EFTA01326217

0 MAJOR REPAIR AND ALTERATION 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 PROT706 §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 PROT707. §44701). Failure to report can result in a civil penally for each such violation. (49 PROT708. §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: [VICTIM NAME REDACTED] R.304 DARTER [[VICTIM NAME REDACTED]] [VICTIM NAME REDACTED]. CORDON Sc 00002 go.roy [VICTIM NAME REDACTED] 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 PROT0 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) PROT429 EFTA_00240625 PROT1 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 PROT430 EFTA_00240626 PROT2 PROT431 EFTA_00240627 PROT3 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 EFTA_00240628 PROT4 PROT432 EFTA_00240629 PROT5 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 PROT709 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 PROT710 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. PROT433 EFTA_00240630 PROT6 I PROT434 EFTA_00240631 PROT7 %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. PROT435 EFTA_00240632 PROT8 PROT436 EFTA_00240633 PROT9 0 US Dremnort MAJOR REPAIR AND ALTERATION 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 PROT711 §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 PROT712. §44701). Failure to report can road? in a ovil penaky for each such violation. (49 U.S.0 §46301(a)) 1. Aircraft 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 [ADDRESS REDACTED] 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 [ADDRESS REDACTED] 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 PROT713 Pin 43 0 APP. 8 Signature/0mo of Authorized Intkviduat Benjamin Thomas Jones z 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 EFTA_00240634 PROT10 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 PROT437 EFTA_00240635 PROT11 ee us oftwonn MAJOR REPAIR AND ALTERATION 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 PROT714 $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 GULFSTREAM AEROSPACE 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, [ADDRESS REDACTED]atement A. Agency: Name and Address B. Kind of Agency an Galmmargigaenaces ration man. [ADDRESS REDACTED] u 5 corencesee Mechanic I lAanuhaurer Foreign CerlaCated Mechem 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 PROT715 Part 43 App. B SignaturerDate of Authorized Ince/ -1 Benjamin T. Jones 26/JUIJ2018 - . 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 2 Approved O Rejected BY FM Fit. Standards inspector manufacturer Person, ANNOYS by Censaen orpartmen of Transport FM Designee 1 Repar Station Inspection Authorization Other (Sporty) Certificate or LEGRO39G Signature/Date reed indwismil 26/JUL/2018 Dean M. Di FAA Forrn 337 rioter PROT438 EFTA_00240636 PROT12 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. - GSL405420[SSN REDACTED] 4L - GSL405420[SSN REDACTED] 7L - GSL405420001.11-5312 8L - GSL405420001.11-5940 9L - GSL405420[SSN REDACTED] 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 - GSL405420[SSN REDACTED] 5R - GSL405420[SSN REDACTED] 7R - GSL405420[SSN REDACTED] BR - GSL405420[SSN REDACTED] 9R - GSL405420[SSN REDACTED] 10R - GSL405420[SSN REDACTED] 11R - GSL405420[SSN REDACTED] 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 PROT439 EFTA_00240637 PROT13 9 1 Ilbf vs oromurer MAJOR REPAIR AND ALTERATION a transponsess (Airframe, Powerplant. Propeller, or Appliance) From Annie, Aantatistration Fr, Amos! pre No 1000020 moon Elena"K Treaing Nuen: .. FAS Use Puy INSTRUCTIONS: Pont or type aN entries. See Tele 14 PROT716 §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 PROT717. 544701). Failure to report can result in a civd penalty for each suCh violation. (49 PROT718. §46301(a)) 1. Aircraft 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 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 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 PROT719 Part 43 n00. B El &puha Authorized Indi min t e - j 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 LEGR039G Signature/Date of Authorized Individual Wiliam Stucklen 26/JUN/2018 FAA Form 337 norm PROT440 EFTA_0O240638 PROT14 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 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) PROT441 EFTA_00240639 PROT15 DEPARIWO CR TRASSPC*TAIX.4410IIPLU. AY.A7O.1•ZAI0SSTRAT 1O4 STANDARD AIRWORTHINESS CERTIFICATE polinounams a ists/if Fearempalk N$201 1 OUUSTREMINEM (SAGE MN K••••••21 tiSileteerna•laillsnois• a SC 114111.••••••• • I es -Owe linsennisini•••• atininte.nto ow in owl•••••••••• 'Mb s ••••••••••••Manlailatermal••• One •INtent••••••••••Ytaii•leeniss I sow!. Maus revert NONE •••teratem• MOS Maori* 90./00 ROSIV2CCO az:Az, waste Flews, ZarSer2S as, wealle 11•SCOMICATIMST "ClUth/0•11•11A/00// reit,e ~Jig rtptivi sturtrattildratil PROT442 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00240640 test Raw. PROT16 SONY_GA.4_02753719 EFTA 0024064I PROT17 0.40 VS/ I CO illOisca CEPARTMEN1 Of TRANSPORTATION MEWL AVIATOIMMISTRATION STANDARD AIRWORTHINESS CERTIFICATE i alevort op I sntiniCitata NO litCtl I MOW/ KRA& I unwire WSTWO.11100. Walla N212JE Gultatreas G-IV 1085 Tramline t AVICW, MOVISI Twessaim sea maw •••••••14C 6001011.140••••••••••••sto nil DSO /anat. mad Dan leadele YM st= Imintossis ern ant* pep is 0.0moiningapsiOnlialson•Ina innate nem es • plait wits NONE • toms mensal** b1101 bFYKI It 05/23/2000 A.S.S•ppla • Arm minus". 4.* nese. V rwisms• an" henna marital WE MI IPMAPVIIIIJAMPL PIP PallaW06 nal aphigypelpiakki owns mini - - a at ®yeti h. wit Pete. Wel teSOIP.M.5w S019 1.0.• non 4 9141$1,1 PROT443 EFTA_00240642 PROT18 PROT444 EFTA_00240643 PROT19 to co UNITED STATES OF AMERICA m pA a p H 0 Xl o 1 NATIONALITY AND H REGISTRATION MARKS N120JE DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE 2 MANUFACTURER AND MODEL GULFSTREAM AEROSPACE-a:IV 3 AIRCRAFT SERIAL NUMBER 1085 4 CATEGORY Transport 5 AUTHORITY AND BASIS FOR ISSUANCE t / • m This airworthiness certificate is issued pursuant to 49 PROT720. § 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. DATE OF ISSUANCE FAA REPRESENTATIVE .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 THIS CERTIFICATE MUST BE DISPLAYED IN THE AIRCRAFT PER THE APPLICABLE FEDERAL AVIATION REGULATIONS. ; AA Form 8100.2 (11-2016) Previous Edition Dated 0.4-11 May be Used Until Depleted La, CL 1,3 Co DESIGNATION NUMBEF AEA-FSDO-25 PROT20 VIIONV1)10 Alto VINOHY1)10 Se Tr WEI 6 90U Uhl US NOUNii/S10311 141,210WV V114 HIIA1 031Id PROT445 EFTA 00240645 PROT21 co m -o 0 n m 0 m -0 -o 9° 9) E p a) •@, P, ••-•1 • tr - UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE , mr,e,m", I., NC ractorionar Doty N 1 20JE . a IMOSACTU.0 NO Oa 0," -C GULFSTREAM AE, RDSFACE - G:IV -rinv i e,. . - : roes 1 7 A • . cartoore Transport / eLs,, ...en. ri ,.. Mt ennnesarteceb b WI Fame faille i "Ma menu Wee annet Si eye ha tan ithAtm eaWV in b le basalts Wide art No Sint telleillitit tor liplcatio inners II Cotten Owe mica skl se zurdn•kne. . b as-wets, a" irinabv Oil sall • law NONE • IteallmOccoarail • UMW MOW el lontate. skis is ~So ~ALSO try to FM. Ea suntnar rye.; entrthepose ands is Seiko bie Wawa al Sett a mm' grey., on pricaned serfs woke* ireplrithissal anion aim nil irre0.10. 1 . as Wiwi Stela WM CI illiatba 80523/2000 OA. etitsemera ' f,, 0....:I.Alle. PONS AEA.FSDO-25 cajt, •J; • OS.i • AffiNnim eat a twneosio. at IN* was, Poe Wsam Mi ts eing. by ream, motion rm. Ardis Inebsellent DIM CERTIFICATE 41ST IIE OiSPLAYED ti ME PaalAFT PER THE APPLICAKI FECtIV4 AVIATION REGULA11048. ftham II1C04 01401M Orwais San Ofted04.116,/ tio UndUndlOsprobill PROT22 All0 V1)40 so u nu LIU as N • lignSI0311 14 8W Ind HAIM 031Id PROT446 EFTA _00240647 PROT23 0 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 [ADDRESS REDACTED] ciikrov Virgin Islands 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 [ADDRESS REDACTED] Ronkonkoma, New York 11779 USA Certificated Mechanic '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 PROT721 Part 43 0 App B Thomas Norden Date. 2/20/2014 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 Persons Approved by Canadian Department of Transport BY FM Designee X Repair Station r ...\ Certificate or CRS I1JR439Y Signature/Date of Authorized Indrodual Thomas Norden Date: 2/20/2014 ,Kl aca e....4._ FAA Form 337 rio-osi PROT447 EFTA_00240648 PROT24 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. (If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and dale work accomplished.) USA N212JE KGS ELECTRONICS II5VAC, 60FIZ, I000VA INVERTER SYSTEM INSTALLATION 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) PROT448 EFTA_00240649 PROT25 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS 1. DATE February 11.2014 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 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 auolorted 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 PROT722 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 PROT723 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 DERT 955091-NE Systems and Ethripnera Eleclncal FAA Form 8110-3 (01,10) SUPERSEDES PREVIOUS EDITION PROT449 EFTA_00240650 PROT26 PROT450 EFTA_00240651 PROT27 FEOMAL AVtATiOn ADMINISTRATION STATEMENT OF COMRUANCE WITH AIRWORTHINESS STANDARDS I DATE 2/13/2014 2. MAKE Gulfstream Aerospace Corporation 3. MODEL G-IV a TYPE (Aircraft. Engine. Propeller. etc.) Aircraft S. NAME OF APPLICANT 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 PROT724 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 PROT725 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 EFTA_00240652 PROT28 PROT451 EFTA_00240653 PROT29 U. S. DEPARTMENT OF TRANSPORTATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS I DATE 2/18/2014 2.MAKE Gulfstream 3.MODEL NO. G-IV 4.TYPEfAhOwre. Craw. Propellor. It) Airplane sNAME OF APPLICANT 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 PROT726 Pan 25.853 (a) Arndt 25-116 Appendix F Pad I (a)(1Xi) Amdt 25-111 14 PROT727 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 PROT728 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 I I.SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE 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 PROT452 EFTA_00240654 PROT30 PROT453 EFTA_00240655 PROT31 0 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 PROT729. 44701). Failure to report can result in a civil penalty for each such violation (49 U.S C. 46301(a)). 1. Aircraft USA N212JE Serial No. 1085 Model G-IV Series Make 2. Owner Name (As shown on registration certificate) JEGE LLC 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 B Kind of Agency I Manufacturer 2221 Smithtown Ave Ronkonkoma, New York 11779 USA 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 Extended range fuel per 14 PROT730 Part 43 0 APP. 8 Thomas Norden Date: 9/19/2013 C---- Il aelAl .t ) elra -....1 Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the (2) APPROVED 0 REJECTED FM ect« Fit. Standards Insp Manufacturer Persons Approved by Canadian Department of Transport Y FM Designee Certificate or 'Signature/Date of Authonzed Individual CRS I1JR439Y ", . Thomas Norden Date: 9/19/2013 kil a eir FM Form 337 0005) PROT454 EFTA_00240656 PROT32 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. (If more space is required. attach additional sheets, Identify with aircraft nationality and registration mark and date worn accomplished) USA N212JE 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 CABIN ENTERTAINMENT SYSTEM (MOD) ELECTRICAL 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) PROT455 EFTA_00240657 PROT33 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 S. NAME OF APPLICANT PRODIGIOUS AVIONICS LIST OF DATA S. menwicknon 7. DILE PRODIGIOUS AVIONICS PA-GIV-1085-2501 9 SHTS REV: B DATE: 8.21.2013 DRAWING: CABIN ENTERTAINMENT SYSTEM (MOD) ELECTRICAL DRAWING NOTES: I- THIS APPROVAL IS FOR THE ELECTRICAL ASPECTS ONLY. 2- THIS APPROVAL IS FOR THE DESIGN ASPECTS ONLY AND DOES NOT CONSTITUTE INSTALLATION OR OPERATIONAL APPROVAL. 3- IF THIS APPROVAL IS PROVIDED FOR A FOREIGN REGISTERED AIRCRAFT, ACCEPTANCE OF THIS APPROVAL IS AT THE DISCRETION OF THE CIVIL AVIATION AUTHORITY OF THE STATE OF REGISTER. 4- THE INSTALLER MUST DETERMINE THE COMPATIBILITY OF THIS DATA WITH THE AIRCRAFT CONFIGURATION. S. PURPOSE OF DATA 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 PROT731 Pan 183, data listed above and on attached sheets numbered [REDACTED] 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 D. DESRVIATON NUMSER(S) 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 PROT456 EFTA ())24(X158 PROT34 PROT457 EFTA 00240659 PROT35 MAJOR REPAIR AND ALTERATION 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 PROT732. 44701). Failure to report can result in a civil penalty violation. (49 U.S C. 46301(a)). instructions for each such 1. Aircraft USA N212JE Serial No. 1085 Model G-IV Series Make 2. Owner JEGE LLC Pants 6100 Red Hook Quarter B[ADDRESS REDACTED] Thomas sw. zo 00802 co.my Virgin Islands 4. Type 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 Manufacturer [ADDRESS REDACTED] Ronkonkoma, New York 11779 USA 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 attactrnents hereto tMn Extended range fuel per Date: 9/19/2013 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 Persons Approved Department of Transport by Canadian BY FM Designee Certificate or CRS I1JR439Y Thomas Norden Date: 9/19/2013 e\INWIS FM Form 337 most PROT458 EFTA_00240660 PROT36 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. (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work accomplished.) USA N212JE DATE 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 PROT733, 25.853(c) Amendment 25 - 116 Appendix F Part II and 14 PROT734, 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- Ullrasueoe, 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) PROT459 EFTA_00240661 PROT37 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 (If more space is required, attach additional sheets, Mealy with aircraft nationality and registration mark and date work ished) USA N212JE 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 CONFERENCE TABLE MOD INSTL LIIGIV1085C IR DIVAN INSTL-LH AFT LIIGIV1085D IR LH AFT CLOSET MOD INSTL IJIGIV1085E IR DIVAN ARMREST INST1.4.11 AFT IJIGIV1085F A ENTERTAINMENT EQU1PT MOD INSTL-CREDENZA UIGIVI0850 IR MONITOR MOD INSTL414 AFT UIGIVI08511 IR RH GALLEY MOD INSTL UIGIV101151 IR LH GALLEY MOD INSTL LIIGIVI085K IR VANITY MOO INSTL 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 PROT735 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 PROT736 Pan 25.853 (a) Amdl. 25-116 Appendix F Part I (IXI MO Arndt 25-III and Tide 14 PROT737 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 FAA Form 337 (10-06) PROT460 EFTA 00240662 PROT38 PROT461 EFTA_00240663 PROT39 FEDERAL AVIANON ADMINISTRATION 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 PROT738 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 PROT739 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 DERT-830137-CE Structures FAA Refs 11104 (131I0) SUPERSEDES PREVIOUS EIXT04 3-494-4 PROT462 EFTA_00240664 PROT40 PROT463 EFTA_00240665 PROT41 U.S. DEPARTMENT OF TRANSPORTATICN FEDERAL AV1ATION ADIAMSTRATICN STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS 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 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 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 PROT740 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 EFTA_00240666 PROT42 SIDNYGM 02753745 EFTA_00240667 PROT43 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 Ronkonkoma. NY UST OF DATA 6 DemncAnoN 7. TITLE Drawing: IJIGIV1085B Rev (A) 08/29/2013 Report UIGIV10858SA Rev (A) 08/30/2013 Conference Table Mod InstI see 1 - 5 Structural Analysis Conference Table Mod InstJ Gulfstream G-IV Aircraft subparagraph listed below as "Applicable Requirements'. 2) This form does not constitute FM approval of all the engineering design data 3) Aircraft interior compliance inspection is not included in this approval and requires 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 PROT741 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 PROT464 EFTA_00240668 PROT44 PROT465 EFTA 00240669 PROT45 VS. IMPART ENT OF TRANSPORTATION 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 S. NAME OF APPLICANT 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 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 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 3) Aircraft interior compliance inspection is not included in this approval and rterSas & 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 PROT742 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 II. SIGNATURES) OF DESIGNATED ENGINEERING REPRESENTATTVELS) 12 DES/GMMONNUMBERS(S) 13. CLASSIRCATOCS Brian C. Adamson C...- DEBT-630137-CE Structures FM Form $110.3 (03110) SUPERSEDES PREVIOUS EDITION 13-002-4. EFTA_00240670 PROT46 PROT466 EFTA [ADDRESS REDACTED]ATEMENT OF AIRWORTHINESS STANDARDS 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 Ronkonkoma, NY UST OF DATA 6 CEINIFICATION [ADDRESS REDACTED]awing: IJIGIV1085A Rev (IR) 07(16/2013 Report: LIIGIV1085ASA Rev (IR) 08/21/2013 Monitor Mod Instl-RH Fwd slit 1 - 3 Structural Analysis Monitor Mod Intl-FtH Fwd Gulfstream G-IV Aircraft 2) This form does not constitute FM approval of all the engineering design data 3) Aircraft interior compliance inspection is not included in this approval and requires S. PURPOSE OF DATA 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 PROT743 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 PROT744 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 DERT-830137-CE Structures FAA Form 51104 (01/10) SUPERSEDES PREVIOUS EDITION O-tier t -7 PROT467 EFTA 00240672 PROT48 PROT468 EFTA_00240673 PROT49 FEDERAL AVIATKIN ACOMISTRATION I. DATE August 19, 2013 2. MAKE Gulfstream 1 MODEL NO. G-IV s/n 1085 4 TYPE Stara &pink Propeller; art) Airplane S. NAME OF APPLICANT 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 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 2) This form does not constitute FAA approval of all the engineering design data 3) Aircraft interior compliance inspection is not included in this approval and regales 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 PROT745 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 PROT746 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) IT DESIGNATION NUOMSERSMI t3 ci.AssrncAnotest Brian C. Adamson t5s4Z. EVe., DERT-830137-CE Structures - FM Fon. 81104 (MO) SUPERSEDES PREVIOUS EDrniat PROT469 EFTA_00240674 PROT50 PROT470 EFTA_00240675 PROT51 US. DEPARTMENT OF 1RANSPOITFADON FEDERAL AVIATION ADIANISTRADON 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 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 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 approval is only for the engineenng data. It Indicates the data listed above 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 3) Aircraft interior compliance inspection is not Included In this approval and requires S. PURPOSE OF OATA 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 PROT747 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 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 II- CLASSIECATIONISI Brian C. Adamson DERT-830137-CE Structures FAA Fan,, *110-3 (02-40 SuPERScosSeREVIOuS 13-4v2 -r PROT471 EFTA_00240676 PROT52 PROT472 EFTA_00240677 PROT53 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 I NAME OF APPLCANT 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 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 approval is only for the engineering data. it indicates the data listed above Subparagraph listed below as 'Applicable Requirements". 2) This form does not Constitute FAA approval of all the engineering design data 3) Aircraft interior compliance inspection is not included in this approval and requires S. PURPOSE OF DATA 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 PROT748 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 PROT749 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.-* PROT473 EFTA_00240678 PROT54 PROT474 EFTA_00240679 PROT55 U. S. DEPARTMENT OF TRANSPORTATION 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 UST Of DATA 6 IDENTIFICATION Design Data $280145 Rev NC Skandia, Inc Flammability 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 Demonstration of compliance with material flammability requirements in support of Major Repair & Alteration for S/N 1085 9.APPUCABLE REQUIREMENTS (UM spseibc sections) 14 PROT750 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 PROT751 Pan 183, data listed above and on examined in accordance with established procedures and found 1(We) Therefore *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 PROT475 EFTA_00240680 PROT56 PROT476 EFTA_00240681 PROT57 U S DEPARTMENT OF TRANSPORTATION ELATE 8/13/2013 2.MAKE Gulfstream 3.MOOEL NO. G-IV 4.TYPE(AtTano. Ear,. Awe*? tic) Airplane 5 NAME OF APPLICANT LIST OF DATA 711T1F Design Data S260097 Rev NC SKandia, Inc. Flarnmabildy Test Results 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 PROT752 Pan 25.853 (a) Arndt 25-116 Appendix F Pan I (a)(1)(ii) 14 PROT753 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 PROT754 Pan 183. data listed above and on attached examined in accordance with established procedures and found to comply 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($) 3. k3. W ug J Jane Stherstet ...FAA DER DERV-832780-CE FAA Form 8110.3 (0110) SUPERSEDES PREVIOUS EDITION PROT477 EFTA_00240682 PROT58 PROT478 EFTA 00240683 PROT59 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 LIST OF DATA ILIDENTIFICATION 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. Demonstration of compliance with material flammability requirements in support of Major Repair 8 Alteration for SIN 1085 SAPPLICABLE REQUIREMENTS Oast specific sections) 14 PROT755 Part 25.853 (c) Amendment 25118 Appendix F Part II 14 PROT756 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 PROT757 Part 183. data listed above and on attached examined In accordance with established procedures and found to comply 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 FAA Form 81104 (03710) SUPERSEDES PREVIOUS EDMON PROT479 EFTA 00240684 PROT60 PROT480 EFTA 00240685 PROT61 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 UST OF DATA 7 ITT Design•Data S261931 Rev NC Skandia, Inc. Flammability Test Results 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 Demonstration of compliance with material flammability requirements in support of Major Repair 8 Alteration for SIN 1085 9APPLICABLE REQUIREMENTS plat SPCCAC WOODS) 14 PROT758 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 PROT759 Part 183, dale listed above and on attached examined in accordance with esiebilshed procedures and found to comply *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 ...._ '11211-0 - .) Jane Bibtrsteln -FAA DER DERV-832780-CE FAA Fo 8110.3 (03110) SUPERSEDES PREVIOUS EDITION PROT481 EFTA 00240686 PROT62 PROT482 EFTA 00240687 PROT63 IL S DEPARTMENT OF TRANSPORTATION I DATE 9/ 18/2013 2.MAKE Gutfstream 3 MODEL NO G-IV ATYPE/Anw. Foyers. ens etc) Airplane SNAME OF APPLICANT International Jet Interiors lir OF DATA 8 ICENIWICATION 7 Ern F Design Data 5281824 Rev NC Skandia, Inc. Flammability Test Results 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 Demonstration of compliance with material flammability requirements in support of Major Repair 8 Alteration for S/N 1085 9APPLICABLE REQUIREMENTS (List specific seetion11 14 PROT760 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 PROT761 Pao 183, data listed above and on attached examined in accordance with established procedures and found to comply 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 FAA Form 81104 (nto) SUPERSEDES PREVIOUS EDITION PROT483 EFTA_00240688 PROT64 PROT484 EFTA_00240689 PROT65 U S. DEPARTMENT OF TRANSPORTATION '.DATE 9117/2013 2MAKE Gulfstream 3 MOOEL NO. G•IV 4.TYPE(MPIms. &WOK Propose. ere) Airplane 5.NAME OF APPLICANT LIS1rnI FATA 7 TITLE Design Data S257726 Rev NC Skandia, Inc. Flammability Test Results 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 Demonstration of compliance with material flammability requirements in support of Major Repair & Alteration for SIN 1085 9.APPLICABLE REOUIREMENTS(tisi specific sections) 14 PROT762 Pan 25.853 (a) Arndt 25-116 Appendix F Pan t (a)(t)(i) Amdl 2`5-111 14 PROT763 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 PROT764 Part 183, data listed above and on attached examined in accordance with established procedures and found to comply 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 FAA FOND 8110-3 (03/10)SUPERSEDESPREVIOuS EDITION PROT485 EFTA (x124(169() PROT66 PROT486 EFTA 00240691 PROT67 wait STATES CF AMERICA DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE 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 DATE OF ISSUANCE 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* DESIGNATION WISER S019 Ed1:01 PROT487 EFTA_00240692 PROT68 PROT488 EFTA_00240693 PROT69 ...me new ;arc COMTIST a TIWC•0011.010%-etptiltaiL ikna,TIM•0•01.8MATOI STANDARD IURWORTHINESS CERTIFICATE EFTA 00240694 PROT70 I SDNY_Ghl_02763 3 EFTA_00240695 PROT71 el sr ar Owerwent unsoonnon 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 PROT765 §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 PROT766. §44701). Failure to report un result in a ail penally for each such violation. (49 V.S.C. 146301(a)) 1. Aircraft 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 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 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 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 PROT489 it EFTA 00240696 PROT72 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 PROT490 EFTA 00240697 PROT73 0 US Dated Miry aponasan 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 PROT767 §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 PROT768. §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 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• 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 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 Extended range fuel pet 14 PROT769 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 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" JAN 2 9 2013 orm 5370040 SONY_GM_02753776 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 1O, 15, and 17 EFTA_00240698 PROT74 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 PROT491 EFTA 00240699 PROT75 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 PROT770 §43.9. Part 43 Appendix B. and thereof) for nstruCtions and disposnon of (Ns form. This report is required by law (49 PROT771. §4470 la earn such violation. (49 PROT772. §463O1(a)) AC 43.9-1 (or subsequent revision ). Fein I0 feint CIA Mull in a bvil Panay 1. Aircraft USA N423TT Senal No 1085 Make 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 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 8. Kind of Agency caw CE Avionics Inc. U S. Certificated Mechanic I Mantairclumr mews 2789 Flightline Avenue Altair bananas mechanic 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 PROT773 Part 43 APP. 8 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 Approved 0 RejeCted FAA Fe Standards Inspect Manufacturer 8v Persons Approved by Canacban ment of Transport FAA Designee X Repair Station Other (Speedy) Certificate ix Designation No OE4R411M Signature/Date of Authorized I 7. JAN 2 9 2013 one 337nocei PROT492 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240700 PROT76 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 PROT493 EFTA_0024070I PROT77 Attachment FM Form 337 (AGT-4000) Dated January 29. 2013, N42377. Gttlistrearn G-IV. SIN 085 Sheet 0111 it ii I -.•A ii i Hlli "I IOW n il s iiii if g !Hill Ifilks 1 - • i IF, -- Ati i hp E !E 9 PROT494 EFTA_00240702 PROT78 PROT495 EFTA_00240703 PROT79 N n C -0 7a 0 H n 70 7a 70 Gl 70 00 LD O /- 1 I '.(11 t NJ a Hs IS 2 -011 FWD MRCELL BROADBAND ANTENNA INSTALLATION LOWER FUSELAGE SKIN VIEW LOOKING RIGHT LHS -012 AFT MRCELL BROADBAND ANTENNA INSTALLATION LOWER FUSELAGE SKIN VIEW LOOKING RIGHT LHS h •SIOnon Mil ofteate. Wt_ ca.rea .oto. ass twieftnseyiepots /Le soma. a t. csinsoa. ape hts• Doe wan rannata en, rim oil NOW( I ER02222401 I 0 2 OS 4 1 0 O PROT80 PROT496.783 EFTA_00240705 PROT81 In co H n -O 0 H rn H n 0 7u G') -c) (f) Co nW P I-, 10 Oa '6,4 r 0- I. • A0006 COWIT 1.011.0150.01 /0/404/0 .• (4/4 (4 - A.. I j ../ "ec It•D i 11 el'el0640 Oen SECTION AA (411) LOWER FUSELAGE COVER PLATE VIEW LOOKING DOWN (Co am •eist• 1MYI.R CMC wont 00, 02017C101,1k w Inc 001 001001.111 k02001.104 L001100.0000•14010 paw 14/0011402T10111.11•100.40•01 COMMA, NOLO V.COMPMD CITIL0 0.0 - 00 0 ,1 COW* COMONOt LCCATION Vent 0401,•3 =KW 0118.115 Mr) Natal MG Arnim& pol O O 0 [repeated 3 times] SECTION BB (-011) SECTION 0-0 (412) VIEW LOOKING NORMAL TO ANTENNA ATTACH SURFACE. Nos rte....err me era ors-. are Olirturrar a:mealier am no !PQM Orr. red ter..0.• 0.00. rrO••• ter • 0.0.00./11 6040 interrIO ER02222401 3 OF. i y I PROT82 PROT497 EFTA_00240707 PROT83 Attachment: FM Form 337 (AGT-4000) Dated January 29. 2013, N423TT. Gut!stream G.IV, SIN 1085, Sheet 4 of 11 PROT498 EFTA_00240708 PROT84 PROT499 EFTA_00240709 PROT85 Attachment FM Form 337 (AGT-4000) Dated January 29. 2013. N423TT. Gu*Stream G.N. S/N 1085. Sheet 5 of I I DEPARTMENT OF TRANSPORTATION DATE January 18, 2013 MRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE Gulfstream MODEL NO. G-IV TYPE Verdant Redly licaceper.ek.) Airplane NAME OF APPLICANT 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 PROT774 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 PROT775 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. SIGNATUREIS) OF DESIGNATED ENGINEEFUNG REPRESENTATIVES) DESIGNATION NUMBER(S) CLASSIFICATIONS) David E. Haralsonj:):e eg,.. it - DERT-810028-SW Structural FM Form 8110-3 00) SUPERSIOES PREviOUS !ONION 010222240 oat PROT500 EFTA_002407 10 PROT86 PROT501 EFTA_00240711 PROT87 Attachment FM. Form 337 (AGT-4000) Dated January 29, 2013, N423TT, Gulfatream Gall, WI 1085, Sheet 6 of 5 a g A a PROT502 EFTA_002407 12 PROT88 PROT503 EFTA_00240713 PROT89 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 PROT504 EFTA_002407 14 PROT90 PROT505 EFTA_002407 15 PROT91 Attachment FAA Form 337 (AGT.4000) Oated January 29, 2013, N423TT, Gulfstream G-11/, SIN 109S, Sheet 8 of II PROT506 EFTA_002407 16 PROT92 PROT507 EFTA_002407 17 PROT93 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 3. MODEL NO G-IV 4 TYPE (Aim,* Err* Proponor, Mc/ AIRPLANE 5 NAME OF APPLICANT CE Avionics Sanford, Fl. LIST OF DATA 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 PROT776 (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 I pot) Mesita 0 Approve these data II. SIGNATURE(S) OF DESIGNATED ILGNEE RING REP 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 PROT508 0024071 S PROT94 PROT509 EFTA_00240719 PROT95 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 PROT510 EFTA 00240720 PROT96 PROT511 EFTA 0024072! PROT97 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 PROT512 EFTA_00240722 PROT98 PROT513 EFTA_00240723 PROT99 0 MAJOR REPAIR AND ALTERATION 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 PROT777 §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 PROT778. 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 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 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 ••••••• [ADDRESS REDACTED] ;weir Certhcala0 M•CnanC 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 PROT779 Pat 43 O APO. B i SgnalurelDale of Authonz era - 7'f a tk esaV - -Z Michael. E. Hughes January 29. 2013 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 PerionS Append by Canadian DepartmeN of Tronspon FAA Designee X Repair Staban Inspection Authorization r (Bleary) Certificate or OE4R411M Sonaluremate of kuthorized i.. ... I es Michael, E. Hughes January 29. 2013 ore 337ncau SDNY_Girl_02753802 EFTA_00240724 PROT100 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 EFTA_00240725 PROT101 }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. PROT514 EFTA_00240726 PROT102 PROT515 EFTA 00240727 PROT103 DINCAN AVIATION I II Authorization of STC use: Date: January 15, 2013 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, PROT516 1 [repeated 4 times] EFTA 00240728 PROT104 PROT517 EFTA 00240729 PROT105 e lleo MAJOR REPAIR AND ALTERATION us Osentro a Trtnspennon 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 PROT780 §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 PROT781. §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 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 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 PROT782 Part 43 O App. 8 Signature/Ds IAuthorized I iveual m I. 4 Terry Barker 08/15/2012 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 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 PROT518 EFTA_00240730 PROT106 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 PROT519 EFTA 00240731 PROT107 form.prowe US eopsersent el TWOKSICA 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 PROT783 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 PROT784. §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) 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 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 S. Knd of Agency rem MO FSTRFAM U 5 Congealed Mechanc I Naumann:. mew. 1500-C PERIMETER RD. Faeign Calif.:OS Mecmnic ow WEST PAI M RFACH 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 PROT785 Penal) App. 6 II Signature/0 trd Ind ual p28 Terry Barker 08/08/2012 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 CRS PB8R624N Signature/Date Authorized I den t James Fishburn 08/08/2012 FAA Form 337 once) PROT520 EFTA 00240732 PROT108 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 PROT521t 1 EFTA_00240733 PROT109 0 MAJOR REPAIR AND ALTERATION 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 PROT786 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 PROT787. 944704 Failure to report can result in a civil penalty br each such vtolabon. (49 PROT788. §46301(a)) 1. Alreraft USA N423TT Serial mo. 1085 Make GULFSTREAM Model GIV Series 3. Owner mamk (As ShoWlIOn 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 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 B. Kind of Agen y own Fall FSTRFAM U S. Certificated Mechanic I Manufacturer mem 1500-C PERIMETER RD. Forage Cenncares Mechanic 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 PROT789 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 Persona AFprovad by Camden Ocisartment Departmental Transport FAA. Designee ,/ Repse Station Other (SPearn carificii. or Designation No CRS P88R624N S James Fishburn 06/06/2012 ignature, ate of Au Individual 03 , FAA Form 331 (loo) PROT522 EFTA_00240734 PROT110 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 PROT523 EFTA_00240735 PROT111 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 PROT790 §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 PROT791. §44701). Failure o report can result in a civil penaity for each such violation. (49 PROT792. §48301(a)) 1. Aircraft N423TT Serial No. 1085 Make Gulfstream Model G -IV Series 2. Owner Name (As shown on registratton 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 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 B. Kind of Agency rem tleneral Dynamic, Aviation Services u. S. Condkated Mechanic I htersitscsser *emu 1500-C Perimeter Road FOreign Unmated Latahant 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 Extended range fiat PM 14 PROT793 Pali 43 O App. 8 Ali, elti.__.--- Stephen G. Paulsen 21 September 2007 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 Panora ADP.Oved Ist Canadian I Depwtmem of Tranwort FM Designee x Repair Staten Certificate or CRS PB8R624N SignaturerDere of Authorized Ince/duel ...XS St dit-----.. Stephen G. Paulsen 21 September 2007 FAA Form 337 nee FAA SDNYGfil02753814 EFTA_002407 PROT112 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. (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 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 FAA Form 337 ilea Fax PROT524 EFTA (x)244)737 PROT113 0 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 PROT794. 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) Address (As shown on egssftation certificate) 515 N FLAGLER OR STE P400 WEST PALM BEACH FL 33901-4320 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 CAPITAL AVIATION. INC. 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 MICHAEL S. ROPER 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 IM APPROVED O BY FM Flt. Standards Inspector Manufacturer Other (30.O69 FM Designee Person Approved by Transport Canada Airworthiness Group Date of Approval or Reaction e le/iai s249, 7 Certificate or X91R092Y Signature of Authorized I ual MICHAEL S. ROPER FAA Form 337(1201 EleattriC Yawn (MOW) PROT525 EFTA_00240738 PROT114 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 EFTA_00240739 PROT115 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 PROT526 EFTA_00240740 PROT116 PROT527 EFTA 00240741 PROT117 U.S. DEPARTMENT OF TRANSPORTATION. FEDERAL AVIATOR ADMINISTRATION DATE April 4, 2007 MAKE GULFSTREAM MODEL NO. G-IV TYPE (Aiplans. Reda bisticoeter. Ott) Airplane NUM OF APPLICANT 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. 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 EERING REPRESENTATIVES) DESIGNATION NUMBERS(S) CLASSIFCATION(S) 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) PROT528 EFTA_00240742 PROT118 PROT529 EFTA_00240743 PROT119 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 ELECTRICAL LOAD ADDENDUM 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 • EQUIPMENT/WIRING REMOVALS 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 ENTERTAINMENT SYSTEMS 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 FLIGHT BAG SYSTEM 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 PROT530 753822 EFTA_00240744 PROT120 PROT531.823 EFTA_00240745 PROT121 U.S. DEPART/ea OF TRANSPORTATION FEDERAL AVIATION N4SCTRAT1ON DATE SEPTEMBER 26 2006 AIRCRAFT OR AIRCRAFT COMPONENT IDEMTTFC.ATON 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 EMI GROUND TEST PROCEDURE 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*, REPRESENTATIVE(S) cussincsnotem DE IS/ATM NIAABERSTSI John F DERT-710198-SW Systems 8 Equipment Avionics 8 EJectical 8110-3 JFN-06-074 Si (1140) SUPERSEDES PREVIOUS ECtnow ILICTROICITORISTT(7441 PROT532 EFTA_00240746 PROT122 PROT533 EFTA_00240747 PROT123 0 MAJOR REPAIR AND ALTERATION us Oemarvera Twice:In Wet 'Waren Mbredetrelee Form Approved CM No 21204320 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) 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. [repeated 3 times] 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 C Certrficale No. CAPITAL AVIATION, INC. 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 MICHAEL S. ROPER 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 Inspector Manufacturer FAA Designee 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 EFTA_00240748 PROT124 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 PROT534 EFTA_00240749 PROT125 V.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION AtmivIsTRATION DATE 02/19/07 MAKE GULFSTREAM MODEL NO. G - IV TYPE cairpiene,4.410. AIRPL Hellorpter.etc.) ANE CAPTIAL AVIONICS, INC. LIST or DATA IDENTIFICATION TITLE DRAWING REFS: "ANTENNA REPLACEMENT" "S67-1575-165 DOUBLER Notes: REMOVAL AND COMANT CI 420 - 1 ANTENNA IRIDIUM/DATA DUAL CHANNEL ANTENNA DESIGN & INSTALLATION" APPROVAL IS FOR ONE AIRCRAFT; 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). IN SUPPORT OF A MAJOR ALTERATION TO SHOW COMPLIANCE WITH THE FOLLOWING REGULATIONS APPLICABLE REQUIREMENTS (List specific sections) PROT795 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 SIGNATVREISIOF DESIGNATED ENGINEERING RE RESENTATIVE(S) DESIGNATION NOKBERSIS) CLASSIFICATION(SI TREVOR J. STRONQ--- --\ DERT605818NM STRUCTURES(A1,A4,P1,P4) VVVicjkTAA I ( /U\ Clt - - EDITION GPO 901-41 PROT535 EFTA (X)240750 PROT126 PROT536 EFTA 00240751 PROT127 0 US Overt* Crimea (Airframe, Powerplant, Propeller, or Appliance) rens Ann Adriteiblike Fern Approved 0M3 No. 2120-0020 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 PROT796. 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) Address //As shown al registration certificate) S15 N FLAMER DR STE P400 WEST PALM BEACHFL 33401-4320 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 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 B. land of Agency CAPITAL AVIATION, INC. 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 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 Person Approved by Transom Dale of Approval or Reterzlon A l le4, - Cerlecate or 1 X91R092Y -Span of Authorized MICHAEL S. ROPER FAA Form 337nuo Elseetnevessewesee SDNYGlvi 02753830 EFTA_00240752 PROT128 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 INTERIOR / CABIN MODS, 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 PROT537 EFTA_00240753 PROT129 04/02/2007 ION 1:18 FAA %003/004 US. OELIMMENT OF TRANSPORTATION FEDERAL AVIATIONADMINISTRATION DATE 4-2-07 MARE Corporation MOM Na GIV TYPE (Mast Rad H•OcrS etc) Airplane MALE OF APPLICANT 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 Sheets 1 Vim 7 Dwg. Na 07-10021 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 INTERIOR INSTALLATION LH FWD CLOSET MOD RH FWD CREW LAV INSTALL WINDOWLINE INSTALL CREDENZA INSTALL SURWOOFER CABINET 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 Is in support of the noted modet. S/N 1085 only. SE-07-004 Sheet 1 of 2 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 EFTA_0O240754 PROT130 PROT538 EFTA_00240755 PROT131 04/02/2007 MON 1;19 FAA ?004/004 OE DEPARTMENT OF IPANSPORTA11014 FEDERAL AVIATION ACGINISTRATION DATE 4-2-07 AIRCRAFT QR AIRCRAFT COMPONENT IDENTFIC•TION NAPE 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 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 Sheets 1 thru 4 Lti AND RH GALLEY MOD VANITY MOD MONITOR INSTALL MRCS LL INSTALL MSC EQUIPMENT 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) PROT539 753834 EFTA_00240756 PROT132 PROT540 EFTA_00240757 PROT133 C O Nyed •Aae. 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 EFTA_00240758 PROT134 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. 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 PROT541 753837 EFTA_00240759 PROT135 Armament. FAA Fr 337 Dated May 22, 2007, N4237T.Gulfstream 04V, Mu 1085. Sheet I of DEPARTMENT OF TRANSPORTATION 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 PURPOSE OF DATA: 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 PROT797 (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. ,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 SIGNATUREM OF DESIGNAT ENG ERI RE E REM CLASSIFICATIONIS) Leslie S. Roblin DERT-510335-CE Systems & Equipment FAA Form 8110-3 (I140)SUPERSEDES PREVIOUS EDITION (0 V Rob alt3 doe) 010509 GPO 901113 PROT542 EFTA_00240760 PROT136 PROT543.839 EFTA 00240761 PROT137 0 MAJOR REPAIR AND ALTERATION 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 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. s:zr PROT544 EFTA_00240762 PROT138 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 (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 UPGRADED WITH NEW FUGHT ID UNITS. 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 PROCEDURES FOR SSR MODES ENHANCED SURVEILLANCE IN DESIGNATED EUROPEAN AIRSPACE. 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 PROT545 EFTA_00240763 PROT139 Apr 04 07 09:32a Andrew Anderson 770-387-0701 P • 1 U S. OEPARASENT OF TRANSPONTAIION 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) 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) PROT546 EFTA_00240764 PROT140 PROT547 EFTA_00240765 PROT141 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 Alniblillelfaa INSTRUCTIONS: Print a type all greet Sao Me 14 PROT798 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 PONSMUJIT RECEIVED - . ... : pRpp,....,t El - APPLIANCE 'type ASW - FSDO OK : Lardocaser 4 Conformity Ittornort 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 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 Certinte a Otaignatkin M.. liA2- 2 3 14'iel 901inglikillafAtentledtralniduel ,.. , 7.; ., ;;Z:',.. tr i; di4 - . " . --retN aidte.AOX ( o3/e37260-7) PROT548 EFTA_00240766 PROT142 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 PROT549 753845 EFTA_00240767 PROT143 03/12/2007 69:22 25519 TECHOP S T RUC T LIRE '3 PAGE NS 0 AG' US. DEPARTMENT OP TRANSPORTATION 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 TOP DRAWING - REPAIR/MODIFICATION, 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 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 SIGNATURE(S) OF DESIONA ENGINEERING REPRESENTATIVE(S) CLASSIFICATION(S) 1 46 1'44 12 .;-it. Robert H. Drinnon, Jr. DER Y-51117S-CE Structures FAA Form 8110-3 mane PROT550 EFTA_00240768 PROT144 PROT551 EFTA_00240769 PROT145 l e Form Approved OMB No 21210020 MAJOR REPAIR AND ALTERATION us. owenweili For FAA Use *ray at Tranwartrtol 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 PROT799. 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) [ADDRESS REDACTED] 3. For FM Use Only 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 ASP565[PHONE REDACTED] 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 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 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 PROT552 EFTA_00240770 PROT146 PROT553 EFTA 00240771 PROT147 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. 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 EFTA_00240772 PROT148 PROT554 EFTA_00240773 PROT149 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 ...aoedet 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; PROT555 EFTA_00240774 PROT150 PROT556.8. EFTA_00240775 PROT151 tit doormen olomnionan Form Approved OMB No. 2120-0020 For FAA Um Only 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 PROT800. 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 GULFSTREAM AEROSPACE CORP. Model G -IV Serial No. 1085 N88GA a. Owner BA LEASING & CAPITAL CORP. TWO EMBARCADERO CENTER SAN FRANCISCO CA. 94111 S. Type Unit Make Model Serial No. Repair Alteration AIRFRAME ' (As described in Item I above) xx POWERPLANT PROPELLER APPLIANCE Type Manulacturer A Agency's Name and Address It LANCE A. MATTESON 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 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 Inspector Manufacturer XXvInspection Authorization Other [Specify) FAA Designee Repair Station Date of Approval or Rejection /11-re Certificate or 5267054_94 Signature of Authori is fliduai PROT557 EFTA_00240776 PROT152 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 FLIGHT MANAGEMENT SYSTEM; GREYHOUND CORP. NUTCRACKER RIGHT MAIN DC AND/OR 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 PROT558 EFTA 00240777 PROT153 0 US Ocorrnee. aeon osmon Weenellivicifien AdOeradreelen Form Approved 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 PROT801. 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 GULFSTREAM AEROSPACE CORP. Model G - IV Serial No. 1085 N88GA 2. Owner BA LEASING & CAPITAL CORP. Address (As shown On registration certificate) TWO EMBARCADERO CENTER SAN FRANCISCO CA. 94111 4. Unlit IdentlfIcalion 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME XX POWERPLANT PROPELLER APPLIANCE Type Manufacturer 8. Kind of Agency LANCE A. MATTESON 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 FAA Designee Repair Station Date of Approval or Refection / - /e -90 t Certificate or 26705494 Signature 01 Authorized idual Orr PROT559 EFTA_00240778 PROT154 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 SDNY_GNL02753857 EFTA 00240779 PROT155 US DEPARTMENT OF TRANSPORTATION Fen. Apron', Sweet Berne No. as-Ro60.r FOR FAA USE ONLY 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 PoWettlANT PROPELLER APPLIANCE TVPI mthytACTUtal 6. CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS R. KIND Of AGENCY C. CERTIFICATE NO. Western Commander, Inc. [ADDRESS REDACTED] U.S. ClititiCal0 mux.•.I[ADDRESS REDACTED]ATION #4221 Ail A 4, R-I,2, Al Lila AAP - 11- FOittiON CtaloriCATI0 MCKANIC COITitiCATI[ADDRESS REDACTED]ATION 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 I OF AUTHORIUD - INDIVIDUAL 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 INSPOCISON AUTICIUSATION OMR 4.00,) FAA Cillgatell x WWI STATION CANADIAN DEPARTMENT 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) PROT560 EFTA 00240780 PROT156 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 PROT157 I LIS DEPARTMENT OF TRANSPORTATION FEDERAL AWATION•ADMINISTRADON 1 Fenn A pproi B.4410 8 eau.Vet.04 ROO I FOR FAA USE ONLY 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 I G- IV Mal NO. NATIONALITY AND REGISTRATION MARK 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 Med I ob two) •••••••••••••••••••••• X POWERKANT PROPELLER APPLIANCE POI ssaminemuest 6. CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS I. KIND Of AGENCY C. CERTIFICATE NO. Western Commander, Inc. [ADDRESS REDACTED] 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 CANN:MAN DEPAIITAMNT OF INSAKTOt OM Ala 2 DATE OP APPROVAI OR ON 9-8-1989 CERTIFICATE OR DESIGNATION NO #4221 SIGMA T E OP AUTHORIZED I DIVIDU LI- . nnv C Farnham. Chief Inspector AA Ponn 337 17-on 013201 PROT561 EFTA_00240782 PROT158 £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 O ADDITIONAL SHEETS ARE ATTACHED C FAA AC724904 *U.S. GOVERNMENT PRiN TING OF FICE 1916-659.12O40260 PROT159 ;eat of_ 27 4* • Form Approved OMR No. 21200020 OS Datong-mai celtarsortaion For FM Use Only liationi Aviation 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 PROT802. 1421). Failure o report can result in a civil penalty not lo exceed S 1000 1. make GOLFSTREAM model CIV Aircraft Sabi No 1085 Nalianaky end Ropisoraien Mark N677RP 2. Owner Name (As sites on registraton eerbfkale) PETERSEN AVIATION Address (As shone on registration comitano 7155 VALJEAN AVE. VAN NUYS, CA 91406 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 5. Typo Unit Serial No. Repair Anenwon AIRFRAME described In Item 1 above) (As X POWERPLANT PROPELLER APPLIANCE Type Manufacturer 8. Conformity Statement B. /0nd of Agency Ire AVIONICS INC. U. S. Certified Mechanic AQ4ROS9N RADIO CI. 2, 3 [ADDRESS REDACTED] 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-' 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 BY FM Desiree Canada Anvortrinees Grew Dale of Approval a Rejection Certlficate or or AQ4R059till Signature of Authorized Individual z eta/ FM Form 337 (1241) PROT562 753862 EFTA_00240784 PROT160 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 EFTA_00240785 PROT161 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 PROT563 EFTA_00240786 PROT162 V PROT564 EFTA_00240787 PROT163 0 MAJOR REPAIR AND ALTERATION arm (Airframe, Powerplant, Propeller, or Appliance) reatnal on ettentureatan Form Approved 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 PROT803. 1421). Failure to report can result ina civil penalty not to exceed 51.000 1. Aircraft Make GULFSTREAM Model G-IV Serial No. 1085 N677RP 2. Owner ROOMS (As shown on registration certificate) [ADDRESS REDACTED]4917 5. Type Unit Make . Model Serial No. Repair Alteration AIRFRAME (As described in Item 1 above) X POWERPLANT PROPELLER APPLIANCE Type Manufacturer [ADDRESS REDACTED]atement A. Aunty's Name and Address IFR Avionics Inc. US. Certificated Mechanic AQ4R059M Radio Cl 1.2,3 LTD Instr. LTD Airframe. LTD Spec Service. [ADDRESS REDACTED] x 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 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 Inspector Manufacturer By FAA Designee Date of Approval orRejection Certificate or 2040esignation No. q-(---4, - ,, ANR05914 Signature of Autttrize dividual 6 FAA Fenn 337 0243a) PROT565 EFTA_00240788 PROT164 .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. 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 OMR. GOVERNMENT ►RINTING OF FICE: 1922-711-012/60157 SONY_GM_02753867 EFTA_00240789 PROT165 ad- O - I - US 0•0Celmerd a terecoreere (Airframe, Powerplant, Propeller, or Appliance) ows marten Mam m inblrellen Form APPrOved OMB No. 21200020 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 PROT804. 1421). Failure to report can result in a civil penalty not to exceed 31.000 1. Aircraft Make GULFSTREAM Model G4V Serial No. 1085 Nationality end Registration Mark N677RP 2 Owner 7156 VAI-JEAN AVE VAN NUYS CA 914064917 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 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. 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 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 Inspector Manufacturer FAA Designee Date of Approval Or RejeCtion / 12512,90 I Certificate or AO4R059/.1 Sign e of Authorized Individual l.., 8- FAA Form 337 met PROT566 EFTA_00240790 PROT166 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 PROT567 EFTA_00240791 PROT167 - 00 Form Approved OMB No. 2120-0020 tin Orporiment cr TramontalOn (envoi Aviation AdninistratiOn 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 PROT805. 1421). Failure to report can result in a civil penalty not to exceed $1,000 for each such violation (Section 901 Federal Aviation Act of 1958). 1. Aircraft Make Model G-IV Serial No. 1085 N677RP 2. Owner Petersen Aviation 7155 Valjean Ave. Van Nuys, Ca. 91406-3917 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/ 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 Garrett Aviation Services 6201 W Imperial Highway Los Angeles, Ca. 90045 AN3R377L 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-- 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 Canada Ainvorthiness Group OZ - O4 -di Certificate or AN3R377L Signatrely,erso, Aficatimi 4 it/Art.1,a", Form 337 (1243) SDNY_Gtv1_02753870 EF1'A_00240792 PROT168 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. 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 EF1'A_00240793 PROT169 a kg,' A7PrOvtd COO Ito. 2120l0t0 Fee FAA Use Only a MAJOR REPAIR AND ALTERATION 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 PROT806. 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. 1085 N677RP 2. Owner 7155 VALJEAN AVE VAN NUYS, CA 91406 - 3917 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 B. Kind of YS FSDO WESTERN JET AVIATION,INC. 1750 HAYVENHURST AVE. VAN NUYS, CA 91406 U.S. trot echamc W1JR483Y 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 Inspector Manufacturer FAA Designee JANUARY 31, 2001 Certificate or W1JR483Y Signature of Authorized Individnal C D - O41 FAA Form 337 0 1-95) SDNYGlvl02753872 EFTA_00240794 PROT170 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. (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) PERFORMED THE FOLLOWING CUSTOMER BULLETINS AND AIRCRAFT SERVICE CHANGES: 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!) SDNY_GIvl_02753873 EFTA_00240795 PROT171 of - - [repeated 4 times] - - 0 MAJOR REPAIR AND ALTERATION us cowmen, a Loatecornon fe olAvicitlen Aorilni er sffetion Form Approved OMB NO. 2120-0020 Office Identification alfie - - --, 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 PROT807. 1421). Failure to report can result in a civil penalty not toexceed51.000 1. Aircraft Make GULFSTREAM Model G4V Serial No. 1085 N677RP 2. Owner 7165 VALJEAN AVE VAN NUYS CA 914064917 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. Date: ......7 approved only for above li FAA Ofe2- 4. Unit Wan IL Typo Unit Make Model Serial No. Repair Alteration AIRFRAME X POWER PLANT PROPELLER APPLIANCE Type Manufacturer II Conformity Statement A. Agency's IFR Avionics 7035 Sophia Van Nuys Name and Address 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. 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 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 Inspector Manufacturer FAA Designee Parson Approved by Transport Dale of Approval or Rejection --- 2 4 - .),,,,,,o Certificate or AO4ROSSM Sigi lure of Authorized individu FAA Form 337 02 eel SDNY_GIvl_02753874 EFTA_00240796 PROT172 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 PROT568 EFTA_00240797 PROT173 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 PROT569 r EFTA_00240798 PROT174 PROT570 EFTA_00240799 PROT175 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 PROT571 EFTA_00240800 PROT176 PROT572 EFTA_00240801 PROT177 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 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 PROT808. 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) [ADDRESS REDACTED] VAN NUYS. CA. 91406-3917 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 RICHARD P. JOSEPH JR. [ADDRESS REDACTED] 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 APPROVED 12I REJECTED BY 0 FAA Ft aavixds 0 Manufacturer 0 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 EFTA_00240802 PROT178 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. (II more space is required, attach additional shoe& Identifywith aircraft naffonatily and togistration mark and data work completed.) 1.) FIREBLOCKING: REMOVED ALL SINGLE SEATS, DOUBLE SEATS, ATHREE PLACE DIVAN, AND JUMPSEAT. ALL SEATS WERE REUPHOLSTERED AS 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 SKANDIA INC. NOMEX BATTING USED ON ALL ABOVE SEATS MENTIONED. 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. LAV AFT BULKHEAD AND DOOR WERE REMOVED AND STRIPPED OF EXISITNG COVERING. RECOVERED WITH A KNOLL TEXTILES 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. WORK WAS PERFORMED BY DYNAMO AVIATION PER SYNCRO WORK OR DE R .THE ABOVE MENTIONED MODIFICATION IS 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 L/H FWD COMPARTMENT. MODIFIED TO INCORPORATE NEW DVD PLAYER. 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 EFTA_00240803 PROT179 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 EFTA_00240804 PROT180 PROT573 EFTA_00240805 PROT181 - - 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. SYNCEDAIRCRAFT INTERIORS WI VI- UA IA IDENTIFICAI ION NILE Work Order 0 45812-00 Test ID 23626 FIREBLOCKING FLAMMABILITY TEST RESULTS 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 VAN NUYS AWNING CO. ARABIAN COTTON ARMY DUCK TREATED AT SYNCRO REF. JOB 00-032 SKANDIA, INC. NOMEX BATTING PURPOSE OF DMA DEMONSTRATION OF COMPLIANCE WITH MATERIAL FLAMMABILITY REQUIREMENTS 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 Approve TURE(S) OF D NATED ENGINEERING REPRESENTATIVE CLASSIFICATION(S) A-El 11 DERY-405020-CE Judy oggs FAA Form 81104 (11-70) SUPERSEDES PREVIOUS EDITION SDNYGIvl_02753884 EFTA 00240806 PROT182 PROT574 EFTA_00240807 PROT183 SKAND1A, lnc. 5181 Falcon Road • Rockford, Illinois 61109 • Phone 815/227-1611 • Fax 815/227-1920 SYNCRO AIRCRAFT INTERIORS, INC. TEST PLAN #5823 REV IR SKANDIA WO #45812-00 GULFSTREAM GIV S/N 1085 DEMONSTRATION OF COMPLIANCE OF AIRCRAFT SEAT CUSHION ASSEMBLIES TO THE 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 EFTA 00240808 PROT184 0 PROT575 EFTA_00240809 PROT185 SKAND1A, inc. TEST PLAN 5823 REV IR INDEX OF PAGES REVISION PAGE 1 INDEX OF PAGES 2 MATERIAL LIST 3 TEST SPECIMEN PROCEDURES 4 PRODUCTION PROCEDURES 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 PRODUCTION DRAWINGS 9-11 FIREBLOCKING FLAMMABILITY TEST RESULTS 12-14 WEIGHT LOSS STRIP CHART 15-17 DAILY CALIBRATION CHART 18 VERTICAL FLAMMABILITY TEST RESULTS 19-27 TRACEABILITY DOCUMENTS 28-40 PAGE: 2 SDNYG1.1_0275388.13 EFTA_002408 10 PROT186 PROT576 EFTA_00240811 PROT187 SKANDIA, inc. 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 BATTING: SKANDIA, INC. NOMEX BATTING CANVAS: VAN NUYS AWNING CO. ARABIAN COTTON ARMY DUCK TREATED AT SYNCRO 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 EFTA_00240812 PROT188 PROT577 EFTA_002408 I 3 PROT189 SKAND1A, lnc. 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 EFTA 00240314 PROT190 PROT578 EFTA_002408 15 PROT191 SKAND1A, lnc. TEST PLAN #5823 REV IR PRODUCTION CUSHIONS 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 EFTA_002408 16 PROT192 0 PROT579 EFTA_00240817 PROT193 *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 MAKE: GULFSTREAM MODEL: G1V SIN: 1085 SEAT DESIGN TO BE PER ATTACHED: TEST PLAN COMPLETION UPON F CONFORMITY INSP APPROVED TEST PROCEDURES END VIEW BACK CUSHION WITHOUT' DRESS COVER c END VIEW BOTTOM CUSHION WITHOUT DRESS COVER FOR TESTING IN ACCOR 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% VAN NUYS AWNING CO. ARABIAN COTTON ARMY DUCK GREY TREATED AT SYNCRO REF. JOB C0032 C BATTING SKANDIA, INC. NOMEX BATTING WHITE PLACED BETWEEN DRESS COVER AND FOAM ON SEATING SURFACES CI FOAM .75 ' SKANDIA, INC. DAX GRAPIETEROLY 26 MD MAUVE E FOAM I.75 SKANDIA, INC. DAX GRAPHITE/POLY 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 EFTA_0024081S PROT194 PROT580 EFTA 00240819 PROT195 *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 SEAT DESIGN TO BE PER ATTACHED: TEST PLAN UPON COMPLETION OF CONFORMITY INSPECTOR TEST SPECIMENS TO BE SUBMITTED FOR TESTING IN ACCORDANCE WITH FAA APPROVED TEST PROCEDURES ALL TOLERANCES • .12T END VIEW BACK CUSHION SEAT BACK P/N 5823-3 WITH0UT' DRESS COVER D E F END VIEW BOTTOM CUSHION WITHOUT DRESS COVER SEAT BOTTOM P/N 5823-4 COMPOSITOR MANUFACTURER PART NUMBER COLOR DYE LOT A DRESS COVER LEATHER 50% GARRETT LEATHER CHATHAM . C-61 ft SEAFOG 57996 B DRESS COVER CANVAS 50% VAN NUYS AWNING CO. ARABIAN COTTON ARMY DUCK GREY TREATED AT SYNCRO REF. JOB CO.C BATTING SKANDIA, INC. NOMEX BATTING WHITE ' PLACED BETWEEN DRESS COVER AND FOAM ON SEATING SURFACES 0 FOAM .75 SKANDIA, INC. DAX GRAPHITEIPOLY 2BILD MAUVE E FOAM 1.75 SICANDIA, INC. DAX GRAPHITEJPOLY 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 EFTA 00240820 PROT196 PROT581 EFTA_00240821 PROT197 •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 SEAT DESIGN TO BE PER ATTACHED: TEST PLAN UPON COMPLETION OF CONFORMITY INSPFCTIOWTEST SPECIMENS TO FORIESTING2LACCORDANCE WITH FM APPROVED TEST PROCEDURES ALL TOLERANCES ± .1r END VIEW BACK CUSHION WITHOUT DRESS COVER g- E ENO VIEW BOTTOM CUSHION WITHOUT DRESS COVER SEAT BACK P/N 5823-5 SEAT BOTTOM P/N 5823-8 COMPOSITOR MANUFACTURER PART NUMBER COLOR DYE LOT A DRESS COVER FABRIC 9:396 ICPUNIKA VAEV 917 CRANBROOK CRANBROOK GREY 81 TREATED AT SYNCRO REF. JOB COCG2 B DRESS COVER CANVAS 50% VAN NUYS AWNING CO. ARABIAN COTTON ARMY DUCK GREY TREATED AT SYNCRO REF. JOB CO032 C BATTING SKANDIA, INC. NOMEX BATTING WHITE PLACED BETWEEN DRESS COVER AND FOAM ON SEATING SURFACES D FOAM .75 SKANDIA, INC. DAX GRAPHITFJPOLY 2811.0 MAUVE E FOAM 1.75 SKANDIA, INC. DAX GRAPHITEIPOLY 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 EFTA_00240822 PROT198 PROT582 EFTA 00240823 PROT199 8 A r 0 ENO VIEW BA CK:AND BOTTOM CLISH/ON A. DRESS COVER: EDELMAN LEATHER ROYAL HIDE RH323 CUSTOM LT. GRAY DYE LOT AFLOO B. BATTING: A LAYER OF SKANDIA, INC. NOMEX BATTING PLACED BETWEEN DRESSCOVER AND FOAM ON SEATING SURFACES ONLY C. FOAM CONSTRUCTION: A COMBINATION OF DIFFERENT DENSITIES OF SKANDIA DAX GRAPHITE/POLY WITH 26 ILO BEING THE LOWEST DENSITY USED D. CLOSE OUT FABRIC: 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 CUSHION E. VELCRO: SKANDIA, INC. PBLK1.00L & PBLK1.00H 1- LOOP AND HOOK PRODUCTION CUSHIONS 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 THE BURN TEST REQUIREMENT FOR THIS PRODUCTION ARTICLE IS MET BY TEST SPECIMENS 5823-1 & 5823-2 PAGE 9 SDNYGIvl02753902 EFTA 00240824 PROT200 r lk. PROT583 EFTA 00240825 PROT201 e A r D I BOT TO ENO VIEW BACK:AND M CUSHION A. DRESS COVER: GARRETT LEATHER C-616 CHATHAM SEAFOG DYE LOT 67296 B. BATTING: A LAYER OF SKANDIA, INC. NOMEX BATTING PLACED BETWEEN DRESSCOVER AND FOAM ON SEATING SURFACES ONLY C. FOAM CONSTRUCTION: A COMBINATION OF DIFFERENT DENSITIES OF SKANDIA DAX GRAPHITE/POLY WITH 26 ILD BEING THE LOWEST DENSITY USED D. CLOSE OUT FABRIC: 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 CUSHION E. VELCRO: SKANDIA, INC. PBLK1.00L & PBLK1.00H 1' LOOP AND HOOK ALL COMPONENTS BONDED WITH CORAL ADHESIVES CC1025 ADHESIVE PRODUCTION CUSHIONS TYPICAL 2 DOUBLE PAX SEATS & JUMPSEAT TEST PLAN 5823 WO# 45812-00 REV IR DATE: 05-12-00 GULFSTREAM GIV S/N 1085 THE BURN TEST REQUIREMENT FOR THIS PRODUCTION ARTICLE IS MET BY TEST SPECIMENS 5823-3 & 5823-2 PAGE 10 SDNYGIv1_02753904 EFTA 00240826 PROT202 PROT584 EFTA 00240827 PROT203 SOTTEO/4 ND VIEW BACA-- CUSH' -.AND A. DRESS COVER: ICF/UNIKA VAEV FABRIC 917 COLOR 81 CRANBROOK CRANBROOK GREY TREATED AT SYNCRO REF. JOB 00-032 B. BATTING: A LAYER OF SKANDIA, INC. NOMEX BATTING PLACED BETWEEN DRESSCOVER AND FOAM ON SEATING SURFACES ONLY C. FOAM CONSTRUCTION: A COMBINATION OF DIFFERENT DENSITIES OF SKANDIA DAX GRAPHITE/POLY WITH 26 ILD BEING THE LOWEST DENSITY USED D. CLOSE OUT FABRIC: 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 CUSHION E. VELCRO: SKANDIA, INC. PBLK1.00L & PBLKI.00H V LOOP AND HOOK PRODUCTION CUSHIONS 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 THE BURN TEST REQUIREMENT FOR THIS PRODUCTION ARTICLE SPECIMENS 5823-5 & 5823-6 IS MET BY TEST PAGE II SDNYGlvl_02753906 EFTA 00240828 PROT204 PROT585 EFTA 00240829 PROT205 SKAND1A, lnc. Client : SYNCRO AIRCRAFT INTERIORS Date : 05/19/00 Client P.O. Aircraft: GULFSTREAM GIV Test Plan 11: 5823 Skandia WON: 45812-00 Rev: IR S/N: 1085 FIREBLOCKING FLAMMABILITY TEST RESULTS 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 SICANDIA, INC. NOMEX BATTING Comments: FIREBLK3-6499 PAGE: 12 SDNYGIvl_02753908 EFTA_00240830 PROT206 PROT586 EFTA_0024083 I PROT207 SKANDIA, Inc. Client : Date : 05/19/00 Client P.O. #: Aircraft: GULFSIREAM GIV Test Plan #: 5823 Skandia WO #: 45812-00 Rev: IR S/N: 1085 FIREBLOCKING FLAMMABILITY TEST RESULTS 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 SKANDIA, INC. NOMEX BATTING Foam: Other. Comments: FIREBLK3.6501 PAGE: 13 SDNYGIv102753910 EFTA_00240832 PROT208 PROT587 EFTA 00240833 PROT209 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 FIBEILOCKING FLAMMABILITY TEST RESULTS 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: SICANDIA, INC. NOMEX BATTING Comments: FIREBLIC3-6502 PAGE: 14 SDNYGIvl_02753912 EFTA 00240834 PROT210 PROT588 EFTA 00240835 PROT211 *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 PROT589 EFTA 00240536 PROT212 PROT590 EFTA 00240837 PROT213 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. 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 PROT214 PROT591 EFTA 00240839 PROT215 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. 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 EFTA_002 40840 PROT216 PROT592 EFTA 00240841 PROT217 SDNY_GI,1_02753920 EFTA_00240842 PROT218 PROT593 EFTA 00240843 PROT219 SKAND1A, lnc. 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 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 EFTA_002 40844 PROT220 PROT594 EFTA 00240845 PROT221 SKAND1A, inc. Client: WO ft 45812-00 Date: 05/04/00 Test Plan #: 5823 VAN NUYS CA 91406 PO #: Aircraft: GULFSTREAM OW S/N: 1085 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 EFTA_00240846 PROT222 PROT595 EFTA 00240847 PROT223 SliAND1A, inc. Client: WO #: 45812-00 Date: 04/24/00 Test Plan #: 5823 Rev: IR 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: Passed:❑ Failed : Signed: ✓ERTI2-6308 PAGE: 21 SDNYGlvl_02753926 EFTA_00240848 PROT224 PROT596 EFTA 00240849 PROT225 SKAND1A, inc. Client: Aircraft: GULFSTREAM GIV WO #: 45812-00 Date: 03/23/00 Test Plan if: 5823 Rev: IR PO it: S/N: 1085 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 Passed: I ^j Failed : PAGE: 22 tERT12-6306 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, SDNY 02753928 15, and 17 EFTA_00240850 PROT226 PROT597 EFTA_0024085 I PROT227 SKANDIA, inc. 5181 Falcon Road • Rockford. Illinois 61109 • Phone 815/227.1611 • Fax 815/227.1920 Client: WO #: 47120-00 SKANDIA (PRODUCTS) Date: 04/25/00 Test Plan #: PO #: Aircraft: STOCK Specimen SKANDIA, INC.: DAX GRAPHITE/POLY FOAM, 1/2", 26 ILD, LOT #03290 Desc.: S/N: NA 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: Passed: Signed: Litz L. Carin Demus VERTI2NW-24914 Failed : PAGE: 23 SDNYGlvl_02753930 EFTA_00240852 PROT228 PROT598 EFTA 00240853 PROT229 SKAND1A, lnc. Client: Aircraft: STOCK WO #: 47120-00 Date: 04/25/00 Test Plan #: PO14: S/N: NA 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: Passed: Signed: E 7G• Carin Demus ERT12NW-24915 Failed : PAGE: 24 SDNY_Glvl_02753932 EFTA_00240854 PROT230 PROT599 EFTA 00240855 PROT231 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 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 Passed: in Signed: A:t " / 4 9-nte•o-, Carin Demus zNW-23221 Failed : PAGE: 25 SDNYGlvi_02753934 EFTA 00240856 PROT232 PROT600 EFTA 00240857 PROT233 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 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: Passed: Signed: e.i Carin Demus VERT12N'W-21424 Failed : PAGE: 26 SDNY_Glvl_02753936 EFTA 00240858 PROT234 w PROT601 EFTA 00240859 PROT235 Client: Aircraft: STOCK r SKAND1A, lnc. WO #: 40478-99 Date: 10/27/99 Test Plan #: PO #: S/N: NA VVERTICAL FLAMMABILITY TEST RESUt TS 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: Passed: ri RT I 2NW -20642 Failed : ri PAGE: 27 SDNYGkl_02753938 EFTA 00240860 PROT236 r PROT602 EFTA 00240%61 PROT237 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 USA PAGE 84 PAGE:01 Order Nos 615346 Pick Date: 04/76/2000 Snipped To; WINCRO AIRCRAFT INTERIORS 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 CUSTOM LT GRAY AFLOO NO CLAIMS FOR NATURAL OR VISIBLE DEFECTS ARE TO BE ALLOWED UNLESS MADE WITHIN 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 SHIPPED. CEASES AFTER SUCH LEATHER DR FABRIC HAS SEEN CUT OR FABRICATED PICKING TICKET - PAGE 1 COPT I PAGE: 28 SDNYGIvl_02753940 EFTA 00240862 PROT238 i PROT603 EFTA_00240863 PROT239 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 ACCOUNTS PAYABLE P RECEIVING 0 VAN ,NUTS, CA 914.06 0 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. PROT604 753942 EFTA 00240864 PROT240 PROT605 EFTA_00240865 PROT241 9980tZ00-V.L43 cn C co rn H 77 0 H rn rn 0 0 rn JJ ,0 7D 0 77 .>"j CO c0 F" o2 Ic) W r (T, 0- F" ICE Ctevx:Ittlars4 W. Utio New lo( Comae Orrecond. VI! it Caine. NV tos64 re:14a 0 iCas :r:pee CPO Alt LS na Ens 006594 O SYNCRO AIRCRAFT INTERIORS INC. D 7701 WOODLEY AVE 0 L J PACKING LIST Locat S 0 01 ICE Taftville Warehouse ID REPRINT 1 018-901-9828 SYNCRO AIRCRAFT INTERIORS INC. 191902-00 OROER DATE "USTOMEsi PUN HASECK,ESNO. 3/09/00 ! 09567 PEDAL giSTRUCTIOVS ► BEND OT4ORDERED OTY.SAWED KMUSACKCJOBEoi UN BINI 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 PROT242 PROT606 EFTA_00240867 PROT243 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. THE FLAME RETARDANT PROCESS USED WILL BE REMOVED AFTER THREE WASHINGS. DRYCLEANING DOES NOT REMOVE RETARDANT. EFTA_00240868 PROT244 PROT607 EFTA_00240869 PROT245 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 AU. CLAIMS MID RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL 107290 RECD BY .1641C1C0.6••20.. 3I4 PAGE: 32 SDNYGlvl02753948 EFTA_002 40570 PROT246 PROT608 EFTA_0024087 I PROT247 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. THE FLAME RETARDANT PROCESS USED WILL BE REMOVED AFTER THREE WASHINGS. DRYCLEANING DOES NOT REMOVE RETARDANT: PROT609 EFTA 00240572 PROT248 PROT610 EFTA 00240873 PROT249 05/09/2000 18:33 ..r" N?. 1 9 6 1 8 Sold To Shipped To 8199885251 SYNCRO CORAL INDUSTRIES, INC. SYNCRO AIRCRAFT 10109 SO. SHOEMAKER AVE. SANTA FE SPRINGS, CA 90670-3495 (562) 944-9971 7701 WOODLEY AV. 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 LEGAL RATE OF INTEREST WILL BE CHARGED ON OVERDUE ACCOUNTS INVOICE PAGE: 34 SDNYGIvl _02753952 EFTA_002 40874 PROT250 PROT611 EFTA 00240875 PROT251 SKAND1A, inc. ORDER NUMBER:0043599 ORDER DATE: 01/26/00 SOLD TO: SYNCRO AIRCRAFT INTERIORS, INC VAN NUYS CA 91406 INVOICE ****** INVOICE NUMBER: INVOICE DATE: CUSTOMER NO: PAGE: 1 0056911-IN 01/26/00 0001650 SHIP TO: 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 EFTA 00240876 PROT252 PROT612 EFTA 00240877 PROT253 SKAND1A, ORDER NUMBER:0043599 ORDER DATE: 01/26/00 SOLD TO: SYNCRO'AIRCRAFT INTERIORS, INC VAN NUYS CA 91406 INVOICE ****** INVOICE NUMBER: INVOICE DATE: CUSTOMER NO: PAGE: 2 0056911-IN 01/26/00 0001650 SHIP TO: 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 EFTA ()1240878 PROT254 PROT613 EFTA 00240879 PROT255 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 CORAL INDUSTRIES, INC. 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 : LEGAL RATE OF INTEREST WILL BE CHARGED ON OVERDUE ACCOUNTS t: II PROT256 PROT614 EFTA_00240881 PROT257 SKAND1A, Inc. ORDER NUMBER:0043599 ORDER DATE: 01/26/06 SOLD TO.: 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: 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 EFTA 00240882 PROT258 PROT615 EFTA 00240883 PROT259 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: 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: 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 EFTA 00240884 PROT260 SONYGAL02753963 EFTA 00240885 PROT261 SKANDIA FLAMMABILITY PICKING LIST FOR TEST CUSHION FABRICATION MATERIALS 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 BURN BLOCK BOTTOMS DAX261.75X20 DAX261.75' X 18" X 20" 6 it ig,,,-.41,03n4 5--, SKANDIA NOMEX BATTING 2.5 YDS O7.1 yo Da- THREAD 69 NYLON X 4 SKANDIA VELCRO 1' PBLK1.00L & PBLK1.001-I LOOP AND HOOK BLACK 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 EFTA 00240866 PROT262 PROT616 EFTA 00240887 PROT263 •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 FLAMMABILITY TEST RESULTS 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 DEMONSTRATION OF COMPLIANCE WITH MATERIAL FLAMMABILITY REQUIREMENTS 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 Approve SIGNATURE(S) OF a. 0 TED ENGINEERING REPRESENTATIVE CLASSIFICATION(S) - A • ) DERY-405020-CE Judy B ggs AA FOfi51 8110-3 (11.70) SUPERSEDES PREVIOUS EDITION SDNYGIvl_02753966 EFTA_00240888 PROT264 PROT617 EFTA_00240889 PROT265 SKAND1A, lnc. SYNCRO AIRCRAFT INTERIORS, INC. 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: REVISION NO. EFFECTIVE PAGE DESCRIPTION 04/24/00 A ALL ADDITIONAL TESTING 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 PROT618 EFTA 002401390 PROT266 PROT619 EFTA 00240891 PROT267 SKAND1A, lnc. 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 EFTA 00240892 PROT268 PROT620.71 EFTA _00240893 PROT269 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 DESIGN TO BE PER ATTACHED: TEST PLAN UPON COMPLETION OF CONFORMITY INSPECTION TEST SPECIMENS TO BE SUBMITTED FOR TESTING IN ACCORDANCE WITH FAA APPROVED TEST PROCEDURES ALL TOLERANCES +/- .030 INCH PANEL 5902-1 2' A 3' COMPOSITION MANUFACTURER PART NUMBER COLOR A FABRIC KNOLL, INC. K1831 BUTAI PEARL SYNCRO REF. JOB 00-032 Page 3 SDNYGIvl_02753972 EFTA 00240894 PROT270 PROT621 EFTA 00240895 PROT271 DESIGN APPROVAL REQUEST 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 DESIGN TO BE PER ATTACHED: TEST PLAN UPON COMPLETION OF CONFORMITY INSPECTION TEST SPECIMENS TO BE SUBMITTED FOR TESTING IN ACCORDANCE WITH FAA APPROVED TEST PROCEDURES ALL TOLERANCES +1- .030 INCH PANEL 5902-3 12" 3" COMPOSITION MANUFACTURER PART NUMBER COLOR A FABRIC BERGAMO FABRICS 1797-1 LAVINA MULTI- GREY SYNCRO REF. JOB 00-032 Page 4 SDNYGlvl02753974 EFTA 00240896 PROT272 r PROT622 EFTA 00240897 PROT273 A A. KNOLL, INC. FABRIC K1831 BUTAI, PEARL TREATED AT SYNCRO REF. JOB 00-032 PRODUCTION DRAWING TYPICAL LAV AFT BULKHEAD 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 EFTA 00240898 PROT274 PROT623 EFTA 00240899 PROT275 A B. BERGAMO FABRICS: FABRIC 1797-1 LAVINA TREATED AT SYNCRO REF. JOB 00-032 PRODUCTION DRAWING TYPICAL DECOR PANEL 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 PROT624 EFTA 0024090() PROT276 PROT625 EFTA 0024[1901 PROT277 SKAND1A, lnc. Client: WO #: 46501-00 Date: 04/18/00 Test Plan #: 5902 PO ft: 09724 Aircraft: GULFSTREAM GIV S/N: 1085 FAR 4853 (a) Appendix F Part I (a) (1) (ii) 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 EFTA_002 40902 PROT278 0 0 PROT626 EFTA_00240903 PROT279 SKAND1A, inc. Client: WO #: 46501-00 Date: 04/25/00 Test Plan it: 5902 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 Passed:❑ a Failed : Sign Page 8 ✓ERT12-6125 SDNYGIvl02753982 EFTA_002 40904 PROT280 PROT627 EFTA_00240905 PROT281 in C Sold To: SYNCRO AIRCRAFT INTERIORS INC CO 770I WOODLEY AVE Knoll 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 PROT282 PROT628 EFTA_00240907 PROT283 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: EFTA_002 40908 PROT284 PROT629 EFTA_00240909 PROT285 • 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 . VAN NUYS VERONICA Ac II 7Rffd 3/1/93 CA 91406, SHIP TO 'SYNCRO AIRCRAFT 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 EFTA_002409 10 PROT286 PROT630 EFTA_002409 I I PROT287 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: EFTA_002409 1 2 PROT288 r PROT631 EFTA_002409 13 PROT289 MAY-26-2000 FRI 11:05 AN SCOTT GROUP MAY.26. 2020 9: 47AN DUNI, AVIATION FAX NO. [PHONE REDACTED] P. 02 M3.712 P.3/3 us DEPARTMENT OF TRANSPORTAMON POEM AMMAN ION STATEMENT OF COMPLIANCE WITH THE ADMITTRA FEDERAT L AVIATION REGULATIONS TAM 05126/00 OF Al CRAFT COMPONENT ID FICA- 10N MAKI. OULFSTREAM amMS moos Haw THE (MAWS, Ruda HoAtepfe0 AIRPLANE NAM OP APPUCAM SYNCRO AIRCRAFT MENTIFICATOR TITLE 0120 UST OF DATA SCOTT GROUP CUSTOM CARPETS 0 W16146M GLENCOE O.T. 100% WOOL CARPET DYE LOT 0 333118 PURPOSE OP DATA DEMONSTRATION OF COMPLIANCE WITH FAR MATERIAL FLAMMABILITY REQUIREMENTS 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 PCSIONCRON MANURES) CIATSVICA110141) it/ rga# 09C MA DERTMcascg FlAMMAIOLITY FAA Form 81104 (1140) SUPERSEDES PREVIOUS EDITION ode skis SDNYGIvl02753992 EFTA 00240914 PROT290 PROT632 EFTA_002409 15 PROT291 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 Length 12 0 Length 12 0 [repeated 3 times] ,-.49010g0)_ - :.; ;v.'. ".. - 0; .7: 0 Width 12 0 Width 12 0 Width 12 0 Average lg - - 0 TEST REQUIREMENTS: 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 EFTA 00240916 PROT292 PROT633 EFTA_002409 I 7 PROT293 U.S. DEPART/MR*OF TRANSPORTATION W DATE May 08, 2000 AKE .oULFSTFtEAM AEROSPACE MODEL NO. G-IV TYPE (Airplane. Radios Helicopter. etc.) Airplane NAME OF APPUCANT UST OF DATA IDENTIFICATION 1171E DOCUMENT' STRUCTURAL SUBSTANTIATION - MINOR MODIFICATION TO 3- PLACE DIVAN, LH FWD. DIVAN MODIFICATION G-IV SIDE FACING 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) • 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 EFTA_00240918 PROT294 PROT634 EFTA_00240919 PROT295 IV mar AIRCRAFT MODEL• GULFSTREAM G -IV AIRCRAFT REPORT NO. DA-G1085 PREPARED BY: DATE: 05-09-2000 REV: NC DYNAMO AVIATION STRUCTURAL SUBSTANTIATION- MINOR MODIFICATION TO IDOST1NG 3 -PLACE, DIVAN ASSEMBLY SHAHNAZ GALANTE 05-09-2000 APPROVED BY: HOWARD PATTERSON 05-09-2000 REV DATE DESCRIPTION PROT635 EFTA_00240920 PROT296 PROT636 EFTA_00240921 PROT297 TABLE OF CONTENTS I) References 2) Introduction 3) Structural substantiation - LH Fwd Divan modification Page 1 DA-G1085 Rev NC 05-08-2000 SDNYGIvl_02754000 EFTA_00240922 PROT298 PROT637 EFTA_00240923 PROT299 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 PROT638 EFTA_00240924 PROT300 PROT639 EFTA_00240925 PROT301 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 VIEW B-B OLD FOOT PATTERN Exism4 a) Page 3 05-08-2000 SDNYGlvl02754004 EFTA_00240926 PROT302 PROT640 EFTA_00240927 PROT303 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 /62 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 05-08-2000 SDNYGlvl02754006 EFTA_00240928 PROT304 PROT641 EFTA_00240929 PROT305 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 EFTA_00240930 PROT306 PROT642 EFTA 0024093I PROT307 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 05-08-2000 SDNYGIv1_0275401 EFTA_00240932 PROT308 PROT643 EFTA_00240933 PROT309 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 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 05-08-2000 SDNYGIv10275401 2 EFTA_00240934 PROT310 PROT644 EFTA_00240935 PROT311 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 05-08-2000 SDNYGlvl02754014 EFTA_00240936 PROT312 PROT645 EFTA_00240937 PROT313 C CCD L. rn H n 77 70 0 H rn n rn 0 77 rn 70 -o 70 Gl 70 cr) Co c) 2 y l to cu on C B A 4 M =XI MM Row =Man c was APOO .0 V= MORI MOW mlb0 COMM 00100115/11 07011•01 NM ¬ME a UMW, MICR IteaCCI ORMAN Ram Dal WOO CC V Ti. 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 CAREFULLY, DO NOT DAMAGE REMAINING TUBING. 3. WELD LEGS PER MIL-W-2219 CLASS B, DYE-PEN INSPECT. ALL WELDED AREAS. NOTES: UNLESS OTP.ERMSE SPECIFIED 4 3 3 4 2 1 tatorrou twt 1 - 41 4 -$0 1 -0 -8 -7 -S OMMIIIR MS 0511-1 9(T1 waitasmasabinta 7V X I . 4541-19 %RIM VA1-11 DIM MR711:. 1-5 ;OM I'% A' X OM 5XCI 'As") 1. X A. X Of) KV Mt* 8 1,45. ROL SO l'AC csr K41-11 SO ME I' ye', ou SO MI K01-10 PER 114-1-7:0/4 KR n -!-)Z/4 re in-i-70010 KR Vw-l-705/1 KA v•-4M1/1 7 x 1041-10 'RI NOW S. PM WOO OISCROPVI PAP, LEVI WROACATOR A/ 5//11005 41/N (480-40 P<Y, ASV tee) CM Ns•••=.0 C. TAYLOR 5/1/0) MOM gmG.:eta won, dna 424,2-4011 DIVAN MODIFICATION GIV SIDE FACING freartivi 2 • C $.4.1 1/I 1 SAVED AS: Ise I Or 1 1w - I-- 50100-1085 PROT314 PROT646 7 EFTA_00240939 PROT315 In co Cl -O 0 Cl 0 0 -O -O U) 9° N N O 2 ',1 4 II 3 4 2 REMOVE LEGS VIEW LOOKING OUTBOARD LEFT SIDE OF PLANE BEFORE MODIFICATIONS, REMOVED LEGS NOTED IN BLUE <---AFT FWD 3 t 2.' MOOS XVI MOIR MIAOW, MINE ON SIDE FACING J 501o0 - lo&S 1/1 I sno /s: I - .dor 11'w PROT316 PROT647 EFTA 0024[1941 PROT317 4 -tr) 0 c0 co oo In 0 O rnr z ce I- <▪ iL 0_ 0 U O L. (.4 G1 ; 3 Z O I n I 0 SDNYGNL02754020 EFTA_00240942 PROT318 PROT648 EFTA_00240943 PROT319 Ln C CO rn H n 0 H rn n H rn 0 70 rn 77) -O 70 Gl 70 -O CO Co (-O O 2 'O I0 tl o_ 4 3 1 2 1 1SSET ADDED 3 PLACES O 58 O 7 O B NEW LEG AND ATTACHMENT 4S 3/4 SCALE 4 3 ..2 VYal%Y.0 win Lost q GIV SIDE FACING 7 - lb L'40 50100-1085 1 I -S K6 ruc PROT320 PROT649 EFTA_00240945 PROT321 00 VIP S. MEI JI C. CO O Os C) If) Cll Ifi CI O I Cu r A In r, SONY GI,L 02754024 EFTA 00240046 PROT322 PROT650 EFTA_00240947 PROT323 cr) co H Cl -O 0 -O -O Go C) f-r g CD_ -9 GUSSET 3 REQUIRED 910.88e -12 DOUBLER GIV SIDE FACING 7 50100-1085 r: isvio I... or PROT324 PROT651 EFTA_00240949 PROT325 co n -0 0 n 0 -0 lD p 2 U I ,c," 3 8 I 7 xs mar n " rm. tam no. s Rolm lo no MI war.ca stn.= fa. 000 MIN... TRW", =4 SIM DM 141.50.01,41R1,111.11001N frEl Ktell I Ma 6 I 5 644,8. 30.00 25. -7 DIAGONAL MEMBER 49.2 47.5 075° 19.95 -6 DIAGONAL MEMBER 9.35 40.7 42.44' -5 DIAGONAL MEMBER 49.25° 42.44° 7.56° 64.62° PROT326 r SDNY_Gtv1_02754029 EFTA_00240951 PROT327 In co H Cl 0 Cl 0 - O 6-) -O V) .O N N O 00 IV g CL (6, - IJ In 4 3 2 1 4,88 4.06 -8 GUSSET 1.50 25.78' -2 DETAIL 115. 8° 11.61 -4 DETAIL 1.25 00.94 00.62r" -10 BUSHING 4 3 -7.19 12.62 \-) 71 2 PLS -1 DETAIL 15.00. 00.94 23.52 -3 DETAIL 25.08 2 -11 DETAIL Nte12800 ...mow., WI OWL II, III 01, Om 1.11411 GM SIDE FACING 7 i SINEO I". 3 Of 6 riC 50100-1085 1 PROT328 PROT652 EFTA_00240953 PROT329 4- co 8 GUSSETS A 10 BUSHING (O (O 4- SDNYONL02754032 N 03 EFTA 00240954 PROT330 PROT653 EFTA_00240955 PROT331 9c6ortoo-vid9 (.1 co H n -O 70 0 n H H 70 70 73 Gl 7J Cr) Co lO O 2 I - Jo F tOJ Cl. 4 4 3 4 2 I 1 A A B - 12 DOUBLER WELD TO - 3 LEG 2 PLCS VIEW LOOKING OUTBOARD LEFT SIDE OF PLANE (---AFT FWD 4 3 2 MAYO GIV SIDE FACING - 50100 - 1085 SOW AS, f se 2 Of 6 PNC 1 PROT332 PROT654 EFTA_00240957 PROT333 lar .3 iI lei Oil illi PROT655 EFTA_00240958 PROT334 PROT656 EFTA_00240959 PROT335 U.S. DEPARTIMI ..TT OF TRANSPORTATION W DATE May 15, 2000 MAKE GULFSTREAM AEROSPACE MODEL NO. G-IV TYPE (Airplane, Radio. Helicopter. etc.) Airplane NM E OF APPLICANT LIST OF DATA IDENTIFICATION TITLE DOCUMENT: - SY-GL1085 Rev. "NC" Dated: 5-15-2000 STRUCTURAL SUBSTANTIATION - TWO 17 INCH LCD MONITOR INSTALLATIONS RH/LH, FWD I AFT AND ENTERTAINMENT SYSTEM 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) 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 SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) CLASSIFICATION. mania /paraders- DERT-605434-NM Structures Howard L. Patterson FAA Form 8110.3 (11-70) SUPERSEDES PREVIOUS EDITION GPO 901.613 SDNYGlvl02754038 It EFTA_002 40960 PROT336 PROT657 EFTA 0024[1961 PROT337 AIRCRAFT MODEL: GULFSTRFAM G-IV REPORT NO. SY-GL1085 8/N NO. : 1085 DATE: 5-15-2000 STRUCTURAL SUBSTANTIATION- 17 INCH LCD MONITOR INSTALLATION RH/LH, FWD/AFT BULKHEAD- MOUNT. AND ENTERTAINMENT SYSTEM MODIFICATION PREPARED BY: SHAHNAZ GALANTE 5-15-2000 APPROVED BY: HOWARD PATTERSON 5-15-2000 REV DATE PROT658 EFTA_00240962 PROT338 PROT659 EFTA_00240963 PROT339 TABLE OF CONTENTS 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 PROT660 EFTA_00240964 PROT340 PROT661 EFTA_00240965 PROT341 1) REFERENCES 1 MIL-HDBK-5F Metallic Materials and Elements for Aerospace Vehicle Structures. 2 FAR Part 25 Page 2 5-15-2000 SONY GM 02754044 EFTA_00240966 PROT342 PROT662 EFTA_00240967 PROT343 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 5-15-2000 SDNYGIvl_02754046 EFTA_00240968 PROT344 PROT663 EFTA_00240969 PROT345 31 GEOMETRY- FWD/AFT RB/LR Bulkhead Mount, 17" LCD Monitor Installation art,Pith 0140 JO- tig".a..12 Ebor ..3(ob ;opt ALIJA. iteu4Fbecibby cOrar Tritirt4ti Seal gevii LCD monin-00rto Sand i7-'43s. A041.e £ts4Y t.P /404434. •e./r Nett law. ovr-eor °La Mon/ wog- *" saitsch.I 7 Page 4 5-15-2000 SDNYGIvl_02754048 EFTA_002 40970 PROT346 PROT664 EFTA 0024097I PROT347 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 EFTA_00240972 PROT348 PROT665 EFTA_00240973 PROT349 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) MSb,000/26,122 -1 = +13 1.5 a Aft load condition! Px = 1.5 x 12 lbs (this load bears on the aft bulkhead) gst...(astree,,) • Esti Page 6 5-15-2000 SDNYGlvl_02754052 EFTA_002 40974 PROT350 PROT666 EFTA_00240975 PROT351 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 EFTA_00240976 PROT352 PROT667 EFTA_00240977 PROT353 ) 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 5-15-2000 SDNYGIv1_02754056 EFTA_00240978 PROT354 0 0 PROT668 EFTA_00240979 PROT355 AIRCRAFT INTERIORS, INC. EMPTY WEIGHT RECORD 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 EFTA_002 40980 PROT356 PROT669 EFTA 00240981 PROT357 MATION.INIPR STANDARD AJAW011111INESS COMRCATEOCIN Nmu I 'VrTYLT6-se "rsOLlsoni Fs. Form BICP2 SONY_CA1_02754060 EFTA_00240982 PROT358 SONYGM_027 EFTA_00240983 PROT359 cr) C co UNITED STATES CF AMERICA DEPARTMENT OF TRANSPORTATION-FEDERAL AVLAION ADAENISTRATICN STANDARD AIRWORTHINESS CERTIFICATE 1 NATIONALITY AND 2 MANUFACIVRERANDMCCEL 3 AIRCRAFT SERIAL 4 CATEGORY REGISTRATIONMARKS NUMBER N677RP GULFSTRP,AM/GIV 1085 TRANSPORT IS AUTHORITY AND BASIS FOR ISSUANCE 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 TERMS AND CCCITIONS 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 DESIGNATION NUMBER 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 ai bat THIS CER NS TIPICATE MUST DE DISPLAYED N THE AIRCRAFT N ACCORDANCE WITH APPLICABLE FEDERAL TIO FAA Eon 8100.2 (Rod) APSE:can:Me Fain Sy!~ • JolFarn Foials• 12/19913 e as. PROT360 PROT670 EFTA_00240985 PROT361 .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 PROT809. 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 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 Gulfstream Aerospace Corporation W[ADDRESS REDACTED] U.S. Certikated Mechanic GIFE100Y 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 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 Other (Spee) BY FAA Designee Person Approved by Transport Canada Airworthiness Group DEC 1 0 i898 Certificate Of GIFR1OOY Signatur odzed Indi du r FAA Form 337 ozak (CamputerGonended) SDNY_GIvl_02754064 EFTA 00240986 PROT362 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. (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. PROT671 EFTA_00240987 PROT363 0 MAJOR REPAIF uswparrnw (Airframe, Powerpla curranomwm n - Federal Aviation Administration id t iptValan • " I I Fare Approved OMB No.2120-0020 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 PROT810. 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 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME described in X (As Item 1 above) POwERMAiir PROPELLER APPLIANCE Type Manufacturer AL Agency's Name and Address Gulfstuam Aerospace Corporation W6365 Discovery Drive Appleton. WI 54915 GIFRIOOY 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 BY FAA Designee Person Approved by Transport Canada Airworthiness Group • DEC 1 0 1998 Certificate or GIFRIOOY 22of Authr I al AA Form 33 (12-aM (Compute. Generated) SDNY_GIvi_02754066 EFTA_00240988 PROT364 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. PROT672 EFTA_002 40989 PROT365 - II" • ti - •" 0 US Depotrod (Airframe, Powerplant, Propfellebror A ppline) aratisartaron Administration 1 it , ; ULU 1 O Federal Aviation I. \': !it"; -:'. -tn- f 1 Form Approved ) 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 Culla:tam Aerospace Corporation W6365 Discovery Drive Appleton, WI 54915 GIFR100Y 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 BY FAA Designee x Repair Station Person Approved by Transport Canada Airworthiness Group /2 -4)-9se Certificate or Designation Signature of AVUodiedl ual r Genera SDNY_Gtvl_02754068 EFTA_00240990 PROT366 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. PROT673 EFTA 0024099I PROT367 - e 7.••• c r1 Ora .0 MAJOR REPAIR AND AL USecoretmere ontensooncoon (Airframe, Powerplant, Propelle Asepearericasen Admmemmon --• 7 . -7. . 2..0 1 441998 I; l _ JO. :Form Approved 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 PROT811. 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 N864CE 2. Owner COCA COLA ENTERPRISES, INC. Address (As sltown on registration certilkate) 2500 WINDY RIDGE PKWY SE ATLANTA, GA 30339-5671 S. Type Unit Make Model Serial No. Repair Alteration AIRFRAME X POWERPLANT PROPELLER APPLIANCE Type . Manufacturer S. Conformity Statement C. Certi kale No. GULFSTREAM AEROSPACE CORP. W[ADDRESS REDACTED] APPI.PTCK WT T•421% 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 MAPPROVED 0 REJECTED BY Inspector Mariblacturer FM Designee Date of AppitNal or Refection DEC I 0 1998 ' Certificate or G1FR100Y Signal Authoriz Inds ual A Form 337 ilVeal SDNY_Givl_02754070 EFTA_00240992 PROT368 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 OILS. GOVERNMEET PRINTING OFFICE: t902-760-012/E0I57 PROT674 EFTA_00240993 PROT369 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 PROT8121421 ). Failure to report can result In a civil penalty not to exceed 51.000 1. Akcraft Make Model G-IV Serial No. 1085 N864CE 2. Owner COCA COLA ENTERPRISES, INC. 2500 WINDY RIDGE PKWY SE ATLANTA, GA 30339-5677 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME (As described In Item 7 above) X POWERPLANT PROPELLER APPLIANCE Type Manufacturer A. AgencYs Name and Address C. Ceni kate No. US. Certificated mechanic G1FR100Y GULFSTREAM AEROSPACE CORP. 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 Inspector Manufacturer BY FAA Designee DEC 1 0 1908 • CertlficaM or GIMUDOY Signatu Author Nast - , orm 337 mast PROT675 EFTA_00240994 PROT370 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. END *U.S. GOVERNMENT PRINTING °EPICS: 1912-769-012/60IS7 SONY _GM_02754073 EFTA_00240995 PROT371 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 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 PROT813. 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 6. Type Unit Make Model Serial No. Repair Alteration AIRFRAME X (As descabcd in Item 1 above) POWERPLANT PROPELLER APPLIANCE Type Manufacturer B. IGnd Of Agency Oulfstream Aerospace CorpenitiOn ' W6365 Discovery Drive Appleton. WI 54915 GI FRI 00Y 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 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 Inspector Manufacturer BY FM Designee X Repair Station Person Approved by Transport Canada Airworthiness Group DEC. 1 0 1998 Certificate or GIFRIODY Signal Autho o rni f t nn 337 (1248) (Compote: Generated) SDNY_Gtvl_02754074 EFTA_00240996 PROT372 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. (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 EFTA_00240997 PROT373 .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 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 GULFSTREAIA AEROSPACE Model G-IV Serial No. 1085 N864CE z Owner COCA COLA ENTERPRISES, INC. 2500 WINDY RIDGE PKWY SE ATLANTA, GA 30339-5677 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 C: Certificate No. GULFSTREAM AEROSPACE. CORP. W[ADDRESS REDACTED] ADM PION, WI Sal 5, (U.S. Certificated mechanic GIFRIOOY 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 Inspector Manufacturer FAA Designee A oved by esTransport Person ppr Canada Ainvonhin s GrouP Dale of Approval or Rejection DEC 10 1998' Certificate or GIFRIDOY Signatu uthorized dd - lt FAA Form 337 ordist. SDNY_GI.1_02754076 EFTA_00240998 PROT374 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. (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. END 0 Additional Sheets Are Attached dV.S. GOVERNMENT PRINTING OFFICE: 1,12-755-017/60I57 SONY GM 02754077 EFTA_002 [ADDRESS REDACTED]ATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATION 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 [ADDRESS REDACTED]awing Tide 3 FMS 1 & No. 2 Global Position and approved as it pertains to only. 08[PHONE REDACTED]9324 A 01/20/96 5 No. A 01/20/96 1 No. 'END' Note: The above data is reviewed electrical systems and equipment 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 SIGNATURES) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) CLASSIFICATION(S) .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 EFTA 00241000 PROT376 PROT676 EFTA _00241001 PROT377 A. A ch-cf4:-c-s C 1 U.S. Department MAJOR REPAIR AND ALTERATION of Transportation (Airframe Powerplant, Propeller, or Appliance) 'Federal Aviation Administradon Form Approval 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. 3931 Ann Dr NW Atlanta, GA 30336-1512 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 Gulfstream Aerospace Corporation P.O. Box 2206 - Travis Field Savannah. GA 31402-2206 FAA CRS GR4R216M X 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 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 FAA Designee 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 EFTA 00241002 PROT378 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 PROT677 EFTA 00241003 PROT379 -- 8TAWDARISAIRWOMINES8 CITTFICATI II866CZ 0:11.18118Sall/GIV 10115 MUM• J•I•antr".•••• WWI. Ion 71:3. 12-16-88 Vitt FM Fo, Me" man PROT678 EFTA 00241004 PROT380 SONY_GM02/59083 EFTA 00241005 PROT381 !r,7-• • \\ (Cly t II f - 6 L.,:,7 MA. mmn (Airframei if R REPAIR AND ALTERATION Powerplant, Propeller, or Appliance) Form Approved 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 PROT814. 1421). Failure to report can result in a civil penalty not to exceed 91,000 Federal Aviation Act of 1958). 1. Aircraft Make Model - -1.,-IV Serial No. 7085 N 2. Owner Coca-Cola Enterprises, Inc. 2500 Windy Ridge Parkway Atlanta, Georgia 30338 S. Type Unit Make Model Serial No. Repair Alteration AIRFRAME X POWERPLANT PROPELLER APPUANCE Type Manufacturer U.S. Certificated mechanic QK2R112L K-C Aviation, Inc. 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 Ft.APPROVSO - 0 REJECTED FAA Rt. Standards Inspector Manufacturer BY FAA Designee x Repair Station Date& Approval or Rejection DEC 20 1996 Certificate or ClK2R112L Signature of Authorized Ind' 'dual (cdseine. FAA Form 337 /2.s SDNYGIvl_02754084 EFTA 00241006 PROT382 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. (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 OILS. 00VICRNMENT PRINTING OPPIGC: I192-749-0I2/101117 PROT679 EFTA 00241007 PROT383 Form Approved MAJOR - 6 tlAn1d rams) Aviation tmrlinn IL" ' REPAIR AND ALTERATION 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 PROT815. 1421). Failure to report can result In a civilpenalty not to exceed S1.000 Federal Aviation Act of 1958). 1. Aircraft make ModelG-IV Serial No. 1085 N88GA t Owner 3. For FAA UVVEINIXIA/ALI trUAI ILMIrrilzIJAIti ILltN I II-ICU ItHtinil GUM Itb WI I H I It mar 4GAbLt REQUIREMENTS AND IS APPROVED DESCRIBEDAIRCRAFT, SUBJECT TO INSPECTION BYA PERSON AUTHORIZED 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 U.S. Cenificated Mechanic QK2R112L Foreign Certificated mechanic x 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 Date DEC 0 9 1996 -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 Q, APPROVED O REJECTED FAA FIL Standards Inspector Manufacturer BY FAA Designee A Repair Station Canada AIMOilhintSS Group DEC 181996 DEC i 8 1996 Certificate or ignation No. 0K2R112L Coma '....a FAA Form 337 02401 SDNYGIvl_02754086 EFTA 00241008 PROT384 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. (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. The aircraft weight and balance manual and equipment list revised. Fasteners torqued using AC.43.13-1A chapter 5 as a guide. END 0 U.S. GOVERNMENT SMINTINO OF NCI: 1M-769-012/60157 PROT680 EFTA 00241009 PROT385 in Vat IS g Lt.,. I,.. MA 4 - 6 Iiigrframe Ansa await f • i OR REPAIR AND ALTERATION Form Approved OMB No. 21200020 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 PROT816. 1421). Failuret0 Alpert can result Ina civii penaity not to excee351800 Federal Aviation Act of 1958). I. Aircraft Make u ModeL• -IV Serial No. 1085 N88GA z Owner 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME (As described In Item 1 above) X POWERPLANT PROPELLER APPLIANCE Type Manufacturer OK2R112L Foreign Cann-mated Mechanic 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 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 (APPROVED O REJECTED Inspector Manufacturer BY FAA Designee x Repair Station DEC 1 8 1996 Certificate Or Oesignation No. OK2R112L Signature of Authoriz Indi dual CI A,-4-, c FAA Form 337 02441 SDNYGIvl_02754088 EFTA 00241010 PROT386 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. 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. END *U.S. GOVERNMENT PRINTING OFFICE: 1192-769-012/60157 PROT681 EFTA_002410I I PROT387 0 I ; Vi L3 MAJOR US Doormen Mitenspermson - 6 Lymnr . Fare' krtallen An REPAIR AND ALTERATION 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 PROT817. 1421). Failure to report can result In a civil penalty not to exceed $1.000 federal Aviation Act of 1958). Make Model G-IV 1. Aircraft Serial No. 1085 N88GA Z Owner 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 AIRCRAFT, SUBJECTTO BYA PERSON AUTHORIZED 7 1 In FOR THE CONFORMITY IN miciEsr -.,:r ABOVE 43 FAA NIKE I-SDO Unit Make Model Serial No. Repair Alteration AIRFRAME X POWERPLANT PROPELLER APPLIANCE Type Manufacturer US. Certificated Mechanic CIK2R112L 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 Oate DEC 0 9 1996 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 Ck.PPROVED CI REJECTED Inspector Manufacturer Other Meal BY FAA Designee KRepair Station DEC 1 8 1996 Certificate or No. Des CIK ignation2R112L Qs...-. cd-jd- FAA Form 337 11206) SDNYGIvl02754090 EFTA 00241012 PROT388 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. (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. 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. END K Additional Sheets Are Attached nu.s. aote vitamin T PRINTING OFFICE 1991-769-01 5/40157 PROT682 EFTA 00241013 PROT389 . "; \11121 • JAN - 6 I997 OR REPAIR AND ALTERATION (AM , Powerplant, Propeller, or Appliance) ackremmenew, Form Approved 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 N88GA .2 owner .,,..,,;.., ",...,, "","...,.,,,,,,..".0'.,....wicil miziks:IN 3. For FAA Urie(Gartel IFS WITH THE APPI CAR) F AIRIANIRTHIMFRR REQUIREIviENTS AND IS APPROVED DESCRIBED AIRCRAFT, SUBJECT TO INSPECTION BY A PERSON AUTHORIZED SECTION 7- DATE. ea- SIGNKRIRF. FOR THE ABOVE CONFORMITY IN F 43, 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 C. Cerli icate No. Appleton, WI 54915 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 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 Inspect or Manufacturer FAA Designee x Repair Station Canada AInvorthiness Group °aloof Approval or Rejection 18 1996 Certificate or 12K2R112L DEC C)S`" d e"-" FAA Form 337 02.8e) SDNY_CM_02754092 EF1'A_0024I0I4 PROT390 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. (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 PROT683 EFTA 00241015 PROT391 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. Corrosion protection accomplished using AC43.13-1A chapter 6 as a guide. END SDNY_GIvl_02754094 EFTA 00241016 PROT392 PROT684 EFTA_002410 I 7 PROT393 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 M°deb-IV Serial No. 1085 2. Owner Name (As shown on registration cenifkate) Address (As shown on registration cetlificatel '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 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME X POWERPLANT PROPELLER APPLIANCE Type Manufacturer 8. Conformity Statement Appleton, WI 54915 V.S. Certificated Mechanic QK2R112L 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 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 BY FAA Designee 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 EFTA_0024I0I8 PROT394 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. GOVOINMENT PRINTING OFFICE: IM -769-012/60167 PROT685 EFTA 00241019 PROT395 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. 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. END SDNYGIvl_02754098 EFTA 00241020 PROT396 PROT686 EFTA _00241021 PROT397 T. • i • q I I il : JAN - 6p.?7, il,IAJOR REPAIR AND ALTERATION t0000101 ;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 ModelG-IV Serial No. 1085 N88GA 2 Owner 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 REQUIREMENTS AND IS APPROVED FOR THE ABOVE DESCRIBED AIRCRAFT, SUBJECT TO CONFORMITY INSPECTION BY A PERSON AUTHORIZED IN F 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 Appleton, WI 54915 V.S. Certificated mechanic QK2R112L 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 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 Inspector Manufacturer FAA Designee x Repair Station DEC 18 1996 Certificate or QK2R112L Signature of Authorized Ind idual C stsre. d FAA Form 337 112•0 PROT687 EFTA 00241022 PROT398 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. (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. 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. END 0 Additional sheets Are Attached *U.S. GOVERNMENT PRINTING OFFICE: 1912-769-0I2/601S7 PROT688 EFTA 00241023 PROT399 I uS For - 6 Pgirtramd, Powerplant, Propeller, or Appliance) ,halt 'I • ' Onkel*, Form Approved 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 PROT818. 1421). Failure to report can result in a civil penalty net to exceed 51.000 1. Al ft Make GULFSTREAM AEROSPACE model GIV Serial No. 1085 N88GA 2. Owner COCA-COLA ENTERPRISES INC 2500 WINDY RIDGE PARKWAY ATLANTA, GA 30338 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME X POWERPLANT PROPELLER APPLIANCE Type Manufacturer 6. Conformity SlatomeM K-C AVIATION INC. 301 DISCOVERY DR. APPLET0N, WI 54915 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 Date DEC 16 1996 1.50-nitle,-te 4., Pursuant to the authority given persons specified below, the unit Identified in item 4 was inspected in the manner prescribed by the (1) APPROVED 0 REJECTED FAA Fit. Standards i Inspector Manufacturer I Other (Sandy) BY FAA Designee XX Repair Station Date of Approval or Remotion DEC 1 8 1996 Certificate or OK2R112L Signature (loin. of Authorized Individual tlLZ2 FAA Form 337 .12 or SDNYGtvl02754102 EFTA 00241024 PROT400 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. END GU.5. GOVERNMENT PRINTING OPPICC: It02-769-0I2/60I37 PROT689 EFTA 00241025 PROT401 ir g 1/45-7 ! • • ' ' I MA,JOR 1 6 I;TAiriniOi REPAIR AND ALTERATION , Powerplant, Propeller, or Appliance) Form Approved 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 PROT819. 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 N88GA 2. Owner COCA-COLA ENTERPRISES INC ATLANTA, GA 30338 5. Tyr). Unit Make Model Serial No. Repair Alteration AIRFRAME X POWERFLANT PROPELLER APPLIANCE Type Manufacturer & Conformity Statement K-C AVIATION INC. [ADDRESS REDACTED] APPLETON, U.& Certificated Mechanic QK2R112L 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 CFP6424, A t t , Z,e r Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the mariner prescribed by the 01 APPROVED 0 REJECTED I Inspector Manufacturer BY I FAA Designee 111XX Repair Station DEC 181998 Certificate or QK2R1I2L C14,-. , ' FAA Form 337 .12 MP) SDNYGivl_02754104 EFTA 00241026 PROT402 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. (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. END 0 Additional Sheets Aro Attached *U.S. 00VCIIHMENT PRINTINCt OIPICI 1192-70-012/10157 PROT690 EFTA 00241027 PROT403 rirc.-7,77 . i O., . 3M - 6 1.997M or won (Akira onmsan REPAIR AND ALTERATION of owerplant, Propeller, or Appliance) Form Approved 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 PROT820. 1421). Failure to report can result in a civil penalty not to exceed 51.000 1. Aircraft Make Model G -IV Serial No. 1085 N88GA 2. Owner COCA-COLA ENTERPRISES INC. ATLANTA GA. 30338 ',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 8. Type Unit Make Model Serial No. Repair Alteration AIRFRAME (As described In horn 1 above) X POWERPLANT PROPELLER APPLIANCE Type Manufacturer 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 Date DEC 1 0 1996 47-ser/V er,IZZ---• Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the XX APPROVED CI REJECTED FAA Fit Standards Inspector Manufacturer BY FAA Designee x Repair Station DEC 1 8 1996 Certificate or QK2R112L Signature of Authorized Incrvidual cap.,- FAA Form 337 ono SDNYGlvl_02754106 EFTA 00241028 PROT404 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. (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 *U.S. GOVERNMENT PRINTING OFFICE: 1112-761-012/G0IST PROT691 EFTA 00241029 PROT405 li r , t& ment 6 ) f t Oewo MAJOR . i ' twai.1 - 6 (Airframe); REPAIR AND ALTERATION Form Approved 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 PROT821. 1421). Failure to report can result in a civil penalty not toexceed51.000 Federal Aviation Act of 1958). 1. Aircraft make GULFSTRENI AEROSPACE Model G-IY Serial No. 1085 Ni38GA 2. owner 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 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME X POWERPLANT PROPELLER APPLIANCE Type Manufacturer A. Agencys Name and Addres 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 XX APPROVED 0 REJECTED FAA Eli Standards inspector Manufacturer inspection Authorization BY FAA Designee x Repair Station DEC 1 8 1996 Certificate or 0K2R1121. Signature of Authorized Indivdual Catfrp.., c FAA Form 337 meat SDNY_Giv1_02754108 EFTA 00241030 PROT406 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. (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 *U.S. GOVERNMENT PRINTING OFFICE: Illt2-769-012/60157 PROT692 EFTA 00241031 PROT407 11.5 (q;1 ,• I.: V; i *; I. • US NII9OR - 6 gmrtnint REPAIR AND ALTERATION Form Approved 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 $1.000 federal Aviation Act of 1968). or type all e attlaisforro,Thittegort each such violation (Section 901 1. Aircraft Make GULFSTREAN AEROSPACE Model G -IV Serial No. 1085 N88GA 2. Owner *The data /a identified herein is approved for the above sneer ibad aircraft in FAR 43, Section 43.74. Date DEC 1 0 100$ 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 X POWERPLANT PROPELLER APPLIANCE Type Manufacturer A. ngeneys Name and Address 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 Date DEC 10 1996 101.04 /1,r,..11*.Z.:4 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 Inspector Manufacturer FAA Designee DEC 1 8 1996 Certificate or QK2R112L Signature of Authoriz Individual (14..40 s, - FAA Form 337 (12461 PROT693 EFTA_00241032 PROT408 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 [repeated 7 times] 4ea 2ea lea 2ea 2ea lea [repeated 8 times] 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 *us GOVERNMENT PRINTING OFFICE: I992-769-011/60137 SDNY_GNL02754111 EFTA _00241033 PROT409 vs mere f• Ilmn s II a 6 I-Cir:,(A . fri t I AJOR REPAIR AND ALTERATION es Powerplant, Propeller, or Appliance) I Form Approved 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 PROT822. 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 GULFSTREAN AEROSPACE Model G -IV Serial No. 1085 N88GA 2. Owner AddreSS (As shown on registration certificate) 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 S. Type Unit Make Model Serial No. Repair Alteration AIRFRAME (As deserted in item I above) X POWERPLANT PROPELLER APPLIANCE Type Manufacturer 0K2R112L 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 t(f) identified in item 4 above and described on the reverse orattachments hereto 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 BY FAA Designee Dateof Approval or Rejection DEC 18 1886 Certificate or RK,R119L C20w-wr c 16.-: FAA Form 337 0240 SDNYGIvl02754112 EFTA 00241034 PROT410 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. (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 *U.S. GOVERNMENT PRINTING OFFICE: 1992-769-M/60157 PROT694 EFTA 0024I035 PROT411 i)N(e-'71 i PI J.:40 - 6 l'.;:: ,t MA OR REPAIR AND ALTERATION o (Airfr# , Powerplant, Propeller, or Appliance) Form Approved Office Identification A. 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 PROT823. 1421). Failure to report can result in a civil penalty not to exceed 51.000 1. Aircraft Make Model G -IV Serial No. 1085 N88GA 2. Owner •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 S. Type Unit Make Model Serial No. Repair Alteration AIRFRAME X POWERPLANT PROPELLER APPLIANCE Type Manufacturer Drive 301 Discovery Appleton, WI 54915 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 Date DEC 1 0 1996 Signature of Authorized Individual c 6,..3".47,e,"Z:e-.... Pu suant to the authority given persons specified below, the unit identified in Item 4 was Inspected in the manner prescribed by the XXAPPROVED Cl REJECTED Inspector Manufacturer Inspection AuthOdzation BY FAA Designee A Repair Station DEC 18 1996 Certificate or OK2R112L 570,--t d - IL FAA Form 337 112481 SDNYGIvl02754114 EFTA 00241036 PROT412 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. (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 *U.S. GOVERNMENT PRINTING OFFICE: 166x-766-01L6016T SDNY_GNL02754115 EFTA 00241037 PROT413 I ; i \ .. f C l uS4in:crimen illiVOR - REPAIR AND ALTERATION Powerplant, Propeller, Appliance) Form Approved 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 PROT824. 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 N88GA 2. Owner "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 5- Type Unit Make Model Serial No. Repair Alteration AIRFRAME X POWERPLANT PROPELLER APPLIANCE Type Manufacturer S. Conformity Statement A ppleton, WI 54915 US. Certificated Medtanic QK2R112L 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". 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 Inspector Manufacturer BY FAA Designee x Repair Station Dale of Approval or Rejection DEC 1 8 1996 Certificate or QK2R112L 'gen,. FAA Form 337 id.ed SDNYGIv1_02754116 EFTA 0024I038 PROT414 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. (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 *U.S. GOVERNMENT PRINTING OFFICE: t992-769-012/60157 PROT695 EFTA 00241039 PROT415 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 MELLON FINANCIAL SERVICES CORP #3 4444 ONE MELLON BANK CENTER PITTSBURGH, PA 15258 5. Type Unit Make Model Serial No. Repair Alteration AIRFRAME X POWERPLANT PROPELLER APPLIANCE Type Manufacturer Appleton. WI 54915 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 Data SEP 2 4 1996 Signature of Autho zed WU 'dual 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 Inspeet. BY FAA Designee x Repair Station Date of Approvalor Rejection SEP 2 4 1996 Certificate or QK2R112L Signature of Au th ed Individual (C421 C 1-- FAA Form 337 oar PROT696aile EF1'A_00241040 PROT416 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. 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 PROT697 EFTA 00241041 PROT417 017M41143•1 co wg?Inosircei..."'""."nosmasherroArse STANDARD AIRWORSHNSSS CERTIFICATE att., NORGA istfacM10•••••••00124 cocrarReam / vxv - - I s - k R A - - - 0 LOSS ASSORT 1 s - - Yw 12/14/88 CL atis - TAY (WO °"`ARYCOSNEN% VMS CII•t0Call M CMPAII) •• 114 WIWI' w ACCOOISCII WPM AMON. Raft FAA Fain 11103-2 ww SONY GM 02754120 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15 EFTA 0024I042 PROT418 PROT698 EFTA 00241043 PROT419 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 PROT825. 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 Model G - I V Serial No. 1085 N88GA 2. Owner MELLON FINANCIAL SERVICES CORP #3 4444 ONE MELLON BANK CENTER PITTSBURGH, PA 15258 5. Type Unit Make I Model I Serial No. Repair Alteration Airframe (As described in Item I above X Powerplant Propeller - Appliance Type Manufacturer LANCE A. MATTESON 8560 E. SAN FELIPE DRIVE SCOTTSDALE, AZ 85258 X U.S. Certificated Mechanic AP 1864049 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 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 7 -A9 -fAr Certificate or 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. PROT699 EFTA_OO241O44 PROT420 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. (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' SDNYGIvl_02754123 EFTA 00241045 PROT421 -Pi JR DATE 7-10-96 MAKE ei il ," GULESTFEAM AEROSPACE MODEL NO. G-IV TYPE (Airplane, Radio, Koko: Net, etc.) AIRPLANE THE DIAL CORPORATION 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 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. 0 Recommend approval of these data these data F3 Approve SIGNATUREtS) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) I DESIGNATION NUMBER(B) CLASSIFICATONIE) 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 PROT700 EFTA 00241046 PROT422 PROT701.125 EFTA 0024I047 PROT423 ASC 143 (ATA 24) Alternator Field Overcurrent Monitor LEFT SIDE DEVIATION The Dial Corp Aviation Department WIRING DIAGRAM No. 06209601 Original Issue JUL 09/96 ASC 143 (ATA 24) Alternator Field Overcurrent Monitor RIGHT SIDE DEVIATION 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 EFTA 00241048 PROT424 PROT702 EFTA 00241049 PROT425 V1013A20 bød • ~0 TO IJCItt *PI Cain tut Otleantl4.1 Namur mar ~ma we Nunn.. ~et The Dial Corp Mtalniittitlemeta 23,3 Z. AMY* OW& non» At 11414 60201141 ere In 02.1•1 Mgt Cata V.013020 Ma ACC NC DIAL CORP »ANC NACAMA 000141A1C Iq MGM SIDE DEVIATION' VINIX20 edd VIMILANUI TV10,114 W CONN WI PC" AHCO II •Ltat lEIAPRO 1~ .1~1~ MU) WO ~ILO Y •••41.11.8 tat 1•110.0.8S1 . 1År ~Ns Mtn ~Ka lababre• LEFT μNA arg OVORGURROKT m» NOCAT011 1•01.7.021 nit tic saw Mr» Male » amommmer Ma - »re« paltatitneett. - ~It att ...es .25 MPG Imo» Rob» On M lamed 18 DOG metro Gødø 1 (NO ALT» MUD CtMAINT 2040.1 Ms CT.» WA til~Milit tattilitt Pmet•Imetw HI GA@ 44.43 .0~ LEFT CONVERTER SHELF no roam» ~moon --a otthanam• =it% oq LEFT »WM OttCON/ICCT S010 ret Aka tft do rae• GI.0 11• td.143. »We» «Met» el Pent NTA 341 AM. natas field Ovensmem10MMA Tids Waco Nap ~a» an Adana lb Immeonel »A en »acme« monn« b. occombø De ~mar ~en» Ton ..Mn aeon 5.1.• won •••••••••••.» to i» W I.M,011 vermorme WM. imbo »OD« irgapommicammelmaimids• TMtl rianae. ono» ~WM» NM MAID 143 InM.rb Moan • Way W distant • OG GoribM Sal« M AgrnnM Ostonat ~My dibia.1~ maim •••• TIN ~Sea MO ~Me •OCA ~lie ~mar 1./.4.11 bonds M. DC Gam» tam" emnaads. No MIN bisatt ~el let ~NA »4 MN taiatit'i40~1...• d+å »Am» ea Mad wools 1141.0210/18me »see et» Mom Nina am.b• »mum» M/ »men ammo GAG Wig» tam SI dap» nova IN» at At Ow» 10•41 - .~...1~ »a • mapieSTR. oie es Der. Hy outmost St ~Myth" Ailen.mbie lanai 13-1V effliam ø• AM »emit 55.1.» Alt 10 1ATA LI Anortelor PAM Oremmn». »MI« LOOT SIM pre101014 WIRMO DIMULUI No DHOW» Orameed Ina AA 0.At PROT703,1_02754128 EFTA 00241050 PROT426 - PROT704 EFTA_0024105 I PROT427 PONT CONVERTER a MCI M ARLO AUX root WAY SOX • 33333 sot SAP PRESTO TOMER E wan nit - WISP'S nino.• SE add VP lA.2 a• so• Eno Apia Einem ouftinipi ism is as realm, ••I Maas* fa. at The Dial Corp ARAMs Coorrpro >14I E. Plop PAL rbarak.AE 111.14 142.7874311) rwa 1141.38NS //I to SPAIN, M TRECTIR SEE DM OUR co*I waimi ..._ ÷ UPOO *MAMIE t 042 PO E Mal AEC IP ra PP ID OCT 744 UL IMO Gana00, Odd POI PP SCP %WHAM Ho VS 11M011 111016"20 so econocap Mop laa APRS POW )m• -Mal. ••••••••• atlas Yr Waal Dar e tall ••• Iwo al Wad •I awn. LEPT Ma DEVIATIONS IIOLOC• slat OPP ao• RIGHT AETN OVERCURRENT NOVATO* US32.7/014 cal• WI MD DUD 11•01 SOC MAIO lat•LACC araCOSLICV•gl Ihanaltall INILI IIMO ••• 0•1110.47 21 VDC Seal REVCO INN* Rant Cal eras. REVCO RASE CT•02 R ENO ALTAR REED CURRENT SENSOR TVS'S.% mm SLOW am Runup Ana 0.4 Illa••••••••• OYU •4•IJSIN.• C••••• lame, la CAC A.C.43 Dia gab Mayas, aa••••••• Poen gnome PECOPINECT SIAM Aarpott *tyke agape NAPA S P EREPall In. CA • PI Airanippr INN Ovonai WO rmil masons= Ch SW. 100•14111 an b•ONabot NMW1MW pinolinal Oat an aborarrrent CMIONEa Ns PAPP la perealr OHO areal TIP pearl PPP POE • wanM Wa0 t 111•0•00/N .M 401 COVV•110/ Saha al modes me an elpairesi toopasnat RONA O P Spin Pop driNplona Salvers ASAP AEC 143 laaa N Walla • al 10 Ilalatel • DC Comae Sapp or *Rammer Oprearrani PEONS Sap vitheal OAP. Pp. Tit -* Iμ440 EIEE PLOP PO Ealip ellepelerl•I n o μ bonds DC Comet Sanwa. .404040E 0a PRI * no Amman4o Op NN PA OSP AR" "al". OS EARN PP'S. MI μ.4.t* N ikAVARRIONS•ix CAM Opiralon alb may be liebtalbuid. Pt PPS APP. SAC 111,18.1041$04• RP POPO Mn Pad by Po fly. RIGHT CONVERTER SNEER spoon- - -RP site. inol. M1 rod•-lII 0.01*••• Panora. RAM 04V 4040-* al Sal it Gra Paso ASO PS IAEA SO Altornirtor Okla p•nanμ PROW MOM net OCVLAIIONE PROP INAGRAII Na.PRAM Coos! lawn ENLOE/PI • • N SDNY_Givi_02754130 EFTA 00241052 PROT428 PROT705 SUBJECT TO PROTECTIVE ORDER PAR [truncated]