Text extracted via OCR from the original document. May contain errors from the scanning process.
0
USOwarteen or
(Airframe, Powerplant, Propeller, or Appliance)
haniiponiu,.
. rent Amp.
mimmiratim
Ord to 2120<<20
Ed tr31 ICI B
Electron Track ng Eiveitet
For FAA Use Only
INSTRUCTIONS: Print or type all entries. See Title 14 CFR §43.9, Pan 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 civil penally for each
such violation. (49 U.S.C. §46301(a))
I. Aircraft
Naeorekty end Registration Mark! N120JE
Setter NI: 10aS
Make. GULFSTREAM
Model! OW
Sykes: WA
2. Owner
Name (As shown on reoisration cerlificare)
JEGE LLC
Address (As shown on reoistratiOn cortittafe)
Ad*a.a: MOO RED R.304 DARTER 03
Oty ST. TMOWS
SW. CORDON
Sc 00002
go.roy VIRGIN MINOS
3. For FM Use Only
• 4. Type
& Unit Identification
Regsr
Meseta.
UM
Make
Model
Sorel Number
O
0
AIRFRAME
(As descnbed if teem I abOYO)
•
O
POWERPLANT
o
O
PROPELLER
El
.
APPLIANCE
1taa
wituraceser
S. Conformity Statement
A. Annoys Name and Address
B. K nd 01 Agency
Name Stevens AdItC4p8O• Ma Delostir System. SC
se
103 Ent Din
City Mow
Sum GoOrom
Sc St2te
Coeds United &Stela Amente
a
U.S. Certificated Mechanic
0
Manacturer
O
Foreign Certificated Mechant
C. Cent-ante No.
0
Certificated Repak Swam
VIB8368K
O
Careficated Maintenance Organdatcn
0. 1i:entry dal the repair erclror alteration made kr tie unti(.) 'denoted In item 5 above and OW..nbild on the reverse or aeactrnents hereto
new been nestle In accordance with die rettirements of Pant)
430! the US. Federal Anton Regulatans and that the Intrinabon
Ravished herein is true and correct iti tie best of my knowtedge.
Extended rarqe Fuel
Per 14CFR Pan 43
App. B
O
Sionstvernate of &Shafted
kedual
Mike Shaw
,
•
June 03, 2019
. —7
,
4.1141
7. Approval fof cum to Service
Pursuant to the autharity green persons specified below. the twit Identified in item
AdminIStrator el the Federal Adidas Adrnindliaten ard IS
0
APPROVED
5 was
.
irepected n tie manner peSSOIbed by the
REACTED
BY
FM FP Standards
Manufacturer
Maintenne Orgarizaban
Person APING'S by Canadian
Department of Transport
inspect&
FM D esignee
X Repair Stamm
Inspecton Aulltarizettm
Otter (50900.7
Carthate Of
Oesqnsuco No. CRS$ VII18388K
Signature/Date of ALthonzed IntS4dual
Dendall Wood
iatAuttlat
w6
09.0
June 03.2019
FM Form 337 oo-om
SDNY_Glil_02753702
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240624
EFTA01326217
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An a,Yeration must be
cornpabble with all previous atterahons ro assure continued conformity with the applicable airworthiness requirement&
8. Description of Work Accomplished
(If more space Is required, attach additional sheets. Identify with se-craft nationakly and registration mark and date work completed.)
N120JE
Nationality and Registration Mark
KaiserAir, Inc STC ST03422CH
June 03-2019
Dale
1.
Installed KalserAt, Inc. SIC ST03422CH - by installation of a Universal Avionics UNS•I Espw flight management system oath
Unlink UL•801 datalink system and CVR-120A cockpit voice recorder to meet airworthiness requirements for FANSUA+ and
optional Automatic Surveillance — Broadcast (ADS-B) Out in accordance with Master Data List. Document No. JRW1279-MDL.
Revision A dated October 26. 2018 or later FAA approved revision.
2.
The following FM approved Flight Manual Supplements: Universal Avionics Systems Corporation CVR-120A Codtpit Voice
Recorder. Document No. JRW1280.FMS-01, Revision A. dated May 25. 2015. Automatic Dependent Surveillance Broadcast Out
(ADS-B Out). Document No. JRW1260-FMS-03, Revision A. dated October 06. 2015. Universal Avionics UNS•tEspw FMS and UL•
801 Unlink Datalink Communication System, Document No. JRW1280-FMS-04. Revision IR. dated October 30. 2018 and the
Unvemal Avionics Corporation CVR Operation Report No. 23-70-08-01, Rev. 2. Dated March 10. 2016. has been inserted Into the
Aircraft Flight Manual.
3.
Instructions for Continued Airworthiness Document No. JRW1283-ICA Revision E. Appendix A Svu E. dated June 18. 2018 has
been inserted into the Customer's Supplemental Maintenance Manual.
FM 8110-3 Approvals:
Iridium Antenna Instalati08
FM 8110.3 • CI 490-490 indium Antenna Doubler Design B Inslalabon, Identification No. N120JE-052310-1-ECNOI. Revision N/C. dated
May 23.2019 and Damage Tolerance Analysis for the Gulfstream Cy-IV CI 490-490 Iridium Antenna Doubler Insulation, Repot
No. N120JE-052319-OT01, Revision N/C. dated May 23. 2019. Approved by FM Structures DERT-605818.NAL Trevor J.
Sarong. Instructions for Continued Airworthiness Document No. N120JE-ICAW-052319, Revision IR. dated May 23. 2019
LED Cabin Effects Liohting
FM 8110-3 - installed direct replacement LEO Caton Lighting. Identification No. Drawing No. 06-328-W03 Rev IR pages 1.9. dated May 30.
2019. Approved by FM Systems & Equipment DERT-832582-CE. Michael Casper.
VHF/Comm Antenna Installation and LH Mfd Foul**. Feadthru Installation
FM 81101 - VHF/Communication Antenna Installation. Drawing No. 06-560-001. Revision IR. dated May 16.2019 and LH Feed•thru
installation 06-560-002, revision IR. dated May 23. 2019. Approved by FM Structures DERT-605818-Mil. Trevor J. Strong.
'es Performed aircraft reweigh. updated Equipment List and inserted data into the Weight 8. Balance Manual and Flight Manual as
required. FAA-8110-3 and dramngs have been inserted into the Stevens Aerospace. Customer's Supplemental Maintenance Manual.
ENO
cg Additional Sheets Are Attached
FM Form 337 110-06)
SDNY_GM_02753703
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240625
EFTA01326218
KAISERAIR,
May 14, 2019
Letter Of Authorization
KaiserAir, Inc. authorizes Stevens Aerospace and Defense Systems LLC the one time use of
KaiserAir, Inc STC ST03422CH for the installation of Universal Flight Management System,
Unilink and CVR for the requirements for FANS In Guifstream Model IV Serial Number
1085 current Tail Number N120JE.
AndreaJtujan
Chief Inspector
KaiserAir, Inc.
2240 Airport Blvd.
Santa Rosa. CA. 95492
707.528.7400
SDNY_GM_02753704
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240626
EFTA01326219
SDNY_GM_02753705
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240627
EFTA01326220
numb Shan of America
Ptparhttent of tgrausportntion — Acbcral Attention Abittinistration
Supplemental Zgpe Certificate
AGnien, ST03422CH
.Y/ti fly/Awn
KaiserAir, Inc.
8735 Emhart Road
Oakland, CA 946214547
rent//J 441.44, doer e:s
ensi4.../ewhet /-14-wsillys-siwy/wvat
averaieh.d rowirebierboo4
//muter frJ 4aareleadaCarytva ~NJ de reterreete:ionw private-Si 1:4e/ 25 r/46 Federal Aviation
.W.cownchb..4. (See Page 3 of 4 for complete certification basis)
/1;yjyafcci:Oww4w/. • .-3,2,y vely/Awn Wwweer.•
Al2EA
Oulfstraan
04V. GV
CerlierOdeava
1.4*.iowe P.r.ifivor
Installation of a Universal Avionics C/NS-IDPW night management system "WI UnilAnk UL-1501datalink system and CVR-120A
cockpit voice record". to moat aim:inhalant requirements for FANS 1/A+ and optional Automatic Depaulan Surveillana —
Broadassi (ADS-3) Oct in accordance with KaiscrAir, Inc. Master Dula List JR9/1279-MDL. Revision J, dated October 30.2018. or
later FAA approved revision.
Vatenthe/tiva owegveativaa:
1. The installa must determine nib:Ilia this design change is compatible with previoirdy approved modifications.
2. FAA approved Hight Manual Supplements, KaiscrAir, Inc. !bemoan No. JRW 1280-FMS-0 I RevisMn A, approved May 25,
2015, JRW I280-FMS-02. Revision B. anwoval Octoba 6, 2015. JRW 12804MS-03, Revision A dated October 6, 2015 and
JRW 12804-MS414, Revision -. dated Octoba 30. 2018 or later FAA approved revisions me required onboard the modified
aircraft
3. The modified aircraft must be maintained in Accordance with Ainvorthinois Limitations containedin KairerAir.'Ine. Document
No. JRW1 283-ICA, Chapter 10 0 Airworthiness Limitations. Revision
approved October 30, 20 I It, or later FAA approval
revision, in addition to the basic aircmft niaintenance manuals.
4.11the holder agrees to permit another person to int this certificate to alts the product, the hoWer must give the other paron
written evidence of that pimnbsion.
arronwayt snide 4.yerretiese AA, evf he a. I p, A,
4440nweeir fir Werbeehrite
Josavvmdarei mawavoini: errnevire or Arneriteehave .4,4
r Arebrib ouleinatin," /dr •Alaimaivaillow/or
.Zialetv/. Zivie/navo . tefitraidasalaira.
late Vor,r4;whiv. :July23.2014. Jamey 27. 2015
Vark et:maaaanry• :WWI 03. 2015
lir* wecbavy/..
Vark 'naval
May 25. 2015. °ciao 30.20t8
/Ay" r//4. Zetintividnv/er
Armature)
Brenda L. tilditickl
ODA Admiiiigralor
ElflOy Aerospace. LIZ
OCA431240-CE
Aar afopiat too et iris aaa• It!.?.,. 1, itsnirbrd• ay a fib of b. brridler
ropirioonset not onallag 1 bars, or tot".
TM raw
PAGI I
at I
PARS
Ibis .vat/lean ay b canasta
In better*
with ratt ZI.47.
SDNY_Glvl_02753706
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240628
EFTA01326221
SDNY_GM_02753707
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240629
EFTA01326222
ltnite Stoke of Aumito
pepa r bumf of transportation - Adorn( A0
butitt ist t ion
Suppletztental type ffertifirate
Mantinuation Ailed)
...441t/10,170
ST03422CH
firok rAZatoovor: March 03, 2015
%eft smov4,
May 25, 2015
miww4./
October 30, 2018
eitAwlint .92w4:
The certification basis for the changed Gulfstream G4 V aircraft as described in this certificate is as follows:
a.
The type certification basis for Gulfstrenm G4V ninslanes is shown on TCDS Al2EA for parts not changed or not
affected by the change.
b. The certification basis for parts changed or affected In the change since the reference dai of application, July 23,
2014, is shown on TCDS Al2EA. In addition. the npphcant has complied with 14 CFR Part 25 as specified in the
sections listed below.
Regulations as shown on TCDS Al2EA [Amendment 25-0 through 25-56i:
25.301(a), (b); 25.303; 25.305(a), (b); 25.307(a); 25.341(a); 25.365(a), (b), (O, (d); 25.561(e); 25.581(a), (b), (e);
25.601: 25.60300. (b). (a); 25.606(a); 25609(a). (b): 25.611; 25.613(a). (b).
(d): 25.615(a); 25.619(a), (b). (c);
25.625(a). 25.771(a); 25.777(a), (e); 25.789(a); 25.1301(a), (b), (o), (d); 25.1309(a), (b), (e), (d), (a),
(g);
25.1322(a), 0O, (e). (d); ;5.1333(a). (b), (c): 25.1353(a), (b); 25.1357(a), (e); 25.1431(a), (b), (e); 25.1501(a), (b);
25.1523(n), (b); 25.1529; 25.1585(a), (b).
Regulations at a later amendment level than specified In TCDS Al2EA:
23.29 [Am& 25.721; 2.5.571(a). (b) [Arndt 25-45j; 25.86900(4) [Arndt 25.1131; 25.1307(e) [Arndt 25-721;
25.1329(e), (i) [Arndt 25.1191: 25.1351(a) [Muth 25.721: 25.138100, (b) (Amdt 25-72); 25.1457(a), (b), (c),
(d)(1)0),(2),(3).(6), (e),
(g) 'Arndt 25-124); 25.1581(a), (b), (d)(Amdt 25-72), 25.1583(h) (Am& 23-72).
Spotlit Conditions
25-665-SC, Special Conditions: Gulfstream Aerospace Cotpomtion, Model GV-SP Airplane; Non-Rechargeable
Lithium Battery Installations, Docket No. FAA-2017-0367 (Applicability Limited to Universal Avionics UNS-
'Espy Flight Management System installed in Configurations -04 and -05).
The certification basis for the changed Gulfstream GV aircraft as described in Ibis certificate is as follows:
a.
The type certification basis for Gulfstream GV airplanes is shown on TCDS Al2EA for pans not changed or not
affected by the change.
b. The certification basis for pans changed or affected by the change since the reference date of application. January
27, 2015, is shown on TCDS AI2EA. In addition, the applicant has complied with 14 CFR Pad 25 as specified in
the sections listed below.
(Continued on µage 4)
Any eltorotion of this artlelooco Is panish.41* by • has of eat Oireupelaf $1.000. or trivisaist
Inc Inroatizoo 3 rues, w
Cerra.
DA Tam 0110.:.1(30.4,)
IASI 3 of
I
PAGES
This corcltleat• wy b• troduncroci Zr. 110741tifill,W
ZAR 21.47.
SDNY_GM_02783708
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240630
EFTA01326223
I
SDNY_GM_02753709
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240631
EFTA01326224
%Whit *Ws of pAmerita
!apartment of ggranspo dation -
eberati Ablation Abministration
$upplementui Zgpe Certificate
(Continuation Alpe°
Verk r/f:"MeMet:
March 03, 2015
%ter- 07.4.:4;44se
May 25, 2015
rink ittivowtf./
October 30, 2018
en.e0;w4;34 • 4.4.46rvi/4w”.9.-
Regulations as shown oa TCDS Al2EA 'Amendment 254 through 25411:
25.29; 2$.301(a), (b); 25.303; 25.305(a). (b); 25.307(a); 25.341(a); 25.365(x), (b), (c), (d); 25.561(e), (d); 25.571(a),
(b); 25.581(a), (b), (e); 25.601; 25.603(a), (b). (a); 25.60500; 25.60900. (b); 25.611; 25.613(a), (b), (c), (d);
25.610(a). (b), (c); 2362500: 2527100; 25177(4 (a); 25.789(a); 25.1301(a), (b) K2 (d); 25.1307(c); 25.1309(0),
(b), (e), (d), (e), (0, (g% 25.B16(b), (a); 25.1322(a), (6), (e). (d); 25.1333(4 (b), (o); 25.1351(a); 25.135300. (b);
25.1357(a), (a); 25.138100, (b); 25.1431(a), (b), (c); 25.1501(a), (b); 25.1523(o), (b); 25.1529; 25.1581(o), (b), (d);
25.158309; 25.1585(a), (b).
Regulations at a later amendment level than specified In TCDS A l2EA:
25.869(ng4) [Am& 25.113); 25.1329(c), (i) (Arndt 25.1191: 25.1457(a), 00, (c), (d)(IX0,(2),(3).(6), (a), (0, (g)
[Arndt 25-124)
Special Conditions
25-ANM-I08, Special Conditions; Gulfstream Aerospace Corporation, Model Gulfstream CV, High Altitude
Operations. Docket No. NM-112; Paragraphs 1(aXbX4
25465-SC, Special Conditions:. Gul fstream Aerospace Coq/oration, Model GV-SP Airplane, NonIFIechargeabk
Lithium Battery Installations. Picket No. FAA-20I7-0367. (Applicability Limited to Universal Avionics UNS-
lEspw Flight Management System installed in Configurations 44 and .05).
—END--
My ****** tam of ells cortlelomo L puelaluebe by • tine or we 114*.enril *Lear or IsprUpon
tut esesollag I imam. or both.
FM Feu I110-2-10.4•11
Pia 4 of
4
Pal
This corn/lost* ,say to trossferrod Is *mordant Ida yet 11.0.
SDNY_GM_02753710
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240632
EFTA01326225
SDNY_GM_02753711
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240633
EFTA01326226
0
US Dremnort
e Ting:futon
(Airframe, Powerplant, Propeller, or Appliance)
&woe esaotion
Ads1risibton
feeteme
e
21100010
wagon
Eliontne crew, ream
sot eiliA uneasy
INSTRUCTIONS hull or type as entries. See Title 14 CFR §43.9. Part 43 Appendix 8. and AC 4194 (or subsequent foremen thereof) for
instructions and disposition of this form This report is required by law (49 U.S.C. §44701). Failure to report can road? in a ovil penaky for each
such violation. (49 U.S.0 §46301(a))
1. Aircraft
Nationality and Registration Mark
N120JE
Serial No.
1085
Make
Gulfstream Aerospace
Model
G-IV
Sores
a. Owner
Name (As shown on regostraDon certificate)
JEGE LLC
Address (As Shown on registration carnivore)
Morin 6100 RED HOOK QUARTER 83
cry
St. Thomas
sm. Foreign
be
00802
cage, Virgin Islands
3. For FAA Use Only
4. Type
6. Unk Identlfkatifin
Repair
AllefillIOn
Unit
Make
Model
Serial NO.
al
0
AIRFRAME
(As CIOSChbed ifl MINI I I above)
0
ID
POWERPLAt4T
0
0
PROPELLER
0
0
APPLIANCE
Type
Alenutectiger
I. Conformity Statement
A. Agency's Name and Address
B Kind of AgenCy
isms
Gunstream Aerospace Services COrpOration
U S Collated Mecherie
I laerulacturer
&Ss 7 Char Drive
Fetal:, Centagel Methane
C. Certificate No.
cie
Westfield
am MA
i
Coble: al Repair Sieben
LEGRO39G
be
01085
own,
USA
Cans:sew maintenance Organs/bon
D. I candy that he repair andlor alteration made to the unit( ) identified in item S above and described on the reverse or attachments hereto
have been made in accordance with the requiremee4s of Pan 43 of the U.S. Federal Aviation Regulations and that the information
Nmished herein is true and cared to the best of my knowledge.
re
Extended range fuel
Per 14 CFR Pin 43
0
APP. 8
Signature/0mo of Authorized Intkviduat
,
Benjamin Thomas Jones z
.....4—....
--
09 November 2018
7. Approval fo
Wurn to Se
Pursue I to the authority given persons &Pealed below, the unit identified in item 5 was nseecteo in the manner presorted by Me
Administrator of the Federal Aviation Administration and is
2 Approved
0
Rejected
BY
FAA Flt Standards
Inspect«
Maintenance Organization
Persons Appeared by Canavan
Department or Transport
FM Designee
I
Repair Station
Inspection Au
cation
Other (Specify)
Corti ale Of
Designation No.
LEGRO39G
Signature/Date of Aumon
1101
Dean Mathew Dickman c....
--09_November 2018
FAA Fenn 3370041i
SDNY _ GM_ 02753712
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240634
EFTA01326227
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.
S. Description of Work Accomplished
Minor° space is ragweed attach addrional shears Idenlify min soccer nahonabty and regOkation mark and dale work comaierca)
N120JE
159 November 2018
Nationale), and Registration Mark
Date
Performed Major Repair to the Forward Lower Side of the Baggage Door in accordance with 1159RD13459-3 and
Forward Upper Side of the Baggage Door in accordance with 1159RDB459.5 Standard Repair Intl - Frame
Cracks. Baggage Door.
Gulfstream Standard Repair Drawing 1159RDB459 Rev. J is FAA Approved per Gulfstream GIV SRM 52-00-02
Rev. 16 Dated December 15. 2017 and Engineenng Disposition 50019580.1.1 by Stephen Alois Dated
November 7, 2018.
This Repair Does Not Impact Aircraft Weight and Balance or the ICA.
END
Additional Sheets Are Attached
FAA Fenn 137 (Wai
SDNY_GM_02753713
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240635
EFTA01326228
ee
us oftwonn
et Orntoenol on
(Airframe, Powerplant. Propeller, or Appliance)
Federal Aviation
winawasten
1/4....,77703
core
2.21/2011
Eleceobc Weeny Nun.
erFAA UN Only
INSTRUCTIONS: Pnnt or type all entnes. See Tele 14 CFR $43.9. Parl 43 APperdix B, and AC 43.9-1 (or subsequent revision thereof) for
instructions and disposition of this form. This report is requred by law (49 V.S.C. $44701). Fatale report can resiA in a civil penalty for each
such holabcn. (49 U S C §46301(a))
1. Aircraft
Nationality and NegntrabOn Mark
N120JE
Serer No.
1085
Make
Model
G-IV
Senes
N/A
t. Owner
Name (As shown on teolfration cerflficate)
JEGE LW
Address (As shown on/migration contralto)
Meese 8100 RED HOOK QUARTER 83
G.,
ST THOMAS
sew FOREIGN
z,,,
00802
cony
VIRGIN ISLANDS
3. For FAA USO 0 ly
4. Type
a Unit Identification
Repair
Alteration
Unit
Make
Model
Serial NO.
IZI
O
AIRFRAME
(As descnbect in nem 1 above)
O
O
PON£RPLANT
El
CI
PROPELLER
O
.
APPLIANCE
Type
mraacia,
6 Conformity Statement
A. Agency: Name and Address
B. Kind of Agency
an
Galmmargigaenaces
ration
man. 7 Char Drive
u 5 corencesee Mechanic
I lAanuhaurer
Foreign CerlaCated Mechem
C. Certificate No.
cq
Westfield
Sine MA
/
Cannoties Raper 3NbOn
LEGRO39G
a.
01085
Canty
USA
Certif.:ad atenterence Organzatan
O. [certify that tne repair and/or aeration made to the unlit ) identified in item 5 above and described on the reverse or attachrnems hereto
have been made in accordance with the restatements of Part 43 of the U.S. Federal Aviation Regulahons and that the intortnatson
furnished herein is Ina and correct to the heft of my knowledge.
Extended range fuel
per 14 CFR Part 43
App. B
•
SignaturerDate of Authorized Ince/
-1
Benjamin T. Jones
26/JUIJ2018
„.,..--t_--_...
-
. pproval for R
talcs
Pursuant to the authority given persons specified below. the Linn identified in item 5 was inspected n the manner prescribed by the
Administrator of the Federal Aviation Administration and is
2 Approved
O
Rejected
BY
FM Fit. Standards
inspector
manufacturer
Maintenance Organization
Person, ANNOYS by Censaen
orpartmen of Transport
FM Designee
1
Repar Station
Inspection Authorization
Other (Sporty)
Certificate or
Designation No.
LEGRO39G
Signature/Date
reed indwismil
26/JUL/2018
Dean M. Di
___
FAA Forrn 337 rioter
SDNYGM02753714
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240636
EFTA01326229
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 contort* with the applicable einvorthiness requirements.
a. Description of Work Accomplished
(It more space is required. attach additional sheets. Identify wen aircraft nationality and reetstrabon mark and date work completed.)
N120JE
Nationality and RegitratiOn Mark
26/JUU2018
Date
1.) Reworked the LH Thrust Reverser P/N 1159P41460-3 S/N A088 LH Fwd Mount Holes 2L - 4L and 7L - 11L.
Installed The Following Repair Bushing Part Numbers In Locations Listed;
21. - GSL405420001.11-5474
31. - GSL405420001-11-5312
4L - GSL405420001-11-5474
7L - GSL405420001.11-5312
8L - GSL405420001.11-5940
9L - GSL405420001-11-5312
10L - GSL405420001-11.5940
11L - GSL405420001-11.5312
2.) Reworked the RH Thrust Reverser P/N 1159P41460-4 S/N A088 RH Fwd Mount Holes 3R,7R,13R -10R.
Installed The Following Repair Bushing Pan Numbers In Locations Listed;
2R - GSL405420001.11.5746
3R - GSL405420001.11.5320
4R - GSL405420001-11-5781
5R - GSL405420001-11-5322
7R - GSL405420001-11-5312
BR - GSL405420001-11-5946
9R - GSL405420001-11-5312
10R - GSL405420001-11-5754
11R - GSL405420001-11-5312
Repairs Accomplished in Accordance with and Substantiated By Gulfstream General Service Letter
GSL405420001 Rev B., Engineering Disposition SC18934.14.9.1.1 and SC18934.16.1.1.1
This Repair Does Not Impact Aircraft Weight And Balance. Or The ICA.
3.) Reworked the LH Inlet P/N 1159P41100-69 S/N A086 LH Fwd Mount Holes 13L. 151. - 20L and 231. - 25L
then Installed Repair Bushings PIN GSDD405411001-11 as required.
4.) Reworked the RH Inlet PIN 1159P41100-71 SIN A086 RH Fwd Mount Holes 6R, 12R, 17R - 19R and 24R
then Installed Repair Bushings PIN GSDD405411001.11 as required.
Repairs Accomplished in Accordance with and Substantiated By Gulfstream General Service Letter
GSL405411001 Rev C., Engineering Disposition SC18934.14.10.1.1 and SC18934.16.11.1.1
This Repair Does Not Impact Aircraft Weight And Balance. Or The ICA.
END
Addnional Sheets Are Attached
FAA Form 337 {torn
SDNY_GM_02753715
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240637
EFTA01326230
9 1
Ilbf
vs oromurer
a transponsess
(Airframe, Powerplant. Propeller, or Appliance)
From Annie,
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Fr, Amos!
pre No 1000020
moon
Elena"K Treaing Nuen:
.. FAS Use Puy
INSTRUCTIONS: Pont or type aN entries. See Tele 14 CFR §43.9. Pan 43 Appendix 8. 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. 544701). Failure to report can result in a civd penalty for each
suCh violation. (49 U.S.C. §46301(a))
1. Aircraft
Nationality and Registration Mark
N120JE
$erial No.
1085
Make
Model
G4V
N/A
2. Owner
Name (As shown on mixers:ion certracate)
JEGE LLC
Address (As shown on registration certificate'
Mann 6100 RED HOOK QUARTER B3
cc,
ST THOMAS
sm.
FOREIGN
20
00802
cowr y
VIRGIN ISLANDS
3. For FAA Use Only
4. Type
S. Unit Identification
Reis*
Alteration
Unit
I
Make
Model
Serial No
Z
0
AIRFRAME
(As clescncecl on Item 1 above)
El
•
POWERPLANT
El
•
PROPELLER
El
0
APPLIANCE
type
Merestectiew
6. Conformity Sta ernent
A. Agency's Name and Address
B. Kind of Agen y
ere
Gulfstream Aerospace Services Corporation
u. s. Garlaraterl Meehan
I Sran...ackrer
Mons 7 Char Drive
Foreign Cathcatee Mechanic
G Certificate No
Ger
Westfield
Si." MA
i
Certificated Repair Staten
LEGR039G
a•
01085
cwwv
USA
Coreficateo Ulaimenance OrgarCakin
O. I certify that the repair andior alteration made to the unit( ) id nofied in item 5 above and described on the reverse or attachments hereto
have been made in accordance vett the requirements of Part 43 of the U.S Federal Aviation RegAations and that the information
furnished herein is true and Coned to the best of my knowledge.
Extended range fuel
per 14 CFR Part 43
n00. B
El
&puha
Authorized Indi
min
t
e -
j
; ----T---"
26/JUN/2018
7. Approval for Return to Service
Pursuant to the authority g ven persons specified below. the unit identified in item 5
Adnwestralor 01 the Federal Aviation Administration and is
9 Approved
was
IMI
-nspected in the manner prescnbed by the
Rejected
BY
FAA Fn. Standards
Inspedor
Manufacturer
Meintenan
MaintenanceOrganization
Persons Approved by Gainsays
Department of Transport
FAA Designee
I
Repair Station
Inspection Autnonzation
Other (Savory)
Ceti Kate or
Designation No.
LEGR039G
Signature/Date of Authorized Individual
Wiliam Stucklen
26/JUN/2018
FAA Form 337 norm
SDNY_GM_02753716
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0O240638
EFTA01326231
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropnate aircraft record. An alteration must be
compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements.
I. Description of Work Accomplished
(II more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.)
N120JE
26/JUN/2018
Nationality and Registration Mark
Date
Performed rework of rudder actuator forward attach fitting - F.S. 757.562 in accordance with Gulfstream drawing
No. 1159RDB729, No Revision, -901 inst.
This major repair is substantiated by FAA form 8100-9. dated 06/15/2018, Project No. TR-07-2018-0014. from
Gulfstream Savannah Authorization# ODA-511131-CE. cert 0336099.
This repair has no effect on current ICA.
Weight and Balance effect: None
AFM Supplement: None
Performed the following repairs to flight control hinge fittings in accordance with Gulfstream drawing No.
SE05000102. Rev. E. STD. Repair - Control Surface Hinge Fittings:
1) Performed repair SE05000102-913D6-20 to UH #3 Aileron hinge fitting P/N 1159WM20202-5. Bore
measures .4065", installed 5E05000901-913D6-20 bushing.
2) Performed first increment 0/S repair to UH Aileron #1 hinge holes (3 places). Bores measure .3280". installed
NAS6605D4OX. NAS6605D54X, AND NAS6605066X 0/S hardware.
3) Performed repair SE05000102-911P5-21 to UH Elevator hinge #4. Bores measure .3906" - .3911", installed
SE05000102-911P5-21 repair sleeve.
4) Performed repair SE05000102-912S88-1 to UN Elevator trim tab hinge# 1 inboard lug. bore measures 3905".
installed SE05000102-912588.1 bushing.
5) Performed repair SE05000102-911P2-5 to UH Elevator trim tab hinge# 1 outboard lug, bore measures .4063",
installed SE05000102-911P2-5 sleeve.
6) Performed repair SE05000102-911P1-5 to R/H Elevator trim tab hinge# 1 outboard lug, bore measures .3905",
installed SE05000102-911P1-5 bushing.
7) Performed repair SE05000102-911P1-5 to R/H Elevator trim tab hinge# 2 outboard lug, bore measures .3905",
installed SE05000102-911P1.5 bushing.
8) Performed repair 5E05000102-914P1-28 to Rudder top hinge and fitting. bores measure .389r. installed
5E05000901.914P1-28 bushing.
9) Performed repair SE05000102.914P1-27 to Rudder middle hinge and fitting, bores measure .3898", installed
SE05000901.914P1.27 bushing.
Et Additional Sheets Are Attached
FAA Form 337 i loos)
SDNY_GM_02753717
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240639
EFTA01326232
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•••
SDNY_GM_02753718
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00240640
test Raw.
EFTA01326233
_
SONY_GA.4_02753719
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA 0024064I
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SDNY_GM_02753720
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EFTA_00240642
EFTA01326235
SDNY_GM_02753721
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00240643
EFTA01326236
to
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1 NATIONALITY AND
H
N120JE
2 MANUFACTURER AND MODEL
. - ft.. ..;.:
GULFSTREAM AEROSPACE-a:IV
3 AIRCRAFT SERIAL NUMBER
1085
4 CATEGORY
Transport
5 AUTHORITY AND BASIS FOR ISSUANCE
/
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,
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This airworthiness certificate is issued pursuant to 49 U.S.C. § 44704 and certifies that, as of the date otissuance, this aircraft has been inspected and found to
O
conform to its type certificate and be in a condition for safe operation. This aircraft meets the requirementief the applicable airworthiness standards in Annex 8
Civil
Xi
to the Convention on International
Ariabon. except as fellows:
CI
.
i.
•
1
;f t'fl
70
Xl
C)
70
6 TERMS AND CONDITIONS
LE)
NONE
ea.
Unless sooner surrendered, suspend, revoked, or a termination date is otherwise established by the FAA, this airworthiness
certificate is effec ive as long as maintenance, preventative maintenance, and alterations are performed per the applicable
FederatAviation Regulations and the. aircraft is registered in the United States.
.10
R 05/23/2000
PZ-L:
ag t.
cm a
Any alteration, misuse, or reproduction of this certificate for a fraudulent purpose may be punishable by certificate revocation, fine,
and I or imprisonment
UT o
; AA Form 8100.2 (11-2016) Previous Edition Dated 0.4-11 May be Used Until Depleted
La,
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SDNY_GM_02753723
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240645
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DIM CERTIFICATE 41ST IIE OiSPLAYED ti ME PaalAFT PER THE APPLICAKI FECtIV4 AVIATION REGULA11048.
ftham II1C04 01401M Orwais San Ofted04.116,/ tio UndUndlOsprobill
EFTA01326239
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SDNY_GM_02753725
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA _00240647
EFTA01326240
'
0
(Airframe, Powerplant, Propeller, or Appliance)
Orni APPOY00
OMB 0,2007
No. 2120-0020
117
on< Ime.00 ionow
For Pm um OW
US Deortmont
of Tronsocnssol
'Odin, Animon
mminstroson
INSTRUCTIONS: Pnnt or type as entries. See FAR 43.9 Appendix B. and AC 43.9-1 (or subsequent revision thereof) for
and disposition o this form This report is required by law (49 U S C 44701) Failure to report can result in a civil penalty
violation (49 U.S C. 46301(a))
instructions
for each such
1. Aircraft
Nationally and Registration Mark
USA
N212JE
Serial No.
1085
Model
G-IV
Series
Make
2. Owner
Name (As storm on registration certificate)
JEGE LLC
Address (As shown on registration certificate)
Mans 6100 Red Hook Quarter 83
ay ST Thomas
Stud
Zo
00802
ciikrov Virgin Islands
3. For FAA Use Only
4. Type
5. Unit Identification
Repair
Alteration
Unit
Make
Model
Serial No.
0
9
AIRFRAME
(As described in item 1 above)
0
0
POWERPLANT
0
0
PROPELLER
0
0
APPLIANCE
is
Maitaciett
6. Conformity Statement
A Agency's Name and Address
B Kind of Agency
I Manufacturer
International Jet Interiors
2221 Smithtown Ave
Ronkonkoma, New York
11779 USA
Certificated Mechanic
C. Certificate No.
'Mc
_U.S.
Foreign Certificated Mechanic
CRS I1JR439Y
Certificated Repair Station
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 information
furnished herein is true and correct to the best of my knowledge.
Extended range fuel per
14 CFR Part 43
0
App B
Signature/Date of Authorized Individual
.
Thomas Norden
Date. 2/20/2014
7. Approval for Return to Service
Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the
Administrator of the Federal Aviation ACITiniSIta000 and is
tE) APPROVED
0 REJECTED
FM Fit. Standards
Inspector
Manufacturer
Maintenance Organization
Persons Approved by Canadian
Department of Transport
BY
FM Designee
X Repair Station
Inspection Authorization
Other (Specify)
r
...\
Certificate or
Designation No.
CRS I1JR439Y
Signature/Date of Authorized Indrodual
Thomas Norden
•
,Kl
aca
e....4._
FAA Form 337 rio-osi
SDNY_GM_02753726
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240648
EFTA01326241
NOTICE
Weight and balance or operating limitalico 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 dale work accomplished.)
USA
N212JE
Nationality and Registration Mark
KGS ELECTRONICS II5VAC, 60FIZ, I000VA INVERTER
DATE
2/20/2014
I.) Removed 20. PIN: AK-55140M 28-I2VDC converters. 2ca. PIN: XD600-1 amplifiers, lea. P/N: XD600-6 amplifier, and lea. P/N:
BBK-2AH keep alive battery. Installed a KGS Electronics I I SVAC, 60HZ, 1000VA inverter system in accordance with DB Integrations,
LLC document No. 140121001 titled I I5VAC 60HZ Inverter Wiring Diagram, revision (0), dated February 5, 2014 which was approved
under FAA form 8110.3 dated Febuary 11, 2014 (attached) for systems and equipment.
2.) The structural aspects of the inverter installation were accomplished in accordance with DB Integrations, LLC document No.
140205001 titled 60HZ Inverter Structural Installation, revision (0), dated February 5.2014 which was approved under FAA form 11110-3
dated February 13.2014 (attached) for structures.
3.) The structural aspects of the outlet and circuit breaker installations arc deemed a minor alteration, which were performed in
accordance with applicable sections of AC43.13-I B and AC43.13.2G.
4.) The equipment list has been revised.
5.) The weight and balance has been revised.
6.) An electrical toad analysis has been performed and found not to exceed 80% of the full generator capacity.
7.) Instructions for Continued Airworthiness (ICA) are incorporated into DB Integrations. LLC document No. 140213002. revision
(IR.). dated February 13, 2014 and have been provided to the operator for incorporation into the aircraft inspection/maintenance
program.
8.) A Logbook entry has been made reflecting this modification.
9.) 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. Work Order No. 14104, on file at this agency, covers the above described
work.
No Further Entries
CEI Additional Sheets Are Attached
FM Form 337 (10-06)
SDNY_GM_02753727
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240649
EFTA01326242
1. DATE
February 11.2014
2. MAKE
Gultstream Aerostat.
3. MODEL NO.
G.IV
4. TYPE MeV* E Sint PMCOSIV. arc I
Airplane
5 NAME OF APPLICANT
DS mtegraiions. I.LC
LIST OF DATA
6. IDENTIFICATION
7. TITLE
Report:0000214.1085. Rev. Wt.
Dale: 02/11/2014
130 Hz T50 Invader Modification'
NOTES:
t. This approval coven Medial. design aspects onhr on Airplane Model G-IV. sin I 065 ands not
intalialion approval.
2. The au0lorted agency retumng the Wadi to sena is responsible to determine compeance *II the
above data.
3. This approval is lot ele*foal engineering design data only. It indraiNs IS data listed above densanstees
coerces** or* with the regubtions specified by paragraph and subparagraph listed below as 'Applies*
Rechirernents"
8. PURPOSE OF DATA
To support Major Alteration FM Form 337 for sin 1065. The approval is design data approval only and Is not instate* approval.
O. APPLICABLE REQUIREMENTS (List specific sectcas)
14 CFR Pan 25.0; 25.135100M Nerd 25:72; 25.1357 (aKb)(c)Ard 25.123
10. CERTIFICATION • Under authority vested by direction of the
appointment under 14 CFR Part 183. data listed above and an alleChed
in accordance with established procedures and found to comply
0
Recommend approval of these data
I (1M0) Therefore
a
Approve Mose data
Administrator and in accordance with conditions and limitations of
sheets numbered
have been examined
with applicable reenactments of the Airworthiness Standards fisted.
II. SIGNATURES) OF DESIGNATED ENG7RING
'SENTATivE(SI 12 DESIGNATION NUMBER(S)
13. Cl ASSiFICATION(S)
5
,
f
David J Richards
(
.2
..............t.k .., 42.../
DERT 955091-NE
Systems and Ethripnera Eleclncal
FAA Form 8110-3 (01,10) SUPERSEDES PREVIOUS EDITION
SDNY_GM_02753728
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240650
EFTA01326243
SDNY_GM02753729
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240651
EFTA01326244
FEOMAL AVtATiOn ADMINISTRATION
I DATE
2/13/2014
2. MAKE
Gulfstream
Aerospace
Corporation
3. MODEL
G-IV
a TYPE (Aircraft. Engine. Propeller. etc.)
Aircraft
DB Integrations
UST OF DATA
6. IDENTIFICATION
7. TITLE
140205001
60 Hz Inverter Structural Installation, Sheets I through 4, Initial Release, dated February
5, 2014.
Notes:
1. This approval is for engineering design data only. It indicates the data listed above
demonstrates compliance only with the "Applicable Requirements." Compliance with
additional regulations not listed here may be required. This form does not constitute
FAA approval of all the engineering data necessary for substantiation of compliance to
necessary requirements for the entire alteration.
2. TCDS is Al2EA.
8. PURPOSE Of DATA:
Drawing 140205001 installs a 60 Hz inverter on an existing shelf on Gulfstream Aerospace Corporation Model G-
IV, A/C S/N: 1085, as a major alteration.
9. APPLICABLE REQUIREMENTS (List specific sections):
14 CFR dated February 1, 1965, including Amendments 25-1 through 25.56: 25.301 Loads, 25.303 Factor of
safety, 25.305 Strength and deformation, 25.561 Emergency Landing Conditions —General, 25.601 Design and
Construction —General, 25.603 Materials, 25.605 Fabrication methods, 25.607 Fasteners, 25.789 Retention of
items of mass in passenger and crew compartments.
10. CERTIFICATION-Under authority vested by direction of the AdrniMstrator and in accordance with conditions and limitations of appointment under 14
CFR Part 183, data listed above and on attached sheets numbered
have been ermined in accordance with established procedures and found to
comply with applkable requirements of the Airworthiness Standards listed.
O
ROCOMMadd SPINOVil of these data
I (We) therefore a Approve these data
11. SIGNATURE(S) Of DESIGNATED ENGINEERING REFIIESENTATIVE(S1
12. 0CSIGNATION NUMEIER(S)
13. ClASSIFICATION(S)
CAT \ CLVN ICii)m)liN-
DERT-831129-CE
STRUCTURES
FAA Fpm $110.3 (O3/1O1SUPERCEDES PREVIOUS REVISION
SDNCGM_O275373O
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240652
EFTA01326245
SDNY_GM02753731
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240653
EFTA01326246
I DATE
2/18/2014
2.MAKE
Gulfstream
3.MODEL NO.
•
G-IV
4.TYPEfAhOwre. Craw. Propellor. It)
Airplane
sNAME OF APPLICANT
International Jet Interiors
LIST OF DATA
tit IDENTIFICATION
7,11TLE
TP 268821-14
Rev A
Dated 02/18/2014
Skandia. Inc. Flammability Test Report
Bunsen Burner Testing
Test Specimen P/N's
1 (represents floor covering)
2 (represents floor ducts)
3 (represents seat bases)
4 (represents cockpit. sidewalls & pedestal)
Notes:
1) Work accomplished under Skandia Inc. WO 0 268821.14, Ref Document ID 94995.
2) Flammability test witnessing only, does not constitute installation approval of materials.
8.PURPOSE OF DATA
Demonstration of compliance with material flammability requirements in support of Major Repair & Alteration for SIN 1085
9.APPLICABLE REQUIREMENTS dist specific sections)
14 CFR Pan 25.853 (a) Arndt 25-116 Appendix F Pad I (a)(1Xi) Amdt 25-111
14 CFR Part 25.853 (a) Arndt 25-116 Appendix F Pan I taxixie
10.CERTIFICATION - Under authority vested by direction of the Administrator
of appointment under 14 CFR Pail 183. data listed above and on attached
examined Si accordance with established procedures and found to comply
Standards listed.
0 Recommend approval of these data
I (ibb)Therefore
)tiaprove these data
,
and in accordance with conditions and imitations
sheets numbered
have been
with applicable requirements of the Airworthiness
12.DESIGNATION NUMBER(S)
13.ctASSIFicATiOmS)
)4Q \bObit 'xi 1 gl
Ja-
Biberstein -FAA DER
DERY-832780-CE
Structural Special
orm 8110-3 (03ile)•SUPERSEDES PREVIOUS EDITION
SDNY_GM_02753732
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240654
EFTA01326247
SDNY_GM02753733
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240655
EFTA01326248
0
(Airframe, Powerplant, Propeller, or Appliance)
US Doperonant
of Trecepflon
Fedenl Avladon
Adminievetion
ram Approved
iEllevonc
OMB
iirk
NO 2120-0020
oncor
Trseiro Noce'
Fee FArtUe•Only
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 o this form. This report is required by law (49 U.S.C. 44701). Failure to report can result in a civil penalty for each such
violation (49 U.S C. 46301(a)).
1. Aircraft
Nationality and Registration Mark
USA
N212JE
Serial No.
1085
Model
G-IV
Series
Make
2. Owner
Name (As shown on registration certificate)
JEGE LLC
Address (As shown on registration certificate)
Aedess 6100 Red Hook Quarter
cay St Thomas
sine
A, 00802
corm Virgin Islands
3. For FAA Use On
4. Type
6. Unit Identification
Repair
Alteration
Unit
Make
Model
Serial No
El
i7i
AIRFRAME
(As described in item 1 above)
0
0
POWERPLANT
0
PROPELLER
0
•
APPLIANCE
T10F
hiestellOlaW
6. Conformity Statement
A. Agency's Name and Address
B Kind of Agency
I Manufacturer
International Jet Interiors
2221 Smithtown Ave
Ronkonkoma, New York
11779 USA
U.S. Certificated Mechanic
C. Certificate No.
Foreign Certificated Mechanic
CRS I1JR439Y
k Certificated Repair Station
Certificated Maintenance Organization
D. looney that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or enactments 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.
Extended range fuel per
14 CFR Part 43
0
APP. 8
Signature/Date of Authorized Individual
Thomas Norden
C----
Il aelAl
.t )
elra
-....1
7. Approval for Return to Service
Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the
Administrator of the Federal Aviation Administration and is
(2) APPROVED
0 REJECTED
FM
ect«
Fit. Standards
Insp
Manufacturer
Maintenance Organization
Persons Approved by Canadian
Department of Transport
Y
FM Designee
X Repair Station
Inspection Authorization
Other (Specify)
Certificate or
Designation No.
'Signature/Date of Authonzed Individual
CRS I1JR439Y
", .
Thomas Norden
kil a
eir
FM Form 337 0005)
SDNY_GM_02753734
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240656
EFTA01326249
NOTICE
Weight and balance or operating limitation changes snail 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 worn accomplished)
USA
N212JE
Nationality and Registration Mark
DATE
9/19/2013
Modified the existing Cabin Entertainment System in accordance with Electrical Drawing listed below ( Note: reference
FAAIDER approved Structural Drawings for provisions for all Audio and Video equipment installed at this time on FAA 337
Form, this date).
Dwe No.
Date
Rev
Title
PA-G1V-1085.2501
8/21/13
B
DRAWING
The above listed wiring diagram is FAA/DER approved by W.C. Janzer (DERT-510187-CE), Systems and Equipment,
Electrical Equipment via FAA Form 8110-3 dated 8f2 I /13, attached to this 337 Form.
Electrical Load Change is negligible & dots not exceed the 80% electrical power generating system on the aircraft.
Complied with a EMI-RFI Test Flight, there were no adverse effects on any other systems.
The Aircraft's Scheduled Maintenance Program is not altered by this installation. The cabin entertainment system
components are considered to be "On Condition Items".
A supplement to the aircraft equipment list and copies of the wiring diagrams listed above has been provided to customer
and must be added to the aircraft's records. 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. Work
Order No. 13127, on file at this agency, covers the above described work.
A Logbook entry has been made reflecting this modification.
No Further Env'
0 Additional Sheets Are Attached
FM Form 337(10-06)
SDNY_GM_02753735
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240657
EFTA01326250
us CenOnigetir CO MAKSPCIOAHON
rECERAL AVIATION ADWNGTRATIO11
T. WI:
AUG 21, 2013
2. MAKE
GULFSTREAM
2. MODEL NO.
G-IV
4. TYPE (Aircraft &Kant Aromatic. ate.)
AIRPLANE
LIST OF DATA
S. menwicknon
7. DILE
PA-GIV-1085-2501
9 SHTS
REV: B
DATE: 8.21.2013
DRAWING:
NOTES:
2- THIS APPROVAL IS FOR THE DESIGN ASPECTS ONLY AND DOES NOT CONSTITUTE
3- IF THIS APPROVAL IS PROVIDED FOR A FOREIGN REGISTERED AIRCRAFT,
4- THE INSTALLER MUST DETERMINE THE COMPATIBILITY OF THIS DATA WITH THE
TO APPROVE THIS MAJOR ALTERATION ON GULFSTREAM AEROSPACE G-IV AIRCRAFT N423TT
SERIAL NUMBER 1085 IN SUPPORT OF FAA FORM 337.
I. APPLICABLE REOURIEMENTS (UM *milk IMKtioas)
14CFR25.603(b) Arndt. 25-46
14CFR25 1301(a)(b) Arndt. 25-123
14CFR25.869(a) Arndt. 25-123
14CFR25.1309(a)(b)(c)(e)(g) Arndt 25-123
14CFR25 1353(x) Amdt. 25-123
ID CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations
of appointment under 14 CFR Pan 183, data listed above and on attached sheets numbered XXXXXXXXX have been examined
in accordance with established
listed.
I (We) Therefore
O
L
procedures and found to comply with applicable requirements of the Airworthiness Standards
Recommend approval of these data
Approve these data
11. SIONATUREIS) OF DESIGNATED ENONEEMNG REPRESENTATIMM
13. MASSiFiCATC/410)
W.C. Janzer
.....--------
DERT-5 I CH 87-CE
Systems & Equipment
Electrical Equipment
GULFSTREAM FAV-ENTERTAINMENT-N42317- ISM
FAA Form 81104 SOnteM41ERSEDES PABACus EDTIC•I
SDNY_GM_02753736
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA ())24(X158
EFTA01326251
SDNY_GM_02753737
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240659
EFTA01326252
eji
(Airframe, Powerplant, Propeller, or Appliance)
us Oningren1
01 Trartgelab3n
Federal Mit.,
AdmInIstralon
Form Approved
CUB No 2120-0020
1100/2007
.astitonic Trion; NW OP
For FAA On On,
INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for
and disposition of this form. This report is required by law (49 U.S.C. 44701). Failure to report can result in a civil penalty
violation. (49 U.S C. 46301(a)).
instructions
for each such
1. Aircraft
Nationality and Registration Mark
USA
N212JE
Serial No.
1085
Model
G-IV
Series
Make
2. Owner
Name (As shown on registration certificate)
JEGE LLC
Address (As shown on registration certificate)
Pants 6100 Red Hook Quarter B3
on ST Thomas
sw.
zo
00802
co.my Virgin Islands
3. For FAA Use Only
4. Type
5. Unit Identification
Repair
Altmann
Unit
Make
Model
Serial No.
0
Er
AIRFRAME
(As described in item 1 above)
0
0
POWERPLANT
•
0
PROPELLER
•
0
APPLIANCE
n"
OilaMaconer
6. Con ormi Statement
A. Agency's Name and Address
B. Kind of Agency
Manufacturer
International Jet Interiors
2221 Smithtown Ave
Ronkonkoma, New York
11779 USA
U.S. Certificated Mechanic
C. Certificate No.
Foreign Certificated Mechanic
CRS I1JR439Y
x Certificated Repair Station
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
have been made in accordance with the requirements of Pan 43 of the U.S. Federal Aviation Regulations and that t
furnished herein is true and correct to the best of my knowledge.
attactrnents
•
hereto
tMn
Extended range fuel per
Signature/Date of Authorized Individual
7. Approval for Return to Sento.
Pursuanl to the authority given persons specified below. the unit identified in item 5 was invected in the manner prescribed
Administrator of the Federal Aviation Administration and is
el APPROVED
0
REJECTED
by the
FM FN. Standards
Inspector
Manufacturer
Maintenance Organization
Persons Approved
Department of Transport
by Canadian
BY
FM Designee
X Repair Station
Inspection Authorization
Other (Specify)
Certificate or
Designation No.
Signature/Date of Authorized Individual
CRS I1JR439Y
Thomas Norden
e\INWIS
FM Form 337 most
SDNY_GM_02753738
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240660
EFTA01326253
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with
all previota 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.)
USA
N212JE
DATE
Nationality and Registration Mark
9/19/2013
(I) Fireblocked and reupholstered Six (6) existing single cabin chain, two (2) existing double cabin chairs and one (1) existing jump seat with Edelman
Leather: Royal Hide RH32. Fireblocked and upholstered one (I) new replacement (Goodrich PN 960014.49) divan with Brentano Fabric: Simplicity-
Carrara 1010-01. Rewebbed the existing PAX seat and shoulder harness belts by C&M Marine Aviation Services Inc., CRS V05R749Y, under W.O. 5006.
8130-3 dated 8/8/13. Aircraft seat cushions have been fireblocked as pa the requirements of tine 14 CFR, 25.853(c) Amendment 25 - 116 Appendix F
Part II and 14 CFR, 25.853(a) Amendment 25- 116 Appendix F Pan l(aK I x ) Results of Oil Boma Testing arc documented on (attached)Skandia Inc.
FAA/D.E.R. approved 8110-3, dated 9/19/13, document ID 94288, WON 25830443, Test Flan 122867 Rev B, dated 8/01 /2013, by Jennifer Paluza
FAA/DER (DERV-832779-CE).
(2) The Crew Scats were snipped and reupholstered with Edelman leather. "Royal Hide, RH32, Dead White" and Aircraft Sheep Skin Co.: Sheepskin
3CCOOI, White. Rewebbed two (2) crew seal Spt seat and shoulder harness belts by C&M Marine Aviation Services Inc, CRS V05R749Y, under W.O.
4991, 8130-3 dated 8/13/13. Flammability Testing (Spec 12) was approved via Skandia Inc. (WO 1257726-13. Test Plan 0 21306) Vertical Flammability
Test Results Report dated 6/24/13(attached) by PANDER lane Biberstein.
(3) Stripped and recovered Baggage Area / Jeppesen Storage Box in Tapis, Grospoint Black 0091, Lot R. Flammability Testing (Spec /land Spec II)
was approved via Skandia Inc. (WON 257726-13, Test Plan SI 21306) Vertical Flammability Test Results Report dated 6124/13 (attached) by FAA/DER
Jane Biberstein,
(4) Stripped and recovered Forward Closet and Aft Lavatory Storage in Tapis Fabric Grospoint, Muse Blue-FR, 0018. Flammability Testing (Spec (5)
was approved via Standee Inc. (WO 0 257726-13. Test Plan N 21306) Venice! Flammability Test Results Report, dated 6/24/13 (attached) by FAA/DER
lane Bibermein
(5) Fabricated new Entry Rain Curtain in Willowtex list Leather Snow, FR2250A/SKD-I and Ebony Izit Leather, FR2250Bakd-7. Flammability Testing
(Spec 0) was approved via Skandia Inc. (WON 257726-13, Test Plan 121306) Vertical Flammability Test Results Report dated 6/24/13 (attached) by
FAA/DER lane Bibastein.
(6) Recovered the Existing Forward/ Aft Lavatory Side Panel Bulkheads in Willowy Fabric: Snow hit Enhanced A. FR2250A/SKD-L Flammability
Testing (Spa N 7) was approved via Skandia Inc. (WON 257726-13, Test Plan N 21306) Vertical Flammability Test Results Report, dated 6/24/13
(attached) by PANDER lane BibersIcin.
(7) Recovered the Existing Headliners. Valances and PSU's and Hand Rails in Tams- Ullrasue0e, 3723 Pak Beige. Flammability Testing (Spec 19 and
10) was approved via Skandia Inc. (WON 257726-13. Test Plan a 21306) Vertical Flammability Test Results Report, dated 6/24/13 (attached) by
FAA/DER lane Bibersitin
(8) Stripped and recovered the existing Window Line Panels and Aft Lay Side Wall panels in Brentano Fabric: Simplicity-Cara 1010-01.
Flammability Testing (Spec II l) was approved via Skandia Inc (WO N 257726-13. Test Plan 0 21306) Vertical Flammability Test Results Report, dated
6/24/I) (attached) by PANDER lane Biberstein.
(9) Stripped and recovered the existing Lower Side Wall Panels in Edelman Woven Leather. WVNC50. Flammability Testing (Spa 012) was approved
via Skala. Inc (WON 257726-13, Test Plana 21306) Vertical Flammability Test Results Report, dated 6/24113 (attached) by FAA/DER Jane Biberstein.
(I0) Stripped and recovered the existing Aft Cabin Bithd and Fwd Aft Galley Mild in Acrospecialtia..125 Polycarbonate Minor, 16004102.
Flammability Testing (Spec NI 5) was approved via Skandia Inc (WON 257726-13. Test Plan 0 21306) Vertical Flammability Test Results Report. dated
6/24/13 (attached) by PANDER Jane Blear:win.
(1 1) Stripped and recovered the existing Divan End Arms. Divan Lower Doors and Lower Side Walls in Edelman Leather: Royal Hide. RH32, Dead
White. Flammability Testing (Spec 116) was approved via Skandia Inc. (WOI 25772643, Test Plan 121306) Vertical Flammability Test Results Report.
dated 6/24/13 (attached) by FAA/DER hale Biberstein.
(18) Stripped and recovered the Entry Area and Baggage Compartment Floor in A1P: Aermat, 37R/SV/1000/985/20R/54. Flammability Testing (Spec
N20) was approved via Skandia Inc. (WON 257726-13. Test Plan 21306) Venial Flammability Test Results Report. dated 6/24/13 (attached) by
FAA/DER lane Bibentein.
(19) Installed new nplacanau Aft Galley and Lay Countertops with Evans & Paul..187, Designer White Corian. Flammability Testing (Spec121) was
approved via Skandia Inc. (WO 125772613, Test Plan It 21306) Vertical Flammability Ten Results Report, dated 6/24/13 (attached) by FAA/DER /the
Biberslea.
(20) Stripped and recovered the existing Aft Lay Closet Sliding Doers in ACt0SpeCiallieS, .125 Polycarbonate Clear. Minor and Tpis,0018 Muse Blue-FR
Grogram, Fabric. Flammability Testing (Spec 122) was approved via Skandia Inc. (WON 257726-13. Test Plan 1 21306) Vertical Flammability Test
Results Report, dated 6024/I) (attached) by FAA/DER lane 8ibasttin.
Additional Sheets Are Attached
FM Form 337 (10-C6)
SDNY_GM_02753739
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240661
EFTA01326254
NOTICE
Weight and balance or operating limitation Changes shall be entered in the appeopnate 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, Mealy with aircraft nationality and registration mark and date work
ished)
USA
N212JE
Nationality and Registration Mark
DATE
9/192013
(21) Fabricated and Installed new replacement Baggage Flap in MP. Hematite Red, /80, 0001,Vinyt. Flammability Testing (Spec /23) was approved via
Skandia Inc.(W01 257726-13, Test Plans 21306) Vertical Flammability Test Results Report, dated 6/24/ I 3 (attached) by FAA/DER lane Biberslein.
(22) Stripped and recovered the existing FWD Cabin Bulkheads in Brentano Fabric: Simplicity-Carrara 1010-01. Flammability Testing (Spec N24) was
approved via Skandia Inc. (WO a 257726-13. Test Plan /1 21306) Venial Flammability Test Results Report, dated 6/24/13 (attached) by FAA/DER Jane
Biberstein.
(23) Stripped and recovered the existing FWD and AFT Potty Seats and Shrouds with Edelman: Woven Leather, WVNC50. AM 3FL. Flammability
Toting (Spec I8, N I4) was approved via Skandia Inc. (WON 260097-13, Test Nana 21306) via FAA Form 8110-3 (attached) dated V I V I 3 by FAA/DER
lane Biberstein (DERV-1)2780-CE).
(24) Fabricated new Conference Table Top using Indiana Architeautal Plywood, laminated with Makore Pom, Veneer. Flammability Testing (Spec 113)
was approved via Skandia Inc. (WO N 260097-1). Test Plan N 21306) via FAA Form 8110-3 (attached) dated 8/13/13 by FAA/DER Jim Biberstein
(DERY-832780-CE).
(25) Installed a new Carpet throughout the cockpit, main cabin. and Floor Ducts areas using ABC Carpet - Wootston Plaid Shoreline. Flammability
Testing (Spec I 17./18, 119) was approved via Skandia Inc. Rcfacnce (anached) Skandia Inc. FAA/D.E R. approved 8110-3. dated 9/18/13. document ID
94212, WON 261824-13, Test Plan II 21306 Rev UR by Jennifer Paluzzi FAA/DER (DERV-832779-CE).
(26) Modified the following existing cabinetry in accordance with the following FAA/DER approved Drawings
' ;:rtimNo... ! :. A . ter .2", •
WIGIVIMS
IR
INFERIOR INSTL
UIGIVIOSSA
IR
MONITOR MOD INSTL4tH FWD
UIGIVII0858
A
LIIGIV1085C
IR
LIIGIV1085D
IR
IJIGIV1085E
IR
DIVAN ARMREST INST1.4.11 AFT
IJIGIV1085F
A
ENTERTAINMENT EQU1PT MOD INSTL-CREDENZA
UIGIVI0850
IR
MONITOR MOD INSTL414 AFT
UIGIVI08511
IR
UIGIV101151
IR
LIIGIVI085K
IR
UIGIVIMI5L
IR
PSU MOD MIL
All above listed structural drawings were approved via attached; FAA PRIM 8110-3, doted Mg 22,2013 Tin Sept 16.2013 by FAA/DER Brian C
Adamson, DERT-830137-CE and Donald E. Shepherd. Jr. DERT-230307-CE.
Passenger ante width maintained per Title I4 CFR 25.815.
A supplemental equipment list has been supplied.
A logbook entry has been made reflecting this alteration.
All Cabin Interior Fumishings listed above have been Bum Tested in accordance with Title 14 CFR Pan 25.853 (a) Amdl. 25-116 Appendix F Part I
(IXI MO Arndt 25-III and Tide 14 CFR Pan 25.853 (a) Am& 25-116 Appendix F Part I (a)( IRO as applicable .
This Modification/Repair to the existing Cabin Interior furnishings requires No Scheduled Maintenance Tasks or Ainvonhiness Limitatiens, refer to the
Gulfuream Maintenance Manual, and all other existing aircraft ICA's. The Aircraft's Scheduled Maintenance Program is not altered by this installation.
The work described, has been found to be in conformity with the above mentioned approved data and continues to meet the airworthiness aitcna under
which it was originally certificated Work Order No. 13127, on file at this agency, covers the above described work.
No Further Entries
0 Additional Sheets Are Attached
FAA Form 337 (10-06)
SDNY_GM_02763740
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240662
EFTA01326255
SDNY_GM_02753741
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240663
EFTA01326256
1. DATE
August 22 2013
AIRCRAFT OR AIRCRAFT COMPONENT umanncAnort
2 MAKE
Gulfstream
3 MODEL NO.
G-IV
sin 1085
4. TYPE Wreak Env* Ropey Pt)
Airplane
5 NAME OF APPLICANT
International Jet Interiors, Inc.
Ronkonkoma. NY
UST of DATA
6 I3DRIFICATION
7 TITLE
Drawing:
IJIGR/1085
Rev (IR) 05/13/2013
IJIGN1005D
Rev (IR) 06/11/2013
Report:
IJIGIV1065DSA
Rev (IR) 013/22/2013
Structures Note:
Interior !me
sht 1 - 4
LH Aft Closet Mod Instl
slit 1 - 5
Structural Analysis LH Aft Closet Mod Intl Gulfstream G-IV Aircraft
1) The structural aspects only of the above listed data are approved herein. This
approval is only for the engineering data. It indicates the data listed above
demonstrates compliance only with the regulations specified by paragraph and
subparagraph listed below as 'Applicable Requirements".
2) This form does not constitute FAA approval of all the engineering design data
necessary for substantiation of compliance to necessary requirements for the entire
alteration. The requirements of Flammability are not included in this approval and
require separate approval.
3) Aircraft interior compliance inspection is not included in this approval and requires
separate approval.
S. PURPOSE Of DATA.
To provide type data for FAA approval of structure in support of a Major AJteration for Gulfstream G-IV sin1085.
A ApPUC48LE REOUREMENTS OM Wed& ma**
14 CFR Part 25, Amdt 25-1 through 25-56 as specified in TCDS Al 2EA;
Paragraphs: 25.301(a-b) Amdt 25-23.25.303 Arndt 25-23, 25.305(a, b) Amdt 25-54, 25.307(a. b) Arndt 25-54,
25.341 Arndt 25-0, 25.561(a-c)Amdt 25-23, 25.601 Arndt 25-0.25.603(8c) Arndt 25-46, 25.605(a) Arndt 25-46,
25.609(a) Arndt 25-0, 25.611 Arndt 25-23, 25.613(a, b, d, e) Arndt 25-46, 25.615(a) Arndt 25-23, 25.619(a-c) Arndt
25.23, 25.623 Arndt 25-0, 25.625(8c) Arndt 25-23, 25.769(a) Arndt 25-46.
10. CERTIFICATON - Uncle, autalty vested by Onettlan of the Adrrenstmer and in ecconlinca Me ceetalens and limiteen
Pat 189. dm Wed abOva end on attached sheets numbered
91a._. nate been exarened h accedence we* esistashed
440 apploalatt readramens of the Airtrolhoen Stilr4Srd, INGO
K Recommend approval of those dab
I OVIOThetefcce
0 Approve these Oat/
14 CFR
of *papered under
loved to
ceacelotes and
co.rVy
11. SIGNATURE/S)OF DESCANTED ENGINEERNG REPRESENTATIVE(S)
12. DESSIATON MAMMAS(S)
13. (1 ASSLTICATOMS)
Brian C. Adamson ofe seLc.0
,....
....c.----
DERT-830137-CE
Structures
FAA Refs 11104 (131I0) SUPERSEDES PREVIOUS EIXT04
3-494-4
SDNY_GM_02753742
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240664
EFTA01326257
SDNY_GM_02753743
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240665
EFTA01326258
FEDERAL AV1ATION ADIAMSTRATICN
i. (»TE
September 16, 2013
AIREFtAFT OR AIRORAFT COMPONENT IDEN TIFICATION
2. MAKE
Gulfstream
t IACIDEL MD.
G-IV
s/n 1085
4. TYPE Sttrorali Eniiva Pitrosim. ec.)
Airplane
i MANE OF "CM«
International Jet Interiors, bc.
i
Ronkonkoma. NY
UST OF DATA
S VENTIRCAT 04
2 lime
Drawing:
- .
IJIGIV1085F
Rev (A) 09/13/2013
Report
IJIGIV1085FSA
Rev (A) 09/16/2013
Structures Note:
Entertainment Equipt Mod Instl-Credenza
slit 1 - 6
Structural Analysis Entertainment Equipt Mod Instl. Credenza Gulfstream G-N Aic
i
,.:
fi
1) The structural aspetts only of the above listed data are approved herein. Tres
approval is oSy for the engineering data. It indicates the data listed above
demonstratas compliance onty with the regulations specifled by paragraph and
subparagraph listed below as "Applicable Requirements".
2) This form doer not constitute FAA approval of all the engineering design dala
necessary for substantiation of compliance to necessary requirements for tie ente
alteration. The requirements of Electrical Systems and Equipment and Flammabityae ,-
not induded in this approval and require separate approval.
3) Aircraft kilenot compliance inspection is not included m this approval and netaines
separate approval.
8. PUFtPOSE OF DATA
To provide type data for FAA approval of structure in support of a Major Alteration for Gulfstream 6-1V ski:DE&
9...APPLICABIE REOUIRENENTS (UR Nedla inceini)
14 CFR Part 25, Arndt 25-1 through 25-56 as specified in TCDS AI2EA;
Paragraphs: 25.301(a-b) Arndt 25-23, 25.303 Arndt 25-23, 25.305(a, b) Arndt 25-54, 25.307(a, b) Anst r)-54.
25.341 Arndt 25-0, 25.561(a-c) Arndt 25-23, 25.601 Arndt 25-0, 25.603(a-c) Arndt 25-46, 25.605(a) Ami 25-65,
25.609(a) Arndt 25-0, 25.611 Arndt 25-23, 25.613(a. b, d, e) Arndt 25-48, 25.615(a) Arndt 25-23, 25.619(wcikatt
25-23. 25.623 Arndt 25-0, 25.625(a-c) Arndt 25-23, 25.789(a) Arndt 25-48.
10. OERTIRCATION • under suNortry vred by terecloe d Om Administrator and In aeccidence trim condMons and IiiraMOrd d SCI2
e
Ill
Pan 183. CM* mel *hove and on *trad sheMs nemt:sed
uta vere bal dernned in scoordanca sei estioddied eveceatra sed bed t =ME
iiai apeacotro requirements ot IMAinvortrinees Standard, 4,164.
0 ReCommend approval of til
I (pq? Therekn
ISI APprove tinn. data
11. SIGNATIMEiS)OF CESIGNATED ENGINEERNG REPRESENTAI~
12. DESIGNA/KN NULIBERS(S)
13. EIASSIF~E4
Donald E. Shepherd, Jr.
den eid r..$4.4År
-
DERT-230307-CE
Structures
FM Fordi $1104 (03110) SUPERSEDES PREVIOUS EDITION
i 3 - Mat
SDNV_GM_02753744
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240666
EFTA01326259
SIDNYGM 02753745
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240667
EFTA01326260
U.S. DEPARnair OF TRANSPORTATION
FEDERAL AviimoesOliveSTRAMON
I. DATE
August 30.2013
2. MAKE
Gulfstream
3 MODEL NO.
G-IV
sin 1085
4. TYPE To0110. Engu* Moran a)
Airplane
3. NAME OF APPLICANT
International Jet Interiors, Inc.
Ronkonkoma. NY
UST OF DATA
6 DemncAnoN
7. TITLE
Drawing:
IJIGIV1085B
Rev (A) 08/29/2013
Report
UIGIV10858SA
Rev (A) 08/30/2013
Structures Note:
Conference Table Mod InstI
see 1 - 5
Structural Analysis Conference Table Mod InstJ Gulfstream G-IV Aircraft
1) The structural aspects only of the above listed data are approved herein. This
approval is only for the engineering data. It indicates the data listed above
demonstrates compliance only with the regulations specified by paragraph and
subparagraph listed below as "Applicable Requirements'.
2) This form does not constitute FM approval of all the engineering design data
necessary for substantiation of compliance to necessary requirements for the entire
alteration. The requirements of Flammability are not included in this approval and
require separate approval.
3) Aircraft interior compliance inspection is not included in this approval and requires
separate approval.
4) See sheet 2 for additions drawings supporting drawing WIGIV10858 Rev (A).
& PURPOSE OF DATA
To provide type data for FM approval of structure in support of a Major Alteration for Gulfstream G-IV s/n1065.
9. APPLICABLE Reotsserts its walk wen)
14 C0R. Part 25, Amdt 25-1 through 25-56 as specified in TCDS Al 2EA:
Paragraphs: 25.301(a-b) Amdt 25-23, 25.303 Amdt 25.23, 25.305(a, b) Amdt 25-54, 25.307(a, b) Amdt 25-54,
25.341 Amdt 25-0, 25.561(a-c) Amdt 25-23, 25.601 Amdt 25-0, 25.603(a-c) Amdt 25-46.25.605(a) Arndt 25-46,
25.609(a) Arndt 25-0. 25.611 Amdt 25-23, 25.613(a, b, d, e) Arndt 25-46, 25.615(a) Amdt 25-23, 25.619(ac) Amdt
25-23, 25.623 Amdt 25-0, 25.625(a-c) Amdt 25-23, 25.789(a) Arndt 25-46.
10. CERTRCATON . Under au/berity reeled by direction of the Adoatnitor and in accordance vats condition rd irmamea of wren
oaf la CFR
Pan 133. date Wed above and on ached sheets nurnbered
2 o12
haTo poor eom-.ed In woo/dare.. An, esttlAbbed procodufee and bind b comply
well applealio requirements of De Alfocoddnesa Standards lama.
O Recommend approval of these data
I tWo)Therefae
0 Approve Thee data
II. 304ATUROSIOF DESIGNATED ENCNEER1NG REPRESENT/LINOS)
12. DESIGNATION fiUMBETASOI
13 CLASSIFICATIONS)
Brian O. Adamson
(
Oa
ts_
DERT-830137-CE
Styr:tures
FAA Fern, 1110-3 OW
SURERscr-Fs PREVIOUS EDITION
r2 -001-9
SDNY_GM_02753748
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240668
EFTA01326261
SDNY_GM_02753747
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240669
EFTA01326262
FEDERAL AVIATION ADIANiSTRATION
I. DATE
August 19.2013
AIRCRAFT Oft AIRCRAFT COMPONENT IDENTIFICATION
Z. IMRE
Gulfstream
3. MODEL NO.
G-IV
s/n 1085
4. TYPE (Alta Engine. Propstaef, era)
Airplane
Intemabonal Jet Interiors, Mc.
Ronkonkoma, NY
UST OF DATA
IL IDENTIFCAPON
T TIRE
Drawing:
LlIGIV1085J
Rev (IR) 07/16/2013
IJIGIV1085H
Rev (IR) 07/16/2013
Report:
IJIGIV1085JSA
Rev (IR) 08/12/2013
IJIGIV1085HSA
Rev (IR) 08/12/2013
Structures Note:
LH Galley Mod Insti
sht 1 - 4
RH Galley Mod Instl
sht 1 • 4
Structural Analysis LH Galley Mod InsU Gulfstream G-IV Aircraft
Structural Analysis RH Galley Mod Inst1Gulstream G-IV Aircraft
1) The structural aspects only of the above listed data are approved herein. This
approval is only for the engineering data. It indicates the data listed above
demonstrates compliance only with the regulations specified by paragraph and
'
subparagraph listed below as "Applicable Requirements".
2) This form does not constitute FAA approval of all the engineering design dab
necessary for substantiation of compliance to necessary requirements for the ate
alteration. The requirements of Flammability are not included in this approval and
require separate approval.
3) Aircraft interior compliance inspection is not included in this approval and rterSas
separate approval.
& PURPOSE OF DATA
To provide type data for FM approval of structure in support of a Major Alteration for Guttstream G4V sen10135.
;
i
tcAPPUCABLE REOUIRDAENFS ,.
speak mama)
14 CFR Part 25, Arndt 25-1 through 25-56 as specified In TCDS Al2EA:
Paragraphs: 25.301(a-b) Arndt 25-23, 25.303 Amdt 25-23, 25.305(a, b) Amdt 25-54, 25.307(a, b) Arndt 25-&-..
25.341 Arndt 25-0, 25.561(a-c) Arndt 25-23, 25.601 Amdt 25-0, 25.603(a-c) Arndt 25-46, 25.605(a) AMA 254B.
-
25.609(8) Arndt 25-0, 25.611 Arndt 25-23, 25.613(a, b, d, e) Arndt 25-46, 25.615(a) Arndt 25-23, 25.619(a-4A:sit I
25-23, 25.623 Arndt 25-0, 25.625(a-c) Amdt 25-23, 25.789(a) Arndt 25-46.
i
10. CERTIFICATION • Una( authority
pee Ity, maa ems !bore end On
wth Amicable reatfiemama a/ the
vaned by claccton of the Admidaastm we In madam, MP unarm and InglatIceeMigeeetrma
area -A OR
may sea ri,mbcod
Mi... Mae been sominad In eccoMance 4eth antennae Resmeares ltd tete C =ate ..
Atwanfiness Standards fisted
apetovel of ems* deb
thin data
•
Recommend
I (/ft) Thereby
Cll APPFave
12 DES/GMMONNUMBERS(S)
13. CLASSIRCATOCS
Brian C. Adamson
_
_.,..- 3
„....--
C...-
------
DEBT-630137-CE
Structures
FM Form $110.3 (03110) SUPERSEDES PREVIOUS EDITION
13-002-4.
SDNY_GM_02753748
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240670
EFTA01326263
SDNY_GM_02753749
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240671
EFTA01326264
STATEMENT OF
1. DATE
August 22 2013
FEDERAL AVIATION ApiEUSSTRATTON
COMPLIANCE WITH
2. LAKE
Gulfstream
3. Meal NO.
G-IV
s/n 1085
A TYPE (Alma EVAN. PNE4407, n7c)
Airplane
5. NAME OF APPLICANT
International Jet Interiors, Inc.
Ronkonkoma, NY
UST OF DATA
6 CEINIFICATION
7 TRIE
Drawing:
IJIGIV1085A
Rev (IR) 07(16/2013
Report:
LIIGIV1085ASA
Rev (IR) 08/21/2013
Structures Note:
Monitor Mod Instl-RH Fwd
slit 1 - 3
Structural Analysis Monitor Mod Intl-FtH Fwd Gulfstream G-IV Aircraft
1) The structural aspects only of the above listed data are approved herein. This
approval is only for the engineering data. It indicates the data listed above
demonstrates compliance only with the regulations specified by paragraph and
subparagraph listed below as "Applicable Requirements".
2) This form does not constitute FM approval of all the engineering design data
necessary for substantiation of compliance to necessary requirements for the entire
alteration. The requirements of Flammability are not included in this approval and
require separate approval.
3) Aircraft interior compliance inspection is not included in this approval and requires
separate approval.
To provide type data for FAA approval of structure In support of a Major Alteration for Gulfstream G-IV s/n1085.
9. APPLICABLE REQUIREMENTS MN soma sceftm)
14 CFR Part 25, Amdt 25-1 through 25-56 as specified in TCDS Al 2EA;
Paragraphs: 25.301(a-b) Arndt 25-23, 25.303 Amdt 25-23, 25.305(a, b) Amdt 25-54, 25.307(a. b) Amdt 25-54,
25.341 Amdt 25-0. 25.561(a-c) Amdt 25-23, 25.601 Amdt 25-O. 25.603(a-c)Amdt 25.46.25.605(a) Amdt 25-46,
25.609(a) Amdt 25-0, 25.611 Amdt 25-23, 25.613(a, b, d, e) Amdt 25-46, 25.615(a) Arndt 25-23. 25.619(a-c) Arndt
25-23, 25.623 Amdt 25-0, 25.625(a-c) Amdt 25-23. 25.789(a) Aral 25-46.
10. CEITDREADON • UM* nullinAly moo, by atecncA of the
PM I83. On GAM ken end on abed abs nettled
oiM me** roodienwers ol to Almalltwas Damara Wed
0
RoOmmooltd oPproyol Sews@ don
I DVIN TAMEN,
0
APPloys those data
AdminNINsar end
ale
nave been
in a:Godard MA oremon and Umitakte 01 aNneintinerninclor it CFR
canted in aNtordance MD ellatATITA3 procedures end Nunn to WWI
11. SIGNATURE(S) OF DESIGNATED ENG04F.EAR40 REPRESENTATIVE(9)
12. DESIGNATION NumitERS(S)
ii. ciessinrAnoiks)
Brian C. Adamson
-c:, ..
DERT-830137-CE
Structures
FAA Form 51104 (01/10) SUPERSEDES PREVIOUS EDITION
O-tier t -7
SDNY_GM_02753750
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240672
EFTA01326265
SDNY_GM_02753751
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240673
EFTA01326266
I. DATE
August 19, 2013
2. MAKE
Gulfstream
1 MODEL NO.
G-IV
s/n 1085
4 TYPE Stara &pink Propeller; art)
Airplane
International Jet Interiors, Inc.
Ronkonkoma. NY
LIST OF DATA
6 IDENTIFICAIION
7 TITLE
Drawing:
IJIGIVI(P35B
Rev (IR) 06/0512013
IJIGIV1065K
Rev(IR) 07/05/2013
Report:
IJIGIV108513SA
Rev(IR) 08/19/2013
IJIGIV1035KSA
Rev(IR) 08/1212013
Structures Note:
Conference Table Mod Instl
sht 1 - 5
Vanity Mod 'mil
sht 1 - 4
Structural Analysis Conference Table Mod Insti Gulfstream G-IV Aircraft
Structural Analysis Vanity Mod Intl Gulsfteam G-IV Aircraft
1) The structural aspects only of the above listed data are approved herein. TMs
approval is only for the engineering data. It indicates the data listed above
demonstrates compliance only with the regulations specified by paragraph and
subparagraph listed below as "Applicable Requirements".
2) This form does not constitute FAA approval of all the engineering design data
necessary for substantiation of compliance to necessary requirements for the entire
alteration. The requirements of Flammability are not included in this approval and
require separate approval.
3) Aircraft interior compliance inspection is not included in this approval and regales
separate approval.
t PURPOSE OF DATA
TO provide type data for FM approval of struchne in support of a Major Alteration for Gulf stream G-fV s/nl0$5.
9. APIMCABLE REQUIREMENTS (UN Met eardkos)
14 CFR Part 25, Amdt 25-1 through 25-56 as specified in TCOS Al2EA;
Paragraphs: 25.301(a-b) Arndt 25-23, 25.303 Amdt 25-23, 25.305(e, b) Arndt 25-54, 25.307(a, b) Amdt 25-54
25.341 Arndt 25-0, 25.561(a-c)Amdt 25-23, 25.601 Amdt 25-0, 25.603(a-c) Amdt 25-46, 25.605(a) Arndt 25-48,
25.809(a) Arndt 25-0, 25.611 Amdt 25-23, 25.613(0. b, d, e) Amdt 25-46. 25.615(a) Amdt 25-23, 25.619(apc) Ala
25-23, 25.823 Arndt 25-0, 25.625(a-c) Amdt 25-23, 25.789(a) Arndt 25-48.
io. carifiFICATON .Unclor *Mod*
PM In 000 ate] '
led on
00 000icable multenrs 0 re
.
0 Recommend
tistied by catectice of Re
sheets nunixted
Meatiness Standards Imo
approval of these
these OM
AthnkatiflOr and
Na
have been
In accordance MA ccedelorts AM MUM. of morolrenet mar t4 CFR
ermines In actordfrea Mn forablfichod maks and lc r 0 CO*
arts
I (ele)Thetefoie
0 Morove
II. SIONATURE(3)06 DESIOPATED ENGNEERMG REPPESENTAME(S)
t3 ci.AssrncAnotest
Brian C. Adamson
t5s4Z. EVe.,
DERT-830137-CE
Structures
—
FM Fon. 81104 (MO) SUPERSEDES PREVIOUS EDrniat
SDNY_GM_02753752
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240674
EFTA01326267
SDNY_GM_02753753
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240675
EFTA01326268
US. DEPARTMENT OF 1RANSPOITFADON
I DATE
August 21, 2013
AIRCRAFT OR AIRCRAFT COMPONENT 'DEMME/CATION
1 ?WE
GLII1SDOSITI
3. MOMS NO.
G-IV
sin 1085
a ME (Arend &tee. Now:4e. at!
Airplane
5. NAME OF APPLICANT
International Jet Interiors, Inc.
Ronkonkoma, NY
UST OF DATA
6 IDENTiRCADON
Y. TOSE
Drawing:
IJIGN1085C
Rev(IR) 06/10/2013
IJIGN1085E
Rev(IR) 06/28/2013
Report
IJIGIV1085GSA
Rev(IR) 08/1W2013
Structures Note:
Divan Intl-LH Aft
sht 1 - 3
Divan Armrest instl-LH Aft
sht 1 - 4
Structural Analysis Divan Intl-LH Aft Gulfstream G-IV Aircraft
1) The structural aspects only of the above listed data are approved herein. This
approval is only for the engineenng data. It Indicates the data listed above
demonstrates compliance only with the regulations specified by paragraph and
subparagraph listed below as "Applicable Requirements".
2) This torn does not constitute FAA approval of all the engineering design data
necessary for substantiation of compliance to necessary requirements for the enure
alteration. The requirements of Flammablity are not included in this approval and
require separate approval.
3) Aircraft interior compliance inspection is not Included In this approval and requires
separate approval.
To provide type data for FAA approval of structure in support of a Major Alteration for Guffstream G•h/ s/n1085.
9. APAlldJJ3LE REPAREUEMS NM RCM staked)
.
14 CFR Part 25, Amdt 25-1 through 25-56 as specified In TCDS Al2EA;
Paragraphs: 25.301(a-b) Amdt 25-23, 25.303 Amdt 25.23.25.305(a. b) Amdt 25-54, 25.307(a, b) Amdt 25-54,
25.341 Arndt 25-0, 25.561(a-c) Arndt 25-23, 25.601 Amdt 25-0, 25.603(a-c) Arndt 25-48, 25.005(a) Amdt 25-46,
25.609(a) Amdt 25-0, 25.811 Amdt 25-23, 25.813(a. b. d, a) Arndt 25-46, 25.615(a) Amdt 25-23, 25.819(ac) And
25-23, 25.623 Arndt 25-0, 25.625(a-C) Amdt 25-23, 25.785 (i1.13) Amdt 25-51, 25.789(a) Arndt 25-46.
to currocKriou • under aulthety
Part 183. data Wed Sae and on
ilith spoest4eroperrents of to A/worminess
0 Recommend
I (We) Therefore
E
Appease
waled by Creedal of the Adak:trate and
arm:fed Mods mnaftbeded
Na
move bean
In moxdance Mt condemns end frnerms of this:thareri sedir SI CIR1t
eminthed in actiordance MU' eatitthice postathes end Inflows,
i
Standards lett
approval of Mene date
these data
II. SIGNATURE(S) OF MIGRATED ENGINEERING REPRESENTARYEMLia MIGRATION NUIMERSM
Brian C. Adamson
DERT-830137-CE
Structures
FAA Fan,, *110-3 (02-40 SuPERScosSeREVIOuS
13-4v2 -r
SDNY_GM_02753754
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240676
EFTA01326269
SDNY_GM_02753755
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240677
EFTA01326270
FEDERAL Melee AJMONISTRA110.1
I. DATE
August 20, 2013
2. MAKE
Gulfstream
3 MODEL NO
G-IV
sin 1085
4- TYPE Pee, GAM After. M[.)
Airplane
International Jet Interiors. Inc.
Ronkonkoma, NY
LIST OF DATA
6 CANTIFICATION
7 TITLE
Drawing:
IJIGIV1085L
Rev (IR) 06/27/2013
IJIGIV1085G
Rev (IR) 07/16/2013
Report'
IJIGIV1085LSA
Rev (IR) 08./12(2013
IJIGIV1085GSA
Rev OR) 08/08/2013
Structures Note:
PSU Mod Intl
sht 1 - 4
Monitor Mod Inset-LH Aft
sht 1 - 3
Structural Analysis PSU Mod Instl Gulfstream G-IV Aircraft
Structural Analysis Monitor Mod Instl-LH Aft Gulfstream G-IV Aircraft
1) The structural aspects only of the above listed data are approved herein. This
approval is only for the engineering data. it indicates the data listed above
demonstrates compliance only with the regulations specified by paragraph and
Subparagraph listed below as 'Applicable Requirements".
2) This form does not Constitute FAA approval of all the engineering design data
necessary for substantiation of compliance to necessary requirements for the entire
alteration. The requirements of Flammability are not included in this approval and
require separate approval.
3) Aircraft interior compliance inspection is not included in this approval and requires
separate approval.
To provide type data for FAA approval of structure in support of a Major Alteration for Gulfstream G-IV sin lass.
9. APPUCA9tE REOUIRAJAEITIS (UN some sem)
14 CFR Part 25, Amdt 25-1 through 25-56 as specified in TCDS Al 2EA:
Paragraphs: 25.301(a-b) Amdt 25-23. 25.303 Amdt 25-23, 25.305(a, b) Amdt 25-54, 25.307(a. b) Amdt 25-54,
25.341 Amdt 25-0, 25.561(a-c) Amdt 25-23, 25.601 Amdt 25-0, 25.603(a-c)Amdt 25-46, 25.605(a) Amdt 25-46,
25.609(a) Amdt 25-0, 25.611 Amdt 25-23, 25.613(a, b. d, e) Amdt 25-46, 25.615(a) Amdt 25-23. 25.619(a-c) Amdt
25-23, 25.623 Arndt 25-0, 25.625(a-c) Amdt 25-23, 25.789(e) Amdt 25-46.
10. CERTIFICATION • Under awe* eel by diem a( Re AOrrarasnIof and In amorderat MU mete and lealtalens of notentment under 14 CFR
Pan 163, data led above and on Shea shaets numbered
_e_ have been seined In accoNance eh estakeed PoCeAdUtall and foe to coney
MO% onkablorterements d the Almodesse Steeds Idled.
0
Recommend approval of these data
I °Ye) Ilmeore
0 Approve thou data
11. SIGNATURE(S) OF DESIGNATED ENGINEEFteIG REPRESENTATNE($1
12. DESMNATION MILMERS(S)
13. CLASSIFCATION(S)
Brian C. Adamsof
c::e________
DERT-830137-CE
Structures
FAA Form 6110-3 (00110) SUPERSEDES PREY/DVS EDITION
/3-ern.-*
SDNY_GM_02753756
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240678
EFTA01326271
SDNY_GM_02753757
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240679
EFTA01326272
FEOERAt. AVIATION ADMINISTRATION
I OATE
8/1512013
2.MAKE
Gultstream
1 NODE,. NO.
G-IV
4 TyPE(Amame. Engine. Not* ere.)
Airplane
5 NAME OF APPuCArrr
International Jet Interiors
UST Of DATA
6 IDENTIFICATION
Design Data $280145
Rev NC
Skandia, Inc Flammability
Bunsen Burner Testing
Test Specimen P/N S (represents
Notes:
1) Work accomplished under
2) Flammability test witnessing
3) IAW Skandia Flammability
Test Results
forward/art storage)
Skandia Inc. WO 0 260145-13. Ref Document ID 94116.
only, does not constitute installation approval of materials.
Streamline Testing Test Plan 21306. Rev IR. Dated 11/03/11
8.PURPOSE OF DATA
Demonstration of compliance with material flammability requirements in support of Major Repair & Alteration for S/N 1085
9.APPUCABLE REQUIREMENTS (UM spseibc sections)
14 CFR Part 25.853 (a) Arndt 25-116 Appendix F Pan I (a)M0) Arndt 25-11 I
10.CER11FICATION • Under authority vested by direction of Ilse
of appointment under 14 CFR Pan 183, data listed above and on
examined in accordance with established procedures and found
Standards listed.
1(We) Therefore
0 Recommend approval of these data
*Approve these dale
Administrator
attached
to comply
end in accordance with conditions and limitations
sheets numbered
have been
with applicable requirements of the Airworthiness
ii.SiGNATUISE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE
12.0t&IGNATiON NUMBERS)
i3.ClASSIFICATION(S)
/is,
1.- tkS/1
ck I
. i \K-Aili
Iti()
Jane Bibehtein -FAA DER
DERY-032780-CE
Structural Special
FAA Form 8110-3 (03/10) SUPERSEDES PREVIOUS EDITION
SDNY_GM_02753758
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240680
EFTA01326273
SDNY_GM_02753759
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240681
EFTA01326274
ELATE
8/13/2013
2.MAKE
Gulfstream
3.MOOEL NO.
G-IV
4.TYPE(AtTano. Ear,. Awe*? tic)
Airplane
5 NAME OF APPLICANT
International Jet Interiors
LIST OF DATA
6 IDENTIFICATION
711T1F
Design Data S260097
Rev NC
SKandia, Inc. Flarnmabildy Test Results
Bunsen Burner Testing
Test Specimen P/N's
B (represents potty seats. fwd/aft)
'
13 (represents conference table)
14 (represents potty seats. fwd/af 0
Notes:
1) Work accomplished under Skandla Inc. WO # 260097.13. Ref Document ID 94098.
2) Flammability test witnessing only, does not constitute installation approval of materials
3) UAW Strand* Flammability Streamline Testing Test Plan 21306. Rev IR. Dated I unit
&PURPOSE OF DATA
Demonstration of compliance with material flammability requirements in support of Major Repair & Alteration for S/N 1085
1
9.APPLICAEILE REQUIREMENTS (List specific secesns)
14 CFR Pan 25.853 (a) Arndt 25-116 Appendix F Pan I (a)(1)(ii)
14 CFR Part 25.853 (a) Arndt 25.116 Appendix F Pan I (a)(1)(i)Amdt 25.111
tO.CERTIFICATION - Under authority vested by direction of the Administrator
of appointment under 14 CFR Pan 183. data listed above and on attached
examined in accordance with established procedures and found to comply
Standards listed.
0 Recommend approval of these dela
1 (We) Therefore
,...
•
)2C1pprove these data
and in accordance with conditions and limitations
sheets numbered
have been
with applicable requirements of the Airworthiness
i 1.SIGNATURE(5) OF DESIGNATED ENGINEERING REPR SENTATIVE
12.06 IONA 10 NUMBER(S)
13.0
IFATION($)
..1..___.
\ (')
3. k3. W ug J
Jane Stherstet ...FAA DER
DERV-832780-CE
Structural Special
FAA Form 8110.3 (0110) SUPERSEDES PREVIOUS EDITION
SDNY_GM_02753760
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240682
EFTA01326275
SDNY_GM_02753761
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240683
EFTA01326276
U. 5_ DEPARTMENT OF TRANSPORTATION
I.DATE
9/19/2013
2.A4AKE
Gulfstream
3.MOOEL NO.
G-IV
4.TYPEMATA44. &Ott Prootate. et)
Airplane
5.NAME OF APPLICANT
International Jet Interiors
LIST OF DATA
7 TIME
1? 22867
Rev B
Dated 08(01/2013
Skandia, Inc. Flammability Test Report
Oil Burner Testing and Vertical Burner Testing
Notes:
1) Work accomplished under Skandia Inc. WO X 258304-13, Ref Document ID 94288.
2) Flammablity test witnessing only, does not constitute installation approval of the
materials.
8.PURPOSE OF DATA
Demonstration of compliance with material flammability requirements in support of Major Repair 8 Alteration for SIN 1085
SAPPLICABLE REQUIREMENTS Oast specific sections)
14 CFR Part 25.853 (c) Amendment 25118 Appendix F Part II
14 CFR Part 25.853 (e) Arndt 25.118 Appendix F Part I (a)(1)(11)
10.CERTIFICAT1ON - Under authority vested by direction of the Administrator
of appointment under 14 CFR Part 183. data listed above and on attached
examined In accordance with established procedures and found to comply
Standards listed.
0 Recommend approval of these data
I 04 Therefore
0 Approve these data
and in accordance with conditions and limitations
sheets numbered
have been
with applicable requirements of the Airworthiness
tt.SIONATURE(S) OF DESIGNATED ENOINEERmo REPRESENTATNE 12.0ESKINATION 'WM8EP(S)
13.CLASSIFICATION(S)
t
pci tyr•
J niferPaluzzi -FAA E
DERV-832779-CE
Structural Special
FAA Form 81104 (03710) SUPERSEDES PREVIOUS EDMON
SDNY_GM_02753762
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240684
EFTA01326277
SDNY_GM_02753763
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240685
EFTA01326278
Li S. DEPARTMENT OF TRANSPORTATION
I DATE
9(19/2013
?MAKE
Gulfstream
3.MODEL NO
G-IV
4.7 YPE(Avatmo. &Vat PI
T etc 1
Airplane
5. NAME OF APPLICANT
International Jet Interiors
UST OF DATA
6 IDENTIFICATION
7 ITT
Design•Data S261931
Rev NC
Skandia, Inc. Flammability Test Results
Bunsen Burner Testing
Test Specimen P/N 17 (represents floor covering being installed unbondedl
Notes.
1) Work accompliShed under Skandia Inc. WO # 261931-13, Ref Document ID 94289.
2) Flammability lest witnessing only, does not constitute installation approval of materials.
3) IAW Skandia Flammability Streamline Testing Test Plan 21306, Rev IR, Dated 11103111
8.PURPOSE OF DATA
Demonstration of compliance with material flammability requirements in support of Major Repair 8 Alteration for SIN 1085
9APPLICABLE REQUIREMENTS plat SPCCAC WOODS)
14 CFR Part 25.853 (a) Arndt 25-118 Appendix F Part I (a)(1Xii)
_..
10.CERTIFICATION • Under authority vested by direction of the AdmIniShater
of appointment under 14 CFR Part 183, dale listed above and on attached
examined in accordance with esiebilshed procedures and found to comply
Standards listed.
I (We) Therefore
0 Recommend approval of these data
*Approve these data
and in accordance with conditions and limitations
sheets numbered
have been
with applicable requirements of the Airworthiness
It SiGNATuRE(S)OF DESIGNATED ENGINEERING REPRESENTATIVE
12.0ESIGNATION NUMBER(S)
i3.ClASSiFiCATIOR(S)
•
t'l
i.‘1 ...._
, k ../.)
'11211-0—.)
Jane Bibtrsteln -FAA DER
DERV-832780-CE
Structural Special
FAA Fo
8110.3 (03110) SUPERSEDES PREVIOUS EDITION
SDNY_GM_02753764
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240686
EFTA01326279
SDNY_GM_02753765
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240687
EFTA01326280
I DATE
9/ 18/2013
2.MAKE
Gutfstream
3 MODEL NO
G-IV
ATYPE/Anw. Foyers. ens
etc)
Airplane
International Jet Interiors
lir OF DATA
8 ICENIWICATION
7 Ern F
Design Data 5281824
Rev NC
Skandia, Inc. Flammability Test Results
Bunsen Burner Testing
Test Specimen P/N's
18 (represents floor covering. cockpit)
19 (represents floor covering, ducts)
Notes:
1) Work accomplished under Skandia Inc WO # 261824.13. Ref Document ID 94282.
2) Flammability test witnessing only, does not constitute Installation approval of materials
3) IAN/ Skandia Flammability Streamline Testing Test Plan 21306, Rev IR, Dated 11103111
8.PURPOSE OF DATA
Demonstration of compliance with material flammability requirements in support of Major Repair 8 Alteration for S/N 1085
9APPLICABLE REQUIREMENTS (List specific seetion11
14 CFR Part 25.853 (a) Arndt 25-116 Appendix F Part I (8)(1)00
10.CERTiFICATION • Under 8UlhOlity yelled by direction or the Administrator
of appointment under 14 CFR Pao 183, data listed above and on attached
examined in accordance with established procedures and found to comply
Standards listed.
i 004 Therefore
0 Recommend approval of these data
pApprove theSe data
and in accordance with Conditions and limitations
sheets numbered
have been
with applicable requirements of the Ainvocthiness
11.81GRATURE(8) OF OESIGNATED ENGINEERING REPRESENTATNE
120ES(GNATION NUMBER(S)
Is CU>SSiFICATIONa)
9
,44fi
s
fej
ein
•
J
niter Paluzzi -FA DER
DERY-832779-CE
Structural Special
FAA Form 81104 (nto) SUPERSEDES PREVIOUS EDITION
SDNY_GM_02753766
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240688
EFTA01326281
SDNY_GM02753767
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240689
EFTA01326282
'.DATE
9117/2013
2MAKE
Gulfstream
3 MOOEL NO.
G•IV
4.TYPE(MPIms. &WOK Propose. ere)
Airplane
5.NAME OF APPLICANT
International Jet Interiors
LIS1rnI
FATA
6 IDENTIFICATION
7 TITLE
Design Data S257726
Rev NC
Skandia, Inc. Flammability Test Results
Bunsen Burner Testing
Test Specimen P/N's
2 (represents crew seats)
3 (represents jeppesen box, aft baggage)
4 (represents aR baggage)
5 (represents Ned closet and Finlay storage)
8 (represents rain curtain)
7 (represents fwd lay side panel, blkhds, aft lay all bulkhd)
9 (represents headliners, valences, pates)
10 (represents hand rails)
11 (represents window line, aft lay side wall)
12 (represents lower side wall panels)
15 (represents aft cabin blkhd. Md aft galley blkhd)
16 (represents divan end arms, divan lower doors, lower side walls)
20 (represents entry area, baggage floor)
21 (represents aft galley, lav countertops)
22 (represents aft, lay closet sliding doors)
23 (represents baggage nap)
24 (represents hod cabin bulkheads)
Notes:
1) Work accomplished under Skandia Inc. WO 0 257726-13, Ref Document ID 94278.
2) Flammability test witnessing only, does not constitute installation approval of materials.
3) IAW Skandia Flammability Streamline Testing Test Plan 21306, Rev IR, Dated 11/03/11
8.PURPOSE OF DATA
Demonstration of compliance with material flammability requirements in support of Major Repair & Alteration for SIN 1085
9.APPLICABLE REOUIREMENTS(tisi specific sections)
14 CFR Pan 25.853 (a) Arndt 25-116 Appendix F Pan t (a)(t)(i) Amdl 2`5-111
14 CFR Part 26:853 (a) Arndt 25.116 Appendix F Part 1 (a)(1Xii)
IOCERTIFICATION • Under authority vested by direction of the Administrator
of appointment under 14 CFR Part 183, data listed above and on attached
examined in accordance with established procedures and found to comply
Standards listed.
I (We) Therefore
CI Recommend approval of these data
y..Approve these data
and In accordance with conditions and limitations
sheets numbered
have been
with applicable requirements of the Airworthiness
i i .SIGNATURE(S) Of DESIGNATED ENGINEERING REPRESENTATIVE
12.DESIGWVION NUMBER( $)
I 3.0
SSI
ION(S)
c r") ,1/41-
a
1
Ai)
Jane Bi4rstern FAA DER
DERY-832780-CE
Structural Special
FAA FOND 8110-3 (03/10)SUPERSEDESPREVIOuS EDITION
SDNY_GM_02753768
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA (x124(169()
EFTA01326283
SDNY_GM_02753769
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240691
EFTA01326284
wait STATES CF AMERICA
NATIONALITY MO
NEW:STRAD:Al MARKS
N212JE
5 AUTHORITY AND BASIS FOR ISSUANCE
Tm troenness wics1464sn1pocoel ti U SC. 1N 101v/ cots ta. d be On <I Sam to mot 44 %No
Aug tab* rsmad and bac 99 orkm try to ceSS:V• Dotty. • el n anidoi ti lde toribi.v1 W bol
*We 11NI Nilootn015iN Art ceryntrit aNdebNd ~Sea Da as "Wad Wain It N
Cznyterko M Ines
CAA ASIA JINN N ION 1446/.
SAS
2 OAANUFAC IVREA AND MCOEL
Gulf stream G-IV
1 AIRCRAFT SERIAL
KAISER
1085
1 CATEGORY,
Transport
NONE
6 TERMS AND CONDITIONS
Wets Nay seen6N41 442.4444
Al a a woe
ts Menem WatilhOity NAGA As artiothea AMES
ad. a in /1 At tefrOrl•
gre•eirMita
Antall a* prima coact AM Pan 1.4.9•40
• SI cl
!WAN Mar 9
as
at II
IN UMW] SIAN
R 05/23/2000
AllIbrikhrAndanns.se
cootait /*be
*by. Ite 4ci auttfrq fl12 a
a tales 144•192
CEPRFICATE MAT et DISOLA
AF DC
PI
CROWE MTN APPLOStEFECOAL A
B
PGIAAACK5
FM Form 51004 (044 I ) SW*
•
S019
•
Ed1:01
SDNY_GM_02753770
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240692
EFTA01326285
SDNY_GM_02753771
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240693
EFTA01326286
...me new ;arc
COMTIST a TIWC•0011.010%-etptiltaiL ikna,TIM•0•01.8MATOI
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA 00240694
EFTA01326287
I
SDNY_Ghl_02763 3
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00240695
EFTA01326288
el
sr
ar
Owerwent
unsoonnon
(Airframe, Powerplant, Propeller, or Appliance)
Fedmil minion
AdmitAttr•Ilon
weft& 2, 204t20
E*to ino 1 4
Emmett Teeming MINX(
wefts wean
INSTRUCTIONS- Print or type all entries. See Title 14 CFR §43.9. Pal 43 Appendix B. and AC 43.9-1 (or subsequent revision thereof) fOr
instructions no disposition of INs form. This report Is required by law (49 U.S.C. §44701). Failure to report un result in a ail penally for each
such violation. (49 V.S.C. 146301(a))
1. Aircraft
Nationality and Registration Mark
USA N423TT
Serial No.
1085
make
GULFSTREAM
Model GIV
Series GIV
2. Owner
Name (As snown on registration certificate)
JEGE LLC
Address (As shown on registration CLYMCOM)
Aeress
or,
ST , rows
Sole Fonda„
hp
00002
Caney
VIRGIN SAWS
3. For FAA Use Only
4. Type
S. Unit identification
Repair
Alteration
Vial
Make
Model
Serial No.
O
0
AIRFRAME
(As described in Item 7 above)
0
O
POWERPLANT
O
O
PROPELLER
O
O
APPLIANCE
Type
Mil/IttliCtOrOf
6. Conformity Statement
A. Agencys Name and Address
B. Kind of Agency
ewe
GuLFSTREAU
V. S. Certificated Mechanic
I
MilMEOChiref
Agm,... OK PtitelYI 00
Foreign Corteretrod Mechenic
C. Cenificale No.
Car
WEST PALM BEACH
um FL
X
CM/4MM Repair Swim
PB8R624N
z •
wee
Ca011y
USA
Confutes Mardimanca Orme/nen
O. I certify that the repair and/or alteration made to the unit(s identifier' in item S above and described on the reverse a atlachrneMs 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 but and correct to the best of my
Extended range fuel
per le CkR, n 43
K
AFP' Bist bog
Signature/O
rlz
WM
Thomas J. Choynowski 06/13/2013
7.
• oval for Return to Service
Pursuant to the autherily g'ven persons specified below. the unit identified in item 5 we! Inspected in the Manner prescribed by the
Administrator Of the Federal Aviation Administration and *
plApproved
riRejected
BY
FAA Fit. Sundards
InSpeCtOr
Manufacturer
Maintenance
tion
Organiza
Foment APOMved by Canadian
.Desionnient of Tranicen
FAA Designee
X
Repair Sleben
Inspection Authorization
Omer (Specify)
CertifiCate or
Designation No. PB8R624N
Signature/Dale of
'
d Individua
,r.77s.
oar.;
Jim Fishburn 06/13/2013
FAA Form 337 (10/06)
Page I
SDNY_GM_02753774
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
it
EFTA 00240696
EFTA01326289
NOTICE
Weigh end balance or operating arretation changes shall be entered in the appropriate aircraft record An alteration must be
compatible with all previous alterations to assure continued conformity with the sleekest:Oa airworthiness requirements.
a. DncripUon of Won Accomplished
Of more space i9 required. attach adthbonal MOWS Men* wan aware nabonatly and registration mark and date work completed.)
USA
mann
0611312013
NolienaltY and negastratein Mark
Oat.
Aircraft Make: GULFSTREAM AEROSPACE
Aircraft Model: GIV
Aircraft Serial Number: 1085
Reference Gulfstream PSI Wodc Order: SCI3300
Complied with STC ST04257AT-D - Installation of GAViS System- IAW Gulfstream Aerospace Index List CE513358001, Rev.
A dated April 9, 2012 and Gulfstrcam Document CE4960458 dated 06/13/2013.
The display for the GAViS System is installed JAW ASC 476A and Customer Engineering Drawing List DL No. CE41 4960458
approved by Gulfstream form 8100-9 dated 06/13/2013. Reference Airplane Flight Manual Supplement CE51335M%14, Rev.-,
dated April II, 2012 and Accepted Instructions for Continued Airworthiness CE51335A001, Rev. A, dated April 5, 2012.
Items Removed:
Qty.
Description
6 Ea.
DU-880
I Ea.
FMS Data Loader DL-950
2 Ea.
CRT Fan Commutating Module
2 Ea.
Fan Any.
2 Ea.
ATC Transponder
Manufacturer
Honeywell
Gables
Rotron
Rottman
Collins
Pan Number
4053000-901
07226.02
508534
508617
622-9210-309
Weight/Lbs.
30.4 (Ea.)
1.17
1.5
1.15
8.5 (Ea.)
F/S
90.0
166.0
147.5
73.0
40.5
Items Installed
Qty.
Description
Manufacturer
Pan Number
Weight/Lbs.
F/S
6 Ea.
DU-885
Honeywell
K9321061A02
19.6 (Ea.)
90.0
I Ea.
XM Data Receiver
Honeywell
4092743.901
1.5
151.0
I Ea.
XM Antenna
Honeywell
C1420-1
0.2
174.5
I Ea.
FM Data Loader DL-I00
Gables
G7228.02
1.17
166.0
2 Ea.
Cursor Control Device
Esterline
73E8202
2.6
109.0
I Ea.
Video Amp
Audio Intl
VA-401-2
0.6
112.0
2 Ea.
ATC Transponder
Collins
622.9210.409
8.5 (Ea.)
0.5
Notes:
I. The electrical load analysis statement is contained in Gulfstream Document CE4 I 4696425.
2. Deviations to STC 476A arc shown in Cull-Stream Document CEA I 6990073.
3. Deviations to Gavis STC ST04257AT-D arc found in Gulfstream Document CE4 I 3350049.
4. A logbook entry reflecting this installation was completed and entered into the aircraft logbook.
5. The aircraft Equipment List has been updated to reflect this installation.
6. Weight and Balance data has been revised and inserted into the Weight and Balance Manual.
7. Maintenance instructions for continued airworthiness are contained in FAA Accepted Instructions for Continued
Airworthiness CE51335A00 I Rev. S dated April 05, 2012 (or later).
8. FAA Approved Flight Manual Supplement CE51335M004
A dated April II, 2012 has been inserted into the AFM.
ClAdotuonattneets AM Attached
_ 4.,.1
FAA Form 337 (10/06)
Page 2
SDNY_GM_02753775
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240697
EFTA01326290
0
US Dated
Miry aponasan
(Airframe, Powerplant, Propeller, or Appliance)
Rani Avid...
MIEMIstaillon
Rim hetione
Or
ha 2NOCON
Ora /2007
marecoic inewhe /*mini
IAA We Only
INSTRUCTIONS: Print or type as entries See Title 14 CFR §43.9. Pan 43 Appendix 8. and AC 43.9-1 (or subsequent revision
thereof) for Instructions and disposition of this form. This report iS reputed by taw (49 U.S.C. §447O ). Failure to report can result in a civil penally
for each such violation. (49 U S.C. §463O1(a))
1. Aircraft
Nationality and megistrabon Mark
USA N423TT
Serial NO.
1085
Make
Gulfstream Aerospace
Model
G-IV
beats
2. Owner
Name (As shown on registration ceshficate)
TRT Leasing
Address (As sheen on reipsfrolkon testate)
Kona 515 N Flagler Drive, STE P400
Car
West Palm Beach
stew Florida
no
33401-4320
Carty USA
3. For FM Use Only
The actrankal date herein gas keen mood to comply wok applailagra
tirwortif4. P. racjwiredicate and is hon:by enameled MT N69 Cillbr PI
tie above described aircraft, subject to conformity tfaaft00840414 a
ea anction33.7.
, \n,
-
aim tr
io,S.AlAit
_-
,S‘x
4. Type
S. unit Identification
Repair
Mention
Unit
Make
Model
Serial No.
O
0
AIRFRAME
(As clescnbed in Item 1 abetter)
0
.
POWERPLANT
E
O
PROPELLER
o
O
APPLIANCE
Type
Uanufackre•
6 Conformity Statement
A. Agencys Name and Address
B. Kind of Agency
iaoki CE Amnia Inc.
U. Comecon:I Mechanic
I ManAacturve
ArMnn 2789 Frightline Avenue
Foreign Contralto MeChailiC
C. Certificate No.
eta
Sanford
tam FL
x
Cartnicateci Repay Stanco
OE4R411M
Al
32773
twiny USA
Congested Maimenance Organdaton
D. I certify that the repair andlor alteration made to the tine s) Identified in item 5 above and described on the reverse or attachments hereto
have been made in accordance with the remarements 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.
Extended range fuel
pet 14 CFR Part 43
O
APP. B
Signe
a
o
Irld.iduat
2
JAN 2 9 1013
7. Approval for R urn to Service
PUIllant to the authority given persons specified below. the unit identified in item 5
was inspected in the manner prescribed by the
Administrator of
Federal Aviation Administration and is
I21 Approved
El Rejected
BY
FAA Fit. Stanclals
InSpOCICH
Manufacturer
Maintenance Organization
Poisons Approwed try Canadian
OSpartinent Of Trengal
FM Designee
X
Repair Station
Inspection Authorization
other (specify)
Certificate or
Destgnation No.
0E4R411M
Signature/Date of AlithOrized InteVidell
—leen..-4
4c/
-. 4"
--c-----
JAN 2 9 2013
orm 5370040
SONY_GM_02753776
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 1O, 15, and 17
EFTA_00240698
EFTA01326291
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
B. Description of Work Accomplished
(If more space is requited. Mach adcktional sheets. mien:Wrath aircraft nationality and reefs:catkin mark and date work completed)
USA N423TT
JAN 2 9 2013
NationaMy and Registration Mark
Date
Removed 2 each, CMC Electronics CMA-1100 EFB EEMU's and Part No. 217-601933-215 Cable Assemblies
previously installed on FM Form 337 dated April 9, 2007 (CRS X91R092Y). Removed circuit breakers, capped and
stowed power wires. Remaining connectors bagged and properly secured.
END
O Additional Sheets Are Attached 0 Pages
FAA FOOT, 3371,0.41
SDNY_GM_02753777
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240699
EFTA01326292
0
Ow
A°YB
wn zwrir
11f'101001
11f'101001
VS
Bean Warsaw tweet
Oteatirnee
0/f/lAWS1Sell
a Traritieerd01
(A irf rame, Powerplant, Propeller, or Appliance)
Nerd A*
Admisslaretle.
INSTRUCTIONS: PAM or type as entries. See TAB 14 CFR §43.9. Part 43 Appendix B. and
thereof) for nstruCtions and disposnon of (Ns form. This report is required by law (49 U.S.C. §4470
la earn such violation. (49 U.S.C. §463O1(a))
AC 43.9-1 (or subsequent revision
). Fein I0 feint CIA Mull in a bvil Panay
1. Aircraft
Nationality and Registration Mark
USA N423TT
Senal No
1085
Make
Gulfstream Aerospace
MOCtel
G•IV
bents
2. owner
Nun* (As shown on tegostrobon cerfincato)
TRT Leasing
morass (As Shown on regeshalfron certificate)
Arms 515 N Flagler Drive, STE P4OO
cay
West Palm Beach
our Florida
SO
334O1.432O
Qatar USA
& For FAA Use Only
Ihi essioleal dati herein on t‘z.tia aataa: la MAIO TO eltalYASIO
shwoutli,,, c reavivreetents ant iii lamb; topiva.t1 IN IP9 fflil/ itil
'be above atscapal
A
aircraft, subloct to gugonnity ii,Vi0 WA W ti
a seoloa33.7. r
`TM
SS
ASU•ADO-15
4. Type
5. Unit Identification
Repair
Alteration
Unit
make
Moat
Serial No
•
g
AIRFRAME
(As descnoed in Item I above)
•
O
PONERPLANT
0
0
PROPELLER
•
0
APPLIANCE
Type
laantartebaer
6. Conformity Sta ement
A. Agency's Name and Address
8. Kind of Agency
caw CE Avionics Inc.
U S. Certificated Mechanic
I Mantairclumr
mews 2789 Flightline Avenue
Altair bananas mechanic
C. Certificate No.
oo
Sanford
Va.• FL
x
Ocala; OW
OE4R411M
re
32773
cony LISA
Ceti/dated Pilaintensnc•Oroandaeon
D. !certify that the repair and/or alteration made to the unit s) identified in Rent 5 above and described on the reverse a attachments neitio
have been made n accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information
furnished herein is true and coned to the best of my knowledge.
Extended range fuel
per 14 CFR Part 43
APP. 8
Signature/Date of Authorized Individual
7
1-z:-/-ie f e7K/
JAN 1 9 NU
7. Approval for Return t Service
Pursuant to the authority given persons specified below, the unit identified in item 5
was nspected in the manner prescribed by the
Administrator of the Federal Aviation Administration and is
Approved
0
RejeCted
FAA Fe Standards
Inspect
Manufacturer
8v
Maintenance Organization
Persons Approved by Canacban
ment of Transport
FAA Designee
X
Repair Station
Inspection Authorization
Other (Speedy)
Certificate ix
Designation No
OE4R411M
Signature/Date of Authorized
I
7.
JAN 2 9 2013
one 337nocei
SDNY_GM_02753778
SUBJECT
TO PROTECTIVE
ORDER
PARAGRAPHS
7, 8, 9, 10, 15, and 17
EFTA_00240700
EFTA01326293
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.
S. Description of Work Accomplished
RI more space is required. Misch additional sheets. Identify yarn am a nat
y and repstrat ion mark and date non( completed)
USA N423TT
JAN 2 9 2013
Nationally al Regesiration Mark
Date
Removed AirCell P12192-002 Corded Handset and replaced with P121357-002 cordless handset.
Installed AirCell ATG 4000, Pan Number P13989 Air-To-Ground (ATG) Broadband Transceiver in the aft fuselage
equipment bay at F.S. 724 with AirCell ACM. Part Number P14126 Configuration Module in the forward cabin RH
equipment bay at F.S. 159. Mounted two each AirCell Pan Number P12344 Remote Diversity Antennas on the inside
of the forward right hand storage cabinet at station 193A+7.0. Installed two each. AirCell Pan Number P12949 ATG
UHF Antennas on the bottom of the fuselage per DDH Group Drawing Number ER02222-001, Revision 0 (Approved
on FM Form 6110-3 dated January 18. 2013 by David E. Haralson, 0ERT-810028-SW. Structural at F.S. 598 and
749. Interfaced the AGT 4000 System per the attached CE Avionics. Inc. Drawing Number 66268-1VVD, Revision IR
(Approved on FM Form 8110-3 dated January 18, 2013 by Leslie S. Roblin, DERT-510335-SW, Avionics/Electrical
Systems & Equipment). The system is powered by the cockpit controlled cabin bus. Cabin wireless intemet is not
enabled at this time pending incorporation of approved STC.
Primary AGT 4000 power is connected to il 5-amp circuit breaker and primary ACM power connected to a 1-amp circuit
breaker per manufacturer's specifications. Electrical load computed and found to be within acceptable limits.
Instructions for continued airworthiness for the ATG 4000 System are contained in the attached CE Avionics Inc.
Document Number 64961-1ICA.
Installation of the above made in conformance with AirCell ATG 4000 Installation Manual Pan Number 013928.
Revision C dated April 2011; AirCell kocess Installation Manual Part Number 012004, Revision E dated March 2010;
AirCell Antenna Installation Manual Pan Number 800-10355, Revision E dated May 2009; Gulfstream IV Maintenance
Manual. Revision 63 dated September 30. 2012, Chapter 6, Sections 06-00-00 and 06-50-00; Chapter 20, Sections
20-24-00, 20-25-07, 20-28-00, 20-28-09, 20-42.00 and 20-70-11; Chapter 24, Sections 24-004)0. 24-02-00. 24-02-01;
24-03-00 and 24-03-02; Chapter 34. Section 34-02-00; Chapter 51, Section 51-00-00; Gulfstream IV Wiring Manual,
Revision 46 dated September 30, 2012, Chapter 20. Sections 20-00-00, 20-24-00. 20-25-00. 20-25-01. 20-25-03.
20-25-05, 20-26-00, 20-26-01, 20-26-03, 20-26-07, 20-2741, 20-27-03, 20-28-01, 20-28-05 and 20-28-07; Chapter 34,
Section 34-60-00; and in compliance with FAR 25.1301, 25.1309, 25.1351, 25.1353, 25.1357 and 25.1431.
ND
El Additional Sheets Axe Attached 11 Pages
FAA Form 337neen
SDNY_GM_02753779
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024070I
EFTA01326294
Attachment FM Form 337 (AGT-4000) Dated January 29. 2013, N42377. Gttlistrearn G-IV. SIN 085 Sheet
0111
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SDNY_GM_02753780
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240702
EFTA01326295
SDNY_GM_02753781
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240703
EFTA01326296
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EFTA01326297
SDNY_GM_027.783
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240705
EFTA01326298
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i
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I
EFTA01326299
SDNY GM 02753785
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240707
EFTA01326300
Attachment: FM Form 337 (AGT-4000) Dated January 29. 2013, N423TT. Gut!stream G.IV, SIN 1085, Sheet 4 of 11
SDNY_GM_02753786
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240708
EFTA01326301
SDNY GM 02753787
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240709
EFTA01326302
Attachment FM Form 337 (AGT-4000) Dated January 29. 2013. N423TT. Gu*Stream G.N. S/N 1085. Sheet 5 of I I
DATE
January 18, 2013
MAKE
Gulfstream
MODEL NO.
G-IV
TYPE Verdant Redly licaceper.ek.)
Airplane
CE Avionics. Inc.
LIST OF DATA
IDENTIFICATION
TITLE
ER02054-001, Rev —
ER02054.002. Rev—
ER02222-001. Rev 0
ER02222 Rev 0
Aircell Antenna Tapered Adapter. 12.4 Deg, Sht 1-4
Aircell Antenna Tapered Adapter. 7.4 Deg. Sht 1-4
Aircell Broadband System Antenna Installation, Sht 1.4
Structural Substantiation — Aircell Broadband Antenna Installation for Gulfstream G-IV,
sin: 1058
NORM:
I) Per FAA Order 8110.37D Chapter 4-12.h.
a)
This approval is for engineering design data only. It indicates the data listed above demonstrates
cornpliance only ugh the regulations spedlled by paragraph and subparagraph listed belOw as
Applicable Requirements.
b)
This bent may not constiluM FAA approval of all ling tearing data necessary to. the substantiation
of compliance to necessary requirements for the entire alteration.
c)
Structural aspects are approved.
d)
Approval of °lethal aspects and equipment Installed are not included.
2)
The instalth must determine the correatibuity S this data with the aircraft configuration.
Alter the repak or alteration the aircraft must be retuned to service hymned:tee personnel.
PURPOSE OF DATA
To approve structural aspects of an alteration to Gulfstream G-IV. sin: 1085
APPLICAIRE REQUIREMENTS (Liu speak armor)
14 CFR
25.301
25.303
25.305(a)(bxc)
25.307(a)(b)
25.601
25.603
25.605
25.607
25.609(a)(b)
25.611
25.613(811)
25.615
25.619
25.625
TCDS Al2EA Certification Basis: 14 CFR Part 25 through Amdt 25-56 (except 25.571 Amdl 25-22)
CERTIFICATION • Under authority vested by direction of the Administrator and in accordance with contagions
under Part 183 of the Federal Aviation Regulations. data ksthd above and on attached sheets numbered
in accordance with established procedures and found to comply with applicable requirements of the Federal
Recceimend oppeovelol these delt
I ea< Therelom
brow,* Item Sm.
and limitations of appointment
0
have been exemineo
Aviation Regulations.
David E. Haralsonj:):e
eg,..
it
-
DERT-810028-SW
Structural
FM Form 8110-3 00) SUPERSIOES PREviOUS !ONION
010222240 oat
SDNY_GM_02753788
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002407 10
EFTA01326303
SDNY GM 02753789
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240711
EFTA01326304
Attachment FM. Form 337 (AGT-4000) Dated January 29, 2013, N423TT, Gulfatream Gall, WI 1085, Sheet 6 of
5
a g
A
a
•
SDNY_GM_02753790
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002407 12
EFTA01326305
SDNY_GM02753791
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240713
EFTA01326306
Attachment FM Form 337 (AGT.4000) Dated January 29, 2013, Na233T, Gultatmarn G-N. SIN 1085. Sheet 7 all
3
Ix
SS-
41
O
9:
E
*0!
Fp a
IyyI ;I'1
SDNY_GM_02753792
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002407 14
EFTA01326307
SDNY_GM_02753793
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002407 15
EFTA01326308
Attachment FAA Form 337 (AGT.4000) Oated January 29, 2013, N423TT, Gulfstream G-11/, SIN 109S, Sheet 8 of II
SDNY_GM_02753794
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002407 16
EFTA01326309
SDNY GM 02753795
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002407 17
EFTA01326310
Attachment FM Form 337 (AGT-4000) Dated January 29. 2013. N423TT. Gulfstream Gar. SIN 1085. Sheet 9 of 1 1
L DATE
January 18, 2013
2. MANE
Gulfstream Aerospace
3. MODEL NO
G-IV
4 TYPE (Aim,* Err* Proponor, Mc/
AIRPLANE
5 NAME OF APPLICANT
CE Avionics
Sanford, Fl.
LIST OF DATA
6 IDENTIFICATION
7. TITLE
66268-1WD. Rev IR,
dated 12/27/12
Aircell ATG 4000 High Speed Internet System
END
Nola:
1) The electrical aspects way
erigineereg design data only.
Writhe regulations specified
Requirements'.
2) Compliance With stsiionsi
FM approval of all the engineering
necessary requirements for
approval.
3) Mar the Alteration, the aircraft
4) Cabin Wireless Internet capability
Cerillication.
of the above listed data are
It Indicates the data listed
by paragraph and subparagrarn
regulations not listed may
data necessary for
the
The
approved herein This approval is for
above demonstrates corerlance onq
listed below as 'ARROW*
be rewired. This form does not constitute
substanballon of compliance to
stnicturel aspects are not Inckeded In this
by FM Authorized personnel.
Incorporation of Supplemental Type
entire alteration.
mull be retuned to senke
is NOT enabled; Pending
5 PURPOSE OF DATA
Design approval in support of installation modifications to Gullstream G-IV Series aircraft, serial number 1085. registration no.
N423TT. Avionics/Electrical Systems 8 Equipment Design Approval Only.
9 APPLICABLE REOUIREMENTS OF !TILE II CFR (del specific seams)
FAR 25.869 (a)(4); Arndt 25-72
FAR 25.1353 (b)(d)(1)(2); Amdt. 25-113
FAR 25.1301 (8)(1)(2)(3); Arndt. 25-123
FAR 25.1357 (a) Amdt. Orig.
FAR 25.1307 (c); Amdt. 25-72
ici CERTIFICATION -Under aulhority veiled by direchon Cl Ike Admnislator and in accordance war GOIldia04$ WA Ihrstabons of appointment under 14 CFA Pail 183.
WO baled abaVO and on ottecned sheers mantesei None have been examined In aCcordenCe Nth eslatdshed procedures and found lo comply yea applicable
IOCMIanlatAll al ma Nrwortirmss Standards kited
0 Recommend approval of these data
I pot) Mesita
0
Approve these data
S IJTATIVEISI
12 DESIGNATION NUMBERS(S)
13. CLASSIFICATIONS)
Lewd S. Roblin
Ire
SP
1
DERT-510335-CE
Avionics/Electrical
Systems 8 Equipment
FAA Form 8110-3 (03no)SuPERCEDES PREVIOUS ED4DON
(ON recelt4 doe) 13010
SDNY_GM_02753796
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
0024071 S
EFTA01326311
SDNY_GM_02753797
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240719
EFTA01326312
Attachment: FAA FO1111 337 (AGT-4000) Dated January 29. 2013. N423TT, Gulista:tam G-N. Sm 1085. Sheet 10 01 11
INSTRUCTIONS FOR CONTINUED AIRWORTHINESS, AIRCELL ATG 4000 HIGH SPEED INFLIGHT
INTERNET SYSTEM
CE Avionics Inc. Document No. 66278-1ICA, Rev. IIR
I. Introduction
Aircraft that has been altered: Registration No. — N423TT, Make — Gulfstream, Model —G-IV, Serial No. 1085
Content, Scope,
Purpose and Arrangement:
This document identifies the Instructions for Continued Airworthiness for the
modification of the above aircraft by installation Man AirCell ATG 4000.
Applicability:
Applies to aircraft altered by installation of the AirCell ATG 4000.
Definitions and Abbreviations:
None, N/A.
Precautions:
None, N/A.
Units of Measurement:
None, N/A.
Referenced Publications:
AirCell ATG 4000 Installation Manual Pan No. D13485.
AirCell Antenna Installation Manual Pan No. 800.10355.
AirCell ATG Quick Reference Troubleshooting Guide Part No. D14748.
Distribution:
This document should be a permanent aircraft record.
2.
Description of the Alteration
Installation of the AirCell ATG 4000 System with interface to the Number 2 Flight Management System. Refer to Section
10 of the AGT 4000 Installation Manual for interconnect infomiation.
3. Control, Operation Information
Refer to Section 4 of the AGT 4000 Installation Manual.
4. Servicing Information
N/A
5.
Maintenance Instructions
Maintenance of the AirCell Alt 4000 System is 'on condition' only. Periodic maintenance is not required.
6.
Troubleshooting Information
Refer to Appendix A of the ACT 4000 Installation Manual.
7.
Removal and Replacement Information
Section 3 of the AGT 4000 Installation Manual. If the unit is removed and reinstalled, a functional check of the equipment
should be conducted in accordance with Section 4 of the AGT 4000 Installation Manual.
8.
Diagrams
Refer to Section 10 of the AGT 4000 Installation Manual.
9.
Special Inspection Requirements
N/A
10. Application of Protective Treatments
N/A
II. Data: Relative to Structural Fasteners
N/A
12. Special Tools
N/A
Page I oft
SDNY_GM_02753798
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240720
EFTA01326313
SDNY_GM_02753799
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 0024072!
EFTA01326314
Attachment: FAA Form 337 (AG7-4000) Dated January 29. 2013. N423TT, Gulfstream
S/N 1085. Sheet 11 oftt
13. This Section is for Commuter Category Aircraft Only
A. Electrical loads: N/A.
B. Methods of balancing flight controls: N/A.
C. Identification of primary and secondary structures. N/A.
D. Special repaii methods applicable to the airplane: N/A.
14. Overhaul Period
No additional ovedmul time limitations.
IS. Airworthiness Limitation Section
N/A.
16. Revision
To revise this ICA, a letter must be submitted to the local FSDO with a copy of the revised FAA Form 337, and revised
ICA. The FAA inspector accepts the change by signing Block 3 and including the following statement:
"The attached revised/new Instructions for Continued Airworthiness (date X X-XX-XX ) for the above aircraft or
component major alteration have been accepted by the FAA, superseding the Instructions for Continued Airworthiness
(date X X -X X - X X )"
17. Assistance
Flight Standards Inspectors have the resources to respond to questions regarding the ICA.
18. Implementation and Record Keeping
For major alterations performed in accordance with FAA field approval policy, the owner/operator operating under Part 91
is responsible foi ensuring that the ICA is made part of the applicable section 91.409 inspection program for their aircraft.
This is accomplished when a maintenance entry is made in the aircraft's maintenance record in accordance with section
43.9. This entry records the major alteration and identifies the original ICA location (e.g., Block 8 of FAA Form 337,
dated X X-XX-XX ) along with a statement that the ICA is now part of the aircraft's inspection/maintenance requirements.
Page 2 of 2
SDNY_GM_02753800
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240722
EFTA01326315
SDNYGM02753801
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240723
EFTA01326316
0
or Iron...rein,'
(Airframe, Powerplant, Propeller, Or Appliance)
Friend ANS*
Aaninistracien
FrmApasual
OMB No 2120=0
Ilan/200?
Elmircnic Trader; tancra
FAA Use Only
INSTRUCTIONS: Print or type al entries. See Title 14 CFR §43.9. Parl 43 Appendix B, and AC 43.9-1 (ce subsequent revision
thereof) for nstructions and disposition of this form. This report is required by law (49 U.S.C. 44470 ). Failure to repel can result in a civ4 penally
for each such violation. (49 U S.C. §46301(e))
1. Aircraft
Nationally and Registrabon Mark
USA N42317
'Make
senaI NO.
1085
Gulfstream Aerospace
G-IV
Series
2. Owner
Name (As shown on registration cerbitcate)
TRT Leasing
Address (As shown on tegisfrabon certificate)
mwen 515 N Flaoler Drive, STE P40O
ay
West Palm Beach
Son Florida
so
33401-4320
cans USA
3. For FAA Use Only
4. Typo
6. Unit Identification
Repa ,
Morahan
Unit
Make
Model
Serial No.
El
g2
AIRFRAME
(As described in teem f above)
El
I:l
POO/ERRANT
El
ii
PROPELLER
0
0
APPLIANCE
Type
'Manufacturer
6. Conformity statement
A. Ageneys Name and Address
8 Kind of Agency
i... CE Avionics Inc.
U S Contra...1 mechrmc
I Manufacturer
••••••• 2789 Flightlme Avenue
;weir Certhcala0 M•CnanC
C. Certificate No.
ou
Sanford
ash FL
x
_ Cerebrated Reps. Stabta
0E4R411M
a
32773
ohms USA
ceinissite4 maintenance Organization
D. I certify that the repair andior alteration made to the unfi(s) identified in Item 5 above and °escrow on the reverse a attachments hereto
have been made in accordance with the requirements of Pad 43 of the U.S. Federal Aviation Regulations and that the inkurnaliOn
furnished herein is the and correct to the best of my knowtedge.
Extended range fuel
per 14 CFR Pat 43
O
APO. B
i
SgnalurelDale of Authonz
era
—
7‘f
a tk esaV
- -Z
Michael. E. Hughes January 29. 2013
7. Approval for Return to Service
Pursuant to the arthartY g yen persons speciierl whs, the unit identified in item 5
was
Administrator of the Federal AVOMIOn Administration and Is
2 Approved
•
inspected in the manner prescribed by the
Rejected
BY
FM Fit Standards
Inspector
Manufacturer
Maintenance Organization
PerionS Append by Canadian
DepartmeN of Tronspon
FAA Designee
X
Repair Staban
Inspection Authorization
r (Bleary)
Certificate or
Designation No.
OE4R411M
Sonaluremate of kuthorized
i.. ... I
es
Michael, E. Hughes January 29. 2013
ore 337ncau
SDNY_Girl_02753802
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240724
EFTA01326317
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. Descent/cm of Work Accomplished
of m003 Space is requited. attach additional Sheets aleatory with *Mae nettOrialay and registration mark and date work completed)
LSA N423TT
January 29, 2013
Naborialey and RegisUalion Mark
Date
Completed activation of AirCell ATG 4000 Wireless High-speed *nternet in compliance with Duncan Aviation STC
Number ST01625W1-D and the following Duncan Aviation Documents:
Master Document List Document Number 110121028, Revision E.
Follow On Installation and Configuration Document Number 110315014, Revision E.
Follow On Ground Test Procedure Document Number 110121020, Revision D.
Instructions for Continued Airworthiness Document Number 110121022, Revision C.
Duncan Aviation FAA Approved Flight Manual Supplement Document Number 110121021, Revision B placed on board
the aircraft in the Approved Airplane Flight Manual Supplements binder.
Weight and Balance information not affected.
K Additional Steels We reached
Pages
FAA Form 337 flow
SDNY_GISI_02753803
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240725
EFTA01326318
}unlit! Atha of America
4fiepartment of tEransportation
Atbernl "thiattion Abininistrution
$upplemental 'Type aertifiratt
FL
err4earwar itauentio
Aam4. ST01625V/I-D
Duncan Aviation, Inc.
3701 Aviation Road
Lincoln, NE 68524
STC No. ST01625WI-D
Enable WLAN System
for use on
Gulfstream G-IV sin 1085
if:4A da/14 okra
doinoriviinfraGALAt
elatzlihAtikaiw aaaferaiahavat denyevo abl
+1041.avera nosa.0 Gee aercontesenu esperthradwa eMent25 e/66 Federal Aviation i riegattrivel.
aviatatileluel- -.54,gienceealeiglnds,
Aga
Al 2EA
Gulfstream Aerospace Corporation
GV
91110•9•6•.• 0/3;•• fkleic4gra,s11A' Enable Wireless Local Area Network (WLAN) system for use with
Transmitting Portable Electronic Devices (TPEDs). Data Required: (I) Duncan Aviation Inc., Document
List No. 110121028, Revision A, dated March 18, 2011, (2) AAA Approved Airplane Plight Manual
Supplement, Duncan Aviation Inc., Document No., 110121021, Revision A, dated March 18, 2011, or later
FAA Approved Revisions to (1) or (2).
SeirIdahh•J 044111:•••414W,' This system is intended to provide internist connection and email services using
TPEDs. Any other intended function of this equipment will require a re-examination of the certification
basis.
Compatibility of this design change 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 shall give
the other person written evidence of that permission.
FL twes4n4..z.,,,a4myr e,c4,44, add.) [4 law
gornivaidarreowan 4. r/~idanahe.n.a4id
.vereertied meaty a Ardi.eloiva .44 a tdiertoas eatted.,44.
Addeuileata. 04.5;raigoiates
SethAtlina
44 eiscpriaohivs Fans.). 1,2011
.944 *ea :wagon. Moat 11,2011
git4 taws(
floks an/waled May 27,2011
4
o)
atrick M. Chick, Jr.
ODA administrator, ODA-501013-CE
Duncan Aviation, Lincoln, Nebraska
(Mk)
anttr K a4 pal Jtttra 4 1••
• Sr a ft.ae
tag
.
or y,tallaat
nee toscacligmies. Or Leto.
ha rah oho-too-4h
Ma I
or r air
tete certified. ••• to convents: in •ecordase• with IAA V. O.
SDNY_GM_02753804
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240726
EFTA01326319
SDNY GM 02753805
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240727
EFTA01326320
DINCAN
AVIATION
I
II
Authorization of STC use:
To:
CE Avionics Inc.
Attn: Brian Rannie
2789 Flightline Ave
Sanford, FL 32773
In reply please reference: 2013-028L
Authorization is herby given for one time usage of FAA Supplemental Type Certificate Number
ST01625WI-D to enable WLAN System. This installation is approved for Gulfstream G-IV sM 1085
only. Deviations to this subject data are the sole responsibility of CE Avionics Inc.
If your engineering department has any questions about this STC, feel free to contact me at
r by email at
Douglas Bates
Engineering Records Tech
Duncan Aviation
3701 Aviation RD
Lincoln, NE 68524
USA
Lincoln Anpoti
P.O. Jinx 81887
Lincoln. Nebraska
68501
402.475.2611
Pax 402.475.5541
www.diencannvincion von,
SDNY_GM_02753806
1
1
1
1
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240728
EFTA01326321
SDNY_GM_02753807
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240729
EFTA01326322
e lleo
us Osentro
a Trtnspennon
(Airframe, Powerplant, Propeller, or Appliance)
Fake& Aetna,
1 ids-billed.
Form naretwed
We to 21204020
traVIO.,
Navas imam Muster
For FAA UR CsiO
INSTRUCTIONS: Print or type all envies. See Title 14 CFR §43.9. Part 43 Appendix B. and AC 43.9.1 (or subsequent revision thereon for
Instructions and disposition of Mis form. This report is required by law (49 U.S.C. §44701). Failure IC repot can result in a civil penally for each
such violation. µ9 U.S.0 448301(0))
1. Aircraft
Nationality and Registration Mart
USA
N423TT
Serial No.
1085
Make
GULFSTREAM
Model
GIV
Series
2. Owner
Name (As shown on regatrabon certificate)
TRT LEASING INC
Address (As shown on foist:anon Certificate)
Mtn 51S Ist Fl Ant FR nR STF PAM
O,1
WEST PALM BEACH
flee FL
no
33401-4320
Cony USA
3. For FAA Use Only
4. Type
5. Unit Identilkation
Repair
Alteration
Una
Make
Model
Serial No.
El
0
(As eaSenDed,n nem i abate)
A/RFRAME
O
O
POIAERPtAP4T
O
O
PROPELLER
0
O
APPLIANCE
Type
Manutedwar
S. Conformity SO ement
A. Agency's Name and Address
B. Kind of Agency
sere (WI FSTRFAM
U.S. Cenicated Nahum
I mentiouunse
AMMO 1500-C PERIMETER RD.
Fcreign Cenificese Methane
C Cenific.ste No.
car
WFST PM M REACH
en Fl
/
CertAcezed Repair Stamm
CRS PB8R624N
Da
33408
co , USA
Cerukraect Meneenenoe Organization
0. I eitetey Mal the repair and/or aaeration made to the unit( ) idenlifienl in item S above and descried on the reverse or attachments hereto
have been mode In accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information
furnished eerekl Is true and correct to the best of my knowledge
Extended range fuel
pet 14 CFR Part 43
O
App. 8
Signature/Ds
IAuthorized I iveual
m
I. 4
Terry Barker 08/15/2012
7. Approval for Return to Service
P masa to the authority given
specified below. the unit identified in item S was inspected in to manner prescribed by the
Administrator of the Federal Aviation
ministration and is
R Approved
Rejected
8Y
FAA Flt. Standards
Inspector
Manufacturer
Manufacturer
MairiteMACe Organization
..O
Permed APIXO7W by Canaan
ed Transpon
FM Designee
I
Repair Station
Inspection Authorization
Other (Speedy)
Certificate or
D
ignation No.
es
CRS PB8R624N
Signal°
at Authorized Inc*
„.
0,y t
p
James Fishburn 08/15/2012
FAA Form 337 noon
SDNY_GM_02753808
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240730
EFTA01326323
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.
S. Description of Work Accomplished
(If more space is required, attach addiffonal sheets. Identity with aircraft net-Iona* and repiygapn Tat* and date work completed.)
USA
N423TT
Nationality and Registrabon Mark
Aircraft Model: Gulfstream GIV
Aircraft Serial Number 1085
Reference Gulfstream Pal Work Order: SC11231
08/15/2012
Date
Complied with STC ST00544LA - Installation of Concorde Battery sealed lead-acid Battery Model No. RG-380E/44
UAW STC ST00544LA and steps II A 2 & 3 of Concorde Battery Corporation Master Dwg. Number 12 for Model
RG-380E144 Lead acid batteries. Rev A dated August 28 2000.
Permanently removed the following equipment:
2 ea. Saft Nickel-Cadmium Main Battery, Model 4076-11
Installed the following new equipment:
2 ea. Concorde sealed lead-acid Battery, Model RG-380E-44
No Weight and Balance change required by this action (weight change negligible).
No Airplane Flight Manual Supplement required by this action.
Airplane records updated to reflect this action.
Aircraft electrical load not affected by this action.
Instructions for Continued Airworthiness can be found in Concorde document No. 5-0171 Rev. M. dated 03/15/2012.
Note: This amendment, dated 08/1512012, supersedes the original 337 dated 08/06/2012, and the amendment dated
08/08/2012. and removes 'Concorde Battery Corporation Master Dwg. Number 12 for Model RG-380E/44 Lead Acid
Batteries, Rev. A dated 08/28/2000" from the ICA statement.
END
K Additlifiel.Shaels Are Attached
FAA Form 337 nom
SDNY_GM_02753809
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240731
EFTA01326324
\.,--i//
form.prowe
US eopsersent
el TWOKSICA
(Airframe, Powerplant, Propeller, or Appliance)
Fedstil Mines
A•alalwaece
OMB No 2I2POCQO
Wiffai I
Eno.* Tredire veneer
fee FM Ur OW?
INSTRUCTIONS: Print or type all enthes. See Title 14 CFR 643.9. Pan 43 Appendix EL and AC 43.9-1 (or subsequent revision thereof) for
Instructions and dIsposeion of this form. This report is required by law (49 U.S.C. §44701). Failure to report an result in a dig penalty for mach
such violation. (49 U.S C §48301(a))
1. Aircraft
Nationality and Repistrason Mark
USA
N423TT
Serial No.
1085
Make
GULFSTREAM
Model
GIV
Series
2. Owner
Name (As snown on recestratron certificate)
TRT LEASING INC
Address (As shown on registration cerbficate)
meow Kin N Fl Anl FR nR TIT PAM
On
WFST PALM BEACH
set. FL
zo
33401-4320
Cann; USA
3. For FAA tied Iv
4. Type
5. Unit Identification
Reps(
Alteration
Unit
Make
Model
Serial No.
El
IZI
AIRFRAME
(As deSonbed in an 1 above)
O
O
POWERPLANT
El
O
PROPELLER
O
O
APPLIANCE
Type
manwarmer
6 Conformity Statement
A. Agency's Name and Address
S. Knd of Agency
rem MO FSTRFAM
U 5 Congealed Mechanc
I Naumann:.
mew. 1500-C PERIMETER RD.
Faeign Calif.:OS Mecmnic
C. Certificate No.
ow
sow. Fl
/
CeMeateii Repair Medal
CRS PB8R624N
v.
33406
ewe., USA
Courcared maintenance Oranizethe
D. I Certify that the repair and/or alteration made lo the unit( ) denbried in item 5 Move and described on the reverse or anachments hereto
have been made in accordance with the requirements 01 Pan 43 of the U.S. Federal Aviation Regulations and that the information
furnished herein is true and cared to the best of my knowledge.
Extended range fuel
per 14 CFR Penal)
App. 6
II
Signature/0
trd Ind
ual
..
p28
Terry Barker 08/08/2012
7. Approval for Return to Service
Pursue 1 to me aulhontY 9 en
;sons Specified below, the unit identified in Rem 5 was
Administrate( of the Federal Aviation Administration and a
2 Approved
inducted n the manner presaibed by the
II Rejected
BY
FM Ft. Standards
Inspector
Manufacturer
maintenance Organization
Peewee ApPaasee by Can110451
Department 04 Tramped
FM Designee
I
Repair Station
Inspection Aulhonzabon
Other (SpeCif y)
Dedicate or
Designation No.
CRS PB8R624N
Signature/Date
Authorized I
den t
James Fishburn 08/08/2012
FAA Form 337 once)
SDNY_GM_02753810
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240732
EFTA01326325
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 confonniry with the applicable airworthiness requirements.
IL Description of Work Accomplished
(II mote space p teetered. Mace acklemnal sneers. Identify waft aircraft nattonably and reed:ration mark and date work completer')
USA
N423TT
tlitoommy and Repistratco Mark
Aircraft Model: Gulfstream GIV
Aircraft Serial Number: 1085
Reference Guffstream PBI Work Order: SC11231
08/08/2012
Date
Complied with STC 51005441A - Installation of Concorde Battery sealed lead-acid Battery Model No. RG-380E144
IAW STC ST00544LA and steps II A 2 & 3 of Concorde Battery Corporation Master Dwg. Number 12 for Model
RG-380E144 Lead acid batteries. Rev A dated August 28 2000.
Permanently removed the following equipment:
2 ea. Saft Nickel-Cadmium Main Battery, Model 4076-11
Installed the following new equipment:
2 ea. Concorde sealed lead-acid Battery, Model RG-380E-44
No Weight and Balance change required by this action (weight change negligible).
No Airplane Flight Manual Supplement required by this action.
Airplane records updated to reflect this action.
Aircraft electrical load not affected by this action.
Instructions for Continued Airworthiness can be found in Concorde Battery Corporation Master Dwg. Number 12 for
Model RG-380E/44 Lead Acid Batteries, Rev. A dated 08/28/2000, and Concorde document No. 5-0171 Rev. M. dated
03/15/2012.
Note: This amendment, dated 08/0812012, supersedes the original 337 dated 06/06/2012, and adds the Instructions for
Continued Airworthiness.
END
O AQdeIMA4)neets Are Attached
FAA Form 337 now
Nei
SDNY_GM_027538t 1
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240733
EFTA01326326
0
us DIDIMMOI
at Tromoortrion
(Airframe, Powerplant, Propeller, Or Appliance)
Foam, aviation
Aasenlernace
ran APWIhea
mwomen 3129CO20
EMCItrOC TWOS ( I Ninte,
6 • yen Vas Orer
INSTRUCTIONS: Prom or type all entries. See Tile 14 CFR 643.9. Part 43 Appendix B. and AC 439.1 (or subsequent revision thereof) for
instructions and disposition of this form. This report is required by law (49 U.S.C. 944704 Failure to report can result in a civil penalty br each
such vtolabon. (49 U.S.C. §46301(a))
1. Alreraft
Nationality and Registration Mark
USA
N423TT
Serial mo.
1085
Make
GULFSTREAM
Model
GIV
Series
3. Owner
mamk (As ShoWlIOn registration certificate)
TRT LEASING INC
Address (As shown on registration certificate)
Amon MR N Fl Ant FR nR STF Pa00
Car
WEST PALM BEACH
Seri. Fl
To
33401-4320
cosh, USA
3. Fa FAA Use Only
4. Type
5. Unit Identification
Repair
Alteration
Unit
Make
Model
Serial No.
O
p
AIRFRAME
(As describer:tin neon I above)
0
O
POWERPLANT
O
O
PROPELLER
O
O
APPLIANCE
hype
MarntaClurat
6. Conformity Statement
A. Agency's Name and Address
B. Kind of Agen y
own Fall FSTRFAM
U S. Certificated Mechanic
I
Manufacturer
mem 1500-C PERIMETER RD.
Forage Cenncares Mechanic
C. Certificate No.
ow
MST PALM BFACH
on. FL
j
Cenecaoss RaPai, Station
CRS PEI8R624N
Le
33406
cam, USA
Centered Membrane* Organization
D. I certify that the repair and/or alteration made to the unit( ) identified in item 5 above and described on the rove 'se Or a ttathrnants hereto
la
been made in accordance with the requirements of Part 43 of the U S Federal Aviation RegullitiOns and "•'.il the I-1 ormaliOn
furnished hereon is true and correct t0 the best of my itnewledge.
Extended range fuel
per is CFR Part 43
APP. B
MI
Si nature/Dat0 o
fined
OF g
Terry Barker 06/06/2012
. Approval for Return to Service
Pursuant to the authonty given
rsons Specified below. the unit .dented In item 5 was Inspected in the manner prescribed by the
Administrator of the Federal MOW Administration and is
O Approved
O Retooled
BY
FAA FR. Standards
InSpettOr
Manufacturer
Maintenance Organization
Persona AFprovad by Camden
Ocisartment
Departmental Transport
FAA. Designee
,/ Repse Station
Inspection Authorization
Other (SPearn
carificii. or
Designation No
CRS P88R624N
S
James Fishburn 06/06/2012
ignature, ate of Au
Individual
03 ,
FAA Form 331 (loo)
SDNY_GM_02753812
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240734
EFTA01326327
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.
S. Description of Work Accomplished
(it more space is required, attach additional sheets Identity well entree nationality end registration mark and dare wore carom Wed
USA
N423TT
NaloMMY and Degreiration Mark
Aircraft Model: Gulfstream GIV
Aircraft Serial Number: 1085
Reference Gulfstream PSI Work Order: SC11231
06/06/2012
Oate
Complied with STC ST00544LA • Installation of Concorde Battery sealed lead•acid Battery Model No. RG-380E144
IAW STC ST00544LA and steps II A 2 & 3 of Concorde Battery Corporation Master Dwg. Number 12 for Model
RG-380E/44 Lead acid batteries. Rev A dated August 28 2000.
Permanently removed the following equipment:
2 ea. Saft Nickel-Cadmium Main Battery. Model 4076.11
Installed the following new equipment:
2 ea. Concorde sealed lead-acid Battery, Model RG-380E-44
No Weight and Balance change required by this action (weight change negligible).
No Airplane Flight Manual Supplement required by this action.
Airplane records updated to reflect this action.
Aircraft electrical load not affected by this action.
END
heels Are Attached
J
FAA Form 337 yeah
SDNY_GM_02753813
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240735
EFTA01326328
0
Fon" atOmnta
OM Na 21204020
11
2007
/30.
Iltetac mixing Mower
am FAA1)•• Only
LIS Doporbwr
oi Inonrpriso”
(Airframe, Powerplant, Propeller, or Appliance)
roes Artesia
Adiekrusein
INSTRUCTIONS: Print or type at entries. See Tide 14 CFR §43.9. Pan 43 Appendix B. and AC 43.9-1 (or subsequent revision thereof) for
instructions and disposition of the teem. This report is required by law (49 U.S.C. §44701). Failure o report can result in a civil penaity for each
such violation. (49 U.S.C. §48301(a))
1. Aircraft
Nationality and Registration Mark
N423TT
Serial No.
1085
Make
Gulfstream
Model
G -IV
Series
2. Owner
Name (As shown on registratton certificate)
TRT LEASING INC
Address (As shown on registration certificate)
Alone 05 N Fiedler Drive Suite P400
tier
West Palm Beach
thus Ft
As
33401.4320
_ . tear USA
3. Far FAA Use Only
4. Type
5. Unit Identification
Reese
Mershon
Unit
Make
Model
Serial No.
0
0
AIRFRAME
(As descrtbed An Item I above)
0
o
powERRANT
•
0
PROPELLER
0
O
APPLIANCE
Type
Manulacturs
0 Confonnity StatiesseM
__
A. Agency's Name and Address
B. Kind of Agency
rem tleneral Dynamic, Aviation Services
u. S. Condkated Mechanic
I htersitscsser
*emu 1500-C Perimeter Road
FOreign Unmated Latahant
C. Certificate No.
oft
trftitSt Palm Beach
lam FL
j
Caellkalad Repair Station
z,
33406
Caw" USA
CO41114104 Izamenanee 0rgenvation
PB8R624N
D. I certify that the repair and/or alteration made to the unit a) 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 intOnneion
furnished herein is true and correct to the best of my knowledge.
Extended range fiat
PM 14 CFR Pali 43
O
App. 8
Signature/Date of Authorized Individual
Ali,
elti.__.---
Stephen G. Paulsen
21 September 2007
7. Approval for Return to Service
Pursuant to the authority given persons specified below. the unil identified in Item 5 was Inspected in the manner prescribed by the
Administrator of the Federal Aviation AdrrinialnillOn and is
O
Approved
O Rejected
BY
FAA Fn. SlandardS
Inspector
Manufacturer
Maintenance Organization
Panora ADP.Oved Ist Canadian
I Depwtmem of Tranwort
FM Designee
x
Repair Staten
Inspection Authorization
Other (Specify)
Certificate or
Designation No.
CRS PB8R624N
SignaturerDere of Authorized Ince/duel
...XS St dit-----..
Stephen G. Paulsen
21 September 2007
FAA Form 337 nee
FAA
SDNYGfil02753814
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002407
EFTA01326329
NOTICE
Weight and balance or operating limilabbn 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
(II more space is required. WWII additional sheets. Identify with aircraft nationality and registration mart and date *orb completed.)
Aircraft Model: G-IV
Aircraft Serial No.: 1085
USA
I
N423TT
Nationality and Registration Mark
Aircraft Total Time: 6728.0
Aircraft Total Landings: 3057
Work Order No.: 17964
21 September 2007
Date
Accomplished upgrade of existing Allied Signal Enhanced Ground Proximity Warning System from a software version
104-104 to 218-218 UAW Gulfstream STC ST01851AT-D and Gulfstream Custom Engineering Drawing List CE41
4960458 and EGPWS Windshear (218-218) (MOD) Electrical Drawing CE41 3490238 approved under FAA Form
8110-3 dated 9/17/07.
Updated Flight Manual Supplement with Gulfstream G-IV Flight Manual Supplement No. CE41 349M001 and provided
EGPWS Instructions for Continued Airworthiness Report No. CE41 349A001.
Change to Electrical Load negligible.
No change in Weight or Balance.
END
0 Additional Sheets Are Attached
FAA Form 337 ilea
Fax
SDNY_GM_02753815
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA (x)244)737
EFTA01326330
0
(Airframe, Powerplant, Propeller, or Appliance)
Form Approved
0148 No. 2120-0020
For FAA Use Only
aronpoowion
Nowa ease
Adirenianwee
Office Identification
INSTRUCTOONS NM or type as entries. See FM43.9. FM 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions
and disposition of this form. The report 4 required by law (49 U.S.C. 1421). Failure to report can ream in awl penalty not to exceed $1.000
for each Such vioUlion (Section 901 Federal Aviation Act of 1958)
1. Aircraft
Make
GULFSTREAM
MCdelG-IV
Serial No.
1085
Nationality and Registrabon Mark
N877RP.
2. Owner
None (As show, on registration certificate)
TRT LEASING INC
Address (As shown on egssftation certificate)
515 N FLAGLER OR STE P400
WEST PALM BEACH FL 33901-4320
3. For FAA Use Only
The alter
atterabon(s)
authorized
David Kelm
Mien identified henn
are compatible
in FAR 43.7.
nas been reviewed and found to be complete
and eligible for use on the above described aircraft,
U.1/4...,_
MA Pr
nil DOI
5t-)
with appropriate DER approvals. All aspects of the
subject to conformity Inspection by a person
‘I — n s o il
1---a—...---1Y
4. Unit Identification
5. Type
tint
Make
Model
r
Serial
No.
Repair
Alteration
AIRFRAME
(As described in Item I
X
above)
POWERPLANT
PRCPELIER
APPLIANCE
Type
Manufacturer
6. Con enmity Statement
A. Agency's Nana and Address
B. Kind of Agency
C. Certificate No.
5500 PHILLIP J. RHOADES
HGR. 2. WILEY POST AIRPORT
BETHANY OK 73008
U.S Cortiliesee liKheniC
MZIR092Y
Fannon Certificate Nernst
X
Caninesisa ReNir Minion
Illanidechat
D. i Caney mat ea row macs ataneen nude to the unite) denoted neer 4 above and 00•01trier on Inc reverse et erinolvnenrs memo have been mese n
41O:Ordend web Vie requinernenrs or Part 43 or tie V S Federal Mabee Regulate,,, and MN the Somalia, Ournonee hem e tee and COMPC113 the belt or fry sroirieope.
Date
e/ D1-2€297
Signature of Authorized
1
7. Approval for Return To Service
P rsuant to the authority given pe sons specified below, the tint identified in item 4 was i
ded en
manner preSalbed by Me
Administrator of the Federal Aviation Administration and is
IM APPROVED
O
BY
FM Flt. Standards
Inspector
Manufacturer
Inspection Authorization
Other (30.O69
FM Designee
X Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date of Approval or Reaction
e le/iai
s249, 7
Certificate or
Designation No.
X91R092Y
Signature of Authorized I
ual
FAA Form 337(1201
EleattriC Yawn (MOW)
SDNY_GM_02753816
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240738
EFTA01326331
Work cpndetad tot IN677RE) al
NOTICE
Weight and balance or Operabng Mrstabon changes Shall be colored in MO SparOpiate mraall MOM M Steredlan musi
be Calipabble web apeman alteratiOrb 1001WO COntInUedCOnlarnily WI Me appeals anworthtless reqdrernent5
8. oeso.e..cel el Work Accomplished
GULFSTREAM
G-IV
N677RP
S/N 1085
W/O 1658
ELECTRICAL MODS
The following is a list of drawings used for dte Mixliftcations and Alterations to the Phone,
Entertainment and Electrical Systems:
I. Report - ELA 06-10318, Electrical Load Addendum Gulfstrearn G-IV-S/N 1085, Rev.1/R,
dated 03.26-2007. (4 Sheets)
2. 06-10319, Lay-Gut-G-IV, sin 1085 Cabin Modifications (4 Sheets)
3. 06-10320. W/D-G-IV S/N 1085 Drawing Notes. Rev. I/R dated 03.26-2007. (I Sheet)
4. 06-10321, W/D-G-IV S/N 1085 Vendor Information, Rev.. UR dated 03.26-2007. (I Sheets)
5. 06-10322, W/D-G-IV S/N 1085 Cabin Equipment/Wiring Renitnials, Rev.1/R dated 03-26-2007.
(14 Sheets)
6. 06-10323, W/D-G-IV S/N 1085 Ciricut Breaker Panel Mods, Re;/.1/12 dated 03-26-2007. (5
Sheets).
'
7. 06-10324, W/D-G-IV SIN I085 .Terminal Block Layout, Rev.1/R dated 03-26-2007. (3 Sheets).
8. 06-10325, W/D-G-IV Sthl 1085 Galley Systems, Rev.1/R dated 03.26-2007. (9 Sheets).
9. 06-10326, W/D-G-IV S/N 1085 Aft Lavatory Systems, Rev. I/R dated 03-26-2007. (3 Sheets).
10. 06-10327, W/D-G-IV SIN 1085 Upwash/Downwash Lighting, Rev. UR dated 03-26-2007. (3
Sheets).
11. 06-10328, W/D-G-IV S/N 1085 Cabin Reading and Table Lihgts, Rev. I/R dated 03-26-2007. (3
Sheets).
12. 06-10329. W/D-G-IV
1085 Cabin Aisle Lighting, Rev.1/R dated 03.26-2007. (3 Sheets).
13. 06-10330, W/D-G-IV SIN 1085 Ordinance Signs, Rev. UR dated 03-26-2007. (3 Sheets).
14.06-10331, W/D-G-IV S/N 1085 Entry Lights, Rev.1/R ditted 03-'26-2007. (2 Sheets).
IS. 06-10332, W/D-G-IV SIN 1085 Jump Seat Lihgts,Rev.11R dated 03-26-2007. (2 Sheets).
16.06-10333, W/D-G-IV S/N 1085 Cabin Window Shades, Rev. UR dated 03-26-2007. (4 Sheets).
17.06-10334, W/D-G-IV S/N 1085 Cabin/Lav Call Systems, Rev.1/R dated 03-26-2007. (2 Sheets).
18.06-10335, W/D-G-IV S/N 1085 Crew Lavatory System, Rev.1/R dated 03-26-2007. (2 Sheets).
19.06-10336, W/D-G-IV S/N 1085 Cabin Audio Mods., Rev.1/R dated 03-26-2007. (2 Sheets).
20.06-10337, W/D-C-IV S/N 1085 Entertainment Systems. Rev.1/R dated 03-26-2007. (8 Sheets).
21.06-10338, W/D-G-IV S/N 1085 Assess Phone System, Rev. I/R dated 03-26-2007. (2 Sheets).
22.06-10339, NOT USED.
23. 06-10340, W/D-G-IV S/N 1085 Cabin I I VAC Outlet Mods., Rev.1/R dated 03-26-2007. (4
Sheets).
24.06-10341, W/D-O-IIV SIN 1085 CMK-1100 Electronic Flight Big Sys., Rev. I/R dated 03-26-2007.
(3 Sheets).
. .
25.06-10342, W/D-G-IV S/N 1085 Cabin Temp Control Mods, Rev. UR dated 03-26-2007. (2
Sheets).
26.06-10343, W/D-G-IV S/N 1085 XM Weather Receiver, Rev.1/R dated 03-26-2007. (2 Sheets):
•
1
Data approved by Systems & Equipment DERT-710196-SW on FAA Form 8110-3 NJEN-07-
027dated April 04,2007.
A
EMI Test performed in accordance with Capital Aviation. Inc. EMI. Ground Test Procedures,
Document No. 04-EMI-10000, Rev. I/R dated 11-22-2004. Document No. 04-EMI-10000 approved
by Systems & Equipment - Avionics & Electrical DERT-710796-SW on FAA Form 8110-3, SLIFN-06-
074, dated September 26,2006.
•
•
X 1 Matti:nal Shears Aso anacnoo
SONY_GM_02753817
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240739
EFTA01326332
Walt Completed for (N677RPI on
a Description or work Arrornossreci
NOTE:
I. All NON-ESSENTIAL systems and equipment installed on existing Non-Essential Busses. Load
Sheding covered in Aircraft Flight Manual.
2. See Capital Aviation, Inc. FAA Form 337 entitled "Interior Cabin Mods" for mounting of
Electrical Equipment.
Log Book Entry made.
Weighed Aircraft, computed new C.G. and entered in aircraft records.
CONTINUED AIRWORTHINESS - Monitor item(s) for condition. If item(s) become damaged,
replace with same make and model. If make / model is not available, notify the local FSDO of part
replacement. Refer item(s) to installer or any qualified service center for repair or replacement.
Items to be inspected in conjunction with operators approved inspection program to insure secutity,
overall condition and proper operation as is required.
CULFSTREAM
G-11/
N677RP
SIN 1085
W/O 1658
)(Additional Sneers Are Attached
SDNY_GM_02753818
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240740
EFTA01326333
SDNY_GM_02753819
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240741
EFTA01326334
DATE
April 4, 2007
MAKE
GULFSTREAM
MODEL NO.
G-IV
TYPE (Aiplans. Reda bisticoeter. Ott)
Airplane
Capital Aviation Inc
LIST OF DATA
IDFNTIFICATION
TITLE
DRAWINGS
See sheet 2 of 2
SEE SHEET 2 OF 2
NOTES:
'
1.The Electrical Design Data Aspects Only of these data are approved herein. Approval
is In support of a 337 Interior installation modification in a Gulfstream , Model G-IV, SIN
1085 only.
2. EMI test required prior to returning aircraft to service.
PURPOSE OF DATA
Approve the Electrical Design Data Aspects Only in support of a 337 installation (Major
Alteration )
APPUCABLE REOUIREAIENTS (LW sPiscMe sections)
FAR 25.1301(aXbXcXd), FAR 25.1309(a)(b), FAR 25. 1351(a), FAR
25.1357(a)(c)(d), FAR 25.1359(a)(b)
ma
• C:i".3LTIt
CERTIFICATION - Under authority vested by drecbon of the Administrator and In accordance with conditions
under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered
accordance with established procedures and found to comply with applicable requirements of the Federal
0
Recommend approval of those data
Wore
la Approve those data
and Flattens of appointment
2 of 2
have been examined in
,
Aviation Regulatlens
SIGNATU
(S) OF 06.7
) FIAT
Joluaik et,_ a
•
DERT-710196-SW
Systems & Equipment
Avionics & Electrical
8110-3
JFN-07-027
FAA Form 8110.3 (11.70) SUPERSEDES PREVIOUS ELATION
ELECTRONIC FORMAT (740)
SDNYGM 02753820
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240742
EFTA01326335
SDNY_GM_02753821
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240743
EFTA01326336
FEDERAL AVIATION ADMINISTRATION FORM 8110-3
FOR GULFSTREAM,
MODEL GIV, S/N 1085
NUMBER: JFN-07-027A
DATED 4-4-2007
SHEET 2 OF 2
DRAWING
NOMENCLATURE
REVJDATE
EFFECTIVITY
REPORT-
ELA-10318
GULFSTREAM GIV-S/N1085
IR- Dtd. 03-2407
S/N 1085 ONLY
06-10319
LAY-OUT-GIV S/N 1085 CABIN
MODIFICATIONS
I/R- Dtd. 03.26.07
"
"
06-10320
W/D-G-IV S/N 1085 MASTER DRAWING
NOTES
1/R- Ott 03-26-07
"
a
- 06-10321
W/D-G-IV S/N 1085 VENDER INFORMATION
UR- Dtd. 03-26-07
"
"
06-10322
W/D-G-IV S/N 1085 CABIN •
UR-Dtd. 03-26-07
"
"
06-10323
W/D-G-IV S/N 108.5 CIRCUIT BREAKER
PANEL MODS
UR- Dud. 03.26.07
a
"
06-10324
W/D-G-IV WI 1015 TERMINAL BLOCK
LAYOUT
1/R- Ott 03-26-07
a
"
06-10325
W/D-G-IV S/N 1085 GALLEY SYSTEMS
I/R- Dtd. 03-26-07.
"
"
06-10326
W/D-G-IV S/N 1085 AFT LAVATORY
SYSTEMS
I/R- Did. 03-26-07
"
06-10327
W/D-G-IV S/N 1085 UPWA$11/DOW14WASH
LIGHTING
UR- Did. 03-26-07
-
_
"
06-10328
W/D-G-IV S/N 1085 CABIN READING AND
TABLE LIGHTS
I/R- Dtd. 03-26-07
"
a
06-10329
W/D-G-IV S/N 1085 CABIN AISLE LIGHTING
I/R- Dtd. 03-26-07
"
06-10330
W/D-G-IV SIN 1085 ORDINANCE SIGNS
I/R- Dtd. 03-26-07
"
"
06-10331
W/D-G-IV S/N 1085 ENTRY LIGHTS
UR-Dtd. 03-26-07
"
"
06-10332
W/D-G-IV S/N 1085 JUMPSEAT LIGHTS
I/R-Dtd. 03-26-07
"
06-10333
W/D-G-IV S/N 1085 CABIN WINDOW
SHADES
1/R Dtd. 03-26-07
"
"
06-10334
W/D-C-IV S/N 1085 CABIN/LAV CALL
SYSTEM
1/R Did. 03-26-07
"
06-10335
W/D-G-IV S/N 1085 CREW LAVATORY
SYSTEMS
I/R Dtd. 03-26-07
"
"
06-10336
W/D-G-1V S/N 1085 CABIN AUDIO MODS
I/R Dtd. 03-26-07
"
"
06-10337
W/D-G-IV S/N 1085 CABIN
1/R Dtd. 03-26-07
"
"
06-10338
W/D-G-IV S/N 1085 AIRCELL AXXESS
PHONE SYSTEM
UR Dtd. 03-26-07
"
"
06-10340
W/D-C-1V S/N 1085 CABIN I1OVAC OUTLET
MODS
1/R Dtd. 03-26-07
"
06-10341
W/D-G-IV S/N 10135 CMA-1100 ELECTRONIC
UR Dtd. 03-26-07
a
06-10342
W/D-G-IV S/N 1085 CABIN TEMP CONTROL
MODS
1/R Ott 03-26-07
a
06-10343
GIV S/N 1085 XM WEATHER SYSTEM
I/R-Dtd. 03-26-07
"
"
SDNY_GM_02 753822
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240744
EFTA01326337
SDNY_GM_027.823
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240745
EFTA01326338
U.S. DEPART/ea OF TRANSPORTATION
FEDERAL AVIATION N4SCTRAT1ON
DATE
SEPTEMBER 26 2006
MAKE
GulfstrearnAerospace
Corporation
t&COEL NO.
G-iv
TYPE (Urprane. Radio. MIlkoplel. etc)
Airplane
Capital Aviation Inc
LIST OF DATA
IDENTIFICATION
Ina
DOCUMENT
04-EMI-10000
REVISION 1/R
DATED 11-22-2004
NOTES:
1.The Electrical Design Data Aspects Only of these data are approved herein.
Approval is for the Gulfstream Aerospace Corp. Aircraft listed in TCDS Al2EA. Rev 29.
PURPOSE CF DATA
Approve the Electrical Design Data Aspects Only in support of a EMI Ground Test Procedure.
APPLICABLE REQUIREMENTS (UN Nadia roan)
FAR 25.1301(a)(bXc)
-
FAA
02:C;IVI.
CERTIFICATION - undue =Ahern
under Part 183 of the Federal
accordance PUT estabfishod procedures
vested by derecton 04 In Aeroflot:2kt
Aeration Reptaattorts data listed above
and found to comp/yeah appicalab
approval or these data
those data
and In aoardanc0 volt
and on attached fl ats reambeasel
nequIromenta of Om Federal
cannons and Inialions of aPPIATININI
have bean rnalnaleal In
Aseadon RoISITIona.
is Recotrunond
--
I
Tln
0
Approve
SIGNATU
OF DESIGN*,
cussincsnotem
John F
DERT-710198-SW
Systems 8 Equipment
Avionics 8 EJectical
8110-3
JFN-06-074
Si
(1140) SUPERSEDES PREVIOUS ECtnow
ILICTROICITORISTT(7441
SDNY_GM_02753824
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240746
EFTA01326339
SDNY_GM_02753825
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240747
EFTA01326340
0
us Oemarvera
Twice:In
(Airframe, Powerplant, Propeller, or Appliance)
Wet 'Waren
Mbredetrelee
Form Approved
CM No 21204320
For FAA Use Only
Office Idenbfication
talRUCTIONS. Rh Or type al entries See FAR 43.9. FAR 43 Appendix B. and AC 43 9.1 (or subsequent revelon thereof) for instrucoons
and deposition of this form. The report is required by law (49 U.S C. 1421). Facture to report can result a girl penalty not to exceed 51.000
for *Eh such violation (Section 901 Federal Aviation Act of 1958).
1. Aircraft
Make
.
i
•
MOON GV
Sere) No.
1085
NabOnalty. and Revocation Mark
N677RP '
t. Owner
Name (As shown on registration caratiCete)
TRT LEASING INC
Address (As shawl on regisfralion car-tektite)
515 N FLAGLER DR STE P400
NEST PALM BEACH FL 33401-4320
3. For FAA Use 0*
The alteration
alterations)
authorized
David Kelm
identified herin has been reviewed and found to be complete
are compatible and eligible for use on the above described aircraft,
in FAR 43.7.
.
.
.
r4C=E
, \le..1—..
ti nt.
—WOOL go—,
with apPropriate DER approvals All aspects of the
subiect to conformity inspection by a person
•
Li^ '7.s'7
i
. • 4. Unit Identification
s. Type
Ui'S
SAM.
Moist
Sena! No.
Repair
flotation
AIRFRAME
(As dasenterf in Ilsm 1
X
above)
POWERFLANT
PROPELLEFt
APPLWCE
Type
Manufacturer
• • :
a. Conformity Statement
1
A Agency's Nays and AddretS
B. Kind of Agency
C Certrficale No.
!
5500 PHILLIP J. RHOADES
FIGR 2, WILEY POST AIRPORT
BETHANY OK 73008
us. Commend methane
•
X9114092),
sconigin Genital*. ma. so
X
can/kited Repair Staten
Marulacturer
D. 'Wei trial the Wet anew amnion nude to the men *Wee n diem 4 reeve ace deicnbed en the reverse or attachment; hereto have bee made in
at coleance well the reouiemerts of Pane of ma us Fears Avia6On Rociations end that We Syron aanutio0 ham,
and canal to Ma OW Of nag linOwaidd0
Dale
d
-009- 2a97
Signature of Authorized
'
7. Approval for Return To Service
P rsuant to the authority given persons spoofed below. the raid Identified in lair 4 was i
Administrator of the Federal Aviation Administration and et
El APFROW-0
O
n the manner preSCribed by the
BY
FAA Flt. Standards
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
FAA Designee
X Repair Station
Person Approved by Transpart
Canada Airworthiness Group,
Date of Approval or %alba
• -
DV-DI-2.407
Certificate or .
DengristIon No.
X91R0112Y
--Spam of Authorizes
- ftW
MIGHAELS. ROPER
.
FAA Fenn 337 ilzse
earinnevensie (Mee
SDNYGA402753826
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240748
EFTA01326341
Week completed for IN677RPI on •
!MICE
Weight and balance or operating imitabon changes shag be elected Ingle aPliaoPtige morn Mad. An annum must
be compatible wan an previous a/wagons to assure comMued conlormity went* appicalste d..wrdwress requirements
8. Descnpuon ot Work Accomplished
GULFSTREAM
G-IV
N6'77FtP
S/N 1085
W/O 1658
ANTENNA
I. Removed existing Antenna and installed COMANT Antenna CI 420-I , s/n 162608 using
existing doubler at F.S.I93C.00+9 as per Strong Aero Engineering drawing N677RP-011107- I,
Rev. N/C dated 01 -1 I-2007.
2. Installed Sensor Systems, Inc. Iridium/GPS Antenna 567-1575-165, s/n 1333 F.S.193C.00+9
as per Strong Aero Engineering drawing N677RP-011107-2, Rev. N/C dated 01-11-2007.
Data approved by Structures (A I, A4, PI, P4) DERT60581 8NM on FAA Form 8110-3 dated
02.19-2007.
Weighed aircraft, computed new C.G. and entered in aircraft records.
Log Book Entry made.
CONTINUED AIRWORTHINESS - Monitor item(s) for condition. If item(s) become damaged,
replace with same make and model. If make / model is not available, notify the local FSDO of pan
replacement. Refer item(s) to installer or any qualified service center for repair or replacement.
Items to be inspected in conjunction with operators approved inspection program to insure secutity,
overall condition and proper operation as is required.
CND
W Additional sheets /me Attached
SDNY_GM_02753827
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240749
EFTA01326342
FEDERAL AVIATION AtmivIsTRATION
DATE
02/19/07
MAKE
GULFSTREAM
MODEL NO.
G - IV
TYPE cairpiene,4.410.
AIRPL
Hellorpter.etc.)
ANE
INC.
LIST or DATA
IDENTIFICATION
TITLE
DRAWING REFS:
"ANTENNA
REPLACEMENT"
"S67-1575-165
DOUBLER
Notes:
420 - 1
ANTENNA
IRIDIUM/DATA
DESIGN & INSTALLATION"
APPROVAL IS
S/N 1085,
T/N
N677RP
N677RP -011107
- 1
REV N/C
01/11/07
N677RP -011107
-2
REV N/C
01/11/07
• .
engineering design data only and is not an
It indicates the data listed above
only with the regulations specified by
listed below as 'APPLICABLE
with additional regulations not listed
This approval'is for
installation approval.
demonstrates compliance
paragraph and subparagraph
REQUIREMENTS'. (Compliance
here may be required).
PURPOSE OF DATA
REGULATIONS
APPLICABLE REQUIREMENTS (List specific sections)
CFR 14 FAR Part 25.301(a), Amdt 25-23; .303, Amdt 25- 23; .305(a), Amdt 25 -
86; .307(a), Amdt 25- 72; .365(a) (b)(c), Amdt 25-87; .601, Amdt 25-0;
.603(a), Amdt 25-46; .605(a), Amdt 25-46; .607(a), Amdt 25-23; .609(a),
Amdt 25-0; .611, Amdt 25 - 23; .613(a) -(d), Amdt 25-72; .625(a), Amdt 25-72
CERTIFICATION - Under authority vested by direction of the
limitations of appointment under Part 181 of the Federal
sheets numbered N/A
have been examined
Administrator and in accordance with conditions and
Aviation Regulations, data listed above and on attached
in accordance with established procedures and found to
Regulations.
comply with applicable requirements of the Federal Aviation
El Recommend approval of these data
I oditi Therefore
Pg
Approve these data
--\
DERT605818NM
STRUCTURES(A1,A4,P1,P4)
VVVicjkTAA
I
(
/U\
_ ... ......
Clt
-
-
EDITION GPO 901-41
SDNY_GM_02753828
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA (X)240750
EFTA01326343
SDNY_GM_02753829
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240751
EFTA01326344
0
US Overt*
Crimea
,
(Airframe, Powerplant, Propeller, or Appliance)
rens Ann
Adriteiblike
Fern Approved
0M3 No. 2120-0020
For FAA Use Only
Office Identification
INSTRUCTIONS: Print or type as entries. See FAR 43.9, FAR 43 Appends B. arid AC 43.9,1 (or subsequent revision thereof) for instructions
and deposition of this lone. Ties report is required by law (49 US.C. 1421). Failure to report can resul ti civil penalty not to exceed $1,000
for each such violation (Section 901 Federal Aviation Act of 1958).
1. Aircraft
Make
GULFSTREAM
Model G-IM
Sew No.
1085
Nellonality and Registration Mark
MSTIRP
2. Owner
/tare (As shown on registrabon carioca)
TRT LEASING INC
,
Address //As shown al registration certificate)
S15 N FLAMER DR STE P400
WEST PALM BEACHFL 33401-4320
.
3. For FAA Use Only
The alteration
alteration(S)
authorized
David Kelroc.
are
in
identified henn has
compatible and
FAR 43.7.
been reviewed and found to be complete
eligible for use on tie above described aircraft.
°Art
"II tool <ma
with appropriate DER approvals. All aspects of the
autism to conformity inspection by a person
LI - I. 0C)
L
...... _.-41./-...-
4. Unit Identification
S. Type
UM
Male •
Model
Sorel No
Repar
Artef Mien
AIRFRWE
(As descntial in Muir 1 above)
-:
X
POAERRANT
FRCPEMBI
APPUNCE
Type
i
Manufaciunsi
ALConferseft7 Statement
A. Agency's Name and Address
'
B. land of Agency
C. Certificate No.
5500 PHIUJR J. RHOADES
MGR. 2, ViALEY POST AIRPORT
BETHANY. OK 73008
U.S. Conine:awe nine
X91R0921.
Forpn CeillfiCalled Marthiak
X
Ce(VIICat•O Repair Staten
lannewer
Ct I reaW Nai no ran ana anon nen be wtissi dented n ilet 4 roam ens decreed on te reverse a allaclinerds lent
llosedance wale rte neurone
08 Pen 43 of to U.S. Fein ANSI*" Repeat» end swab mlorrreeco tinned
en Sid and
Nee been made in
b as bit or rrir Wainge.
Date
63 /
a
2a
7 7
Signature of Authorized I
g
MICHAEL S ROPER
7. Approval for Return To Service
Pursuant to the authority given persons specified below, the and identified in ism 4 was i
it
manner
by the
Administrator of the Federal Aviation Admeetration acid's
El APPROVED
O
BY
FAA Rt. S1Hi0art1a
Inspector
Manufacturer
Inspection Authorization,
Oiler (SPecify)
•
FAA Designee
X Repair Station
Person Approved by Transom
Canada Airworthiness Group
Dale of Approval or Reterzlon
A
l le4,
-
Cerlecate or 1
Designation No.
X91R092Y
-Span of Authorized
.
FAA Form 337nuo
Elseetnevessewesee
SDNYGlvi 02753830
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240752
EFTA01326345
.•
Walt completed Ice IN677NPI on
NOTICE
Weill and balance or operating lordaton changes shell be ertered In the appoprerce aircraft record. An Aeration must
be ccenpeatile *eh al premotrs Maria.* to assire continued eat/amity vah an *pebble anat*iess imitarements.
& Desolation cr Work AocomPashed
GIJLFSTREAM
G-IV
N677RP
S/N 1085
W/O 1658
I. Original Interior Configuration and New Interior Configuration are as shown on Capital Aviation,
Inc. drawing 07-10018, Rev. URI dated,03-05-2007. (1 Sheet)
2. Modified existing L/H Fwd.Closet as per Capital Aviation, Inc. drawing 07-10019 Rev. 1/R dated
03-05.2007. (2 Sheets)
3. Installed R../14 Fwd. Crew Lay as per Capital Aviation, Inc. drawing 07-10020 Rev. I/R dated 03-
05-2007. (7 Sheets)
4. Installed Windowline as per Capital Aviation, Inc. drawing 07-10021 Rev: I/R dated 03-05-2007.
(2 sheets)
5. Installed Credenza as per Capital Aviation, Inc. drawing 07-10023 Rev: I/R dated 03-05-2007. (10
Sheets).
6. Installed SubWoofer Cable( to existing Ft/H AFT Bulkhead as per Capital Aviation, Inc.drawing
07-10024 Rev: I/R dated 03-05-2007. (I Sheet)
7. Modified L/H and R/H Galley as per Capital Aviation Inc. drawing 07-10025 Rev: I/R dated 03-05-
2007. (5 Sheets)
•
8. Modified existig Vanity as per Capital Aviation Inc, drawing 07.10026 Rev: I/R dated 03.05-2007.
(3 Sheets).
9. Installed 17" Monitor at F.S. 297.0 as per Capital Aviation Inc, drawing 07-10027 Rev: I/R dated
03-05.2007. ( 4 Sheets ).
10. Installed Aircell FUH at FS. 232.5 as per Capitall Aviation Inc, drawing 07-10028 Rev. I/R dated
03-05-2007. ( 4 Sheets ).
II. Installed Misc. Equipment as per Capital Aviation Inc, drawing 07-10029 Rev: I/R dated 03-05-
2007. ( 4 Sheets ).
Data approved by Structural DERT-710098-SW, on FAA Form 8110-3, NSE-07-004 dated 04-02-
2007.
CONTINUED AIRWORTHINESS - Monitor item(s) for condition. If ken(s) becinneydamagel, •
replace with same make and model. If make / model is not available, notify the local FSDO of part
replacement. Refer item(s) to installer or any qualified service center for repair or replacement.
Items to be inspected in conjunction with operators approved inspection program to insure secutity,
overall condition and proper operation as is required.
Weighed Aircraft computed new C.G. and entered in Aircraft records.
Log Book Entry made.
()Ciao:Nome Sheets Aro Attached
SDNY_GM_02753831
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240753
EFTA01326346
04/02/2007 ION 1:18 FAA
%003/004
DATE
4-2-07
MARE
Gulfstream Aerospace
Corporation
MOM Na
GIV
TYPE (Mast Rad H•OcrS etc)
Airplane
Capital Aviation Inc.
LIST OF DATA
IDENIVICATON
771E
Dwg. No 07-10018
Rev. VR. dtd 3-6-07
Sheet 1
Dwg. No. 07-10019
Rev. UR, dtd 3-5-07
Sheets 1 & 2
Dwg. No. 07-10020
Rev. UR, dtd 3-5-07
Sheets 1 Vim 7
Dwg. Na 07-10021
Rev. UR, dtd 3-5-07
Sheets 18 2
Dwg. No. 07-10023
Rev. UR. dtd 3-6-07
Sheets 1 thrU 10
Dwg. No. 07-10024
Rev. l/R. Md 3-5-07
Sheet 1
NOTES:
1. This FAA approval is for structural aspects of the data only. Additional approvals
may be required for other aspects of the data.
2. The inspection of the installation is not being approved
3. The approval Is in support of the noted modet. S/N 1085 only.
SE-07-004 Sheet 1 of 2
PURPOSE OF DATA
To provide FAA Approved data in support of a Form 337 approval
APDI kum F REQUIREMENTS as ip
allow)
FAR 25.301, 25.303, 25.305, 25.307, 25.603, 25.605, 25.607, 25.813, 25.789(a) at Amendment 25-56
CEP:MACAU:IN . under sumo* vetted by deeded *lima Ammeurator and Ln =meant* wan ~worn WIC1 bIlibitiOrit of appointment
urger Pmt 183 of to Fedora anew: Ra- et ans, data Wed above and on aliened crmot nvenearm
)0C4
have been manned in
=Wan= Ni estiahAled pi IXtd4), C'S 411C found to wmpty vall appleatie nattdementa of Ite Federal AvishOn ~In
,
0 Recommend approval of them data
4iNekTromeiore
2 Approve thaw data
51
ATI
NA
te t'SF ' Thee ,
D S NATO
USEFLS(S)
CLASSIFiCAT/ON(S)
0 j
Richard W. Southard
PERT-710241-SW
Structures
FAA Fonm MIMS (I JO) SUPERSEDES PREVIOUS EPROM
ELECTRONIC FM:m*3 (790,
SDNYGlvl02753832
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0O240754
EFTA01326347
SDNY_GM_02753833
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240755
EFTA01326348
04/02/2007 MON 1;19 FAA
?004/004
OE DEPARTMENT OF IPANSPORTA11014
DATE
4-2-07
AIRCRAFT QR AIRCRAFT COMPONENT IDENTFIC•TION
NAPE
Gulfstream Aerospace
CorPOretite
la0DEL NO.
GIV
TYPE plep/ony
Airplane
RM. Nymootte.
Capdal Aviation Inc.
No
UST Or DATA
IDENTIRCANON
1TRE
Dwg. No 07-10025
Rev. UR. dtd 3-6-07
Sheets 1 thy 5
Dwg. No. 07-10026
Rev. UR, dtd 3-5-07
Sheets 1 dint 3
Dwg. No. 07-10027
Rev. UR, dtd 34-07
Sheets 1 Wm 4
Dwg. No. 07-10028
Rev. UR, did 3447
Sheets 1 that 4
Dwg. No. 07-10029
Rev. UR, dtd 3-5-07
Sheets 1 thru 4
Lti AND RH GALLEY MOD
VANITY MOD
MONITOR INSTALL
MRCS LL INSTALL
NOTES:
1. This FAA approval is for structural aspects of the data only Additional approvals
may be required for other aspects of the data.
2 The inspection of the installation is not being approved
3. The approval's in support of the noted model, SIN 1085 only.
SE-W-004 Sheet 2 of 2
PURPOIE OF DATA
To provide FAA Approved data in support d a Form 337 approval
APPUCARE REEMMEMENTS DM weft media*
FAR 25.301, 25.303, 25.305, 25.307, 25.603, 25.605, 25.607, 25.613, 25.789(a) at Amendment 25-56
CERTIFICATION - Vnde, mulhonly veered by ciontron of the Adrnitingefter and in •Coonlenon sal andRiCe%
Under PM 163 of !In rt...ten, AvtabOn Regt10130r4, Outs rn.ted *Love and On lanChed nen numbered
accordance w0 MtabezIllee procedures end found to cotnuty DAM meta* Itiqukeelenb of the Federal
0 Recomenand approval of ThOs. data
I ?hat) Throb,
MAMMA. Mara dab
awl Imitaffn of appointment
vex
hive boon Wit s:4 in
MAST Repulterte.
IA TWatEMIORlar
artFASENTNINE161
OESIGNATMet NIPMERNS)
I CIASWICATIONM1
Richard W. Southard
..
DERT-710241-SW
Structures
...
FM Foam 111104 (ii -TO) SUPERSEDES PREMOUS EOMON
ELECTROMC FORMAT (7-00)
SDNY_GM_02 753834
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240756
EFTA01326349
SDNY GM 02753835
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240757
EFTA01326350
C
O
,..........
Nyed •Aae.
(Airframe, Powerplant, Propeller, or Appliance)
........
Oram
NO
POPrOse
M)
21204030
U
let FAA se ORM
CfAce kftradien
,NSTRUCTIONS Prot et hoe el Pena. See FAR 43 E. MR 43 APP•Ma B. end AC 43 91 crehteepant mimeo teed) S3r Mare
Ma eispommm cf um In
yhe mon A repuppy oy /•• l49 U SC 1421) Felon anon cm rowan 4 ow yemMY AM to Ammo, SICCO
re, Yeti AAA Valallon (Seam or Irvin Paint Am mom
1. Aircraft
Make
Gultstream
atom
GIV
Sem, No
1085
144nonaly end Rapflebon Mot
N423TT
2 Owe
Nwrm (Al Mean OfrAYAStraVari ON/Ecole)
TRT Leasing
Address (As Moen oa mplifilibbn CMIFCMO)
515 N Flag*/ Or STE P400
West Palm Beach, FL 334014320
3. For FAA Um Mk
4. UM 109neficeeon
4 Type
UM
MOP
Mcdel
34041 He
Rea
Miriam
AIRFRAME
X
(As described In Hem 1 above)
PCP, t RP. ANT
PROPELLER
lice
APPLIANCE
lAndscosee
4 ConfomMy Meepre4
A Apncys NY* and MOAN
B Kid .: i Agar/
C. Cenficee. No.
CE Avionics, Inc.
2789 Fightllne Avenue
Sanford, FL 32773
us. CeAlPedNecrenK
0E4R411M
Famign Called Mithant.
X CP1E•A Roper Saban
Monawaset
0 I owe I y tat OM Wee Reba MielefaCa made to to unAls)MInflocl hells atom end lerscrtal on V* mem et enschmens MMO
hen been cede in eeeerdame del Me repatments of PM 43 44 the U.9. F eat& Avalon Regalscrs rats IPA • lortsebOi twililhed
Bain le sme and coma to Iheeeel el Pm WeeMelie
Ca
May 22, 2007
&Oran cfluilwreed tilmduel
.
doe
./:
Michael E. Hughes
•
7. approval for Rohn to Swam
MW MM •..fley ran pram spew beCre Si. MM IderMsd Si am • pas mewled n we warner welarblatfl e•
ACINNIVOlot of me Few,. Anew Armen.= et le
El APPROVED
0
REJECTED
FAA Ft
Minaarer
inspomanhartamen
salw Mayan
StanPirdt
aapaca.
BY
FM Dowee
X
Reeler NOM
Pence 90,0•4 TV TremPM
Cana Anyonlemis OM.
OOP a I Appian' or RESPIOn
May 22, 2007
Cat mem ot
EsPranon He
st We 4 / Iatreasecilnilatilw)us
tic a/
s ir d
i$
0.i
......
0E4R411M
tio
.
Michael E. NuoMs
am Fenn MY mat)
SONY GM_02753838
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240758
EFTA01326351
NOTICE
Weight and balance or operating limitation changes shall be entered in the apProOnate aircraft record. An alteration must be
compatible with all previous itterations 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)
Removed Collins Part Number 822.9210-008 TDR-94D Mode S Diversity Transponders Serial Numbers 2221 and 3672 and Installed factory
modified per Service Bulletin 504 to Part Number 822-9210-308 (Enhanced Surveillance) Serial Numbers ICBM and 4J2W.
Interfaced the TDR.940 to the Number 1 and Number 2 Honeywell HGT1075AE03 Inertial Reference Systems and made additional voting
changes per CE Avionics, Inc. Drawing Number 5893B-t. Revision UR dated March 22, 2007 (Approved on FAA Form 8110-3 dated May 21,
2007 by Leslie S Roblin. DERT-510335-CE - Systems & Equ talent).
The installation was made In ccapitance with Gulfstream IV Arming Diagram Manual Revision 52, dated December 31. 2008, Chapter 20.
Sections 20-24-00.20.25-07, 20-28-00 and 20-28-09; Chapter 34, Section 34.02-04; and in compliance with FAR 25.1301, 25.1309 and
25.1431.
END-
El Mani
S , l
InAllatred
(1 Page)
US.OPD:1989-0653.171
SDNY_GM_02 753837
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240759
EFTA01326352
Armament. FAA Fr 337 Dated May 22, 2007, N4237T.Gulfstream 04V, Mu 1085. Sheet I of
DATE
May 21, 2007
MAKE
Gulfstrcam Aerospace Corp.
MODEL NO
G-IV
TYPE (Airplane. Rano. Helicopes. sac) .
Airplane
CE Avionics, Inc.
Sanford, Fl.
LIST OF DATA
IDENTIFICATION
TITLE
5893B-1, Rev IR, dated 5.21.07
Additional Wiring for Transponder Mode S Surveillance
END
Notes:
I) The electrical gyms only of the above listed dm at approved Main Thissprat is for ensineerns
design data only. It ndicaes die dna liseclabove romances retie= only Min the regulations
specified by wrap* std subparagraph tided tebw as- Applicable Requirements".
2) Cornplimce vrith addi ionalreaula ins Inc listed my to required This trot does not confide FAA
approvalorall the coalman's dm nccessry be subset in bn of =Siam
to necessary requirements br
Meat Se Mention. The a iia unit area s are esst Related in this 'preys].
3) After the Akar an, thesimnel must be let urned to service by FAAmawcod pained
Design approval in support of major attention, installation of Elementary & Advanced ATC Surveillance (Flight ID) Transponder System on
Gulfstrearn 0-I VSerics aircraft, serial number 1085, registration no. N42317: Systems & Equipment Design Approval Only.
APPLICABLE REQUIREMENTS of Title 14 CFR (List specific sections)
FAR 25.869 (aX4)
FAR 25.1357 (aXc)
FAR 25.1301 (aXbXe)(d)
FAR 25.1381 (exb)
FAR 25.1353 (bXd)
CERTIFICATION - u........ ....t. Sc..
Son inl In .ult. that auiribet•J
MOM 'Wigton awash.
a (................
,we wawa ass amass Sapp:non aim Psn in sr au F.S.. Amara RAMakm. Pm has
iit•Odain sub enialAwd pectin end kmad is WW1 with illpialis 'Kris.. MM Nana A"... P.O.W.
Mn data
O
Recommend eppoval of
I (We) llecrefore
eil
Amore these data
ENG
ERI
RE
E
REM
Leslie S. Roblin
•
DERT-510335-CE
Systems & Equipment
FAA Form 8110-3 (I140)SUPERSEDES PREVIOUS EDITION
(0 V Rob alt3 doe) 010509
GPO 901113
SDNY_GM_02753838
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240760
EFTA01326353
SDNY_GM_027.839
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240761
EFTA01326354
0
tilift...... 0
T wear
las mum.
(Airframe, Powerplant, Propeller, or Appliance)
sans.
OMBFOrm *Waved
MO 21204020
For FM 13•4 Over
Mob lanfloatien
INSTRUCTIONS Rt4 a tope d eines See FAR 419. FAR434cent O. W AC 419.1 a eteeepril melon Owed) Kw ingevakee
and dfloslion et en Van Pio neon i~e3 le lea (H1.1C 021) Fein ea repon one* m 4 del penile nab ease III.0)D
low each es. *Ake (Seaers901 F40401 Aeelen Ao 1959)
s. myna
PAW,
GULFSTREAM
Model
G-N,
sols Ma
1085
Petbraff W Rama, Mot
N42317
1 Omer
Nun fAr row on ,.walla, colikeel
TRT LEASING INC
Amer (A, shown
eNoever. oNellceON
515N RACIER DR SUITE P400
WEST PALM BEACH. FL 334014320
3. Fee DA Use Only
4. UM kkalikallen
L TIT.*
UM
IIIS
Rea
Solid No
Ream
Metsbat
AIRFRANE
0
9
As dissafInd In awn 1 above
PONERKANT
El
0
INIDPELLER
0
0
OPPLINCE
Type
0
0
M
0
blenulwitror
S. Coreenrely Sleernerd
A Preis Nee in4Addreee
S. Fib d AireY
C. Carthal• ft
ALAN D. REDMON
200 REDMON RIDGE
DAWSONVILLE, GA 30534
u S Cedes! Mocha
3107552 MP
Fasin Ceded Moen
tame two. Han
wassAist
D I <fly It WO
Mabee tore
ewe flee eleraeco ale 43 we eat) Itilelled
ere Suited on Ire nem a ellienneeT hereto
hen been as n ecoortlence Ise re • ellterthiels ol Pe 43 cf a U S Flideil Meson Repealer* eel era seconelon WOW
ninon a no incl one le Se bog deny Ircaleapi
0414
4 APRIL 2007
Syrian of
()drs.
/
..---...-'•-----."'
7.
for
ex
Antal to to alliOnty Oven moons aged billo,the int
Adetrailnkt 011/10 rowel MA200)Admedereen Ind a
MM., in is 4 wee areplosci in toe worm preacited by IN
el APPROVED
0
REJECTED
BY
ri
'—' FM FS StenderdS
Inspecior
O
lAwascluw
Irabun AW:notion
(Spay)
O
;SA 000trose
O
Reps Slam
Rep
New .440fteed IN Treaty
Cale Nreetileito Creep
\
1
Dal* *I Approve/ or Reran
4 APRIL 2007
.. _
°Macs*
Oelepriece NO
3107562
a
Snows
MAN D.
/,4_,.-- /)
\
%--....."
s:zr
SDNY_GM_02753840
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240762
EFTA01326355
NOTICE
Weight and belance oroperating limitation changes shall be entered in the apProPrIste astiallredard An einem^ must be
compabble with all previous alterations to assure continued conlommy with the applicable airworthiness requirements
8. Description of Work Accomplished
(0N more Spies is required, at
additional sheets. Identify with onsralt nabonakty and registration mark and date work completed)
AIRCRAFT MODIFIED: N42377 G-IV SS 1055 4 APRIL 2007
1. THE FOLLOWING WORK WAS ACCOMPLISHED BY CAPITOL AVIATION SERVICES: REMOVED DUAL TRANSPONDERS AND
2. REMOVED DUAL COLONS TOR-94 TRANSPONDERS AM) RTU-4210 CONTROL HEADS AND INSTALLED DUAL TDR940
TRANSPONDERS P/N 622-9210-005 SI 2221 8. S8 3872 WITH CONTROL HEADS RTU-4210 P/N 822-0838-015 SA 267 8 Se 1176 PER
ROCKWELL COLLINS STC 01142W-0 AND IS SUPPLEMENTED WITH ENHANCED SURVEILLANCE USING ROCKWELL COLLINS
CMM P/N 523-0778502 REV 3 DATED 10 NOV 2008 AND SERVICE INFOR1MT1ON LETTER SIL-1.04 ALONG WITH DRAWINGS NO
CC-040407 REV IR APPROVED BY DER ANDREW K. ANDERSON ON FM FORM 8110-3 DATED 4 APRIL 07.
THE INSTALLED MODES SYSTEM SATISFIES THE DATA REQUIREMENTS OF ICAO DOC 7030/4. REGIONAL SUPPLEMENTARY
3. CONTROL OPERATION INFO.: REFER TO ROCKWELL COLLINS PROUNE II PILOTS GUIDE DOCUMENT NUMBER 523-0773070-
004117, DATED JULY 14, 1993, OR LATER APPROVED REVISION.
4. SERVICE INFORMATION: REFER TO COLUNS CMM REFERENCED ABOVE.
5. MAINTENANCE INSTRUCTIONS: REFER TO COLLINS CANA REFERENCED ABOVE.
6. TROUBLESHOOT INFORMATION: REFER TO COLUNS CMM REFERENCED ABOVE.
7. REMOVAL ANO REPLACEMENT: REFER TO COLLINS CMOS REFERENCED ABOVE.
8. DIAGRAMS: N/A
9. SPECIAL INSPECTION REQUIREMENTS: NONE
10. APPLICATION OF PROTECTIVE COATINGS: WA
11. DATA NO HARDWARE WAS REQUIRED.
12. UST OF SPECIAL TOOLS: NONE
13. FOR COMMUTER CATEGORY AIRCRAFT: N/A
14. RECOMMENDED OVERHAUL PERIODS: NO ADDITIONAL LIMITATIONS.
15. AIRWORTHINESS UMITATIONS: NONE AT THIS TIME.
16. REVISIONS: A LETTER WILL BE SUBMITTED TO THE LOCAL FSDO WITH A COPY OF THE REVISED FM FORM 337
-END_ A}
0 AddilcrelfropS An Allmo's,
U.S.OP0:1989-0463-171
SDNY_GM_02753841
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240763
EFTA01326356
Apr 04 07 09:32a
Andrew Anderson
770-387-0701
P • 1
FEDERAL AvallON Aramosnunon
DATE
Apn1-04-2007
MANE
Gulfstream
MODEL NO.
G-IV
'TYPE tithatm Radm fralitaba et)
Airplane
MANE Of APPUCAXT
Private Consultant to ATS INC
LIST OF DATA
MENDFICATION
'RAE
CC-040407
Flight VD Installation (Dated 04-04-2007 Rev VR)
PURPOSE OF DATA
In support of major modification for SIN 1085 ONLY.
APPUCABLE RECIUREMEXTS dal mice smut
25.1309 (a)(b)(c)(dXeXg)
25.1351 (a)
25.1357 (aXt4(6)(6)(e)(9)
CERTIFICATION - under authal(y el
by dlitarti of the AcInnatrafor and In womb= NM oamtdions end lialittorm et OppoirdrUtif
Latta Part 103 of N. Ficleral Mallon ReOutrons. au Wed alien and on attached staters numbered
r arta
hare been auatted In
accordance's* astabGalyarl doceduras NM found to =oh Idth alIoNable nutternets of Me Foetal Aviatch Repubsbars.
0
Recommits:1 approval amen data
I
Thete in
(83 Approve Sew data
S
pil e
s)
OF
TED EWXNEEFUN(3 RF_PRESERTATNE(5)
IDESIGNIIIM7 FliFISERAS)
CLASSFrATONA
4n t.
DE RT-510004-CE
System & Equipment
FliaM Analyst
Andrew7 Anderson
FM Form 11104 (t1.70) SUPERSEDES PREVIOUS ECITION
ELECTRONIC FORMAT (7.03)
SDNY_GM_02753842
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240764
EFTA01326357
SDNY GM 02753843
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240765
EFTA01326358
fr
0
, L.
:
esenrani
•
MAJOR REPAIR AND ALTERATION •
' af
till rannislai
. (AI:frame. posemplvd, Propeller. or Appliance)
Fowl Appeased
Elicirmt robesMats
CSOM.2111)403)
11/30107?
Mc FAA um den
... ..
i -. .‘
Alniblillelfaa
INSTRUCTIONS: Print a type all greet Sao Me 14 CFR 4µa. Part 43 Appendix B. and At 43.94 (or etiongse mann thereon for
irenctorts end Minabon of It form. Thee report le wined by km (49 U.B.C. .44701) Fans to report cannot. hada prey to tech
much Nolen. (49 U S.C. §48301(a))
.'
I. Aircraft
ova
"le-tY and jigiets161:111-441 N677RP
i
scrim No.
.
1085
make
Gulfsueam
ilothi G-IV
sea
2. Owner
Nana (Ai Man
cerillon)
Arkbers
Moan
(/4
on regkorattn oartlAcate)
raini,15 N Eisele: Dr. Suite P400
r •
•
.
cn reglanden
TRT Leasing Inc.
ay • .West Palm Beach
are
as
33410-4320
ea r
USA
• •
S. PerliAlle Um Only . .
4. r/Ps
6. Unit Identification .
Repot
Mallon
UM
Araks
Model
Sinai No.
0
IN
AIRFRAME .
- - (A it assambe I Magi I above)
O
• ... - . O
PONSMUJIT
•
'
.. .
_. ... .
RECEIVED
. .. . . .
- . ... : pRpp,....,t
....
.
.
. .
•
---•
•
• •••-
. • - - . -
El
-
APPLIANCE
'type
ASW - FSDO
OK :
Lardocaser
4 Conformity Ittornort
A. Agency's Name and Address
B. Ktnd a Agency
id.
Associated Acro.Senn ice
u. a. unkaaid Mechanic
1 tranuracon
nom PO Box 1310
rarely Carercateci Mechanic
C. Certdkate No.
ow
Oklahoma City
an
OK
..x
Gellman Rena Eamon
SSWR I 86K
D,
73008
o w.,
USA
caiiii
Enno,..
. —es Orartaten
D. I astly !het the repair anon alteration made to the unit e) kientleed in Item 6 above aid deacrIbed on the reverse or attachrrants Anti
Sive boon nude in amo-danco rah the requirements of Part 43 of the US. Fenn Aviation Regulations and that the inbrmaton
fantod hareln le Ina and carob to the tint of my Imosiedge.
Extended range hal
per 14CFR Pert 43 E
App. El
Sisnahreibets of Authated Incilvklual d
i e Awce/A-re.,7> 4. a -4, _COL V 'c, (
7.-...g12.- Y. Et/eA r )ty
- 1,---
71,---;717
.77
7. Ape rand for Ran to Site
Pursuant to the *Wintry given persona snarled baba. the unk identified in /tern 5 was Impeded h the manner proscribed by the
Adenbiletretor of the Federal Antal Adman:atm midis
0 Approved
0
Reflected
FAA FitStendards
- .-
Ilanufachrer
Mentenance Organization
Panora ACORMS MiCillibtien -. . .
illipeCitt
Ommilmeni a/ Imielpiel
•
FAA Dilignse
._ . . .. _
._ . _ .
.
Repea le r
y
irssectial Autortzslon
Other (Specify)
- -
Certinte a
.
Otaignatkin M..
liA2- 2 3
14‘iel
901inglikillafAtentledtralniduel ,.. , 7.; ., ;;Z:‘,..
.
. I/ . ..
.
tr i; di4 - .
"
" .
--retN
aidte.AOX
-'
( o3/e37260-7)
SDNYGM02753844
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240766
EFTA01326359
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 confonnitysvith the applicable airworthiness requirements.
8. Description of Work Accomplished
alman space fa reyndral. mach additional sheets. identify with aircraft nationality and registration Mark and date work coatpkier 1
Aircraft Make GulfAreom.. . Model GIV . Serial Pluinber1085
Reiiiiradoe Nia7RP
Date03/00007
. .
. ,
Installed Gulfitream'ingineefecfrepairs at fiVe lOattiOns on ilie upper akin of the floor panels in the cabin area.
Reference.thecntlfatteant $E05005902 Rev. IR drawing:
:
All doubler material is 2024-T3 0.050 thick.
All replacement core material is 5.7-3/16-20N 5052.
All bonds were made using EA9309.3NA adhesive.
Drawing INSTL No. Doubler Diameter
F.S.
R.B.L. L.B.L..
-1
5.60
489.43
28.22
-3
6.40
476.45
28.57
-5
5.90 .
475.66
16.75
-7
6.70
482.41
28.78
-9
6.90
481.19
16.32
This repair was done in accordance with the GulfstreamSE05005902 Rev. IR drawing and the Gulfstream
engineering 8110-3 form, Identification SE40001085 Rev. B, dated 03/07/2007.
There is no change to the aircraft Weight and Balance or Equipment List. .
For Continued Airworthiness reference the aircraft manufacturer's applicable data.
With respect to the work referenced in the Associated Aero Service work order number 4635, this aircraft has
been found safe for return to service.
END
El Additional Sheets Arc Attached
S 0 P01990.761.751
SDNY_GM_02 753845
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240767
EFTA01326360
03/12/2007
69:22
25519
TECHOP S T RUC T LIRE '3
PAGE
NS
0
AG'
DATE
03 / 19
/16-Ce
.3---
'
'AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION - .
MAKE
..
i
-
Gulfstieam
MODEL NO.
0-tV
S/N LOSS
TYPE: tabus. rues aseresec at
. -Airplane ..
-NAME OF APPLICANT . . ., •
-
-
.
•
..
. . .. ..
.
-
— .
•
. . .
.
..
.
Culfetreani Agit:aspect Conioration •
LIST OF DATA
IDENTIFICATION
TITLE
SE40001085
REV B
--______
.., •
:
G-IV S/N 1085
END OF DATA
-------
only of the above listed data are approved herein. This
design data and is not installation data.
' ' •
---
NOTE: The structural aspects
approval is only for the Engineering
•
PURPOSE OF DATA
Support major repair for G-IV sin 1085.
APPLICABLE REQUIREMENTS (Lin specific sections)
FAR 25.601
CERTITICATION - Under authority
appointment under Pan I ID of the
have been
vested by direction of the Administrator and in accordance with condition and limitations of
Federal Aviation Regulations, data listed above and on ached sheets numbered
examined in accordance with enablishol procedure. and found to comply with applicable
Regulations.
Recontnattxl approval of these data
ve these data
requitements oft's< Federal Aviation
O
OWe) Therefore
•
1 46 1'44 12 .;--
it.
Robert H. Drinnon, Jr.
DER Y-51117S-CE
Structures
FAA Form 8110-3 mane
SDNY_GM_02753846
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240768
EFTA01326361
SDNY_GM_02753847
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240769
EFTA01326362
l
e
Form Approved
OMB No
21210020
us. owenweili
For FAA Use *ray
at Tranwartrtol
(Airframe, Powerplant, Propeller, or Appliance)
FecWsl AA•0on
Ades least-40.n
Office Idertiticaton
VINN
X00
INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appal& B, and AC 439-1 (or stbsequerd revision thereof) for inn
ions
and deposition of this lone. This reports required by law (49 U.S.C. 1421). Failure to report can result in a civil penalty rot to exceed 51.000
for each such violation (Section 931 Federal Aviation Act 1958)
1. Aircraft
mon
Gil/stream
*al
GIV
Sew tee. 1085
Swear and Rildenten Wen/
N677RP
2. Owner
Nwns (As ilwaN on rophbvtlx. Estate)
Petersen Aviation
&knee (Ae Moan 0e leeettebee CeteGk)
7155 Vatican Ave
Van Nuys CA 91406-3917
3. For FM Use Only
4. Unit Identification
5. Type
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME
descnbed in item 1
X
(As
above)
POWERPLANT
PROPELLER
APPLIANCE
NM
MAMAPCILMIt
6. CoolomitlyStatement
A Agency's Name and Address
9. 10nd dAgratcy
C. Cerblicale No.
X U.S CsencaltOeortere
Damon Midgette
ASP565174728
4828 Adele Court
Woodland Hills. CA 91384
FralenCereforged mega
Cerleostes hew satin
Menaces
D. /certify that the repar and/or alteration made to the urk(s) identified in item 4 above and described on the reverse or attachments hereto
have been made in accorda roe with the requirements of Part 43c4 the U.S. Federal Aviation Regulaticns and that the information
furnished herein is true and correct to the best of my knowledge.
Date
919
Irina ter'
/0/23/93
7. Approval for Retum To Service
Ptrauard to the a /holey given persons specified below, the wit iderefied in item 4 was inspected in the manner prescribed by the
Adminstrator of the Federal Aviation Administration and s
a
APPROVED
RE.ECTED
sr
FAA Flt St a rstirds
aspect*,
Manufacturer
X
Inspedion Adhestration
Other (Specify)
FM Designee
Repair Station
ca
oesion
est
ruiseeron
Dale clApprowl a Rojection
1O/1 3/
0 3
CenkRIA OP
Ceelgeollon
/Mr
EA I/Mr
ir
SignAlralp
FAA Form 337
(12
SDNYGM02753848
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240770
EFTA01326363
SDNY_GM_02753849
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240771
EFTA01326364
NO110E
Weight and balance or operating limitation changes shed; be entered in the appropriate aircraft record. An alteration must be
compatible with all previous alterations to assure continued =O:porgy with the applicable airworthiness requirements.
8. Description of Work Accomplished
01 more space is required, each addrtional sheets. (den* vett aircraft nationality end registration mark and date work completed)
Reconfigtred cabin interior per STC STO1sssl A See Master Drawing List report SAM-1-02 approved by the FAA on 1021/03. see
letter of approval dated 10r20/03 signed by Alan T. Shinseki. Manager, Systems and Equipment Branch. Los Angeles Aircraft
Certification Office.
K AMIloral moans Attached
FAA Fon 337
MN) .
US. OP0.1989-0-663-17I
SONY_GM_02753850
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240772
EFTA01326365
SDNY_GM_02753851
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240773
EFTA01326366
10/21/2003 02:37 FAX 562 827 5210
FAA LAACO 1ST FLA FAX
Q1001
•
3gratebliteeta poreeetta
papa:tent of gransportation -
eater 4,1kEriactires Sthnsististcalier;
$uppfnuental Zue dertifirate
Afeendes ST01555LA
.5774.
c a4ta.dle
Syncro Aircraft Interiors, Inc.
7701 Woodley /Avenue
Van Nays, Ca 91406
.--1/1, axe der agerape d•
4540 04 *4A. zdtemearantaaamara, Astizetst.t end
co-2 ‘44ro t atray-e$ yrevanionseses
emaienyrdeerdirs npierieurearhe 19d
25* 166
Federal Aviation ...98esagsreavo, *Catification basis is set tenth in Type Certificate Data Sheet Al2EA
araiTegkacOe
.SS.•
i f f••••, * Sonde.:
Angg
Sae:
Gulfstream
...a0edet
G-1V S/14 1085
..§flosvivas, te..fess Siscja &Cyr Cabin interior re-configuration in accordance with Syncro
Master Drawing List SA11-1-02 Rev, NC, dated October 12, 2003, or later FAA approved revision.
Salnetaaas cadraidaevair Data pertaining to this modification is considered inadequate for
duplication oa other aircraft This approval is limited to the installation made mthilfstream Cr1V Serial
Number 1085. A copy of this STC must be included in the permanent records of the modified aircraft.
tage4e4ak
Rea
44440arialf delta 41.4,4
14
444 4.444A.
entitlerataWi•dtl:,
OiD ea,
egaisearammenee Jotassicee
0
Ce Od• a isornistrays ria.4 a odano4s a+
44
agessimarnerc744 .rts...c at/Sara'''. Asinsaa(gr.14.v.
0.4
August 12, 2003
Arlo• .1.4.iesscace .•
October 21, 2003
MTh, isluasse:
arale .t.paseace.•
.53). eravaiw Vo4 -4 4 •
Wittaccs)
Alan Sbinseki
Manager, SYsteass and Equipment,
Los Angeles Aircraft Certification Office
(rdk)
-e
ma
i••••14rmnartil not MCCAW 3 yea;
"
SDNY_GM_02753852
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240774
EFTA01326367
SDNY_GM_027.8.
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240775
EFTA01326368
tit doormen
olomnionan
(Airframe, Powerplant, Propeller, or Appliance)
Form Approved
OMB No. 2120-0020
For FAA Um Only
Office Identification
NIN`C F‘. Do
reetermarnmen
steam
INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix (3; and AC 43.9-1 (or subsequent revision thereof) for inStruct inn
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 51.000
for each such violation (Section 901 Federal Aviation Aci of 1950).
.
1 Aircraft
Make
Model
G -IV
Serial No.
1085
Nationality and Registration Mark
N88GA
a. Owner
Name (As shown on registration certificate)
Address (As shown on registration certificate)
SAN FRANCISCO CA. 94111
3. For FAA Use Only
4. Unit Identification
S. Type
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME '
(As described in Item I above)
xx
POWERPLANT
PROPELLER
APPLIANCE
Type
Manulacturer
6 Conformity Statement
A Agency's Name and Address
B. Kind of Agency
C. Certificate No.
It
2407 EAST SHEA BLVD.
PHOENIX, ARIZONA 85028
U.S. Certificated lawNnic
AP 1864049
Forerun Corldicated Mechanic
04eldicated hew Station
Manulacturer
0. I Gerrity that the Waif and/or &Cormier) mad to the un Ifs) identified in item 4 above and described on lhe reverse or attachments hereto
have been mule 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
i
.— / s 7- ?a
Signature of
or
d Ir‘vid
K.
7. Approval for Return To Sonic
upt. of Maintenance
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
qii APPROVED
0 REJECTED
FAA Flt. Standards
Inspector
Manufacturer
XXvInspection Authorization
Other [Specify)
FAA Designee
Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date of Approval or Rejection
/11-re
Certificate or
Designation No.
5267054_94
Signature of Authori is
fliduai
SDNY_GM_02753854
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240776
EFTA01326369
NOTICE
Weight and balance or operating limitation changes shall be entered ,n the appropriareaircralt record. An alteration must be
compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements.
S. Description ol Wont Accomplished
(it more space is required. attach additions, sheets ldenldy with aircraft nationality and repostiarion mark and date work completed.)
JANUARY 15, 1990, GULFSTREAM AEROSPACE CORPORATION MODEL G-IV, SiN 1085,
N88GA, FAA Type Certificate Data Sheet Al2EA.
REFER TO: GAC Maintenance Manual, Illustrated Parts Catalog, and Wiring
DIAGRAM MANUAL ATA Chapter(s), 22 AUTOPILOT, 24 Electrical Power, 32
LANDING GEAR; HONEYWELL CORP. Maintenance Manual for the SPZ-8000 INTEGRATED
ESSENTIAL DC MODIFICATION, ELECTRICAL DhU. No. 32122589, dated 12-25-89.
see DER APPROVED FAA Form 8110-3 dated January 10, 1990.
The purpose of this alteration is to eliminate the failure of Flight Guidance
Computer (FIGC] number 2 whenever power is momentarily lost on the 28 Volt DC
Essential Bus because of automatic bus switching.
Performed all of the "MODIFICATION INSTRUCTIONS" contained on Greyhound Corp.
Electrical Dwg. No. 32122589, referred to above, in compliance with FAR 43.13
Performance rules (general) (a)(b).
All parts that were installed were new at the time of installation and comply
with FAR 21.303 (b)(1)(2)(4).
Tested the modification in accordance with all steps titled '"TESTING THE
MODIFICATION" contained on Greyhound Corp. Electrical Dwg. No. 32122589,
referred to above, and noted no abnormal or unusual results before, during,
or after the testing sequence.
Recorded compliance with this FAA form 337 in the aircraft's maintenance
records, in accordance with FAR 43.9(a)(1)(2)(3)(4) and complied with the
requirements of FAR 43 Appendix B (a)(1)(2)(3).
It has been determined that the interrelationship between this change and any
previously approved configuration will not introduce any adverse effect upon
the airworthiness of the aircraft. This determination included, but was not
limited to, consideration that this modification provides power to the nut-
cracker relay circuits in a similar manner that the Gulfstream Model G1159
and G1159A non-VSCF aircraft utilize, as a result of this modification the
installed FGC equipment can function safely and properly as it was intended,
and the following specific sections of the applicable requirements of the
Federal Aviation Regulations have been complied with: 25.1301(a)(b)(c)(d),
25.1309(a), 25.1353(a), 25.1357(a)(c), and 25.1359(d).
There were no changes to the aircraft's electrical load analysis and the
effect upon the aircraft's weight and balance report is negligible.
****END OF THIS SHEET****Greyhound Corp. Dwg. 32122589 is attached
K Additional Sheets Are Attached
SDNY_GM_02753855
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240777
EFTA01326370
•
..,
• .
0
US Ocorrnee.
aeon osmon
(Airframe, Powerplant, Propeller, or Appliance)
Weenellivicifien
AdOeradreelen
Form Approved
OMB No. 2120-0020
For FAA Use Only
Office Identification
Jr PC ParIZ)O
INSTRUCTIONS: Print or type all entries. Sea 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 repon can result i acivil penalty nol to exceed $1.000
for each such violation (Section 901 Federal Aviation Act 011956).
I. Aircraft
.
Make
Model
G —IV
Serial No.
1085
Nationality and Registration Mark
N88GA
2. Owner
Name (As shown on registration certificate)
Address (As shown On registration certificate)
SAN FRANCISCO CA. 94111
3. For FAA Use Only
4. Unlit IdentlfIcalion
5. Type
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME
(As described in Item I above)
XX
POWERPLANT
PROPELLER
APPLIANCE
Type
Manufacturer
6. Conformity Statement
A. Agency's Name and Address
8. Kind of Agency
C. Certificate No.
2407 EAST SHEA BLVD.
PHOENIX, ARIZONA 85028
x
US Certificated Mecham<
AP 1864049
Foreign Ceeld 'Med liAeCheniC
CO
%VIC StillI011
manufanifICAIMS
cturer
D s certify that the repair and/or alteration made to the un f(s) identified in item 4 above and described on the reverse or attachments hereto
have been made in accordance with the requirements of Part 430f the U.S. Federal Aviation Regulations and that the information
furnished herein is true and Correct to the best of my knowledge.
Coate
Signature of A
ed Indwidus
T. Approval for Return To Sr*? upt.
Ot matntenance
Pursuant
Administrator
BY
to the authority given persons specified below. We unit identified in item 4 was inspected in the manner prescribed by the
of the Federal Aviation Administration and is .4) APPROVED
O REJECTED
t Standards
FAA Fi
WMOr
M
Manufacturer
XX IrtepectiOn AuthOreratiOn
Other (Specify)
FAA Designee
Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date of Approval or Refection
/—/e
-90
t
Certificate or
Designation No.
26705494
Signature 01 Authorized
idual
Orr
SDNY_GM_02753856
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240778
EFTA01326371
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.
S. Description col Work Accomplished
(U more space is required. attach additional sheets Identity With 811Cfel nationality and registration mark and date work compleunt1
JANUARY 15, 1990, GULFSTREAM AEROSPACE CORPORATION MODEL G -IV, S/N 1085,
•
N88GA, FAA Type Certificate Data Sheet Al2EA.
REFER TO: GULFSTREAM AEROSPACE CORP. (GAC] MAINTENANCE MANUAL, ILLUSTRATED
PARTS LIST, AND WIRING DIAGRAM MADATAL - ATA CHAPTER 49; GARRETT AIRESEARCH
AUXILIARY POWER UNIT MAINTENANCE MANUAL 49-21-89 FOR MODEL GTCP36-1CCG;
GREYHOUND CORP. API SURGE VALVE CONTROL MODIFICATION ELECTRICAL CHG. No.
49122489, dated 12-24-89, see D€ APPROVED FAA Form 8110-3 dated January
10, 1990.
The purpose of this alteration is to eliminate a nuisance operation of the
PPUes surge control valve whenever power is momentarily lost on the 28 Volt
Essential Bus because of automatic bus switching.
Performed all of the modification instructions contained on Greyhound Corp.
Electrical Dwg. No. 49122489, referred to above, in compliance with FAR 43.13
Performance rules (general) (a)(b).
All parts that were installed were new at the time of installation and
comply with FAR 21.303 (b)(1)(2)(4).
Tested the modification in accordance with all steps titled "TESTING THE
MODIFICATION" contained on Greyhound Corp. Electrical Dwg. No. 49122489,
referred to above, and noted no abnormal or unusual results before, during, or
after the testing sequences.
Recorded compliance with this FAA form 337 in the aircraft's maintenance
records in accordance with FAR 43.9 (a)(1)(2(2)(4) and complied with the
requirements of FAR 43 Appendix B (a)(1)(2(3).
It has been determined that the interrelationship between this change and any
previously approved configuration will not introduce any adverse effect upon
the airworthiness of the aircraft. This determination included, but was not
limited to, consideration that this modification provides power from the same
power source that the Gulfstream Aerospace Model G1159A (VSCF) (GIII) aircraft
uses to control the APU's surge control valve, the installed equipment will
function safely and properly as it was intended and the following specific
sections of the applicable requirements of the Federal Aviation Regulations have
been complied with: 25.1301(a)(b)(c)(d), 25.1309(a), 25.1353(a), 25.1357(a)(c),
and 25.1359(d).
There were no changes to the aircraft's electrical load analysis and the
effect upon the aircraft's weight and balance report is negligible.
****END OF THIS SHEET""Greyhound Corp Dwg. 49122489 is attached
K Additional Sheets Are Attached
SDNY_GNL02753857
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240779
EFTA01326372
.
,
(Airframe, Powerplant, Propeller, or Appliance)
Fen. Apron',
Sweet Berne No. as-Ro60.r
DE
\
OFFICE
N
J
NTWICATION
I
CSQD
INSTRUCTIONS: Print or type all entries.
Ste FAR 43.9. F 1R 43 Appendix B. and AC 43.9-I (or subsequent revision chereoll
for instructions end disposition of this form.
1. AIRCRAFT
mAnGulfstream
Aerospace
MOOEL
G-IV
SERIµ NO.
.NATIONALITY AND REGISTRATION MARK
1085
,
N88GA
NAME (Ai 'Soon on registration nortincoro)
i ADDRESS fro shown on registration tertikahlt
2. OWNER
I BA Leasing
and Capital
Corp.
ITwo Embarcadero
Ctr,
10th
Floor
San Francisco,
CA
94111
3. FOR FAA USE ONLY
4. UNIT IDENTIFICATION
5. TYPE
UM?
MALI
NOM
I
Mem. NO.
Wail
wee.
MVP.
AIRFRAME
de
;bed
tern I
x
(A
obo 0•••••••••••••••••••••••
PoWettlANT
PROPELLER
APPLIANCE
TVPI
mthytACTUtal
6. CONFORMITY STATEMENT
A. AGENCY'S NAME AND ADDRESS
R. KIND Of AGENCY
Western
Commander,
Inc.
16300 Daily
Drive
Van Nuys,
CA
91406
U.S. ClititiCal0 mux.•.I6
REPAIR STATION #4221
Ail A 4, R-I,2, Al Lila AAP
—11-
FOittiON CtaloriCATI0 MCKANIC
COITitiCATI0 suits STATION
iiiANUIACTUala
D. 1 cenify that the repair and/or alteration made to the unit's) identified in item 4 above and described on the reverse or
musclemen's hereto have been made in accordance with he requirements of Pan 43 of the U.S. Federal Aviation Regulation!
ead that the information furnished herein is true and correct to the ben of my knowledge.
DATE
September
7,
1989
SIGNA
e
.
7. APPROVAL FOR ROM T
SERVILE
pen uan 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 Adtnini ttanion and is
0 APPROVED 0 REJECTM
BY
P44 TIT. IITANOA191
nelfger011
IMMIPACIIMI
OMR 4.00,)
FAA Cillgatell
x
WWI STATION
OP TM/MOW 'Mallet°.
Or
[ DATE OP APPROVAL OR
REJKTION
CERTIFICATE OR
DESIGNATION NO.
SIGN
E OF AUTHOR
SIGN
?)
II:rUartt
ocy
9-7-89
#4221
D
ny C.
rnham,
Chief
Inspector
.
(7-en
($320)
SDNY_GM_02753858
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240780
EFTA01326373
I 8LetZ00- V.L.A3
LT PUB 'ST '01 '6 '8 'L SHdV89V8Vd H3CI8O 3/W331O8d O1103f8fS
629ESLZCINOANEIS
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.)
Avionic and Electrical modifications installed per drawings listed on
Western Commander Top Drawing #08000012 N/C dated 8-8-88 and approved
by DER #NM-476.
Installed Sundstrand Mark V Ground Proximity Warning System per data
approved by STC SA218850. Minor deviations performed per Western
Commander drawing #08069091 N/C dated 2-8-88 approved by DER #NM-476.
Installed Honeywell LSZ-850 Lightning Sensor System in accordance
with data approved by STC SA2388S0 and Western Commadner Drawing
No. 08069157 N/C dated 11-14-88, approved by DER #NM-476.
Installed De Vore Logo Lights per data approved by STC SA4749SW
Rev. #3 dated 1-21-88.
Installed a third Honeywell Inertial Reference System (IRS), a third
Honeywell Flight Management System, NZ910 Navigation Computers (3),
and a Single Honeywell VLF/OMEGA Sensor in accordance with data
approved by STC SA3774NM.
Flight Manual supplements provided and Equipment List revised.
Aircraft weight and balance report revised.
END
6 ADDITIONAL SHEETS ARE ATTACHED
C
FAA AC/2490A
0 U.S. GOVERNMENT PRINTING OF TICE I966-559.I2I /40260
EFTA01326374
I
FEDERAL AWATION•ADMINISTRADON
1
(Airframe, Powerplant, Propeller, or Appliance)
Fenn A pproi
_
.
B.4410 8 eau.Vet.04 ROO I
ID
IDENTIFICATION
7 N‘(
INSTRUCTIONS' Pnnt or type ell entries
See FAR 4)9. F X R a) Appendix R. and AC 43.9-I lot subsequent revision thereon
for instructions and disposition of this form.
I. AIRCRAFT
MAKE
I MODEL
Gulfstream Aerospace
I
G- IV
.
Mal NO.
1085
i
N88GA
NAME (Ai shot', on registration cerrtigrott)
ADDRESS (As show" on repoleolion erfiPcoTS)
2. On "
1 BA Leasing and Capital Corp.
I Two Embarcadero Ctr, 10th Floor
I San Francisco. LA 94111
3. FOR FAA USE ONLY
4. UNIT IDENTIFICATION
S. TYPE
UNIT
MASS
/*CPU
I
Stew. NO.
WAN
M111
•110N
AIRFRAME
••••••••••••••••••••••••• (A de
Med
I ob two) ••••••••••••••••••••••
X
POWERKANT
PROPELLER
APPLIANCE
POI
ssaminemuest
6. CONFORMITY STATEMENT
A. AGENCY'S NAME AND ADDRESS
I. KIND Of AGENCY
Western Commander, Inc.
16300 Daily Drive
Van Nuys, CA 91406
V.S. CIITOKATID islettANIC
REPAIR STATION #422I
A-3 84,
2,87
R1, Lit, A & p
POTION CiatinCATIO AtICitANIC
Y
wall STATION
atAstuFACTuate
D. I certify that the repair and/or e
'on made to the 'mitts) identified in hens 4 above and described on the reverse or
enechments hereto have been made in accordance with he requirements of Pan 45 of the U.S. Federal Aviation Regulation,
sad that the information furnished herein is inn and correct to the best of my knowledge.
DATE
September 8, 1989
GNATURE OF
i
D INDIVIDU
7. APPROVAL FOR RETURN TO SERVICE
Put uen to the euthoriey given persons specified below the unit identified in item 4 was inspected in the manner prescribed by
the Adminietntor of the Federal Aviation Administration
and is UAPPROVED OREJEL M./
SY
FAA In STANDARDS
petrol
MANVFACTMORS
lesSeKTION AUTHORIZATION
000 agyroW
SA IMMOtell
XX "PAM STATION
OF
INSAKTOt
OM Ala
2
ON
9-8-1989
CERTIFICATE OR
DESIGNATION NO
#4221
LI- .
nnv C Farnham. Chief Inspector
AA Ponn 337 17-on
013201
SDNY_GM_02753860
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240782
EFTA01326375
£8LIWZ00ViSa
LT Pim 'ST '01 '6 '8 'L SHdtql9V8Vd 2130180 3AI1D3108d 01_031$:ins
L99ESLZ0 NO ANDS
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.)
Custom interior installed in accordance with Gulfstream Aerospace
Report #1159C-GER-023, Revision 02 dated November 14, 1988 and the
following reports as listed in Consulting Aerospace Engineers, Inc.
reports approved by DER #NM-442 and Aero Interiors, Inc., Drawing
RAI-G-1085 dated August 28, 1989.
The following major components installed per the reports and
specifications as listed:
1. L/H Bar Installation
CAE AIN-52-2
2. R/H Galley Installation
CAE AIN-52-3
3. R/H Fed Crew Galley
CAE AIN-18-3
4. T.V. Entertainment Installation
CAE AIN-38-8
5. Vanity Cabinet Installation
CAE AIN-41-4
6. L/H & R/H Stereo/ Storage Cabinet Installation CAE AIN-41-8
7. Bulkhead Installation
CAE AIN-38-26
8. 539.75 Bulkhead Reinforcement & Net Inst.
CAE AIN-GIV-I
9. Aft Toilet Service Panel Installation
CAE AIN-GIV-2
10. Floorboard Replacement
CAE AIN-GIV-4
11. Water containers & Pedistal Installation
CAE AIN-GIV-6
12. Aft Baggage Shelves and Net Installation
CAE AIN-GIV-8
13. Drain Mast Installation
CAE AIN-GIV-9
14. Service Ladder Instalation
CAE AIN-GIV-10
15. Aft Toilet Installation
CAE AIN-GIV-12
16. Service Tool Box Installation
CAE AIN-GIV-13
17. Seat Track Installation
CAE AIN-GIV-14
Insullation and covering materials meet the requirements of FAR
25.853 Appendix F part 1 paragraph (a) through (d) as stated in
Aero Interiors, Inc. Report #AI-1085-FR-45 dated September 7, 1989
and substantiated by John Caleo, Inc. FAA DER #NM-682.
Aircraft weighed on jacks upon completion of outfitting.
Equipment list and weight and balance reports revised.
All workmanship accomplished according to A.C. 43-13-1A Chapters 5,
6, & 7 and A.C. 43-13-2A Chapters 1, 9, 12 & 13.
END
C
FAA AC724904
*U.S. GOVERNMENT PRiN TING OF FICE 1916-659.12O40260
EFTA01326376
;eat of_ 27
4* •
Form Approved
OMR No. 21200020
OS Datong-mai
celtarsortaion
For FM Use Only
liationi Aviation
(Airframe, Powerplant, Propeller, or Appliance)
Atrnintar • tiOn
Office IdeabfiCagen„ „
tje‘rk
air
)Jae
INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendtx B. and AC43.9-1 (or subsequent revision theme° for instruct/cos
and disposition of this fon. This is required by law (49 U.S.C. 1421). Failure o report can result in a civil penalty not lo exceed S 1000
for each such violation (Section 901 Federal Aviation Act of 1958).
1.
make
GOLFSTREAM
model
CIV
Aircraft
Sabi No
1085
Nalianaky end Ropisoraien Mark
N677RP
2. Owner
Name (As sites on registraton eerbfkale)
Address (As shone on registration comitano
7155 VALJEAN AVE.
VAN NUYS, CA
91406
3. For FAA Use Only
The data identified herein
only for above describe aircraf
43.7.
FAA INSPECTOR WP-FSDO-1
compli
with a plicable al
rthin
5 requirements and is approved
•ubject
con
i;y
fie
on by a person authorized in FAR
y
DATE:
dad .15 ..#1;21r
e
4. Unit Identification
5. Typo
Unit
•
Serial No.
Repair
Anenwon
AIRFRAME
described In Item 1 above)
(As
X
POWERPLANT
PROPELLER
APPLIANCE
Type
Manufacturer
8. Conformity Statement
A. Agency's Name and Address
B. /0nd of Agency
C. Certificate No.
Ire AVIONICS INC.
U. S. Certified Mechanic
AQ4ROS9N RADIO CI. 2, 3
7035 SOPHIA AVE.
Foreign Certified Mechanic
LTD INSTR
VAN NUYS, CA
91406
X Certified Repair Station
LTD AIRPRAHS
AQ4R059N
Manutachrer
D. I certify that the repair and/or alteration made to the can t(s) identified in item 4 above and described on the reverse or
attachments hereto have been made in accordance w tit 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
//aS/20cs-
Signature of Authorized Individual
etaa17-‘
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
g APPROVED
O REJECTED
FAA Ft Standards
Impeder
Manufacturer
in
Auttniurition
Other (Specify)
BY
FM Desiree
X Repair Station
Person Approved by Transport
Canada Anvortrinees Grew
Dale of Approval a Rejection
Certlficate or
Designation No.
or
/
AQ4R059till
Signature of Authorized Individual
........-^c
z
eta/
FM Form 337 (1241)
SDNY_GM_02 753862
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240784
EFTA01326377
1
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.)
N677RP
Installed an Artex C-406-1 ELT P/N 453-5002. Antenna P/N 110-340. and Remote Switch P/N 345-6196-04. The installaben was done Ni
accordance with AETEX document number: 570-5001 REV A. Reference 8110-3 Signed by Trevor Strong DER No. DERT60581NM for mounting
approval of the antenna. The ELT was mounted at STA. 753.50. the antenna was mounted at STA. 633.00. The ELT Switch was mounted in the
cockpit on the copilot's dzus rail at STA. 54.00. A 1 amp circuit breaker labeled 'ELT' was Installed on the copilots circuit breaker panel. Existing
spare wires were used for the ELT system.
Reference IFR Avkmics document no. ICAW AXE% 406 for Instruction for Continued Airworthiness.
Mounting for el 03MpOnents and installation details are in compliance with applicable portions of AC.13-1I3 Chapters 11 and 12; AC 43.13-2A
Chapters 2 and 3. The mountings are made on existing previously approved equipment shelves or location in the aircraft and meet strength
requirements of AC 43.13-2A Chapter 1.
ARTEX Description and operation manual document number 570-5001 was installed in the aircraft
The ELT. Antenna. and the NAV interface unit meets TSO requirements C126.
A logbook entry has been made. Wiring diagrams. Revised Weight 6 Balance and Equipment list Amendment have been provided as necessary.
Work Order 39886 on Neat this agency covers the work describe above.
ND
El...ADDITIONAL SHEETS ARE ATTACHED
• laGe03:1101.0.C46012/40036
SDNY_GIA_02 753863
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240785
EFTA01326378
IFR Avionics, Inc.
•
: 7035 Sophia Ave.
Van Nuys CA. 91406
Instructions For Continued Airworthiness
For a
Artex ELT
Document No. ICAW ARTEX 406
This alteration to this aircraft obligates the aircraft operator to include the following maintenance information
provided by this document in the owner/operator's Aircraft Maintenance Manual and the ownedoperator's Aircraft
Scheduled Maintenance Program. The Artex 406 ELT Line Replaceable Units' (LRU) maintenance is on condition
and there is no periodic, preventative or scheduled maintenance required for the continued operation of this unit.
Should any failure of the Artex 406 ELT System occur, it should be properly noted, and the unit should be removed
from the aircraft. Once a failure has occurred, it is advisable to do a visual inspection of the Artex 406 ELT system.
This inspection should include, but is not limited to the Artex 406 ELT mounting, the antenna, the NAV Interface
Unit, associated wiring. and any related hardware. This inspection should be performed through elementary means.
1.
Maintenance, repair. reinstallation and testing information for the Mex 406 ELT system in this aircraft are
contained in the Artex Description, Operation, Installation, and Maintenance Manual document number 570-
5001 REV A.
2.
The Line Replaceable Unit (LRU) part numbers and other necessary part numbers contained in the installation
data documentation for this modification should be placed into the aircraft's owner/operators appropriate
Illustrated Parts Catalog (IPC).
3.
Wiring diagram information contained in the installation data documentation for this modification should be
placed into the aircraft owner/operators appropriate airplane Wiring Diagram Manual.
4.
The scheduled Maintenance tasks required by this modification are to added to the aircraft owner/operators
appropriate airplane maintenance program are as follows:
a. Perform on at least an annual basis a periodic inspection of the equipment rack, equipment mountings,
associated wiring, cables, connectors, hardware, antenna and related aircraft structure for integrity, security,
wear. chaffing, and etc. Special attention should be given to the aircraft primary structure with regards to
fatigue and stress cracking, corrosion, and etc.
NOTE: These inspections may appear as part of opportunity inspections or recommended Zonal inspection
tasks.
5.
Should it become necessary to remove a component of the Artex 406 ELT system, secure the associated
cables and wiring, collar the applicable circuit breakers, placard the aircraft that the unit has been removed.
Revise the weight & balance and the equipment list arid make a logbook entry stating the unit has been
removed for service (refer to section 91.213 of Title 14 of the Code of Federal Regulations and/or the aircraft's
MEL)
6.
The Artex 406 ELT System and its related primary components can only be repaired at a factory authorized
repair center or an appropriately rated FAA Part 145-repair station.
NOTE: Should structural repairs be necessary to the airframe they should be performed in accordance with
FAA approved data, the Structural Repair Manual from the Airframe manufacturer (SRM) or guidance
contained in Advisory Circular (AC) 43.13-18, if applicable.
7.
For additional information regarding this modification and the related equipment refer to the following
documents:
a. The Artex Description, Operation, Installation, and Maintenance Manual document number 570-5001 REV A.
Page 1 of 1
SDNY GM 02753864
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240786
EFTA01326379
V
SDNY GM 02753865
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240787
EFTA01326380
_
0
arm
(Airframe, Powerplant, Propeller, or Appliance)
reatnal on
ettentureatan
Form Approved
OMB No. 2120-0020
For FAA Use Only
Office identification
W/4 0 1— gOri
CCA 0
INSTRUCTIONS:Print or typo all entries. SeeFAR43.9. FAR43Appendix B. and AC43.9-1 (or subsequent rewisionthereol) I or instructions
and disposition of thislorm.Thisreport is required by law (49 U.S.C. 1421). Failure to report can result ina civil penalty not to exceed 51.000
for each such violation (Section 901 Federal Aviation Act of 1958).
•
1. Aircraft
Make
GULFSTREAM
Model
G-IV
Serial No.
1085
Nationality and Registration Mark
N677RP
2. Owner
Name (As shown on registration certificate)
ROOMS (As shown on registration certificate)
7155 VALJEAN AVE
VAN NUYS CA 914064917
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
8 Conformity Statement
A. Aunty's Name and Address
B. Kind of Agency
C. Certificate No.
IFR Avionics Inc.
US. Certificated Mechanic
AQ4R059M Radio Cl
1.2,3 LTD Instr.
LTD Airframe.
LTD Spec Service.
7035 Sophia Ave.
Foreign Cettincatne Mechanic
Van Nuys CA 91406
x
Certificated Repair Station
Manufacturer
D. I certify thattherepairand/or alteration madelotheun
have been made in accordance with the requirements
furnished herein is true and correct to the best of my
t(s)identifiedin itern4aboveanddescribedonthereverseorattachments hereto
01 Part 43 of the U.S. Federal Aviation Regulations and that the information
knowledge.
Date
q-k-1, - Loot
Signature of Authorized Individual
j
7. Approval for Return To Se tt
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
xi APPROVED
0 REJECTED
FAA Flt. Standards
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
By
FAA Designee
X Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date of Approval orRejection
Certificate or
2040esignation No.
q-(---4, - ,, ANR05914
Signature of Autttrize
dividual 6
FAA Fenn 337 0243a)
SDNY_GM_02753866
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240788
EFTA01326381
•
.6
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 spaces required, attach adchtlonal sheets. Identify with as:craft nahonalify and reparrafron mark and date work completed.)
N677RP
Upgraded existing Honeywell TCAS II Traffic Collision Avoidance System (TCAS) to be Minimum Operating
Performance Standards (MOPS) 7 version compliant (Change 7), in accordance with Gulfstream STC
ST00711AT.
Removed existing Honeywell TCAS II Traffic Collision Avoidance System Processor Part Number
4066010-904, SIN 93121994. Sent unit to manufacturer for Change 7 Mod, to be Minimum Operating
Performance Standards (MOPS) 7 version compliant (Change 7).
Received modified TCAS Processor, new Part Number 4066010-910, unit keeps same Serial Number .
Reinstalled modified TCAS Processor in aircraft. Performed ground check of TCAS system. TCAS system
passed ground check.
Gulfstream Aerospace FM Approved Airplane Flight Manual Supplement Document No. SC41129M04,
Rev. A. dated Jan 5, 2001 or later FAA Approved revision, is required with this installation.
Instructions for Continued Airworthiness are part of STC contained in Report No. CE41 129A003, Rev. A.
dated Jan 5, 2001
This modification does not effect the aircraft's existing Weight & Balance.
Log Book entry has been made.
Equipment List Amendment has been provided. Work Order 37783 on file at this agency covers the work
described above.
END
0 Additional Sheets Are Attached
OMR. GOVERNMENT ►RINTING OF FICE: 1922-711-012/60157
SONY_GM_02753867
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240789
EFTA01326382
ad-
. ...
O
..
- I
-
US 0•0Celmerd
a terecoreere
(Airframe, Powerplant, Propeller, or Appliance)
ows marten
Mam
m inblrellen
Form APPrOved
OMB No. 21200020
For FAA Use Only
Office Identification
S/P1/- YNY -"AN
INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B. and AC43.9-1 (or subsequent revision thereof) lot 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 31.000
for each such violation (Section 901 Federal Aviation Act of 1958).
1. Aircraft
Make
GULFSTREAM
Model
G4V
Serial No.
1085
Nationality end Registration Mark
N677RP
2 Owner
.
Name (As shown on registration certificate)
Address (As shown on registration certificate)
7156 VAI-JEAN AVE
VAN NUYS CA 914064917
3. For FAA Use Only
4. Unit Identification
5. Type
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME
(As described In Item 7 above)
X
POWERPLANT
PROPELLER
APPLIANCE
Type
'
Manufacturer
8. Conformity Statement
A. Arilincy's
IFR Avionics
7035 Sophia
Van Nuys
Name and Address
B. Kind of Agency
C. Corti icate No.
Inc.
Ave.
CA 91406
.
u.s. catenated Mechanic
AtI4R059M Radio C1
1,2,3 LTD Instr.
LTD Airframe.
LTD Spec Service.
Foreign Certificated Mechanic
x
Cerlificated Rena Station
Manufacturer
D. I certify thai the repair and/or alteration made to the un t(s) identified In item 4 above and describedon 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.
Data
Signature
Authorized Individual
/— er
7. Approval lot
u To Service
Pu
Administrator
EST
suanl 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
gl APPROVED
0 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
/ 12512,90 I
Certificate or
Designation No.
AO4R059/.1
Sign
e of Authorized Individual
l.., 8-
FAA Form 337 met
SDNY_GM_02753868
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240790
EFTA01326383
NOTICE
Weight and balance or operating limitation changes shalt 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.
a. Description of Work Accomplished
(it more space is required, attach additional sheets. Identity with aircraft nationality and registration mark and date work completed.)
N677RP
Removed eisting NZ-2000 Flight Management System (FMS) Navigational Computer Units (NCU), Part
Number (7018879-01002), Serial Numbers (95120678, 95120716, & 95120669) from the aircraft. Sent NCU's
to manufacturer for software upgrade from software 4.1 to software 5.2. In accordance with Gulfstream
Aerospace Corporation (GAC), Aircraft Service Change (ASC) No. 349AM6.
Received modified NCU's from the manufacturer new NCU Part Number is 7018879-03014. NCU's keep their
original Serial Numbers. Reinstalled NCU's into the aircraft.
Gulfstream Aerospace Corporation FAA Approved Airplane Flight Manual Supplement Number
GIV-2000-03, dated July 25, 2000, in accordance with Gulfstream Aerospace Corporation ASC No. 349AM7,
is required with this modification.
The NZ-2000 system was operationally ground checked in accordance with ASC No. 349AM6. NZ-2000
system passed ground check.
The Honeywell FMZ-2000 Pilot's Guide is Installed in the aircraft
This modification does not effect the aircraft's eAsting Weight & Balance.
No wiring changes were made to the aircraft.
A log book entry has been made.
An Equipment List Amendment has been provided. Work Order 37626 on file at this agency covers the work
described above.
END
O Additional Sheets Are Attached
*U.S. GOVIIRNMENT PRINTING OFFICE: 19112-761-012/50157
SDNY_GM_02753869
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240791
EFTA01326384
- 00
(Airframe, Powerplant, Propeller, or Appliance)
Form Approved
OMB No. 2120-0020
tin Orporiment
cr TramontalOn
(envoi Aviation
AdninistratiOn
For FAA Use Only
Office Idenfificat
WP-23
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-IV
Serial No.
1085
Nationality and Registration Mark
N677RP
2. Owner
Name (As shown on registration certificate)
Petersen Aviation
Address (As shown on registration certificate)
7155 Valjean Ave.
Van Nuys, Ca. 91406-3917
3. For FAA Use Only
The data identified herein complies with applicable airworthiness
requirements and is approved only for the above described aircraft
subject to a conformity Inspection by a person authorized In FAR 43.7
IBIC:
40-imiv- —20C4
-4 1"
.c.s.
LAXIFSDO
Dated 3-9-0/
4. Unit Identification
5. Type
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME
(As described in hem 1 above)
XX
POWERPLANT
PROPELLER
APPLIANCE
Type
Manufacturer
S. Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
C. Certificate No.
Garrett Aviation Services
6201 W Imperial Highway
Los Angeles, Ca. 90045
U.S. Certificated Mechanic
AN3R377L
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 cored to the best of my knowledge.
Date
03 -0 4 -0)
Signst74,liveri er
ourchro‘ e dist,h4e--
7. Approval for Return to Service
Pursuant
Administrator
BY
to the authority given persons specified below, the unit ides Med In item 4 was inspected in the manner prescribed by the
of the Federal Aviation Administration and is
X APPROVED
0
REJECTED
FAA Fit. Standards
Inspector
Manufacturer
Inspection Authorization
peci
Other (S
fV)
FAA Designee
X Repair Station
Person Approved by Transport
Canada Ainvorthiness Group
Date of Approval or Rejection
OZ — O4 -di
Certificate or
Designation No.
AN3R377L
Signatrely,erso,
Aficatimi 4 it/Art.1,a",
Form 337 (1243)
SDNY_Gtv1_02753870
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EF1'A_00240792
EFTA01326385
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 accomplished.
Accomplished an upgrade to the previously installed #1 and #2 transponder
systems.
The #1 and #2 P/N 622-9210-003 transponders were removed and (2each)
transponders that were modified by the equipment manufacture Rockwell/Collins to
P/N 622-9210-006 status, in accordance with their service bulletins #13, #17 and #20
were installed.
Accomplished an electrical wiring change to the #1 and #2 systems, in accordance
with the equipment manufacture Rockwell/Collins Service Information Letter 1-96
dated 10-20-97. The electrical wiring changes mentioned above enables systems to
have part number status interchangeability.
Accomplished a
complete ground operational check of systems and a
electromagnetic interference verification with satisfactory results.
Tested the #1 and #2 transponder systems for altitude integration, in accordance
with FAR Part 43 appendix "E" para. ( c ).
No change to weight and balance.
END
X Additional Sheets Are Attached
*U.S. GOVERNMENT PRINTING OFFICE: 1992-769.012160157
SDNY_Glvl_02753871
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EF1'A_00240793
EFTA01326386
a
kg,' A7PrOvtd
COO Ito. 2120l0t0
Fee FAA Use Only
a
mei
u S DcywUncal
(Airframe, Powerplant, Propeller, or Appliance)
of Tevoce.wica
learnt Arbeee
Admit:atriums
Office Identifkadon
VitI%-i
••"' 1C
K 00
INSTRUCTIONS Print a type al entries. See FAR 43.9, FAR 43 Appendix B, and AC 43.9-1 (or subsequent revision the rWt for instrucdons and
disposition of thi form. This report is required by taw (49 U.S.C. 1421). Failure to report can result in a civil penalty not to exceed $1,000 for each
such Notation (Section 901 Federal Aviation Act of 1958).
I. Aircraft
Make
Model
GULFSTREAM
G-P/
Serial No.
Nationality and Registration Mark
1085
N677RP
2. Owner
Name (As shown on registration certificate)
Address (As shown on registration certificate)
7155 VALJEAN AVE
VAN NUYS, CA 91406 - 3917
3. For FAA Use Only
4. Unit Identification
5. Type
Unit
Make
I
Model
I
Serial No.
Repair
Alteration
Airframe
(As described in Item I above) • ********* •*****•••
X
Powerplant
Propeller
st
m ei. tat
'MED
fir / V
...
i g
.. Ill
Appliance
Tie
Fit
haz
bor
nos 6
FEB 0 9
V
2001
1
Manufacturer
6. Conformity Statement
A. Agency's Name and Address
B. Kind of
YS FSDO
C. Certificate No.
1750 HAYVENHURST AVE.
VAN NUYS, CA 91406
U.S.
trot
echamc
W1JR483Y
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 knowled e
Date
JANUARY 31, 2001
Signature
Authorized Individual
.
7.
royal for Return to Service
Pursuant to he authority given persons specified b low,
uni ide tilled in item 4 was inspected in the rnanne prescribed by the Administrator
of the Federal Aviation Administration and is la APPROVED O REJECTED
BY
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
JANUARY 31, 2001
Certificate or
Designation No.
W1JR483Y
Signature of Authorized Individnal
C
D —O41
FAA Form 337 0 1-95)
SDNYGlvl02753872
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240794
EFTA01326387
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.)
C/B 107 - FLAP "D" TRACT DOWN LOAD HOOKS - INSPECTION.
C/B 108 - ACM BYPASS SHUTOFF VALVE - ACTIVATION WIRING - CHAFE PROTECTION.
C/B 114 - NOSE LANDING GEAR ACTUATOR ROD END - LIFE LIMIT.
C/B 116 - ELEVATOR BALLAST WEIGHT HELICOIL - INSTALLATION.
CM 121 - AILERON BOOST BELLCRANK LUG THICKNESS TO LUG RADIUS RATIO - INSPECTION.
CB 127 - HE ANTENNA ADAPTER - INSPECTION.
C/B 128 - WIRE HARNESS AT F.S. 603 - INSPECTION.
ASC 198 A1111 - ACM BYPASS SHUTOFF VALVE ACTIVATION WIRING CHAFE PROTECTION.
ASC 403 - WINGLET ATTACHMENT HARDWARE REMOVAL / REPLACEMENT.
ASC 414 - NOSE LANDING GEAR ACTUATOR ROD END SERIAL NUMBER.
Changes to the Aircraft Weight and Balance has been Determined to be Negligible and Continues to Meet the Airworthiness
Criteria Under Which it was Originally Certificated.
END
•
:4r
MI\ e I,
• I.
'
lit
%:c!)
O Additional Sheets Are Attached
SDNY_GIvl_02753873
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240795
EFTA01326388
of
,
-
-
,
.
.
.
.
,
.
.
-
-
0
us cowmen,
a Loatecornon
(Airframe, Powerplant, Propeller, or Appliance)
fe
olAvicitlen
Aorilni
er
sffetion
Form Approved
OMB NO. 2120-0020
For FAA Use Only
Office Identification
alfie
- - /0/
- - --, ed >7 a
INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B. and AC43.9-1 (or subsequ nt revision thereof), or 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 toexceed51.000
for each such violation (Section 901 Federal Aviation Act of 1958).
1. Aircraft
Make
GULFSTREAM
Model
G4V
Serial No.
1085
Nationality and Registration Mark
N677RP
2. Owner
Name (As shown on registration certificate)
Address (As shown on registration certificate)
7165 VALJEAN AVE
VAN NUYS CA 914064917
3. For FAA Use Only
The data identified herein
described aircraft subject
INSPECTOR WP-FSDO-1
complies with a li able al
rthiness
uirem
and is
to conformity' s ction
n
z
FAR 43.7.
approved only for above
li
FAA
Ofe2-
4. Unit Wan
IL Typo
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME
(As described in Item 1 above)
X
POWER PLANT
PROPELLER
APPLIANCE
Type
•
Manufacturer
II Conformity Statement
A. Agency's
IFR Avionics
7035 Sophia
Van Nuys
Name and Address
B. Kind of Agency
C. Ceni icate No.
Inc.
Ave.
CA 91406
•
u.s. Certificated Mechanic
AQ4Ft059M Radio Cl
1.2 3. LTD Instr.
LTD Airframe.
LTD Spec Service.
Foreign Certificated Mechanic
x
Certificated Repair Station
mannoovref
D. I certify that the repair and/or alteration made to (neuritis) 'dentified In item4 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
SI
tura of Authorized ndlvid I
;---
2 lf
--- ?tat)
7.
vat for Rate
To Service
Pu
Administrator
BY
suant to the authority given persons specified
. the unit identified in item 4 was inspected In the manner prescribed by the
of the Federal Aviation Administration and is
xl APPROVED
0 REJECTED
FAA Fit. Standards
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
FAA Designee
X Repair Station
Parson Approved by Transport
Canada Airworthiness Group
Dale of Approval or Rejection
._...
--- 2 4 - .),,,,,,o
Certificate or
Designation No.
AO4ROSSM
Sigi lure of Authorized individu
FAA Form 337 02 eel
SDNY_GIvl_02753874
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240796
EFTA01326389
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.
IL Description of Work Accomplished
of more space is required, attach additional sheets. Identity with aircraft nationality and registration mark and date work completed.)
N677RP
Removed existing lea. Panasonic PV-4662 VCR, and 2ea. Baker Electronics SB1410AAB 14- LCD Monitors.
Installed two each Samsung Electronics Co. 170MP, 1T' LCD Monitor In accordance with manufacturers
Owner's Instructions P/N BN68-00108E-01 dated 1999.
Installed a RCA Corp. PROSCAN Model PS8680Z Digital Video Disk Player in accordance with
manufacturers Users Manual Manual No. TOCOM 15346010 dated 1998.
The LCD monitors are located at arm 151.0, & 443.0, and the DVD is located at arm 145.0.
Installation details are in compliance with AC 43.13-1B chapters 11, and 12, AC 43.13-2A Chapter 2, and
AC 25-10.
Post installation ground test were performed in accordance with Manufacturer's installation manual's, and AC
25-10. All systems operated normally.
The above equipment was mounted by Synchro Aircraft Interiors. Van Nuys, Ca. and was structurally
approved under FM Form 337, dated May 24, 2000.
The above equipment is interfaced to the aircraft's existing cabin entertainment, audio/video switching
system.
For Continued Airworthiness Instructions for the LCD Monitor see IFR Avionics Inc. Document No.
ICAW-170MP, REV. N/C, dated May 23, 2000, for the DVD see IFR Avionics Inc. Document No.
ICAW-PS8680Z, REV. N/C, dated March 16, 1999.
Revised Weight & Balance performed by Synchro Aircraft Interiors. Van Nuys, Ca.
A log book entry has been made.
Wiring Diagrams, and Equipment List Amendment have been provided. Work Order 37230 on file at this
agency covers the work described above.
END
ill Additional Sheets Are Attached
*U.S. GOVERNMENT PRINTING OFFICE: I102-765-012/601$7
SDNY_GM_02753875
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240797
EFTA01326390
Wt.
IFR Avionics, Inc.
1035 Sophia Ave.
Van Nuys Ca. 91406
Document No. ICAW-170MP
Dated: May 23, 2000
REV. N/C
Instructions For Continued Airworthiness
For a
Samsung Electronics Co. 170MP 17" LCD Monitor
This alteration to this aircraft obligates the aircraft operator to include the following maintenance information provided by
this document in the owner/operator's Aircraft Maintenance Manual and the owner/operator's Aircraft Scheduled
Maintenance Program. The Samsung Electronics Co. Line Replaceable Unit (LRU) maintenance is on condition and
there Is no periodic, preventative or scheduled maintenance required for the continued operation of this unit. Should any
failure of the Samsung Electronics Co. 17' LCD Monitor system occur, it should be properly noted, and the unit should be
removed from the aircraft. Once a failure has occurred, it is advisable to do a visual inspection of the 17" LCD Monitor
system. This inspection should include, but is not limited to the 17' LCD Monitor mounting, associated wiring, and any
related hardware. This inspection should be performed through elementary means.
1.
Maintenance, repaired, reinstall, and testing information for the 17' LCD Monitor system in this aircraft are
contained in the Samsung Electronics Co. Owners Instructions (P/N EIN68-00108E-01 dated 1999, or later).
2.
The Line Replaceable Unit (LRU) part numbers and other necessary part numbers contained in the installation data
documentation for this modification should be placed into the aircraft's owner/operators appropriate Illustrated Parts
Catalog (IPC).
3.
Wiring diagram information contained in the installation data documentation for this modification should be placed
into the aircraft owner/operators appropriate airplane Wiring Diagram Manual.
4.
The scheduled Maintenance tasks required by this modification are to added to the aircraft owner/operators
appropriate airplane maintenance program are as follows:
Perform on at least an annual basis a periodic inspection of the equipment rack, equipment mountings,
associated wiring, cables, connectors, hardware, and related aircraft structure for integrity, security, wear,
chaffing, and etc. Special attention should be given to the aircraft primary structure with regards to fatigue
and stress cracking, corrosion, and etc.
NOTE:
These inspections may appear as part of opportunity inspections or recommended Zonal inspection tasks.
5.
Should it become necessary to remove the 17" LCD Monitor, secure the associated cables and wiring, collar the
applicable circuit breakers, placard the aircraft that the unit has been removed, revise the weight & balance and the
equipment list and make a logbook entry the unit has been removed for service refer to section 91.213 of Title 14 of
the Code of Federal Regulations and/or the aircraft's MEL).
6.
The 20" LCD Monitor and its related primary components can only be repaired at a factory authorized repair center
or an appropriately rated F.AA. Part 145 repair station.
NOTE:
Should structural repairs be necessary to the airframe they should be performed in accordance with
F.A.A. approved data, the Structural Repair Manual from the Airframe manufacturer (SRM) or guidance
contained In Advisory Circular (AC) 43.13-1A, if applicable.
7.
For additional Information regarding this modification and the related equipment refer to the following documents:
a. Samsung Electronics Co. 17* LCD Owner's Instructions (P/N BN68:00108E-01 dated 1999, or later).
Page 1 of 1
SDNY_GM_02753876
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
r
EFTA_00240798
EFTA01326391
SDNY_GM_02753877
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240799
EFTA01326392
IFR Avionics, Inc.
7035 Sophia Ave.
Van Nuys Ca. 91406
Document No. ICAW-PS8680Z
Dated: March 16, 1999
REV N/C
Instructions For Continued Airworthiness
For a
ProScan PS8680Z Digital Video Disk (DVD) Player
This alteration to this aircraft obligates the aircraft operator to include the following maintenance information provided by
this document in the owner/operators Aircraft Maintenance Manual and the owner/operators Aircraft Scheduled
Maintenance Program. The ProScan Line Replaceable Unit (LRU) maintenance is on condition and there is no periodic,
preventative or scheduled maintenance required for the continued operation of this unit. Should any failure of the
ProScan PS8680Z DVD, it should be properly noted, and the unit should be removed from the aircraft. Once a failure has
occurred, it is advisable to do a visual inspection of the DVD system. This inspection should include, but is not limited to
the DVD mounting, associated wiring, and any related hardware. This inspection should be performed through
elementary means.
1.
Maintenance, repaired, reinstall, and testing information for the DVD system in this aircraft are contained in the
ProScan User's Manual (Manual No. TOCOM 15346010).
2.
The Line Replaceable Unit (LRU) part numbers and other necessary part numbers contained in the installation data
documentation for this modification should be placed into the aircraft's owner/operators appropriate Illustrated Parts
Catalog (IPC).
3.
Wiring diagram information contained in the installation data documentation for this modification should be placed
into the aircraft owner/operators appropriate airplane Wiring Diagram Manual.
The scheduled Maintenance tasks required by this modification are to added to the aircraft owner/operators
appropriate airplane maintenance program are as follows:
Perform on at least an annual basis a periodic inspection of the equipment mountings, associated wiring,
cables, connectors, hardware, and related aircraft structure for integrity, security, wear, chaffing, and etc.
Special attention should be given to the aircraft primary structure with regards to fatigue and stress cracking,
corrosion, and etc.
NOTE:
These inspections may appear as part of opportunity inspections or recommended Zonal inspection tasks.
5.
Should it become necessary to remove the DVD secure the associated cables and wiring, collar the applicable
circuit breakers, placard the aircraft that the unit has been removed, revise the weight & balance and the equipment
list and make a logbook entry the unit has been removed for service refer to section 91.213 of Title 14 of the Code
of Federal Regulations and/or the aircraft's MEL).
6.
The DVD and its related primary components can only be repaired at a factory authorized repair center or an
appropriately rated F.A.A. Part 145 repair station.
NOTE:
Should structural repairs be necessary to the airframe they should be performed in accordance with
F.A.A. approved data, the Structural Repair Manual from the Airframe manufacturer (SRM) or guidance
contained in Advisory Circular (AC) 43.13-1A, if applicable.
7.
For additional information regarding this modification and the related equipment refer to the following documents:
a. ProScan Users Manual (Manual No. TOCOM 15346010).
Page 1 of 1
SDNY_GM_02753878
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240800
EFTA01326393
SDNY_GM_02753879
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240801
EFTA01326394
G-1-00
Mt
14.8.240ma---
f i
4
/R.
di
U.S. Depeetneet
plTheuppeteme
(Airframe, Powerplant, Propeller, or Appliance)
ham Awaon
AdmInIstrollea
/ 517 --/Z 5
?OO 0 a( 557
Form Approved OMB
No.2120-0020
For FAA Use Only
Office Identification
Go Po
I
INSTRUCTIONS: Print or type al entries. See FAR 43.9, FAR 43 Append( 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 1958)
1. Aircraft
Stelae
GULFSTREAM
motet GIV
Sens] It 1085
NolimarY end Rightists, Mork
N677RP
2 Owner
Marne (As shoat ea segIstntlan anthem.*
Address (As shawl on registration certificate)
7155 VAUEAN AVE.
VAN NUYS. CA. 91406-3917
3. For FAA Use Only
4. Unit Identification
5. Type
Unit
Make
Model
Serial No.
Repair
Mention
AIRFRAME
described In Item I above)
X
(As
POWERPLANT
PROPELLER
APPLIANCE
Type
Manteactser
6. Co formity Statement
A. Agency's Name and Address
8. Kind of Agency
C. Certificate No.
3456 GARNET ST. APT. 0338
TORRANCE. CA. 90503
0 U.S. CerlAcated MochaPp
MP 245198915
0
Foreign Oct-Seated iischaric
0 CestAxalecl Repair Swan
0 manuracturer
D. I certify that the repair and/or alteration made to the unifts Identified in kern 4 above and described on the reverse or attachments hereto
have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information
furnished herein is bye and correct to the best of my knowledge.
Date
6.2q
co
.
Signature of Authorized Indvidted---
n -----' 2
7. Approval for Return To Service `------t-----
Pursuant to the authcrey given persons specified below, the u rt identified In kem 4 was inspected in the manner presented by the
Administrator of the Federal Aviation Administration and is
]
APPROVED
12I REJECTED
BY
0
FAA Ft aavixds
0
Manufacturer
0
Inspection Authorization
Other (S
y)
0
FAA Designee
0
Repair Station
nLI
PersonaPaca:ObiTfbraPad
Canada Alnvorthiress Group
Date of oprwal or Rejection
b M oo
Certificate
6
356
or Designation No.
14
.225"
of
Inefrvidual
IC(ALacrIA,N
FAA Form 337
(12.88)
SDNYGlvl_02753880
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240802
EFTA01326395
NOTICE
Weight end balance or operating limitation changes shall bo entered in the appropriate eitcraftnscord. An alteration muslin) "
compatible with all previous operations to assure continued conformity with the applicable einvorthiness requirements.
8. Description of Work Accomplished
(II more space is required, attach additional shoe& Identifywith aircraft naffonatily and togistration mark and data work completed.)
1.) FIREBLOCKING:
FOLLOWS:
SKANDIA, INC. DAX GRAPHITE/POLY 2611.0 FOR ALL SEATS MENTIONED
EDELMAN LEATHER -ROYAL HIDE P/N RH323 CUSTOM LT GRAY DYE LOT AFLOO FOR (6) SINGLE SEATS
GARRETT LEATHER C-616 CHATHAM SEAFOG DYELOT 67296 FOR RI EACH DOUBLE SEATS
ICF/UNIKAVAEV FABRIC 917 COLOR 81 CRANBROOK CRANBROOK GREY TREATED AT SYNCRO REF. JOB 034)32FOR THREE PLACE
DIVAN
VAN NUYS AWNING CO. ARABIAN COTTON ARMY DUCX TREATED AT SYNCRO REF. LB 00032
ALL MATERIALS MENTIONED ABOVE MEET FLAMMABIUTY &FIREBLOCKING REQUIREMENTS PER FAR 25.853 (CI APPENDIX F PART
II AMENDMENT 2583. REFERENCE SKANDIA, INC. TEST PLAN 15823 REV. IR. APPROVED BY JUDY BOGGS DERV-406020CE ON
5/19/00.
2.1 FLAMMABILITY:
REMOVED DECOR PANELS AND STRIPPED OFF EXISITNG FABRIC. RECOVERED WITH A BER GAM° FABRIC P/N 1797/1 LAV1NA.
FABRIC P/N K183-1 BUM! PEARL.
ALL MATERIALS MENTIONED ABOVE MEET FLAMMABILITY REQUIREMENTS PER FAR 25.853 (o) APPENDIX F PART I (el (1) G).
REFERENCE SKANDIA, INC. TESTPLAN 85902 &81103 APPROVED BY JUDY BOGGS DERV-4050204CE ON 4/25/00.
INSTALLED NEW 10016WOOL CARPET THROUGHOUT AIRCRAFT, CARPET MATERIAL MEETS FLAMMABILITY REQUIREMENTS PER
FAR 25.853(A). REFERENCE 81103 PROVIDED BY SCOTT GROUP.
3.1 THE EXISTING THREE PLACE DIVAN IS MODIFIED BY MOVING THE EXISTING CENTER TRUSS STRUCTURE AFT BY 4.75 INCHES
AND THE FWD TRUSS STRUCTURE FWD BY 4 INCHES FOR THE PURPOSE OF FITTING UFE RAFTS UNDERNEATH.
APPROVED BY HOWARD L PATTERSON DERT405434MM, PER AN 8110-3 DATED 5/8/00. REFERENCE STRUCTURAL
SUBSTANTIATION REPORT DA41085 REV. "NC* DATED 5/8/03 PREPARED BY SHANAZ GALANTE.
4J ONE PANASONIC VCR MODEL PV4682 WAS EXCHANGED WITH DVO PLAYER MODEL PS88802. REMOVED E)GSITNG RACK FROM
REMOVED TWO 14' LCD MONITORS FROM STA 193B &STA441 INSTALLED TWO 17" LCD MONITORS MODEL 8170MP. ONE IS
MOUNTED ONTO THE AFT BULKHEAD ON THE FWD R/H EXISITNG STORAGE CABINET LOCATED AT STA 193 AND THE SECOND
ONE IS MOUNTED ONTO THE FWD SIDE OF THE AFT L/H BULKHEAD LOCATED AT STA 442.
•
ALL THE ABOVE MODIFICATIONS ARE APPROVED BY HOWARD L. PATTERSON DERT-535434-NM. REFERENCE 81103 APPROVED
ON 5/15/00. REPORT DOCUMENT SY.GLIOSSR EV. PREPARED BY SHANAZ GALANTE.
THE ABOVE EQUIPMENT WAS ELECTRICALLY INSTALLED BY IFR AVIONICS, VAN NUYS, CA. SEE FAA FORM 337, DATED ON MAY
242000 FOR DETAILS.
5.) WEIGHT &BALANCE WAS RECALULATED. REFERENCE WEIGHT &BALANCE REPORT DATED 5/23/01
El Add Tonal Sheets Are Attached
FAA Form 337
(1248)
U.S. GPO:19893-663-171
SDNY_GIvI_02753881
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240803
EFTA01326396
r
•
Interior Alteration Report
Gulfstream GIV
N677RP S/N 1085
Syncro Aircraft Interiors, Inc.
Van Nuys, Ca. 91406
May 24,2000
Table Of Contents
4— Opposite Page - FAA form 337
1. Compliance with FAR 25.853 (c) for fireblocking of all passenger
seats. Skandia, Inc. Test plan #5823
2. Proof of compliance per FAR 25.853 (a) for materials used on:
a.) Decor Panel Fabric
b.) Lay aft bulkhead
c.) Carpet
3. Divan modification 8110-3 and report
4. Structural Substantiation 8110-3 and report
5. Weight & balance report (original inserted into weight & balance
book)
SDNY_GIvl02753882
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240804
EFTA01326397
SDNYGM02753883
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240805
EFTA01326398
•
-
- STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS
DAM
05/19/00
AIK4K/U- I UK AIMUKAI- I IVJPIIMINtN I IULN I I FICA I IUN
MAKE
OULFSTPEAM
SIN 1085
MODEL NO.
ON
TYPE (Airplane. Ratio. Helicopter
Me.)
Aiwhat
Stadia, Ine.
WI VI- UA IA
IDENTIFICAI ION
NILE
Work Order 0
45812-00
Test ID
23626
'
REF: Skandia, Inc. Test Plan # 5823
Rev IR
Dated: 05/12/00
For PN's 5823-1, 5823-2, 5823-3, 58234 5823-5 & 58234
SKANDIA, INC. DAX GRAPHITE/POLY 26 MD
EDELISI LEATHER ROYAL HIDE RH323 CUSTOM LT. GRAY DYE LOT
AFI.00
.
GARP,EIT LEATHER C-616 CHATHAM SEAFOG DYE LOT 67296
ICF/UNIICA VAEV FABRIC 917 COLOR 81 CRANBROOK CRANBROOK GREY '
TREATED AT SYNCRO REF. JOB 00-032
SYNCRO REF. JOB 00-032
•
......--
PURPOSE OF DMA
APPLICABLE REQUIREMENTS (list specific sections)
FAR 25.853 (c) Appendix F Part)] Amendment 25-83
FAR 25.853 (a) 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 shorts
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
I (We) Therefore
Approve
TURE(S) OF D
,.
_
A-El
11
DERY-405020-CE
Structural Special
Judy oggs
FAA Form 81104 (11-70) SUPERSEDES PREVIOUS EDITION
SDNYGIvl_02753884
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240806
EFTA01326399
SDNY_GM_02753885
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240807
EFTA01326400
•
SKAND1A, lnc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
TEST PLAN #5823
REV IR
SKANDIA WO #45812-00
GULFSTREAM GIV S/N 1085
FIREBLOCKING REQUIREMENTS OF FAR 25.853 (C) AMENDMENT 25-83
DATE:
REVISION NO.
EFFECTIVE PAGE
DESCRIPTION
5-12-00
IR
PREPARED BY:
DATE:
S - 7- 7-CD°
CHECKED BY:
DICK
DATE: 570 8/0
LAUGHLIN
APPROVED
DATE:
5 --i
-OD
PAGE: 1
SDNYGlvl02753886
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240808
EFTA01326401
•
0
SDNY_GM_02753887
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240809
EFTA01326402
•
SKAND1A, inc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
TEST PLAN 5823
REV IR
INDEX OF PAGES
REVISION PAGE
1
INDEX OF PAGES
2
MATERIAL LIST
3
4
5
TEST DRAWING (P/N 5823-1 & 5823-2)
6
TEST DRAWING (P/N 5823-3 & 5823-4)
7
TEST DRAWING (P/N 5823-5 & 5823-6)
8
9-11
12-14
15-17
18
19-27
28-40
PAGE: 2
SDNYG1.1_0275388.13
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002408 10
EFTA01326403
SDNYGM02753889
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240811
EFTA01326404
•
SKANDIA, inc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
TEST PLAN 5823
REV IR
MATERIAL LIST
DRESS COVER: EDELMAN LEATHER ROYAL HIDE RH323 CUSTOM LT. GRAY DYE LOT
AFL00
DRESS COVER: GARRETT LEATHER C-616 CHATHAM SEAFOG DYE LOT 67296
DRESS COVER: ICF/UNIKA VAEV FABRIC 917 COLOR 81 CRANBROOK CRANBROOK GREY
TREATED AT SYNCRO REF. JOB 00-032
REF. JOB 00-032
ADHESIVE: CORAL ADHESIVES CC1025 ADHESIVE
FOAM: SKANDIA, INC. DAX GRAPHITE/POLY 26 ILD, 47 ILD & 55 ILD
VELCRO: SKANDIA, INC. PBLK1.00L & PBLK1.00H 1' LOOP AND HOOK BLACK
PAGE: 3
SDNYGlvl_02753890
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240812
EFTA01326405
SDNY_GM_02753891
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002408 I 3
EFTA01326406
•
SKAND1A, lnc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
TEST PLAN #5823
REV IR
TEST CUSHIONS:
TEST NO. 1 P/N 5823-1 & 5823-2
Test cushion dress covers are fabricated using 50% Edelman Leather Royal Hide RH323 Custom
Lt. Gray Dye Lot AFL00 and 50% Van Nuys Awning Co. Arabian Cotton army duck treated at Syncro
ref. Job 00-032. Test cushions are fabricated with Skandia, Inc. DAX Graphite/Poly 26 ILD which
qualifies the same foam of a higher density. All cushion assembly components are bonded with
Coral Adhesives CC1025 Adhesive. Additionally, test cushions have a layer of Skandia Nomex
Batting placed between the dress cover and the foam on the seating surfaces only. Test cushion
dresscovers wrap over and around foam with the leather velcroing to leather and canvas velcroing
to canvas in a window pane fashion.
TEST NO. 2 P/N 5823-3 & 5823-4
Test cushion dress covers are fabricated using 50% Garrett Leather C-616 Chatham Seafog Dye
Lot 67296 and 50% Van Nuys Awning Co. Arabian Cotton army duck treated at Syncro ref. Job 00-
032. Test cushions are fabricated with Skandia, Inc. DAX Graphite/Poly 26 ILD which qualities the
same foam of a higher density.
All cushion assembly components are bonded with Coral
Adhesives CC1025 Adhesive. Additionally, test cushions have a layer of Skandia Nomex Batting
placed between the dress cover and the foam on the seating surfaces only. Test cushion
dresscovers wrap over and around foam with the leather velcroing to leather and canvas velcroing
to canvas in a window pane fashion.
TEST NO. 3 P/N 5823-5 & 5823-6
Test cushion dress covers are fabricated using 50% ICF/Unika Vaev Fabric 917 Color 81 Cranbrook
Cranbrook Grey treated at Syncro ref. job 00-032 and 50% Van Nuys Awning Co. Arabian Cotton
army duck treated at Syncro ref. Job 00-032. Test cushions are fabricated with Skandia, Inc. DAX
Graphite/Poly 26 ILD which qualifies the same foam of a higher density.
All cushion assembly
components are bonded with Coral Adhesives CC1025 Adhesive. Additionally, test cushions have
a layer of Skandia Nomex Batting placed between the dress cover and the foam on the seating
surfaces only. Test cushion dresscovers wrap over and around foam with the fabric velcroing to
fabric and canvas velcroing to canvas in a window pane fashion.
PAGE 4
SDNYGlvl_02753892
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240314
EFTA01326407
•
•
SDNY_GM_02753893
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002408 15
EFTA01326408
•
SKAND1A, lnc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
TEST PLAN #5823
REV IR
6 PAX SEATS
Production cushion dress covers-are fabricated using Edelman Leather Royal Hide RH323 Custom
Lt. Gray Dye Lot AFL00. Production cushions are fabricated using a combination of different
densities of Skandia, Inc. DAX Graphite/Poly with 26 ILD being the lowest density used. All cushion
assembly components are bonded with Coral Adhesives CC1025 Adhesive. Additionally, production
cushions have a layer of Skandia Nomex Batting placed between the dress cover and foam on
seating surfaces only. There is a layer of Van Nuys Awning Co. Arabian Cotton army duck treated
at Syncro ref. Job 00-032 bonded to the back side of the back and bottom side of the bottom utilized
as a close out fabric. Production cushion dresscovers wrap over and around foam with the
dresscover velcroing to the canvas in a window pane fashion.
2 DOUBLE PAX SEATS AND JUMPSEAT
Production cushion dress covers are fabricated using Garrett Leather C-616 Chatham Seafog Dye
Lot 67296. Production cushions are fabricated using a combination of different densities of Skandia,
Inc. DAX GraphiteJPoly with 26 ILD being the lowest density used. All cushion assembly components
are bonded with Coral Adhesives CC1025 Adhesive. Additionally, production cushions have a layer
of Skandia Nomex Batting placed between the dress cover and foam on seating surfaces only.
There is a layer of Van Nuys Awning Co. Arabian Cotton army duck treated at Syncro ref. Job 00-032
bonded to the back side of the back and bottom side of the bottom utilized as a close out fabric.
Production cushion dresscovers wrap over and around foam with the dresscover velcroing to the
canvas in a window pane fashion.
DIVAN
Production cushion dress covers are fabricated using ICF/Unika Vaev Fabric 917 Color 81 Cranbrook
Cranbrook Grey treated at Syncro ref. job 00-032. Production cushions are fabricated using a
combination of different densities of Skandia, Inc. DAX Graphite/Poly with 26 ILD being the lowest
density used. All cushion assembly components are bonded with Coral Adhesives CC1025 Adhesive.
Additionally, production cushions have a layer of Skandia Nomex Batting placed between the dress
cover and foam on seating surfaces only. There is a layer of Van Nuys Awning Co. Arabian Cotton
army duck treated at Syncro ref. Job 00-032 bonded to the back side of the back and bottom side
of the bottom utilized as a close out fabric. Production cushion dresscovers wrap over and around
foam with the dresscover velcroing to the canvas in a window pane fashion.
PAGE 5
SDNYGIvl_02753894
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002408 16
EFTA01326409
0
•
SDNY_GM_02753895
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240817
EFTA01326410
•
*SIGN APPROVAL REQUESS
FAR 25.853 (c) APPENDIX F PART II
TEST SPECIMEN DRAWING NO: 5823
WO# 45812-00
REV IR
DATED: 05-12-0Q
MODEL:
G1V
SIN: 1085
COMPLETION
UPON
WITHOUT' DRESS COVER
c
AU. TOLERANCES ! .125
SEAT BACK PIN 5823-1
SEAT BOTTOM P/N 5823-2
COMPOSITOR
MANUFACTURER
PART NUMBER
. -. .
COLOR
DYE LOT
FLAME TREATMENT
A
DRESS COVER
LEATHER 50%
EDELMAN LEATHER
ROYAL HIDE RH223
CUSTOM
LT GRAY
AFUO
B
DRESS COVER
CANVAS 50%
ARABIAN
COTTON
ARMY DUCK
GREY
•
REF. JOB C0032
C
BATTING
SKANDIA, INC.
NOMEX BATTING
WHITE
CI
FOAM .75 '
SKANDIA, INC.
26 MD
MAUVE
'
E
FOAM I.75
SKANDIA, INC.
26 ILD
MAUVE
F
VELCRO V
SKANDIA, INC.
'
PBLKI.ODL LOOP
PBLKI.OOH HOOK
BLACK
ALL CUSHION ASSEMBLY COMPONENTS ARE BONDED WITH CORAL ADHESIVES CCI025 ADHESIVE
eather ve woes to leather and canvas ve croes to canvas. Materials on backs and bottoms are identical
PAGE 6
SDNYGIvl_02753896
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024081S
EFTA01326411
SDNYGM02753897
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240819
EFTA01326412
*SIGN APPROVAL REQUEST.
FAR 25.853 (c) APPENDIX F PART II
TEST SPECIMEN DRAWING NO: 5823
WO# 45812-00
REV IR
DATED: 05-12-00
MODEL:
GIV
SRN:: 1085
ALL TOLERANCES • .12T
SEAT BACK P/N 5823-3
WITH0UT' DRESS COVER
D
E
F
SEAT BOTTOM P/N 5823-4
COMPOSITOR
MANUFACTURER
PART NUMBER
COLOR
DYE LOT
FLAME TREATMENT
A
DRESS COVER
LEATHER 50%
GARRETT LEATHER
CHATHAM .
C-61 ft
SEAFOG
57996
B
DRESS COVER
CANVAS 50%
•
ARABIAN
COTTON
ARMY DUCK
GREY
REF. JOB CO.=
C
BATTING
SKANDIA, INC.
NOMEX BATTING
WHITE
' PLACED BETWEEN DRESS COVER AND
0
FOAM .75
SKANDIA, INC.
2BILD
MAUVE
E
FOAM 1.75
SICANDIA, INC.
2BILD
MAUVE
F
VELCRO 1'
SKANDIA, INC.
PBLKI.CCL LOOP
PBLK1.COH HOOK
BLACK
ALL CUSHION ASSEMBLY COMPONENTS ARE BONDED WITH CORAL ADHESIVES CC1025 ADHESIVE
Leather velcroes to leather and canvas velcroes to canvas. Materials on backs and bottoms are identical.
PAGE 7
SDNYGlvl_02753898
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240820
EFTA01326413
•
SDNYGM02753899
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240821
EFTA01326414
•SIGN APPROVAL REQUES.
FAR 25.853 (c) APPENDIX F PART II
TEST SPECIMEN DRAWING NO: 5823
WO# 45012-00
REV IR
DATED: 05.12-00
MODEL:
GIV
Sift. 1085
FORIESTING2LACCORDANCE WITH FM
ALL TOLERANCES ± .1r
g-
E
SEAT BACK P/N 5823-5
SEAT BOTTOM P/N 5823-8
COMPOSITOR
MANUFACTURER
•
PART NUMBER
COLOR
DYE LOT
FLAME TREATMENT
A
DRESS COVER
FABRIC 9:396
ICPUNIKA VAEV
917
CRANBROOK
CRANBROOK
GREY 81
REF. JOB COCG2
B
DRESS COVER
CANVAS 50%
ARABIAN COTTON
ARMY DUCK
GREY
REF. JOB CO032
C
BATTING
SKANDIA, INC.
NOMEX BATTING
WHITE
D
FOAM .75
SKANDIA, INC.
2811.0
MAUVE
E
FOAM 1.75
SKANDIA, INC.
28 ILD
MAUVE
F
VELCRO 1'
SKANDIA, INC.
PBUL1.01 LOOP
P8Ua.COH HOOK
BLACK
ALL CUSHION ASSEMBLY COMPONENTS ARE BONDED WITH CORAL. ADHESIVES CC1025 ADHESIVE
Leather velcroes to leather and canvas velcroes to canvas. Materials on backs and ottoms are Identical.
PAGE
SDNYGI.1_02753900
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240822
EFTA01326415
•
SDNYGM02753901
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240823
EFTA01326416
8
A
r
'
0
BOTTOM CLISH/ON
RH323 CUSTOM LT. GRAY DYE LOT AFLOO
DAX GRAPHITE/POLY WITH 26 ILO BEING THE
00-032 BONDED TO THE BACK SIDE OF
BOTTOM CUSHION
E. VELCRO: SKANDIA, INC. PBLK1.00L &
PBLK1.00H 1- LOOP AND HOOK
TYPICAL 6 PAX SEATS
TEST PLAN 5823
WO# 45812-00
REV IR
DATE: 05-12-00
GULFSTREAM GIV
S/N 1085
ALL COMPONENTS BONDED WITH CORAL ADHESIVES CC1025 ADHESIVE
TEST
SPECIMENS 5823-1 & 5823-2
'
PAGE 9
SDNYGIvl02753902
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240824
EFTA01326417
•
r
=
lk.
SDNY_GM_02753903
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240825
EFTA01326418
•
e
A
r
D
I
BOT TO
M CUSHION
A. DRESS COVER: GARRETT LEATHER C-616 CHATHAM
SEAFOG DYE LOT 67296
SURFACES ONLY
DAX GRAPHITE/POLY WITH 26 ILD BEING THE
00-032 BONDED TO THE BACK SIDE OF
BOTTOM CUSHION
E. VELCRO: SKANDIA, INC. PBLK1.00L &
PBLK1.00H 1' LOOP AND HOOK
ALL COMPONENTS BONDED WITH CORAL ADHESIVES CC1025 ADHESIVE
TYPICAL 2 DOUBLE PAX
TEST PLAN 5823
WO# 45812-00
REV IR
DATE: 05-12-00
GULFSTREAM GIV
S/N 1085
SPECIMENS 5823-3 & 5823-2
PAGE 10
SDNYGIv1_02753904
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240826
EFTA01326419
SDNY_GM_02753905
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240827
EFTA01326420
SOTTEO/4
ND VIEW BACA--
CUSH'
-.AND
A. DRESS COVER: ICF/UNIKA VAEV FABRIC 917 COLOR 81
REF. JOB 00-032
SURFACES ONLY
DAX GRAPHITE/POLY WITH 26 ILD BEING THE
00-032 BONDED TO THE BACK SIDE OF
BOTTOM CUSHION
E. VELCRO: SKANDIA, INC. PBLK1.00L &
PBLKI.00H V LOOP AND HOOK
TYPICAL DIVAN
TEST PLAN 5823
WO# 45812-00
DATE: 05-12-00
REV IR '
GULFSTREAM GIV
S/N 1085
ALL COMPONENTS BONDED WITH CORAL ADHESIVES CC1025 ADHESIVE
SPECIMENS 5823-5 & 5823-6
IS MET
BY
TEST
PAGE II
SDNYGlvl_02753906
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240828
EFTA01326421
SDNYGM02753907
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240829
EFTA01326422
•
SKAND1A, lnc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
Client :
Date :
05/19/00
Client P.O.
Aircraft:
GULFSTREAM GIV
Test Plan 11:
5823
Skandia WON:
45812-00
Rev: IR
S/N:
1085
FAR 25.853 (c) Appendix F Part U Amendment 25-83
Conditioning Room: Time In :05/J7/00
Time Out: 05/19/00
Part Number
Specimen
Bum Length (Inches)
VERT
HORIZ-T HORIZ-B
Weigh Loss
(LBS.)
cm
Al
5823-1
LEATHER/CANVAS
9.0
5823-2
LEATHER/CANVAS
7.5
3.6
0.25
3.9
#2
5823-1
LEATHER/CANVAS
9.2
5823-2
LEATHER/CANVAS
7.7
4.2
0.26
4.2
#3
5823-1
LEATHER/CANVAS
9.2
5823-2
UMBER/CANVAS
7.2
3.8
0.25
3.9
AVERAGE:
9.1
7.5
3.9
0.25
4.0
Materials:
Dress Cover
50% EDELMAN LEATHER ROYAL HIDE RII323 CUSTOM LT. GRAY DYE LOT AFL00
50% VAN NUYS AWNING CO. ARABIAN COTTON ARMY DUCK TREATED AT SYNCRO REF. JOB 00-032
Foam:
SICANDIA, INC. DAX GRAPHITE/POLY 261W
Other
Comments:
FIREBLK3-6499
PAGE: 12
SDNYGIvl_02753908
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240830
EFTA01326423
•
•
SDNY_GM_02753909
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024083 I
EFTA01326424
•
SKANDIA, Inc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
Client :
Date :
05/19/00
Client P.O. #:
Aircraft:
GULFSIREAM GIV
Test Plan #:
5823
Skandia WO #:
45812-00
Rev: IR
S/N:
1085
FAR 25.853 (c) Appirlix F Part II Amendment 25-83
Conditioning Room: Time In:05/17/00
Time Out: 05/19/00
Part Number
Specimen
Burn Length Race
VERT
HORIZ-T HORIZ-B
Weigh Loss
(LBS.)
(%)
in
5823-3
LEATHER/CANVAS
8.0
5823-4
LEATHER/CANVAS
7.4
2.6
0.26
4.4
#2
5823-3
LEATHER/CANVAS
8.2
58234
LEATHER/CANVAS
7.0
3.4
0.26
4.4
#3
5823-3
LEATHER/CANVAS
8.4
5823.4
LEATHER/CANVAS
7.5
3.7
0.28
4.7
AVERAGE:
8.2
7.3
3.2
0.27
4.5
Materials:
Dress Cover
50% GARRETT LEATHER C-6I6 CHATHAM SEAFOG DYE LOT 67296
50% VAN NUYS AWNING CO. ARABIAN COTTON ARMY DUCK TREATED AT SYNCRO REF. JOB 00-032
SKANDIA, INC. DAX GRAPHtTE/POLY 26 ED
Foam:
Other.
Comments:
FIREBLK3.6501
PAGE: 13
SDNYGIv102753910
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240832
EFTA01326425
•
•
SDNYGM02753911
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240833
EFTA01326426
•
SKAND1A, lnc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227.1611 • Fax 815/227-1920
Client :
Date :
05/19/00
Client P.O. #:
Aircraft:
GULFSIREAM GIV
Test Plan ft
5823
Slcandia WO #:
45812-00
Rev: IR
S/N:
1085
FAR 25.853 (c) Appendix F Part II Amendment 25-83
Conditioning Room: Time In:05/9/00
Time Out: 05/19/00
Part Number
Specimen
Burn Length (Inches)
VERT
HORIZ-T HORIZ-B
Weigh Loss
(LBS.)
(%)
#1
5823-5
FABRIC/CANVAS
8.0
5823-6
FABRIC/CANVAS
7.8
3.4
0.26
4.1
#2
5823.5
FABRIC/CANVAS
7.7
5823-6
FABRIC/CANVAS
7.3
3.3
025
3.9
#3
5823-5
FABRIC/CANVAS
8.4
5823-6
FABRIC/CANVAS
8.0
3.7
0.28
4.3
AVERAGE:
8.0
7.7
3.5
0.26
4.1
Materials:
Dress Cover:
50% ICF/UNIKA VAEV FABRIC 917 COLOR 81 CRANBROOK CRANBROOK GREY TREATED AT SYNCRO
REF. JOB 00-032
50% VAN NUYS AWNING CO. ARABIAN COTTON ARMY DUCK TREATED AT SYNCRO REF. JOB 00-032
Foam:
SICANDIA, INC. DAX GRAPIWIFJPOLY 26 ILD
Other:
Comments:
FIREBLIC3-6502
PAGE: 14
SDNYGIvl_02753912
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240834
EFTA01326427
•
•
SDNY_GM_02753913
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240835
EFTA01326428
*O. 5
6.33 LB
6. 33 LB
6. 33 L
6. 22 LB
6. 11 LB
6. 10 LB
6.09 LB
6.09 LB
6.08 LB
6.08 LB-
MAY 19 2000
7 -p ci f? .3
..57? 3 -
-
BURN LENGTH
VERT
HORZ-T
7 T-
HORZ-B -
Nit
1.60., •
gialmemiggin
•
6. 19 LB
CURN LENGTH
6. 20 LB
VERT
9.
6. 20 LB---HORZ-T
6. 06 LB
HORZ B
5.98 LB
WT.L0SS LBS. awe
5.96 LB
WV
% !omegas
5.95 LB
5.94 LB
5.94 LB
,
5.94
6. 40 LB
6. 40 LB
6. 40 L
6. 25 LB
6. 18 LB
6. 17 LB'
6. 16 LB
6. 16 LB
6. 15 LB
6. 15 LB---
BURN LENGTh
ERT
-9
A
HORZ-T
HORZ B
PAGE: 15
SDNY GM 02753914
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240536
EFTA01326429
•
•
SDNY_GM_02753915
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240837
EFTA01326430
6PA-401
MAY 19 2000
t p (.5--wp 3
Ay 5ra-3- 3
5. 95 LB
5.95 LB
5.95 LB
5.83 LB
5. 74 LB
5. 71 LB
5. 70 LB
5. 70 LB
5. 70 LB
5. 69 LB
BURN LENGTH
ERT
HORZ-T
HORZ-B
WrLQ$$ LOS.
WTian %nal
iEro
5. 92 LB
BURN LENGTH
5. 92 LB
VERT
-
55
55.
780
90 2
LB
LLF WTHu°1410SRZRZ:TBS
5-68 LB
Valigi--i6er"'""
5.67 LB
5.67 LB
5.66 LB
5.66 LB----
5. 92 LB
BURN LENGTH
5.92 LB
VERT =
55.: 7982
=
5.69 LB
nuns Las, =
5.67 LB
ma
9601 se,sers.
5.66 LB
5.65 LB
5. 64 LB
5. 64 LB
PAGE: 16
SDNYGIv1_02753916
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 1O, 15, and 17
EFTA 00240838
EFTA01326431
•
•
SDNYGM02753917
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240839
EFTA01326432
ri4
6 yer
fp
6. 34 LB
6. 34 LB
6.34 L.
6.21 LB
6. 12 LB
6. 10 LB
6. 09 LB
6. 09 LB
6. 09 LB
6. 08 LBO
MAY 19 2000
t)° ,5-ga 3
3-Se
,,
CU RN LENGTH
ERT
HORZ-T
7 -cr
HORZ B
WT.Lpgg LBO.®
IMT4wq ienws
6 47 LB
CORN LENGTH
6.48 LB
__VERT
=
.
6. 48 LB.' HORZT
66.. 236 LL
HO
BB
wrJER1 -
t88.
6. 25 LB
lismsaimmes
wT
6.24 LB
6.23 LB
6.. 23
23 LB---"
B
6. 47 LB
r URN LENGTH
6. 47 LB
VERT
= Q ie
6. 47
HORZ-T
V/7
6. 35 LB
MORZ-B =
6.24 LB
WT.LOSS LBO.
6. 21 LB
Yin WM)
cep
6. 20 LB
6. 20 LB
6. 19 LB
6. 19 LB, "
PAGE: 17
SDNYGlvl02753918
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 40840
EFTA01326433
SDNY_GM_02753919
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240841
EFTA01326434
SDNY_GI,1_02753920
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240842
EFTA01326435
SDNY_GM_02753921
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240843
EFTA01326436
•
SKAND1A, lnc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
Client
WO #:
45812-00
Date:
04/24/00
7701 WOODLEY AVENUE
Test Plan #: 5823
Rev:IR
VAN N(JYS CA 91406
PO #:
Aircraft:
GULFSTREAM OW
S/N:
1085
FAR 25.853 (a) Appendix F Part I (a) (1) (ii)
Conditioning Room: Time In:
04/21/09
Time Out: 04/24/00
Specimen EDELMAN LEATHER ROYAL HIDE RH323 CUSTOM LT. GRAY DYE LOT AFL00
Desc.:
Flame
Application
(seconds)
Flame
Time
(seconds)
Burn
Length
(inches)
Drippings
(seconds)
12
0.0
0.3
0.0
12
9.2
0.3
0.0
12
10.3
0.3
0.0
Average:
6.5
0.3
0.0
Comments:
Vertical (12 sec.) Bum Test: Average Self-Extinguish time may not exceed 15 sec. Average
Bum Length may not exceed 8". Average Dripping may not exceed 5 sec. after falling.
Passed:
Signed:
/ERTI2NW-25381
Failed :
PAGE: 19
SDNYGlvl02753922
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 40844
EFTA01326437
•
SDNYGM02753923
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240845
EFTA01326438
•
SKAND1A, inc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
Client:
WO ft
45812-00
Date:
05/04/00
7701 WOODLEY AVENUE
Test Plan #: 5823
VAN NUYS CA 91406
PO #:
Aircraft:
GULFSTREAM OW
S/N:
1085
FAR 25.853 (a) Appendix F Part I (a) (1) (ii)
Conditioning Room: Time In:
05/02J$1
Time Out: 05/04/00
Specimen
Dese.:
GARRETT LEATHER C-616 CHATHAM SEAFOG DYE LOT 67296
Flame
Application
(seconds)
Flame
Time
(seconds)
Burn
Length
(melts)
Drippings
(seconds)
12
0.0
0.5
0.0
12
0.0
0.5
0.0
12
0.0
0.6
0.0
Average:
0.0
0.5
0.0
Comments:
Vertical (12 sec.) Burn Test: Average Self-Extinguish time may not exceed 15 sec. Average
•
Burn Length may not exceed 8". Average Dripping may not exceed 5 sec. after falling.
Passed:
Failed :
Signed:
PAGE: 20
✓ERTI2NW-25382
SDNYGlvl_02753924
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240846
EFTA01326439
SDNY_GM_02753925
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240847
EFTA01326440
•
SliAND1A, inc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
Client:
WO #:
45812-00
Date:
04/24/00
7701 WOODLEY AVENUE
Test Plan #: 5823
Rev: IR
VAN NUYS CA 91406
PO #:
Aircraft:
GULFSTREAM GIV
S/N:
1085
VERTICAL FLAMMABif T
triPcT RESULTS
FAR 35.853 (a) Appendix F Part I (a) (1) (ii)
Conditioning Room: Tithe In:
04/21/00
Time Out: 04/24/00
Specimen VAN NUYS AWNING CO. ARABIAN COTTON ARMY DUCK TREATED AT SYNCRO REF.
Des°
JOB 00-032
Flame
Application
(seconds)
Flame
Time
(seconds)
Bum
Length
(inches)
Drippings
(seconds)
12
Warp
0.0
Fill
0.0
Warp
2.7
Fill
2.0
Warp
0.0
Fill
0.0
12
0.0
4.7
2.4
4.5
0.0
0.0
12
0.0
13.2
2.6
7.1
0.0
0.0
Average:
0.0
6.0
2.6
4.5
0.0
0.0
Comments:
Vertical (12 sec.) Burn Test: Average Self-Extinguish time may not exceed 15 sec. Average
Burn Length may not exceed 8". Average Dripping may not exceed 5 sec. after falling.
Passed:❑
Failed :
Signed:
✓ERTI2-6308
PAGE: 21
SDNYGlvl_02753926
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240848
EFTA01326441
•
•
SDNYGM02753927
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240849
EFTA01326442
•
SKAND1A, inc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
Client:
7701 WOODLEY AVENUE
VAN NUYS CA 91406
Aircraft:
GULFSTREAM GIV
WO #:
45812-00
Date:
03/23/00
Test Plan if: 5823
Rev: IR
PO it:
S/N:
1085
FAR 25.853 (a) Appendix F Part I (a) (1) (ii)
Conditioning Room: Time In:
03/22/00
1:30PM
Time Out: 03/23/00
1:35PM
Specimen ICF/UNIKA VAEV FABRIC 917 COLOR 81 CRANBROOK CRANBROOK GREY TREATED AT
Desc.:
SYNCRO REF. JOB 00-032
Flame
Application
(seconds)
Flame
Time
(seconds)
Burn
Length
(inches)
Drippings
(seconds)
12
Warp
0.0
Fill
0.0
Warp
1.3
Fill
2.6
Warp
0.0
Fill
0.0
12
0.0
0.0
2.0
1.4
0.0
0.0
12
0.0
0.0
1.9
1.6
0.0
0.0
Average:
0.0
0.0
1.7
1.9
0.0
0.0
Comments:
Vertical (12 sec.) Burn Test Average Self-Extinguish time may not exceed 15 sec. Average
Burn Length may not exceed 8". Average Dripping may not exceed 5 sec. after falling.
Passed:
I ^j
Failed :
PAGE: 22
tERT12-6306
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10,
SDNY
02753928
15, and 17
EFTA_00240850
EFTA01326443
•
SDNY_GM_02753929
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024085 I
EFTA01326444
•
SKANDIA, inc.
5181 Falcon Road • Rockford. Illinois 61109 • Phone 815/227.1611 • Fax 815/227.1920
Client:
WO #:
47120-00
Date:
04/25/00
Test Plan #:
PO #:
Aircraft:
STOCK
Conditioning Room: Time In:
Specimen SKANDIA, INC.: DAX GRAPHITE/POLY FOAM, 1/2", 26 ILD, LOT #03290
Desc.:
S/N:
NA
FAR 25.853 (a) Appendix F Part I (a) (1) (ii)
04/24/00
11:50AM
Time Out: 04/25/00
1:00 PM
Flame
Application
(seconds)
Flame
Time
(seconds)
Bum
Length
(inches)
Drippings
(seconds)
12
0.0
2.8
0.0
12
0.0
2.9
0.0
12
0.0
2.8
0.0
Average:
0.0
2.8
0.0
Comments:
Vertical (12 sec.) Burn Test: Average Self-Extinguish time may not exceed 15 sec. Average
Burn Length may not exceed 8". Average Dripping may not exceed 5 sec. after falling.
Passed:
Signed:
Litz L.
Carin Demus
VERTI2NW-24914
Failed :
PAGE: 23
SDNYGlvl_02753930
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240852
EFTA01326445
SDNYGM02753931
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240853
EFTA01326446
•
SKAND1A, lnc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227.1611 • Fax 815/227-1920
Client:
Aircraft:
STOCK
WO #:
47120-00
Date:
04/25/00
Test Plan #:
PO14:
S/N:
NA
FAR 25.853 (a) Appendix F Part I (a) (1) (ii)
Conditioning Room: Time In:
04/24/00
II:50AM
Time Out: 04/25/00
1:05PM
Specimen
Desc :
SKANDIA, INC.: DAX GRAPHITE/POLY FOAM, UT, 26 MD, LOT #03310
Flame
Application
(seconds)
Flame
Time
(seconds)
Burn
Length
(inches)
Drippings
(seconds)
12
0.0
2.0
0.0
12
0.0
2.3
0.0
12
0.0
2.4
0.0
Average:
0.0
2.2
0.0
Comments:
Vertical (12 sec.) Burn Test: Average Self-Extinguish time may not exceed 15 sec. Average
Burn Length may not exceed 8". Average Dripping may not exceed 5 sec. after falling.
Passed:
Signed:
E
7G•
Carin Demus
ERT12NW-24915
Failed :
PAGE: 24
SDNY_Glvl_02753932
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240854
EFTA01326447
•
SDNY_GM_02753933
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240855
EFTA01326448
•
SKAND1A, inc.
5181 Falcon Road • Rockford. 111inois 61109 • Phone 815/227-1611 • Fax BIS/227-1920
Client:
WO #:
44446-00
Date:
02/16/00
Test Plan #:
PO #:
Aircraft:
STOCK
S/N:
NA
VERTICAL_FLAMMABILITY TEST RESULTS
FAR 25.853 (a) Appendix F Part I (a) (1) (ii)
Conditioning Room: Time In:
02/15/00
3:15PM
Time Out: 02/16/00
4:23PM
Specimen SKANDIA, INC.: NOMEX THERMAL BATTING, PART 135, LOT #02140
Desc.:
Flame
Application
(seconds)
Flame
Time
(seconds)
Bum
Length
(inches)
Drippings
(seconds)
12
12.0
2.3
0.0
12
5.3
1.4
0.0
12
0.0
0.9
0.0
Average: .
5.8
1.5
0.0
Comments:
Vertical (12 sec.) Burn Test: Average Self-Extinguish time may not exceed IS sec. Average
Burn Length may not exceed 8". Average Dripping may not exceed 5 sec. after falling.
Passed: in
Signed:
A:t "
/ 4
9-nte•o-,
Carin Demus
zNW-23221
Failed :
PAGE: 25
SDNYGlvi_02753934
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240856
EFTA01326449
SDNY_GM_02753935
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240857
EFTA01326450
Client:
Aircraft:
STOCK
•
SKANDIA, Inc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227.1611 • Fax 815/227.1920
WO
41724-99
Date:
12/02/99
Test Plan #:
PO #:
S/N:
NA
FAR 25.853 (a) Appendix F Part I (a) (1) (ii)
Conditioning Room: Time In:
12/01/99
9:30AM
Time Out: 12/02/99
10:00 AM
Specimen Desc.:
SKANDIA, INC.: 1" BEIGE SEW HOOK FASTENER, SBGEI.00H, LOT #11299-lit
Flame
Application
(seconds)
Flame
Time
(seconds)
Burn
Length
(inches)
Drippings
(seconds)
12
0.0
3.6
0.0
12
0.0
3.4
0.0
12
'
0.0
3.2
0.0
Average:
0.0
3.4
0.0
Comments:
Vertical (12 sec.) Burn Test: Average Self-Extinguish time may not exceed 15 sec. Average
Burn Length may not exceed 8". Average Dripping may not exceed 5 sec. after falling.
Passed:
Signed:
e.i
Carin Demus
VERT12N'W-21424
Failed :
PAGE: 26
SDNY_Glvl_02753936
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240858
EFTA01326451
•
w
SDNYGM02753937
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240859
EFTA01326452
Client:
Aircraft:
STOCK
r
SKAND1A, lnc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227.1611 • Fax 815/227-1920
WO #:
40478-99
Date:
10/27/99
Test Plan #:
PO #:
S/N:
NA
VVERTICAL FLAMMABILITY TEST RESUt TS
FAR 25.853 (a) Appendix F Part I (a) (1) (ii)
Conditioning Room: Time In:
10/26/99
2:30 PM
Time Out: 10/27/99
2:55PM
Specimen Desc.:
SKANDIA INC.: LOOP FASTENER, SBGEI.00L, SEW BEIGE I", RUN # 42112-
Flame
Application
(seconds)
Flame
Time
(seconds)
Burn
Length
(inches)
Drippings
(seconds)
12
0.0
2.4
0.0
12
0.0
2.6
0.0
12
0.0
2.6
0.0
Average:
0.0
2.5
0.0
Comments:
Vertical (12 sec.) Burn Test: Average Self-Extinguish time may not exceed 15 sec. Average
Burn Length may not exceed 8". Average Dripping may not exceed 5 sec. after falling.
Passed: ri
RT I 2NW -20642
Failed : ri
PAGE: 27
SDNYGkl_02753938
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240860
EFTA01326453
r
SDNY_GM_02753939
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240%61
EFTA01326454
0W02/280.ps-Cbcp:?.0
8189885
flncVclrPNL2V
•
Teddy & Arthur Edelman, Limited
EDELMAN
2:334263840;9/NCR°
,
28 HawleyvIlle Road. P. O. Pox 110. Hawlei/villa, CT 06440-0110
Tel: (203) 426-3611. Fax: (203) 426-3840
Sold To:
Cust No: 003549
VERONICA ALZAREZ 818 901-9828
7701 .WOODLEV AVENUE
VAN NUYS, CA 91406
USA
PAGE 84
PAGE:01
Order Nos 615346
Pick Date: 04/76/2000
Snipped To;
-----
7701 WOODLEY AVENUE
VAN NUYS, CA 91406
USA
Cust. PO No.
Order Date Shyer:. & SIsmn Delivery
Terms
itttrifireTter
—
oil/26/2000'
— GPS7r
KIET—":0—D
-
AYS-
OtY-Ord OtY.Shp Item No.
Description
606.25
Color
Lot
0.00 RH323
ROYAL HIDE.
Special instructions:
JOB noo-b32-4.01 - 600 5/F
4.09 -
55 S/F
RESHIPMENT
TIE TO RMA 615344
5 DAYS AFTER RECEIPT OF GOODS BY SUTER. RESPONSIKLITY OF THE SELLER FOR
(NATURAL DEFECTS WHICH MAY BE VISIBLE IN LEATHER OR FABRICS AS ORIGINALLY
PICKING TICKET - PAGE 1
COPT I
PAGE: 28
SDNYGIvl_02753940
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240862
EFTA01326455
•
i
SDNY_GM_02753941
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240863
EFTA01326456
05/09/2000 88:28
8189885251
GARRETT.
L
EAT
H
E
R
1 Natural Selection.
SYNCRO
Garen locrhoc Cap:ma:en
1360 MOM Shoot
DvDo13, NY 14213.1305
Toknonco.3 500442.7735
716.862.9301
Far
7164824358
Woo Site
yomtgarettlealher.com
PAGE
67
ACKNOWLEDGMENT
(THIS IS NOT A BILL)
5
O
H
0
P
RECEIVING
7701 WOODLEY AVENUE
7701 WOODLEY AVENUE
0
VAN ,NUTS, CA 914.06
0
VAN NUYS, CA 91406
EDER DATE
.)3/30/00
CUSTOMER P.O.
09691
SEP VIA
PDX.,21 OVERNITE
FOB.
BUFFALO NY
TERMS
NET 15 DAYS
MM
VERONICA
DUE DATE
04/03/00
LOCATION
KENM
SALES PERSON
A T INTRS - TONI THOMAS <CA)
currincanoN
FAR 25.553 a/b
tJANTITY ORDERED
DESCRIPTOR
Ea QUANTITY SHIPPED
490
I
•
FOR WAREHOUSE
*EKED BY:
C-618
Chatham
** CFA
CERT
.8110-3
GUI.FSTBAM
SN 1085
N884CE
ONLY
Seafog
APPROVED 3-30-00
Certificate:
-
G IV
67296 .
•
9.
I
.
4/9(0, tio
Cert
-
St , DATE
3bl/
0D
NECKED BY:
I FOR SELECTING
JARRETT LEATHER
ORUENNO.
37210
!!! I
on MARKED HIDES ARE NOT RETURNABLE PLEASE INSPECT CAREFULLY.
SDNY_GM_02 753942
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240864
EFTA01326457
SDNY_GM_02753943
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240865
EFTA01326458
9980tZ00-V.L43
cn
C
co
rn
H
77
0
H
rn
<
rn
0
0
rn
JJ
,0
7D
0
77
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0-
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Ctevx:Ittlars4 W.
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lo( Comae Orrecond. VI! it Caine. NV tos64
re:14a 0 iCas
:r:pee CPO
Alt LS na Ens
006594
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7701 WOODLEY AVE
•
VAN NUYS, CA 91406
0
L
J
PACKING LIST
Locat
S
0
01
ICE Taftville Warehouse
ID REPRINT
1
018-901-9828
7701 WOODLEY AVENUE
VAN NUYS, CA 91406
191902-00
OROER DATE
"USTOMEsi PUN HASECK,ESNO.
3/09/00 ! 09567
PEDAL giSTRUCTIOVS ►
BEND
OT4ORDERED
OTY.SAWED
KMUSACKCJOBE0i UN
BIN=
I
NEMNO.
DESC.1e7MN
1
2
30.00
-0
J.
j
T
30.00
30.00
.00
YRD
11.78.7
,220
,
•
GRANBROOlts CRANBROOZ
JOB NO. ED0-032
V.
195
GREY
4.04
.
DATE R*0
i
PICKED DV
PAM()
CHECKED aY
MAIRENOECTAD
NO7E: 1HIS SHIPMEIC HAS BEEN CHECKED TWICE ANY DISCREPANCIES /MST BE REAMED IIAMEDLUELY. N0 CLAIM VALI/EA EMEDMIER5DAYS
SHIP DATE
3/17/00 !UPS Second Day Air
SHIPVA
Y
ea
"0
3
co
in
tRIV7 GCE
• —i tn)
3/10/00
5
8
EFTA01326459
SDNY_GM_02753945
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240867
EFTA01326460
PAGE
35
05/89/2000 10:33
8188885251
•
SYNCRO
•
SDNYGlvl_02753946
This is to certify that the materials described below have been
flame-retardant treated in order to meet the flammability
requirements of FAR 25.853 (b) Amendment 25-32 by:
The treatment process used is in accordance with
Syncro Aircraft Interiors Process Specification PSOO1.
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240868
EFTA01326461
•
•
SDNY_GM_02753947
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240869
EFTA01326462
05/09/2000 10:33
,
•
•
818988525/
•
SYNCRO
•
PAGE
05
ran Kilda AWNING CO, INC.
SINCE 1ST B
5661 SEPULVEDA
BLVD., VAN NUTS, CA. 91411 - PHONES: 752-5607 - FROM LA. 573-3331
COST.
ORDER No.
NAME
tr
• -7 • n ---
DATE
= r
ADDRESS CA11,21O
c •c, I C .-.14)4e4m, 5
SOW SY
CAD(
CAA.
cuA
dtmA
moStAVD.
pm cut.
C0MINCTCA S CC •
2 7 7 0 0 2
QUANTITY
• DESCRIPTION
PRICE
AMOUNT
qiris
• c,"O6..
AMOUNT '155. -c:
TAX
LABOR
TOTAL 5 5'i
DEPOSIT
BALANCE
DUE
555 77
107290
RECD BY
.1641C1C0.6••20..
3I4
PAGE: 32
SDNYGlvl02753948
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 40570
EFTA01326463
SDNY_GM_02753949
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024087 I
EFTA01326464
PAGE
07
85/89/2000 10:33
8189885251 •
SYNCRO
•
This is to certify that the materials described below have been
flame-retardant treated in order to meet the flammability
requirements of FAR 25.853 (b) Amendment 25-32 by:
The treatment process used is in accordance with
Syncro Aircraft Interiors Process Specification PS001.
SDNY_GM_02753950
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240572
EFTA01326465
SDNYGM02753951
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240873
EFTA01326466
05/09/2000 18:33
/
/
..r"
•
N?.
1 9 6 1 8
Sold
To
Shipped To
8199885251
SYNCRO
SYNCRO AIRCRAFT
10109 SO. SHOEMAKER AVE.
SANTA FE SPRINGS, CA 90670-3495
(562) 944-9971
7701 WOODLEY AV.
VAN NUYS, CA 91406
PAGE
08
so'
Jan. 28, 2000
CVSIODAEAS GROM
9390
.SAISPAAN
TS.%
Net 30
SFS
SMAPCO VIA
- Pratt' Trkg
•
•
.
.
•
per gal
2
5-gal. pails CC1025A adhesive,
Lot #2521A0
20 90
209 00
..--
25 88
Freight
& handling charges,
.4ek
FES 2 5 aCe
£(0
W. 04 (5-C>- 6( )
0
For resa e
51:1 i• c
‘i-ne
TOTAL
234 88
INVOICE
PAGE: 34
SDNYGIvl _02753952
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 40874
EFTA01326467
•
•
SDNY_GM_02753953
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240875
EFTA01326468
•
SKAND1A, inc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227.1611 • Fax 815/227-1920
******
ORDER NUMBER:0043599
ORDER DATE: 01/26/00
SOLD TO:
7701 WOODLEY AVENUE
VAN NUYS
CA 91406
INVOICE ******
INVOICE NUMBER:
INVOICE DATE:
CUSTOMER NO:
PAGE: 1
0056911-IN
01/26/00
0001650
SHIP TO:
7701 WOODLEY AVENUE
VAN NUYS
CA 91406
CONFIRM TO:
BRENDA
CUSTOMER P.O.
SHIP VIA
9388
FED SAVER
F.0.8
TERMS
DAVIS JUNCTION
NET 30 1.5% LATE CHARGE
ITEM NO.
UNIT ORDERED
SHIPPED
BACK ORD
PRICE
AMOUNT
SKAHC.25
EACH
1.000
.000
1.000
327.930
.000
.25"X56"X48' ENSOLITE AHC
WHSE: 002
DAX26.5
EACH
15.000
15.000
.000
14.520
217.800
DAX 26 1/2"X24"X72" F/R FOAM
LOT NUMBER: 11019-2
WHSE: 002
15.000
DAX261.0
EACH
15.000
15.000
.000
29.040
435.600
DAX 26 1"X24"X72" F/R FOAM
LOT NUMBER: 01100-2
WHSE: 002
15.000
DAX262.0
EACH
20.000
20.000
.000
58.080
1,161.600
DAX 26 2"X24"X72" F/R FOAM
LOT NUMBER: 11159-2
WHSE: 002
20.000
DAX471.0
EACH
15.000
.000
15.000
29.040
.000
DAX 47 1"X24"X72" F/R FOAM
WHSE: 002
PAGE: 18
PAGE: 35
CONTINUED
SDNYGIvl_02753954
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240876
EFTA01326469
SDNY_GM_02753955
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240877
EFTA01326470
•
SKAND1A,
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
******
ORDER NUMBER:0043599
ORDER DATE: 01/26/00
SOLD TO:
SYNCRO'AIRCRAFT INTERIORS, INC
7701 WOODLEY AVENUE
VAN NUYS
CA 91406
INVOICE ******
INVOICE NUMBER:
INVOICE DATE:
CUSTOMER NO:
PAGE: 2
0056911-IN
01/26/00
0001650
SHIP TO:
7701 WOODLEY AVENUE
VAN NUYS
CA 91406
CONFIRM TO:
BRENDA
CUSTOMER P.O.
SHIP VIA
9388
FED SAVER
ITEM NO.
UNIT ORDERED
F.O.B
TERMS
DAVIS JUNCTION
NET 30
SHIPPED
BACK ORD
1.5% LATE CHARGE
PRICE
AMOUNT
DAX472.0
EACH
10.000
.000
10.000
58.080
.000
DAX 47 2"X24"X72" F/R FOAM
WHSE: 002
DAX55.5
EACH
25.000
25.000
.000
14.520
363.000
DAX 55 1/2"X24"X72" F/R FOAM
WHSE: 002
LOT NUMBER: 10259-30
25.000
DAX551.0
EACH
15.000
15.000
.000
29.040
435.600
DAX 55 1°X24"X72" F/R FOAM
WHSE: 002
LOT NUMBER: 12209-5
15.000
DAX552.0
EACH
20.000
20.000
.000
58.080
1,161.600
DAX 55 2"X24"X72" F/R FOAM
WHSE: 002
LOT NUMBER: 01030-5
15.000
LOT NUMBER: 10259-5
5.000
FR CANVAS/NAT
YARD
10.000
10.000
.000
10.000
100.000
FR CANVAS/NAT 64" X 1 YARD
WHSE: 002
LOT NUMBER: 11249
10.000
1OMEX BATTING
EACH
2.000
2.000
.000
375.000
750.000
PART 135 THERMAL BAT 40"X2OYDS WHSE: 002
LOT NUMBER: 01050
2.000
PAGE: 19
PAGE: 36
CONTINUED
SDNYGlvl02753956
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA ()1240878
EFTA01326471
•
•
SDNY_GM_02753957
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240879
EFTA01326472
0880K0O- V.L.43
cn
co
rn
H
— I
n
-0
7a
0
rn
n
— I
rn
0 70
C
rn
7J
-a
7a
7a
-CO
to
P
u,
c,
STIF-0
cu
CI_
I-s
iCl°
19618
Sold
lo
SYNCRO AIRCRAFT
10109 SO. SI•1OEMAKER AVE.
SANTA FE SPRINGS, CA 90070-3495
(502) 944-9971
7701 WOOULEi AV.
• VAN NUYS, CA 91406
Shippod to
OAK
Jan. 28
2000
(WO/4n ORDER
9390
SME5mAN
IERAtS
•
Net 30
F.O.B.
srs ••
UWEDVIA
Pratt Trkg...
••
• •
.
.
per gal
2
5-gal. pails CC102.5A adhesive, Lot 112521A0
20 90
209 00
Freight & handling charges
25 88
For resale
w.6
4 (51 ) - 6 1 ' )
507,
5b ' ). Sitlir
TOTAL
234 88 :
t:
II
EFTA01326473
•
•
SDNY_GM_02753959
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240881
EFTA01326474
•
SKAND1A, Inc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227.1611 • Fax 815/227-1920
******
ORDER NUMBER:0043599
ORDER DATE: 01/26/06
SOLD TO.:
7701 WOODLEY AVENUE
VAN NUYS
CA 91406
CONFIRM TO:
BRENDA
CUSTOMER P.O.
SHIP VIA
9388
FED SAVER
ITEM NO.
UNIT ORDERED
PBGE2.00L
EACH
2.000
PSA BEIGE 2" LOOP
1.007 NUMBER: 11119-PHL
PBGE1.OOH
EACH
3.000
PSA BEIGE 1" HOOK
LOT NUMBER: 11229-PHL
PBGE1.00L
EACH
3.000
PSA BEIGE 1" LOOP.
LOT NUMBER: 01050-PHL
SBGE2.00H
EACH
2.000
SEW BEIGE 2" HOOK
LOT NUMBER: 09298-HL
PBLK2.00H
EACH
3.000
PSA BLACK 2" HOOK
LOT NUMBER: 01140-PHL
PBLK2.OOL
EACH
3.000
PSA BLACK 2" LOOP
LOT NUMBER: 08309-PHL
INVOICE ******
PAGE:
3
INVOICE NUMBER: 0056911-IN
INVOICE DATE: 01/26/00
CUSTOMER NO: 0001650
SHIP TO:
7701 WOODLEY AVENUE
VAN NUYS
CA 91406
F.O.B
TERMS
DAVIS JUNCTION
NET 30
SHIPPED
BACK ORD
1.5% LATE CHARGE
PRICE
AMOUNT
2.000
.000
33.000
66.000
WHSE: 002
2.000
3.000
.000
19.750
59.250
WHSE: 002
3.000
3.000
.000
19.750
59.250
WHSE: 002
3.000
2.000
.000
15.750
31.500
WHSE: 002
2.000
3.000
.000
33.000
99.000
WHSE: 002
3.000
3.000
.000
33.000
99.000
WHSE: 002
3.000
PAGE: 21
PAGE: 38
CONTINUED
SDNYGlvl_02753960
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240882
EFTA01326475
SDNY_GM_02753961
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240883
EFTA01326476
•
SKAND1A, lnc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax1515/227-192.0
******
ORDER NUMBER:0043599•
ORDER DATE: 01/26/06
SOLD TO:
7701 WOODLEY AVENUE
VAN NUYS
CA 91406
CONFIRM TO:
BRENDA
CUSTOMER P.O.
9388
SHIP VIA
FED SAVER
ITEM NO.
UNIT ORDERED
PBLK1.00H
EACH
3.000
PSA BLACK 1" HOOK
LOT NUMBER: 01050 -PHL
PBLK1.OOL
EACH
3.000
PSA BLACK 1" LOOP
LOT NUMBER: 01050 -PHL
SBLK2.00H
EACH
3.000
SEW BLACK 2" HOOK
LOT NUMBER: 11309 -HL
SBLK2.00L
EACH
2.000
SEW BLACK 2" LOOP
SBLX1.00L
EACH
2.000
SEW BLACK 1" LOOP
LOT NUMBER: 09249-HL
INVOICE ******
PAGE: 4
INVOICE NUMBER: 0056911-IN
INVOICE DATE:
CUSTOMER NO: 01/26/00
0001650
SHIP TO:
7701 WOODLEY AVENUE
VAN NUYS
CA 91406
F.O.B
TERMS
DAVIS JUNCTION
NET 30
SHIPPED
BACK ORD
3.000
.000
WHSE: 002
1.5% LATE CHARGE
PRICE
AMOUNT
19.750
59.250
3.000
3.000
.000
19.750
59.250
WHSE: 002
3.000
3.000
.000
15.750
47.250
WHSE: 002
3.000
.000
WHSE: 002
2.000
15.750
.000
2.000
WHSE: 002
.000
7.500
15.000
2.000
NET INVOICE:
LESS pirWT:
CRT:
SALES TAX:
5,219.95
.00
PAGE: V60.85
.00
INVOICE TOTAL:
5,780.80
SDNYGlvl_02753962
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240884
EFTA01326477
SONYGAL02753963
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240885
EFTA01326478
MATERIALS
QTY.
LOT#
PICKED BY
INSPECTED BY
DAX GRAPHITE/POLY 26 ILD BURN
BLOCK BACKS
DAX.26.75X25
DAX .75" X 18' X 25*
6
a
at-
033m. .
2Cn
DAX GRAPHITE/POLY 26 ILD
DAX261.75X20
DAX261.75' X 18" X 20"
6 it
ig,,,-.41-
,03n4
5--,
...•
...-
2.5
YDS
O7.1 yo
Da-
THREAD
69 NYLON
X
4
.-
SKANDIA VELCRO 1'
PBLK1.00L & PBLK1.001-I
09? 1- frt.
09119-NI-
0 3 ?go HC
4
CORAL ADHESIVES CC1025 ADHESIVE
X
TEST PLAN # 5823 WORK ORDER # 45812-00 PREPARED BY: JUDY BOGGS
SweAO
S-17-00
(7-e"
71g
ft 30
it 30
31115
PAGE: 40
SDNYGlvl_02753964
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240866
EFTA01326479
SDNY_GM_02753965
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240887
EFTA01326480
'
•
•STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS
UA It
04/25/00
AIWACA1- I UK AllitA<Ar I ILUNIVUtitti I IlltNIII-Ila I JUN
MAKE
GULFSTREAM
SIN 1085
MODEL NO.
OW
TYPE (Altplene, Radio. Helicopter
etc.)
Anplane
Mandl; Inc
Ub I UP VA IA
IUnN i IFICANON
NILE
Work Order #
46501-00
Test ID
22923
.
...
REF: Skaudia, Inc. Test Plan #5902
Rev NEW
Dated: 04/17/00
For PN's 5902-1
P/N 5902-1
Test pan* are r X 12' pieces of Knoll, Inc., Fabric 1(1831 Butai
Pearl treated at Syncro Ref. Job #00-032. Both the warp and fill
. of the fabric are tested
.
•
Rev A
Dated: 04/24/00
For PN's 5902-3
P/N 5902-3
Test panels are 3" X 12" piece's of Bergamo Fabrics., Fabric 1797-1 Lavin
treated at Syncro Ref. Job #00-032. Both the warp and fill of the fabric arc tested.
PURPOSE Or UM A
APPUCABLE REQUIREMENTS 01st specific sections)
FAR 25.853 (a) Appendix F Part I (a) (1) (h)
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
ecoromend
I (We) Therefore
Approve
SIGNATURE(S) OF a.
0
—A •
)
Structural Special
\
DERY-405020-CE
Judy B ggs
AA FOfi51 8110-3 (11.70) SUPERSEDES PREVIOUS EDITION
SDNYGIvl_02753966
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240888
EFTA01326481
•
•
SDNY_GM_02753967
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240889
EFTA01326482
•
SKAND1A, lnc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
TEST PLAN #5902
REV A
SKANDIA WO# 46501-00
GULFSTREAM GIV S/N 1085
DEMONSTRATION OF COMPLIANCE OF FAR 25.853 (a) APPENDIX F PART I (a)(1)(ii)
DATE:
DESCRIPTION
04/24/00
A
ALL
CHANGED P/N 5902-2
TO 5902-3
04/17/00
NEW
PREPARED BQA-i-a-
Lei-)
DATE:
a4-00
JU
CO
ER
CHECKED BY:
A:a
DICK LAUGHLIN
DATE:
le/2- s-70
APPROVED B
DATE: c4-- D-5" 00
Page 1
SDNY GM 02753968
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 002401390
EFTA01326483
•
SDNY_GM_02753969
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240891
EFTA01326484
•
SKAND1A, lnc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
TEST PLAN 5902
REV A
MATERIAL LIST:
FABRIC: KNOLL, INC.: FABRIC K1.831 BUTAI
PEARL TREATED ATZYNCRO REF. JOB #00-032
BERGAMO FABRICS: FABRIC 1797-1 LAVINA
TREATED AT SYNCRO REF. JOB #00-032
TEST SPECIMENS
TEST NO. 1 P/N 5902-1
Test panels are 3' X 17 pieces of Knoll, Inc., Fabric K1831 Butai
Pearl treated at Syncro Ref. Job #00-032. Both the warp and fill
of the fabric are tested.
Test specimens are representative of fabric that will be used as lay aft bulkhead panel covering.
TEST NO. 2 P/N 5902-3
Test panels are 3" X 17 pieces of Bergamo Fabrics., Fabric 1797-1 Lavina
treated at Syncro Ref. Job #00-032. Both the warp and fill of the fabric are tested.
Test specimens are representative of fabric that will be used as decor panel covering.
Page 2
SDNYGlvl02753970
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240892
EFTA01326485
SDNY_GM_0275.71
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA _00240893
EFTA01326486
i tESIGN APPROVAL REQUEST
•
FAR 25.853 (a) APPENDIX F PART I (a)(I)(ii)
TEST SPECIMEN DRAWING NO: 5902 WO #46501-00 REV A DATE: 04/24/00
MODEL: GIV
S/N: 1085
TEST PLAN
ALL TOLERANCES +/- .030 INCH
PANEL 5902-1
2'
A
3'
COMPOSITION
MANUFACTURER
PART NUMBER
COLOR
FLAME TREATMENT
A
FABRIC
KNOLL, INC.
K1831
BUTAI
PEARL
SYNCRO REF. JOB
00-032
'
Page 3
SDNYGIvl_02753972
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240894
EFTA01326487
SDNY_GM_02753973
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240895
EFTA01326488
•
•
FAR 25.853 (a) APPENDIX F PART I (a)(0(ii)
TEST SPECIMEN DRAWING NO: 5902 WO #46501-00 REV A DATE: 04/24/00
MODEL: GIV
S/N: 1085
TEST PLAN
•
ALL TOLERANCES +1- .030 INCH
PANEL 5902-3
12"
3"
COMPOSITION
MANUFACTURER
PART NUMBER
COLOR
FLAME TREATMENT
A
FABRIC
BERGAMO FABRICS 1797-1
LAVINA
MULTI-
GREY
SYNCRO REF. JOB
00-032
Page 4
SDNYGlvl02753974
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240896
EFTA01326489
r
SDNY_GM_02753975
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240897
EFTA01326490
A
A. KNOLL, INC. FABRIC K1831
SYNCRO REF. JOB 00-032
COVERING
TEST PLAN 5902
REV A
DATE: 04/24/00
WO# 46501-00
GULFSTREAM GIV
S/N 1085
BURR TEST REQUIRSHNT FOR THIS PRODUCTION AR77CLE IS ME7' BY ZEST SPECIME' 5902-I
Page 5
SDNYGlvl_02753976
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240898
EFTA01326491
•
SDNYGM02753977
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240899
EFTA01326492
A
B. BERGAMO FABRICS: FABRIC 1797-1
SYNCRO REF. JOB 00-032
COVERING
TEST PLAN 5902
REV A
DATE: 04/24/00
WO# 46501-00
GULFSTREAM GIV
S/N 1085
BURN TES7'REQUTREVENT FOR THIS PRODUCTION ARTICLE 1S il&T BY
SPECAIFJ 15902-3
Page 6
SDNY GM 02753978
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 0024090()
EFTA01326493
•
•
SDNY_GM_02753979
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 0024[1901
EFTA01326494
•
SKAND1A, lnc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
Client:
WO #:
46501-00
Date:
04/18/00
7701 WOODLEY AVENUE
Test Plan #: 5902
VAN NUYS CA 91406
PO ft:
09724
Aircraft:
•
GULFSTREAM GIV
•
S/N:
1085
FAR 4853 (a) Appendix F Part I (a) (1) (ii)
Conditioning Room: Time In:
04/07/00
Time Out: 04/18/00
Specimen P/N 5902-1
Desc; •
Test panels are 3" X 12" pieces of Knoll, Inc., Fabric K1831 Butai
Pearl treated at Syncro Ref. Job #00-032. Both the warp and fill
of the fabric are tested.
Rev: A
Flame
Application
(seconds)
Flame
Time
(seconds)
Bum
Length
(inches)
Drippings
(seconds)
12
Warp
0.0
Fill
0.0
Warp
2.3
Fill
2.6
Warp
0.0
Fill
0.0
12
0.0
0.0
2.6
2.6
0.0
0.0
12
0.0
0.0
2.5
2.9
0.0
0.0 '
Average:
0.0
0.0
2.5
2.7
0.0
0.0
Comments:
Vertical (12 sec.) Bum Test: Average Self-Extinguish time may not exceed 15 sec. Average
Bum Length may not exceed 8". Average Dripping may not exceed 5 sec. after falling.
Passed:
Signed:
VERT12-6124
Failed : ri
•
Page 7
SDNYG1.1_02753980
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 40902
EFTA01326495
0
0
SDNY_GM_02753981
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240903
EFTA01326496
•
SKAND1A, inc.
5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920
Client:
WO #:
46501-00
Date:
04/25/00
7701 WOODLEY AVENUE
Test Plan it: 5902
VAN NUYS CA 91406
PO #:
09724
Aircraft:
GULFSTREAM OW
SIN:
1085
Rev: A
FAR 2_5.853 (a) Appendix F Part I (a) (1) (h)
Conditioning Room: Tine; In:
04/24/00
9:00AM
Time Out: 04/25/00
11:00AM
Specimen P/N 5902-3
Desc.• •
Test panels are 3" X 12" pieces of Bergamo Fabrics., Fabric 1797-1 Lavine
treated at Syncro Ref. Job #00-032. Both the warp and fill of the fabric are tested.
Flame
Application
(seconds)
Flame
Time
(seconds)
Burn
Length
(inches)
Drippings
(seconds)
12
Warp
0.0
Fill
0.0
Warp
0.9
Fill
0.7
Warp
0.0
Fill
0.0
12
0.0
0.0
0.8
0.9
0.0
0.0
12
0.0
0.0
1.0
0.8
0.0
0.0
Average:
0.0
0.0
0.9
0.8
0.0
0.0
Comments:
Vertical (12 sec.) Bum Test: Average Self-Extinguish time may not exceed 15 sec. Average
Burn Length may not exceed 8". Average Dripping may not exceed 5 sec. after falling.
Passed:❑
a
Failed :
Sign
Page 8
✓ERT12-6125
SDNYGIvl02753982
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 40904
EFTA01326497
SDNY_GM_02753983
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240905
EFTA01326498
in
C
Sold To: SYNCRO AIRCRAFT INTERIORS INC
CO
770I WOODLEY AVE
Knoll
VAN NUYS CA 91406
n
H
Purchase Order No.
09638
Purchase Order Release
7a
Ln/
0
Shp Dt
Pattern
Description
1.000
X1831
BUTAI, PEARL
4.000
54.00
Shipped Via: UPS
Shipped Date: 32400
B.O.L.: 110248090000046
n-i
2.000
SHTX
Shipping & Handling.- Textile
29.000
\
1.00
0
7:3
C
7z)
Knoll, ins
Page:
2
Invoice
Number
581029
Invoice
Date
03/24/00
Qty
List Price
Discount
Unit Net Price
Extended Price
7D
7D
in
02
'O
tri ,E
, 2
e,
Terms Nit 30 DAYS
Net Due 04/23/00
Tax Rt
8.250
C/
al
-
**-4
.00
54.00
•
216.00
Per
YD
.00
1.00
Per
BA
•
29.00
Merchandise Total:
245.00
•
Sales Tax
Total Order
17.82
Currency:
262.82
USD
4a
EFTA01326499
SDNYGM02753985
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240907
EFTA01326500
SONY_GM_02 753986
This is to certify that the materials described below have been
flame-retardant treated in order to meet the flammability
requirements of FAR 25.853 (b) Amendment 25-32 by:
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 40908
EFTA01326501
•
•
SDNY_GM_02753987
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240909
EFTA01326502
• BERGAMO
FABRICS
•
INVOICE
INVOICE *
DI 031063
7 Win
22ND Sr. 2Nu FLOOs inw nits
NY 10010
ill
212-•02-1010 FAX 212-462-1080
SOW TO
. SYNCRO AIRCRAFT
7701 WOODLEY AVENUE
. VAN NUYS
VERONICA
Ac II
7Rffd 3/1/93
CA 91406,
SHIP TO
'SYNCRO AIRCRAFT
7701 WOODLEY AVENUE
VAN NUYS
VERONICA/
"116E-1532
•
TRANSACTION #
• 695232-00
DATE
. 03/29/2000
CA 91406
CUSTOMER P.O.
SALESMAN
SNOVIROOM
DATE SHIPPED
SNIPPED VIA
TERMS
.50
32015
03/29/2000
FEDEX IPD
PROFORMA
ITEM NO.
DESCRIPTION
QUANTITY
UNIT PRICE
AMOUNT
111#1-:.L.
1795-2
LHVANH/
QTY SHIPPED:
14.00
LINUS/
QTY SHIPPED:
2.00
14
IOW
111.1...i.
/4/10
2.00
95.00
190.0E
MATERIAL
DISCOUNT
MISCELLANEOUS
FREIGHT&
HANDLING
1660.00
37.50
PAGE
1 ALL ORDERS SHIPPED VIA FEDEX INTERNATIONAL PRIORITY DIRECTDISTRIBUTION'" SERVICE FecEx
SALES TAX
AMOUNT PAID
ORIGINAL
SDNYGlvl02753988
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002409 10
EFTA01326503
•
•
SDNY_GM_02753989
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002409 I I
EFTA01326504
SONY_GM_02 753990
This is to certify that the materials described below have been
flame-retardant treated in order to meet the flammability
requirements of FAR 25.853 (b) Amendment 25-32 by:
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002409 1 2
EFTA01326505
r
•
SDNYGM02753991
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002409 13
EFTA01326506
MAY-26-2000 FRI 11:05 AN SCOTT GROUP
MAY.26. 2020
9: 47AN
DUNI, AVIATION
•
FAX NO. 616 954 9600
P. 02
M3.712
P.3/3
us DEPARTMENT OF TRANSPORTAMON
POEM AMMAN
ION
ADMITTRA
TAM
05126/00
OF Al CRAFT COMPONENT ID
FICA- 10N
amMS
moos Haw
THE (MAWS, Ruda HoAtepfe0
AIRPLANE
NAM OP APPUCAM
SYNCRO AIRCRAFT
MENTIFICATOR
TITLE
0120
UST OF DATA
0 W16146M GLENCOE O.T. 100% WOOL CARPET
DYE LOT 0 333118
PURPOSE OP DATA
APPIJOAKEREQUFREMENT6 (1.6 1 woe nacos;
FAR MCI (a) AppeadtiR Part I I a )(fi( It )
12 SECOND VERTICAL BURN MT.
cmenrionoN Abider %Ape/ fluted by direction of tho Adrtinistralor
of eppointnent under Part 183 of the Federal Aviation .Rnelgeris.
have been examined ifl accordance with
and In accordance WM conditions and limitations
data geed above and on attached shoots fl
ied
established macadam and found to comply wth applicable
requhemenla of th• Sand Aviation Rognaflons.
I Mon
toreforo
0
RecorMand /pp:OW of those data
Ci AMINO them debt
motanueem OF DillinittalTD ramorpeto ant tItsettrenvoMI
CIATSVICA110141)
it/
rga# 09C
.
MA DERTMcascg
FlAMMAIOLITY
FAA Form 81104
(1140) SUPERSEDES PREVIOUS EDITION
ode skis
SDNYGIvl02753992
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240914
EFTA01326507
SDNYGM02753993
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002409 15
EFTA01326508
Test Number: 991342-1
4 :
'independent
Textile
P.O. Box 1948
I rdt
g"
Service, Inc.
1503 Murray Ave.
Dalton, Georgia 30722-1948
•
Phone 706-278-3013
•
Fax 706-272.7057
•
E-mail: ittslab@daltonmet
TEST REPORT
Customer Scott Group
July 16, 1999
Subject
"DOT, FM Title, 14, Part 25 - Airworthiness Standards: Transport Category Airplanes,
Paragraph 25.853, Compartment Interiors, Sub-Paragraph (a) Vertical Flammability.
ITTS's Certificate of Authority (DER) Designation No. SO.602.
Sample Identification: Style: 333101 Town & Country
Backing: Wide Cotton Back
TEST RESULTS:
P.O.# 09536
SCOTT GROUP#
333118
SIZE: 30sqyd!s
PIECE: lofl all.
':..
PINSVOR:::'7:-”:,
• •
.. • .
,;-..-ARRligtro- -. :
(sechnds).
.Fffimean9-. -
-
(Seconds)
,FlarneTime
-
:. - PfieeitiO .
(seconds)
Pgri) 4M.41!
(inches)
Length
12
0
0
0
Length
12
0
0
0
Length
12
0
0
0
,-.49010g0)_ - :.;
.
_
;v.'.
„..
-:
.
.
- 0;
.:
.7:
•
0
Width
12
0
0
0
Width
12
0
0
0
Width
12
0
0
0
Average
- •
lg - -
0
0
0
Maximum Flame Time = 15 Seconds
Maximum Flame Time Drippings = 5 Seconds
Maximum Burn Length = 8 Inches
(PASSES)
L Kent Suddeth
Executive Vice President
Our letters and repot an forth culusive use of at caucus althorn they an eddressed. and that communication to arryotbas or the
use of the name oflatlependentTaillaesting Sark; Inc.. must restive currier wrfuen apron/. °uction and rqxcts apply ocily to
the uncle used edam not ntoessarily indicative orate qualities orapparendyidaileal or semau product The marts tad am and
the name of the !navels:lent Tails TeitingService.the..ste not to be used u nder any tiro:Want:1ln advatisk,g tothepoen! public.
- ----- ,
. •
L/42 10IA (6A9)
•
SDNYGIvl_02753994
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240916
EFTA01326509
SDNYGM02753995
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002409 I 7
EFTA01326510
.
U.S. DEPART/MR*OF TRANSPORTATION
W
.
DATE
May 08, 2000
AKE
.oULFSTFtEAM
AEROSPACE
MODEL NO.
G-IV
TYPE (Airplane. Radios Helicopter. etc.)
Airplane
UST OF DATA
IDENTIFICATION
1171E
DOCUMENT'
STRUCTURAL SUBSTANTIATION - MINOR MODIFICATION TO 3- PLACE
DIVAN, LH FWD.
DA-G1085 Rev. "NC"
Dated: 5-08-2000
DRAWING:
50100-1085 Rev. "NC"
Dated: 5-02-2000
•
This approval indicates the data listed above demonstrates compliance only with the regulations
specified by paragraph and subparagraph listed below as Applicable Requirements.'
(Compliance to additional regulations not listed here may be required.) This form
(does not) constitute FM approval of all the data necessary for substantiation of compliance
to necessary requirements for the entire alteration/repair.
(DETAIL DESIGN AND STRUCTURAL APPROVAL ONLY) •
PURPOSE OF DATA
TO SUBSTANTIATE THE MINOR MODIFICATION TO EXISTING 3-PLACE DIVAN ASSEMBLY ON
GULFSTREAM G-IV AIRCRAFT, SIN 1085 ONLY
'
'
APPUCABLE REQUIREMENTS (List specific sections)
FAR 25.301, 25.303, 25.305, 25.307, 25.561, 25.603, 25.605, 25.607, 25.609, 25.613 and 25.789.
CERTIFICATION - Under authority vested by dinmion of the Administrator and at accordance with conditions and limitations
of appointment under Part NU of the Federal Aviation Regulations, data listed above and on attached sheets numbered
ban boas examined in accordance with established procedures and found to comply with applicable requirements of
the Federal Aviation Regulations.
I 04) Matron
=
El
Recommend Approval of these data
Approve those data
SIGNATURE'S) OF DESIGNATED
INEF_FLING REPRESENTAINEfs)
ENG
ed.477r4d-err‘ --
CLASSIFICATION
X/c,CZIZZIZel
d
V
DERT-605434-NM
Structures
Howard L Patterson
FAA Form 8110-3 !11.701 SUPERSEDES PREVIOUS EDITION
GPO 901413
SDNYGlvl02753996
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240918
EFTA01326511
•
SDNYGM02753997
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240919
EFTA01326512
IV
mar
AIRCRAFT MODEL• GULFSTREAM G -IV AIRCRAFT
REPORT NO. DA-G1085
PREPARED BY:
DATE: 05-09-2000
REV: NC
DYNAMO AVIATION
IDOST1NG 3 -PLACE, DIVAN ASSEMBLY
SHAHNAZ GALANTE
05-09-2000
05-09-2000
,
REV DATE
DESCRIPTION
SDNYGM_02753998
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240920
EFTA01326513
SDNY_GM_02753999
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240921
EFTA01326514
I) References
2) Introduction
3) Structural substantiation — LH Fwd Divan modification
Page 1
DA-G1085 Rev NC
05-08-2000
SDNYGIvl_02754000
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240922
EFTA01326515
SDNY_GM_02754001
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240923
EFTA01326516
1) REFERENCES
1
MIL-HDBK-5F
Metallic Materials and Elements for Aerospace
Vehicle Structures.
2
FAR 25.
Page 2
DA- G1085 Rev NC
05-08-2000
SDNY GM 02754002
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240924
EFTA01326517
SDNY_GM_02754003
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240925
EFTA01326518
r
•
2) INTRODUCTION
This report provides structural substantiation on the modification of the LH Fwd
divan on Gulfstream G-IV model aircraft, S/N 1085. The existing three place
divan assembly is modified by moving the existing center truss structure aft by
4.75 inches and the fwd truss structure fwd by 4 inches. The center truss
structure is connected to the outboard truss structure, however the basic
outboard truss design has not changed significantly.
The divan framing is made of 6061-T6 SQ tubing (for vertical and horizontal
members) and Rectangular tubing for diagonal members.
The divan was a TSO item and with this modification, the TSO Tag is removed and the
divan is substantiated under a new part no. for the following load conditions.
The gust condition of 7.2 G Down and 9.0 G Fwd load.
3.0 g side and 4.5 g up load.
Divan new part number is: 50100-1085
I
40.00-
65.88 1
o
0
0
fa
n
Exism4 a)
Page 3
DA- G1085 Rev NC
05-08-2000
SDNYGlvl02754004
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240926
EFTA01326519
•
•
SDNY_GM_02754005
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240927
EFTA01326520
3) STRUCTURAL SUBSTANTIATION: 3-PLACE DIVAN ASSEMBLY
9.0 O Fwd load
Modified 3- Place Divan Weight including cushion, : 78 lbs
Occupants : 3 x 170 = 510 lbs
Total weight : 510 + 78 = 588 lbs
.Total load : 9.0 x •588 = 5;292 lbs
Attachment fitting loads
The divan is tied down with six seat track fittings(Anchora) to the aircraft seat track.
Load per fitting: 5,292 /6=882 lbs (shear)
Tension load per fitting: (5,292 lbs x 22 in ) / 2 x 69.87 in = 833 lbs
Minimum allowable for Tension for the seat track fitting is : 4000 lbs
Minimum allowable for Shear for the seat track fitting is : 2000 lbs
1
MS =
1 —+ 1.05
[(882 / 2000)2 + (833 / 4600 )2] 1/2
X
et
t'x
I
( )
Co
40.0
69.87
° (%)
° (s)
4(5) °
(J
(t-itotqcmD C onIF
Page 4
DA- G1085 Rev NC
05-08-2000
SDNYGlvl02754006
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240928
EFTA01326521
•
•
SDNYGM02754007
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240929
EFTA01326522
3) STRUCTURAL SUBSTANTIATION: 3-PLACE DIVAN ASSEMBLY
9.0 G Fwd load Cont.d
Fwd load on the divan,
Outboard frame
The Shoulder Harnesses are installed to the outboard divan frame for take off and
landing. (The existing configuration). The center truss structurels connected to
the outboard truss structure and by moving it to the aft by 4.7 inches resulted in
minor redesigning of the outboard truss frame. The changes to the outboard truss
structure are that the compression member (a) is longer by 3 inches and the
tension member (b) is shortened by 4 inches.
Since the basic truss design has not been changed, therefore it is still structurally
adequate under fwd load and the change is considered minor.
REMOVE LEGS
(EX ISM-114G.)
A
I
n
' tan
via to
-3 Cita
ona,4 =WAD tat %IX
ar PUY<
FV11)..—.)
(MODIFIED)
Page 5
DA-G1085 Rev NC
05.08-2000
SDNYGlvl_02754008
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240930
EFTA01326523
SDNY_GM_02754009
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 0024093I
EFTA01326524
3) STRUCTURAL SUBSTANTIATION: 3-PLACE DIVAN ASSEMBLY
Center inboard/outboard truss structure
The center piece moved to the aft and installed back as the original.
Fwd . inboard/outboard truss structure
The fwd truss structure moved to the most fwd frame. A SQ. Tube bridge is installed
between the two top frames (fwd frames) and the existing vertical tube is welded to it
and to the base frame.
0
groat..
8 GUSSETS
10 BUSHING
Page 6
DA- G1085 Rev NC
05-08-2000
SDNYGIv1_0275401
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240932
EFTA01326525
SDNY_GM_02754011
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240933
EFTA01326526
31 STRUCTURAL SUBSTANTIATION: 3-PLACE DIVAN ASSEMBLY
7.2 O Down load
Pz = 7.2 g x 78 lbs = 562 lbs
Load per three truss structures (inboard / out board): 562 lbs / 3 = 187 lbs
See the end view (fwd end), load on the vertical post (-1). The post is at 18° Angle.
Assume total 187 lbs acting on the -1 tube.
Pz = 187 / COS 18° = 197 lbs
for SG. Tubing:
I= .0324 in4
A = .2300 in2
L = 12.62
13 inch
PCR= n2 EI 2 /L 2
L=13 inch, E= 9.9X 106
PCR= C(712 E x .0324 ) / 132
-4
PCR = 606 lbs
MS. = 606 / 197 -1 = + 2.0
-2
a
ai
tn)
1413 /D
VIEW A-A
M:177 165
10 BUSHING
0
Page 7
DA- G1085 Rev NC
05-08-2000
SDNYGIv10275401 2
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240934
EFTA01326527
•
•
SDNY_GM_02754013
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240935
EFTA01326528
3) STRUCTURAL SUBSTANTIATION: 3 PLACE DIVAN ASSEMBLY
7.2 G Down load Cont.('
Strength of the welded joint. The weld area is .176" x .176" x .25"
Shear Stress of weld for a 6061-T6 material : 9,000 psi (ref. Lockheed weld design
manual).
P. = Area x Shear Stress
T .707 S
en' \2G .
Area =tx L
• 11 6"
P = [(.707 x .176 x .25)1 x 9,000 = 280 lbs weld strength
Pz= 197 lbs applied load
MS = 280 / 197 -I = + .42
Page 8
DA- G1085 Rev NC
05-08-2000
SDNYGlvl02754014
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240936
EFTA01326529
•
•
SDNYGM02754015
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240937
EFTA01326530
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1. RELOCATE LEGS ON EXISTING
DIVAN TO MAKE ROOM FOR 2 12
MAN LIFE RAFTS(61LBS EA), TO
REPLACE ON 12 MAN AND ONE 6
MAN LIFE RAFT.
2. CUT LEGGS TO BE RELOCATED
3. WELD LEGS PER MIL-W-2219
WELDED AREAS.
NOTES:
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•
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240939
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240942
EFTA01326535
SDNY_GM_02754021
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240046
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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SDNY_GM_02754027
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240949
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EFTA01326543
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SDNY_Gtv1_02754029
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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EFTA01326544
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SDNY_GM_02754031
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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EFTA01326546
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SDNYONL02754032
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03
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240954
EFTA01326547
•
•
SDNY_GM_02754033
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240955
EFTA01326548
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EFTA01326549
SDNYGM02754035
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240957
EFTA01326550
,
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SDNY GM 02754036
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240958
EFTA01326551
•
•
SDNY_GM_02754037
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240959
EFTA01326552
.
U.S. DEPARTIMI
..TT OF TRANSPORTATION
W
DATE
May 15, 2000
MAKE
GULFSTREAM
AEROSPACE
MODEL NO.
G-IV
TYPE (Airplane, Radio. Helicopter. etc.)
Airplane
LIST OF DATA
IDENTIFICATION
TITLE
DOCUMENT:
-
SY-GL1085 Rev. "NC"
Dated: 5-15-2000
•
STRUCTURAL SUBSTANTIATION - TWO 17 INCH LCD MONITOR
MODIFICATION:
This approval indicates the data listed above demonstrates compliance only with the regulations
specified by paragraph and subparagraph listed below as 'Applicable Requirements:
(Compliance to additional regulations not listed here may be required.) This form
(does not) constitute FAA approval of all the data necessary foi substantiation of compliance
to necessary requirements for the entire alteration/repair.
,(DETAIL DESIGN AND STRUCTURAL APPROVAL ONLY)
PURPOSE OF DATA
TO SUBSTANTIATE THE INSTALLATION OF TWO 17 INCH LCD MONITORS AND ENTERTAINMENT
SYSTEM MODIFICATION ON GULFSTREAM G-IV AIRCRAFT, S/N 1085 ONLY
APPLICABLE REQUIREMENTS (list specific sections)
FAR 25.301, 25.303, 25.305, 25.307, 25.561, 25.603, 25.605, 25.607, 25.609, 25.613 and 25.789.
CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations
of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered
•
have been examined in accordance with established procedures and found to comply with applicable requirements
of the Federal Aviation Regulations.
I (3.11e) Therefore
C
Recommend Approval of these data
l= Approve these data
.
CLASSIFICATION.
mania /paraders-
DERT-605434-NM
Structures
Howard L. Patterson
FAA Form 8110.3 (11-70) SUPERSEDES PREVIOUS EDITION
GPO 901.613
SDNYGlvl02754038
It
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 40960
EFTA01326553
•
•
SDNYGM02754039
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 0024[1961
EFTA01326554
•
•
REPORT NO. SY-GL1085
8/N NO. : 1085
DATE: 5-15-2000
17 INCH LCD MONITOR INSTALLATION RH/LH, FWD/AFT
MODIFICATION
5-15-2000
5-15-2000
REV DATE
SDNY GM 02754040
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240962
EFTA01326555
•
•
SDNY GM 02754041
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240963
EFTA01326556
1) References
2) Introduction
3) Geometry
4) Structural Substantiation: Fwd and Aft RH/ LH 17" LCD Monitors Installation
Page 1
SY-GL1085 Rev NC
5-15-2000
SDNY GM 02754042
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240964
EFTA01326557
•
•
SDNYGM02754043
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240965
EFTA01326558
1) REFERENCES
1
MIL-HDBK-5F
Metallic Materials and Elements for Aerospace
Vehicle Structures.
2
FAR Part 25
Page 2
SY-GL1085 Rev NC
5-15-2000
SONY GM 02754044
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240966
EFTA01326559
•
•
SDNYGM02754045
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240967
EFTA01326560
2) INTRODUCTION
This report provides structural substantiation for the installation of twol7 inch LCD
Monitors. One is mounted onto the Aft Bulkhead of the Fwd RH existing storage
Cabinet (STA193) and the second one is mounted onto the fwd side of the Aft LH
Bulkhead(STA442). The Aft LH Bulkhead is more like a divider than a load carrying
Bulkhead for the existing Galley.
The new 17 inch LCD monitors are installed in place of existing 14 inch monitors in
exact locations. Also in the Fwd LH Comp (STA193). One Panasonic VCR Model
PV4662, Weight 7.0 lbs is exchanged with DVD player model PS86802 , Weight 7.0.
The subject installation and modification is on Gulfstream G-IV model aircraft SIN 1085.
The subject installation is analyzed for the most critical load conditions.
The following load factors are used herein:
9.0 G Fwd
7.2 G Down
4.5 G Up
3.0 G SIDE
All the critical parts have been investigated, those not shown are considered not
critical.
Page 3
SY-GL1085 Rev NC
5-15-2000
SDNYGIvl_02754046
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240968
EFTA01326561
•
•
SDNY_GM_02754047
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240969
EFTA01326562
31 GEOMETRY- FWD/AFT RB/LR Bulkhead Mount, 17" LCD Monitor Installation
art,Pith 0140
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Page 4
SY-GL1085 Rev NC
5-15-2000
SDNYGIvl_02754048
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 40970
EFTA01326563
•
•
SDNYGM02754049
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 0024097I
EFTA01326564
•
•
4) STRUCTURAL SUBSTANTIATION- FWD/AFT R.H/LH Bulkhead Moon 17" LCD
MonitorInstallation
The subject LCD Monitor is installed on the Aft Bulkhead of the RH Fwd Cabinet with
four Z- Brackets, top and bottom, Inb'd/Outed. The Z- Brackets are installed to the
bulkhead with two #10-32 screws and NAS1836-13 inserts.
Fwd LCD Installation
WEIGHTS:
New 17 inch LCD Monitor, Model # 170MP
Total :
12.0 lbs
Old 14 inch LCD Monitor. Weight 7.9 lbs
9.0 G Fwd load
Px = 9.0 x 12 = 108 lbs
total fwd load
Load per 2-Bracket Px = 108 / 4 = 27 lbs
Z- Bracket Supports. 2024-T3. t = .063" L = 5.0 in
Rt = Px (2.0 in) / .50 in
Rt = 108 lbs (tension in insert)
Load per fastener. P = 108 /2 = 54 lbs (Tension)
Bending stress of 2-Bracket, jb= 6M /b 12
width, b = 5.0"
Max bending moment : 27 lbs x 1.0 in = 27 in-lbs
.fro= 6 x27/5.0 in x.0632 =8,163 psi
Ftu = 62000 psi for 2024-T3 (ref 1)
MS = 62,000 / 8,163 -1 = HIGH
Page 5
SY-CL1085 Rev NC
5-15-2000
SDNY Clvl 02754050
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240972
EFTA01326565
•
•
SDNYGM02754051
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240973
EFTA01326566
•
•
4) STRUCTURAL SUBSTANTIATION- FWDIAFT RA/LB Bulkhead Mount, 17"_LCD
Monitor Installation Cont'd
Fwd LCD Installation. Contd
7.2 G Down load
Pz = 7.2 gx (12.0 lbs ) = 86.4 lbs
Take the overturn by the upper and lower bracket
Rrop= - Racer= (86.4 lbs x 2.0" ) / 12.88"
Rrop = - Raman = 13.42 lbs Load per upper and lower bracket
Down load Pz bears on the bottom Z-Bracket
Rzsocke = 86.4 lbs
Load per inserts (NAS 1836-3)
Shear load: 86.4 lbs / 2 = 43 lbs
Check bendino of the Z- Bracket
Bending stress, fb= 6M /b tz
width, b = 5.0"
Max bending moment 86.4 lbs x 1.0 in = 86.4 in-lbs
fb=6 x86.4 / 5 in x.0632 = 26,122 psi
Ftu = 62000 psi for 2024-T3 (ref 1)
MS=62,000/26,122 -1 = +13
1.5 a Aft load condition!
Px = 1.5 x 12 =18 lbs (this load bears on the aft bulkhead)
gst...(astree,,) •
Esti
Page 6
SY-GL1085 Rev NC
5-15-2000
SDNYGlvl_02754052
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 40974
EFTA01326567
•
•
SDNY_GM_02754053
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240975
EFTA01326568
•
4) STRUCTURAL SUBSTANTIATION- FWD/APT RHJLII Bulkhead Monnt. 17" LCD
Monitor installation Coned
Fwd LCD Installation. Contd
Check flange bending of the Z- Bracket
Bending stress, fb= 6M /b t2
width, b = 5.0"
Max bending moment: 13.42 lbs x. .50 in = 7.0 in-lbs
fb= 6)(7.0 15 in x .0632= 2,116 psi
Ftu = 62000 psi for 2024-T3 (ref 1)
MS = HIGH
Check inserts.
The largest Shear load and Tension Load on NAS1836-13:
Pt = 54 lbs
Ps = 43 lbs
(Ref. P5,6)
Insert Analysis
Core shear allowable from: HEXCEL: 150 psi
PALLowASLE = (150)(7t)(11 x .40) = 136 lbs Tension
Bearing Allowable = Fen, = 121,000 psi (2024-T3)
PALLOwASLE Br = (121,000 psi)(.02)(.451) = 1091 lbs
Calculation of Margin of Safety
Rs = 43/1091= .040 , R-r = 54/136 = .40
MS = 1/Rs +
-1= 1/.040 + .40 = +1.27
Page 7
SY-CL1085 Rev NC
5-15-2000
SDNYGIvl_02754054
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240976
EFTA01326569
•
•
SDNYGM02754055
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240977
EFTA01326570
) STRUCTURAL SUBSTANTIATION- FWD/AFT RH/LH Bulkhead Mount, 17" LCD
Monitor Installation Cont'd
Aft LH LCD Installation
WEIGHTS:
New 17 inch LCD Monitor, Model # 170MP
Total :
12.0 lbs
Old 14 inch LCD Monitor. Weight 7.9 lbs..
9.0 G Fwd load
Px = 9.0 x 12 = 108 lbs
total fwd load
This load bears on the bulkhead (this bulkhead is more like a divider than a load
carrying bulkhead for the existing Galley, STA 442.).
This Monitor installation is identical to the Fwd RH one shown on pages 4,5,6,7 .
Page 8
SY-GL1085 Rev NC
5-15-2000
SDNYGIv1_02754056
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240978
EFTA01326571
0
0
SDNYGM02754057
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240979
EFTA01326572
Aircraft type.
Gulfstream GIV
Serial # 1085
Registration- N677RP
Weight
Arm
Moment
Current Empty Weight from Jan. 28, 00
41887.7
460.95
19308255
Removed R/H 1 singe seat
-67.5
172
-11610.0
Removed L/H 2 singe seat • .
:96.0
225
-21600.0
Removed R/H 2 single seat
-97.5
225
-21937.5
Removed R/H 3 singe seat
-68.0
370
-25160.0
Removed R/H 4 single seat
-68.5
424
-29044.0
Removed L/H 1 singe seat
-68.0
172
-11696.0
Removed L/H 4 double seat
-
-1175
326
-38305.0
Removed L/H 3 double seat
..
-119.0
272
-32368.0
Removed divan cushions
-56.0
395
-22120.0
Removed galley linoleum
-9.0
458
-4122.0
Removed VCR PV-4662
-8.0
145
-1160.0
Removed LCD Monitor SB1410AAB
-7.9
,151
-1192.9
Removed LCD Monitor SB1410AAB
-7.9
443
-3499.7
Installed DVD PS8680Z
+9.0
145
+1305.0
Installed LCD Monitor 170MP
+12.0
151
+1812.0
Installed LCD Monitor 170MP
+12.0
443
+5316.0
Installed R/H 1 singe seat
+76.0
172
+13072.0
Installed R/H 2 singe salt
+105.0
225
+23625.0
Installed R /1-i 3 singe seat
+77.0
370
+28490.0
Installed R/H 4 singe seat
+77.0
424
+32648.0
Installed L/H 1 singe seat
+77.0
172
+13244.0
Installed L/H 2 singe seat
+105.0
225
+23625.0
Installed L/H 3 double seat
+143.0
272
+38896.0
Installed L/H 4 double seat
+142.0
326
+46292.0
Installed divan cushions
• +67.0
395
+26465.0
Installed galley carpet
+18.0
458
+8244.0
New Empty Weight ( May 23, 2000)
42129.9
460.16
19386557.775
43.591/4 MAC
Hours: ital
Landings: 2111
PREPARED BY: Richard P. Jose
245198915
7701 WOODLEY AVENUE.VAN NUYS,CAUFORNIA 91406 • RioNE 818.901.9828 • Fax 818.988.5251
SDNYGlvl02754058
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 40980
EFTA01326573
SDNYGM02754059
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240981
EFTA01326574
MATION.INIPR
STANDARD AJAW011111INESS COMRCATEOCIN
Nmu
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Fs. Form BICP2
SONY_CA1_02754060
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EFTA_00240982
EFTA01326575
SONYGM_027
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00240983
EFTA01326576
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•
1 NATIONALITY AND
2 MANUFACIVRERANDMCCEL
3 AIRCRAFT SERIAL
4 CATEGORY
NUMBER
N677RP
GULFSTRP,AM/GIV
1085
TRANSPORT
IS
Ms sirwaltilnesi IMIRCAle Is Issued pursonl 10 to Federal MINIm AD of 1958 and cerlites that as «Ns ebbs of Issumee.
0
ne Goan lo whr.A &wed Pas been Foxe*, aid Mond lo omform lo the type Oillfleolo therefor. b be b comKon fee eale
oPersOn and nos teen ire« to real In. req‘f romans of IRO Oppieable areonshensM DM &Mtn! Mr.ontWesa Cae as
-o
73
mote by Area Elo Me CenvenlIcn of Wanorcnef CM Aw/S:n. MØ fes rried Pne
Exce~
NONE
0
Wins son sweerOarenl. mspended ietefied. IX a werineikm dW Y etIrelse eSISEININ4 by IM AdmnblRlp. INS
tinvorflass torOlc.IM Is elSecOm as Mop es Oro noi-anence. nnweolot49 ermlnlsnetCR Md Illtealkm> are perfenred In
iNcaclanos wln Pals 31. 43. end 91 <I Na Fedensl ASIOn Pernik,g as ndomdelat end ha elnyeAl Is fe~:1 M Ine
Wiled
DATE OF t331/ANCE
REPAESENTA
As, p
er
May 23 2000
L. 1,4O1TER
WP-FSDO-01
An ~irk" ~nil^
la ~so al mala ~kola Mr be weal~le by a Y. *a wade, §1M9 am &where« rei 0~
3
A
non
VIATION REGULA
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NS
TIO
FAA Eon 8100.2 (Rod)
APSE:can:Me Fain Sy!~ • JolFarn Foials• 12/19913
e
as.
EFTA01326577
SDNYGM02754063
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240985
EFTA01326578
.e
• 'I T: r
•I7
•
0
•
-
• '
MAJOR REPAIR
tp
USOerotineni
oftroaserrako
Fedora Aviation
(Airframe, Rowerplant Aro
id \ L\
ALTERATION
enE0 &Arian 10
...)
Form AOPirked
OMII No 2120.0020
O
For FAA Use Ny
•
Office Identification GI_ 13
Administnalen
INSTRUCTIONS: Print or type all entries. See FAR 43.9. F
43 Appendix B.,:and AC 43.9- (or
-70
subsequent revision thereof) for instructions
and disposition o this form. This report is required by law (49 U.S.C. 1411). Failure
report can result in a civil penalty not to exceed $1,000
for each vielationiSection 901 of Federal Aviation Act of 1958).
Make
&airstream Aerospace Cow:
Model
GM
1. Aircraft
SaiaiNo.
1085
Nationality and Regetration Mark
N864CE
2. Owner
Name lessikoseroirmistatira
rarcs
tecia
... 1a)
Coca Cola Enterprises Inc.
Address iershounariniptatearerkkes)
2500 Windy Ridge Rosy SE
Atlanta ,GA 30339-5677
3. For FAA Use On y
4. Unit Identification
S Type
Unit
Make
Model
Serial No.
Repair
AJteration
AIRFRAME
described in item
X
As
1 above)
powERriaa
PROPELLER
APPLIANCE
TYPO
Manufacturer
G. Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
C. Certificate No.
Gulfstream Aerospace Corporation
W6365 Discovery Drive
Appleton, WI 54915
U.S. Certikated Mechanic
GIFE100Y
Foreign Certificated Mechanic
X Certified Repo': Station
Manufacturer
D. I certify that the repair and/or alteration made to the tin' (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 this and correct to the best of my knowledge.
Date
DEC 1 0 1998
Signature
e rd
iii
.
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 IsPlAPPROVED
CI REJECTED
FAA FIL Standards
Inspector
Manufacturer
Inspection Authorization
Other (Spee)
BY
FAA Designee
X Repair Station
Person Approved by
Transport Canada
Airworthiness Group
Date of Approval or Rejection
DEC 1 0 i898
Certificate Of
Designation No.
GIFR1OOY
Signatur
odzed Indi du
r
FAA Form 337 ozak (CamputerGonended)
SDNY_GIvl_02754064
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240986
EFTA01326579
NOTICE
•
•
• • •
Weight and balance 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 mom space is required, attach additiOrtal sheets. Identify with aircraft nationally and registration mark and date work completed).
Repaired L/H Flap "A" track recess I.A.W. Gulfstream Aerospace Corp. (FAA Approved) Structural Repair
Manual Drawing 1169RDCS280 Rev. C dated 41-88, -901 Installation. Repaired R/H Flap "A" track recess
per -904 installation same dwg. Note on -904 install, Sea. NAS1921M05-3 fasteners were substituted with
tea. NAS1919M06-3 and lea. OSMLS100M04-03 per Gulfstream Service Engineering E-mail transmittal
dated 12-6-98. Reworked L/H and Ft/H °A" flap tracks per -905 and -906 installation same dwg.
END
O Additional Sheets are attached.
SDNY_GM_02754065
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240987
EFTA01326580
0
MAJOR REPAIF
uswparrnw
(Airframe, Powerpla
curranomwm
n
-
Federal Aviation
Administration
.
id
t iptValan
• "
I
I
Fare Approved
OMB No.2120-0020
For FAA Use Only
Office IdentificaterGL i 3
- .
INSTRUCTIONS. Print or type all entries. See FAR 43.9, FAR-48-Appondi. O. oratA0 43r9al(a 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 violationfSecgon 901 of Federal Aviation Act of 1958).
Make.
.
Gulfstream Aerospace Corp.
Model
GIV
1. Aircraft
Serial No.
1085
Natonaity and Regatation Mark
N864CE
2. Owner
Name (Ass/rowan fristfailonarrAfca.49)
Coca Cola Enterprises Icc.
Address (As goose or I fayStratiof makes)
2500 Windy Ridge Pkwy SE
Atlanta ,GA 30339-5677
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)
POwERMAiir
PROPELLER
APPLIANCE
Type
Manufacturer
6. Conformity Statement
AL Agency's Name and Address
B. Kind of Agency
C. Certificate No.
Gulfstuam Aerospace Corporation
W6365 Discovery Drive
Appleton. WI 54915
U.S. Certificated Mechanic
GIFRIOOY
Foreign Certificated Mechanic
•
X Certified Repair Station
Manufacturer
D. I certify that the repair and/or alteration made to the uni (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
DEC 1 0 I000
Signature of AutinrizJ, I
raidual
ca. ".4 .4--
7. Approval for Return To eevlco
Pursuant to the authority given persons specified beew, the unit identified In item 4 was Inspected in the manner prescribed by
the Administrator of the Federal Aviation Administration and is EL APPROVED
0 REJECTED
FAA FIL Standards
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
BY
FAA Designee
X Repair Station
Person Approved by
Transport Canada
Airworthiness Group
Date of Approval or Rejection
• DEC 1 0 1998
Certificate or
Designation No.
GIFRIOOY
22of
Authr
I
al
AA Form 33 (12-aM (Compute. Generated)
SDNY_GIvi_02754066
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240988
EFTA01326581
NOTICE
Weight and balance 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. Doscription of Work Accomplished.
•
(If more space is required. attach additional sheets. Identify with aircraft nationality and registration mark and data work completed).
Complied with Gulfstream Aerospace Corp. (FAA approved) Aircraft Service Change 400 dated 9-22-98 Structures -
Aluminum Collar - Pressure Bulkhead FS 596 - Terminating Action.
Aircraft weight and balance, Equipment list, and Electrical load is negligible or unchanged.
END
CI Additional Sheets are attached.
SDNY_GM_02754067
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 40989
EFTA01326582
-
• •
II"
• ti
- •"
0
I •-•• •
US Depotrod
(Airframe, Powerplant, Propfellebror A ppline)
aratisartaron
Administration
1 it , ;
ULU 1 O
Federal Aviation
I. \‘:
!it";
-:'. -tn-
f
1
Form Approved
OMB No. 2120-0020
For FAA Use Only
)
Office IdentificatioG4._ i
INSTRUCTIONS: Print or typo all entries. See FAR 43.9, FAR
Appendix:ff. altI7(C-439-110mtuiSquent revision thereof) for instructions
and disposition o this form. This report is required by law (49 U.
14..F_ailtrileJarnErtEnaesR in a civil penalty not to exceed $1,000
for each violation (Section 901 of Federal Aviation Act of 1958).
1. Aircraft
Make
Gulfstrearn
Model
G-IV
Serial No.
1085
Nallerialit), and RegStraticn Mark
N864CE
2. Owner
Name (rtsslotrwaregisfrationtarriffsafe)
Coca Cola Enterprises, Inc
Address (Assbonnoaregisbaliontertikale)
2500 Windy Ridge Pkwy SE
Atlanta, GA 30339.5677
3. For FAA Use On y
'The data/alteration identified herein cowries with the applicable airworthiness requirements and
Is approved for the above described aircraft subject to calamity inspection by a person authorized
In FAR 43, Section 43.7'.
Date iz/9/9(
FAA Inspector
GL13
4. Unit anti cation
6. Type
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME
As described in Item
X
1 above)
POWERPLANT
PROPELLER
APPLIANCE
Type
Manufacturer
6. Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
C. Certificate No.
Culla:tam Aerospace Corporation
W6365 Discovery Drive
Appleton, WI 54915
U.S. Certificated Mechanic
GIFR100Y
Foreign Certificated Mechanic
X Certified Repair Station
Manufacturer
D. I certify that the repair and/or alteration made to the uni Cs) 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
/2/9/98
Signature of Authorized In •
ual
•
t
7. Appro
r Return To Service
Pursuant to the authority given persons specified below,
unit identified in Item 4 was inspected In the manner prescribed by
the Administrator of the Federal Aviation Administration and is
(APPROVED
CI REJECTED
FAA FR Standards
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
BY
FAA Designee
x
Repair Station
Person Approved by
Transport Canada
Airworthiness Group
Date of Approval or Rejection
/2 -4)-9se
-• • -
--- - - --- --
Certificate or
Designation
Designation No.
Signature of AVUodiedl
ual
r Genera
SDNY_Gtvl_02754068
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240990
EFTA01326583
NOTICE
Weight and balance 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. DescdptIon of Work Accomplished
Qf more space is required. attach additional sheets. Identity with aircraft nationally and registration mark and date work Completed).
Replaced one AD rivet in clip angle bracket on the under side of right cockpit floor.structure, F.S. STA 56.812,
forward of floor access panel FLR-4 installing a Hi-Lok P/N: HL18 fastener. Also installed an additional Hi-Lok
P/N: HL18 fastener in adjacent hole of same clip, found missing since production.
END
O Additional Sheets are attached.
SDNY_GM_02754069
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 0024099I
EFTA01326584
- e
7.••• c
r1 Ora
.0
USecoretmere
ontensooncoon
(Airframe, Powerplant, Propelle
Asepearericasen
Admmemmon
--• 7
. -7. . 2..0 1
441998
I; l
_ JO.
:Form Approved
OMB No. 2120-0020
For FAA Use Only
Office Identificatioph., 13
INSTRUCTIONS:Printer type all entries. See FAR 43.9, FAR43 A
subsequent revision thereof) for Instructions
and disposition of this form. This report is required by law (49 U.S.C. 1421). Failure to repo can result in a civil penalty not to exceed stood
tor each such violation (Section 901 Federal Aviation Act of 1958).
1. Aircraft
Make
Model
G-IV •
Serial No.
1085
Nationality and Registration Mark
N864CE
•
•
2. Owner
Name (As shown on registration certificate)
Address (As sltown on registration certilkate)
2500 WINDY RIDGE PKWY SE
ATLANTA, GA 30339-5671
3. For FAA Use Only
4. Unit Identification
S. Type
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME
•
•
(As described in Item I above)
X
. •
^.
.
.
.
POWERPLANT
•
PROPELLER
APPLIANCE
Type .
Manufacturer
.
S. Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
C. Certi kale No.
W6365 DISCOVERY DR.
APPI.PTCK WT T•421%
U.S. Certificated Mechanic
G1FR100Y
Foreign certificated Mechanic
It Certificated Rees& Station
_
issausuturar
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 nowledge.
Data
•
DEC 1 0 1998
.
Signatur
f Authottect'
•
7. Approval for Return To Seneca
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
MAPPROVED
0 REJECTED
BY
FAA Fit. Standards
Inspector
Mariblacturer
Inspection Authorization
Other (Specify)
FM Designee
X Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date of AppitNal or Refection
DEC I 0 1998 '
Certificate or
Designation No.
G1FR100Y
Signal
Authoriz
Inds
•
ual
A Form 337 ilVeal
SDNY_Givl_02754070
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240992
EFTA01326585
NOTICE
Weight and balance oroperating 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. Descdption of Work Accomplished
(II more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.)
Modified the existing Third Comm & Nat Systems by removing the Gables G6860-09 Conun/Nav
Control Head, and installing a Collins CTL-23 Digital Control Head, P/N 622-9851-001.
The third Comm / NAV system's interface was retained as previously installed with the exception of the
controller. GAC modifications to the aircraft wiring for the new control head interface is depicted on the
GAC revision to Western Commander Inc. wiring diagrams: No. 3 VHF COMM, 08069110; and No. 3
VHF NAV, 08069128, of which the electrical/electronic aspects of the GAC listed revision is DER
approved by N. Kopesky, CHI-262.
Existing wiring diagrams affected by the above referenced systems are revised to reflect changes iri system
design or interface to the newly installed or modified systems as appropriate. All new single conductor wire
meets MIL 22759/16 and all new multi-conductor shielded wire meets MIL 27500.
All work done IAW AC43.13-2A, Chapters 1, 2 & 3 and manufacturers installation data.
Aircraft equipment list and weight & balance manual revised.
END
K Additional Sheets Are Attached
OILS. GOVERNMEET PRINTING OFFICE: t902-760-012/E0I57
SDNY_GM_02754071
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240993
EFTA01326586
0
MAJOR REPAIR ANII!
us oecerirreni
co tensonoton
Acurmumnian
(Airframe, Powerplant, PripterWergdgg)
Federal manse
6
.•
—
—
Ail
I
I
Form Approved
OMB NO. 2120-0020
I
f
For FAA Use Only
li i.
j
Office Identificatior 1 3
(.71, k , i
INSTRUCTIONS:Print or type all entries. See FAR 43.9. FAILSAppandiatranclACAS.W.US.16bsequent revision thereof) for instructions
and disposition of this form. This report is required by law ( 9 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. Akcraft
Make
Model
G-IV
Serial No.
1085
Nationality and Registration Mark
N864CE
- . .
2. Owner
Name (As shown on registration certificate)
Address (As shown on registration certificate)
2500 WINDY RIDGE PKWY SE
ATLANTA, GA 30339-5677
3. For FAA Use Only
4. Unit Identification
5. Type
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME
.
'
(As described In Item 7 above)
X
.
..
.
POWERPLANT
PROPELLER
APPLIANCE
Type
Manufacturer
8 Conformity Statement
A. AgencYs Name and Address
B. Kind of Agency
C. Ceni kate No.
US. Certificated mechanic
G1FR100Y
Foreign certificated mechanic
W6365 DISCOVERY DR
It Certificated ROPOtStalion
APPT MICK MGR 5491c
Manufacturer
D. Icertifythat the repair and/oralteration made to the un
have been made in accordance with tht requirements
furnished herein is true and correct to the best of my
Rat Identified in item 4 above and described on the reverse or attachments hereto
of Part 43 of the U.S. Federal Aviation Regulations and that the information
nowledge.
Date
DEC 1 0 1998
Signatu
Authord
I
.
WI
•
7. Approval for Return To
nice
Pu suant 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
CkAPPROVED
O REJECTED
FAA Fit. Standards
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
BY
FAA Designee
X Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date of Approval or Rejection
DEC 1 0 1908 •
CertlficaM or
Designation No.
GIMUDOY
Signatu
Author
Nast
.
- ,
orm 337 mast
SDNYGM_02754072
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240994
EFTA01326587
•
r .
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate effete( t record. An alteration must be
compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements.
B. Description of Work Accomplished
- • .
(It more space is required, attach additional sheets. Identify withaircralt nationality and registration mark and date work completed.)
Installed an Allied Signal Avionics Enhanced Ground Proximity Warning System (EGPWS),
computer P/N 965-0976-003-104-104, as per Guffaws= Aerospace Corporation (GAC) STC
ST01445AT.
In order to facilitate this installation, the existing
MK-V Ground Proximity Warning System
(GPWS), computer P/N 965-0676-0010 (installed per Sits SA218850, FAA Form 337 dated 9/7/89 &
ST00714AT, FAA Form 337 dated 1/26/96) was roved from the aircraft
Additionally, the three (3) each Honeywell SG-884 Symbol Generators, P/N 7008570-904 have been
modified to -905 and the two (2) each Honeywell DC-884 Display Controllers, P/N 7007540-942 have
been modified to -946 to allow for EGPWS selection and display of the enhancement features.
Deviations to STC ST01445AT include:
•
Utilized existing wiring where practicaL
•
Retained the previously installed GPWS circuit breakers and some of the annunciation by
incorporating them into the new EGPWS system. System interface and wiring as depicted on GAC
wiring diagram GIV-31085-34-10 is electrically equivalent to the aforementioned STC.
•
Mounting the computer in the R/H radio rack extension at the same location as the removed GPWS
computer. Expanded the STCd EGPWS Relay Unit design to house system components. Installed
this newly fabricated Avionics Interface Unit in the R/H radio rack extension, adjacent to the
EGPWS computer, picking up existing structure.
FAA Approved Airplane Flight Manual Supplement, SC41 349M37 dated 8/8/97, with Rev. 02 dated
4/8/98 is required for this approval and supersedes all previously issued AFMS' pertaining to GPWS.
Maintenance Requirements - Instruction for Continued Airworthiness, GAC Document No. 5C41
349A01, Rev. 1, dated 6/22/97 with attached AlliedSignal.Line Maintenance Manual, Doc. No. 060-
4199-014 is required for this approval.
Eating wiring diagrams affected by the above referenced systems are revised to reflect changes in system
design or interface to the newly installed or modified systems as appropriate. All new single conductor wire
meets MIL 22759/16 and all new multi-conductor shielded wire meets MIL 27500.
All work done IAW AC43.13-2A, Chapters 1, 2 & 3 and manufacturers installation data.
Aircraft equipment list and weight & balance manual revised.
END
O Additional Sheets Are Attached
*U.S. GOVERNMENT PRINTING °EPICS: 1912-769-012/60IS7
SONY _GM_02754073
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240995
EFTA01326588
"
0
MAJOR REPAIR AN
I I ) '
fRILT
I I 1
TIO
1
1998
i
I
Form Approved
OMB No. 2120-0020
uscepamert
(Airframe, Powerplant, Pr
dTrarasatatian
wiener, or ApAliance) j
For FAA Use Only
Uldi
Office klentficationGL
Federal Aviation
Administration
/3
INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 4247ZEftendirtralttlertraffitrzybesquent revision thereof) for instructions
and disposition of this form. This report M required by law (49 U.S.C. 1421). Failure to report can result in a civil penalty not to exceed $1,000
for each violation (Section 901 of Federal Aviation Act of 1958).
Make.
Gulfstrezun Aerospace Corp.
Model
GIV
1. Aircraft
Serial Na
Iffil5
Nationality and Registraticn Mark
P1864CE
2. Owner
Name aflame oitapistrattisaceritecak)
Coca Cola Enterprises Inc.
.
Address (As shaman faySiMaancefffitak)
2500 Windy Ridge Pkwy SE
Atlanta GA 30339-5677
3. For FAA Use On y
4. Unit Identification
6. Type
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME
X
(As descabcd in Item 1 above)
POWERPLANT
PROPELLER
APPLIANCE
Type
Manufacturer
6. Conformity Statement
A. Agency's Name and Address
B. IGnd Of Agency
C. Certificate No.
Oulfstream Aerospace CorpenitiOn '
W6365 Discovery Drive
Appleton. WI 54915
U.S. Certificated Mechanic
GI FRI 00Y
Foreign Certificated 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 hue and correct to the best of my knowledge.
Date
DEC 1 0 1998
.
SIgnatu
refuel
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 AdmInisUator of the Federal Aviation Administration and isySAPPROVED
CI REJECTED
FAA Flt. Standards
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
BY
FM Designee
X
Repair Station
Person Approved by
Transport Canada
Airworthiness Group
Date of Approval or Rejection
DEC. 1 0 1998
Certificate or
Designation No.
GIFRIODY
Signal
Autho
o rni
f
t
nn 337 (1248) (Compote: Generated)
SDNY_Gtvl_02754074
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240996
EFTA01326589
NOTICE
Weight and balance limitation changes shall be entered tri 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).
Removed Bendix Instrument Landing system (ILS), consisting of 2ea. ILS Receivers, 2ea. racks, and lea. ILS
controller. The ILS system was originally installed at the factory. The ILS system was previously disabled I.A.W.
AD 89.02-12 R1 dated March 21, 1994. #1 and #2 ILS circuit breakers were previously removed. Connectors are
capped, bagged, and stowed.
Removed the following equipment:
2ea. Bendix ILS Receivers P/N 2104-1230-3504
lea. Bendix ILS Controller P/N 1159SCAV404-3
lea. ILS Rack P/N 1159AV40369-1
lea. ILS Rack P/N 1159AV40369-2
The weight and balance manual and equipment list were revised.
END
K Additional Sheets are attached.
SDNY_GIvl_02754075
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240997
EFTA01326590
.0
MAJOR REPAIR
US Cocain/al
orlandomaron
Administration
(Airframe, Powerplant, P
Federal Aneden
re:-Q7: r : •._,,, ts
_.,
• ITERATION
regal; Ay/ El I &zee
Form Approved
OMB NO. 21204020
For FAA Use Only
Office IdentificationGt
13
INSTRUCTIONS:Print or type all entries. See FAR 43.9, F
and disposition of this form. This report Is required by lave44946S.G..1421)...Eatakirggenad
for each such violation (Section 901 Federal Aviation Act
kR43Appendix 8. an
=
01 1958).
or ulnas:went revision thereof) for instructions
result in a civil penalty not to exceed $1,000
1. Aircraft
Make
'
Model
G-IV
Serial No.
1085
Nationality and Registration Mark
N864CE
•
z Owner
Name (As shown on registration certificate)
Address (As shown on registration certificate)
2500 WINDY RIDGE PKWY SE
ATLANTA, GA 30339-5677
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
• '
',..
-
.
P0WERPLANT
PROPELLER
APPLIANCE
Tyne
•
Manufacturer
.
8. Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
C: Certificate No.
W6365 DISCOVEItY DR.
ADM PION, WI Sal 5,
(U.S. Certificated mechanic
•
GIFRIOOY
'
Foreign Certificated Mechanic
Certificated Repak Station
Manufacturer
D. I certifythat the repairand/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 nowledge.
Date
DEC 1 0 1998
Signature of Authorized Indiv u
•
7. Approval for Return To Send
Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the
Administrator of the Federal Aviation Administration and Is
[(APPROVED . CI REJECTED
BY
FAA Fit. Standards
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
FAA Designee
X Repair Station
A
oved by
esTransport
Person ppr
Canada Ainvonhin s GrouP
Dale of Approval or Rejection
DEC 10 1998'
Certificate or
Designation No.
GIFRIDOY
Signatu
uthorized dd
- lt
•
FAA Form 337 ordist.
SDNY_GI.1_02754076
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240998
EFTA01326591
NOTICE
Weight and balance or operating limitation changes shall be enterid 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
.
(It more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.)
Installed dual digital Collins RTU-4210 Radio Control Units in the center pedestal in accordance with
Atlantic Aviation/Delta Engineering STC ST00717NY-D, dated May 19, 1998, replacing the GAC installed
Gables Comm/Nav/ATC/ADF / TCAS Control Heads.
Newly installed equipment includes:
2 Ea. Collins RTU-4210 Radio Tune Units, P/N 822-0836-005
Removed equipment includes:
2 Ea. Gables 700-D36407A-002 Comm Controls
2 Ea. Gables 700-D36409A-002 Nav Controls
2 Ea. Gables 700-D36411A-002 AIDE Controls
1 Ea. Gables 700-D36413-008 ATC 1 Control
1 Ea. Gables 700-D36413-003 ATC 2 Control
1 Ea. Gables 700-D36415A-003 Marker Control
1 Ea. Gables G6969-04 TCAS Control
Refer to GAC drawings: VHF Comm Mods, GIV-31085-23-20; VHF NAV/DME Moth, GIV-31085-34-
26; ADE System Mods, GIV-31085-34-32; ATC System Moth, GIV-31085-34-35; Control Heads, GIV-
31085-34-37; and FMS Mods, GIV-31085-34-58, which is electrically equivalent to the aforementioned
STC.
FAA Approved Airplane Flight Manual Supplement, 62743606-340 dated 5/19/98, with Rev. — is
required for this approval and supersedes the existing AEM and attached supplements only in the areas
contained therein.
Maintenance Manual Supplement, Delta Engineering Document No. 727-03609-340 dated 5/19/98,
with Rev. — is required for this approval.
Existing wiring diagrams affected by the above referenced systems are revised to reflect changes in system
design or interface to the newly installed or modified systems as appropriate. All new single conductor wire
meets MIL 22759/16 and all new multi-conductor shielded wire meets MIL 27500.
All work done IAW AC43.13-2A, Chapters 1, 2 & 3 and manufacturers installation data.
Aircraft equipment list and weight & balance manual revised.
END
0 Additional Sheets Are Attached
dV.S. GOVERNMENT PRINTING OFFICE: 1,12-755-017/60I57
SONY GM 02754077
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 40999
EFTA01326592
DATE
February 9.1996
MAKE
Gulfstream
MODEL NO.
G-IV
TYPE (Airpkne,Radiodielicopter etc)
Airplane
The Jet Center
LIST OF DATA
IDENTIFICATION
TITLE
Drawing Number
Rev.
Date
0 Shts
Drawing Tide
3 FMS
1 & No. 2 Global Position
and approved as it pertains to
only.
08069100
08069324
A
01/20/96
5
No.
A
01/20/96
1
No.
'END'
Note:
The above data is reviewed
electrical systems and equipment
PURPOSE OF DATA
To show compliance with applicable Federal Airworthiness Regulations for minor deviations to
S.T.C. SA3774NM for Gultstrearn G-TV, S/N 1085, N88GA ONLY via FAA. Form 337.
APPLICABLE REQUIREMENTS Vitt specific sections)
FAR's: 25.1301(nkod); 25.1309(a,b,c); 25.1322(be,d); 25.1355(c); 25.1357(a,c,d).
CERTIFICATION - Under authority vested by direction
of appointment under Part 183 of the Federal Aviation
none
have been examined in accordance
of the Administrator and in accordance with conditions
Regulations, data listed above and on attached sheets
with established procedures and found to
data
and limitations
numbered
comply with applicable
requirements of the Federal Aviation Regulations.
I ewe) Therefore A Recommend approval of these
Approve these data
.gLits,ci re rt
nA---
NM-2128
Systems & Equipment
Sarlds A ICara,guzian .
orm EI 10-3(11.70) SUPERSEDES PREVIOUS EDITION
GPO 901-613
SDNYGlvl_02754078
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241000
EFTA01326593
SDNYGM02754079
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA _00241001
EFTA01326594
.
A.
A ch-cf4:-c-s
C
1
U.S. Department
of Transportation
(Airframe Powerplant, Propeller, or Appliance)
'Federal Aviation
Administradon
Form Approval
OMB No. 2120-0020
For FAA Use Only
Office Identification
STITS11O.11
.,114STRUCTI0NS. Print or type all antics. See F AR 43.9 FAR 43 Appendix B. and AC43.9-1 (cesubscquent revue= thereof) for =ass
and cIsposilkm dais tbrin. Ibis report is required by law (49 U.S.U. 1421). Faun to report can remit illation penalty not to exceed $1,000
for cub nub violation (Section 901 Federal Aviation Actor 1938).
1. Aircraft
Make
Gulfstream
Model
(MV
Serial No.
1085
Nationality and Registration Marks
U.S.A. N864CE
2. Owner
Name at shown on registration Certificate)
Coca-C-ola Enterprises Inc.
Address (As shown on registration certificate)
3931 Ann Dr NW
Atlanta, GA 30336-1512
3. For FAA Use Only
•
4. 17alt Identification
5. type
Unit
Make
I
Model
I
Serial no.
Repairs
Alterations
Airframe
-
—
X
(As described in irem I above) P
ea—
Powerplant
Propeller
Appliance
Type
ManUfaCtUrtr
6. Conformity
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
FAA CRS GR4R216M
Foreign Certificated Mechanic
X
Certificated Repair Station
Manufacturer
D. I cab& that tbe repair andlor alteration made to the =Ns) idadified m item 4 above and !wailed ca the muse or anathacrits bare have been made in
accordance with the requirements of Part 43 efthe US. Federal Regulations and that the information garnished benzin is true and ant
the bet army knowledge-
Date
09/05/97
Signature of Authorized Indivi ual
Steven Sweeney
7. Approval for Return To Service
Punuant to the authority giveo persons specified below, the unit identified in ban 4 was inspected in the manner prescribed by the Atli:enteral& Federal Aviation
Administration and is El APPROVED
O REJECTED
BY
FAA FIt. Standards
Inspector-
Manufacturer
Inspection Authorization
Other (Specify)
FAA Designee
X Repair Station
Person Approved by Transport
Canada Ai worthiness Group
Date o Approval dr Rejection - -
09/05197
Certificate or -
-
Dedgoation No.
FAA CRS GR4R216M
Signature of Assiberized individual
Jimmie K. Smith
.
'
A,..
g
ntei,
.
SDNYGlvl_02754080
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241002
EFTA01326595
•
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate tuft retort An alteration must be compatible with
al t previous alteration to assure continued conformity with the applicable airworthiness requirements
8. Description of Work Accomplished:
(temote space is requited snub soiTstional sheets kleo* vale ainraft Whoa* end registration mark iodate bark completab.
Aircraft Model: G-IV
Aircraft Time Since New: 2853.9
Aircraft Serial No.: 1085
Aircraft Landings Since New: 1227
Aircraft Registration No.: N864CE
Reference: Gulfstream Aerospace Corporation Workorder No.: C04-1085-097-0042
1. Incorporated the following FAA approved major Gulfstream Aircraft Service Changes:
ASC No.:
Subiect:
135 A2
ECS Pack Sequencing During Engine Start
End
O
Additional Sheets Are Attached
SDNY_GM_02754081
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241003
EFTA01326596
-- 8TAWDARISAIRWOMINES8 CITTFICATI
II866CZ
0:11.18118Sall/GIV
10115
MUM=
• J•I•antr".••••
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"
""
Ion
•
71:3. 12-16-88
Vitt
FM Fo, Me" man
SDNY_GM_02754682
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA 00241004
EFTA01326597
SONY_GM02/59083
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA 00241005
EFTA01326598
.
_
•
!r,7-•
•-•
• \\
(Cly t
;
•
II f
- 6 L.,:,7 MA.
mmn
(Airframei
if
•
•
Powerplant, Propeller, or Appliance)
Form Approved
OMB No. 2120-0020
For FAA Use Only
Office Identification
AI /3
-
ClitragtFriRroitype an en
and disposition of this form. This report
for each such violation (Section 901
des. See FAR 43.9, FAR 43Appendix B. and AC 43S-1 (or subsequent revision thereof) for instructions
is required by law (49 U.S.C. 1421). Failure to report can result in a civil penalty not to exceed 91,000
Federal Aviation Act of 1958).
1. Aircraft
Make
Gulfstream Aerospace
Model—
-1.,-IV
Serial No. 7085
Nationality and Registration Mark
N
2. Owner
Name (As shown on registration certificate)
Coca-Cola Enterprises, Inc.
Address (As shown on registration certificate)
2500 Windy Ridge Parkway
Atlanta, Georgia 30338
3. For FAA Use Only
4. Unit Identification
S. Type
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME
(As described in Item I above)
X
POWERPLANT
PROPELLER
APPUANCE
Type
Manufacturer
8 Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
C. Certificate No.
U.S. Certificated mechanic
QK2R112L
K-C Aviation, Inc.
Foreign Certificated Mechanic
301 Discovery Drive
X c•niscanics sops swan
Appleton, WI
54915
Manufacturer
D. I certify that the repair and/or alteration made to the un
have been made In accordance with the requirements
furnished herein is true and correct to the best of my know
t(s) identified in Item 4 above and describedon the reverse or attachments hereto
of P n 43 of the U.S. Federal Aviation Regulations and that the Information
edge.
Date
DEC 20 1996
Signature of Authorized Ina( ual
7. Appro I or 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
Ft.APPROVSO
- 0 REJECTED
FAA Rt. Standards
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
BY
FAA Designee
x
Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date& Approval or Rejection
DEC 20 1996
Certificate or
Designation No.
ClK2R112L
Signature of Authorized Ind' 'dual
(cdseine.
•
FAA Form 337 /2.s
SDNYGIvl_02754084
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241006
EFTA01326599
NOTICE
Weight and balance or operating limitation changesshall be entered in the appiopriate aircraft record. An alteration niust be
compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements.
8. Description of Work Accomplished
(II more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed:) .
Fabricated and installed life raft storage provisions for two rafts under divan, F.S. 379 and F.S.
415 in accordance with K-C Aviation, Inc., Structural Drawing GIV-25-01-222, sheet 1.
DER approval is in accordance with 8110-3 form dated 12/20/96 by A. Duncan, CHI-424.
Fasteners torqued using AC43.13-1A chapter 5 as a guide.
Corrosion protection accomplished using AC-43.13-1A chapter 6 as a guide.
Materials used meet the requirements of FAR 25.853.
END
O Additional Sheets Are Attached
OILS. 00VICRNMENT PRINTING OPPIGC: I192-749-0I2/101117
SDNY_GM_02754085
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241007
EFTA01326600
Form Approved
OMB No. 2120-0020
MAJOR
- 6 tlAn1d rams)
Aviation
tmrlinn
IL"
' REPAIR AND ALTERATION
Powerplant, Propeller, or Appliance)
For FAA Use Only
Office Identification
Ch/3
atiglIaLICTIOAMPrig4014490411-sa
and disposition of this form. This report
for each such violation (Section 901
ries. See FAR 43.9, FAR 43Appendix EL and AC 43.9-1 (or subsequent revision thereof) for instructions
is required by law (49 U.S.C. 1421). Failure to report can result In a civilpenalty not to exceed S1.000
Federal Aviation Act of 1958).
1. Aircraft
make
Gulfstream Aerospace
ModelG-IV
Serial No.
1085
Nationality and Registration Mark
N88GA
t Owner
Name (As shown on registration certificate)
Coca-Cola Enterprises, Inc.
Address (As shown on registration certificate)
2500 Windy Ridge Parkway
Atlanta, Georgia 30338
3. For FAA UVVEINIXIA/ALI trUAI ILMIrrilzIJAIti ILltN I II-ICU ItHtinil
GUM
Itb WI I H I It mar 4GAbLt
SECTIO 43.
HIFIVVUti I
FOR THE
CONFORMITY
I
I-IINtbb
ASOVE
AR
3IGNA—U
4. Unit 'dentin;
.
Unit
Make
Model
IAA MICE FSDO
Serial No.
Repair
Alteration
AIRFRAME
(As described in Item 7 above)
X
POWERPtAfff
PROPELLER
APPLIANCE
Type
Manufacturer
6 Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
C. Certificate No.
U.S. Cenificated Mechanic
QK2R112L
K-C Aviation, Inc.
Foreign Certificated mechanic
301 Discovery Drive
x
Certificated Repair Station
Appleton, WI
54915
manufacturer
D. I certify that the repair and/or alteration made to the un
have been made in accordance with the requirements
furnished herein Is true and correct to the best of my knowledge.
t(s) identified in item 4 above and described on the reverse orattachments hereto
of Part 43 of the U.S. Federal Aviation Regulations and that the information
Date
DEC 0 9 1996
Signature of Authorized Individual
-kO
.
7. App
a tor 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
Q, APPROVED
O REJECTED
FAA FIL Standards
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
BY
FAA Designee
.,
A Repair Station
Person Approved by Transport
Canada AIMOilhintSS Group
Date of Approval or Rejection
DEC 181996
DEC i
8 1996
Certificate or
ignation No.
Designation No.
0K2R112L
Signature of Authorized Individual
Coma
‘....a
FAA Form 337 02401
SDNYGIvl_02754086
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241008
EFTA01326601
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be
corn/sat/We with all previous alterations to assure continued conformity with the applicable airworthinesi requirements.
8. Description of Work Accomplished
(If more space is requited. attach additional sheets. Identify with aircraft nationality and registration mark and dale work completed.)- ...
Removed all 10 existing Aircraft Modular Products cabin chairs P/N: 1250-1399-001; P/N: 1250-
1399-002, forward (2 ea.), center group (4 ea.), aft group (4 ea.), retractable tables (6 ea.) and
(2 ea.) left and right forward cabin cabinets at F.S. 176. Installed six new single ISO C39a
Aircraft Modular Products chairs, two double TSO C39a Aircraft Modular Products chairs and a
Tosington side facing three place TSO C39a, Type I divan reconfigured to 13 place passenger
cabin in accordance with K-C Aviation, Inc., floor plan drawing GIV-25-05-200, sheet 1 dated
10/29/96.
Seats and divan are installed in the conventional manner using new seat track over existing
aircraft seat track in accordance with K-C Aviation STC SA1266GL approved drawing GIV-25-
50-205, sheet 1, revision B in the positions listed below:
#1 IJH
P/N: 2524.014(-866C)
Aft Facing
F.S. 173
#1 R/H
P/N: 2524.014(-866D)
Aft Facing
F.S. 173
#2 L/H
P/N: 2524.014.01(-874B) Forward Facing
F.S. 225
#2 R/H
P/N: 2524.014.01 (-874A) Forward Facing
F.S. 225
#3/4 L/H P/N: 2524.015(-167C)
Aft Facing
F.S. 272
#5/6 L/H P/N: 2524.015(-1678)
Forward Facing
F.S. 326
#7 R/H
P/N: 2524.014(-866A)
Aft Facing
F.S. 370
#8 R/H
P/N: 2524.0141-866A)
Forward Facing
F.S. 424
Divan
P/N: T480-40
Side Facing
F.S. 397
All seats installed with new ISO C-22F color coordinated seat belts by C & M Marine.
Details of additional interior components depicted and installed in accordance with floor plan
drawing are approved on separate FAA form 337's. The floor plan drawing will be
referenced for location purposes.
Materials used meet the requirements of FAR 25.853.
The aircraft weight and balance manual and equipment list revised.
Fasteners torqued using AC.43.13-1A chapter 5 as a guide.
END
K Additional Sheets Are Attached
0 U.S. GOVERNMENT SMINTINO OF NCI: 1M-769-012/60157
SDNY_GM_02754087
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241009
EFTA01326602
in
Vat
IS
g Lt.,. I,..
MA
4 - 6 Iiigrframe
Ansa
await
f • i
•
Powerplant, Propeller, or Appliance)
Form Approved
OMB No. 21200020
For FAA Use Only
Office Identificatiory
is,
alif...1
NSTRUCTIO NS: Print or type all e
ermicitspositiorrof this
.
for each such violation (Section 901
ries. See FAR 43.9. FAR 43 Appendix B. and AC 43.9-1 (or subsequent revision thereof) for instructions
is required by law (49 U.S.C. 1421). Failuret0 Alpert can result Ina civii penaity not to excee351800
Federal Aviation Act of 1958).
I. Aircraft
Make
Gulfstream Aerospace
u
ModeL• -IV
Serial No.
1085
Nationality and Registration Mark
N88GA
z Owner
Name (As shown on registration certificate)
Coca-Cola Enterprises, Inc.
Address (As shown on registration certificate)
2500 Windy Ridge Parkway
Atlanta, Georgia 30338
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
8. Kind of Agency
C. Certificate No.
U.S. Certificated Mechanic
OK2R112L
K-C Aviation, Inc.
Foreign Cann-mated Mechanic
301 Discovery Drive
y
Certificate:1 Racal/ Station
Appleton, WI
54915
'
Manufacturer
O. I certify that the repair and/or alteration made to the un
have been made in accordance with the requirements
furnished herein Is true and correct 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. Federal Aviation Regulations and that the information
knowledge.
Date
DEC 18 1996
Signature of Authorized lndiv ual
7. Approv
or Return To Service
Pursuant to the authority given persons specified below. t
unit identified in item 4 was Inspected in the manner prescribed by the
Administrator of the Federal Aviation Administration and is
(APPROVED
O REJECTED
FAA Flt. Standards
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
BY
FAA Designee
x
Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date of Approval or Rejection
DEC 1 8 1996
Certificate Or
Oesignation No.
OK2R112L
Signature of Authoriz
Indi dual
CI A,-4-,
c
•
FAA Form 337 02441
SDNYGIvl_02754088
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241010
EFTA01326603
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.
S. Description of Wotk Accomplished
of more Space is required, attach additional sheets. Identity with aircraft nationality and registration mark and date work completed.)
Fabricated and installed the following new interior components in accordance with K-C Avlation,
Inc., Floor Plan Drawing GIV-25.05-200, sheet 1 and the below listed Structural Drawings:
GIV-25-02-203
Sheet 1
Rev. -
Subwoofer Installation
GIV-25-01-209
Sheet
Rev. -
Game Table Leaf Assembly
GIV-25-02-209
Sheet 1
Rev. -
Enflight Table Installation
GIV-25-09-210
Sheet 1-3
Rev. -
Galley Aft Right Modification
GIV-25-10-210
Sheet 1-2
Rev. -
Galley Aft Left Modification
GIV-25-07-223
Sheet 1
Rev. -
Aft Divan Cabinet Installation
GIV-25-08-223
Sheet 1
Rev. -
Forward Divan Cabinet Installation
GIV-25-06-226
Sheet 1-5
Rev. -
Credenza Details and Installation
GIV-25-53-286
Sheet 1-2
Rev. -
Conference Table Dual Pedestal Installation
Subwoofers installation consists of four units installed below cabin window ledges at the
following locations: two each forward left and right cabin F.S. 163; one each right aft cabin F.S.
350 and one each right aft cabin 436.
Fabricated and installed three stowable game tables in the following locations: two each left and
right forward cabin F.S. 198; one each right aft cabin F.S. 397.
Fabricated and installed new manual height adjustable conference table in center left cabin F.S.
299.
Fabricated and installed new credenza cabinet in right center cabin extending from F.S. 255 to
F.S. 345. Credenza contains six drawers in center for miscellaneous storage and hinged
compartments on each end for pillow and blanket storage.
Fabricated and installed new divan forward and aft divan armrest cabinets located at F.S. 355
and F.S. 434. Cabinets contain drawers for miscellaneous storage.
Modified left galley to include removal of decanter cabinet, replacing Sharp microwave oven P/N:
R-1 M53 with new larger Tappen unit P/N: TMS083U1W and replaced 13" Hitachi TV monitor
P/N: CT1386B with new 14" Baker LCD monitor P/N: TW1400.
Modified right galley removing hot cup dispenser, replacing circuit breaker panel, adding the
following equipment: new Krups coffee maker, hot and cold water spigot and sink, Nordskog Hi-
Temp oven P/N: 50231 and new trash receptacle. New trash receptacle is in compliance with
the flammability requirements of 14CFR25 (part 25), paragraph 25.853(h), amendment 25-83.
DER approval is in accordance with 8110-3 form dated 12/18/96 by A Duncan, CHI-424.
Electrical aspects covered separately.
Cabin interior compartment placards description detailed in K-C Aviation drawing GIV-25-01-218
and layout per drawing GIV-25-04-218.
Fasteners torqued using AC43.13-1A chapter 5 as a guide.
Corrosion protection accomplished using AC 43.13-1A chapter 6 as a guide.
Weight and balance accomplished using AC43.13-1A chapter 13 and the aircraft manufacturer's
weight and balance manual as a guide.
Materials used meet the requirements of FAR 25.853.
The aircraft weight and balance manual and equipment list revised.
END
0 Additional Sheets Are Attached
*U.S. GOVERNMENT PRINTING OFFICE: 1192-769-012/60157
SDNY_GM_02754089
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002410I I
EFTA01326604
0
.
I ; Vi L3
MAJOR
US Doormen
Mitenspermson
- 6 Lymnr
. Fare' krtallen
An
Powerplant, Propeller, or Appliance)
Form Approved
ome No. 2120-0020
For FAA Use Onty
Office Identificatiwi
NJ3
itlUCTIONS:
-for
Catl
tU
Print or type alt entries.
ispositicusoLthWoraatiisseairt
each such violation (Section 901
See FAR 43.9. FAR 43 Appendix B. and AC 43.9.1 (or subsequent revision thereof) for instructions
Is required by law (49 U.S.C. 1421). Failure to report can result In a civil penalty not to exceed $1.000
federal Aviation Act of 1958).
Make
Gulfstream Aerospace
Model G-IV
1. Aircraft
Serial No.
1085
Nationality and Registration Mark
N88GA
Z Owner
Name (As shown on registration certificate)
Coca-Cola Enterprises, Inc.
Address (As shown on registration certificate)
2500 Windy Ridge Parkway
Atlanta, Georgia 30338
,I.t_j,:,,,,rminajtmiu
l
3
4;enotreers,
.. For FAmp ..
. tf. ,v4H44.h.7ipptitheipteleaFivvom
rt
REQUIREMENTS
DESCRIBED
INSPECTION
SECTION
ne-re zl
AND IS APPROVED
7
1
In
FOR THE
CONFORMITY
IN
miciEsr
-.,:r
ABOVE
43
4. Unit Identification
FAA NIKE I-SDO
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.
.
US. Certificated Mechanic
CIK2R112L
K-C Aviation, Inc.
Foreign Certificated mechanic
301 Discovery Drive
x Certificated Repair Station
Appleton, WI
54915
Manufacturer
D. I certify that the repair andtor alteration made to the un
have been made in accordance with the requirements
furnished herein is true and correct to the best of my knowledge.
t(s) identified in item 4 above and described on the reverse or altachrnemts hereto
of Part 43 of the U.S. Federal Aviation Regulations and that the information
Oate
DEC 0 9 1996
Signature of Authorized Individual
c
7. App
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
Ck.PPROVED
CI REJECTED
FAA Flt. Standards
Inspector
Manufacturer
Inspection Authorization
Other Meal
BY
FAA Designee
KRepair Station
Person Approved by Transport
Canada Airworthiness Group
Date of Approval or Rejection
DEC 1 8 1996
Certificate or
No.
Des CIK
ignation2R112L
Signature of Authorized Individual
Qs...-. cd-jd-
FAA Form 337 11206)
SDNYGIvl02754090
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241012
EFTA01326605
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 park and date work completed.)
Modified existing forward right vestibule crew cabinet, F.S. 163 in accordance with K-C Aviation,
Inc., Structural Drawing GIV-25.05-216, sheet 1 and PS100-26.04-600.
Cabinet rework consists primarily of the following changes:
Compartment #1 (Upper):
1) Removed existing upper cabinet compartment tambour door installing new hinged door
2) Relocated existing bleed air temp indicator in upper portion of compartment adjacent existing
data loader and removed existing water tank from lower portion of compartment. Area now
used for miscellaneous storage.
3) Compartment placarded 4.0# maximum
Compartment #2:
1) Removed existing Proctor Silex coffee maker P/N: A607 installing new Krups auto fill maker
P/N: 321 to existing slide out tray.
2) Installed new Baker 14' LCD TV monitor aft facing and adjacent to coffee maker. Monitor is
retained in the cabinet by a removable shroud assembly, fabricated from Norlam aluminum
sandwich panel P/N: NL610-10111-375, .75" X .75" X 0.050" 2024-73511 extruded
aluminum angles and TYE 2004 thru inserts and TYE 2001 potted into cabinet.
Compartment #3 (Drawer):
1) No changes
2) Compartment placarded 5.0# maximum
Compartment #4 (Drawer):
1) No changes
2) Compartment placarded 10.0# maximum
Compartment #5 (Bottom):
1) Removed two existing drawers installing new single drawer to fit compartment.
2) Compartment placarded 20.0# maximum
Replaced all compartment drawer and door latches with new Actron positive type latches P/N:
A23060-9 and A23551-35.
Electrical aspects covered separately.
All metal fabrication practices per K-C Aviation Process Specification 106.
All threaded fastener installations per K-C Aviation Process Specification 105.
Fabrication of bulkheads, cabinets, drawers and doors per K-C Aviation Process Specification
116.
Cabin interior compartment placards description detailed in K-C Aviation drawing GIV-25.01-218
and layout per drawing GIV-25-04-218.
Fasteners torqued using AC43.13-1A chapter 5 as a guide.
Corrosion protection accomplished using AC 43.13-1A chapter 6 as a guide.
Weight and balance accomplished using AC43.13-1A chapter 13 and the aircraft manufacturer's
weight and balance manual as a guide.
Materials used meet the requirements of FAR 25.853.
The aircraft weight and balance manual and equipment list revised.
END
K Additional Sheets Are Attached
nu.s. aote vitamin T PRINTING OFFICE 1991-769-01 5/40157
SDNY_GM_02754091
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241013
EFTA01326606
. ";
\11121 •
JAN — 6 I997
(AM
, Powerplant, Propeller, or Appliance)
ackremmenew,
Form Approved
OMB No. 2120-0020
For FAA Use Only
Office Identifies,'
ic)gn lig
INSTRUCTIONS:Print or type all entries. See FAR 43.9. FAR 43 Appendix Et and AC43.9-1 (or subsequ nt revision thereof) for instructions
anddisposition of this form. This report is required by law (49U.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 01 1958).
1. Aircraft
Make
Gulf stream Aerospace
Mode
IG-IV
Serial No.
1085
Nationality and Registration Mark
N88GA
.2 owner
Name (As shown on registration certificate)
Coca-Cola Enterprises, Inc.
,._ ,
Address (As shown on registration certificate)
2500 Windy Ridge Parkway
Atlanta, Georgia 30338
.,,..,,;.., „,...,, „„,„...,.,,,,,,..„.0‘.,....wicil miziks:IN
3. For FAA Urie(Gartel IFS WITH THE APPI CAR) F AIRIANIRTHIMFRR
REQUIREIviENTS AND IS APPROVED
SECTION
7-
DATE.
ea- SIGNKRIRF.
FOR THE ABOVE
CONFORMITY
IN F
43,
4. Unit Identification
FAA MKE FSDO S. Type
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME
(As clisSeribed in hem 1 OM")
X
.
POWERPLANT
PROPELLER
APPLIANCE
Type
Manufacturer
6 Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
C. Cerli icate No.
K-C Aviation, Inc.
301 Discovery Drive
Appleton, WI 54915
U.S. Certificated mechanic
C1K2R112L
Foreign Certificated MeChailiC
x Certificated Repair station
Manufacturer
D. I certify that the repair and/or alteration made to the can 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
DEC 0 9 1996
Signature of Authorized Individual
(" ......A. .
7. Ap
al 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
GAPPROVE0
0 REJECTED
FAA Flt. Standards
Inspect or
Manufacturer
Inspection Authorization
Other (Specify)
FAA Designee
x
Repair Station
Person Approved by Transport
Canada AInvorthiness Group
°aloof Approval or Rejection
18 1996
Certificate or
Designation No.
12K2R112L
Signature of Authorized Individual
DEC
C)S`" d e"-"
.•
FAA Form 337 02.8e)
SDNY_CM_02754092
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EF1'A_0024I0I4
EFTA01326607
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 LOnlOrmily with the applicable airworthiness requirements.
8. Description of Work Accomplished
(If more space is required attach additional sheets. Identity with aircraft nationality and registration mark and dale work completed)
Removed existing cabin window ledges and lower sidewalls, modified existing vestibule, cabin,
aft galley headliner and existing floor conditioned air ducts, installed new window desiccant
system, upper sidewall speakers, new ledges and lower sidewalls and two additional oxygen
presentation units as detailed below. Interior components located in accordance with K-C
Aviation, Inc. floor plan drawing GIV-25-05-200, sheet 1. Cabin peripheral interior rework
extends from forward cabin bulkheads F.S. 155 to aft cabin bulkheads F.S. 445.
Modified by sectioning existing cabin headliner into five 48.00" long sections using the following
K-C Aviation drawings: GIV-25-50-213, sheet 1, rev. A - Headliner Vestibule Assy and
Installation; GIV-25-50-213, sheet 2, rev. A - Headliner Main Cabin Bracket Details; GIV-25-01-
213, sheet 1 -Headliner Support Bracket Installation. The five panels interlock together on the
forward and aft ends when installed in the aircraft with a flange and slot assembly fabricated
from .040" 2024-T3 aluminum flat stock and 5 slots fabricated from 0.75 X .025" X .075"
2024-T3511 extruded aluminum Z angle. The headliner is retained in the aircraft on the outboard
edges using existing isolator mounting provisions and ten 34.00" long support angles (5 ea. side)
fabricated from 0.063" 2024-T3 aluminum installed between each existing headliner bracket.
Added two new Scott dual oxygen presentation units P/N: 833-610 in left headliner F.S. 286.5
and 307.5 and two duel presentation units, one left valance F.S. 213.81 and one in right valance
F.S. 213.81. All new units are plumbed to existing system. Additional presentation unit
installation and seating configuration does not exceed limitation requirements of Aero Interiors
continuous flow supplemental oxygen system STC SA4416NM.
Fabricated and installed 11.0" X 5.0" light bracket assemblies in vestibule between F.S. 85.0 and
F.S. 97 (1 ea.) and galley (2 ea.) using K-C Aviation, Inc. drawing GIV-25-50-213, sheet 4, rev.
A - Headliner Aft Galley Assy and Installation. Each bracket assembly is fabricated from .040"
2024-T3 aluminum. Each assembly is retained by four brackets fabricated from 1" X 1" X .050"
2024-73511 extruded aluminum L angle riveted or hylocked to adjacent frames. Bracket
assembly provides mounting surface for dome style lights.
Fabricated and.installed mounting provisions for five upper sidewall entertainment system
speakers on each side of the cabin between each cabin window, F.S. 200, 250, 301, 350 and
395 in accordance with K-C Aviation Inc., drawings GIV-25.02-211, sheet 1 & 2 - Upper
Sidewall Speaker Installation. Each assembly consists two formed angles and four brackets
constructed from 0.063" 2024-T3 aluminum to accommodate the 8.50" X 5.00" Baker HF93
speaker assemblies. Each speaker is retained to the aircraft by the four angle brackets riveted to
the adjacent frames, four each isolator mounts P/N: 100147-40-062; four each MS21059L3
nutplates and MS227039-1 screws, two each formed angles and hardware provided by the
speaker manufacturer.
Fabricated and installed replacement left and right ledges using K-C Aviation, Inc., drawings GIV-
25-51-203, sheet 2, rev. A - Lower Sidewall Ledge Assembly and Install; GIV-25.04-203, sheet 1
- Ledge VIP Panel Installation; CL600-25-17-203, sheet 1 - Ledge Lid And Storage Compartment
Install Installation consisting primarily of four sections fabricated from NL610-10122-500 and -
250 Norlam sandwich panel; two left and right forward and one right aft section with retractable
table provisions; left aft section behind divan. Each section is secured to each side of the cabin
below the window line using TYE 2004A3-500 and TYE 2001-08-10 thru and threaded inserts
potted into ledge, isolators P/N: B-532-1 and MS hardware into a formed aluminum assembly
consisting of a full length intercostal, aluminum gussets, angles, webs and gusset plates riveted
together and to the aircraft structure. Ledges contain cup holders and electrical membrane
switches at seating locations, VIP panel and Magnastar handset and cell phone storage at #2 left
and right forward cabin seats. The lower sidewall panels are fabricated from NL 610-10111-250
Norlam sandwich panel and close-out area below ledges to existing floor conditioned air duct.
Panels are sectioned for easy access and retained by the ledge end cap and an aluminum angle
running full length of ledge. The lower end of sidewall panel is retained using an aluminum angle
blind riveted to existing conditioned air duct and Velcro loop and hook fastener material.
rif Additional Sheets Am Attached
*U.S. GOVERNMENT PRINTING OFFICIO IS112-761-0ISNSOIS7
SDNY_GM_02754093
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241015
EFTA01326608
Gulfstream GIV, S/N: 1085 N88GA
Page 2
Reworked existing floor length left and right cabin conditioned air ducts due to removal of
previously installed cabin stowable tables at F.S. 206, 297 and 395 in accordance with K-C
Aviation, Inc., drawing GIV-25-01-207, sheet 1 - Conditioned Air Heat Duct Repair. Rework
consists of closing out upper duct recesses using a 0.040" 2024-T3 aluminum panel blind riveted
with NAS9301B-4 rivets and PR1422 sealant.
Relocated existing cabin temperature sensors P/N: 926485-1-1 in accordance with floor plan
drawing. Right forward temperature sensor moved from F.S. 219 to F.S. 250 and left aft moved
from F.S. 436.5 to 345.
Fabricated and installed new left and right cabin window desiccant systems using K-C Aviation,
Inc., drawing GIV-25-51-203, sheet 6, rev. A • Lower Sidewall Window Desiccant System
Installation. Each desiccant system is constructed of 2.0" X 21.0" long Excelon tube bonded with
2.0" PVC end caps bonded on each end with PCV adhesive.
One end cap contains a hose barb
fitting P/N: 125HBL4-4 the other with an MS 20913-4D fill plug. Desiccant tubes are mounted
below window ledges in lower sidewalls at F.S. 200 with two MS21919WH32 clamps and a
bracket fabricated from 0.050" 2024-T3 aluminum riveted to the aircraft structure. Each
desiccant tube is plumbed to each window with 5052-0 0.25" tubing, Tygon polyethylene tube,
Nalgene nylon TEE P/N: 582707C/15221CA and Y P/N: 582747C/13366CA fittings as required.
Performed an oxygen drop-out test in accordance with Gulfstream Aerospace Maintenance
Manual chapter 35.
Electrical requirements for above installations covered on separate form 337.
All metal fabrication practices carried out per K-C Aviation Process Specification 106.
All threaded fastener installations carried out per K-C Aviation Process Specification 105.
Riveting accomplished using AC43.13-1A chapter 2 as a guide.
Fasteners torqued using AC43.13-1A chapter 5 as a guide.
Corrosion protection accomplished using AC43.13-1A chapter 6 as a guide.
Materials used meet the requirements of FAR 25.853.
The aircraft weight and balance manual and equipment list revised.
END
SDNY_GIvl_02754094
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241016
EFTA01326609
SDNY_GM_02754095
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002410 I 7
EFTA01326610
migrgoweE•
C. • - "'"— -- lii
US
ontra— 6 ici l
itJOR
lit g.
iliviniten
'I
REPAIR AND
e, Powerplant, Props
!'
fRato3N6 mg It •
or Appliance)
II' i'
La I
IL'
:
Form Approved
OMB NO.2120-0020
For FAA Um Only
Office identification
6 4 ia
INSTRUCDO.NS:RsinSeotypea entries. See FAR 43.8 FAR 4 Appendix B. and AC 4.371-"Mu s7Vertu
—ird
nt revision thereof) for instructions
disposition of this form. This report is required by law (49U.S.C. 1421). Failure to report can result i a civil penalty not to exceed $1.000
for each such violation (Section gat Federal Aviation Act of 1958).
I. Aircraft
Make
Gulfstream Aerospace
M°deb-IV
Serial No. 1085
Nationality and Registration Mark
2. Owner
Name (As shown on registration cenifkate)
Coca-Cola Enterprises, Inc.
Address (As shown on registration cetlificatel
2500 Windy Ridge Parkway
Atlanta, Georgia 30338
3. For FAA Use Only
'The data/alteration identified herein complies with the applicable airworthiness requirements and
is approved for the above discribed aircraft to conformity inspection by a person authorized
in FAR 43, Section 43.r.
\
Date
\ 7
\s::\‘,0
FAA Inspector
.
k—L
GL13
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
8. Conformity Statement
A. Agency's Name and Address
8. Kind of Agency
C. Certificate No.
K-C Aviation, Inc.
301 Discovery Drive
Appleton, WI
54915
V.S. Certificated Mechanic
QK2R112L
Foreign Certificated Mechanic
x
Cenificated Repair Station
Manufacturer
D. I certify that the repaira/xi/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 P n 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
•
DEC 09 1996
Signature of Authorized individual
7. Approv
r Return To Service
Pu suant 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 s
ja,APPROVED
0 REJECTED
FAA FIL Standards
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
BY
FAA Designee
X Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date of Approval or Rejection
DEC 18 1996
Certificat
ati e or
Desn
on No.
ig
QK2R112L
Signature of Authorized Individual
gsn,o
FAA Form 337 one)
SDNY_ GE/1_02754 096
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024I0I8
EFTA01326611
NOTICE
•
•
Weight and balance or operating limitatiorrafangesshalf qe 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. Identity with akeraff nationality and registration mark and date work completed.)
Remounted interior cabin door at F.S. 155 to hinge from right side. Door installed with new
hinge assembly fabricated in accordance with K-C Aviation, Inc., drawing GIV-25-50-229, revision
A, sheet 10. Door is retained in the open position by a door stop installed on lower vestibule
storage cabinet.
Fabricated and installed mounting tray for HPA/LNA on right lower cabin sidewall F.S. 250.5 in
accordance with K-C Aviation, Inc., structural drawing GIV-25-51-203, sheet 7. Mounting tray is
constructed from 0.040" 2024-T3 aluminum sheet. Tray is mounted using MS24693-10 screws
and MS21059L3 nutplates to the aircraft structure between adjacent frames using brackets
fabricated from 0.050" 2024-T3 aluminum sheet riveted to the aircraft structure.
Fabricated and installed mounting trays for CDBR-2 on center right lower cabin sidewall F.S. 238
and CDBR-2 on left aft cabin below ledge, F.S. 430 in accordance with K-C Aviation, Inc.,
structural drawing GIV-23.02-301, sheets 1 & 2. Trays are constructed from 0.040" 2024-T3
aluminum mounted to the aircraft structure with four brackets fabricated from 0.050" 2024-T3
aluminum with rivets and MS hardware.
Fabricated and installed miscellaneous electrical component mounting trays located on left lower
forward cabin below ledge F.S. 170 and right forward cabin behind coat closet F.S. 127. Trays
are primarily constructed from 0.050" 2024-T3 aluminum sheet mounted to the aircraft structure
with MS hardware to 2.75" X 4.5" brackets fabricated from 0.050" 2024-T3 aluminum sheet
riveted to frames or stringers as required. Overall dimensions of left trays (2 ea.) at F.S. 170 are
6.5" wide and 16" wide; 3.5" wide and 12.0" long. Overall dimensions of right forward tray
F.S. 127 is 9.0" wide and 19.5" long. Trays provide mounting surface for cabin lighting power
supplies, terminal strips and entertainment system controllers.
Fabricated and installed new replacement lavatory vanity fluorescent accent light bar, F.S. 502.
Unit is constructed from NL610-10111-250 Norlam aluminum honeycomb panel contoured to
headliner extending from lavatory door to vanity top. Overall dimensions are 2.125" wide and
58" long. Light bar is mounted to the existing bulkhead using three 1.25" X 1.0" X 0.063"
2024-T3511 extruded aluminum L brackets, TYE threaded inserts potted into bulkhead, MS
screws and nutplates. The light bar contains mounting provisions for two fluorescent tubes.
Unit constructed using K-C Aviation Process Specification 106 and fasteners installed per Process
Specification 105.
Fabricated and installed feed thru behind entertainment cabinet for micellaneous electrical cable
routing in accordance with K-C Aviation drawing GIV-25-15-293, sheet 1.
Fabricated and installed replacement left and right life lines only. Lines fabricated in accordance
with K-C Aviation emergency equipment and location drawing GIV-25-00-222, revision C, sheet
1. Life lines attach to existing seat tracks below emergency exits and when in use, to existing
eye mounts on each wing.
K Additional Sheets Are Attached
GOVOINMENT PRINTING OFFICE: IM -769-012/60167
SDNY_GM_02754097
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241019
EFTA01326612
Gulfstream GIV, S/N: 1085 N88GA
Page 2
Fabricated and installed a new cockpit curtain and track assembly, F.S. 73. Curtain is
constructed from 100% wool pleated and sewn to the dimensions of 67.0" high and 24.0" wide.
Curtain slides with nylon curtain guides on a curtain track P/N: 9046 fastened to the headliner
MS hardware. Curtain is retained in the open position with two straps fabricated from same
material as curtain and snaps.
Electrical aspects covered separately.
Cabin interior compartment placards description detailed in K-C Aviation drawing GIV-25.01-218
and layout per drawing GIV-25.04-218.
Fasteners torqued using AC43.13-1A chapter 5 as a guide.
Corrosion protection accomplished using AC 43.13-1A chapter 6 as a guide.
Weight and balance accomplished using AC43.13-1A chapter 13 and the aircraft manufacturer's
weight and balance manual as a guide.
Materials used meet the requirements of FAR 25.853.
The aircraft weight and balance manual and equipment list revised.
END
SDNYGIvl_02754098
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241020
EFTA01326613
SDNY_GM_02754099
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA _00241021
EFTA01326614
T. •
i •
q I I il
.
•
: JAN — 6p.?7,
il,IAJOR REPAIR AND ALTERATION
t0000101
(Airframe, Powerplant, Propeller, or Appliance)
;v
91
0,
imb
iF rM Approved
OMB NO. 2120-0020
Use °ifil
I
Office IdeF:trifiFcAA
a ri..13
tsrent or type
of this form.
such violation (Section
43.9, FAR 43 Appendix B.andAC 43.9-1 (or subsequent revision thereof) tor instructions
by law (49U.S.C. 1421). Fa lure to report can result Ina civil penalty not to exceed S1,000
Act of 1958).
,
OCTieff4S-:
and disposition
for each
all entries. See FAR
This report is required
901 Federal Aviation
1. Aircraft
Make
Gulfstream Aerospace
ModelG-IV
Serial No.
1085
Nationality and Registration Mark
N88GA
2 Owner
.
Name (As shown on registration certificate)
Coca-Cola Enterprises, Inc.
Address (As shown on registration certificate)
2500 Windy Ridge Parkway
Atlanta, Georgia 30338
3. For FAA UslrOMt I fUrtl-i ti -U4i 5...filintiJFtliri lOhlq I I hitU FIEHIN
t•UlYie Itb Wit H I It AYFLIUMULt AIM/KA-CI HIrsik&S
43,
SECTION 43.7.
4. Unit IdenTfiggiart-11VI Vie StuNAt UR .
Unit
Make
Model
FAA MKE FS • •
Serial No.
Repair
Alteration
AIRFRAME
(As described in !tern 1 above)
X
POWERPLANT
PROPELLER
APPLIANCE
Type
Manufacturer
8 Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
C. Certificate No.
K-C Aviation, Inc.
301 Discovery Drive
Appleton, WI
54915
V.S. Certificated mechanic
QK2R112L
Foreign Certificated Mechanic
y
certificated Repair Station
manwactunw
O. I certify that the repair and/or alteration made to the un t(s) identified in item 4above 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
DEC 0 9 1996
Signature of Authorized Individual
7. App
for Return To
a 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
ikAPPROVED
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
DEC 18 1996
Certificate or
Designation No.
QK2R112L
Signature of Authorized Ind idual
C stsre.
d
.
FAA Form 337 112•0
SDNY_GM_02754100
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241022
EFTA01326615
NOTICE
Weight and balance or operating limitation changes shall be entered in the approprlate 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
(lf more space is required, attach additional sheets. identity with aircraft nationality and registration mark and date work completed.)
Reworked existing left vestibule entertainment cabinet at F.S. 144 as follows:
Removed the following equipment:
1) Stereo cassette deck, Sony P/N: TC-WR808M
2) Stereo amp, Sony P/N: TA-808M
3) AM/FM tuner, Sony P/N: ST-707RM
4) CD player, Sony P/N: CDP-5107
5) Video switch, ASINC P/N: 912001
6) VCR, Panasonic P/N: F85A30987
7) Video monitor, Sony P/N: PVM-2030
8) Video distribution amp, United P/N: PD-6
9) Removed upper shelf and compartment doors retaining forward and aft bulkheads.
10) Relocated existing data loader P/N: DL-800 from upper cabinet to right vestibule upper crew
cabinet.
Fabricated and installed new replacement compartment cabinet to accommodate new
ententainment equipment and provide miscellaneous storage. Compartment cabinet peripheral is
conitructed.,from,ML610-10111-V5 Aluminum honeycomb panel assembled together in
accOrdance-withi0C Aviation PrdbUOPecification 116. Overall dimensions of cabinet are 34.5"
high, la".5" wide and 24.125" deep. Cabinet contains two compartments, an upper removable
entertainment cabinet fabricated similarly to compartment cabinet using NL610-10111-250
aluminum honeycomb panel. Cabinet dimension are 17.25" high, 18.5" wide and 14.5" deep and
contains mounting provisions for the following new equipment:
1) CD magazine or tape storage
3) AM/FM cassette player, Alpine P/N: TDA7552
3) CD changer, Sony P/N: CDX-91
4) CD controller, Sony P/N: RM-X59RF
5) VCR, Panasonic P/N: PV4662
Lower compartment dimensions are 16.0" high. 18.0" wide and 24.125" deep and is used for
miscellaneous storage. The overall compartment cabinet is retained to the existing lower
compartment structure and bulkheads using MS hardware and threaded inserts installed per K-C
Aviation Process Specification 105. Entertainment and miscellaneous storage compartment are
closed out with a hinged doors ancActron positive type latches.
Fabricated and installed a new tapes and CD storage drawer in lower compartment. Overall
dimensions are 5.0" high, 18.5" wide and 23.0" deep. Door is hinged with Brusso L23 knife
hinges and retained in the closed position using an Actron positive type latch P/N: A23060-9.
Entertainment cabinet compartments maximum placarded weights are as follows:
1) Upper CD magazine and tape storage compartment - 5.0 Lbs.
2) Miscellaneous storage compartment - 25.0 Lbs.
3) Fitted tapes/disc storage drawer - 25.0 Lbs.
Electrical aspects covered separately.
All metal fabrication practices per K-C Aviation Process Specification 106.
All threaded fastener installations per K-C Aviation Process Specification 105.
Fabrication of bulkheads, cabinets, drawers and doors per K-C Aviation Process Specification
116.
Cabin interior compartment placards description detailed in K-C Aviation drawing GIV-25-01-218
and layout per drawing GIV-25.04-218.
Fasteners torqued using AC43.13-1A chapter 5 as a guide.
Corrosion protection accomplished using AC 43.13-1A chapter 6 as a guide.
Weight and balance accomplished using AC43.13-1A chapter 13 and the aircraft manufacturer's
weight and balance manual as a guide.
Materials used meet the requirements of FAR 25.853.
The aircraft weight and balance manual and equipment list revised.
END
0 Additional sheets Are Attached
*U.S. GOVERNMENT PRINTING OFFICE: 1912-769-0I2/601S7
SDNY_GM_02754101
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241023
EFTA01326616
I
uS
For
— 6 Pgirtramd, Powerplant, Propeller, or Appliance)
,halt
'I • ' Onkel*,
Form Approved
OMB No. 2120-0020
FAA Use Only
Office Identific2o22;
_INSTRUCTIONS: Print or type all ntries. See FAR 43.9. FAR 43 Appendix B.and AC 43.9-1 (or subsequent revision thereof) for Instructions
and disposition of thirferTrii.
port is required by law 09 U.S.C. 1421). Failure to report can result in a civil penalty net to exceed 51.000
for each such violation (Section 901 Federal Aviation Act of 1958).
1. Al
ft
Make
model
GIV
Serial No.
1085
Nationality and Registration Mark
N88GA
2. Owner
Name (As shown on registration certificate)
Address (As shown on registration certificate)
2500 WINDY RIDGE PARKWAY
ATLANTA, GA 30338
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 SlatomeM
A. Agency's Name and Address
B. Kind of Agency
C. Certificate No.
301 DISCOVERY DR.
APPLET0N, WI 54915
U.S. Certificated Mechanic
QK2R112L
Foreign Certificawd mechanic
X1
Cenificated Revak Station
. manufacturer
0. I Certify that the repair andior alteration made tothe un fts) identified in item4 above and described on the reverse or attashmentshereto
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
DEC 16 1996
Signature of Authorized Individual
1.50-nitle,-te
4.,
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
(1) APPROVED
0 REJECTED
FAA Fit. Standards
i Inspector
Manufacturer
I Other (Sandy)
Inspection Authorization
BY
FAA Designee
XX Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date of Approval or Remotion
DEC 1 8 1996
Certificate or
Designation No.
OK2R112L
Signature
(loin.
of Authorized Individual
tlLZ2
FAA Form 337 .12 or
SDNYGtvl02754102
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241024
EFTA01326617
NOTICE
Weight and balance oroperating 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
pl more space is required, attach additional sheets. Identity with aircraft nationality and registration mark and date work completed.)
Installed a GTE/Magnavox C-2000 Digital Airborne Telephone System consisting of:
1 Ea. Air Radio Telecommunications Unit (ARTU), P/N 724855-801
1 Ea. ARTU Rack, P/N 724868-802
1 Ea. Duplexer, P/N 620317-1
3 Ea. Cabin Data Bus Repeater (CDBR-1), P/N 724864-801
'1 Ea. Cabin Data Bus Repeater (CDBR-2),'P/N 902205-803
1 Ea. CAS Unit, P/N 725256-801
1 Ea. Analog Interface Unit (AIU), P/N 724986-801
4 Ea. Phone Assembly, P/N 724866-801WH, -805PL, & -807PL
1 Ea. Antenna, P/N 902131-2
Two Global Wulfsberg Flitefone VI Radio Telephone Systems were removed to facilitate
this installation. Removed components consist of:
2 Ea. GWS RT-18D Transceivers, P/N 400-0125-000
2 Ea. GWS WH-I0 Flitefone VI Handsets
The newly installed antenna is located on the underside fuselage at FS 100 as per KCA
Structural Drawing: Radio Telephone Antenna Installation, 1159-23-01-301, sht. 1, of
which the structural aspects are DER approved by M. Lieblich, FAA DER SW-811.
The C-2000 system wiring accomplished as per K-C Aviation Drawing: Radio Telephone,
GIV-31085-23-98, of which the electrical/electronic aspects are DER approved by N.
Kopesky, CHI-262.
Existing wiring diagrams affected by the above referenced systems are revised to reflect
changes in system design or interface to the newly installed or modified systems as
appropriate. All new single conductor wire meets MIL 22759/16 and all new multi-conduc-
tor shielded wire meets MIL 27500.
All work done IAW AC43.13-2A Chapters 1, 2 & 3 and manufacturers installation data.
Aircraft equipment list and weight & balance manual revised.
END
K Additional Sheets Are Attached
GU.5. GOVERNMENT PRINTING OPPICC: It02-769-0I2/60I37
SDNY_GM_02754103
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241025
EFTA01326618
ir
g 1/45-7 ! • • ' '
.
!
I
MA,JOR
1
6 I;TAiriniOi
,
•
, Powerplant, Propeller, or Appliance)
Form Approved
OMB No. 2120-0020
For FAA Use Only
Office Identification.
R
./.1
INSTRUCTIONS:Print or type :ties. Se•FAR 43.9. FAR 40 Appendix B. and AC43.9-1 (or subsequent revision thereof) for instructions
—enddisposition of thisiormitt
rt is required by law (49 U.S.C. 1421). Failure to report can result in a civil penalty nol to exceed $1.000
tor each suc violation (Section 901 Federal Aviation Act of 1958).
.
1 Aircraft
Make
Model
GIV
Serial No.
1085
Nationality and Registration Mark
N88GA
2. Owner
Name (As shown on registration certificate)
Address (As shown on registration certificate)
2500 WINDY RIDGE PARKWAY
ATLANTA, GA 30338
3. For FAA Use Only
4. Unit Identification
5. Tyr).
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME
(As described in Item I above)
X
POWERFLANT
PROPELLER
APPLIANCE
Type
Manufacturer
& Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
C. Certificate No.
301 DISCOVERY DR.
WI 54915
APPLETON,
U.& Certificated Mechanic
QK2R112L
Foreign Certificated Mechanic
XX Certificated Repair Station
manufacturer
D. I certify that the repair and/Or alteration made to the un Its) 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 01 my nowledge.
Date
DEC I 6 1966
Signature of Authorized Individual
CFP6424, A t t , Z,e r
7. Approval for Return To Service
Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the mariner prescribed by the
Administrator of the Federal Aviation Administration and is
01 APPROVED
0 REJECTED
I
FAA Flt. Standards
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
BY I
FAA Designee
111XX Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date of Approval or Rejection
DEC 181998
Certificate or
Designation No.
QK2R1I2L
Signature of Authorized Individual
C14,-. , '
*-
,_
FAA Form 337 .12 MP)
SDNYGivl_02754104
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241026
EFTA01326619
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
(II more space Is required. attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.)
Installed an Allied Signal Satellite Data Communications System (SDCS), interfaced to
the existing Airborne Flight Information System (AFIS). The AFIS system is integrated
with the GAC installed Honeywell Flight Management Systems providing complete flight
plan and weather information through self-contained VHF COMM data link with the Global
Data Center. The SDCS is interfaced to the AFIS and provides additional cabin/cockpit
communication capabilities.
Installed SDCS system components include:
1 Ea. Satellite Comm Unit (SCU), P/N 153-017311-01
1 Ea. SCU Antenna, P/N 121-017537-01 (Sensor P/N S65-8282-101)
1 Ea. HPA/LNA, P/N 153-017310-01
The SCU Antenna is installed as FS 265 in accordance with KCA Dallas structural
drawings; 447-5338, of which the structural are DER approved by M. Lieblich, SW-811.
The SCU is located in the R/H radio rack extension and the HPA/LNA is located in the R/H
cabin sidewall at FS 250 on existing structure.
Refer to KCA Drawing: AFIS/SDCS, GIV-31085-34-63, of which the electrical/electronic
aspects are DER approved by N. Kopesky, CHI-262.
Existing wiring diagrams affected by the above referenced systems are revised to reflect
changes in system design or interface to the newly installed or modified systems as
appropriate. All new single conductor wire meets MIL 22759/16 and all new multi-conduc-
tor shielded wire meets MIL 27500.
All work done IAW AC43.13-2A Chapters 1, 2 & 3 and manufacturers installation data.
Aircraft equipment list and weight & balance manual revised.
END
0 Additional Sheets Aro Attached
*U.S. 00VCIIHMENT PRINTINCt OIPICI 1192-70-012/10157
SDNY_GM_02754105
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241027
EFTA01326620
rirc.-7,77 .
i
O., . 3M - 6 1.997M
or
won
(Akira
onmsan
•
,
of owerplant, Propeller, or Appliance)
Form Approved
OMB No. 2120-0020
For FAA Use Only
Office Identificaip2 i i
INSTRUCTIONS:Print or ty
en les. See FAR 43.9. FAR 43 Appendix B. and AC43.9-1 (or subsequ nt revision thereof) for instructions
type a
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 51.000
for each such violation (Section 901 Federal Aviation Act of 1958).
1. Aircraft
Make
Model
G -IV
Serial No.
1085
Nationality and Registration Mark
N88GA
2. Owner
Name (As shown on registration certificate)
Address (As shown on registration certificate)
2500 WINDY RIDGE PARKWAY
ATLANTA GA. 30338
3. For FAA Use Only
',The dna
Ident if fed herein compiles with the applicable airworthiness requirements oral
I. approved for the above described aircraft subject to conformity inspect in by a parsers authorized
in FAR 43, Section 43.7".
Date
DEC 1 0 ME
IAA Inspecte
61.13
4. Unit Identification
8. Type
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME
(As described In horn 1 above)
X
POWERPLANT
PROPELLER
APPLIANCE
Type
Manufacturer
8 Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
C. Certificate No.
K-C Aviation, Inc.
301 Discovery Drive
A ppleton, WI
54915
US. ceni Heated Mechanic
QK2R112L
Foreign Cenificated mechanic
X
Cenificated Repair Station
Manufacturer
D. !certify that the repair and/or alteration made to the un t(s) identified in item 4 above and described on t e reverse orattachments 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
DEC 1 0 1996
Signature of Authorized Individual
47-ser/V
er,IZZ---•
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
XX APPROVED
CI REJECTED
FAA Fit Standards
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
BY
FAA Designee
x
Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date of Approval or Rejection
DEC 1 8 1996
Certificate or
Designation No.
QK2R112L
Signature of Authorized Incrvidual
cap.,-
•
FAA Form 337 ono
SDNYGlvl_02754106
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241028
EFTA01326621
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be
conipatible 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.)
Modified the previously installed Galley and Cabin electrical system by removing
previously installed equipment and wiring and installing new equipment and
associated wiring.
Installed the following equipment:
lea Nordskog HI Temp Oven P/N: 50231L.
lea Microswitch Leaf Actuator P/N: JV-26.
lea Rotron Fan P/N: FS24H3.
lea Tappan Microwave Oven P/N: TMS083E1S0.
lea Krups Coffee Maker P/N: Pro-Cafe.
2ea Grimes Light Assembly P/N: 34170-1.
lea Audio Int. High Current Control P/N: MSM285.
lea Audio Int. Aft Lav Switch Panel P/N: SPS-4-1-1759.
lea Audio Int. Aft VIP Switch Panel P/N: SPS-5-3-1761.
lea Audio Int. FWD VIP Switch Panel P/N: SPS-5-3-1753.
lea Audio Int. Divan Switch Panel P/N: SPS-4-1-1762.
lea Audio Int. Divan Switch Panel (Master) P/N: SPS-4-1-1758.
lea Audio Int. R/H Galley Switch Panel P/N: SPS-6-2-1754.
2ea Audio Int. Credenza PSU Switch Panel P/N: SPS-3-1-1757.
4ea Audio Int. Passenger Service Unit Switch Panel (PSU) P/N: SPS-4-1-1756.
4ea Audio Int. PSU Switch Panel (Master) P/N: SPS-4-1-1755.
lea Audio Int. Vestibule Switch Panel P/N: SPS-6-1-1760.
Wiring for the newly modified / installed Galley and Cabin electrical systems is per
K-C Aviation,Inc electrical drawings: Electrical Power Distribution (Galley Power),
GIV-24-1085-100 (Sheets 1 & 2); Galley and Cabin Electrical Interface, GIV-24-1085-
110 (Sheets 1 thru 3); Water Drain System, Water/Drain Heaters (Digital Switching),
GIV-38-1085-112 (Sheets 1 & 2) and Electrical Switching and Control GIV39-1085-126
(Sheets 1 thru 9).
Structural aspects of the newly installed/modified Galley and Cabin electrical
systems are approved separately.
Existing aircraft wiring diagrams affected by the above installation/modification
are revised to reflect changes in system design or their interface to newly
installed or modified systems as appropriate. All new single conductor wire meets
MIL 22759/16 and all new multiconductor shielded wire meets MIL 27500.
All work done IAW AC43.13-2A chapters 1 & 2 and manufacturers installation data.
Aircraft equipment list and Electrical Load Analysis revised. Aircraft reweighed.
END
K Additional Sheets Are Attached
*U.S. GOVERNMENT PRINTING OFFICE: 1112-761-012/G0IST
SDNY_GM_02754107
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241029
EFTA01326622
li r ,
t&
ment
6 ) f
t
,
Oewo
MAJOR
. i
' twai.1
— 6 (Airframe);
'
Powerplant, Propeller, or Appliance)
Form Approved
OMB No. 2120-0020
For FAA Use Only
Office identigption
ttl~
OF
I
matklispositionof.thisloanahimapart
for
..•
4STRUCTIONS: Print or type all envies.
each such violation (Section 901
See FAR 43.9. FAR 43 Appendix B. and AC 43.9-1 (or subsequ nt reviSiOn then:eel) for instructions
is required by law (49 U.S.C. 1421). Failure to report can result in a civil penalty not toexceed51.000
Federal Aviation Act of 1958).
1. Aircraft
make
Model
G-IY
Serial No.
1085
Nationality and Registration Mark
Ni38GA
2. owner
Name (As shown on registration certificate)
Address (As shown on registration certificate)
2500 WINDY RIDGE PARKWAY
ATLANTA GA. 30338
3. For FAA Use Only
oThe dateallIIIIIIIIIIIrldentif led herein =plies with the applicable •Irworthinesa requirements and
Is approved for the tows disarmed aircraft subject to cceiformi ty inspection by a person authorized
in FAR 43, antigen 43.70.
Date
DEC 1 0 1996
FM Inspector
CUM
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. Agencys Name and Addres
B. Kind of Agency
C. Certificate No.
K-C Aviation, Inc.
301 Discovery Drive
U.S. Certificated Mechanic
Foreign Cenificsted Meenanie
I
Cen
Manufacturer
D. I certify that therepair and/or alteration made to theun t(s) identified in item 4aboveand described on the reverse or attachments hereto
have been made in accordance with the requirements of P rt 43 of the U.S. Federal Aviation Regulations and that the information
furnished herein Is true and correct to the best of my nowledge.
Date
DEC 10 1996
Signature of Authorized Individual
e fewa4/A°' / 0-7..:,
7. Approval for Return To SeMce
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
XX APPROVED
0 REJECTED
FAA Eli Standards
inspector
Manufacturer
inspection Authorization
Other (Specify)
BY
FAA Designee
x
Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date of Approval or Rejection
DEC 1 8 1996
Certificate or
Designation No.
0K2R1121.
Signature of Authorized Indivdual
Catfrp.., c
FAA Form 337 meat
SDNY_Giv1_02754108
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241030
EFTA01326623
NOTICE
•
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be
corripatible 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. Identity with aircraft nationality and registration mark and date work completed.)
Removed the previously installed cabin and lavatory lighting system and installed a
new cabin and lavatory lighting system with Ordinance Signs consisting of the
following equipment:
3ea Aerospace Lighting Corp, Lighting Inverter P/N: AL-0581. ,
18ea ALC Lighting Power Supply P/N: AL-5112.
2ea ALC Lighting Power Supply P/N: AL-2000.
lea Grimes Light Assembly P/N: B3550.
2ea Grimes Light Assembly P/N: 34170-1.
lea Luminator Light Assembly P/N: L16256-1.
21ea Wemac Light Assembly P/N: 2520-3.
lea Bruce Industries Ordinance Sign P/N: BR9206-907.
4ea Wemac Ordinance Sign P/N: 3585.
Wiring for the newly installed cabin and lavatory lighting systems are per K-C
Aviation,Inc electrical drawings: Feature Panel Lighting (Digital Switching), GIV-
33-1085-111; Overhead Cabin Lighting (Digital Switching), GIV-33-1085-122; Vestibule
Dome & Boarding Light, GIV-33-1085-114; Reading and Table Lights (Digital
Switching), GIV-33-1085-115; Ordinance Lights, GIV-33-1085-125; Lav Lighting, GIV-
33-1085-106; Cabin Aisle Lights, GIV-33-1085-102 and Cabin Terminal Junctions, GIV-
39-1085-128.
Structural aspects of the newly installed cabin and lav lighting systems are
approved separately.
Existing aircraft wiring diagrams affected by the above installations are revised to
reflect changes in system design or their interface to newly installed or modified
systems as appropriate. All new single conductor wire meets NIL 22759/16 and all new
multiconductor shielded wire meets MIL 27500.
All work done IAN AC43.13-2A chapter 1 & 2 and manufacturers installation data.
Aircraft equipment list revised. Aircraft reweighed.
END
0 Additional Sheets Are Attached
*U.S. GOVERNMENT PRINTING OFFICE: Illt2-769-012/60157
SDNY_GM_02754109
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241031
EFTA01326624
11.5 (q;1 ,• I.: V; i *; I. •
US
NII9OR
- 6 gmrtnint
•
•
Powerplant, Propeller, or Appliance)
Form Approved
OMB No. 2120-0020
For FAA
Only
Office
Identillcati7Use
ICISTRUCTIONS.Print
.loadisposition
for
1.." nes. See FAR 43.9, FAR 43 Appendix B. and AC 43.9-1 (or subsequent revision thereof) for Instructions
is required by law (4(1U.S.C.1421). Failure to report can result Inacivil penalty not to exceed $1.000
federal Aviation Act of 1968).
or type all e
attlaisforro,Thittegort
each such violation (Section 901
1. Aircraft
Make
Model
G -IV
Serial No.
1085
Nationality and Registration Mark
N88GA
2. Owner
Name (As shown on registration certificate)
Address (As shown on registration certificate)
2500 WINDY RIDGE PARKWAY
ATLANTA GA. 30338
3. For FAA Use Only
*The data
/a
identified herein
is approved for the above sneer ibad aircraft
in FAR 43, Section 43.74.
Date
DEC 1 0 100$
FM Inspectorr
ie r
carpi fee with
stasJect
the applicable
to conformity
airworthiness requirements
inspection by a person authorized
0u3
4.
and
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. ngeneys Name and Address
B. Kind of Agency
C. Certificate No.
K-C Aviation, Inc.
.
301 Discovery Drive
Appleton, WI
54915
U.S. Certificated MeChenie
QK2R112L
Foreign Coniticaled Mechanic
X Certificated Repair Malian
manufacturer
D. Icertify that the repair and/or alteration madeto the un t(s) identified in item 4 above and described on the reverseor attachmentshereto
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
DEC 10 1996
Signature of Authorized Individual
101.04
/1,r,..11*.Z.:4
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
=APPROVED
0 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
DEC 1 8 1996
Certificate or
Designation No.
QK2R112L
Signature of Authoriz
Individual
(14..40 s, -
FAA Form 337 (12461
SDNY_GM_02754110
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00241032
EFTA01326625
NOTICE
Wert 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 ofWorkAccomplIshod
Olmom spacers required. attach additional sheets.
with aircraft nationalityandlegistralionmade and date work completed.)
Removed the previously installed cabin audio and entertainment systems in their
entirety and installed a new cabin audio and entertainment system consisting of the
following equipment:
10ea
10ea
2ea
4ea
lea
lea
lea
lea
lea
lea
lea
4ea
2ea
lea
2ea
2ea
lea
lea
lea
lea
lea
lea
lea
lea
Audio International Headphone Control
Baker Speakers P/N: HF93.
Quam Speakers P/N: 4C5Z8.
Baker Subwoofer Speakers P/N: LF91.
BBE Sonic Maximizer P/N: SM-4012.
Collins ATR Rack P/N: 622-1196-001.
Stereo/PA Amplifier P/N: M3070M.
Archer Amplified Coupler P/N: 151116.
Audio Int. Video Switcher P/N: VSSO4.
Audio Int. Video Switcher P/N: VSS04T.
Audio Int. Audio Switching Controller P/N: MSM2804.
Baker Audio PreAmp/Power Supply P/N: M1084PS.
Audio Int. Infrared Receiver/Transmitter P/N:
Alpine FM/AM Cassette P/N: TDA7552.
Baker 14" LCD Monitor P/N: 990-4110-002.
Panasonic VHS Hi-Fi VCR P/N: PV-4662.
Sony CD Changer P/N: CDX91.
Sony CO Controller P/N: RMX59RF.
Airshow Genesys DCU P/N: 920060.
Airshow Short Mount P/N: 914026.
Asinc TTD Controller P/N: 911010-2.
Audio Int. Mouse Switch Panel P/N: SP-450-1.
Rosen 6.4" LCD Monitor P/N: RLCD64-1-1ACB.
Rosen Power Converter P/N: RISR-28-12-6.
Panel P/N: HSP-037-1.
IFR9A-A-38.
Wiring for the new cabin audio and entertainment systems is per K-C Aviation,Inc
electrical drawings: Cabin Audio, GIV-31085-23-61 (Sheets 1 thru 4); Cabin
Entertainment, GIV-31085-23-62 (Sheets 1 thru 9) and Airshow, GIV-31085-31-52
(Sheets 1 & 2).
Structural aspects of the newly installed cabin audio and entertainment systems are
approved separately.
Existing aircraft wiring diagrams affected by the above modification/installation
are revised to reflect changes in system design or their interface to newly
installed or modified systems as appropriate. All new single conductor wire meets
MIL 22759/16 and all new multiconductor shielded wire meets MIL 27500.
All work done IAN AC43.13-2A chapter 1 & 2 and manufacturers installation data.
Aircraft equipment list revised. Aircraft reweighed.
END
K Additional Sheets Are Attached
*us GOVERNMENT PRINTING OFFICE: I992-769-011/60137
SDNY_GNL02754111
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA _00241033
EFTA01326626
.
-=--.- 1'
vs
mere
f•
Ilmn s
II
a
6 I-Cir:,(A
. fri t
I
•
es Powerplant, Propeller, or Appliance)
I
Form Approved
OMB No. 2120-0020
For FAA Use Only
Office Identilicfroni3
INSTRUCTIONS. Print or ry
--anddispositionPi
form. This
for each such violation (
110n
entries. See FAR 43.9, FAR 43 Appendix B. and AC43.9-1 (or subsequent revision thereof) for instructions
al
El
I
eport is required by taw (49 U.S.C. 1421). F Ilure to report can result in a civil penalty not to exceed S1,000
01 Federal Aviation Act of 1958).
1. Aircraft
Make
Model
G -IV
Serial No.
1085
.
Nationality and Registration Mark
N88GA
2. Owner
Name (As shown on registration certificate)
AddreSS (As shown on registration certificate)
2500 WINDY RIDGE PARKWAY
ATLANTA GA. 30338
3. For FAA Us* Only
•The
identified herein
the
and
data/FS
complies with
applicable airworthiness requirements
is approved for the above discribed aircraft abject to conformity inspection by a person authorized
in FAR 43, Section 43.70.
Date
DEC 1 0 1996
FAA Inspect
.
GL13
4. Unit Identification
S. Type
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME
(As deserted in item I above)
X
POWERPLANT
•
PROPELLER
APPLIANCE
Type
Manufacturer
6 Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
C. Certificate No.
U.S. Certificated mechanic
0K2R112L
K-C Aviation, Inc.
Foreign Certificated Methanic
301 Discovery Drive
y certificated Revak Station
Appleton, WI
54915
amubOwer
D. I certify that therepairand/oralteration made to the un
have been made in accordance with the requirements
furnished herein is true and correct to the best of my knowledge.
t(f) identified in item 4 above and described on the reverse orattachments hereto
of Part 43 of the U.S. Federal Aviation Regulations and that the information
Date
DEC 1 0 1896
Signature of Authorized Individual
odoe. 4Y/ent--
T. 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
)(It APPROVED
0 REJECTED
FAA Fit. $IBMard9
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
BY
FAA Designee
X Repair Station
Person Approved by Transport
Canada Airworthiness Group
Dateof Approval or Rejection
DEC 18 1886
Certificate or
Designation No.
RK,R119L
Signature of Authorized Individual
C20w-wr c 16.-:
FAA Form 337 0240
SDNYGIvl02754112
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241034
EFTA01326627
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircral t 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.)
Modified the previously installed 115 VAC 60Hz Conveiter system by installing new
outpu wiring to the existing galley circuit breaker panel and adding (6ea) new
115VAC outlets per K-C Aviation, Inc. electrical drawing: 115VAC 60Hz Converter,
GIV-24-1085-147 and Utility Outlets, GIV-24-1085-146.
Structural aspects of the newly modified 115VAC converter system are considered
minor.
Existing aircraft wiring diagrams are revised to reflect changes in system design or
their interface to newly installed or modified systems as appropriate. All new
single conductor wire meets MIL 22759/16 and all new multiconductor shielded wire
meets MIL 27500.
All work done IAW AC43.13-2A chapters 1 & 2 and manufacturers installation data.
Aircraft equipment list and weight & balance revised.
END
K Additional Sheets Are Attached
*U.S. GOVERNMENT PRINTING OFFICE: 1992-769-M/60157
SDNY_GM_02754113
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 0024I035
EFTA01326628
i)N(e-'71
•
-,-
i
PI J.:40 — 6 l'.;:: ,t
o
(Airfr# , Powerplant, Propeller, or Appliance)
Form Approved
OMB No. 2120-0020
For FAA Use Only
Office Identification A.
-4//_.;
tidnumtromm -
—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 instructions
and disposition el 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 51.000
for each such violation (Section 901 Federal Aviation Act of 1958).
1. Aircraft
Make
Model
G -IV
Serial No.
1085
Nationality and Registration Mark
N88GA
2. Owner
Name (As shown on registration certificate)
Address (As shown on registration certificate)
2500 WINDY RIDGE PARKWAY
ATLANTA GA. 30338
3. For FAA Use Only
•The data,
identified herein complies vi h the applicable airworthiness readrements rd
is reproved for the above discribed aircraft subject to conformity irapection by a person authorized
in FAR 43, Section 43.7a.
Date DEC 1 0 1996
FM Inspector
• C- -
-
61.13
4. Unit Identification
S. 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
8. Kind of Agency
C. Certificate No.
K-C Aviation, Inc.
Drive
301 Discovery
Appleton, WI
54915
U.S. Certificated mechanic
QK2R1I2L
Foreign Caelificated mechanic
x oolitic's«, rt.pattsumto,,
Manufacturer
O. I Certify that the repair andlor 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 Pan 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
DEC 1 0 1996
Signature of Authorized Individual
c 6,..3„.47,e,"Z:e-....
7. Approval for Return To Service
Pu suant 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
XXAPPROVED
Cl REJECTED
FAA Fit. Standards
Inspector
Manufacturer
Inspection AuthOdzation
Other (Specify)
BY
FAA Designee
A
Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date of Approval or Rejection
DEC 18 1996
Certificate or
Designation No.
OK2R112L
Signature of Authorized Individual
570,---
t d —IL
FAA Form 337 112481
SDNYGIvl02754114
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241036
EFTA01326629
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
(It more space is required. attach additional sheets. Identity with aircraft nationality and registration mark and date work completed.)
Modified the existing electric toilet system by installing a new Lav Switch Panel
P/N: SPS-4-1-1759 per K-C Aviation,Inc electrical drawing: Electric Toilet, GIV-38-
1085-101.
Structural aspects of the modified electric toilet are considered minor.
Modified the previously installed electric window shade system by installing new
wiring and new passenger Service Unit Switch Panels per K-C Aviation,Inc electrical
drawing: Electric Window Shades, GIV-25-1085-127.
Structural aspects of the newly modified electric window shades are considered
minor.
Installed wiring for (2ea) new electrical adjusting passenger seats per K-C
Aviation, Inc electrical drawing: Electric Chairs, GIV-24-1085-129.
Structural aspects of the new electrical adjusting seats are approved separately.
Existing aircraft wiring diagrams affected by the above modifications or
installations are revised to reflect changes in system design or their interface to
newly installed or modified systems as appropriate. All new single conductor wire
meets MIL 22759/16 and all new multiconductor shielded wire meets MIL 27500.
All work done IAW AC43.13-2A chapter 1 & 2 and manufacturers installation data.
Aircraft equipment list and weight & balance revised.
END
K Additional Sheets Are Attached
*U.S. GOVERNMENT PRINTING OFFICE: 166x-766-01L6016T
SDNY_GNL02754115
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241037
EFTA01326630
I ; i \ .. f
C
l
uS4in:crimen
:.
.
illiVOR
•
-
Powerplant, Propeller,
Appliance)
Form Approved
OMB No. 2120-0020
For FAA Use Only
?
6 r,cyxAi rt
Airnirisnotion
e,
or
Office IdentifiesIon in
6".Z.1-,
J
I)
INSTRUCTIONS: Print or type a
- anddisposition of thiSform...112dreport
for each such violation (Section
I entries. See FAR 43.9, FAR 43 Appendix B. and AC43.9-1 (or subsequent revision thereof) for Instructions
is required by law (49 U.S.C. 1421). Failure to report can result in &civil penaitynot to exceed 51.000
901 Federal Aviation Act of 1958).
1. Aircraft
Make
Model
G -IV
Serial No.
1085
Nationality and Registration Mark
N88GA
2. Owner
Name (As shown on registration certificate)
Address (As shown on registration certificate)
2500 WINDY RIDGE PARKWAY
ATLANTA GA. 30338
3. For FAA Use Only
"The data.
(dent if fed herein cowl les with the applicable airworthiness requirements ard
is approved for the above described aircraft subject to conformity inspection by a person authorized
in FAR 43, Section 43.7s.
Date
nFe 1 n 1005
FM I
i
nspectr,,
-
SI.13
4. Unit Identification
5- Type
Unit
Make
Model
Serial No.
Repair
Alteration
AIRFRAME
(As described in Item I above)
X
POWERPLANT
PROPELLER
APPLIANCE
Type
Manufacturer
S. Conformity Statement
A. Agency's Name and Address
8. Kind of Agency
C. Certificate No.
K-C Aviation, Inc.
.
301 Discovery Drive
A ppleton, WI
54915
US. Certificated Medtanic
QK2R112L
Foreign Certificated Mechanic
X Certilkated Midair Station
Manufacturer
0. 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 trUltand correct to the best of my knowledge.
Date
.
DEC 1 0 1996
Signature of Authorized Individual
d.sesmi.A°7 7“.
7. Approval for Return To Service
Pursuant to the authority given persons specified haw, the unit identified in item 4 was Inspected in the manner prescribed by the •
Administrator of the Federal Aviation Administration and is X APPROVED
0 REJECTED
FAA Fit. Standards
Inspector
Manufacturer
Inspection Authorization
Other (Specify)
BY
FAA Designee
x Repair Station
Person Approved by Transport
Canada Airworthiness Group
Dale of Approval or Rejection
DEC 1 8 1996
Certificate or
Designation No.
QK2R112L
Signature of Authorized Individual
'gen,.
FAA Form 337 id.ed
SDNYGIv1_02754116
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 0024I038
EFTA01326631
NOTICE
Weight and balance oroperating 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 ICQUired, attach additional sheets. Identity with aircraft nationality and registration mark and date work completed.)
Modified the previously installed Cabin Call System per K-C Aviation,Inc. electrical
drawing: Call System, GIV-33-1085-124.
Structural aspects of the modified Cabin Call System are considered minor.
All work done TAW AC43.13-2A chapter 1 & 2.
Aircraft equipment list, Electrical Wiring Manual revised. Aircraft reweighed.
END
O Additional Sheets Are Attached
*U.S. GOVERNMENT PRINTING OFFICE: t992-769-012/60157
SDNY_GM_02754117
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241039
EFTA01326632
L.
. \--.
.
nw
3 0 'Airframe,
Powerplant, Propeller, or Appliance)
msm
.I..:>
•
fowMm
j
n
Form Approved
OMB No. 2120.0020
For FM Usa Only
Office IdentifiZ
1.. fri
INSTRUCTIO
•
'
tries. See FAR 43.9. FAR 43 Appendix B, arr AC43.9-1 (or subsequent revision thereof) for instructions
t
of this form. This report is required by law (49 U.s . .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 1858).
1. Aircraft
Wdr
AEROSPACE
Model
FSTREAM
G-IV
Serial No.
1085
Nationality and Registration mark
N88GA
2. Owner
Name (As shown on registration certificate)
MELLON FINANCIAL SERVICES CORP #3
Address (As shown on registration certificate)
4444 ONE MELLON BANK CENTER
PITTSBURGH, PA 15258
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.
K-C Aviation, Inc.
301 Discovery Drive
Appleton. WI
54915
U.S. Certificated mechanic
QK2R112L
Foreign Canificated mechanic
X Certificated Repair Station
Manulacturer
D. I certify that the repair and/or alteration made to the un t(s) dentif led In item 4 above and described on the reverse or attachments hereto
have been made In accordance with the requirements of Pan 43 of the U.S. Federal Aviation Regulations and that the information
furnished herein is true and correct to the best of my knowledge.
Data
SEP 2 4 1996
Signature of Autho zed WU 'dual
7. Approval for Return To Service
Pu suant to the authority given persons specified belOve, the unit identified in item 4 w
peeled In the manner prescribed by the
Administrator of the Federal Aviation Administration and s
,R. APPROVED
0 REJECTED
FM Flt. Standards
Inspect or
Manufacturer
Inspection Authorization
Other (Specify)
Inspeet.
BY
FAA Designee
x Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date of Approvalor Rejection
SEP 2 4 1996
Certificate or
Designation No.
QK2R112L
Signature of Au th
ed Individual
(C421 C
1--
FAA Form 337 oar
SDNY_GM_0275aile
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EF1'A_00241040
EFTA01326633
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record4seh.prati
compatible with all previous alterations fo assure continued conformity with the applicable ainvorfh
I--
ust be
tits.
8. Description of Work Accomplished
Of more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.)
Repaired left (02 from outboard) and right outboard flap drive rods and ground existing
structure that rod goes through in accordance with Gulfstream Aerospace Standard Repair
Drawing 5E05807901.
Removed left and right main gear forward trunnion bearings, removed corrosion in
trunnion support and plated in accordance with Gulfstream Aerospace Standard Repair -
Spherical Bearing - Main Landing Gear - Sponson Rib - Trunnion repair drawing
5E45732901.
No weight and balance change.
END
0 •Additional Sheets Are Attached
*U.S. GOVERNMENT PRINTING OFFICE: 1992-769-012/60IST
SDNY_GM_02754119
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241041
EFTA01326634
017M41143•1 co wg?Inosircei..."'"".“nosmasherroArse
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FAA Fain 11103-2 ww
SONY GM 02754120
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15
EFTA 0024I042
EFTA01326635
SDNY_GM_02754121
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA 00241043
EFTA01326636
0
US Deponent
(Airframe, Powerplant, Propeller, or Appliance)
of toreceubo•
Fekel Medea
elsothenneee
Fee Armed
020 Na 21200720
For FAA Use Only
office identification
ii 9—O7
INSTRUCTIONS- Print or typo all entries. See FAR 43.9. FAR 43 Appendix B. and AC 43.9.1 (or subsequent evision thereof) for instructions and
eitsposillon 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).
I. Aircraft
Make
Gulfstream Aerospace
Model
G - I V
Serial No.
1085
Nationality and Registration Mark
N88GA
2. Owner
Name (As shown on registration certificate)
MELLON FINANCIAL SERVICES CORP #3
Address (As shown on registration certificate)
4444 ONE MELLON BANK CENTER
PITTSBURGH, PA 15258
3. For FAA Use Only
4. Unit Identification
5. Type
Unit
Make
I
Model
I
Serial No.
Repair
Alteration
Airframe
(As described in Item I above
X
Powerplant
Propeller
-
Appliance
Type
Manufacturer
6. Conformity Statement
A. Agency's Name and Address
B. Kind of Agency
C. Certificate No.
8560 E. SAN FELIPE DRIVE
SCOTTSDALE, AZ 85258
X U.S. Certificated Mechanic
AP 1864049
Foreign Certificated Mechanic
Certificated Repair Station
Manufacturer
D. I certify that the repair and/or alteration made to the unfits) identified in item 4 above and described on the reverse or attachments hereto
have been made in accordance with the requirements of Pan 43 of the U.S. Federal Aviation R
lations and that the information furnished
herein is true and correct to the best of my knowledge.
Date 7....70 -ft
S
•
• •
r
7. Approval for Return to Service
Pursuant to the authority given persons specified below, the unit id ntified in item 4 was inspected in the manner prescribed by the
Administrator of the Federal Aviation Administration and is 121 APPROVED O REJECTED
BY
FAA Rt. Standards
Inspector
Manufacturer
X Inspection Authorization
Other (Specily)
FAA Designee
Repair Station
Person Approved by Transport
Canada Airworthiness Group
Date of Approval or Rejection
7 -A9 -fAr
Certificate or
Designation No.
526705494 IA
Signature of Auth •
In
dual
GL
Ls
Michael Donnelly
FAA Form 337 (07-96)
This is a computer
ed form created by Michael Donnelly.
SDNY_GM_02754122
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_OO241O44
EFTA01326637
NOTICE
Weighrand 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.)
In order to provide continuity during fitture inspections, maintenance or alterations a true dopy of this FAA
form 337 and all listed Wiring Diagrams must be kept with the aircraft's records as long as the alteration
remains in effect.
July 10,1996. Gulfstream Aerospace Corporation {GAC} Model G-IV, Serial Number 1085, N88GA, FAA
Aircraft Type Certificate Data Sheet A I2EA. Aircraft in-service data: 2241.9 hours & 932 landings.
Refer to the following FAA Approved Data: GAC Aircraft Service Change {ASC} 143 (ATA 24) Alternator Field
Current Overcurrent Monitor, dated: October 7, 1994; and FAA Form 81 I 0-3, dated: 7-10-96, Identifying: Drawing
No. ASC 143-062096, Titled: TOP DRAWING ASC 143 (ATA 241 Alternator Field Overcurrent Monitor Original
Issue (no revisions), dated: 7-9-96, — the following Wiring Diagrams are listed on the TOP DRAWING:
•
Wiring Diagram No. 06209601, Titled: }.EFT SIDE DEVIATIONS dated: JUL 09/96 and
•
Wiring Diagram No. 06209602, Titled: RIGHT SIDE DEVIATIONS, dated: JUL 09/96,
as approved data, signed by: John R. Chambless, NM-567, Systems and Equipment (Electrical).
The purpose of this alteration is provide an indication that maintenance personnel can use to determine that an
overload condition has occurred in a main engine alternator field circuit.
This alteration adds a current sensor assembly and fault latch indicator to the left and right converter shelves and
modifies the aft equipment compartment wiring. The above referred to Wiring Diagrams show deviations that were
made to ASC 143 in order to provide a way to disconnect a DC Current Sensor or Alternator Overcurrent indicator
display without cutting wires. These deviations also add a shield braid for each existing alternator (+) field wire and
bond both DC Current Sensors, eliminating the need to run new wires to the left and right engine disconnect plugs.
Performed all of the modification instructions of ASC 143, except as provided for on the above listed Wiring
Diagrams.
All parts were purchased from Gulfstream Aerospace Corporation — Savannah, GA and were new at the time of
installation.
Successfully performed — ASC 143 Operational Test in accordance with Paragraph E. of the ASC's instructions
and noted no abnormal conditions or unusual operation.
Recorded compliance with this FAA form 337 in the aircraft's maintenance records and returned the aircraft to flight
status. No Airplane Flight Manual revisions were required or installed as a result of this alteration.
Incorporation of this alteration adds 0.2 amps to the Essential 28 VDC bus.
The effect of this alteration on the aircraft's basic weight and balance was negligible and no changes were made to
the aircraft's basic weight and balance report.
This is • computer generated fan created by: Michael Donnelly
ASC14388.DOC
WORD 7.0
07/10961239 PM
NO ADDMONAL SHEETS ARE ATTACHED. •END'
K Additional Sheets Are Attached
SDNYGIvl_02754123
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241045
EFTA01326638
-Pi
JR
.
,
•
DATE
7-10-96
MAKE
ei
il ,„
GULESTFEAM
AEROSPACE
MODEL NO.
G-IV
TYPE (Airplane, Radio, Koko: Net,
etc.)
AIRPLANE
/
UST OF DATA
IDENTIFICATION
TITLE
'
DRAWING NO.
REV
DATE
#SHTS
ASC
ALIEFtNATOR
CURRENT
BY
DRAWING TITLE
ASC-143-062096
N/C
7-9-96
1
°THE ABOVE DATA
N REVI WED
NAME: ..a
.7
TOP
143
DER
DATE
DRAWING
(ATA-24)
FIELD OVER
MONITOR
CANDIDATE
7-9-96
Michael
natty
PURPOSE OF DATA
TO SHCE4 OCMPLIAI4CE WITH FEDERAL AIRWORTHINESS REGULATIONS,
ON AIRCRAFT MODIFICATION WIRING DIAGRAM CN ANY GULFSTREAM G-IV HAVING ASC-143
APPUCABLE REQUIREMENTS (List spades sections)
25.1301(a,b,c,d); 25.1309(bl); 25.1353(a,b); 25.1357(a,c);
25.1431(c)
CERTIFICATION — Under authority vested by direction
of appointment under Part 183 of the Federal Aviation
- NONE -
have been examined
of the Administrator and in accordance with
Regulations, data listed above and on attached
in accordance with established procedures
conditions and limitations
sheets numbered
and found to comply with
applicable requirements of the Federal Aviation Regulations.
I (We) Therefore
0
Recommend approval of these data
these data
F3 Approve
SIGNATUREtS) OF DESIGNATED ENGINEERING REPRESENTATIVE(S)
I
dr
...4
or ..7
6/.2ser....a.,,,..4
John R. Chambless
NM-567
Systems &Equipment
(EleCtrical)
FAA Form 6110-3 (11-70) SUPERSEDES PREVIOUS EDITION
7.00 Qj
011 YNN0P
This a a cernpuhr geneated lam anted (0995) by: hada& Dannelly
9t92 6St Z0L
0C:60
96/0T/L0
SDNYGM_02754124
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241046
EFTA01326639
SDNY_GM_027.125
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 0024I047
EFTA01326640
ASC 143 (ATA 24) Alternator Field
Overcurrent Monitor
The Dial Corp
Aviation Department
WIRING DIAGRAM No. 06209601
Original Issue JUL 09/96
,
ASC 143 (ATA 24) Alternator Field
Overcurrent Monitor
The Dial Corp
Aviation Department
WIRING DIAGRAM No. 06209602
Original Issue JUL 09/96
The Dial Corp
Aviation Department
2505 E. Airlane Blvd.
Phoenix, AZ 85034
602-207-5363 voice
602-207-5353 fax
Gulfstream Aerospace Model G-IV
effective all S/N aircraft having
ASC 143 (ATA 24) Alternator Field
Overcurrent Monitor
TOP DRAWING No. ASC143-062096
Original Issue JUL 09/96
SDNY_GNI_02754126
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241048
EFTA01326641
SDNYGM02754127
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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SDNY_GM1,1_02754128
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241050
EFTA01326643
-
SDNY_GM_02754129
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024105 I
EFTA01326644
PONT CONVERTER
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