Make . ,. GULFSTREAM SPACE Model ' • . . G713.59B " Serial- No. '• • ., . 153; . . Nationality and Registration Mark N979RA , 2. Owner . Name (As shown on registration certilkate) , Ogden Management Service,••InC.--• • . Address (As shown on registration certilicate)• Westchester County Airport, Hgr 1D3 ' ' White Plains, New _York 10604 • . P "-.'i"..3 silerAfinn irishrifed hero n “ les Inflic•W Cke-efslY••••: • • •. • . , -:n:.:tric-f co ax:iy,oritiiness requirements and is approved:for tircraft, sub;ect to conformity inspection ic!.FAR Part 43, Section 43.7." ..sari.- Fsbo 77-iff ".• the above. cif):...:::@—• by a person autliazi..,:). . gi.bf 8 ,4a , . • / 445MaA vr 704/ / 5 • CO/HP.947R be tVirli Pii6Nr— MAIL/tent- 5 &few-to-sr: PAA• • . 6,4 roverte.v4 A t. nte..b. , ... . (Wit°. Dato InspectiO 17M- 4. Unit IdenlIfIcallan S. Type • Unit • Make ..• • • Model • 2.i• - • • Serial No. Repair' Alteration ' AIRFRAME . •• • - (As described in Item 1 abovd) . . • . . ' POWERPLANT' • ' " . . . 1 • ' • • . • ' ' - ' _.• PROPELLER . ' • . . • • •• . • ' . • . . APPLIANCE Type . • . . ,7-• • • • Manufacturer e: Conformly Statement A. Agency's Name and Address . . B. Kind cl Agency C. Certificate No. Midcoast Aviation, Inc. • #8 Archviebi- Drive St. LoUis Downtown-Parks Airport Cahokia. IL 62206 .. U.S. Certificated Mechanic - • . . CRS R03R822L Foreign Certificated Mechanic .t•-• X CerillicalTed RePeir Station . .. Masiulacturer . D. I certify that the repair and/or alteration made to the un t(s) denti lied in item 4 above and described on the ieverse or attachmedi hereto 'have been made in accordanCe with the requinimenti of Part 43 of the U.S. Federal Aviation Regulations end that the information furnished herein is true and correct to the best of my knowledge: Date . .: June. 30, 1989 • • Signe tuft 61 Authorized Individual ' )d.Z440-a a „142,„. __ . I .. T. Apploval for Helium To Service • • . Pu Administratortl • BY • . . ,i • avant to the authority given persons specified below.; !ha unit identified in item 4 was inspected in the manner prescribed by the ' the Federal Aviation Adminiitrition and i3 . a APPROVED 0 REJECTED • FAA Fit. Standards Inspector Manufacturer! • ., insCection Authorization Other (Specify) • • - • ‘ • • • ' * ' , • FAA Designee X Repair Station ; Person Approved by Transport Canada Airworthiness Group Date of Approval or Rejection . ' . June 30, 1989 Certificate or Designation No. R03R822L Signature of Authorized Individual • • ' • ' . . . _ ' •••,• ft-p- ;• "- . . . . • •- „...r• • -; . knarei 4itle ; f•-•, ' EFTA00278299 P. - FAA .AIRCF.AFLREGISTET CAMERA 140. DATE: rt 3 . . *NOTICE . . .Weight and balance' or bpereling limitatiorpthanges shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conforenity, with the applicable airworthiness requirements. a. Description of Work Accomplished more space is required, attach additional sheets. Identity with aircraft nationality and reels:ration mark and date work completed.) . . :Installed a Dual .Univarsal givigatimn UNS-1A•Mufti-Sensor Navigation System. The system was installpd and approved. in atcordance with AC- • '20L130 dated- 9-1"-es, & Ac.:43-12-2A- for the mounting of the equipment. See Midcoast AviatiOnt _Inc. Ccimpliance•Report: AC890006, dated 6-30-89. Operation testing of thee system was perfornied and :all functions tested normal. • 7 • FAA approved Flight Manual. Supplement dated 7-&-g9 is a UNS-1 MultiLSenior Navigation System is. installed: The equipment list was supplemented and the aircraft was weighed and a new weight ,and- balance was - coinputed s .-an appropriate entry was made in the aircraft records: - • The Flight Kanuai. cOmOatijile with aircraft. -eft' n- • t .;., a itei• • EFTA00278300 ti• • '1 •11. 'co • • t : . r -• • ' Milliattraft • . . _ I ' ' • • . ' — • • , -. . ' •• • • • MAJOR REPAIR AND.ALTERATION ' • ' •.; • k u:oeoormw+ .. • oftnycnomn (Airframe, Powerplanli Propeller; or Appliance) ..:. Federal /Marlon ' . Adrninktrarion .- .. . . .. _ ' " Form Approved OMB No. 2120-0020 • . • For FAA Use Only Office Identification Cil : fi Stin • • INSTRUCTIONS .Printor type all entrles.Sed FAR 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 can result bra civil penalty notto exceed $1.000 for each such violation (Section 901 Federal Aviation Act of 1958). ; ' ' • 1. Aircraft Make ' - -• . -GOLFSTREAM AEROSPACE - Model ' .• • • il, ' . G-1159B Serial No.• - ' .1. 1 • • :. Nationality and Registration Mark . - N979RA . 2. Owner • • Name (As shown on registration certificate) • , . • . Ogden Management Service, Inc. Address (As shown on registration certilicate)• .Westchegter County Airport, Hgr D3 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) : • • - • . :;.„ • . ' PoWEFIPLANT . - • - . • . . • 4 . Ite• Q ta • . bb• 4 <13' firclifill --:-. • • • • PROPELLER • • - ' . • 12 1989 c- MOO' • `Hi ITI‘ APPLIANCE Type . • • .\ . . 62: • . • i ' . , • ' • • Manufacturer . . ll Conformity Statement A. Agency's Name and Address • . B. Kind of Agency ' C. Certificate No. • Midcoast Aviation, Inc.. • #8 Achview Drive St. Louis Downtown-Parks. Airport Cahokia. IL 62206 ....- U.S. Certificated Mechanic • CRS R03R822L Foreign Cenificaled Mechanic X Cerilfirsaied Fleriair Station . ' Manulacturer . . 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 U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Date . . . • Juhe 30, 1989. .. Signatu e of AuthorizedIndividu - • • . -tact/t4 :• 0 "..e12,104 --- • •. ... • . , T. Ap • royal for Return To Service . • i Pursuant Adminiatratorof • BY .. • to the authority given persons specified below. the unit identified in item 4 was inspected In the manner prescribed by. the. ' the Federal Aviation Administration and is . tit APPROVED O REJECTED • FAA Flt. Standards Inspector Manufacturer. • • Inspection Authorization Other (Specify) ' . , _ • - . ' • . • FAA Designee x. Repair Station . Person Approved by Transport Canada Airworthiness Group .. Date of Approval or Rejection . • " June 30 , 1989 Certificate or Designation No. RO3R822L . ' Signature of Authorized or. Individual . . • .. / pm ,Z, ..„4.• .-•: 4; 7 i fi r LI . /....4.57f.eirtel../ • •i.- ' • • - • _ • ; • - • • • • • — t -`-'21%. • • EFTA00278301 -FAA AIPCRAISRFCTSTILT CAXERA NO. DATE: - --A-fraste . 4 .. . . NOTICE Weight and balancebr 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 file applicable airworthiness requirements. • B. Description of Work Accomplished '(!f more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) • -•• il 4t4:40.:‘,..., • ' •,- . • -4br•-**-7 • .. • • • • . • . . • • . • ft.) Installed a Dual-Universal Navigation UNS-1A:Multi-Sensor Navigation . •Sistem. The systeeWas initarted -and*Approved'inaCcordance with AC- ' 20-136 dated.9,42-68, 4 ACA,3-12-2A for theMounting.of the equipment. See MidcOast AviatiOn;:InC.-.-COMplipnce Report-AC840006, dated 6-30-89. • - . Operation teating,of.,theisyttem was performed:and-all functions tested normal. 2..) • Pending FAA approval of the Flight.ManUal.Supplemento-NavigatiOn shall • not be predicated upon the Use 64 the Univertal Navigation UNS-1A • .• Flight Management System. Aircraft has been placarded._ 3.) The equipment.11St was_suppIemented and the aircraft was weighed and a new weight and balance was cOMpUtad,jan appropriate entry was made in the aircraft records. ••• • • . END • • • . . . • . , • . • J . • %a ...;;;I‘rrAtt.;;44jHz?.;_...tti i rr .. t"4; -6; I .4 EFTA00278302 :7; pr 74. •:; F'! r." ?. .• . ; • •••...a sch.1 W . APPLICATION FOR U3 Leartor AIRWORTHINESS . Or ITIIIOnFal . fiadorat moan — CERTIFICATE Admilstralfen • , DiSTRUCTIONS - Ptint or type. Do not write in shaded areas: these are for FAA use oaly. Submit original only to an authorized FAA Representative. If additional • spuieis ;squire& use anattachment. For special flight permits complete Sections • II and VI or VII as applicable . 1.REGISTRATION MARK l• • a N979RA 2.MRCIa an in HUMPS NAME (Make( GULFSTREAM 3. AIRCRAFT MODEL III2SIGNATION _ 'Gt1159a• IL YR. MFR. '1974 FM COOING• t-eS CIS cl \ \C-. • I. AIRCIld TESCRIP1 5. AIRCRAn SF PIAL NO. • 151 .-- S. ENGINF BUILDERS NAME (Make) Rolls-Royce Spey - . 7. ENGINE MODEL DESIGNATION RB511-8 • - . ---- - 4 55 3 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 II. CERTIFICATION, REQUESTED 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 • . I CLASS I ' . S PROVISIONAL (Wale asst . 2 CLASS II • 1 AGRICULTURE AND PEST CONTROL 2 AERIAL SURVEYING 3 AERIAL ADVERTISING 3 RESTRICTED Unchcara be concise operation(s) to 4 • FOREST (Weds consenatton) _ S PATROLLING 6 WEATHER CONTROL -red) . . . 7 CDIAIAGE OF CARGO . a ' OTHER (Simon I RESEARCH AND DEVELOPMENT 2 AMATEUR BUILT • 3 EXHIBITION 4 x ENTAtfintleat• tExbepERDA. ed o / opitiat.on(s) 4 RACING S CREW TRAINING MKT. SURVEY • 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 I operation to be conducted. Section VI Men • VII • 3- OPERATION IN EXCESS OF MAXIMUM CERTIFICATED TAKEOFF WEIGHT - r .--- complete applicable on reverse Of as stool 4 DELIVERING OR EXPORT.. a $ PRODUCTION ;LIGHT TESTING . • • CUSTOMER DEMONSTRATION FLIGHTS . 2 C I 1 I MULTIPLE AIRWORTHINESS CERTIFICATE 'Once ABOVE 'Rostra red Operation" and -Slardard- or-Limited.- as applicable-1 _ .........• III. OWNER'S CERTIFICATION A. REGISTERED OWNER (As shown on certificate of Sweep IVIVISIftlIOO) IF DEALER. CHECK HERE I NAME • OGDEN MANAGEMENT SERVICES, INC. ADDRESS Westchester White Plains, City Arpt., HGR D3 NY 10604 B. AIRCRAFT CERTIFICATION BASIS (Check applscabee blocks are complete ;rens as inccaled) X AIRCRAFT SPECIFICATION OR 1 iPE CERTIFICATE end Revision No.) . Al2EA, Rev. DATA SHEET (Gres No. No. 17 X AIRWORTHINESS DIRECTIVES latest AD No ) 89-05-05' (Check if ad amicable ADC complied wan and give AIRCRAFT LISTING Kin. Pan number(-.) . . SUPPLEMENTAL TYISE CERTIFICATE (Lat number of each S TC incorporated) C. AIRCRAFT OPERATION AND MAINTENANCE s RECORDS - X CHECK IF RECORDS IN COMPLIAN 1.173CE WITH • TOTAL AIRFRAME HOURS 5669.13 3 EXPERIMENTAL ONLY (Enter hours florin since last combust issued Or mowed) mowed) mowed) FAR D. CERTIFICATION — I hereby certify that I Aornenishaoon in accordance with Section 50 airworthy and Ogitife lot the ainvontimess certificate am the registered owner (or bus *gent) of the Limit described above. Ihal Me aircraft of the Federal Aviation Act of Irak and applicable Federal Anshan Regulations/ and unveiled Is registered with the Federal Aviation that the aircraft has been inspected Ind is . DATE OF APPLICATION June 28, 1989 NAME AND TITLE term! Or type) • ..Carl E. Jones - Agent SIGN RE c ...7 . C-- - . ' IV. INSPECTION I • • AGENCY VERIFICATION A. THE AIRCRAFT DESCRIBED ABOVE HAS BEEN INSPECTED AND FOUND AIRWORTHY BY. (Complete this section only it MR 21 62td (applies) 2 FAR PART 121 OR 127 CERTIFICATE HOLDER (Give Cerblicate No.) 3 CERTIFICATED MECHANIC (Give Certificate No .7 ' 4 CERTIFICATED REPAIR STATION i Gabe CitlidiCale No) • • ' ' ' S . AIRCRAFT MANUFACTURER (Give name of Ewen) e • - . _ . I . 7 • . DATE I , • • TITLE • _ . SIGNATURE . _ . .. i . • (Check ALL applicable (Necks on items A and 13J X a 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 ai. Z 0 B. Inspechon for a metal fight Devine under Section VII FAA INSPECTOR FAA DESIGNEE <r 4 4 < Z u ass conduCte0 by - • . CERTIFICATE HOLDER UNDER: 11 FAR 65 1 . 1 FAR 121. 127 or 1351 1 FAR 5 tr. .., — . .., IS Y a ci. Iso DATE a DISTRICT OFFICE • • • - DESIGNEE'S SIGNATURE AND NO FAA INSPECTOR'S SIGNATURe • f „......- • . • . . . . • EFTA00278303 , 1. e • 1 A. MANUFACTURER • NAME t r.., . . ADDRESS - -, . • • ... B. PRODUCTION 13ASISIChick apptcatAattami WC' IT T PRODUCTION CERTIFICATE (Gni c004act•Oh cedar-ate number) . - 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 • - - . VII. SPECIAL FLIGHT PERMIT PURPOSES OTHER THAN PRODUCTION FLIGHT TEST A. DESCRIPTION OF AIRCRAFT I . • REGISTERED OWNER • • - .• ADDRESS A BUILDER (Ma/re) - 9 . _ MODEL - : r. - % a\ SERIAL NUMBER 11* REGISTRATION MARK I 8. DESCRIPTION OF FLIGHT . CUSTOMER DEMONSTRATION FLIGHTS 0 (Chen 4 appAcabir) FROM • TO . • VIA • • - DEPARTURE DATE DURATION. C. CREW REOUIRED TO OPERATE THE AIRCRAFT AHD ITS EOUIPMENT , I PILOT I • I CO-PILOT f , JNAVIGATOR - 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 1 enitheiegislerecl 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 VIII. AIRWORTHINESS DOCUMENTATION (FAA us. only) . •••• . Operatav Lorritatorts•rd Mirlungs tratcrrolarr-it wit• FAR Pr G. SCIANAWA of Conformity. FAA Form 8130-9 (Attach when Nature) X A ' 91 31 as'Applicable • " • . • N. Fair /unworthiness Cendication lot Import Aircraft ) 1/4/ EL Current Operitmc Lirritat errs Attached -. . (Attach than manned) • , C. Data. Drawings. Photogiaphs. etc. (Attich whin inuated) . L Pretoria Asnionniness Ce iticate n (wired in Accordance men Current Balance Info/mats, Astable Liman FAR, /. s83 C4%) CAR (cgromai miaow") X D. Weight and in . 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) •. . . • •• •• • • ••44.1P+ .• • . • ••• . L. 0. • : ••• '" • • • • - . . EFTA00278304 • FAA? AUCPAFT RiC ISTET _CA..EFA h p1 DATE: sji - ors U umITED STATES OF AMERICA • „ . DEPARTMENT OF TRANSPORTATION - FEDERALAWATION ADMINISTRATION ' SPECIAL AIRWORTHINESStERTIFICATE A CATEGORY/DESIGNATION . EXPERIMENTAL .- . PURPOSE SHOWING' COMPLIANCE WITH'REGOLATIONS- pt. 1' MANU- FACTURER NAME - N/A , . , . ADDRESS N/A . C FLIGHT F FROM N/A .> To - :N/A D 979 R: N._ . SERIAL NO. • 151 - - BUILDER GULFSTREAM AU D?ACE MODEL C -1159A E DATE OF ISSUANCE 6-2$-89 EXPIRY 6 -28 -90 OPERATING LIMITATIONS DATED ' 6-28-89 ' ' AREA PART OF THIS CERTIFICATE: TYRE Of FAA RW A . .-./ . . JAMES E. JA SON ' -: DESIGNATION OR OFFICE NO. : .. . CE 45• Any attention. reproduction. or misuse 01 MIS bertittate may be punishable by a fine not exceeding 51.000 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 MSS? MOM ROC OFVFOSF SIDE ..":".Wir, taw • -• .: 'h.\ • • am, EFTA00278305 A ^ T4iS'airworafiness certificate is issued under the authority:rtzraiavig„lip Acopf 1958 and the Federal Aviation Regulations (FAR). . . B This airworthiness certificate authorizes the manufacturer named on the reverte side to candugt production flight tests. and only production flight tests, of aircraft registered in his name. No person may conduct production flight tests under this certificate:. (1) Carrying persons of ' property for compensation or hire; and/or (2) Carrying persons not essential to the purpose of . the flight . • a C . . . This airworthiness certificate authorizes the flight specified on the reverse side for the purpose `-' shown in Block A. n — • • .- . . . This airworthiness certificate certifies thatasof the date of isEuanCe, the aircraft to which issued has been inspected and found to meet the requirements of the applicable FAR. The aircraft does not meet the requirements of the applicable cornpretbensiwiand detailed airworthiness code as provided by Annex 8 to the Convention On International Civil Aviation. No person may operate . the aircraftdescribed on the reverse side: (1) except in accordance withthe appliCable FAR End in accordance with conditions and limitations which may be prescribed by the Actin inistratora:s part of this certificate: (2) over any foreign country without the special permission of that country.' • • L. E . - ..• • • sooner surrendered. suspended. or revoked. this airworthiness certificatais effective for the duration and under the conditions prescribed in FAR Part 21. Section 21.181 or 21217. • Nttrc . . 7: 4 •I t 4 • EFTA00278306 t ‘ EXPERIMENTAL AIRCRAFT OPERATING LIMITATIONS Research & Development, Showing Compliance With Regulations, Crew Training, Market Surveys: (Over 8O0'HP. 12,500 Dm) CGOLit-57ZN5Afin AaeosPasia) MAKE: Geatri ir7.41t) 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: COATI IDF/V7-24A-, !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. 8. This aircraft is prohibited from aerobatco_flight; that is, an intentional- maneuver involving an abrupt change in the aircraft's attitude, an abnormal 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 FAA_ U.S. DEPARTMENT OF TRANSPORTATION Form Antlered . . • FEDERAL AVIATION ADMINISTRATION Baer Bonn No. 04-R060.I FOR FAA L'SE ONLY ". MAJOR REPAIR AND ALTERATION oFFINOSoatfola111) (Airframe, Powerplant, Propeller, or Appliance) . 7-0-67 • INSTRUCTIONS: Print or type all entries. See FAR 43.9. FAR 43 Appendie 8. and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. 1. AIRCRAFT MAKE GULFSTREAM MODEL • G1159 I SERIAL hat 101 ' !NATIONALITY AND REGISTRATION MARK I • U.S.A. . N979RA NAME (4.5 shown on registration certificsde) ..., ADDRESS (As shown on registration certificate) 2. OWNER 1 HANGAR D-3 - WESTCHESTER COUNTY OGDEN AMERICAN.CORPORATION A WHITE PLAINS, NY 10604 3. FOR FAA USE ONLY • .. .- . .. . 4. UNIT IDENTIFICATION S. TYPE • Witt Mal . MODEL i an rat NO. • WAR AMA- AMON AIRFRAME neeneene••••••••••• (As described in item I above) •••••••neenermeneee PSI 177 .POWERPLANT ₹ . • ,i-r.7. FP „rep!? JAM 1 4_ . .: : 4 I ;‘ !, 11 PROPELLER LI I lircu. -.) ... i ! s , ....... ).__:,_- , .. !.:.',..).3(1':i.r : _ b . , Li , _, ..___ ..:t • APPLIANCE TYPE R/H ELEV. ASSY. 1159C520002-1 ‘-rt rare , r• S/N 151- . .• • .X MANIJIACTiall . • GULFSTREAM • • • 6. CONFORMITY STATEMENT • A. AGENCY'S NAME AND ADDRESS • B. KIND OF AGENCY C. CERTIFICATE NO. u.s. cteroncArEo MECHANIC GULFSTREAM AEROSPACE CORPORATION toseinN Mt/IMAM MECHANIC P.O. 80X. 2206— TRAVIS FIELD • x CEETIPICATED MANI STATION 701-10 SAVANNAH,GA. 31402 ssassuractuara D. I.certify that the repair and/or alteration made to attachments hereto have been made in accordance with ' end that the information furnished herein is true and the unit(s) identified in item 4-above and described on the reverse or the requirements of Part 43 of the U.S. -Federal Aviation Regulation, correct to the best of my knowledge. DATE 1-8-87. SIGNATURE OF AUTHORIZED INDIVIDUAL PATRICKAL LYNCH e best orS . cm.m....€4....., 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 Federal Aviation Administration and is go APPROVED OREJELC ...„--...., BY PIA FM STANDARDS INVICTOI . fitanura.cruin INSPECTION AUTTIOIJZATION . ONES 'In ; ) . FAA DESIONEE X REPAIR STATION CANADIAN DEPARTMENT Of TRANSPORT IMPECTOS Of Ammar DATE OF APPROVAL OR REJECTION • 1-487 . CERTIFICATE OR DESIGNATION NO. . 701-10 - SIGNATURE OP AUTHORIZED INDIvIrWAL az,24, ,_.- PATRICK 'J. LYNCH . e FAA Fenn 337 (7-67) (8320) EFTA00278309 P4()1rICEi, 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.) . 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) K ADDITIONAL SHl±IS ARE ATTACHED C FAA AC 72-4908 EFTA00278310 it I . r. DEPAPIMENT OR TRANSPORTATION . FEDERAL AVIATION ADMINUSTaATION - MAJOR REPAIR AND ALTERATION (Aiiitatne.,Powerplant, Propeller; or Appliance) Foto: Approved • Budget Bureau No. 04-R060. t FOR FAA USE ONLY; p • OFFICE 41 N -,,: IFIr it uent INSTRUCTIONS: Print of:type all entries.-• See FAR 143..9,• PAR 43.Apii,n44.B, and AC 43.9-1 (or subsequent revision thereof) for instructions. arid diSposition of this fbrm. • ' . • . • - . ' ' • • • . . • 1. AIRCRAFT MAKE G1112912111111 mopia 0.1159B . . SERIN. NO: 181 . 7 NATIONALITY. AND REGISTRATION MARK 219799,9 2. OWNER NAME (As shown on registration certificate) 09912/ AMER/CAN MIL' ADDRESS (As shown on registration certificate) 277 PARK AVENUE N.Y., A.Y. 10017 3. FOR FAA USE ONLY , . ... . . . . . . 4. UNIT IDENTIFICATION 5. TYPE UNIT MODEL SERIAL NO. ItElMit " . ALTER- .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 attachments hereto -have•teea.made in accordance with and that the infortgatiod furniihed hereiniktrue•ind-correct the unit(s) identified in item 4 above and described 'on the reverse or the reqiiitements.cf Part 43 of the U.S. Federal Aviation Regulations to the best. sf my knowledge. . DATE • ..... -. -,„..-.-•,. . 5 , • • • 12--30-85 • - .. . 4IGikii.:frit:ok AUTHORIZED I DIVIDUAI • 4 • V. iiht THOMAS V. MCGRATH ' 7: APPROVAL FOR RETURN TO. SERVICE • Pursuant the BY Adininistragor to the authority of the Federal FAA at StAtiPAPS INSPECTOR given '- s persons speCified below Aviation Administration • OTHER FA.F.NUF*Aatiiiii.: the unit identified in item 4 was iicipetie.d in the manner prescribed by and is APPROVED • REJECTED (Specify) • • INSPECTIONAuitieitthArtori • . . . • • FAA DESIGNEE lInt FEEIAIR• STATION • CANADIAN DEPARTMENT .... OF TRANSPORT. INI.PEaCit : - ' OF AIRCRAFT • i ,- • • DATE OF A112Q130-(85 REJECTION 12-30-85 CERTIFICATE .OR • DEtIGNAntirciiti 111s93. :•.1 • 'MMU$ TORE OP LITHORIMe XI IVIDUAL ergo . iThe . • - 18862428 • (832I:” EFTA00278311 ?;. - TAA ATPCP.AFT_J:EGISTFLI‘ r CAMERA NO. DATE: • , • • 4.1-e-. . - • figenAe..4;fr A • -I. V " NOTICE .. • , . Weight and balance or operating limitation changeshall be'entered in the aircraft record. An alteration must co_ mpatible with all previous.aberalions to assure continued conformity with'the applicable airworthiness requirements. \- • 8. DESCRIPTION OF WORK ACCOMPLISHED (If more space is required, attach additional sheets. craft nationalitrond'registration mark and date work completed.) . • TEE,INSTALLATION_WAS ACCOMPLISHED III ACCORDANCE WITH MULFSBER0 .INSTALLATION/OPERATORS MANUAL. P/N. A.04/119-00 REV. El SECT. II. , THE DRITEI WIRE INSTALLEDAND INSPECTED IN ACCORDANCE WITH FAA AC 43.13-1A, CHAPTERS 11 am 1SJ and FAA AC 419.1S-EA, CHAPTER 10. EMI AND RPI CHECKS WERE PERFORMED, AS WELL AS, SYSTEMS, OPKRATIONAL TENT. NO ADVERSE EFFECTS WERE NOTED AND SYSTEM OPERATIONAL CHECKS WERE GOOD. THE SYSTEM HAS A NEOTIO/BLE EFFECT ON THE TOTAL ELECTRICAL LOAD OF THE AIRCRAFT. THE AIRCRAFT EODIPMENT LIST AND WEIGHT AND BALANCE WERE UPDATED TO REFLECT. THE CHANGES. • Itru.s Govastascr PRINTING OFFICE: 1977-711-02O200 • • EFTA00278312 , DEPARTMENT Of TRANSPORTATION • FEDERAL AVIATION ADMINISTRATION Forte Approved Budget Bureau No. 04-R060.i MAJOR REPAIR AND ALTERATION - • FOR FAA USE oNLy7.4+7C, (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... GULFSTREAM . . MODEL ' • G-11598 1. AIRCRAFT SERIAL NO. - 151 NATIONALITY AND REGISTRATION MARK N 979RA 2. OWNER • NAME (As shown on registration certificate) OGDEN :AMERICAN CARP. ..-- - ADDRESS (As shown on mgistralion certificate) •277 PARK AVENUE NEW YORK, N.Y. 10017 3. FOR FAA USE ONLY • _ . , . .. . .- . 4.- UNIT IDENTIFICATION S. TYPE • ' UNIT MARE MODEL i SERIAL NO. REPAIR . ALTER- 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 • 731 Hungry Harbor. Rd. FOREIGN CERTIFICATED MECHANIC - No. Woodmere, N.Y. 11581 CERTIFICATED REPAIR STATION ---• 1886228 . . MANUFACTURER. . . T- • D. I certify that the repair and/or alteration made to attachments hereto have been. made. in accordance.with and that the information furnished herein ,is' true and the tiiiii.(s) identified in item 4 aboye and described on the reverse or the requirements of Part 43 of the U.S. Federal Aviation Regulations correct to the best of my knowledge. DATE g - 1- sc. ... ,.. SIGNATURE OF AUTHORIZED INDIVIDUAL • 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 FAA RT. STANDARDS ,. INSPECTOR MANUfACTURER X INSPECTION AUTHORIZATION OTHER (Spocifr) . . . .. . BY • FAA DESIGNEE ' REPAIR STATION CANADIAN 'DEPARTMENT' '' OF TRANSPORT INSPECTOR OF AIRCRAFT y • .• DATE OF APPROVAL OR REJECTION ,. ' . 8 - -2- - g C CERTIFICATE OR DESIGNATION NO. IA 1886228 SIGNATURE OF AUTHORIZED INDIVIDUAL' • Thomas V. 'McGrath 01/4t1-0 V. cjt(440f---- . . .47 r • / . • - . _ . • • • - - - • • • . • • . EFTA00278313 - • 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 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 965 13411 -010,-wes'installed on:the aircraft..' :The installation was performed in ao nrdance With' the instructions of,STC.SA36NW. The units-Were installed and inspected -in accordance with Chapters 11 & 15 ;of' FAA AC'43;13-1A. andr.CfiaPter10. OfFAA:AC4'.:037A.,;;ESI:and RFI tests were performed. An electricalfiloackanalysis;vas-perfoimed with the -results being negligible. - • 'A flight teet-VIS .8eindilated-in:StCapitante...WitiOlonUfadturer's pacument Number 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. ik US. GOVERNMENT PRINTING OFFICE: 1977-771-071 ngo • . EFTA00278314 i • t': • : it A UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION•-FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE I. NATIONALITY AhO REGISTRATION MARKS 2. MANUFACTURER 14,5...rMODEL 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 therefor, to be in condition for safe operotiOn,:and: requirements of the applicable comprehensive and detailed airetwthinessloid• Or Convention on International Civil Aviation, except as noted. herein. --.....; \ A ... 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 Administrator, 'this airworthiness certifies • it effective as long os-the , 44 snaintenance, and alterations ate • 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 Any alteration, reproduction, or misuse of this aertiAcate by a not exceeding $1,000, or ins. prisonmeni not exceeding 3 yews, or bath. THIS CURING T MUST BE DISPLAYED IN THE AIRCRAFT IN ACCORD• ANCE WITH APPLICABLE FEDERAL AVIATION REGULATIO FM Form 8100-2n-671 FORMERLY FAA FORM 1362 • • - -,c1. - - • Yl Cimae• Pam. COMO ••••=.•=. EFTA00278315 Irt E' t . • : -T. - • - ' . - • ' ••••-- • . EFTA00278316 No cStificlitemey bli issued unless a completed ...Station • loan has bleat received (14 C.F.R...21) DEPARTMENT OF TRANSP9RTATION ' FEDERAL AVIATION ADMINISTRATIRN * APPLICATION FOR AIRWORTHINESS CERTIFICATE II.OTRUCIIONS — Pionebs.type: Do not write in shaded areas; these after FAA use only. Submit original only to an authorised MA Representative II addiiional space is required. use an attachment. For special flight permits. complete Sections II and VI or irpa5 applicable. . , I. AIRCRAFT DESCRIPTION 1. REGISTRATION MARK 2. AIRCRAFT BUILDER'S NAME Woo N979RA • GULFSTREAM . (.AIRCRAFT MODEL DESIGNATION 6-11598 4.YR. MFG. ' 1974 FAACODING . • g 9 gii //, 5. AIRCRAFT SERIAL NO. 151 1/4 • B. ENGINE BUILDER'S NAME Wake; ' ROLLS ROYCE,: 7.ENGINE MODEL DESIGNATION • .SPEY MK 511-8 - 5-0.5.2-3 ' • . S. NUMBER OF ENGINES 9. PROPELLER BUILDER'S NAME IMAM IO.PROPELLER MODEL DESIGNATION i 1 LAIRCRAFT IS. • TWO • N/A • N/A *HOMO ORX X X IMPORT. , . . 'ION REQUESTED APPLICATION IS HEREBY MADE FOR: (Check seplkable items) A IS, X STANDARD AIRWORTHINESS CERTIFICATE twicartesreSionf I IffORMALI ' 1 UTILITy. ' ACROBATIC X 'TRANSPORT I I GLIDER ' BALLOON B 1.. ..e SPECIAL AIRWORTHINESS CERTIFICATE (Check satliroonnt tint) LIMITED - I': CLASS( - 5M • PROVISIONAL fIncleitit demi CLASS II n..' AGRICULTUREPADPEST CONTROL AERIAL SURVEYING 3 I :Otilt lriitiING inn. RESTRICTED (Indians i anntion to - be conducted, • • - FOREST Ulan Coneentnnl PATROLLING 5 I WEATHER CONTROL -.. OTHER iSiieWO oils RESEARCH ANTICIEVELOPMENT AMATEUR BUILT 3 EXHIBITION l',.#1 4 EXPERIMENhl (IndOleoperationgs/ - .... to be conducted) . RACING CREW TRAINING 5 I I SURVEY ,- c•-• . _ ' TO SHOW COMPLIANCE WITH FAR • . Adel . • _ FERRY FUGHT FOR REPAIRS, ALTERATIONS, MAINTENANCE OR STORAGE C45 L*4 SPECIAL FLIGHT PERMIT (Indicate iA operation to tie conducted. the. - EVACUATE FROM AREA OF IMPENDING DANGER . complete Section nor Vitas . • aoolicaln on reverse sal . .. OPERATION IN EXCESS OF MAXIMUM CERTIFICATED TAKEOFF WEIGHT ' • DELIVERING OR EXPORT . 5 I PRODUCTION FLIGHT TESTING C 5 MULTIPLE AIRWORTHINESS CERTIFICATE !Check ABOVE -RestriCtedOpenrion"and "Standard" or "Lennin.- as exec-salsa III. OWNER'S CERTIFICATION A. REGISTERED OWNER Ms shown on ceilificate of aircraft registration/ IF DEALER. Ci4ECK•HERE I - NAME ADDRESS • OGDEN -AM ER I CAM CORP. • , WESTCHESTER COUNTY AIRPORT WHITE PLAINS. NY B.AIRCRAFT CERTIFICATION BASIS (Check applicable blocks and complete iteeWezt indicated) X AIRCRAFT SPECIFICATION OR TYPE CERTIFICATION DATA SHEET (Gaelic. and IrritA REV . • 15 X AIRWORTHINESS DIRECTIVES (Check if all notice:3e AD's compaed wan and give inn""`" 82-11-02 AIRCRAFT LISTING Mire page numeerlsil • N/A.. X SUPPLEMENTAL TYPE CERTIFICATE (Lest nano.. r of each STC intonate:ern . SEE ATTACHED LIST C. AIRCRAFT OPERATION.AND MAINTENANCE RECORDS • • . X D. Administration been CHECK IF RECORDS IN RL.tair7IICE WITH . CERTIFICATION — I hereby certify in acccordance wi :nspected and is airworthy and TOTAL AIRFRAME HOURS (Entter kr used incraft only1 EXPERIMENTAL ONLY tenter:nuts flown 'glee last cartilicste issues 3593.7 HRS. "'in' 7.3 HRS . .. that I am the owner for his agent) of the fl ash described above; that the aircraft is registered with the Federal Aviation It Section 501 of the Federal Aviation Act of 1958, and applicable Federal Aviation Regulations; and that the aircraft has eligible for the airworthiness certificate mutated. DATE OF APPL•CATiON 6/1/84 NAME AND TITLE !Print Or NON -. • PATRICK J. LYNCH SIGNATURE ea.c..ix b' IV. INSPECTION AGENCY VERIFICATION A. THE AIRCRAFT DESCRIBED ABOVE HAS BEEN INSPECTED AND FOUND AIRWORTHY BY: (COMO:Ste this section Only if FAR 21.183 id) apples) 2 *tit FAR PART 121 OR 127 CERTIFICATE HOLDER (Gin Certificate No.1 CERTIFICATED MECHANIC /give . . Cilrleate No. i X CERTIFICATED REPAIR STATION (Give Ceinficete N 1' • 701-10 li aiaa AIRCRAFT MANUFACTURER (Ginner* of firml GULFSTREAM AEROSPACE CORPORATION \ DA E 6/1/84 TITLE QUALITY `CONTROL MANAGER SIGNATURE . ?ara.A Si V:FAA REPRESENTATIVE CERTIFICATION (Check ALL applicable eiocksinitems A end 81 fl THE CERTIFICATEREOUESTED • A. I find that the aircraft described in Section I or yr meets requirements for: . AMENDMENT OR MODIFICAT ON OF CURRENT AIRWORTHINESS CERTIFICATE , . B. Inspection for a special flight permit under section VII • FAA INSPECTOR was conducted by• CERTIFICATE HOLDER UNDER: . F A 65 I F 210R 127 I FAR 145 DATE DISTRICT OFFICE . DESIGNEE'S SIGNATURE ANON°. . FAA I C 'ATURE 6/4/84 t ACE-181A-1 t 6/4er.- : SAV-MISO . .. .. - . • EFTA00278317 I • r -VI. PRODUCTION I FLIGHT TESTING A.MANUFACTURER .. • • • N . - NAME. • • - . :. — ' • ADDRESS 't • B.PRODUCTION BASIS (Check eseltable awn) • PRODUCTION CERTIFICATE (Gin pi-admits, estficste number/ . TYPE CERTIFICATE ONLY 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 —I- PILOT I CO-PILOT 1 1 NAVIGATOR I • • - OTHER doeeork.-• - • . VII. SPECIAL FLIGHT PERMIT PURPOSES OTHER THAN PROD' t D.THE AIRCRAFT DOES NOT MEET THE APPLICABLE AIRWORTHINESS REQUIREMENTS AS FOLLOWS: .1 • .... • - .. • ( . . • .., ‘... r • -0., : . . - '• ' - • ..• '"" . .. . _ E. THE FOLLOWING RESTRICTIONS ARE CONSIDERED NECESSARY FOR SAFE OPERATION (Useartachmont if necessary) ea ' .. .-. - • • • • • - - - -- . .. . .... . . . —. . • . : . ---- _ . . -. ... — • .. 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 r NAME AND TITLE AweWine I SIGNATURE •... i .I V,II.AIRWORTHINESS DOCUMENTATION (FAA use only) 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 when required, .., • 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 X FAR21.191 (b) CAR (Original attached) X E. Major Repair and Alteration, FAA 337 (Attach WhIlf/ Mtlefadi J. Current Airtiorthiness Certificate Issued in Accordance with . X F: This Inspection Recorded in Aircraft Records . X • FAR 21.181 (d) /copy imachoth . :t•—• . . • --<"•---7--14"-e',.:s,17- - - . . . • :••••••re • . I • • • - 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 21 Subpart FL conforms to its type certificate, the type design therefor. F), conforms to its type pitch propeller was subjected Fl (G.A.C. A.S.C. •s B. The aircraft described above, produced under type certificate only (FAR is in a condition for safe operation and was flight cher:lied on • • 0 C. The engine or propeller described above, presented \'' • (1) oft) . C. herewith for type certification, conforms to • under type certificate only (FAR 21 Subpart The engine or, if applicable, the variable on D. The engine or propeller described above produced certificate end is in a condition for safe operation. by the manufacturer to a final operational check GULFSTREAM AEROSPACE CORPORATION. NO. 300 "GIIB WING MODIFICATION") Deviations: . NONE , - • . • . • . . - . • . . • - • Mara/ • DWG. NO. 1159-2500 REV. NO-DEO ..., • . . . • e---, • . • • \ . - . . • . .. . SIG/4Af itiisivagat r PATRICK J. LYN TITLE -‘,. \ MANAGER QUALITY CONTROL ORGANIZATION • GULfSTREAM AEROSPACE CORPORATION pr' DATE 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. s t it , - ' 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 . : • FAA AIRCRAFT REGISTRY CAMERA NO. 3/V DATE : 3 7- Ea Attachment "8" Page 1 of 1 Date 6/1/84 Attachment for Application for Airworthiness Certificate for G-II8 S/N 151 N-979RA • Listing Of SupOleMental Type Certificate S.T.C. Subject 1. SA 722 EA Safe Flight SCAT System W/FMS 2. SA 1057 SW W/FMS IDC Sat/Tas Indicator with , Rose Mount Probe and Collins FD-109-Y Flight Director System and Provisions for Flight data Recorder 3. SA 1553 SW Collins INS - 61-B W/FMS. 4. SA 1861 SW Sperry ADC-200 Altitude Computer W/FMS and Alt Preselect System 5. SA 1037 SW Interior Emergency Lighting W/FMS 6. SA 951 SW (32 System, Long Range W/FMS 7. SA 1193 SW- Weather Radar RT Mounting 8. SA 999 SW (Provisions.For) Collins AUR-101 Cockpit Voice Recorder. 9. SA 1918 SW Jump Seat Installation 10. SA 2512 WE Relocate APU Speed Logic Control Unit 11. SA 1613 SW BKM Master Warning Interface 12. SE 994 EA 'Oil Tank Sight Gage Float EFTA00278323 • • . • • L. • :;" I, 9% c • .` -." . • . - -0,2' 'in '''.-sez••;"r -7.4%. . -‘ • • • EFTA00278324 'Attachment "C" Page 1 of 22. • Date 6/1/84. • Attathment for Application 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 • .• • •'.4iv•at '..1Col: agt1:, ••: • • *- EFTA00278326 Attachment for Application for Airworthiness Certificate for,GIIB S/N 151 N-979RA EFTA00278327 .4 1 • • atrTte...C..• at i t • •." .41470., 7:.? ...:0-st. 4. • e: ▪ 'LL-etrallow- . • . - EFTA00278328 • DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION : . - APPLICATION FOR AIRWORTHINESS CERTIFICATE ..,. INSTRUCTIONS —, Prir.t or type. Dc not write in shaded areas; these are for F 4A use only Submit original crgy to an authorized FAA Representative. II additional space ts required, use an attachment. For 'special flight minus complete Sections ll and VI or vii as aPPliCable • ICRAFT1 SCR IPTION 1. REGISTRATION MARK N -979RA 5. AIRCRAFT SERIAL NU. 151 - 2 AIRCRAFT 'UILDER'S NAME Wend GULFSTREAM B. ENGIN9 BUILDER'S NAME Marl ROLLS-ROYCE 3. AIRCRAFT MODEL DESIGNATION le .YR. MFG. G-11596 1.1974 FAA CODING . - 7. ENGINE MODEL DESIGNATION SPEY MI: 511-8 10.PROPELLER MODELDESIGNATION 11.AIRCRAFT IS. 8:NUMBER OF ENGINES TWO I. PROPELLER BUILDER'S NAME Mahe "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 tu PROVISIONAL ithelicets duel nit. CLASS It 3 0 tu ,----7 G i A" RICULTLHTEANDPEST CONTROL 2 $114 : ' • AERIAL SURVEYING 3 i I tK IA LTISING 2 ST RE RICTED andicat mention to ..,, . be conducted/ ISM FOREST (Wedge conservation, 4 PATROLLING i I I WEATHER CONTROL 0 ... " • L".11 ,• OTHEn Mosey/ V IgrAll RESEARCH AND DEVELOPMENT 2 AMATEUR BUILT 3 I EXHIBITION EXPERIMENTAL (lactate opeciNonis/ • to becondueral) t_'..,4 ---..:,- RACING I CICW TRAINING 4 MKT SURVEY TO SHOW COMPLIANCE WITH FAR .. " q r, L FERRY FLIGHT FOR REPAIRS. ALTERATIONS. MAINTENANCE OR STORAGE • 0 Sc'ECIAL FLIGHT PERMIT (indicate operand" robe conducted. then r. -r 6it EVACUATEFROM AREA 0F9.1PENDING DANGER ccfneNteSeirion Woe Wi Vadat* on Jenne sloe! n 2 OPERATION IN EXCESS OF MAXIMUM CERTIFICATED TAKEOFF WEiGHT 4 I DELIVERING OR EXPORT 4 PRODUCTION FLIGHT TESTING C 1 I I MULTIPLE AIRWORTHINESS CERTIFICATE (Check ABOVE "RettfiCtOd °prawn" and "Standen:I- or "bmgeo." es ODDiCable ) V . FAA I IV. IANINZT 10 N REPRESENTATIVE III. OWNER'S CERTIFICATION CERTIFICATION • VERIFICATION A. REGISTERED OWNER fAs shown on certificate ot aircraft registration' • IF DEALER. CHECK HERE I NAME • OGDEN-AMERICAN CORP. ADDRESS WESTCHESTER tOUNTY AIRPORT WHITE PLAINS, NY. El .AIRCRAFT CERTIFICATION BASIS !Check applicable blocks and cornplete 'firsts indicated) . . AIRCRAFT SPECIFICATION OR TYPE CERTIFICATION DATA SHEET (Gin No.- and Revision Nod . N/A AIRWORTHINESS DIRECTIVES (fleck Attest AD Nod Na if arrappl-cao: e AD's compieo awn ono cve AIRCRAFT LISTING (Give page nomberf in - • SUPPLEMENTAL N/A TYPE CERTIFiCATE Iter N/A numoet ot taco S7.: axon:lowed) C. AIRCRAFT OPERATION AND MAINTENANCE RECORDS • - - t, A HECK IF RECORDS IN AR 9i .i OMPLIANCE WITH 73 TOTAL AIRFRAME HOURS (Enter for used aircraft °Nei 3586.00 HR. b._ EXPERIMENTAL ONLY or---di ' di N/A 'Enter Frours lbws since Last Certibcare caved' / ' D. CERTIFICATION - I hereby certify that I am the owner (or his agent) of the aircraft described above; that the aircral: Administration in ecccordence with' Section 501 of the Federal Aviation Act of 1958, and applicable Federal Aviation been inspected and is ainvortiw and eligible for the airworthiness certificate requested. is registered with the Federal A;iialtof - Regulati,ms; and that the aircrati. has DATE OF APPLICATION 5/16/8.4 NAME ANDTITLE /Print or Time/ ROY CHRISTIANSEN - AGENT A. THE AIRCRAFt• DESCRIBED ABOVE HAS BEEN INSPECTED AND FOUND AIRWORTHY BY: (Complete this rion only if FA .183 (di appbes) 2 FAR PART 121 OR 127 CERTIFICATE Corn:Kate No.I HOLDER (Give CERTIFICATED MECHANIC (Gat ' • . Cettikste No.! ..• CERTIFICATED REPAIR STATins IGin Certificate No .. • aml AIRCRAFT MANUFACTURER (GNI; monied finn1 DATE TITLE SIGNATURE . - (Check ALL topic** blocks in nen A and El . ... Vi„)( THE CERTIFICATE REQUESTED A.I find that the aircraft described in Section I or VII meets requirernentS for: is AMENDMENT OR MODIFICATION OF CURRENT AiRwORIHINESc CFR 1 FICATE B. Inspection for a special flight permit under section VIE FAA INSPECTOR • was conducted by CERTIFICATE • i HOLDER UNDER'. FAA 65 FAR 121 OR 127 I FAR 145 DATE DISTRICT OFFICE DESIGNEE'S SIGNATURE AND N . , ACE 181A-1 for.../KS-. DMIR 5/24/84 SAV -MISO PATRICK J. L CH ACE-1 FAA INSPECTOR'S SIGNATURE 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 FLIGHT TESTI? B.PRODUCTION BASIS (fleck spoficabb item/ . • • - . IPROc • '•N CERTIFICATE Win procksticm aninalts Humble ' TYPE CERTIFICATE ONLY • . . 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 • • • VII. SPECIAL FLIGHT PERMIT PURPOSES OTHER THAN PRODUCTION FLIGHT TEST A.DESCRIPTION OF AIRCRAFT • REGISTERED OWNER • . • . ADDRESS • • BUILDER (Mats/ MODEL . . ...-. —.. o!'• ' • ' • ‘ i SERIALNUMBER • • rn" :• ... REGLSYBATON MARX • . l B.D ... l SCR IPTION OF FLIGHT N, 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 to— w A. Operating Limitations and Markings in Cornpliande with FAR 91.31 as Applicable G. Statement of Conformity, FAA Form 8130-9 (Attach when.requiredl H. Foreign Airworthiness Certification for Import Aircraft IA torch when requinxf 1 zw ot it 1-. X B ,Current Opeating Limitations Attached . . . I. Previous Airworthiness certificate Issued in Acmdanco with ' FAR 21.183 (d) CAR - !Original enschern t- It 0 et • 0... 2 ; C. Data, Drawings, Photographs. etc. (Amen soften required) X 3 4 et X D D. Current Weight end Balance Information Aviilable in Aircraft J . Current Airworthioass Certificate Issued in Accordance with -- FAR 21 191 (b) . so-Rye/ate& • 0 4 <Oil: E. Major Repair and Alteration. FAA 337 fIttsch when ',oz.:Trod) . ≥ X F. This Inspection Recorded in AircraftFtessords . . nY • .;:*: ,...kt tOrti llt.i lf>n r: ' '741;17.de , EFTA00278330 UNITED STATES OF AMERICA DEP4R•TMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION STANDARD •AIRWO NESS CERTIFICATE 5. AUTHORit T AND BASIS FOR 1551JATICEJ -'1‘-----t- -=:" iTh \\\zi This airworthiness certik Ciel ohrtisfissued pursuen lie ire o) Aviation NO ok 958 and certifies that, os of the ' . dote of issuance. Ow oircrtift to."-rerhich issued hial-inirs•- • inipectvel and fogad cordage; to the type certificate therefor. to be in condition fed...sole opedstian,_dad.A6C-Isiers 'shown to Mak therequirements of the applicable reatatrhentivst and detailed oirworthines4 'code as-inracred by Alien i TO- TS Hors en Intermission& Civil Aviation, except as noted'herein. ' . .---..--7.: -/ Alai t Exceptions: TERMS AND CONDITIONS •  Unless sooner surrendered. 'statische). revolted, or a is m:notion this airworthiness certificate is Aective as long Or em 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 ", • ..• .• r• v• ^-• DEPARTMENT 'UNITED STATES OF AFIERICIle OF TRANSPORTATION — FEDERAL AWATIONADMININTRATION SPECIAL AIRWORTHINESS CERTIFICATE: A CLASSIFICATION: EXPER . PURPOSE: gm 'S MANU- FACTURER ACTOR - - C FLIGHT CRON In ' TO D N— 97944.A S 7..4R NO. ibl. BUILDER a ii M liele11596 E DATE OF ISSUANCE rio 5 RY 6/24/84 OPERATING LIMITATIO Bil 5/ 4/4 11 /4 E A PART OF THIS CERTIFICATE SI PAIR E T a I"' ESIGNATION OR OFFICE NO. 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. CRA B • tasatrt-IRROSir--t---- amTRI6•MerEltrolgati__LIRSIERF . ---311W r ed'..ertw•-• " EFTA00278333 . . • This airworthiness certificate' b head ttadat the authority of the Federal Aviation Ast a 1958 end the Federal Aviation Regulations (FoR). @ . • B 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 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.. D .-.-4 E 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; 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. Unless sooner nupentled, or revoked, this eirwortlxinets certificate is effective' 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 Vilicki 4 DEPARTMENT Of tautsFosnanotLI:i" FEDERAL AVIATION ADMINISTRATION MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, - • " or Appliance) FormAAPromIci- Budget Bureau No. 04—R0i50.1 FOR FAA USE ONLY OFFICEmlifigeffeftoo 74.67 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. 1. AIRCRAFT MAKE GULFSTREAM i .. , MODEL G-1159B SERIAL NO. . . ... 1.51 -.: .- -...-. , •- • NATIONALITY AND REGISTRATION MARK - ... U . S .A . N -979RA 2. OWNER NAME (As shown on registration certificate) • OLDEN-AMERICAll CORP.. ADDRESS (As shown on registration certificate) WESTCHESTER COUNTY AIRPORT WHITE PLAINS, NY 10604 3. FOR FAA LISE ONLY. • c, -• &.:: • .::.:.•-!-:•-: • . : .. . . -. . ... • • • .. . . . .. •• . . • ..- . ..-. .. . . .. .. . .... . , 4. UNIT IDENTIFICATION S. TYPE UNIT aMUCF . MADO EL SERIAL NO. REPAIR ALTER- ATION AIRFRAME sienetenest (As descra,ed . _ in item I X X above)siNianntreetann POWERPLANT _ . . .. . ..._....... . . • - . a PROPELLER APPLIANCE TYPE / . I MANUFACTURER \-\\ 6. CONFORMITY STATEMENT A. AGENEY'S NAME AND ADDRESS S. Kil4D Of AGENCY C. CERTIFICATE NO. GULFSTREAM AEROSPACE CORPORATION P. 0. BOX 2206 —. TRAVIS FIELD SAVANNAH, GA.. 31402 u.s. csansic.Asso MECHANIC • 701-10 FOREIGN CERTIFICATED MECHANIC X CERTIFICATED REPAIR STATION 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 Regulation?, and that the information furnished herein is true and correct to the lieu of my knowledge. DATE • 5/30/84 SIGNATURE OF AUTHORIZED INDIVIDUAL . . . . .. . PATRICK J. LYNCH en 7. APPROVAL FOR RETURN TO SERVICE Pursuan the BY to the authority given persons specified below, the unit identified in item 4 Administrator of the Federal Aviation Administration and. is ['APPROVED LLREJEC. was inspected in the manner prescribed by FAA H.T. STANDARDS INSPECTOR MANUFACTURER IN:SPKTIC44 AUTHORIZATION OTHER (Specify) .1/4. FAA DESIGNEE „, A REPAIR STATION . CANADIAN DEPARTMENT Of TRAM:SPORT IN Of P.M:RAFT DATE OF APPROVAL OR REJECTION 5/31184 CERTIFICATE OR DESIGNATION NO. 701-10 SIGNATURE OF AUTHORIZED INDIVIDUAL PATRICK J. LYNCH e h• -„--e-d___ c.cue - • • 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 LIFELINE 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 .'• . - WCI.7 Ire! 14" . • sIlitcy• ..• EFTA00278338 - - DEPARTMENT OE TUNSPORTATION - . ,..„, FEDERAL AVIATIONAWAINISTitATIOW • - 'N . Fen* Akfuotud • Budget Bureau No. GE-R060.t • FOR FAA USE ONLY MAJOR REPAIR AND ALTERATION . fAirfrcime, Powerplant, Propeller, or Appliance) OFFICE thialtifTELOym 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 . - > ' • . GULFSTREAM • % -- •• MODEL • • : •.: G-1159ri. 1. AIRCRAFT ..> SERIAL NO.' • 1.51 NATIONALITY AND REGISTRATION MARK U,S.A. N-979RA . 2. OWNER NAME (As shown on regidiatieri eeetifioatel - - • OGDEN-AMERICAN CORP. . ' ADDRESS (As shown on registration certificate) , WESTCHESTER COUNTY AIRPORT WHITE PLAINS, NY 10604 • 3. FOR FAA USE ONLY • • . - . . • -- . . . . _ .:...:— s••• , .;• . " . - • - . . ' . • _ _.. . • , .. ' . -.• • - • 4. UNIT IDENTIFICATION • • S. TYPE UNIT MAXI . .. • "SERIAL NO. — REPAIR ALTER- 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 attachments hereto have been made in accordance with and that the information furnished herein is tree and the•unit(s) identified in item 4 above and described on the reverse Of the requirements of Pact 43 of the U.S. Federal Aviation Regulations correct to the best of my knowledge. DATE - • - • - - . • 5/30/84 • SIGNATURE OF AUTHORIZED INDIVIDUAL • _ . • ,.. a_!..„ ., 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 fAA H.T. STANDARDS INSPECTOR MANIKFACTUREW . - . _ . .. .. INSPECTION AUTHOMEATION OTHER (Siseify) , BY FAA DESIGNEE X ... REPAIR STATION - • CANADTAN DEPARTMENT OE TRANSPORT ftsrearot Of AMOUUT . c .. DATE OF APPROVAL OR • REJECTION • . . 5/31/84 . - CERTIFICATE OR DESIGNATION' NO: 701-10. . SIGNATURE OF AUTHORIZED INDIVIDUAL. • . PATRICK J. LYNCH Po— --ki • .„,...eff ...... 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 OPERATING ALTITUDE - CERTIFICATION R4VISEWEIGHTANOBALANCE-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// DATE: 3 -.1 7 43 ••• -..Ez.- nct--"-l'n, illnars- • ;..,--- :,..-- ---' 7 51'7-"Tenr, ---4:•:-4. .)"- WrZli;:mi..P•••-•.:x4k; .:IX-.."?'"A. T.,- Aft.,.., , e.**•;-:-4..7. Ty- -kt.......;.-- ...,•r.. • ''' k, A' ;.irtitZ.17,14,5 i - 5... N;,..i.n-n, .. ,. _, , '" . ". linY ilier - 4.- 4;1 . V•• • .14 ti n z1•-iii ..ft‘'.7‘;‘:1--% • c -; • • . , EFTA00278342 ea DEPARTMENT OF naanSPOiti AMON' FEDERAL AVIATION ADMINISTRATION •••••• : :.: • - - - Fora Approned . Budget Bureau No. 04-R06O.1 REPAIR AND ALTERATION, - FOR Fill IISE ONLY -MAJOR • (Airframe, Powerplant, Propeller, or Appliance) gle2N OFFICE Ipityl i 7-0-01 . INSTRUCTIONS: Print or type all entries_ See FAR'43.9, FAR 43 Appendix El, and AC 43:9-1 (or subsequent revision thereof) for instructions and disposition of this form. • - - • MAKE I GULFSTREAM MODEL G-1159B 1. AIRCRAFT SERIAL NO. 151 NATIONALITY AND REGISTRATION MARK - U.S.A. N —979RA 2. OWNER NAME (As shows: on registration certificate) - ,. OGDEN-431ERICAN CQRP. ADDRESS (As shown on registration certiFcate) WESTCHESTER COUNTY AIRPORT WHITE PLAINS, NY 10604 3. FOR fAA USE ONLY . • - - 4. UNIT IDENTIFICATION 5. TYPE - . UNIT MAX/ . MOOR SERIAL NO. REPAIR ALTER- ATION AIRFRAME • . eeenairens (As descraied in item 1 Save) noineeto-nonneenon X POWERPLANT PROPELLER APPLIANCE TYPE MANUFACTURER 6. CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS , B. KIND OF AGENCY C. CERTIFICATE NO. GULFSTREAM AEROSPACE CORPORATION U.S. CERTIFICATED MECHANIC P. O. BOX 2206 - TRAVIS FIELD FOREIGN CLITIFICATED MECHANIC SAVANNAH, GA. 31402 X CERTIFICATED REPAIR STATION 701-10 - MANUFACTURER D. I certify that the repair and/or alteration made to attachments hereto have been made in accordance with and that the information furcultied herein is true and the unit(s) identified in ;kern 4 above and- described on the reverse or the requirements of Part 43 of the U.S. Federal Aviation Regulations correct to the best of my knov. ledge. DATE .... 5/12/84 SIGNATURE OF AUTHORIZED INDIVIDUAL 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 BY FAA ELT. STANDARDS INSPECTOR MANUFACTURER INSPECTION AUTHORIZATION OTHER (SponEr) FAA DESIGNEE X REPAIR STATION CANADIAN tEPARTMENT., OP TRANSPC2T INSPECTOR Of AJRCIAFT - DATE OF APPROVAL OR : REJECTION 5/14/84 CERTIFICATE OR DESIGNATION NO. 701-10 ' SIGNATURE OF AUTHORIZED INDIVIDUAL PATRICK J. LYNCH 1/4"cknj - k-/cis - ---42,0( -• • ' ^ flicepr4.F• EFTA00278343 NOTICE-. . Weight and balance or operating limitation changes shall be entered In the oppropiiate aircraft record. - An alteration must be compatible with all previous alterations to assure continued 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 ' . . FEDERAL AVIATION ADM ' . MAJOR REPAIR AND ALTERATION • (Airframe, Pewerplanf, Propeller, or Appliance) Fora Approved B BadgerBureau Na.04-R060.1 INISTRATION FOR FAA USE ONLY . OFFI C"--pThETEFRTI 7 ON -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. 1. AIRCRAFT MAKE GULFSTREAM MODEL- I G-11598 SERIAL NO. 15I -• NATIONALITY AND REGISTRATION MARK U.S.A. N-979RA 2. OWNER NAME (As shown on registration certificate) OGDEN-AMERICAN CORP. ADDRESS (As shown on regixtrcrtion certificate) Westchester County Airport 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 _ . APPLIANCE TYPE - • • - . • . MANUFACTURER • 6. CONFORMITY $TATETAENT A. AGENCY'S NAME AND ADDRESS 5. LINO •.Of AGENCY C. CERTIFICATE NO. GULFSTREAM AEROSPACE CORPORATION P. 0. BOX 2206 - TRAVIS FIELD SAVANNAH, GA. 31402 U.S. CERTIFICATED MECHANIC 701-10 FORE /ON CERTIFICATED MECHANIC x CERTIFICATED REPAIR STATION 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 5/11/84 SIGNATURE OF AUTHORIZED INDIVIDUAL PATRICK J. LYNCH eank1 7. APPROVAL FOR RETURN TO SERVICE Pursuan the BY to the authority given persons specified below, the unit entified in item 4 was inspected in the manner prescribed by Administrator of the Federal Aviation Administration and is APPROVED IIICREJEL. f}-0 FAA RT. STANDARDS INSPECTOR PAANUFACRIttlt INSPECT ON AUTHORIZATION OTHER (SpersFy) FAA DESIGNEE X REPAIR STATION CANADIAN DEPARTMENT OF TRANSPORT INSPECTOR Sit AIRCRAFT DATE OF APPROVAL OR REJECTION 5/12/84 CERTIFICATE OR DESIGNATION NO. 701-10 SIGNATURE OF AUTHORIZED INDIVIDUAL 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 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- craft nationality and registration mark and date work coinpleted.) ACTT: 3586 ACTL: 488 LANDINGS REF. GULFSTREAM AEROSPACE CORPORATION WORKORDER NO. CO2-151-084-2924 1. INCORP. GULFSTREAM AEROSPACE A.S.C; .. NO;., CORPORATION AIRCRAFT SERVICE CHANGES LISTED. \ 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 CONTROL 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 A.S:C: NO. AIRCRAFTSERVICE CHNAGES LISTED 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 :. . • • '-% ?UAL AVIATION ADMINISTRATION l • . . MAJOR REPAIR AND ALTERATION . (Airframe, Powerplant, Propeller. or Appliance) :. Form Approved Beeket Bateau No. 04—R060.1 J FOR FAA USE ONLY oFFia IDENTIFICATION FTY FSDO . . 7 INSTRUCTIONS: Print or type aU entries. See FAR 43.9, PAR 43 Appendix B, and AC 43.9.4 (or subsequent revision thereof) for instructions and disposition of this form. • . • 1. AIRCRAFT GULFSTREAM MAKE _ .. i - " -. MODEL • G-1159B SERIAL NO. 151 " . . - NATIONALITY AND - REGISTRATION MARK U.S.A. -N-979RA 2. OWNER NAME (As shown an registration aortieteMe) . . N, OGDEN-AMERICAN CORP.' : - . ADDRESS (As shown eogrogistration certificcrTs) - WESTCHESTER COUNTY AIRPORT • WHITE PLAINS, NY 10604 -,. 3. FOR FAA USE ONLY - . • -.,.. . \ - • • • \ • • . . • - \ 4. UNIT IDENTIFICATION \ • S. TYPE •-• UNIT MAO MOOS \ SERIAL NO. REPAIR ALTER- 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 P. O. BOX 2206 - TRAVIS FIELD' \ SAVA NAH, GA. , _31402 -. . • .. . - . U.S. CIEDFICAND MECHANIC 701-10 fOttIGN CERTITICATI0 MECHANIC X CRITIFICATI0 IMPAIR STATION ' . MANUFACTURER . D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments 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 ' ..- ' . • - _ " -.. - - . .A/9/84 SIGNATURE OF AUTHORIZED INDIVIDUAL al:Zjeti - PATRICK J. LYNCH ,,,' / 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 (3eAPPROVED CI REJEIt'slM . - BY PAS, ay. STANDARDS MANULACIIIIER . INSPECTION AUTNORIZATION OMER (Smelly) . PM DESIGNEE IP REPAIR STATION CANADIAN DEPARTMENT Of TRANSPORT INSPECTOR ,or AIROLAPT . DATE OF APPROVAL OR '•IREJECTION 5/10/84 • " -- CERTIFICATE OR - DESIGNATION NO. • SIGNATURE OF AUTHORIZED INDIVIDUAL 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 • Li ; DEPARTMENT OP TRANSPORTATION ' ,), -.. . , FEE* RAL AVIATION ADMINISTRATION • - f -rat et ,..- rift:, ..r.: MAJOR REPAIR AND ALTERATION . (Airframe, Powerplant, Propeller,.or Appliance) 'Form Ap krona' - Budget Bureau No. 04-R060.1 FOR FAA USE ONLY OF ICE IDENTIFICATION (2 RilD 1 , 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. I. AIRCRAFT MAKE Gulfstream MODEL G-1159* NATIONALITY AND REGISTRATION MARK U.S.A. N -979RA • SERIA .NO.,.. 151 2. OWNER NAME (As shown on registration certificate) -Ogden - American Corporation ADDRESS (As shown on registration certificate) Westchester County Airport 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 : i TYPE --, 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 X CERTIFICATED REPAIR STATION 701-10 • Savannah, Georgia 31402 MANUFACTURER D. 1 certify that the repair and/or alteration made to attachments hereto have been made in accordance with and that the information furnished herein is true and the unit(s) identified in item 4 above and described on the reverse or the requirements of Part 43 of the U.S. Federal Aviation Regulations correct to the hest of my knowledge. DATE 21 April 1982 - SLAT E F IZ D DIVIDU - Patrick J. ync 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 Federal Aviation Administration and is bil APPROVED • REJECTED BY FAA at. STANDARDS INSPECTOR MANUFACTURER utSRECIION AUTHORIZATION OTHER (Sperofy) FAA DESIGNEE , A AIR REP STATION CANADIAN DEPARTMENT Of TRANSPORT INSPECTOR OF AIRCRAFT " 11.,:_...... DATE Of APPROVAL OR REJECTION 22 April 1982 CERTIFICATE OR DESIGNATION NO. 701-10 SIr cr eyellRIZED IVIDU 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; "e.,••i-•t'sbs-..N. DEPART/of, lb, TRANSPORTATION , .:. l, Form Approved - .:_;,_'Budge! Bureau No. 04-R060.i FEDERAL AYIA-ICON ADMINISTRATION MAJOR REPAIR AND ALTERATION FOR FAA USE ONLY • • :Airframe, Powerplant, • Propeller, or Appliance) OFFICE IDENTIFICATION 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. . ., 1. AIRCRAFT. MAKE . . . • Grumman MODEL - G-1159 • . SERIAL NO. - 151 .,. - -- .... • . _._.... NATIONALITY AND REGISTRATION MARK ..N-97CRA - 2. OWNER NAME (As shown on registration certificate) .. Ogden American Corporation- ADDRESS (As shown on registration certificate) 277 Park. Lane New York, New York 10017 3 FOR FAA USE ONLY _ • . : • • - • • • - _ . ... , .. • . '-• 4. UNIT IDENTIFICATION 5. TYPE'--: • ..• - • . • UNIT • • . . . • . - - MODEL SERIAL NO. REPAIR ALTER- ATION AIRFRAME . . . . . . _ .. . - . •Nrie4449:40;ine‘seani-ing (Ai qescirilked in item 1 ahove)nnenikimmenner . . . . POWERPLANT PROPELLER . - • _. ... -- --------- APPLIANCE TYPE . • MANUFACTURER ' o. • • • 6: CONFORMITY STATEMENT A AGENCY'S NAME AND ADDRESS- • B. KIND OF AGENCY C. CERTIFICATE NO. D.L. Coppinger X U.S. CERTIFICATED MECHANIC 3628 Woodleigh Drive - . FOREIGN .CERTIFICATED MECHANIC • A&P 5032.§9 . Dallas; Texas 7522? CERTIFICATED REPAIR STATION MANUFACTURER D. I certify that the repair and/pi alteration made to • Attachments hereto have been made in accordance with and that the information furnished- herein is true and the unit(s) identified in item 4 above and described on the reverse or the requirements of Part 43 of the U.S. Federal Aviation Regulations correct to the best of my knowledge. .. . DATE " March 24,:1978 SIG TURE OF AUTHO INDIVIDUAL " , • 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 the Administrator of Federal. Aviation Administration and is fl APPROVED - f LUJE...itu BY FAA FLT: STANDARDS INSPECTOR - MANUFACTURER • - • X INSPECTION AIJTHORIZAION OTHER (Specify) ' . . - • • FAA -DESIGNEE REPAIR STATION • CANADIAN DEPARTMENT OF TRANSPORT INSPECTOR OF AIRCRAFT ' . DATE OF APPROVAL 'OR • REJECT:ON .., - March 24, -1978 ' CERTIFICATE OR. -, DESIGNATION NO. ' • 'ono 3' 2 4)9* SIGNATURE OF AUTHORIZED INDIVIDUAL D.L. Coppinger 7 7 0.7stiscar-4-- 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 , DEPARTMENT OF TRANSPORTATION c -4 5e, 477. 41-,i: ._ . n.lia - - • -..........- . f ERA,. AVIATION ADMINgStRATION . MAJOR REPAIR AND ALTERATION it.k •-- '41' 151v . ____, . . . • r4r • - . . , : (Airframe, Powerplant, Propeller, or Applianc - Ace) ".,-, L.-• Form Appeared Budget Bureau it 04-RONLI ..i_FOR OFFICE . igk:gr1 Felei UV •OSIS . ----.'''; —.Z.--.. IDENTIFICATION iNsTRUCTIONS: 1.--.1r:h-,.rratriOns. - Print or type all entries: See FAR 43.9, FAR.43 Appendix Ha disposition of this form. : • • ' /mum - . Grumban :Ix . . B. 0- te AC 43.9-1_ for'siflaqUint revision thereof) . • .. .• more . • • • G-1159 . • • 1. AIRCRAFT ..... . Z OWNER SERIAL NO., . • . - - 1 .7 • - 51 NAME (As shaven on registration certificate) . •• •••.• - — • • , • erican.Qorporation tm Ogden NATIONALITY ADDRESS (As Hangar . Whites AND REGISTRATION 1 A •rp7 .-. _ registration certificate) .County A/P .. Nevr ..Yoris 10604 rfit, own on D Westchester Plains, •••:-; 3: FOR FAA USE ONLY.. • -• . . . . •••• - • . . • • - , • 4. UNIT IDENTIFICATION --- I • 5. .TTPE UNIT ...:.--. . 'AIRFRAME. • , • - MODEL - SERIAL NO. REPAIR •. • . ALTER- • ATIOPI • .. . • -.43flawiTisnihtana40-00! (As described in item I above)enneeeitweenneien# • . X . • PQWERPLANT . '-- . • i ' . • PROPELLER .' . :.• -. ' . • APPLIANCE TYPE • .. —Flap .asSebb - • - 1].59C200005-2- - .. 151- R/H >t MANUFACTURER . . Grumman. .• 6.. CONFORMITY, STATEMENT :. . A. AGENCY'S NAME 'AND ADDRESS ... . B. KIND 'or AGENCY C. CERTIFICATE NO. Grumman American A-dation .Corporation P.O. Box .?206.- Travis Field • ' . . Savannah, Georgia -31.402 . ' • • .. U.S. CERTIFICATED MECHANIC • 703.-10 FOREIGN CERTIFICATED MECHANIC . • . X CERTIFICATED REPAIR STATION • MANUFACTURER .'....". . . D. I certify that flit:repair an-silor. alteration made -to the unit(s): identified in item attachments hereto have been rdadc-in .accordance with the requirement's of Pan 43 and that the informatial furnished .hereinis true and correct to the bek of my knowledge. • 4 above of the NDIVLD i tri and described. on•the- reverse or U.S. federal .Aviation Regulations • - • • DATE ' - ... .. • . . .. --..__ . 20 July 1976 - - . . - ...• SIGNATURE OF- AUTHORIZED • L. . . ynch . • -.:•-• prescribed pursun ilta . • DA 1 • k riEEMON ?a ._......_-. Adminiitrator . • - 7. APPROVAL FOR RETURN-TO SERVICE - • • . . - given personi.ipeciked below: the anit'identified in item 4 was insUccted in the manner Aviation' Administration and is . M APPROVED ['REJECTED _ by -.1 _ix the atithority, of the F.,deral . 2F Jo2y FAA INSPECJOR • *AA APPROVAL • 1 976 : KT. STANDARDS . ' MANUFACTURER 11. - ' • ' .. %. .•'. . • •• . INSPECTION CANADIAN OP TRANSPORT OF. AUTHORIZATION . OTHER ! (Specify) . • • • . • . - - - , ... . . DESIGNEE - .x . ' .. -.• REPAIR StAilON. - t ' ' • DEPARTMENT. . .INSPECTOR . . AIRCRAFT ' - . - OR . • . - . , .. ,,.DESIGNATION . . CERTIFICATE OR . ; NO.- •-• ' 701-10 SIGNATURE OF AUTHORIZED IN D •••••• • •.eat-ei.,_.e t - ,.. . Patric - EFTA00278355 FAA AIRCRAFT. REGISTRY • CAMERA NO. 0.- DATE: I it: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 • • •.:•• • -. • ••••7/•:'. . . . .... , "rti.t EFTA00278358 DEPARTMENT Of TRANSPORTATION FEDERAL AVIATION ADMINISTRATION. • Ca 4 21 Pr !t .•• ' Fans Approved Bcdgef Bureau No. 04.4060 I FOR F.4.i USF ONLY MAJOR REPAIR AND ALTERATION 0GP1/400 -1 (Airframe, Powerplant, Propeller, or Appiiancey °POLE IFICATION 7 . INSTRUCTIONS: Print or type all entries. See FAW43.9, FAR 43 Appendix ll:1;ii.4 AC43.9-1 tar subsequent revision ihereof; for ic?tructions and disposition of this form. . . • . '•'' ' . MAKE • .•-.-• Grill:man - MODEL ' - • G-,1159 ' I AIRCRAFT'' SERIAL NO. . • ' • ' • . - .; 3.51- - ::-. :- : . . NATIONALITY AN TI MARK • a • H979 - • .1)/ A/4 -. 2. OWNER NAME (As shown on'registrationarrtificatil . ADDRESS (As shown on registration certificate; • Hangar A Westchester Connty.airport . • Ogden-Americtin Corporation White Plains; New York 10604 3: FOR FAA. USE ONLY . ••••• • . . -; .. . . • • • 4. UNIT IDENTIf!CATION - 5. TYPE .. . :-.4r.I - • . • _ . - % SERIAL NC:: - REPAIR ALTER- . ADON . • ' • .. AIRFRAME .--.. . .• . . . . . . . • -- • . • - . :461INAPinfeneene4~ 4 (As Clascribed in item 1 above)nneneen.:•••;ilenite ''. ..... ... -.. - . r — . X POWERPLANT .i. . PROPELLER .7 • •• --. . • r• . • . . TYPE • . •, .- - • ' • ' APPLIANCE MA NUFACTURER • . • 4 • . - . .- ' 6. CONFORMITY STATEMENT - A. AGENCY S NAME AND ADDRESS • B. KIND OF AGENCY • C.' CERTIFICATE NO. Grumman American Aviation Corporation U.S. CERTIFICATED MECHANIC .P.O. Box 2206 - ttravik•gie1s1 ' ICHIE/ON CERTIFICATED. MECHANIC . Savannah, Georgia .311+02 " • .14 CERTIFICATED REPAIR STATION . 701.10 t MANUFACTUREIT'' D. 1 certify chat the repair and/or alteration Made to attachments hereto have been made in accordance with and that the information furnished herein it true and the unit(s) identified in hem 4 ;hove and described on the reverse•or the: requirements of Part 43 of the U.S. Federal Aviation Regulations conics to the best olmy klibwledge. ' DATE • . 19 March 1976 SIGNATURE OFWTHORFD INDIVIDU a r3. ' L4ync . 7. -APPROVAL FOR RETURN TO SERVICE. . . - - • Pu stiant :43 the authority Alvin persons specified bells*, the unit identified in item 4 was inspected in the 'manner prescribed by. the Administrator of the Federal Aviation Administration' and is )pi APPaOVED ID REJECTED . . ' -FAA FLT. STANDARDS INSPECTOR 'MANUFACTURER •• ..... ...-......... INSrman.rn AUTHORIZATION I°11". :(sPecifil .- .. . BY FAA DESIGNEE X • • REPAIR STATION . . CANADIAN DeARTMENT OF TRANSPORT INSPECTOR Of Amain -• DATE OF APPROVAL OR - REJECTION ' • -- 20 !arch -197,6 CERTIFICATE •ClR . DESIGNATION NO. . 701-10: SIGNATURE OF AUTHOWED D . ... IC . . . 0 -'- . Patrick . . FAA Form 337: v -on (8320) EFTA00278359 yy Ali._ r•s - - - 7 .r CI:t -:"-' ...... > 12 c" := .ri..T.. . ? • C. • . ' tz. a, - 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 r,system".. ' 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 AEI 4. • • Im••••• AA A ...A • • • • ... . 1 • •• ••••-*.- EFTA00278362 O • FEDERAL. AVIATION AGENCY • . Form Approrrd Budget Bureau No. 0-1.—R060.1 MAJOR REPAllt. AND ALTERATION . FOR FAA USE ONLY (Airframe, Powerplant, Propeller, or Appliance) OFFICE IDENTIFICATICalL 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 , Grumman MODEL 6.1159 1. AIRCRAFT SERIAL NO. • 152 • NATIONALITY AND REGISTRATION MARK N979RA • 2. OWNER NAME (As shown on registration certificate) ... Ogden .Auserican Gorse ADDRESS (As sho‘sts on registration certificate) 77 Park Avenon ow York. Nn York 10017 3. FOR FAA USE ONLY :Thrctiber edrinasiritIsartatefralgtusilFbrajecelilttioaansdd coihnsefoarenn i:PnritocyttlemdinP.sioliileityvif:oitnrhtabpeypaliablbpeleerdsactisrn: • 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 I PROPELLER D • UAR 1 c iv t L I: APPLIANCE TYPE &IAA. 0 &LELA GA nO MANUFACTURER L. CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS B. KIND OF AGENCY -Mt-clew:1W ..C. CERTIFICATE NO. Aircraft itel Redbird Airport . P. Co $O=24889 Danes, Tens 75224. • U.S. CERTIFICATED MECHANIC (FOREIGN CERTIFICATED MECAMMIC RS 3834 Radio i CERTIFICATED REPAIR STAT1bN sat! Airframe 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 .... lisich,14. 1975 SIGN I O -.AUT (ZED I ..--y - rs'Vee - -..(- 7 7. APPRO Al FOR RETURN TO SERVICE Pursuant to the authority even persons specified below, LI:Want the Administrator of the Federal Aviation Agency- and s 0 identified in item 4 was inspected in the manner prescribed by APPROVED REJECTED BY FAA FIT. STANDARDS INSPECTOR I MANUFACTURE* Vz. INSPECTION AUTHORIZATION -- OTHER (Specify) • FAA DESIGNEE x REPAIR STATION •' _ . CANAD!AN DEPARTMENT Of IRANSPORT INSPECTOR : Of AUtatAFT - DATE OF APPROVAL OR -R.tfar gIN 17. 1975 CERTIFICATE OR ifiti"°. SIGNA OF AlfilORIZED VID , , _.,/,,/,z,A4-./20 FAA Form 337 (I-65) OBSOLETE PREVIOUS EDITION 0052-025 00 (8320) • s: • • - • EFTA00278363 F; - AIRCRAFT AFGISTRY. CAilF.-:A NO. a.. DATE: ia.-7 2-v) NOTICE Weight: and balance or operating limitation changes shall be entered in the appropriate TtirCrTiff=—record, An alteration must be compatible with all previovs alterations to assure continued conformity with the applicable airworthiness requirement's. DESCRIPTION CF WORK ACCOMPLISHED/If more space is. reguired,- attach additional sheets. Identify wi 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 ••••<'. . - • 4. ^ c'oc-...istai•54.-ki • es...?. - — • • ..:. -. - . • . • • . . -' • . .. .. • ' .... . . • .... • . . . • . • . . . . .. . . •• • • . • • • • ..• .• • ..• ' . • • • • - . - - • - - -..';!': ..• - • ';' :.i. .* • ' . • ....7..:Zi• . . , - . • •• a • . 44. . .....i......,. . - .. .. - .i... - -. - . -- ---...a.:-. jeeiv ..r....h.;...t.:: 25.".I.agt....... .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 • FEDERAL AVIATION AGENCY -,... , --..• MAJOR REPAIR AND ALTERATION . • . (Airframe, Powerplant, Propeller, or Appliance) • For, Arra r Budget stream No. 04-R060.1 FOR FAA USE 0NV: 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. 1. AIRCRAFT MAKE N Cif MODEL G-U59 SERIAL NO. 151 • ‘ NATIONALITY AND REGISTRATION 'MARK N979RA - 2. OWNER NAME (As shown on registration certificate) .. Ogden American Corpo ADDRESS (As shown on registration certificate) 277 Park Avenue ,.. New sk York. Nei* To 10017 v.. - _ .1. FOR FAA• USE ONLY - • .1 ' • • -• . • 4. UNIT IDENTIFICATION • 5. TYPE UNIT • MODEL .... . • SERIAL NO. • REPAIR ALTER- ATION AIRFRAME described in item 1 nestoon.onotomeneeteeen (As above)nomemennornohne POWERPLANT • PROPELLED • APPLIANCE TYPE MANUFACTURER 6. CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS B. KIND OF AGENCY C. CERTIFICATE NO. Executive Aircraft Service Division of Cooper Airn2otive P.O. Box 24889 Deltas, Texas 75224 U.S. CERTIFICATED MECHANIC • RS 3834 Radio and Airframe lir FOREIGN CERTIFICATED MECHANIC . (TIFICATED REPAIR STATION 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 March 14, 1975 • SIGNATU U RIZED INDIVID 7 -Li 7. APPROY L. FOR RN•TO SERYI Pursuant to the authority given persons specified below, thesinit identified in item the Administrator of the Federal Aviation Agency and s bia, APPROVED 3 4 was inspected in the manner prescribed by REJECTED BY FAA ELT. STANDARDS MANUFACTURER INSPECTIONAtm:Nut:nom . OTHER (Spacify) . . ... . • • - FAA DESIGNEE yr REPAIR STATION CANADIAN DEPARTMENT OF TRANSPORT INSPECTOR Of AIRCRAFT • DATE OF APPROVAL OR VES ECTa14, 1975 CERTIFICATE OR min. NO. SIGNA --F A ORIZED IVID / r.. t.e.., EFTA00278367 • FAA AIR:.CRAFT REGISTRY CAMERA .NO. L DATE; 1.2-" 12 - c?) Weight and, balande or operating limitation changes shat! .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 mare space is required, attach additional sheets. Identify with air- craft nationaliti, and registration mark and date work completed.) 1. Installed three (3) VHF communications transceivers. Two of the twits are Colltne VHF-ZOB transceivers installed on the top shelf of the electronics compartment at F.S. 153. These two units function as the primary VHF conurautications system. The third is a Collins VHF-20B transceiver installed on the second shelf of the radio compartment at F. S. 170. This unit functions as a standby VHF system. The mounts for these units are attached to the shelf channels with four (4) each NAS 517-2 screws and anchor nuts- -__The_two primary transceivers are contr_olled by_dual Collins NCSL-31 systems -installed in the center commie. The third transceiver is controlled by a. Gables VC series control. Existing GAEC installed antennae are utilized witk -1410.1 and No. 3 transceivers sharing a conunan antenna. System wiring is shown on EAS drains° 180606 and 180607. Installed an H. F. conummicatione system consisting of the following: 1 each Collins 618T-3B Transceiver Leach Collins 4908-i Coupler 1 ascii 114E-03 Control The transceiver is installed at F.S. 139 on shelf No. 2 of the forward radio compartment. The'coup1er is installed per EAS drawing 680083 in the tail compartment at F.S. 682. The coupler installation is approved by DER SW 167 Walter T. Clark on FCRM 8110-3 dated 6-29-73. Complete wiring and mounting provisions for a second H.F. system were also installed. both systems will utilise the G.A. C. installed H. F. antenna. These systems are wired per FAS drawings 180454 and 180455. • Installed. dual Collins V1R-30 VCRALS receivers and 699Z-1 aia-drivers. The receivers are located on the top obeli of the radio compartment at F.F. 158.• They are installed in a dual mount attached to the shelf channels with four (4) NAS 517-2 screws and anchor nuts. The RMI drivers are located at F. S. 178 an the top shelf. They are attached with four (4) AN 526- 632 screws and anchor nuts per unit. The receivers are controlled by duet Collins NCS-31 systems. - System wiring is shown on EAS drawings 180602 and 180603. The Grumman installed VCR /LOC, glideelope and marker 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 ATTACHMENT TO FAA FORM 337 dated March 14, 1975 Installed dual Collins 51Y-7 AM..' receivers and two Collins 137A-6A loop antennas. The two receivers are located at F.S. 546 below the baggage compartment floor. The receiver mounts are attached to two (2) .063 2024T3 aluminum hat sections using four (4) NAS 221 screws and anchor nuts per mount. The hat sections are attached to the cabin floor panel using eight (8) NAS 221 screws and ppnrio-10/ S104D1032-08 Delron. fittings in the inboard channel and six (6) in the outboard channel. One loop antenna is GAEC installed. The second loop antenna is in- stalled in accordance with EAS drawing 68000Z which is approved on FAA Form 8110.3 dated 10-31-69 and signed by DER SW-167 Walter T. Clark. The top GAC installed sense antema is used for system No. 1 and the skeg sense antenna for ADF-2. The dual ADF systems are wired in accordance with EAS drawings 180610 and 180611. Both systems are controlled by the Collins NCS-31 systems. Installed dual Collins DME-40 interrogators on the top shelf of the electronics compartment at F.S. 145. The dual mount for these units is attached to the shelf channels with four (4) NAS 517-3 screws and anchor nuts. Dual Collins 339F-12 distancelground speed indicators are installed on the instrument panel using MSP 9963 clamps. The existing GAEC installed Collins 237Z-1 antennas at F, S. 172 and 228 are used for this installation. The DME systems are wired in accordance with EAS drawings 180604 and 180605. Installed dual Collins TDR-90 transponders using the dual Collins NCS-31 systems for control. The transponders are installed on the top shelf of the electronics compartment at F.S. 150. The dual mount for these units is attached to the shelf channels with four (4) NAS 517-2 screws= and anchor nuts. The existing GAEC installed antenna at. F.S. 562 is used for No. 2 ATCT.. A New Collins 237Z-1 antenna installed at F.S. 515 is used for No. 1 ATCT. This antenna is installed in accordance with EAS drawing 680061 dated 10-21-72. The dual transponder systems are wired in accordance with EAS drawing 180600. Installed dual Collins Al-T-50 radio altimeter systems consisting , of the following: 2 each Collins ALT-50 Transceivers 2 each Collins 339H-4 Indicators 2 each Collins 437X-1 Antennas 2 rach Collins 437X-1A Antennas One R/T unit is installed in the electronics compartment at F. S. 170. The mount for this unit is attached to the shelf channels with, four (4) NAS 517-2 screws and 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 21141 Loisit 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 4.Oest.: FAA AIRCRAFT REGISTRY CAMERA NO DATE: I 0.- f .-.2 ) • .1 :to Ogden American Corpora$4,3:a.2 277 Park Avenue New York, New York 10017 ATTACHMENT TO FAA FORM 337 dated March 14,:1975 Page 4 Gm G-1159 S/N 151 N979RA 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 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.=:,•.;?;;* 7'7.1 - • :.!er . . : . tit.• . . ' .-....---.--- `,....f. _• ;..-...„.a.,:• - .,, ._ .....r ....... _.......--....‘....,...,........., __ ... - . . -7:• • , . !•• . . . •si . • I , .. ...:-.. .. . . - ---- — • -.2 - . -----::.._.:......::.-". i;:tv 4.- :Zt. --... '4...L.:V.'. . .... . • t• EFTA00278374 • Ogden America Corporation. 277 Park Avenue New York. New York 10017 Page 5 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 indicators approved to TSC G83. The instruments are clamp mounted on both pilot'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. indicator from main instrument panel to overhead panel. 24. Removed tae existing Bendix 39B153-1-A instrument inverter and replaced with a Flitetronics PC-17A. This change increases instrument inverter bus cafracity from SOOVA to 750 VA. The inverters are approved to the same TEC. Wiring modifications ace shown on EAS drawing 180470. 25. Installed a wire rotting trough along the inboard edge of the R.11. cockpit side console. Lostallution is shown on FAS drawing 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 blocks are mounted on the new tanels. 27. Installed an auxiliary electronic compartment 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 magnetic 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—• • •••;-: . -:.' Z.,: caC"--"*• • ' •-:' 4 ,,••-•••••a•!•#!•••••rae-aneThryagdi __L . 4. . • . ' • • . . . . . . . : • •• • . . . . .• • - ........-- t............„_••••:c.. ..7: , _„4 . • 4.••••••:•,: .—.... : .;•:.„,.-......r,_ _ ,44.42,.....-.,.:•:,. • „. . ...., .• •• O P : • ••••• •••••• • .•• ••• • •C; .• • •. •• • Z a • 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 2 each Collins 2 each Collins Z each Collins 2 each Conine 2 each Collins 2 each Collins 329E-8Y Flight Director Indicators 331A-9C Course Indicators 161E-2A Mode Coupler 562A-5M Computers 614E-22B Remote Controls 614E-23R fode Selectors 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 - 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. Flag t 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 -Jo ..-4•• rt • % • 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 (or subsequent revision thereof) , for instructions and disposition of this form. MAKE • • - mom Q1159 1. AIRCRAFT SERIAL NO. - . 151 --°--- NATIONALITY AND REGISTRATION MARK 979RA " . 2. OWNER NAME (As, shown on registration certificate) • Ogdaa • kaar Loan Canketak ion ADDRESS (As shown on registration certificate) 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. REPAIR I . ALTEE, 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 attachments hereto have been made iv accordance with 1 - and that the information furnisbed herein is true. and the unit(s) identified in item 4 above and described on the reverse or the requirements of Part-43 of the U.S. Federal Aviation Regulations correct to the best of my knowledge. DATE February.19"1975 , SI TURE O AUTItORIZAD INDIVIDU • • • • - 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 lalIW pia'tPPROVED • REJECTED BY FAA. RT. STANDARDS frisPEcroi! • MANUFACTURER INSPECFOI AUTHORIZATION :r OTHER (Specify) FAA DESIGNEE .... A . REPAIR STATION • ' eir : CANADIAN DeARTAUNT OF TRANSPORT. TRANSPORT. INSPECTORR dr Arilauen - DATE OF APPROVAL OR REJECTION March 12, 1975 ainga t ig io DES; RS3834 clit.t.) ..,.obtu5v . .,c 4 --arts.,k_, IDUAL 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. GrumMan G1159 TYPE (Airplane, Radio. Helicopter. 0,0 • Airplane NAME OF APPLICAN Cooper Airmotive Inc.ExecutiN tarcraft Service Div. LIST OF DATA .7- ... : IDENTIFICATION TITLE 386403 (2 Shts) 386776 (2 Shte) 386507 (Shts 1&2)Air 386409 (Shts '3,4 386687 (1 Sht) 386676 (I Sht) • 386640 (1 Sht) 386627 (2 Slits) 386586 (1 Sht) 386779•(1Sht) 386730 (1 Sht) ' 386781 (1 Sht)'.. 386778 (1 Sht) ' 386132 (Slit 8) 286777 (4 Slits). 386643 (1 Sht) 386680 (1 Sht) 386684 (2 Slits) 386636 (1 ShtYl 386786 (1 Sht) 386774 (3 Slits) 386701 (1 Sht) . 386791 (1•Sht). Headliner support structure. (11-26-69) Ledge and side panel structure. (11-20-74) duct support structure (5-24-71) '. &5) Air ducts and reading lights (12-3-69) Air duct deviation. (1712774) , . Speaker brackets (12-15-73) • • Blkhd. retainer FS181 LH.(4-3073) Blkhd. retainers FS200 Lk & RH. (3-14-73 Bulkhead retainers FS496 (11-20-72) FS181•Bhd. LH (11-26774) FS200 Bulkhead LH (11726-74) Bulkhead FS452 L&R. (11-27-74) / Bulkheads L&R FS496. (11-26-74) Bulkhead Patterns (11-26-68) Crew service compartment. (i1—S-74) Wire routing double installation. (5-12-7.3) Aft cabin door 'frame at baggage. (12-27-73) Aisle doors. (1-9-74) ' Fold up desk. (4723-73) '• - 'Divan fwd. arm cabinet LH. (1-28-75) Service cabinet .‘(11-11-74) . . P*48 . . Game. table ins all tion.(2-5-74) 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 of appointment under Part 183 1 of 3 ' have vested by direction of the Administrator and in accordance with conditions and limitations of the iceLerdl Aviation Regulations, data listed.above and on attached sheets numbered been examined in accordance with estirblihed procedure's and found to comply waft -applicable Regulations.' . . approval of these data these data • • requirenients of the Fedeial Aviation • RecomMend I (We) Therefore fl Approve SIGNATUREfS) OF DESIGNATED ENGINEERING RE.PRESENTATTIM DESIGNATION NUMBERS(S) - CL ASSIFICATION(S) ?,.,r/ c ... (-2-)e,1 SW-167 Structural and 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. ..i. • •- a. - .....:...-LL.....:1- .S...................a......1......................... .a-.... .,...... EFTA00278385 .•4 . vas ki; - EFTA00278386 FAA AARCRAFT REGISTRY CAMERA NO. L DATE: ta- ! . , • • OEPARTmEt • F TRANSPORTATION ...., .• FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGUL.A1;ONS OATS 19. Feb. *35 ...‘ AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE - t . Grumman MODEL HO. *.G1159 TYPE (Airplenes, Radio, Helicopter, "Wirplane • 0 NAME OF APPLICANT Cooper Airmoteive Inc. Executiy Aircraft service Div. . LIST OF DATA ,LiENTIFICATION TITLE • 386720 (1 Sht) 386426 (2 Slits) 386694 (1 Sht) 386783 (1 Sht) 386120 .(1 Sht) 36E254 (1 Sht) 386765 (3 Slits) 386746 (3. Slits) 386767 (2 Slits) 386633 (2 Slits). 386775 (3 Slits) 386668. (3 Slits) 3866E6 (1 Sht) 386737 (1-Sht) 3.86685 (6 Chts) 38656 (1 Sht) 386500 (2 Slits) 386702 (2 Slits) 386441 (1 Sht) 386553 (Shts1,2 386679 (1 Sht) . 386637 (1 Sht) 386401' (1 Sht Power shield door (4-9-74) . Emerge exit handle rework (12-19-69) • Escape hatch handles (1-24-74) Two & Three place divan inst'l. (1-21-75) Chair installat'on provisions. (11-11-68) • Entrance door c4tain. (5-14-69) CommissarY.LH° (10-10-74) Commissary RH. (10-10-74) • t.. . L&R commissary support structure. (10-11-74) Water heater & bracket.(4 .-11-73) Pressuriied water system. (11-19-74)- Lavatory & vanity. (11-9-73) ' - . Lavatory support structure (1-11-74) Air lay deviations. '(6-27-74) Aft baggage (1-19-74) Smoite detector & amplifier. (4-15-68). Law.tory floor mod. (5-10-71) _Radio. rack doors. (2-8774) FS540-572 floor board mod. (1-49-74) 7, ,4&5) Continuots flow oxygem system (9-5-72). Continuous flow oxygen, system. (12-27-73) . Continuous flow oxygen system (4-24-73) Cock it ste manual storage (11-26-69) PURPOSE OF DATA 0 . To install interior items for Field Approval, APPLICABLE REQUIREMENTS (List 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.651.(b) (3). CERTIFICATION • Under authotity -vested of appointment under Parr 183 2 Of 1 - have by direction of the Administrator and in accordance with conditions Ind limitations of the Federal Aviation Regulations, data listed above and on attached khects tostbered _- been examined in accordance with established protares and fuund to comply with applicable Regulations. • approval of these data these data requirements of the Federal' Aviation t (We) Therefore El Recommend 0 Approve SIGNATUREIS/Pr DESIGNATED ENGINEERING REPRESENTATIVE,lj DESIGN A.TIOK NUMBEIZRS) CLA$SIFICATION(S) 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 ••7. • . . ' -.•: r a.— • maleigt,yrrilat • -t•r-s-- • mv-r---.•••••,;.-- • .: ' • • , EFTA00278388 • DE0 ARTMEt. .F TRAN3PORTATION \_ . FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE • . ' 19 Feb 1975 AIRCRAFT OR-AIRCRAFT COMPONENT IDENTIFICATION MAKE Grumman MODEL NO. 61159 TYPE (Airplane, Recife, Helicopter, NAME OF APPLICAN TI:(DOper oft° irmotive Inc. Executit Airplane #ircraft Service Div. . ..- LIST OF DATA • - - IDENTIFICATICo - • . • •- TITLE 386688 (1 Sht). 386782 (1 Sht) 386554 (6 Shts) 386592 (1- Sht) 386551 (1 Sht) 386665 (1 Sht) 386569 (1 Sht) 386580 (1 Sht) 386566.(1 S)t) 386515 (1 Sht). - 386593 (2 Shts) 386758 (1 Sht • - 386539 (1 Slit) . 386761. (1 Sht) 386 NOTES: .• . . . Desiccant .installation '(1-14-74) - Tow bar.storage, (1-4-75) , . . - • • L&R•aux. engine oil full system. (96-72)• Pre-fill pump installation (11-29-772) - APU interlock switch. (8-23-72) Utility box. (11-5-73) Cockpit'portable oxygen bottle inst'l. (10-27-72) Entrance area floor mod. (11-4-72) Wheel Well.lights (10-13-72) Overboard drains. (6-9-71) ---- • Aux. landing lights LH & RH (11-29-72) Oil gauge sight door alteration. (§-7,-74) Jack pad -stofege.. (7-27-71) Access inst'l. starter & H.P.cock. • . . 1. This approval- is for the structural substantiation , and oxygen system only. 2. This approval does not include the electrical system- approval. . 3. This approval is for Grumman 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). , • CERTIFICATION - Under authority vested by direction of the Administrator and in amprdance- with conditions and limitations of appointment under Part )83 of the Federal Aviation Regulations, data listed above and on attached sheets numbered _ 3 of 3 • have been examined in accordance with established procethres and found to.comp!y with applicable requirements of the Federal Aviation Regulations. • 1 (We) Therefore 0 Recommend approval of these data' • Approve these data SIGNATURE(S) OF DESIGNATED ENGINE ERIN.; REPRESENTATIVES/ DESIGNATION NUMBMS) CLASSIFICATION(S) --- . ..-- - .)77:- -SW-167 Structure' and OxYgen systems. FM ORIGIN4L. • .. . - - , FAA Form 811a3 (11-70) SUPERSEtFa PREVIOUS EDITION - ' •57._ ,A35 : • . . . • • • . • - • EFTA00278389 .• v. A/tab's...4r_ • -• • . . . ' ?-.:"nl•a t refrear: - -.!.• ;:. : '` ' • .t:' •••••St --• • i?"'Cr` C't• • • •-••••'•"'-'----• ....."'"••"- '''' i f : .- .. -• "--.. :.... -.42. ., ;' :. .,.;. a'4.... -7.• ...........r . • • I., . ... . ........... ............ t -•"•• • re -- • •we. 7•••....• • • • • •• EFTA00278390 va frfrro FEDERAL A'— VON AGENCY • 1 s a red 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. 1. AIRCRAFT MAKE • Orman MODEL G-1159 ..... SERIAL NO. 151 NATIONALITY. AND REGISTr.ATION MARK N979RA • 2. OWNER NAME (At shown on registration certificate) Ogden AzOrican Corporation • ADDRESS as shown on registration certificate) 277 Park Avenue . New York, New York 10017 3. FOR FAA USE ONLY • is • . . • . . . • , . .. . _ - - 4. UNIT IDENTIFICATION S. TYPE UNIT MARE MODEL SERIAL NO. - - . REi'AIR ALTER- AVON AIRFRAME . gai• 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. E U.S • CERTIFICATED MECHANIC 119 . 3834 Executive Aircraft Service, Div 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. attachments hereto have been made in accordance with and that the information furnished herein is true and the unit(s) identified in item 4 above and described on the reverse cr the requirements of Part 43 of the U.S. Federal Aviation Regulations correct to the best of.my knowledge. C.4.TE March 12, ...975 SIGNATURE Of AlcHORIIp INDIVIDUAL "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 BY FAA RT. STANDARDS INSPECTOR MANUFACTURER • INSPECTION AUTHOWATION OTHER (Spicily) FAA .DESIGNEE X . REPAIR. STATION CANADIAN DEPARTMENT OF TRANSPORT TI4SPECTOR OF AIRCRAFT DATE OF APPROVAL OR REJECTION . March 12,. 1975 CERTIFICATE OR ; DESIGNATION NO RS 3834 SISNATURE OF ARTH9111.Fp, INDIVDIUt 4,07Lig... ,.....A.). LA.Leffa-Nn_ • Gant= D. Alexander FAA Form 337 (1-65) OBSOLETE PREVIOUS EDITION • -.•••- ••••-•.? , ........... . - . • .. • .. -•:.-_-:,. • ,.. ..; : • . .. .. ., . .., ... ..... . _ .; -.....- • 0052-025-8000 • (8320) EFTA00278391 Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. Art alteration Must be compatible with all previous alterations to assure continuec 2onformity with the applicable airworthiness requirement:. 8. DESCRIPTION or iVORK ACCOMPLISHED (If more space is required, attach additional sheets. Identify with air- craft nationality and registration mark and date work completed.) a. Installed interior emergency lighting system as shown on Cooper Airmotive, Inc., Executive Aircraft Service, Division drawing #396218 (13 Sheets) dated 3-25-69 Rev. "A" dated 6-30-69 approved by STC #SA1037SW. BAS FAA approved Flight Manual Supplement #3 dated June 23, 1969 applicable to this allteration. b. Installed Page Gulfstream II cockpit jump seat approved for use during take-off or landing in accordance with STC #sA1918SW;. Oxygen supply. for this seat installed in accordance with-STC #sa5tisw . NOTE' 1. Long range oxygen supply, Two (2) 114-9 cubic feet each, installed in this aircraft. Passenger and Long Range oxygen system approved by STC #SA951SW and FAA form *5110-3 dated Feb. 19, 1975 by DER SW-167, Walter T. Clark, Jr. reference 337 form dated Feb. 19, 1975. 2.- Flight Manual Supplement #II dated April 25, 19,69 applicable to this aircraft. c. Installed insulation inside the fuselage from sta. 111I1 to pressure dome as shown on Drawing *38681 (1 Sheet) dated 8-21-68, except for the aft side of the pressure dome, which was installed by Grumman Aircraft Company, The Grumman Gulfstream II Specification #AE-159—I -21 Section "C" datdd 11-15-67 used as a guide for installation. d. Relocated the APU speed logic control unit in accordance with STC *SA2512wR. . e. Installed BKM Master Warning Interface device between master warning control panel and aircraft inputs according to RKK drawing list #EKM1000 -501 and STC *SA1613SW dated March 1, 1973 Rev. 1 dated Sept. 5, 1974. MOTE: The warning bell is not installed. f. Installed oil tank sight gage float in accordance with STC *S8994EA. EFTA00278392 FAA AIRCRAFT REGISTRY CAMERA NO. L DATE: 10-- ..OGi,P..'N AMERICAN CORPORATION " :' • . . - 277 Park Avenue • Page 11 New York, New York 10-1.7 . ', ) • ; GRlit.7.‘AN• dULFSTREAM II SIN 151 N978RA WEIGHT AND BALANCII DATA FM --- _ .. . JIG POINT DISTANCE FI' & IN. IN; a i b " I i_ a-b , i . / 0% MAC 100% MAC I PIT. 28 Cooper Airmotive Exec: Aire. Serv.• Div. DATE March 8, 1975 W.O. 215 VERT DATUM (WLRDE) MAIN GEAR HORIZONTAL ARM = •a. +.15. OD INCHES NOSE GEAR HORIZONTAL ARM = (a-b) = N MOIL ARM IN INCHES) INCHES 0,11. S13) 1,4728 C. G. IN PERCENT M. A. C. NOTES 1. All C. G. 's arc for the. airplane with landing gear extended. 2. A'reraft should be level (FRL =.0°), doors and windoWs closed, brakes released, and flaps and thrust reversers retracted, "when weighing. AIRPLANE ON WHEELS WHEEL, LOCATION • GROSS TARE ERRQR TOT. A NEVT LEFT MAIN , IjOR. ARM ' MOMENT , -----. RIGHT MAIN ...------ --.- SUBTOTAL MAINS NOSE TOTALS i I AIRPLANE ON JACK PADS SCALE LOCATION GROSS TARE 'ERROR TOT. A NET . NOR. ARi.] MOMENT LEFr WING 16,460 -2 -2 16.458 RIGHT WING 16,470 -9 • -9 16,461 _-_:›-_____ SUBTOTAL WINGS • 32,930 32,919 489 il 00 4,097,391 ' NOSE 2,365 +8 +8 .2,373 120 !10 2 84,997 TOTALS 35,2951 _15.292 -464 ; 19 11087,38A - EMPTY WEIGHT & C. G. DETERMINATION ITEMS WEIGHT C. G. IN HOR. ARM C. G. IN % M. A. C. • MOM ENT TOTAL ACTUAL NET TOTAL ADDITIONS ' TOTAL SUBTRACTIONS see .page March _8. empty weLcsht At equipment 11.1A dated 1975 for computation included_ in — — ----•''----- •— the empty weicrh:. . EMPTY WEIGHT WEIGHED BY: WITNESSED BY: Grumman Amkrican Aviation Corp. • EFTA00278393 'L.` • . • • • r.. - • . • 1. .••••• EFTA00278394 ( FAA AIRCRAFT REGISTRY LiAMERA DATE: 1O,- 12- ;5 OLDEN AMERICAN COIIPORATION 277 Park• Avenue. . GRUMMAN GULFSTREAM II. 4 • New York, New York, 10017*. S/N15I N979RA • 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 Cooper Airmotive Inc? Executive Aircraft Service 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. 2.. Engine oil pump system (full). 3. Hyd. oil pump (empty)..-'..' Tow bar - Baggage compt. cpthplete„. EAS water system (empty). First Aid Kit. Lavatory complete. • . a. "Air-Lav" 125-Serviced. b. Vanity. c. Mirrors (2). d. Fire Ext. CO2. e. Wardrobe & curtain. Commissary complete:- a. - (1). b. Tray Carriers Hot cups (1). d. Ice Bpx e. Coffee.Maker. 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 • . -4:1•••11;fiil •-••••••“.• . • r • -leg.•••• _ •-•.• . .••• : • . • • :21. 22.. 23. v 24. • 25. 26, 27. 28. 29. 30. 31. 32.* 33. .34. 35: 36. .37. 38. 39. Crash axe. Crew service & compt. (complete Long range oxyg. (2) Passenger oxygen (3) Jump seat (Pa4S). Fire ext. CO2 (CP) Crew.seats. Crew 92 masks. Manual holders. Step storage (CP). Radio Complete. • Fuel drained. Engine oil full. Emergency lights .& battery. Batteries installed (a/c). Entrance door curtain. Spare Apu Speed logic box. Eng..plugs Jack pad box (Pees Out). • • • • • ▪ ' 9 • woe- • • • • • ' • • • • • • . nt • EFTA00278395 • . i smga: trx,,,no or- , -ragaile Si sine va.:44: . —... ---- a- 7-- • ..,-- •-• ......; i . r ........ 7-•••••-...-:•., i'•-•-- • •.-- . - • . .. . . '..t :- . • ... ., • • ' i r '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 Baggage . 600 565.00 CONDITION #2: Loading for 3 Crew & baggage ZFW - 2Crew &R.e.ggage • 36,386 462.00 . Jump Seat 170 142.00. Baggage 250 565.00 ZFW-3 CrewNt Baggage 36,806 461.22 16,471,386 38.11% MAC 339,000 16,810,386 39.29% MAC 24,140 141',250 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 Lavatory. Water (10 gal.) 80. 544.00 Lavatory Supplies 20 .519.00, Galley SupplieS 100 474.00 Galley Supplies 100 474.00 Crew Galley ., 40 190.00 Utility Box .(aft' 100 745.00 , ZFW - 2 Crew& Supplies • 36,286 .,....x Passenger D5 170 433.00 Baggage . 30 565.00 ZFW — Pass. (2 Crew) Passenger R5 '..Baggage ;.. . • ". • . • . 3?,900 43..250 10,380 47,400 47,400 7,600 74,500 461.21 16,735,816 38.75% MAC 73,610 36,486 461.17 16,826,376 38.72% MAC 170 420.00 71,400 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 p AA AIRCRAFT REGISTRY cI CAMERA NO.0.- • DATE: 10--"I ' J OGDEN AgERICAirabilPORATI0N.--- - 277 Park Avenue New York, NeW York 10017, Item Grumman G1159 S/N 151, N979RA March 8, 1975 I.O. 215 SAMPLE LOADING FOR ZERO FUEL WEIGHT ZFW - 2 Pass. (2 Crew) Passenger D4 Baggage • - ZFW - 3 Pass. Crew) 'PaSsenger D3 : Baggage ZFW -.4 PasS: (2 Crew) Passenger R4 . •Baggage• ZFW Pass. (2 Crew). Passenger R3 Baggage ZFW - 6 Pass. ( 2 Crew) Passenger D2 Baggage ZFW - 7 Pass.. (2 Crew) Passenger D1 Baggage ZFW —8 Pass. (2 Crew) . . • Passenger R2. • Baggage ZFW -9 Pass. (2 Crew) ' Papsenger.R2 Baggage ZFW - 10 Pass. (2 Crew) Passenger R1 Baggage ZFW - '11 Pass. (2 Cre1 Weight 36,686 170 30 36,886 -170 '30 37,086 . 170 30 Arm 461.06 407.00 5r,5.00 460.90 381.00 565.00 460.62 363.00 565.00 37,286 P . 460.25 170 ' 30 345.00 565.00 37,486 459.82 170 30 37;686 170 30 37,886 336.00 565.00 459.34 318.00 565.00 458;79 170 272.00 30 . 565.00 38,086 170' 430 38,286 170 30 38,486 458.04' 272.00 565.00 457.30 219.00 56,:00 456.33 Moment • 16,914,726 38.65% MAC 69,190 16,950 17,00U,866 38.54% MAC 64,770 16,950 17,082,•586 38.35% MAC 61,710 16,9504 17,161,246 38.10% MAC 58,650 16,950 17,236,846 37.81% MAC 57,120 16,590 1.7,310,916 37.4b,‘ MAC • 7 • 54,060 16,950 17 381,926 37.11% MAC 46,240 16,950 17,445,116. .36.60% MAC 46,240 16,590 17,508,3.06 36.10% MAC 37,230 16,950 17,562,486 35.44% MAC ••••••, , • EFTA00278399 ••• z • • • • • • . :.•• • • EFTA00278400 FAA AIRCRAFT REGISTRY cn r, CAMERA NO. DATE; • . • ZFW - 12 Pass. (2 Crew) 38,686- Remaining Baggage Baggage OGDEN AMERICAN cdApoRAtraa . 277 Park Avenue • • • ' New York,.New York 10017,- Item • *- • _ . Grubman Gi159 S/N 151 • N979RA March 8, 1975 W.O. 215 SAMPLE LOADING FOR. ZERO FUEL WEIGHT ;.ii Pass. -(2 Crew) Passenger RI Baggage Passenger . .- Jump Seat Bagc#ge ZFW - 13 Pass. (2 Crew) ----..138,886 Weight Arm . MOME,: 38,486 456.33 17,,A'7.,486 5.44 MAC - 170 219.00 • 37,230 30 565.00 16,950 : 170 30 455.37 142.00 565.00 454.09 CONDITION #4: Loaded for Forward C. G. Limit- . ZFW - 2 Crew & Sul6Plies Passenger Jump Seat:. Baggage . ZFW 1 Pass (2 Crew) 36,286 461.21 170 142.00 30 565:00 36,486 T-159'.81 17,616,666 34.79% MAC 24,140 16,950 33.92% MAC 16,735,816 38.75% MAC 24,140 16,950 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 30 565.00 ZFW - 3 Pass: (2 Crew) .36,886 37,230 16,950 457.76 16,885,286 36.41% MAC . . CONDITION #5: Loading for Additional baggage ZFW - 13.Pass. (2 Crew) 38,886 . , 454.09 • '1 060' 565.00 :- • • ZFW — 13 Pass. &.Baggage 17,657,756 33.92% MAC -" 598,%900 . 457.03 18,256,656 .35.91% MAC EFTA00278401 C':• • : ..”.-44marr"-- ' .:,••-• — ' iz;%:::— ••: : ' ' . • .• . A.Citini.:;1•: • —2.......'t or...L. : ....., . . . ..., . . . . ''',.•- ” t;•'&4•::•'—'1•4;:i . '''' • . . A- ;•"' 41r••••• %-• ~y • • ..•••••••••••••= ••••••• ••• ••.•••••MIN• I ••••••• ••••••••• ••••• •••••••d•• 1•••••••IWAI••••••• 160 EFTA00278402 FAA ,AIRCRAFT RnISTRY CAMERA NO, t;a:— DATE: f;(*l o. .) }mt • • . . EFTA00278403 balitt'ssa. •• •• • '. • - . . • • • EFTA00278404 • . UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION-FEDERAL- AVIATION ADMINISTRATION STAND 1'D AIRWO S. AUTHORITY AlsP•SASIS f uR tsSuAts This airwarthiness certificate is dOte as issuance, ths• Stir:raft therefor, to be at condition f s. operat cornprehentiee'and detailed iftvorthiness Cod Aviation, triceps as noted ht. • Exceptions: Ex.emption No. 6 46 4d ti . • t,‘ 6 TERMS AND CONDITIONS Unless sooner surrendered, wipe this airworthiness certificate is eR Lierfornied in accordance with Part circroft Is registered in the Ude' ATE.cF in:um:cc I FAA REPRES... Rep I c etnent 9-27-74 I Glen IL Any alteration, reproduction, or misuse of this certificate may be punishable by a (me cart enteeding 51.000, or ;fn.' arison:nent not er.xeding 3 years, Cr both. THIS CERTIFICATE MUST BE DISPLAYED IN THE AIRCRAFT IN ACCORD ANCE WITH APPLICABLE FEDERAL AVIATION REGULATIONS. FAA Form 8100-2 t7-67) FORMERLY FAA FORA" .362 eked, or ate is other long as the mortenanct Preverive wy 'nd 91 of titr federol Ark yO • "•• end cert.fies that, as of the form to the type certificate uirements of the applicable mien- on litematiOno civi; Wished by the Administrator, • oinipnance. and alterations ore (Pions, et nppropriate, and the • - • • • -•"' . : • • EFTA00278405 . . n<c, • s.ssrursis r /no, ••••••• • • • • • ..—eig• Is • EFTA00278406 FAA AIRCRAFT REGISTRY CAMERA NC. 4 . DATE: id. DEPARTMENT Of TRANSPORTATION FEDERAL AVIATION ADMINISTRATION , APPLICATION FOR AIRWORTHINESS CERTIFICATE INSTRUCTIONS-Print or rope. Do not write in shaded aieas: these are for FAA use only. SubMit original only to an authorized FAA Representative. If additional space is required, use an attachment. For special flight permits complete Sections II and V! or VII as apolicable. RCRAPT SCRIPTION T. REGJITTRATION:M.47 — N804GAI/2IGAA 79L7t 2. AIRCRAFT BUILDERS NAME (NAY/ Grumman American 3 Al.:RAFT MODEL DESIGNATION C.4159 4. YR. MFG. 1974 fAA COOING 3 9-3' 3 4-# 5- --- • ;5 Ji..-- :2. S. Al Ita. AL NO • . 151 6. ENGINE BUILDER'S NAME (A.the 1 Rolls ROyce Turbo Fan 7. ENGIT.It'/AODEL DESIGNATION Spey Mk 511-8 - 8. NUMBER a Mit( 00 .Twa ° I. PROPELLER WILDER'S MUTE (miff) 8 t3. N/A 10. PRO. ELUR MODEL DESIGNATION N/A 11. AIRCRAFT IS bettbdotttit i IMPORT II. CERTIFICATION REQUESTED APPLICATION IS MERRY MADE FOR: (Cock applicable kens) A 1 X STANDARD AIRWORTHINESS CERT. (indicate category) NORMAL UTILITY i ACROBATIC XIItANSFORAT : GLIDER I I BALLOON K SPECIAL AIRWORTHINESS CERTIFICATE (Check appropriate item) • 2 LIMITED . CLASS I • 5 PROVISIONAL (iaslicatt thus) . . 2 CLASS II , — 1 AGRICULTURE & PEST CONTROL AERIAL SURVEYING ' 3 • DUAL sovERnsING 3 RESTRICTED (Ixdic.ee opernon(t) to #e attaistattO FOREST (wild life tottereatrott 1 PAMOTAING C EATHIR CONTROL 0 OTHER (Sfrefifr) ,. . RESEARCH AND DEVELOPMENT • 2 J AMAIEUP. WILT 3 EXHIBITION 4 EXPERIMENTAI fladiratf operatican) to be ccularre:0 RACING CREW TRAINING 6,j. MKT. suRyre • 0 TO SHOW COMPLIANCE WITH FAR • FERRY FLIGHT FOR REPAIRS, ALTERATIONS, MAINTENANCE OR STO.AGE 8 SPECIAL RIGHT PERMIT (Italia:, °paying to ie 'neatened Ilya racket 2 EVACUATE FROM AREA OF IMPENDING DANGER 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 j 6 I MULTIPLE AIRWORTHINESS CERTIFICATE (Cheik appropriate Restricted Operation and Standard or Limited as applicable abase).- III. OWNER'S CERTIFICATION A. REGISTERED OWNER (fir shown on Cerificate of Air,-raft Registration) IF DEALER, CHECK HERE --.- I n NAME Grumman . . . American Aviation Corporation ADDRESS • Savannah, G . 31402 B. AIRCRAFT CERTIFICATION BASIS (Check applicable bfr,cis and smplete items as indicated) x Jed AIRCRAFT SPECIFICATION OR TYPE CERTIFICATION DATA SHUT (Gist No. Rtrifhlt NG.) Al2EA Rev 7 5/1/73 LAIRWORTY.INESS DIRECTIVES liteit . CD No.) (Check 74-19 if all unlit-61e AM orrpred to :th atLIgt:e AIRCRAFT UST** (Gist page Sotto.) N/A SUPPLEMENTAL TYPE CERTIFICATE (Litt -NIA number of tad, STC incoriorait..) . C. AIRCRAFT OPERATION AND MAINTENANCE RECORDS X CHECK IF RECORDS a. TOTAL AIRFRAME HOURS—EIGE90062(XEOGEr COMPLIANCE WITH . FAR 91.173 IA:Do -F_OURS EXPERIMENTAL cr etraurd • . ONLY—Ester .reef but sine Ian arttif,.ar:tt......1 • D. CERTIFICATION—I hereb) certify that I am the owner (CC his agent) of the ircraft described Federal Aviation Adminisuanon in accordance with Section 501 of the Federal Aviation Act of dons; and. that the aircraft has been inspected and is airworthy and eligible for he airworthiness above; 1958, certificate that the aircraft is registered with the and applicable Federal Aviation Reguia- requested. ., DATE OF APPLICATION - 1k September 197 2- NAME AND TITLE (Print cr WO 1 socs9ue V_ 0 anzron Agent I /7 re, IV. INSPECTION; AGENCY VERIFICATION A. THE AIRCRAFT DESCRIBED ABOVE HAS BEEN INSPECTED AND FOUND AIRWORTHY BY: (Complete Ibis section on!) if AR 21.183 (d) applies) 2 11/412 PART 121 01.327 CERTIFICATE Certijirate Na) - HOLDER (Girt 3 CERTIFICATED MECHANIC (Gist orri(inar &Nisi) 6 CERTIFICATED REPAIR STATION (Gut Ctrieitatt No.) 5" AIRCRAFT MANUFACTURER (Gist Nagle of Firm) DATE TDIE SIGNATURE I V. FAA REPRESENTATIVE CERTIFICATION (Check ALL. applicable blocks). . Iliad that the aircraft described in Section I or VII meets requested, or car —l'Amentiment.or modification of its current airworthiness certificate. In Section VII was conducted by: 0 FAA Inspector; certificate holder under FAR 65, ' he requirements for: g,The certificatiat. • pection For a special fAht permit wider FAR 121 or 127, or NU FAR 145: OATI. .2. 27 Set.i97.4 DISTRICT Off KE ASOEHDO; 7-0-42 4 h. • .. r . -1. .2 1. smi;ral.t.. . J. yn DmIR # SO-118-2 f F.:, / INSPECTORS SIGNATURE EFTA00278407 o; A. MANUFACTURER, VI. PRODUCTION ►LIGHT TESTING. NAME ADDRESS B. PRODUCTION BASIS (Check applicable hot) PRODUCTION CRITIC-ATE (Cite produetzed certificate number) TYPE CERTIFICATE ONLY APPROVED PRODUCTION INSPECTION SYSTEM C. GIVE QUANTITY Of CERTIFICATES REQUIRED FOR OPERATING NEEDS: . DATE OF APPUCATION NAME AND TITLE (Print er opt) • SIGNATURE It" . 6 VII. SPECIAL FLIGHT PERMIT PURPOSES OTHER THAN PRODUCTION FLIGHT TEM A. DESCRIPTION OF AIRCRAFT REG4STERED OWNER ADDRESS • • WILDER (.5F.iFy) r. • MODEL SERIAL NUMBER . . . . . -. REGISTRATION MARK B. DESCRIPTION Of FLIGHT FROM ' TO - - VIA DEPARTURE DATE I DURATION C. CREW REQUIRED TO OPERATE THE AIRCRAFT AND ITS EQUIPMENT ) PILOT CO-PILOT 1 NAVIGATOR OTHER FSAteib) -. D. THE AIRCRAFT DOES NOT MEET THE APPLICABLE AIRWORTHINESS. REQUIREMENTS AS FOLLOWS: .. .. . 1 • .. • ... ... . . '... .... - ... ' • . •e E. THE FOLLOWING RESTRICTIONS ARE CONSIDERED NECESSARY FOR SAFE OPERATION (Use Ottachinent if neutsan) . . . - . • Dese. . • le . • • F. CERTIFICATION-I hereby certify that I am the registered owner (or his agent) of the aircraft described above; that the aircraft is registered with the i' -decal Aviation Administration in accordance with Section 561 of the Federal Aviation Act of 1958, and applicable Federal Aviation Regulations; and that the aircraft has been inspected and is airworthy for thedlighedescribed. 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 DOCUMENTATIO (FAA use only) MI frill I 1M 9i:31'as Applicable • - H. Foreign Airworthiness Certification for Import Aircraft (Attach a Ina B. Current Operating Limitations Attached • required) — C. Dolce, Drawings, Photographs. etc. (Attach when readire.1) I. Previous Airworthiness Certificate Issued in Accordance with D. Current Weight and Balance Information Available in Aircraft . FAR CAR - (Original attached) E. Major Repair and Alteration, FAA 337 (Attach ulxn rebuked) J. Current Airworthiness Certificate Issued in. Accordance with F. This Inspection Recorded in Aircraft Records x FAR 21.183 (a) (Cep) attached) , • EFTA00278408 . - . itt rmt..‘e:-.'ravel•-•••• .••••• • 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 s' 103040A I I / C A V\s"BcR N • , i . ..., . REGISTRATION MARKS • G.1 151, It:\ 5 1 l Transport •' S. AUTHORITY AND BASIS FOR ISSUA42 %---,.._. . --..A\ • this airworthiness certificate h its pursuant.-nr: dets ceation ,* Ps \, 58 and certifies that, es cf the' 1\ 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. as 'rev' ibLknysx 8 to me Cptvention on International Civil Mein. ../ . Aviation, except as noted sin. ; ,-..._ f ." ....... I • -110 .1. 1 ' if_ IS: . f ..... .. N i.- 1 0, 4 'IC ....‘ , .. -Tr; Tr:7-1;777T— S t: d ' mo tion No. 03 -to 4N.113t4• .77w1.JJ Exceptions: S. TERMS AND CONDITIONS \\\ ti- t/ surremiered, revoked>ar—a-WernaationAate is atbeIlMq stablished by the Administrator, - this airworthiness certificate iskeffascrisee as long al-theahicterdirionce, prey ive maintenance, and alterctiogs are t.. performed in accordance witF PaetnY, 4.7, and 91 of the Federal Avian A Regi:Ictions, as appropriate, cnd the . aircraft is registered in the UreNted 561,ers• t /7/ IF" REPTtia: DESIGNATION SOMBER DATE OF ISSUANCE Any alteration, reproduction, or misuse of this cent punishable by a fine not exceeding $4,000, or irn- • . prisonment not exceeding 3 years, or both. THIS CERTIFICATE MUST BE DISPLAYED IN THE AIRCRAFT IN ACCORD- t ANCE WITH APPLICABLE FEDERAL AVIATION REGULATIONS. 13ePt • 19711 f 130•118-2 FAA-Form 81004.(7-67) FORMERLY EFTA00278409 •• st-z. • • -• r ••1.7_,..!••• •••••=4:,•••.3*‘. -v.-' EFTA00278410