121333 - cover sheet - willis lease - mini pack... · the work identified in block 1'l and...

18
MINI PACK ENGINE MODEL: PW121 BUILD SPEC: BS725 TM SN: 121333 TSN: 25,294.50 CSN: 24,082 TSO: 17,664.70 CSO: 17,095 TSHSI: 0.00 CSHSI: 0 RGB SN: 121333 TSN: 26,276.30 CSN: 24,899 TSO: 18,645.50 CSO: 17,912 FUEL NOZZLE TSO: 0.00 CONTENTS: - TMM Cert – TC with EASA Release (H.S.I.) - TMM Cert – TC with EASA Release (Test and BSI) - Test Data - LLP - Accessories - AD / SB List - LP Impeller Cert - BSI

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Page 1: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

MINI PACK

ENGINE MODEL: PW121

BUILD SPEC: BS725

TM SN: 121333

TSN: 25,294.50

CSN: 24,082

TSO: 17,664.70

CSO: 17,095

TSHSI: 0.00

CSHSI: 0

RGB SN: 121333

TSN: 26,276.30

CSN: 24,899

TSO: 18,645.50

CSO: 17,912

FUEL NOZZLE TSO: 0.00

CONTENTS:

- TMM Cert – TC with EASA Release (H.S.I.)- TMM Cert – TC with EASA Release (Test and BSI)- Test Data- LLP- Accessories- AD / SB List- LP Impeller Cert- BSI

Page 2: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

rltlr I lllltrtltttlttl. Approving Nrtionrl Avirtion Authority/Country

CAA-NL - The NetherlandsAUTHORISED RELEASE CERTIFICATE

EASA Form I

J. lorm 'I racking No.

ARCWTl045449

.1. Approvcd Orqanis,rtion Nrme end Address

-

STANDARD AERO B.V.KRANENBERG 25047 TR. .. TILBURG THE NETHERLANDSStandardAero

5. Work Order/Contract/ln!oicel

wT338661

6. Ilem 7. Descripti()n 9. Qty 10. Scrisl No. ll. StstusAVork

1 PW121 (BS725) TURBOPROP ENGINE 3104500-01 I REPAIRED

12, Rcmarks

Complete engine has been inspected and repaired.

Work includesr- Visual inspectaon of RGB.- Hot Section lnspection per MM 72-03-00.- LP impeller replaced per OHM 72-00-00 Light Overhaul.

Work performed at:TMM TSN 25294.5 / CSN 24082 , TSO 17664.7 / CSO ',r7095, TSHSI 0.0 / CSHSI 0.RGB TSN 26276.3 / CSN 24899 , TSO 18646.5 / CSO 17912.

Complete engine has been packaged and preserved for more than 90 daysPreservation date '!5 September 2017.

Note 1r Release less engine test,this will be completed at the lacility located in Winnipeg, Canada.

Note 2r New main- and scavenge oilfilter inslalled.Note 3: lnstalled prop shafl with S/N EAAD000B615 is not affected by

AO EASA/CF-2o12-12, U3-2006-19-06, US-2012-25-08, S821798 Rev.5,S821801 Rev.'1, S821802 Rev.4 and S821813 Rev.3.

Ref.: P&WC OHM 3034643 Rev. 33 and MM 3034642 Rev. 59

Customer PO number: 4526.

The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and in respect tothat work, the items are approved for return to seNice under Certilicate no. UVHY977L

l.la.E Prrl-145.A.50 Rel.ase lo Servicc I Ofhcr rcgutrtion sp.cificd in Block 12

Certifies that unless otherwise specified in Block 12, lhe work identified in Block I I and describedin Block 12, was accomplished in accordance rlith Pan-145 and in respect to that work the itemsarc considered ready for release to scrvice.

l4h. A lhoriscd Signature

U54474

l{c. Certificate/Approv$l Ret No

N1.145.1184

l{d. \amc

CORNE AARTS

l4c. Drtc (dd/nmm/yyyy)

15-Sep-2017

EASAFomI-145-Issu.2FOR USER,iINSTALLI]R RESPONSIBILITIES. SEE STATEMENT ON THE REVERSE SIDE,

F 7 5 2 l-7 EASAFom I (20100s 23)

For additional information refer to technical documentation PCE-121333-

l3a. Certifies the ilcms Idcntified sbover ere mrnufrcturcd in conformitv to

! ,lpprovcrl rtcsign rlats rnd arc in 0 condition for safe operstion.

I Non-rpprove<l rlesign dsta specified in Block !2,

lJb. Authoriscd Sig {lure l3c, Approval/Authorisrtion Numher

13d.,\"eme 13e. Drte (dd/mmm/ywy)

Page 3: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

l Approvlng Civll Avistloo Authority/CountryAUTHORIZED RELEASE CERTIFICATE

FORM ONE

3. Form Tr.ckhg No.

ARCWt 047322

4. Organization name and iddress

-

STANOARO AERO LTD33 ALLEN DYNE ROAI)W|NN|PEG, MANTTOBA CANADA R3H tAl A O 22-s8StandardAero

6. Item

0l7. Descrlptlon

PWl21 ENGTNE ASSEMBLY (BS 725)8. Part No, 9. Qty,

I

10. Serisubstch No.

PCE I2I333Il Strtus/work

Inspected/Tested

12. Remarks

Customer: STANDARD AERO BVCustomer PO: 829977

Additional Comments:The product identified has been Msually lnspected and Test€d in accordance with PWC OHManual P/N 3034643 Rev.34 dat€d 4 Septomber 2017, PWC Maintenance Manual P/N3034642 Rov.59 dat€d 31 July 2017 and fle cunent maintenance rules of tfle CanadianAviation Regulalions. The product tested servic€able and is approved Ior retum to seNic€ incompliance rvith CAR 571 and EASA Pan-l45 (refer€nc€ EASA Approval CertifrcateEASA.145.7059). All pertin€nt details of f|e work pe.formed are on file at this organizationunder Work Order No. W332402.

The rollowing work was pertormed:

- Tested Engine- Long term preservation for more than 90 days: Dated 20 September 2017

NOTE 1: Reference Previous Work o.der WT338661 from Tllburg Facility.

The €ngin€ is compris€d of the following components:

TMM: TM 121333 TSN:25294.5 TSO: 17664.7TSHSI:0.0 CSHSI:0RGB: RGM-121333 TSN:26276.3 TSO: 18646.5

CSNr 24082

CSN:24899

CSO: 17095

CSO:17912

I a. hst the items identified above were manfactured ln conforml

Approved deslgn drta operrtion.

roved dcsign data specified in block 12.

l4a, x CAR 571.10 Malntenrnce relem€.

Other regulations specilied in block 12.

Certilies thrt, €xcept where olherwise specified in block 12, the work identitied in block I I rnddescribed io block l2 w.s performed ln rccord.nce with Crnrdirn Avirtion Regulrtioni.

1.3b. Signrture

N/A

l3c. Approved Orgrd?rtlotr Numbcr

N/A

l4b, Sigtrrture l4c. Approved Orgrtrizrtior Numbcr

AMO 22-58

l3d. Name

N/A

l3e. Date (dd,hmm/yyyy)

N/Al4d. Name

DORIS MAURICIO

l4e, Dste (dd,hmr/)f, yy)

21 -Sep-20),7

1. This documanl do66 not constitute auttlodty to install pert.

maint6nanc€ from lll€ airvorthiness auttlority sp6cm6d in block L

b€fore the aircEft may b6llom.(P.BMously Forh 24{076)

Transport Canada

5. Work Order/Contrrculnvoice

\,t332402

3 t04500-01

x

FZ<-car.--:-:--

Page 4: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

-

Acceptance Performance

8S725-PW121PCE 121333RGM-12'! 333

First Stage: 8.24Second Stage: 16.77

Third Stage: 30.04

Fuel Type:LHV:Oew Point:Dry Bulb:Oil Type:

JET A11852937.66 F

69.50 F

Royco 500 PWC52'1Test CellDate:TCN:

PWlOO20t09t2017w332402

Calculated Pertormance Results corrected

Final Calibration Results corrected

atat

Acceptance Pertormance Limits Engine Trim Oata

2150 SHPNHNL

Oelta T6C-T6TNH/NLT6CT6T

SHP

TO TrimSCU Gain : CL

ScU Offset : cLHBv Orifice

4995

20

ohms

Ilnspection Signature

at

Government Signature:

SHP NH NL T6T T6C P3/P1141703 1

1522101432150 267001955154712159

-@EI I

I@re8rere renrerc-@ ruE,Grere

-I-

I- III

@

NH T6T P2.5tP2 3 NH/NL1.200 1254.14 6.221086 11.991802 192732550 271502150

-

III

MAXMIN32600321002715026750

115 1251.1UUt

1830109U

ll,llN MAX

-

I-

-Transport canada AMO # 22-58, CAR 573.02

StandardAeroWinnipeg, MB, Canada

Build Spec:Turbomachine S/N:RGB S/N:

StP 2 ,r Z0t7

P2.5tP2 WF/P3 T8

917

32600

Page 5: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

+StandardAero Life Limited Parts Listing

ttEngine ModelEngine S/N

Workorder

l!PW121 (85725)PC-E 121333

wT338661

ltF 7.5.2-1-11

(2008 05 14)

FAR 145 CRS *UVHY977LEASA Parl145 Nt 1451184

Description Part Number Serial Number Accumulatedcycles sincenew (note 1)

Remaining lifecycles (note 1)

Flight countfactor

Nr. offlights

remaining

Remarks

lmpeller, LP

lmpeller, HP

Cover, HP Front

Disk, HP

Cover, HP Rear

Seal, lnterstage Air

Dlsk, LP

Disk, PT-1

Disk, PT-2

3040689

3036065

3049049-01

3041486

304147 4

3036212

3038613

3033914

AOO09LEN

BE982

AOO2l BHX

AOO22CPB

TPAA3152

AOOl FXHC

A002E902

AOOl EHEH

3045591 A0020929

18044

24082

7921

7921

7921

7921

13231

1937

12332

25000

30000

't 5000

15000

15000

15000

30000

30000

30000

6956

5918

7079

7079

7079

7079

16769

28063

17668

6956

5918

7 079

7 079

7079

7079

16769

28063

17668

Note 4

Note 2

Note 2

Note 2

Note 2

Note 2

Note 3

Note 3

1

1

1

1

1

1

1

Note 'l: Cycle data have been calculated using airworthiness limitations in the applicable maintenance manualNote 2; Removed from esn 120892 at TSN 30524.2 CSN 43231.Note 3: Removed from esn 121045 at TSN 27735.6 CSN 39452.Note 4: Removed from esn 120080 at TSN 40217.4 CSN 48336.

Date: September-15-17 Ce(ified: Corne Aarts Page 1 of '1

tl ltrttttt! II

Customer :Willis Lease Finance Corp.

Life LimitCycles(note 1 )

Page 6: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

-CustomerEngine Model

Life Limited Parts ListingGroup B parts - HP BIades (note 1)

F 7.5.2-1-12(200E 05 15)

FAR 1 45 CFRS 'UVHY977LEASA Pa.r 145 N| 145 1164

Willis Lease Finance Corp.

PW121 (85725) Engine S/N

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18

19

20

21

2211

25

26

27

28

29

30

31

JZ

JJ34

36

37

38

15000

15000

15000

15000

15000

15000

15000

15000

1s000

15000

15000

15000

15000

15000

15000

15000'15000

1s000

15000

1s000'15000

15000't 5000

15000

15000

15000

15000

15000

15000

15000

15000

15000

15000

15000

15000'15000

15000

15000

3115301-01

311530't-01

3115301-01

3115301-01

3115301-01

3115301-01

3115301-0'1

3115301-01

3115301-01

3115301-01

3115301-01

31 15301-01

31 15301-01

31 15301-01

3115301-01

3'11530'l-01

3115301-01

3115301-01

311s301-01

3115301-01

3'115301-01

3115301-01

3'115301-01

3115301-01

3115301-01

3115301-01

3115301-013115301-01

3115301-01

31'15301-01

31 1530't-0'l

3115301-01

31't5301-01

3115301-01

3115301-01

3115301-01

3115301-01

31 15301-01

HWAB8774

HWAF8316

HWAF8329

HWAF8338

HWAF8344

HWAF8348

HWAF8355

HWAF8357

HWAF8359

HWAF8378

HWAF8386

HWAF839,I

HWAF8396

HWAF84,14

HWAF8415

HWAF8420

HWAF8426

HWAF842T

HWAF8438

HWAF8441

HWAF8443

HWAF8444

HWAF8460

HWAF8463

HWAFM64HWAF8471

HWAF8479

HWAFMSO

HWAF8482

HWAF8488

HWAF8490

HWAF8493

HWAF8496

HWAF8497

HWAF8499

HWAFSsOO

HWAF85O6

HWAF851 1

3663

3663

3663

3663

3663

3663

3663

3663

3663

3663

3663

3663

3663

3663

3663

JbbJJbbJ3663

JbbJ3663

3663

3663

3663

3663

3663

3663

3663

3663

3663

3663

3663

3663

3663

3663

3663

3663

3663

JbOJ

PC-E 12'1333 Workorder r WT338661

Item PartNumber

SerialNumber

CSN Cyclelimit

Remaining lifecycles (note 1)

Remarks

4621Date: Thursday, September 28, 2017 Certified: Mark Tayeb Page 1 of 2

StandardAero

11337

1 1337

11337

11337

11337

11337

11337

11337

11337

11337

11337

11337

11337

11337

11337

I I J5/

I IJJ/

I I JJ/

IIJJ/

11337

11337

11337

1'1337

11337

11337

11337

11337

11337

11337

11337

11337

11337

11337

11337

11337

11337't1337

11337

Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3

Page 7: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

-

StandardAero

CustomerEngine Model

Life Limited Parts ListingGroup B parts - HP Blades (note 1)

F 7.5.2-1-12(2m8 05 15)

FAR 145 CFRS 'LrvtIYg77Ir:ASA Prl145 NL l45l1a4

: Willis Lease Finance Corp.

: PW121 (85725) Engine S/N : PC-E 121333 Workorder : WT338661

Item PartNumber

CSN Remaining lifecycles (note '1

)

Remarks

Note 1: As per the appropriate maintenance manual, chapter 5Note 2: The P/N and S/N could not be verified since the parts were not accessedNote 3: Blades have been removed from esn PC-E 120852.

cs4621Date: Thursday, September 28, 2017 Certified: Mark Tayeb Page 2 ot 2

SerialN umber

Cyclelimit

Page 8: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

-

StandardAeroLife Limited Parts ListingGroup B parts - LP Blades

F 7.5.2-1-13(2004 05 15)

FtR 145 CRS *WHY977[EASA Parl145 Nt r{5118,1

Workorder : WT338661

PartNumber

SerialNumber

Remarks

01

02

03

04

05

06

08

09

10

11

12

13

14

15

16

17

18't9

20

21

22

23

24

25

26

27

zo

30

31

32

33

34AA

36

38

39

40

41

42

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

3049152-01

3049152-01

3049152-01

3049152-01

30491s2-01

3049'152-01

3049'152-01

3049152-01

3049152-01

3049152-01

3049152-01

3049152-01

3049't 52-01

3049152-01

3049152-01

3049152-01

3049152-01

3049't 52-01

30491s2-01

3049't 52-01

3049152-01

3049152-0'l

30491s2-01

3049152-0'l

3049152-01

3049152-01

3049152-0'l

3049 152-01

3049152-0'l

3049152-01

3049152-0'l

3049152-01

3049152-01

3049152-01

3049152-01

3049152-01

3049152-01

3049152-01

3049152-01

3049'152-01

3049152-01

3049152-01

RW204463RW204006RW204546RW204535RW204461

RW20A567

RW20A496

RW19A19'1

RW13A474

RW13A749

RW19As91

RW18A91 0

RW18A977

RW194970RWl9A992RW194151

RW'184982

RW'19A90'l

RW'18A968

RW'184973

RW19A652

RW'194040

RW17A'ls9RW18A969

RW174859RW194829RW't 9A154

RW'194983

RW't 84984RW't 94570RW19A818

RW19A589

RW19A673

RW194056RW'1 9A016

RW'194298

RW l9A607RW19A951

RW19A022

RW'19A653

RW194982RW'19A888

07

'cs4621

Date: Thursday, September 28, 2017 Certified: Mark Tayeb Page I ol 2

Customer : Willis Lease Finance Corp.

Engine Model : PW121 (85725) Engine SrN : PC-E 121333

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Item TSN

Page 9: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

-

StandardAero

CustomerEngine Model

Life Limited Parts ListingGroup B parts - LP Blades

F 7.5.2-1-13(2008 05 r 5)

FAR 145 CRS 'L,VHY9TTLEASA Pa.i 145 NL 145 1184

: Willis Lease Finance Corp.

PW121 (83725) Engine SrN : PC-E 121333

Item PartNumber

SerialNumber

TSN

43

44

45

46

47

48

49

50

51

52

53

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

3049152-01

3049152-01

3049152-0'l

30491s2-01

3049152-01

3049'152-01

3049152-013049152-O1

30491s2-01

3049152-0',l

3049't52-0'l

RW19A989

RW1 9A821

RW19A5'l 1

RW194839RW19A954

RW19A305

RW19A882

RW19A345RW194851

RW19A842

RW1 9A187

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 1: As per the appropriate maintenance manual, chapter 5Note 2: Blades have been removed from esn PC-E 120892.

cs4621

Date: Thursday, September 28, 2017 Certified: Mark Ta PageZ of 2

Workorder : WT338661

Remarks

Page 10: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

-CustomerEngine Model

F 7.5.2-1-14(2@€ 05 r5)

FAR 145 CRS ruVHYg77LEASA Pad 145 NL 1451184

: Willis Lease Finance Corp.

: PW121 (85725) Engine SrN : PC-E 121333 Workorder : WT338661

Item PartNumber

SerialNumber

TSN Remarks

01

02

03

04

05

06

UI

08

09

10

11

12

13

14'15

16

17'18

'19

20

21

22

23

26

28

29

30

31

JZ

33

34

36

38

39

4041

42

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3'120963-01

3'120963-01

3120963-0'l

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-0'l

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-013120963-01

3120963-0'l

3120963-01

3120963-01

3120963-01

HMN19430

HMN19473

HMN21967

HMN21979

HMN21987

HMN22000

HMN22005

HMN22027

HMN2203s

Ht/tN22036

Ht\ilN22037

Ht\ilN22049

Ht\ilN22057

HMN23413

HMN23467

HMN23488

HMN23490

HMN23749

HMN23773

HMN238'10

HMN23821

HMN23839

HMN23840

HMN23846

HMN23857

HMN24802

HMN26896

HMN26897

HMN26913

HMN26925

HMN26926

HMN26948

HMN26955

HMN26959

HMN26961

HtitN26968

HtvlN27001

Hl\i1N27056

Hi/tN27075

HtvlN27077

HlvlN27080

HMN27086

Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3Note2+3

CS4621, Page 1 ol 2

StandardAeroLife Limited Parts ListingGroup B parts - PTi Blades

5350.7

5350.7

53s0.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350 7

5350 7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

53s0.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

s350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

Datei Thursday, September 28, 2017 Certified: Mark Tayeb

Page 11: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

-

StandardAero

CustomerEngine Model

Life Limited Parts ListingGroup B parts - PTI Blades

F 7.5.2-1-14(2OOa 05 r5)

FAR 145 CRS ruVHYg77LEASA Part 145 NL 145 1184

Willis Lease Finance Corp.

PW121 (85725) Engine S/N : PC-E 121333 Workorder : WT338661

Item PartN umber

SerialNumber

Remarks

43

44

46

47484950

\)53

54

55

56

qo

60

61

oz

63

64

65

66

3120963-01

3120963-01

3120963-01

3120963-01

3'120963-01

3120963-01

3'120963-01

3120963-013120963-01

3'120963-01

3120963-01

3120963-01

3120963-01

3'120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3120963-01

3 120963-01

3120963-01

3120963-01

3 120963-01

3120963-01

HMN27108

HMN27132

HMN27136

HMN27149

HMN27164

HMN27214

HMN27252

HMN27253

HMN27255

HMN27598

HMN27938

HMN27950

HMN27977

HMN28036

HMN28039

HMN28073

HMN28508

HMN28535

HMN28537

HMN28538

HMN28555

HMN28561

HMN28570

HMN28599

5350.7

5350.7

5350.7

5350.7

5350.7

s350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

5350 7

5350.7

5350 7

5350 7

5350.7

5350.7

5350.7

5350.7

5350.7

5350.7

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

Note 2

+3+3

+3

+3+3

+J+3+3

+J+3+3+3+3+3+3+3+3+3

Note 1: As per the instructions given in SIL No. PW100-001 R3.Note 2: The P/N and S/N could not be verified since the parts were not accessed.Note 3: Blades have been removed from esn PC-E 121045.

cs4621

Date: Thursday, September 28, 2017 Certified: Mark Tayeb Page2 ol 2

TSN

Page 12: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

+ Accessory Gomponent lnstallationI

StandardAeroGustomer : Willis Lease Finance Corp

Item TSN TSO Work carried out this visit NotesPart Number Serial Number

01 1

02

03

04

05

06

071

Governor, Prop Overspeed

Pump, Prop O/S Gov Hydraulic

Probe, NP Pulse Pickup

Sensor, Torque L-H (M)

Sensor, Torque R-H

8210-161F

8210-286

3039242

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Time Continue

Time Continue

Time Continue

2242366

1H883c

2248652

MM'1381

8804'1506

3924

Unk

Unk

Unk

Time Continue

Time Continue

Time Continue

3116942-0'1

N/A

Control Unit, Engine (EEC) (EAC) 789843-s-01016

Torque Signal Conditioner (TSC) 30005-0000-44 1

nk

nk

U

U

072

08

10

11

12

't3

Control Unit, Autofeather (AFU) N/A

Exciter, lgnition Nr I (FWD)

Exciter, lgnition Nr 2 (AFD

Harness, Elect Wiring Main (P12,P13)

Harness, Elect Wiring (Eme0 (P20)

Harness, Elect Wiring lnst-A (P21)

9049400-1

9049400-1

31147g3-O',l

N/A

NN96382371

NN96382369

AA1846

Unk

Unk

Unk

Time Continue

Time Continue

Time Continue 1

N/A

N/AHarness, Elect Wiring lnsfB (P22)

Cooler, Fuel-To-Oil

Fuel Pump

Control Unit, Hydromechanical (HNIU)

Control Unit, Mechanical Fuel (MFC)

Fuel Heater

Valve, Flow Divider and Dump

190'1 Fuel Nozzle

1902 Fuel Nozzle

Unk Unk Time Continue

Unk Time Continue

Unk Overhauled3017

PWC94A128

618A7959

6't 8A6243

618A1468

Unk

0.0

o.o

0.0

0.0

0.0

14

15

161

162

17

18

1903

1904

N/R

786392-11t21

N/A

10839F

N/A

25890-7

3038'108

3038105

3038105

F21760

wA126't8

Unk

Unk

Unk

Overhauled

Fuel Nozzle

Fuel Nozzle

Date: September-15-17

3038108 Unk

Overhauled

Overhauled

Overhauled

Page 1 of 2

ll lrttttttt ttt!Engine Model : PW121 (85725)

Engine s/N : PC-E 121333

Workorder :WT338661

tlF 7.5.2-1-10

(200805.14)

FAR 145 CRS fUVHY977LEASA Parl 145 NL 145 1184

I

lDescnplion

1

1

1

I

Unk

Unk

Unk

1

1

1

1

Certified: Corne Aarts

Page 13: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

+ Accessory Component lnstallationlt I I I tt

Engine ModelEngine S/N

Workorder

ttPWl21 (BS72s)

PC-E 121333

wT338661

ttF 7.5.2-'t-10

(2@6 0s 14)

FAR 145 CRS #UVHY977LEASA Part 145 NL 145 1184

I

StandardAeroCustomer : Willis Lease Finance Corp.

Item Description Part Number TSN TSO Work carried out this visit Notes

000A08251905

1906

1907

1908

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Fuel

Fuel

Fuel

Fuel

Fuel

Nozzle

Nozzle

Nozzle

Nozzle

Nozzle

3038105

3038105

3038105

3045307

3038105

6'1860919

618A9523

Overhauled

Overhauled

Overhauled

0.0

0.0

0.0

0.0

0.0

0.0

0.0

'1909

'1910 Fuel Nozzle

1911 Fuel Nozzle

3045672

3038105

'l PN00099

000A3888

00080307

000A0977

Overhauled

Overhauled

Overhauled

Overhauled

1912

1913

19'14

3038'108Fuel Nozzle

Fuel Nozzle

Fuel Nozzle

Sensor, T1.8 Temp

Thermocouple, T6 Trim

Probe, NH Pulse Pickup (T)

Probe, NH Pulse Pickup (B)

Overhauled

Overhauled

Overhauled

Time Continue

000F0536 0.0

0.0

0.0

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

Unk

3038827

3038105

3037603

3035968

2XG00057

oHP0004x

NR00087 1

,|

1

20

21

23

N00950

cH'10940

Time Continue

Time Continue3039242

N/A

24

25

26

27

29

Probe, NL Pulse Pickup

Valve, lC Air Bleed (HBV)

Servo Valve. HBV

Valve, P2.5 Check (Cabin Air)

lgniter Plug L-H

lgniter Plug R-H

3033509

N/A

N/A

N/A

3055161-01

H4398C Unk Unk Time Continue

Unk

3055'161-01

NiA

N/A

Unk

Unk Unk

Note 1 : Component received with engine (unless otheMise specified). TSN/TSO when available supplied by customer

Date: September-15-17 Certified: Corn6 Aarts Page2 ot 2

tt I

lSerial Number

1

Time Continue

Time Continue

I

Page 14: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

F7.5.53(Rev 32 26oct-2010)

EASA.NL,I45,I I84FAA IIVIJY 977 L

Modified to Part #: Model: PW12l (BS722I8S725)

_ AIRWORTHTNESS pTRECTTVES / MOpTFTCATTONS EMBOpTEp27064 R5 COMBUSTION CHAMBER OUTER ],INER - INTRO.27269 R5 ELECTRICAL WIRING HARNESS SLEEVES - INSTALLATION2741,6 RO FUEL DRAIN GASKETS - REPLACEMENT

- 27467 R5 ELECTRICAL WIRING HARNESS CONTACT ENHANCER (STABILANT22) - APPLICATION OF

274'11 RO ENGINE REAR LIFTING BRACKET _ REPL.2152I R1 BOLTS - REPLACEMENTS

.275'75 R1 HIGH PRESSURE TURBINE FRONT COVER - REPLACEMENT OF27645 R3 COMBUST ION-CHAMBER-L INER-ASSEMBLY -

REPLACEMENT /MOD] FI CAT ] ON OF] 21618 CC6 R4 TURB INE_ INTERSTAGE_CASE-AS SEMBLY BOLTS - REPLACEMENT OEt 27618 ccl R4 TURB rNE- TNTERSTAGE-cAsE-As sEMBLy BoLTS - REpLACEMENT oE

21623 R1 TURB INE_ INTERSTAGE_CASE_AS SEMBLY ELANGE _ REPLACEMENT OF27686 R4 T6 THERMOCOUPLE AND ADAPTER - REPLACEMENT

\- ztan R3 rNTERcoMpREssoR CASE TNSERTS - REeL.*MUST BE DONE WITH 5B21266 TOR PW723/723AF/7238*

27124 RO POWER TURBINE STATOR ASSEMBLY__ INS PECT lON21810 R1 PREFORMED PACKINGS - REPLACEMENT

i- 21813 R3 PROPELLER SHAFT - INSPECTION27876 RO NUT (IC) OTION REPLACEMENT OF27846 RO SHIPPING CONTAINER CAPS _ REPLACEMENT OF

' 21869 RO SHIPPING CONTAINER CAPS - REPLACEMENT OF

' rlp'se/ct-20t2-12 Ro pRopELLER SHAFT CRACKUS-2006-19-06 RO DETECT THROUGH-CRACKS IN THE PROPELLER SHAFT.US-2O72-26-OB RO PROPELLER SHAFT INSPECTION, REMOVAL & REPLACEMENT

t (AMENDMENT 39-11303;AD 2012-26-08- SUPERSEDES AD20t2-11-t4)

US-88.26-51 RO HIGH PRESSURE TURBINE COMPONENTS (CF.88_26)US_97_17_05 RO GAS GENERATOR CASE DRAIN PORT__ONE_TIME INSPECTION

StandardAero Modification List

TCN: WT338661 Customer: WILLIS LEASE FINANCE CORP.

I'an.: 310{500-01 Serial#: 121333

20064- 20065

2001t2009L2012't

- 20150207'7 9207992020020227202352024't

- 20263

R1R1R2R3R1R6R2R4

RO

R2R2R1R2

REPLACEMENT AND REROUTING NO.5 BRG VENT TUBEELECTRONIC FUEL CONTROL SENSING TUBE _ INTRO.IMPROVED LP DIEFUSER CASE ASSY - INTRODUCTION2ND STAGE PT STATOR ASSY _ MODIFICATIONOVERSPEED GOVERNOR HYDRAULIC PUMP _ REPLACEMENTNO.6&I BRG HOUSING ASSY AND TRANSFER TUBES - MOD.TURBINE SUPPORT CASE - MODIFICATION OFNO. 6 & 7 BEARING TRANSFER TUBE _ MODIEICATIONNO.6 & 7 BEARING HOUSING ASSY - RE!{ORKLP TURBINE DISK - MODIFICATIONTORQUE SIGNAL CONDITIONER UNIT _ REPLACEMENTTURBINE EXHAUST CASE/ EXHAUST DUCT FLANGE BOLTSHIGH PRESSURE TURBINE DISK REAR COVER-REPLACEMENT* THIS SERVICE BULLETIN IS SUPERSEDED BYR P&IiC S.B. NO. 20412 *NO. 3 BEARING _ REPLACEMENTNo.6&7 bearing vent heat shield - introductionP3 AIR FLOW METERING PLUG - INTRODUCTIONNO.3 BEARING BOLTS - REPLACEMENT (KEYWASHER)LP IMPELLER AND SHAFT/NO.3 BEARING _ REPLACEMENTNO.6 & 7 BEARING OIL PRESSURE TUBE SUPPORT - INT.

R1R1R1R1R4RO

203C1

24341203532031424315

Page 1 of 4

AIRWORI'HINESS DIRECTIVES / MODIFICATIONS FOUND EMBODIED

Page 15: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

F7.5.53(Rev 32 26{ct-2010)

EASA,NL,I45.I I84FAA UVHY 977 L

Modification List

TCN: wT33E66l Customer; WILLIS LEASE FINANCE CORP.

Part #: 3104500-01 Serial#: t21333

Model: PWl2l (BS722I8S725)

AIRWORTHINESS DIRECTIVES / MODIFICATIONS FOL'ND EMBODIED- 20406

2047120422

R2R4RO

Torque slgnal conditioner unit - replacementHIGH PRESSURE TURBINE FRONT COVER - MODIEICATIONP2.5 & P3 AIR PRESSURE VALVE ASSEMBLY, LOW PRESSUREDIFFUSER DUCT ASSEMBLY AND SWITCHING VALVE TO REAR]NLET CASE AIR SEALING TUBE ASSEMBLY EASTENING BOLTS -REPLACEMENTLOW PRESSURE STATOR ASSEMBLY _ MODIE]CATIONP3 AIR ELOW METERING PLUG RETAINER _ INTROTHERMOCOUPLE IMMERSION OPTION _ REPLACEMENTHP TURBINE DISK BOLTS - REPLACEMENTCHARACTERI ZATION PLUG LOCKING BOLT - REPLACEMENTCOMBUSTION CHAMBER LINERS _ MODIFICATIONSEAL RING - MODIFICATIONOIL PRESSURE TUBE ASSY _ MODIEICATIONCLAMPING FOR NO.3 & 4 BEARING PRESS. SENSINGEUEL MANIFOLD ADAPTER BOLTS _ REPLACEMENTNO. 6 & 7 BEARING OIL PRESSURE TUBE ASSEMBLY SUPPORTBRACKET _ REPLACEMENTHEC/OVERSPEED GOVERNOR NIPPLE _ REPI,ACEMENTP2.5 AND P3 AIR PRESSURE VALVE ASSEMBLY - MODIFICATIONMULTIPLE JET OIL NOZZLE ASSEMBLY - REPLACEMENTFue.I waste ejector bracket assy - modificationP3 AIR PRESS. SENSING TUBE BBACKET - REPLACEMENTOVERSPEED GOVERNOR HYDRAULIC PUMP _ REPLACEMENTOVERSPEED GOVERNOR HYDRAULIC PUMP - REPL.Fue.I heater plug - replacementHYDROMECHANICAL FUEL CONTROL - REPLACEMENTHYDROMECHANICAL FUEL CONTRO], _ REPI,ACEMENTIGNITION CABLE CLAMPING ARRANGEMENT - REPLACEMENT OFI,P BALANCING SHAFT ASSEMBLY_-MODI FICATIONHYDROMECHANICAL FUEL CONTROL - REPLACEMENTPOWER TURBINE DISK SET _ REPLACEMENTHYDROMECHANICAL EUEL CONTROL _ REPLACEMENTHYDROMECHANICAL FUEL CONTROI - REPI,ACEMENTSWITCHING VALVE_TO_REAR- INLET CASE SEALING AIR TUBEASSEMBLY AND SEALING TUBE _ REPLACEMENT /MoDI FI CAT IoNELECTRONIC ENGINE CONTROL _ REPLACEMENTIGNITER PLUGS - REPLACEMENTIGNITION CABLE ASSEMBLIES - REPLACEMENT OR MODIFICATIONPOWER TURBINE STATOR ASSEMBLY _ MODIFICATIONINTERCOMPRESSOR CASE ASSEMBLY - MODIFICATIONELECTRICAL I{IRING HARNESS CLAMPS/BRACKETS _ INTROHIGH PRESSURE TURBINE FRONT AND REAR COVERS -REPLACEMENTHYDROMECHANICAL EUEI, CONTROL _ REPLACEMENTTOROUE SIGNAL CONDITIONER - REPLACEMENTINTERCOMPRESSOR CASE ASSEMBLY - MODIFICATIONHP BLADE AND TOB1 NOZZLE MODIFICATIONFUEL MANIFOLD TRANSFER TUBES AND LOCK PLATEPROPELLER OVERSPEED GOVERNOR - MODIE]CATIONFUEL HEATER AND E]LTER ELEMENT - REPLACEMENTDual ignition exciter - rep.lacementT6 THERMOCOUPLE SUPPORT BRACKET - REPL.FUEL HEATER OPTION _ REPLACEMENT

R4RO

R2R1RO

R1R4RO

RO

R1R1

20944

- 249 A1

2095220951

24919

R3RO

R1RO

R1R2RO

RO

R2R1RO

R4R1R3R2RO

R4CC5

CC5

CC6

CC6CC6

CC5cc4

R1R3

R6R5R1R2

R3R2R8R7R8R1R1R7R1R3

2ro7l2to7'12).04321059270112108921493210952709627740

Page 2 ol 4

20456_ 20458

204'7 22049820502

- 205032051,72054t205s8

- 2051320583

2059820601206462065L

- 20'7 L5201 3t2081020819

- 20823208242083020834208642086s2OBB4

- 2090420974

Page 16: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

F7.5.53(Rev 32 26oct-2010)

EASA.NL.t45.1l84FAA UVHY 977 L

TCN: WT33E66I

Part #: 3104500-01

Modification List

Customer: WILLIS LEASE FINANCE CORP.

Serial#: 121333

Model: PWl2l (BS722|BS725)

AIRWORTHINESS DIRECTIVES / MODIFICATIONS FOUND EMBODIED- 27703

2773227r36

RO

R2R4

HYDROMECHANICAL FUEL CONTROL _ REPLACEMENTINTERCOMPRESSOR CASE ASSEMBLY - MODIFICATIONINTERCOMPRESSOR CASE ASSEMBLY OIL DRAIN TUBE ASSEMBLY _

INTRODUCTIONOIL FILLER NECK TUBE VALVE _ REPLACEMENT* FOR ENGINES PRE-S820933 **** CSP NO. 1004364 APPLIES, EXPIRES NOVEMBER 30, 2015

OIL FILLER NECK TUBE VALVE - REPLACEMENT* FOR ENGINES POST-SB20933 AND PRE-SB21150 *** CSP NO.1004364 APPLIES, EXPIRES NOVEMBER 30, 2015 **HYDROMECHANICAL EUEL CONTROL _ REPLACEMENTTURB SUPT/ INTER CASE,/ PT-l/ PT-2 VANE _ MODIFYTURBINE SUPPORT CASE - MODIFICATIONFUEL HEATER OPTION - REPLACEMENTHP STUBSHAFT / NO.5 BRG SPACER INTRODUCTIONINSULAT]ON BLANKETS - INTRODUCTIONPROPELLER OVERSPEED GOVERNOR _ REPLACEMENTP3 AIR PRESSURE SENSING TUBE ATTACHING CLAMPS -REPLACEMENTTURB]NE SUPPORT CASE ASSEMBLY - MODIEICATION OFGASKETS AND ENGINE SHIPPING CONTAINER ASSY.-REP],HIGH PRESSURE TURBINE TEE SHOULDER BOLTS - REPLACEMENTHIGH PRESSURE TURB]NE DISK AND ROTOR BALANCINGASSEMBLY _ REPLACEMENTHP TURBINE DISK AND SEAL _ REPLACEMENTCOOLING AIR NOZZLE _ MODIFlCATlON (TOBI NOZZLE)EUEL HEATER OPTION _ REPI,ACEMENTPREFOR],IED PACKINGS - REPLACEMENTFUEL MANIFOLD TRANSFER TUBES LOCK PI,ATE _ REPL.IGNITION EXCITER - REPLACEMENTPOWER TURBINE BLADE _ REPLACEMENTPOWER TURBINE BLADE _ REPLACEMENTEUEL HEATER (STE!,IARD IiARNER) - INSPECTIONFUEL MANIFOLD TRANSFER TUBES - REPLACEMENTOIL LEVEL DECAL _ INTRODUCTlONPOWER-TURB TNE_STATOR ASSEMBLY (FIRST STAGE) -MODl FICAT ION/REPLACEMENT OFINTERCOMPRESSOR CASE DRAIN TUBE _

REPLACEMENT,/MODI FICAT ION OE** CATEGORY A COMPLIANCE EOR ENGINES WITH TUBESREWORKED PER SB 21679 R1, WHICH WERE STRESS RELIEVEDAT 1175 TO 1825 DEG E (968-996 OnG C; . **** CATEGORY B COMPLIANCE FOR ENGINES I{ITH TUBESREWORKED PER THE ORIGINAL VERSION OF SB 21679. **POWER TURBINE STATOR ASSY AND INTERTURBINE AIR SEAL--REPLACEMENT AND MOD] FICATIONPREFORMED PACKING_-STOCK REPLACEMENTPN ST3367-009, CURE DATE 4Q-06FUEL HEATERS (CE-2000-34 )

LP ROTOR SPEED (NL) SENSOR PORT SEALING TUBE AND SWVALVE-TO_RIC SEALING AIR TUBE ASSY (CF-2002-10)HIGH PRESSURE ROTOR (CF-89-14 )

HIGH PRESSURE TURBINE D]SKS

cc4 R5- 2r75a

27327

- 21322213362136421313

274L9 CC32L4t9 CC527445215762760327622

2115 0 CC5

27619

27131

R5

_ 21t64217152171 52tL1 6

- 212472t26't2r2'17

_ 2i.21 4

R1R5R5RO

R5R2RO

RO

Part E

CC6

2728'721,298

_ 213 0121303

R3R4RO

R2

R4R2RO

R2R3R1R4R4R1RO

R3R5

R3

R4

R3

us-2003-16-04us-2003-21-03

RO

RO

us-92-01-08us-94-03-02

RO

RO

Page 3 of 4

211 AA

Page 17: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

F7.5.53(Rev 32 26-Oct-2010)

EASA NL 145 I t84FAA UVHY 977 L

C.C.A.J. AARTS

TCN: WT33E66l

Modilication List

Customer: WILLIS LEASE FINANCE CORP.

Serial#: 121333

Authorized Signatory

Part #: 3104500-01

STANDARD AERO BVKRANENBERG 2 5047 TR TTLBURGPO BOX 4I97. 5OO4 JD TILBURGTILBURG

Model: PWl2l (BS722{BS725)

AIRWORTHINESS DIRECTIVES / MODIFICATIONS FOIJND EMBODIEDUS-98-14-02 RO FUEL MANIFOLD TRANSFER TUBES

AIRWORTHINESS DIRECTTVES / MODTFICATIONS FOLTND EMBODIED PER LOGBOOK20796 R1 GEARSHAFT COLLAR AND RETAINER NUT _ REPLACEMENT21446 R4 ACCESSORY DRIVE SPUR GEAR - REPI,ACEMENT

**COMPLIANCE CODE "A/4" FOR ALL ENGINES & PW119B/C- PREsB214 53 **

2L'7 73 RO PROPELLER SHAFT- I NS PECT ION(REF. PMS W101WA7 21110SB )

Page 4 of 4

Tc=]bl4

Page 18: 121333 - Cover Sheet - Willis Lease - Mini Pack... · The work identified in block 1'l and described herein has been accomplished in accordanc€ with '14 CFR Part 43 and ... (BS

JII-J1. Approving Civil Aviation Authoraty/Country

TRANSPORT CANADA

6.ltem 7. Description

4. Orqanazetlon N6me and Address

vE(roRATRO9PA(€

VECTOR AEROSPACE ENGINE SERVICES ATLANTICP,O, BOX 150, SUMMERSIDE PE, CANADA

r.ro;#""r,insiJ

5. worl Order/contraculnvoice

36-28950

2

426230

8. Part No 9. Quantity 10. Serial/Batch No. 11. StatusM/ork

IIVIPELLER ASSY, LP AOOO9LEN

I Non approvec

13d. Name 13e. Date (ddhmm/yyyy)

'12. RemarksOVERHAIJLED IAW PWC CIR MANUAL P/N 3043515REMOVED FROM ENGINE 12OO8OCUSTOMER P O RO136001TSO O O CSO O TSN UNKNOWN CSN 18044LARGEST BOLT HOLE StzE = 0.3402

REVISION f 34,0 REVIS|ON DATE 2016 04 11

Approvals:

E4SA.145.7014South Atrica No.849Kenya No. t(A1/8/'10Tanzania No.Al/cA./1.01Brazil 0006-0/ANACE gypt ECAA./AWAE/E0290/R1ANAC 18.347Botswana B/lA./63FDTlndonesia'145/56400Maldives MV.'145.050uganda AMO/152

Th6 work slated above hes besn periormed tr, ac@rdan@ wth T 6 r4, Cods ol F6dor.l R€gulalons Pan 4317 and/or EASA 145

that the ilems identified above we.€ manufactured in conform t4a. @ cln szt.to ttaintenance Releas€

EOther regulations specified ln block 12.

Certifies that unless otherwise specified in block 12, the work identilied in block l1and described in block 12, has been pertormed in compliance wlth the Canadian

Philippines 3'15-FVenezuela OMAC-E 380design data and are in condition for safe

speci fied in bAviation Regulations

Organization Number Signature 4c. Approvecl Organi2ation Number

TCCA AMO 3-92

4d. Name 14e. Date (dd/mmm/yyyy)

25-J ul-2016Linda Snelvey

' lnstaller must cross-check elgibilitywilh approved data

USER/INSTALLER RESPONSIBILITIESThis c,ocumenl does not constilule the aulhority to install

applicable nalionalregulations belore lhe aircraft may be flown

Form One (2009-01-09) cnnr.a zsrotnar z v zz l Page 1 of 1

-J .J --lAuthorized Rr;lease Certificate

Form One

I

3108613-02 Overhar.rled

L_t

13b. Signature