EPSTEIN
page 2 / 530 . OCR, unverified
9. APPLICABLE REQUIREMENTS (UM speckle sections)
CFR Title 14 Part 25.301(25-23), 25.303(25-23], 25.305(a)(bUcX25-23), 25.307(a125-231, 25.801[25-00),
25.603(aXbXc)(25-38), 25.605(a){25-00), 25.807(25-23), 25.809(eXbX25-00], 25.811(25-2n 25.813(aXbXcX25-00],
25.619[25-23]. and 25.625(a)(0XcX25-231.
re. CERTFICATION - Under minority
Pen 193. dots nand above and on 'Bathed
appacsoie requirements of the AInvortnIness
K Recommend
wired bydrecelon of the AdrranIstralor end In accordance with conditions and Ilmitallons of appcdnMsent under 14 CFR
sheds numbered _BA, have been emartned in accordance with established procedures all found es coos* et
Standards Listed
approval of these data
these data
I (We) Therefore
FrA. Approve
it SIGNATURE(S) OF DESIGNATED ENGINEERING RE PRESENTAttVE(S)
12. DESIGNATION NUMBERS(S)
I3. CLASSIFICATION(S)
pre:7 4 Z.--;
.--
DERT-410115-CE
Structures
FAA Form 8110.3 (03-10) SUPERSEOES PREVIOUS EDITION
File Number. H18777-01
Page 1 of 1
EFTA00011671
--- PAGE 4 ---
EFTA00011672
--- PAGE 5 ---
e
i
(6,
MAJOR REPAIR AND ALTERATION
US Departalerd
0/ Trenelarlation
(Airframe, Powerplant, Propeller, or Appliance)
Federal Aviation
taimiwarzion
Olaf NO. 2120-0920
SM
Ent
I QM
O
Ekciront Trackhg Haw
For FAA thia Oral
INSTRUCTIONS: Print or type all entries. See Tide 14 CFR §43.9 Part 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. §44701). Failure to report can result In a cNa penalty ler each
such Notation. (49 U.S.C. §46301(a))
1. Aircraft
Nationakty and Registration Mark
UNITED STATES / N188TS
Serial No. RK-244
Make
RAYTHEON AIRCRAFT COMPANY
Model
400A
Series
a Owner
Name (As shown on registration certa1cato
THORAIR LLC
Address As shown on registration certificate)
At:keen
an
SANDUSKY
ham 011I0
za
44871-2218
cosier UNITED STATES
3. For FAA Uso Only
4. Type
ill. Unit identrestIon
Repair
Alteration
UM
Make
Model
Serial No.
WI
[j
AIRFRAME
RATIMONAMCIMFTCOSIMY
(As described in Item I above)
RK-244
K
K
POVVERPIANT
PROPELLER
I
I
APPLIANCE
11Y01
Manufacturer
6. Conformity Statement
A. Agencys Name and Address
B. Hind Of Agency
sew
Constant Aviation LLC
U. S. CerWketed Mechanic
Manufacturer
Newt
I
Portion Certificated Mechanic
C. Certificate No.
a,
CLEVELAND
suds OH
Ceblitaied Re
r
PM/ Station
CRS#WC7R346J
zis
44143
c,,,,....., USA
Certificated Maintenance Organization
D. I certify that the repair and/or alteration made to the unit(s identified in Item 5 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 Mfonnallon
Wished herein is true and
Extended
per 14
APP.
range fuel
CFR Part 43
B
K
10/04/2019
turn-Vs-Service
Pursue
Administrator
I to the authority g
nri
of the Federal
a ion Administrati
end Is
I
in item 5
Approved
Inspected In the manner prescribed by the
Relected
t..---
—
FAA Fit. Standards
Inspector
Manufacturer
Maintenance Organlzabon
Persons Approved by Canadian
Department 01 Transport
BY
FAA Designee
M
Repair Station
i
spection Authorization
Other (Specify)
Certificate or
Designation No. CRS#
WC7R346J
Signature/Da
AW
d IndNidual
.-----------------
/
10/04/2019
FAA Form 337(10/06)
Page I
EFTA00011673
--- PAGE 6 ---
NOTICE
Weight and balance or operating limitation changes shall be entered ✓n the appropriate aircraft record. M alteration must be
compatible with ail previous alienations to assure continued conformity with the applicable airworthiness requirements.
8. Description of Work Accomplished
(f mote space Is reputed. attach additional sheets ;den* Mih sitar* nationality and regisfratton math and date soak completed)
UNITED STATES! NIESTS
IW04/2019
Nationality end Registration Mark
Date
Engine Inlet Rivet Repair
Installed blind rivets in place of the damaged solid rivets on the lip of the right hand engine inlet
forebody assembly part number 541000-004, serial number R0010, in accordance with nextant
aerospace engineering order NT-ED-1118-31 rev IR dated 11/29/2018 with FM form 8110-3
dated 11/30/2018.
Instructions for Continued Airworthiness: Follow the maintenance inspection practices in the
aircraft maintenance manual. Inspection intervals shall remain as indicated in the aircraft
maintenance manual or operators approved inspection program as appropriate.
Weight and Balance unaffected.
Reference Constant Aviation work order CCM-3160
END-
FlAdditional Sheets Are Attached
FAA Form 337 (10/06)
Page 2
EFTA00011674
--- PAGE 7 ---
•
•
U.S. DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION
STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS
1. DATE
November 30, 2018
AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION
2. MAKE
Textron Aviation
S. MODEL NO.
N541000-004
4. TYPE (Aber* Engine, People, art)