AIRFRAME - Sandhills Global
11
Registration No. tf Serial No. 'll\C.\t>'-tl
Transcript of AIRFRAME - Sandhills Global
Registration No. tf ~SSl ~~~-----:-~~~~
Serial No. 'll\C.\t>'-tl
AIRFRAME MAINTENANCE RECORDS
logNo. _ 7 _ _
Aircraft Registration No. --=--N'-{p~C>-'-5_5_f ____ _
Model ___ 4.:.,_'(._ \C:.._· _______ _
Serial No. __ 4_2 __ \ C._ \ _0_4_\ ____ _
Waco Regional Airport• P.O. Box 5219 •Waco, Texas 76708 Phone: (254) 752-8381 Fax: 254-752-3307
www.ramaircraft.com
"I OGBOOK FORMAT REPRINTED WITH THE PERMISSION OF AEROTECH PUBLICATIONS, INC., THE ADLOG (™)SYSTEM, COPYRIGHT 1979."
Page No. ___ _
DATE TOTAL TIME IN
SERVICE
TOTAL TIME
SINCE OVERHAUL
TACH OR RECORDING
METER TIME
LEE AEROSPACE
9323 E. 34th Street North Wichita, Kansas 67226
DESCRIPTION OF WORK PrRI OllMI II SIGNATURE & CERTIFICATION NO. OF PERSON 1'11111 lllMlll•
(316) 636-9200 * Fax (316) 440-4024
Date: 8-4-2017 -Removed old Pilot windshield (P/N 9910049-1 S/N 89141 H4966) and installed new Pilot windshield (PIN 9910049-9 SIN 17117H4710) Installations were accomplished in accordance with Cessna 421 C maintenance manual chapter 3-31, Rev. date, Jan. 6/2003. I certify the above maintenance to be airworthy and approved for Return to Service with the exception of a pressurization and functional tests. A record may be found under Lee Aerospace, Work Order# 18778L. REGISTRATION: N605SR S/N: 1041 ACTT: 6566.0 LANDINGS: NIA ~Ce~No.: Lee Aerospace Inc., CRS # YLIR863L
lstian Cubberly ¥ MAKE: <:essna MOOEL:421C SIN: 421C1041 REG. NO: N605SR
DATE: 11116/2017 IVC TSN: 656e HOBBS: 656e
1------4-- ----+----- WORKORDER:
'"':_';"""" Bartelt Aviation, Inc. 1301 West Lafayette strffl 51\Jtgts, Ml •9091 Phone: 269-651-5431
BA·00450-07·2017
1--- ---+-----+----- Airframe Entries Perfonned 100 I annual inspection per Cessna 421 C Service Manual.. .. ELT Annual inspection CfW per FAR 91.207 (d) with no defects. Inspection next due August 2018 .... CfW AD2004-25-16R1 - Heater fuel
1------4------+----- regulator shutoff valve inspection via visual inspection. No discrepancy found. Next due at 6666.0 ACTT .... Complied with AD2004-21-05 for the Combustion Heater Decay Test by performing the test per the manufactures instructions with passing results. Next test due in 2 years (Aug 2019) ... Performed Annual
1-----~,__----4----- Aircraft Battery Capacity Check .... Perfonned an Annual Emergency Exit Door Inspection and found no defects. Cleaned and lubricated pressure seal and re-installed door in aircraft .... Perfonned Annual Fire
1------+------+----- Extinguisher Weight Check. Found within limits .... Performed Annual Landing Gear Emergency Blow down Test. Ops checked good. Serviced system and returned aircraft to nonnal operating systems .... Perfonned 200 hour nose gear drag brace inspection with no defects noted .... AD 2016-17-08 Elevator Trim Hardware
1------+------+----- Inspection via visual inspection. No discrepancys found. Next due at 6666.0 ACTT.... Installed (2ea) R1224B voltage regulators, Wired IAW Plane Power R1224 Regulator installation Instructions "Guide H". Set voltages to 27.5vdc. Parallel checked good .... Cleaned Pressurization Outflow valve. Pilot to function check ....
l------+-- ----1------ Replaced defective transistor in LH instrument panel light power supply located in nose baggage compartment. Operational check good .... CfW ME77-34 Elevator Trim tab and linkage inspection via visual inspection. No discrepancys found .... Replaced Bracket pin 5213038·9 On Left Nose Gear Door rod
t-------+----------- attachment and performed landing gear retraction tests. Operational check good .... Cleaned exhaust blow-bye from flap areas and protected with zinc Chromate paint... Touched up de-ice boot edges with BF
1-------+----------- Goodrich edge sealer. Cleaned and resealed boots with PBS De·lce Boot deaning products .... Tightened mounting hardware on nght landing light housing .... Repaired the gear extension hydraulic line bracket in the right wheel well by installing a 2"X2" .032 doubler with blind rivets and structural adhesive .... Installed new
(2ea) main tires pin 650C86-3 and (2ea) pin 092-344-0 Tubes. Cleaned wheels .... Pilot advised that a Pressurization test must be completed prior to using the pressurization system for the aircraft. Grant Baker
to coordinate.
I CERTIFY THAT THIS AIRCRAFT HAS BEEN INSPECTEO IN ACCOROANCE WITH AN ANNUAL INSPECTION ANO WAS DETERMINEO TO BE IN AIRWORTHY CONDITION.
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PERFORMED-DATE ~iL~
SIN: 421C1041
~ Bartelt Aviation, Inc.
1301 w.:11 L•l•yette s1 .... 1 a11uv1t. Ml •9001
DATE: 911212017 NC TSlt ese&.2 HOB8S: 65611-2 PERSON PERFORMING WORK
- --- REG. NO: Ne05SR WORK ORDER: BMXl4»47·2017
---- Airframe Entries
Pttoo• :zeu~w.01
Replaced section of left oil pressure Indicator lrne under left airconditioning evaporator. made new line from 1----- 5052-0 aluminum tubing using the old hne as a guide. Leak check OK .... Removed McCauley Propellers
Model Number 3FF32C501·A, sin 806323 and sin 806279. Installed Hartzell Propellers Model Number HC-C3YN-2UF/FC95870B·7, sJn DG862B and sin DG8648 per RAM Aircraft, LP STC A7CE. W&B and
1----- Equipment List Updated.
Maintenance Release
The ain::raft and/or component(s) on N605SR - •repaired and inspaded in accordance wilh CtKTenl FARs rules of the Federal Aviation Regulations and was found Airworthy tor relum lo service. Pertinen details of repair are on file under Work Order
---- No. BA.Q0450-07·2017, Dated9/121201'.:7-""""'.:oi---- -
DATE: 9/12/2017 der. BA-00450--07 -2017
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MAINTENANCE LOG BOOK ENTRY N 605SR TIME 6568.2 Hobbs Time DATE 09-1 9-2017
Performed cabin pressurization leak check II A/W Cessna 42 1 C maintenance manual. Operation an<l leak check, checked good.
Premier Avionics W.O. # 1660
Signature: P""1r1e,. /111161f1e4', LLC
1------- MAKE: Ce5S<la MOOEL: 421C SIN: 421C11W1 ------ =:g~~ BA-00450-07·2017
Airframe Entries
tor.""~·+Ol'"- l'lt Bartelt Aviation, Inc.
1301 'Mist Lelayette Slfffl SllJlllis, Ml 49001 Phone29M51~1
Page 1 of I*** 1th currenl federal avialion regulations, and were found airworthy for recurn 10 service. 6
License Numbef?1~£J 7'8 o9.T4 yne. IN 46809 • Tel: 888-496-8101 • Fax: 260-747-3540
DATE. 9112/2017 IVC TSN: 55ee.2 HOBBS: 5566.2
CORRECTED LOG ENTRY - CORRECTED STC NUMBER DUE TO TYPO
Removed McCauley Propellers Model Number 3FF32C501·A. Sin 806323 and sin 806279. Installed Hartzell
SP~opelC SAlers Model Number HC-C3YN-2UF/FC9587DB-7, Sin DG862B and sin DG864B per RAM Aircraft LP ._______ 10185SC·D. W&B and Equipment List Updated. '
Maintenance Release
DATE: 9/12/2017 W0!1< Order. BA.Q0450-07 ·2017
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DATE Wl111~
~ DATE 10-3-17 s.o. 60294
TOTAL rlMf TOTAL TIME IN
TACH OR DESCRIPTION OF WORK PERFORMED-
DATE SINCC RECORDING SERVICE
OVCRltAUL M ETER TIME SIGNATURE & CERTIFICATION NO. OF PERSON PERFORM ING W ORK
~ WhW.1'ldyd.1y~Yl(),,1(S..corn MAKE Cessna N# N605SR /\VI C'J NI C'•
MAKI· CH4111 ..... Bartelt Aviation, Inc. OATE: 10l19/2017
MOOl!l • 2tC ~ IVC TSN: 65116.6
S•"'1 64 t ,. ? c,..,.,..1,, r...,,t-~ .. ~~·.l~i>'n.,. """'"" fl.l>-l0-''' MODEL 421C S/N 42 1C-104 1 I NC HOURS 6580.4 ·- I
llN •2tC1041 1301 west l.Jlfayette Stre<>t HOB8S: 65116.6 Rl!G NO NOO&&R Sturgis, Ml 49091 WORI< OAOl!R Phone: 2&9-651·5431 8M)(W70.10.2017
The following altimeter and altitude reporting The ATC Transponder tests and inspections equipment test and inspections required by FAR 91.411 IAW FAR Part 43, Appendix " E"
required by FAR 91.413 IAW FAR Part 43, I
have been performed: Appendix " F" have been performed:
I Paragraph (a) Static Pressure System: Transponder Certification Date: 10-3-17
Certification Date: 10-3-17 -
Pilot (#1): 181 I Copilot: 181 I Standby: 0 #1 Model: I PIN: I SIN: GTX 330 ES 011--00455-60 14133163 #2 Model: I PIN: 1 SIN: GTX 327 011--00490--00 83720428
Paragraph (b) Altimeter: SYSTEM PART NUMBER SERIAL NUMBER TESTED TO:
#1 Altimeter GDC74A 20619961 35,000ft. #1 Encoder GDC74A 20619961 35,000 ft. #2 Altimeter 5934PA-3 507651 35,000 ft.
Airframe Entries
Repaired left engine cow1 with an overtay patch and a doubler behind. installed wilh AN426AD3-X rivets and EA9309 structural adhesive .... Performed wiring and operational checks IAW Instructions for Continued Airworthiness and Maintenance Manual Supplement for RAM 1719-3 Propeller Synchrophaser Systems.
Adjusted RPM Increase on left prop governor.
Maintenance Release
The aircraft and/or componenl(s) on N605SR was repaired and inspected in accordance with current FARs rules of the Federal Avialion Regulations and was found Airworthy for relurn to service. Pertinent details of) repair are on file under W0<1< Order No. BA-00470-10·2017, Dated 10/19/2017. .~
OATE' 10/19/2017 SIGNE~7~.AA.,./ ._/ ~ - , - _, W011<0rder: BA-00470-10-2017
#2 Encoder Standby Altimeter 5934PA-3 507664 35,000ft.
Terry lee Brokaw#981475 Printed by EBis 3 (datc:omedia.com)
Paragraph (c) Automatic Pressure Altitude Reporting Equipment and ATC Transponder System Integration Test: I
#1 System 181 #2 System 181 Certification Date: 10-3-17 I
~6 I F0~387Y DATE: 10-3-17
I
I 1 of 1 I
l
--" ~~ DATE 10-3-17 S.O. 60294
www.m.ayda~avionics.com /\\/ !Or.. 11 :-. MAKE Cessna N# N605SR
\\JY ~~:): .,.,.. '-<",.. .. 1o-e 11'tt~.11k<,...'f'l G·.!~,.,~ ... ,»·~ "''·'n.:.s.::o 42 1C-1041 MODEL 4 21C S/N
11/9/2017 I Cessna 421 N605SR S/N 421C1041 TT6609.8
Removed right and left voltage regulators p/n R1224B s/n H-NC HO URS 6580 4 R051749 and H-R051748. Installed new right and left voltage
Replaced the Garmin GOU 620 Cooling Fan. Performed system ground operation checks - no discrepancies noted.
0 Work performed IAWthe GOU 620 Maintenance Manual. PIN 190-00601-10, Rev 1. I Repaired multiple static system leaks and performed system leak check IAW AC 43.13-1 B, ' Chapter 12, Section 4. I
'
regulators p/n R1224B s/n H-R052283 and H-R052265. Re
paralleled alternators. I ,
7~h'/~ !lv-P 19 8" ( 1-7~ - ,/ ' -
I I
11/10/2017 Cessna 421 N605SR S/N 421C1041 TT6613. 7
Removed prop deice timer p/nP07257S-02 s/n 1814, Installed
I
All items were ground checked in accordance with their respective manuals for proper operation and to ensure no adverse reactions occurred to other onboard systems or equipment. The ~:s pe~~ accordance with current FAA regulations and in respect to work performed on the aircraft identified abo s app ved for re to service.
- ~ FOR FAA CRS YXXR387Y ~
_, ~
new prop deice timer p/nP072575-02 s/n3165. Ops ck good.
~~ H nJ'1~7r t I ' ...
MAK~: Cessna Goshen A i r Center, Inc. DATE. 21 November. 2017 .... MODEL: 421C NC TSN: 6626.8
SIN: 421C1041 Repair Sta~on No 17GR159B HOBBS. 6626.8 REG NO: 605SR 17229 County Road 42
.... WORK ORDER: 6302-11-201 7 Goshen. IN 46526 Phone· (574) 533-8245
A i rframe Entr ies
• .... Complied with paragraph (b) ol AD 2000-01-16, dated 02-15-2000, on the left and nght exhaust systems. No defects were found. Next due at 6676.8 hobbs or December 2 1. 2017 whichever occurs later . .. . Maintenance Release
SUB-TOTALS this page ; certify thai this airr..raft and/or cornponcnt(s) on 605SR was repaired and/or inspected in acrordance with current Fed"ral Aviation Regulations and is approved for return to servoce. Pertinent details of tho repair are on filo et Goshen Ai< Center. Inc. der Work Order No. 6302-11-2017.
TOTALS- Carry forward to next page DATE: 21 November. 2017 SIGtJED. Work Order: 6302-11-2017
Torry Chupp Pnnted by EBls 3 (datcom edia.com) Cen1hea Repair Station No. 17GR1599
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DATE MAKE: cesona MODEL:421C SIN: 421C1041 REG. NO: N605SR WORK ORDER: BMI048M1·2017
Airframe Entries
Bartelt Aviation, Inc.
t30t Well Lalayetre stSturgis, Mt •llOOt Phone: 2&~51-5431
DATE: 1111/2018 NC TSN: 1!&15.5 HOBBS: 8645.5
Installed new tail nav light bulb pin GE-1309 Ops check ok .... Serviced 02 to 1800 PSI
Maintenance Release
The aircraft and/or component(s) on N60SSR was repaired and inspected in accordance with current FARS rules of the Federal Aviation Regulations and was found Airworthy for return to service. Pertinent details of the repair are on file under WOii< Order No. BA-00481-11-2017, Dated 1/11/2018.
DATE: 1/11/2016
MAKE: Cessna MODEL. 421C $/N: 421C1041 REG. NO: 605SR WORKOROER 6371--02-2018
Airframe Entries
Goshen Air Center, Inc. 17229 County Road 42 Goshen. IN 46526 Phone. (574) 533-8245
Wor1< Order: BA-00481-11 ·2017
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RMEDPERFORMING W OIO
DATE· 12 February, 20 18 AIC TSN 6652 0 HOBBS 66520
r;omplied with AD 2000-01-16 dated February 15, 2000 paragraph (b) by visual inspection of engine exhaust system per AD instructions. Next due at 6702.9 Hobbs or March 14. 2016 whichever comes later.
Comp:ied with AO 2016-17-08 dated September 12. 2016 by inspection of elevator trim push-pull rod hardware per MEB 27-02 R1. Next due at 6762.9 Hobbs or 02/2019.
l.'11.inlonance Role3se
I < \lf1ofy lhal lho wor1< perfonned on 605SR was repaired and/or inspected in accordance with current Fed~ral Aviation Regulations and is approved for return to service. Pertinent !~lllols of thu repair are on frle at Goshen Air Center. Inc. under Work Order 371-02-2(118.
l)ATE 12 February, 2018 SIGNED Work Order: 6371-02-2016
Mi<KE· Cessna •AOOEL 421C :.;,~ .... 421\.1041 RE:'.>. NO 605SR
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March 09 2018 Cl·ssn:1 421 C S/N: I041 N605SR 6658.S hrs SMOll. W/O : 18-32 -Pilot rcpo11 Liii brake soft. L/H brake hied and ~heck serviceable.
-The maintenance described above has been performed in accordance with the applicable standards of airworthiness. ~
Sl"•n•'d ·. -z2 -Dated :_ M_<.!!~h.Sl_9 _4Q.L~. "' ~ ----~- _ ·--------- ___ __ ·---~-2QJ_9Jj_ 'Aviation R.Goulet Inc
.. , -~~~~--'~~~~~~~~~~~---~------------~--~~-~ Goshen Air Center, Inc. DATE· 19 Morch 2016
AIC TSN 6663 3 HOBBS 6-063 3
WORK ORDER: 6407-03-2018
R~pair Statoon N~ 17GR 1598 17229 County Road 42 Goshen. IN 46526 Pnone. (574) 533-€245
Airframe Entries Rerno1•ed left MLG brake assembly and replaced 0-rings and linir.gs. Elled left brake to .>bta1n proper brake action. Replaced linings on fi!lht brake assembly. Work r erfccmed per Cessna 421 AMM 4-43
M "'ntenanC':! Release
I cP.rtify lhal the work performed on 605SR was repaired anO/or inspected in accorrlanCP. wilh rurrent Federal Aviat:on Regt:lations and is app1cved for return lo service. Po11inon1 ~etail~ of !he repair are on file at Goshen Air Center. Inc. under Work ~18.
~ATE: 19 March. 2018 SIGNED ~ Work Order 6407-03·2016
Terry Chupo Printed by EBis 3 (datcomodia com) Certifoea Repair l:;tabon No 17GR1~9C
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'J IL
Page No •. ___ _
DATE TOTAL T IMC IN
SERVICE
IO IAl TIME
'ilNCt.
OVtRHAUL
TACH O R
RECORDING
METER TIME
DESCRIPTION OF WORK PERFORMEDSIGNATURE & CERTIFICATION NO. O F PERSON PERFORMING WORK
MAKE: Cessna MODEL. 421C SIN: 421C1041 REG. NO: 605SR WORK ORDER: 6376-02-2018
Airframe Entries
Goshon Air Contor, Inc. Rep•~ Sll llOn No 1/0R1 GOA 17220 Co11111y Ro1d 41 Goahen, IN 48528 Phone (574) 533 6745
DATE: 19 February, 2018 AIC TSN: 6655.4 HOBBS· 6655.4
Complied with AD 2007-05· 15 dated April 16, 2007 by Inspection of engine starter adapter viscous damper and shaftgear backlash per TCM MSB 94-4G. Next due at 6755.4 hobbs.
Complied with AO 2004-25-16 R1 dated Ju11e 20, 2005 by visual inspection of fuel regulator per Kelly Aerospace SB A-107A. No leaks noted. Next due at 6755.4 hobbs.
Maintenance Release
I certify that the work performed on 605SR was repolrod and/or inspected In accordance with current Federal Aviation Regulations and is approved for return to service. Pertinent details of the repair are on frle at Goshen Air Center, Inc under Work Order No 6' 8-02-2018.
DATE: 19 February, 2018 SIGNED ~ Work Order: 6378-02·2018
Terry Chllpp Printed by EBis 3 (datcomedia.com)
MAKE: Ces>na MOoel.:421C SIN: 42tC1041 REG. NO N505SR WORK ORDER: BA-0051().()4.2018
Airframe Entries
Certified Re pa" Station No 17GR 159
...... ~ Bartelt Aviation. Inc. 130t w ... Lafayette SlStuigls, Ml 49091 Phone: 2ell-e51-543t
DATE: ol/20/2018 /VC TSN: 0680. t HOBBS: Oll80.1
Complied with AD 91-25-08 R1 using Cessna MEB91-7 on Spar Cap NOT Inspection, with no crack(s) round. Next inspection due at 6980.1 hrs n .... Removed Tachometer pin C66801&-0108 sin 3363, Installed Taellometer pin C668016--0108 sin 298 Ops check good .... CW AD 2016-1 7--08 Elevator trim tab hardware via visual inspection. No discrepancys found.
Maintenance Release
Tile aircraft and/or oomponent(s) on N605SR was repaired and insped.ed in aocordance with current FARs rules of 1he Fede<al Aviation Regulations and was found Airworthy fOf return to service. Pertinent details of the repair are on file under Wor1t Order No. BA-00510-04-2018, Dated 4/20/2016.
c=::z;--; DATE: 4/20/2018 SIGNED: Work Order. BA-0051!>-04-2018
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1ot1
N605SR Hobbs: 6698.4 Smoothed out vent window seal with silicone. Serviced nose tire with 35 PSI nitrogen. Douglas P. Keck A&P 3586678 IA~~
MAKE: Cessna MODEL: 421C SIN. 421C1041 REG. NO: 605SR WORK ORDER: 6477-06-2018
Airframe Entries
Goshen Air Center, Inc. Repair Station No. 17GR 159B 17229 County Road 42 Goshen, IN 46526 Phone· (574) 533-8245
AO 2001-01-16 complied with tty visual inspection of the exhaust systems per paragraph (b) of the AO.
Maintenance Retease
DATE: 12 June, 2018 AIC TSN: 6712.4 HOBBS: 6712.4
The AircnJltt, A irframe. Airer aft engme or Pro pollor tdontdiod at>ovo was r()polf'Od and/<>< inspected on 605$R was done so in accordance with current Fodera! AvjoUon RegulalJon1 und 1111 Qppmvoct
for return to service Pertinent d .. tails of the repair are on Me nt Gosher1 /\Ir Cent Inc under Work Order No. 6477-06-2019.
DATE: 12 June , 2016 SIGNED: Work Order 6477-06-2018
Terry Chupp Certiliod F:epair StallOn No 17GR 1598
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Page No •. ___ _
DATE
MAKE. Cessna MODEL 42 1C SIN 421C l041 ~£G 1-10 605SR
TOTAL TIME IN
SERVICE
TOTAL TIME
SINCE
OVERHAUL
TACH OR
RECORDING
METER TIME
Goshen Air Center, Inc. Repair Station No. 17GR159B 17229 County Road 42
DESCRIPTION OF WORK PERFORM! I I
SIGNATURE & CERTIFICATION NO. OF PERSON l'l fll I IUMIJ~11 Wo 1111
JJOF1K ORDER· 6500·07-201 8 Goshen. IN 46526 Phone. (574) 533-8245
Airframe Entries
Removed cracked gaskets for LH and RH fuel tank caps and replacec wlih new.
Maintenance Release
Trio A1rcraf1, Airframe. Au craft Engrne or Propeller :denlified above was repaired and/or inspected with respect to the work perfomied on 605SR was dono eo In ~tt"lti.. 1111 1111"' 1 t Avmllon Regulations and 1s approved for return to service. Pertinent details of the rep · are on file at Goshen Air Center. Inc. under Worx Order No. 650().07· 20·10
CATE· OJ July, 2018 SIGNED: W•llkflul•o hh111l111 ____ .:..:_ ______________ -=---=-,#--\:.,....,~PH-----------------~~ Printed by I Ill• I (1l•lt 00111• I• • TenyCh11pp
Certifie'' Repair Station No 17GR159B
MAKE: Cessns MOOEl:421C SIN: 42tC1041 REG. NO: Ne05SR WORK ORDER:
Bartelt Aviation, Inc.
1301 Wesl Lafayette Stree1 Sl'"1jis, Ml 49091
DATE: 1115/2018 AICTSN:8731,7 HOB8S:873i,7
BA--0053&-07·2018 Pl>one: 2811-aSl-5431
Airframe Entries
R/R LH wing retracting landing light after OH by Global Aviation Tech Services, Inc. (See 8130-3 for tracking number AZLR-43431 dated 0912812018). Operational check of light is good .... Performed 100 I annual inspection per Cessna 421C Service Manual Guidelines. CfW 200hrl12 Month Pressurization System Inspection Items 1-4 per MM. CfW 200hrl 12 Month Electrical Power (Section 13) Inspection Items per MM. CfW 200hrl12 Month Flight Control (Section 5) Inspection Items per MM. CfW 200hr 112 Month Ice/Rain Protection (Section 12) Inspection Items per MM. CfW 200hr 112 Month Landing Gear (Section 4) Service and Inspection Items per MM. CfW 1OOhr112 Month Hydraulic Landing Gear Inspection and Service Items per MM. Performed 12 Month Gear Blow Down Test per MM. CfW 12 Month Aircraft Lighting Inspection and Function Test. CfW 12 Month Oxygen System Inspections. CfW 12 Month 11 OOhr Vacuum System Inspections per MM. CfW 12 Month I 200hr Fuselage, Door, Nacelles, Stabilizer, Windows, Wings. Inspection and Service Items (Section 3) of the MM. Right Engine GTSI0-520-N Serial No. 608027 removed and reinstalled on this aircraft after repairs by RAM. See Right Engine Log Book for details. Right Engine Installation per MM procedures .... CfW Annual ELT inspection per FAR 91.207 (d) and Artex ME406 ICA. Passed test. ELT Battery replacement due June, 2020 .... CfW AD2004-25-16R1 - Heater fuel regulator shutoff valve inspection by visual inspection. No discrepancy found. Due again in 1 oo hrs or 1 year.. .. crw AD2004-21-05 Combustion Heater Decay Test. Heater passed pressure decay test. Differential pressure switch failed. installed new differential pressure switch pin 94E42-1. Function check good. Due again at 388.7 heater hours or 1112020 ... Performed 12 month Aircraft Battery CAP check per mfg recommendations .... Performed an Annual inspection of the Emergency Exit Door Seal with no defects noticed. Reinstalled Emergency Exit door in aircraft .... CfW 2 yr Landing Gear Rigging and Ops Checks per MM .... Inspected nose gear trunion IAW MEB88-5 R2. Used the Florescent Penetrate Inspection option for
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crack detection. No discrepancys found. Inspection due again in 1000 landings. Installed_ new bushings and bolts in the steering yoke. Shimmed steering yoke for proper alignment. Installed new bolt in nose Wheel axle ... . Complied with FAAAD 2016-17-08- Elevator Trim Hardware Inspection by replacing aft Elevator push rod hardware and inspection of forward hardware to Elevator Actuator. Next inspection is due in 1 oo hours, or 6831 .7 hours TT. Intervals not to exceed 110 hours TIS or 12 months, whichever occurs first.... Tensioned Rudder control cables and adjusted per Section 50-20 of 421 C Service Manual. Operational and Travel checks good. Also re-adjusted nose wheel steering cables to align with rudder .... Tensioned Yaw Damper cable tension per Cessna MM .... Tensioned Aileron Trim Cable per Cessna MM .... Installed new snap ring on left fuel selector handle .... Lubed Pilot and Co-Pilots seat belt inertia reel mechanisms .... Installed new Instrument Central Air Filter pin AM103535351A. Replacement due in 500 hrs@ 7231 . 7 TT ... Replaced SCAT duct on left Air Conditioning Evaporator .... Secured Entry Door Pressure Valve .... Installed overhauled A/C Blow Motor pin MB55B1, sin 21121AY. (See Pifer's Airmotive 8130-3 Form Tracking Number 217 45 dated 1012/2018). Blow motor had to be sent back to Pifer's Airmotive, Inc. for field and barrel change. After repair, sin changed to 217481Z. See Piter'sAirmotive, Inc. WO# 00021748 .... Removed and replaced left Elevator Trim Cable PIN 5200008-29CR per Section 5-30 of Cessna 421 C Service Manual. Tensioned and rigged Elevator Trim system to spec's, with Travel and function checks good. Also cleaned and lubed the Elevator Trim Actuator .... Installed new Left main inboard Wheel Half PIN 161-01901. Installed new Goodyear Flight Custom Ill pin 650C86-3 sin 80792306 and new Michelin Airstop Tube PIN 092-344-0 on left main wheel.... Performed dye penetrant inspection, NON, painted, and Installed used serviceable wheel half pin 030666-1 on Nose Gear. Installed new Goodyear Flight Custom Ill PIN 606C66-8 SIN 81442138 and new Michelin Airstop Tube PIN 092-500-0 on Nose Wheel .... Installed new Timken Wheel Bearing pin LM29749 in Nose Wheel.... Cleaned battery box hardware and applied acid proof paint to hardware .... Performed inspection of Spoilers per Spoilers Inc ICA .... Cleaned outboard flap pushrods and painted with self etching primer .... Replaced overhead map light lamp in cockpit.. . Installed new Fire Extinguisher Model C352, SIN- NO.F-49184466 .... Tightened LH and RH main gear uplock hooks to reduce sideways play .... Installed new Uplock Rollers (2ea) PIN 5741157-1 and (2ea) Bolts PIN NAS6204-230 on RH and LH Main Gear .... Reshimmed LH and RH Main Landing Gear Trunions. Installed (1ea) pin 5941170-4 pin, (4ea) pin 5941173-1 washer. and (2ea) pin NAS561P6-36 pin.
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TOTAL TIME TACH OR DESCRIPTION OF WORK PERFORMED-TOTAL TIME IN
DATE SINCE RECORDING SIGNATU RE & CERTIFICATION NO. OF PERSON PERFORMING WORK SERVICE
OVERHAUL METER TIME
l I CERTIFY THAT THIS AIRCRAFT HAS BEEN INSPECTED IN ACCORDANCE WITH AN ANNUAL INSPECTION AND WAS
l DETERMINED TO BE IN AIRWORTHY CONDITION.
OATE: 1115/2018 SIGNErc::;k- ~ / ~ Worlc Order: BA-00536-07-2018
I Larry E. Russell, llr"3531609 Printed by EBis 3 (dalcomedia.com)
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MAKE: Cessna Bartelt Aviation, Inc. DATE: 12J20/2018 MOOEL: 421C A/C TSN: 8751.3 SIN; 421CI041 1301 West Lafayette Street HOBBS: 8751 .3 REG. NO: N605SR Sturgis, Ml 49091 WORK ORDER: Pl>one: 2811-a51-5431 BA--00558-1 t -2018
Airframe Entries
I Installed new Heater Combustion Air Blower Motor PIN 90E83-2 and (Used Serviceable) PIN 07DnS Noise Filter. Performed Heater Operational Checks .... Installed Wing De-ice Light Bulb pin GE-1385. Repaired bulb
I soeket and wiring.
Maintenance Release I
The aircran and/or component{s) on N605SR wa5 repaired and inspecled in accordance with current FARs rules of the Federal I Aviation Regulations and was found Airworthy for return to service. Pertinent details of the repair are on file under Worlc Order
I No. BA-00558-11-2016, Dated 12120/2016.
,,,-_~ ' DATE: 12120/2018 SIGNEy. \ Worl< Orde<: BA-00558-11-2018 . I Larry E~A: 3~1609 - Printed by EBis 3 (datcomedia.com)
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TOTAL TIME IN TOTAL TIME TACHOR
DESCRIPTION OF WORK PERFORMED-DATE SINCE RECORDING
SERVICE SIGNATURE & CERTIFICATION NO. OF PERSON PERFORMING WOlll< OVERHAUL METER TIME - =
TOTAL TIME IN TOTAL TIME TACH OR
DESCRIPTION OF WORK PERFORMED-DATE SINCE RECORDING
SERVICE OVERHAUL
SIGNATURE & CERTIFICATION NO. OF PERSON PERFORMING WORK METER TIM E
MAKE:C...... Bartelt Aviation, Inc. DATE: 7/15/2019 I MOOB.:•21C NC TSN: 6828.• SIN: '421C1<M1 1301 Wesl laf8Y'!ll• Slreet
HOBBS: 6828.•
I REG. NO: Nll05SR Slt.WVls. Ml •9091 WOAA OROER: Phone: -.e51~1 BA-00011.(17-2019
Airframe Entries I C/W AD 2016-17-08 Elevator trim tab hardware via visual inspection. No discrepancys found. Due again at
,.,.,.-· ~ ~ www.maydayavlonics.com
DATE 10-21-19 S.O. 62254 AVION I CS . MAKE Cessna N# N605SR
SSOO"""SI Sf, C..tldll ron:l~""Cat.&t..,~~."' ';su Sl'-'iS1·49l0
MODEL 421C SIN 421C-1041
Hobbs 6926.4 .... C/W AD 2004-25-16 Heater Fuel Regulator Shutoff Valve by visual inspection. No I discrepancys found .... Removed and Replaced Fuel Cross Feed Line in RH Wing Root Leak check I Satisfactory.
I
Maintel'\9nce Release
The aircraft and/or component(s) on N605SR was repaired and inspected in accordance with current FARs rules of the Federal Aviation Regulations and was found Airworthy for return to service. Pertinent delails of tile repair ere on file under Work Order No. BA-00611--07-2019, Dated 7/15/2019.
,,- / ,/ DATE: 7/1512019 SIGN~ Work Order. BA-00611--07-2019
Lany ~~ - ~31s09 ~
Printed by EBis 3 (datamedia.com)
NC HOURS 6864.2
Installed G600 System Software: GDU 620 Software Ver. 7.37, GRS 77 Software Ver. 3.06, and GAD
43e Software Ver. 2.32 IAW the Garmin Software Service Bulletin No's: 1937, Rev A & 1939, Rev A .
Installed Main Software Ver. 6 .62, NAV Software Ver. 6 .03, and COM Software Ver. 2 .30 in the dual I
Garmin GTN 750's; and installed S oftware Ver. 2 .90 in the Flight Stream 210 IAW the Garmin Service
Bulletin No.: 1933, Rev A and 1943, Rev A . I
Installed Software Ver. 3.40 to the Garmin GDL 88 in accordance with the Garmin Service Bulletin No.:
1764, Rev A. ' Installed Software Ver. 8 .04 to the Garmin GTX 330 Transponder in accordance w i th the Garmin
Servic:e Bulletin No.: 173 4, Rev A & 1804, Rev A.
Installed Software Ver. 4 .1 3 to the Garmin GTS 800 in accordance with the Garmin Service Bulletin
I No.: 1909, Rev A.
1of1 , All items were ground checked in accordance with their respective manuals for proper operation and to ensure no adverse reactions occurred to other onboard systems or equipment. The above work was perfo)t~ in accordance with current FAA regulations and in respect to work performed on the alrcra~de}'tified abov6js appL for"! m to service.
- - - ~ FOR FAA CRS YXXR387Y
---J. I I I EXECUTIVE AIR TRANSPORT, INC. I I « , I 103 Sinclair Drive • Muskegon, Ml 49441 I I I I
DATE: 7/ 19/2019 HOBBS: 6840.9 I
TAIL#: N605SR TYPE: 42 1C SIN: 421C-1041
I. Complied with AD95-09-13 by fuel inlet valve functional test found sati sfactory. Next due I
I lobbs: 7440.9. I Complied with tho •bo.o '''b~""' M•iotoo~oo M~"ru.
I i~ rle .
AP 36 4557 I I I I
J
~ DATE 10-21-19 s.o. 62254 ~ MAKE Cessna N# N605SR ~~ N 1 cs • • www.mal'(layaYIOt1ICS.com
M3G .... ~'!il'- GfniU &_'«'fl ...... ~-... t.~ ........ ~'1 ll.t~9)0 MODEL 421C SIN 421C-1041 NC HOURS 6864.2
The following altimeter and altitude reporting The ATC Transponder tests and inspections equipment test and inspections required by FAR 91 .411 IAW FAR Pa.rt 43, Appendix "E" required by FAR 91.413 IAW FAR Part 43, '
have b«n perfonned: Appendix "P ' have been performed:
Paragraph (a) Static Pressure System: Certification Date: 10-21-19 TransponderCertllication Date: 10-21-19
MAKE:Cessn1 Bartelt Aviation, Inc. DATE: 10/15/2019 MOOEL:•21C SIN: •21C1CM1
A/C TSN: 6863.3
REG. NO: N605SR 1301 WesHAfayette Street HOBBS: 6863.3
WORK ORDER: SltJ<gls, Ml •9091
BA-00833-00-2019 Phone: 29U51~1
Pilot (#1): 181 I Copilot: 1810
I Standby: O
11 MOdel: I PIN: I SIN: GTX 330ES 011-00.55"'0 M133163 12 Model: l PIN: I SIN: GTX 327 011-00.90-00 13720.28
Paragraph (b) Altimeter:
Airframe Entries SYSTEM PART NUMBER SERIAL NUMBER TESTED TO:
#1 Altimeter GDC74A 20619961 35 OOOft.
Removed an.d ~installed Left Retractable Landing Light (Grimes) PIN 45-0148-10, SIN 62763 after repairs by GlobalAv1at1on Tech Services. Inc. See FAA Form 8130-3 Dated 1014119, FTN & W0#43976. Performed I operation check of unit... . Removed INOP Right Aux Fuel Pump PIN 287-29, SIN 5AT-111 . Installed (Parker I Hannifin Corporation Overhauled Aux Fuel Pump PIN 287-29, SIN 12AT82. See FAA Form 6130-3 Dated
I 5114119, FTN#C211338-1 , W.O. 20190327-45. Performed operational & leak checks .... Cleaned and sealed De-Ice Boots with PBS products.
#1 Encoder GDC74A 20619961 35 OOOft. #2 Altimeter 5934PA-3 507651 35 OOOft. #2 Encoder Standbv Altimeter 5934PA-3 507664 35 OOOft. Paragraph (c) Automatic Pressure Altllude Reporting Equipment and ATC Transponder System Integration Test:
#1 System 181 #2 Svstem 181 Certilication Date: 10-21 -19
I Maintenenc:e Release
The airaall and/or component(s) on N605SR was repaired and inspected in accordance with current FARs rules ot the Federal ~ d Aviation Regulations and was found Airworthy for retum to servioe. Pertinent details of the repair are on file tnjer IAlof1< Order No. BA-00633--09-2019, Dated 10/15/2019. FOR FAA CRS YXXR387Y DATE: 10-21-19
DATE: 10/15/2019 SIGN~~ Woc1< Order. BA-00633-09-2019
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TOTAL TIME TACHOR DESCRIPTION OF WORK PERFORMED-TOTAL TIME IN
DATE SINCE RECORDING SIGNATURE & CERTIFICATION NO. OF PERSON PERFORMING WOllK SERVICE
OVERHAUL METER TIME
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IW<E: C..... Bartelt Aviation, Inc. 04 TE: 1l22/2020 l MOOEL:421C AJC TSN: eaea.e SIN: 421C1041
1301 west Lllayette -HOBBS: eaea.e
REG. NO: Ne05SR Sturgis, Ml 4ll091 WORK ORDER: Pllone: -1-5431 BA-00&6$.12-2019
Airframe Entries
Performed 100 I annual inspection per Cessna 421C Service Manual Guidelines. crw 200hr/12 Month
I Pressurization System Inspection Items 1-4 per MM. CfVI/ 200hr/ 12 Month Electrical Power {Section 13) Inspection Items per MM. CfVI/ 200hr/12 Month Flight Control {Section 5) lnspec1ion Items per MM. CfVI/
l 200hr / 12 Month Ice/Rain Protection {Section 12) Inspection Items per MM. CfW 200hr I 12 Month Landing Gear {Section 4) Service and Inspection Items per MM. CfW 100hr / 12 Month Hydraulic Landing Gear Inspection and Service Items per MM. CfVl/ 12 Month Aircraft Lighting Inspection and Function Test crw 12
I Month Oxygen System Inspections. CfVl/ 12 Month/ 100hr Vacuum System Inspections per MM. CfVl/ 12 Month I 200hr Fuselage. Door, Nacelles, Stabilizer, Windows, Wings. Inspection and Service Items {Section I 3) of the MM .... CW Annual ELT inspection per FAR 91.207. Battery Expires June 2020 .... CfW AD 2004-25-16R1 Heater Fuel Regulator Shutoff Valve Inspection {Due every 12 months) .... CfVl/ 12 Month Aircraft Battery Capacity Check (Test 80%) .... CfVI/ 12 Month Emergency Exit Door Operational Check & Seal Inspection .... Perfonned 12 Month Fire Extinguisher Weight Check {4 lb-6 oz) .. _.. CfVl/ 12 mon~ Blow Down Boltle Inspection/Test. System Pressure at mfg specs .... CfW 12 Month Landing Gear Operational
, Checks/Servicing per MM {Section 4). Performed 5 fault free cycles .... CfW AD 2016-07-24 Elevator Trim Hardware Inspection {Due every 100hrs). CfVI/ Cessna Service Bulletin MEB-27--02 Elevator Trim-Tab Push-Pull Tube Hardware Replacement. New {2ea) NAS464P3-8 Bo11, {2ea) MS17826-3 Nut, {2ea)
I NAS1149F0316P Washers, {2ea) MS24665-132 Cotter Pin .... Installed new Nose Taxi Light PIN GE-4594 .... Removed and Reinstalled Lift Detector Part Number 186-8. Serial Number 1686 after Overhaul by Safe Flight Instrument Corporation. See Form 8130-3 Dated 1114/2020, Fonn Tracking Number 1841~···· . Serviced Oxygen Bottle .... Removed and Reinstalled Kl-248 PIN 066-3076-00K SIN 90203 after inspection
I and repair by Mayday Avionics, Inc. See Form 8130-3 Dated 12130119. Form Tracking #62440. Removed
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and Reinstalled KA-128 PIN 071 -1285-00 SIN 95222 after repairs by Mayday Avionics Inc. See Form 8130-3 Dated 12130119, Form Tracking #62440 .... Installed new LHAileron Cable PIN 5000008-146 {Fuselage to
I Wing). Adjusted and Rigged per Cessna 412C MM .... Installed new Goodyear Flight Custom Ill Tire PIN 650C86-3 SIN 91012080 and Michelin Airstop Tube P/N 092-344-0 on Right Main Gear .... Installed new Goodyear Flight Custom Ill Tire PIN 650C86-3 SIN 91012029 and MichelinAirstop Tube PIN 092-344--0 on Left Main Gear .... Cleaned and Lubricated Aileron Trim Cable Chain at Actuator in left wing .... Installed new Rudder Ground Strap .... Remove RH elevator for repair due to skin crack at rivet head location. Outsourt:ed skin replacement to Airframe Components by Williams {See yellow tag and WO 20979 and Invoice 12278 dated 1115/2020) Outsourced elevator paint WOik to Sturgis Aviation. Elevator Static Balance checked in
I accordance with Cessna MM Chap.1 Sec. 90. Reinstalled per Cessna MM .... Installed new PIN 9910408-3 Lower Cabin Door Snubber Seal.... CfVI/ (12 Month) Spoilers, Inc lnspection/Operatlonal Checks .... CfVl/ 12 I Month Flight CcmpartrnenUCabin Side Window {Acrylic) Inspection {Visual) .... CfVl/ 12 Month Wing and Stub I Wing Structure Type A Inspection.
I CERTIFY THAT THIS AIRCRAFT HAS BEEN INSPECTED IN ACCORDANCE WITH AN ANNUAL INSPECTION AND WAS DETERMINED TO BE IN AIRWORTHY CONDITION.
DATE: lf.22/2020 SIG~:r.;; ~ Worir. Order: BA-00645-12-2019
I L.aTY . • . 3531609 Printed by ESis 3 (dalcornedia.c:om)
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TOTAL TIME IN TOl
DATE : SERVICE
ov
~cas... MOOEl.. •21C SIN. 421C1041 REG. NO. Ne05SR WORK ORDER: llA.ooeeo-02-2020
Airframe Entries
1.
2.
3.
Barte 1301 Stw;ls. Phone:
It Aviation, Inc.
FAA. Approved Repair Station No. 9JBR401B 954.492.3522
Removed defective Cabin H eater Ignition Assembly. Installed Overhauled Ignition Assembly Part No. 17E24-4 from Harold Haskl ns, Inc. See FAA Form 8130-3 Dated 31612020, Form Tracking No.7170, W.0
perational Checks. OK for return to service. {Heater Hobbs 340.9) 5736. Performed Heater O
Maintenance Release
The airaaft end/or component(s) Aviation Regulations and was f No. BA-00660-02-2020, Dated
DA TE; 3/16/2020
Larry E:J:lA 3531609
MAKE Cessna MODEL 421C SIN 421C1041 REG NO· 605SR WORK ORDER 7057
Airframe Entries
'
Goshen Air Center, Inc.
RepairSlation No 17GR159 B 17229 Counly Road 42 Goshen, IN 46526 Phone (57 4) 533-8245
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Worir. Order BA-0066().()2-2020
Printed by EBls 3 (dalccmedia.oom)
DATE 12 May. 2020 AJC TSN 6898.8 HOBBS 6898 8
Replaced voltage regulators with new Plane Power R1 224B unrts sin H-U041410 and H-U0414il9 Replaced loft anernator With new Plane Power C28-150 sin H-UO 11630 and right anernator with new Plane Power C28-150 sin H-U020568 IAW Hartzell Engine Technologies lnstollat1on lnstruchoos 15-1000 rev H Replaced right propeller deice brushes w/new RAB400t2 IAW Cessna 421 MM 30-60-00
tAaW'ltenance Release
Ttle Aircraft. Airframe. Altctal't Engine Ot Propeler ldent&fied above \ltaS repal'ed and/or onspecied With respect lo the WC>tk pertOfmod on 60~Sift w.111 ctn• .. ~ lfl *'"' tWd.trK • w lh, wr• ut J .mo,11 Av1allon RegulabOns and is approved for return to ser.nce Perllnen1 <letajs e repa~ are on file at Goshen Alt Center IOC u00or Worli 0.<1<11 " " 10~1
_-,,--SIGNED. ~ DATE: 12 May, 2020
I 1rl1tl• ll hy I Itta .1 h lllh 01111111111 1.0111)
Wo1k Onl"' /OIH
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