aircraft d~scription
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2 AIRCRAFT D~SCRIPTION ,. f ==========================================-llllllililll
Manufacturer BEECH AIRCRAFT CORP. Place lWlCHITA, KANSAS Date
I License No. Type V.3$13 Serial No. D-9511'1 Description
Reconstructed By Place Date
Seating Capacity (Crew Included) Weight Empty Weight Loaded
Wing Area Sq. Ft. Control Area Sq. Ft. Span Length
Tires Main Tire Tail Brakes
Owner Address
City State
' EQUIPMENT DESCRIPTION 3
= ·'.)peller Mc, {!_91.L&E. y
= ode Design $ 8-¥-B-o
= tch Width
Hub Design o'l,B.3/,{!_ ~!J __ H_ub Serial No: 73'i/rf_'l3_
Blade Serial No. 8 :l, fl//~ yL_ _ _§~ade Seriai No.EJ~'iJ /If/ rJ · Diameter
=_n.-'._g1_ne_~~'"'-'O~N,_.T'.~LN~e~N-S-S-T.-#-fl.u'Le>,L_ ___ M_o_de_l ____ I=--"'o'-----"'~'---"~=--""o'---'/3=---<..!fl.____s_er_ia_l _N_o. _ _,~~ / .:l 8 <K
~ated H. P. j-8 {✓@ P,7Dt> RPM} Bore Stroke ---------
~eceiver Model Serial No.
Transmitter Model Serial No. Output
Generator Model Serial No. Amp. Volt
•art er Model Serial No. Volts
wer Unit Model Serial No. Volts
R~MARKS
··. ~ : INSPECTION - MA,ENANO::- REPAiRS-ALTERATIOI-JS
l ~~ i'=..=~-==~-l-1-!i:.~~-n =-=~~ -, ==tiaccorctance wiflir~. R. 91,25 I certify n,-ol 0111meler ona·sroticsynem tests
__ 1 Omni directional receivers required by--F-M~t--9J.170 ha¥e been performed. were fo.ynd to be accurate to
_vdtfam:r O degrees Static system test date /-2 S· 74 .
• (/J/1/ . L • Altimeters tested to .£a aP:a feet. --4~+?4:12 :z:0_ ;&' LH A1trmeter SN ff 6 6;z., . Dote //-P., -?..! .
PIiot •• Radio date RH Aitimeier SN ;'::: • Dole <Y,/4 •
1
,
~:~mv ,o a, REPLACED ON oo FOi< Bii.E2i~RP. , O;JA, PC#8
FOR BEECH AIRCRAFT CORP. PC#8
----··------
l<~MARKS 7
INSPECTION - MAINTENANCE - REPAIRS -ALTERATIONS
,.
IRPORT HOUSTON, TEXAS
I I T I-('~ D ~ T~ -/1-7- 7'1-
DATE
l
8
NATURE OF FLIGHT
TIME OF No.of FLIGHT Pass.
Up Down
FLIGHT LC-G •.
TIME IN AIR
f.-lours Min.
Miles
Flown REPAIRS - ADJUSTMENTS - REMARKS SIGNATURE I \ I J _j_____--1----+~----tl-------t--tJ-----+~~~~~~~ry-
'·t· '.• ~ 1 ----l--------+-il--++--t-----lt--t---w-1~mmrmmJfTRr1~---'------J---: i I : ;r
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- I' TOTALS FORWARD
TOTALS TO DATE
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R~MARKS
AINS..£E~T)fl~ - MAINTENANCE- REPAIRS-ALTERATIONS CERTIFY THAT TilIS. Lt:.c.:K/.t'F.::T..HAS BEEN
NSPECTED IN ACCOPDAUCE WJ"TH A . --~4!.~~
HOBBY AIRPORT HOUS'.l'ON, TEXAS
9
10 FLIGHT LOG
R!:PAIRS - ADJUSTM!:NTS - R!:MARKS SIGNATURE:
certify ;ha! tl-:,s c i,crcft has been
. l l :1
'
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::; \ -
It , i:··· / ; -.. ~
·.'
TOTALS FORWARD
TOTALS TO DAT!:
'
REMARKS. 11
• )ATE INSPECTION- MAINTENANCE- REPAIRS-ALTERATIONS
Cl,.,..,.,111/-e.Te. d rh, s Jar,,, ,-....,,c.,r..,z., is ' Jr ~
(',qR/e ~ A-l/e3/~l E;:u,z, ~ ~ It t -5/.a,e,TL d, W).e_,u ,ti'-IV'l,,Z..;,µ'7 ,
_!__-+--------------------~---------------------
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12
DATE: NATURE: OF
, i' i
11~
~ ;, ,' j
FLIGHT LOG
TIME: OF No.of FLIGHT Miles Pass. le--~---+1----~----11 Flown
TIME: IN AIR
Up Down Hours
REPAIRS - ADJUSTMENTS - REMARKS SIGNATURE:
1 , i
~¼,I I 1
_ 1 I '.!; ---1------+---ll----+--IJ---+-Jl--+----------------f-----+---------I. 1,
TOTALS FORWARD
TOTALS TO DATE:
·'
R~MARKS 13
=~TE INSPECTION- MAINTENANCE- REPAIRS-ALTERATIONS
'91 ·~i==================-=-=-=~=-c-=-c-================
,.
R~MARKS lS
JATE INSPECTION - MAINTENANCE- REPAIRS-ALTERATIONS
Aircraft or Component identifioo nbove v,ae rer,-tlrd. rm.~1 h~r: 1~cred in accordance with current '?,:o .. :'~"':2! /H": R.e•:;u!:;:;tiimr; n:ad is c:,v,r::'c ':rn to service. Pertinent d0taifa are on file nt thls Agency =dor .V • Executive Air Avionics
16
DAT!: NATURI: OF
FLIGHT
FLIGHT LOG
TIMI: OF No.of FLIGHT Miles P,.ss. 11---~--tt---~-11 Flown
TIMI: IN AIR
Up Down Hours Min.
Rl:PAIRS - ADJUSTMl:NTS - Rl:MARKS SIGNATURE::
~ : I ' -----+------1--ll-------1--------lfu.JL,~~~~~~~~~~'U.£,N~~~~~
.;11 I I
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TOTALS FORWARD
TOTALS TO DAT!:
R~MARKS ~ ~ 17
)ATE INSPECTION - MAINTENANCE- REPAIRS-ALTERATIONS
inspec:e::! in a:::cc:-donce with a ,A/
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NATURE OF No.of DATE
FLIGHT P11ss.
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TOTALS FORWARD
TOTALS TO DATE
=::&LIGHT LOG
TIME OF TIME IN Miles L -FLIGHT AIR REPAIRS - ADJUSTMENTS - REMARKS SIGNATURE
"-' Flown Up Down Hours Min.
~ re-:: -/:,__, __ /,, ~"':r7 A--.~/ ) '7'} :'... iZ /'... u 1/ -- / ;' / . l. ·) V
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REMARKS 19
)ATE INSPECTION- MAINTENANCE- REPAIRS-ALTERATIONS
-&~U'u~---~~~~~~<M.~'!!!!l!!li~~~~~~~'------'l~~~~~-----~,r
________J______~~~~~L_____ I
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20
DATE:
: I '
NATURE: OF FLIGHT
TIME: OF No.of FLIGHT Pass.
TIME: IN AIR
FLIGHT LOG
Miles
Flown RE:PAIRS -ADJUSTME:NTS - RE:MARKS SIGNATURE:
'i 1:: __ _j _____ -+-----11--+-+---+-+-+-------------t-----,-,,k ,,, .,:=~====4==+=~==H=r=======c±===±== 1 i:
TOTALS FORWARD
TOTALS TO DATE:
REMARKS 21
)ATE INSPECTION - M1'1INTENANCE- REPAIRS -ALTERATIONS
/--4
•
22 :=:
NATURE OF DATE
FLIGHT
-
t/- ~~
·i !:I
No.of Pass.
-E~HT LOG
TIME OF FLIGHT Miles
e-------+1------.--11 Flown
TIME IN AIR REPAIRS - ADJUSTMENTS - REMARKS SIGNATURE
, 1-{1+-1 --+------+-+-+--fr---t---1r---D'~!!!Ll---~-a:aa__:_ ___ ~~~Rm~mt1mimu"
,J----l-----~-+-l-+----f--lt----t----------1------r-:i: 1
,!~,.._. ---l-----+----\1------+-+---+-t---t-----------,---T-,,
i __ _JL----~,-~~-+-4----t-+--t--------------r-------r! • L -~ : :
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TOTALS FORWARD i _._:_.:::.:..:~:__:__=-:..:_::..:_::.:.::__4_-ft--+-+-----t--tt-----j
TOTALS TO DATE
------
- ,
R~MARKS 23
)ATE INSPECTION - MAINTENANCE- REPAIRS-ALTERATIONS
24 -
DATE: NATURE: OF
FLIGHT
FLIGHT LOG
TIME: OF TIME: IN No.of FLIGHT AIR Miles Pass. f-----,-~---,-71 Flown REPAIRS - ADJUSTMENTS - REMARKS SIGNATURE:
Up Down I-lours Min.
=-==¾===1=====+=~~~~9!==y=========t====t=
TqTALS FORWARD
T iTALS TO DATE:
- -,-. ~-====r=======r==n==::~=====~===:==::=:===ir====r==========::======,--;====r===
TIME OF TIME IN
'DATE NATURE OF
FLIGHT No.of FLIGHT AIR Miles Pess. 11--~----~-1, Flown
Up Down Hours Min.
REPAIRS - ADJUSTMENTS - REMARKS SIGNATURE
==a=\====f======t===/1=9==j!c====j=~==j=============l=======~
. - -•i-1 ---+------+----jj--!--"11----'~~ll.J;;J¥11lnJ.,W__f".lill,L__lll.!ilD!iit¥.!-~~L.1:~~~-+i I
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-----t------t----tt-----1--ir------i----n----r-------------t------i--
--=--==========j===ij===i=='!t====i="1r"='l'============cl:=:===="==
REMARKS 27
DATE INSPECTION - MAINTENANCE - REPAIRS -ALTERATIONS
Jo /~. 'IZ
j
=-·,=~====t====#==r=~==+=t==t=======±=====t== TOTALS FORWARD
TOTALS TO DATE
REMARKS 29
DATE INSPECTION - MAINTENANCE- REPAIRS -ALTERATIONS
'==±================================= 1"'\
"
----- ~
FLIGHT LOG )0 ==~''~-~====;==c===rr==c====:=::=n==~~=w=====r===========r=====r="
TIME OF TIME IN No.of FLIGHT AIR Pess.
DATE Miles
Flown REPAIRS - ADJUSTMENTS - REMARKS SIGNATURE
=------1------+--+-+--lt--t--tl-+----------,----r-- ~L1
_ _j_ ____ +----it-+-1~-+--il--t-----------,----r ,. ! ·~ ----l-------1----it---+--il--------4--ft----,L__--------------,-----r~
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---------L-----+--+-+--1t--t--tl-+----------,---r ·_ ...,.r-·--+----+--fl--+--tl--+--tt--t--------7--,-
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, · TOTALS FORWARD ' - --,--.. _:_:::....:.:....:.:::=......:~----+-+-+--tt----i-,r-1
_ -~~- TOTALS TO DATE
- .
REMARKS 31
DATE INSPECTION - MAINTENANCE- REPAIRS-ALTERATIONS '1
FLIGHT LOG
! ___ , ___ _j_ __ -1--+--+-+-+-r--t-----~---,--r-'=====~==ct===~=9t'==t=#=t========t===:±=
TOTALS FORWARD . - ---,--.... __ ~~:_:___::::~=--1-+--t--tt----J--;--tJ--1
__ : _, --~TO~T~A~L~S__!T~O~D~A~T_:_E __ L~L_l _ _JL--'-_:__1_'._1t__1 _________________ _
;
R~MARKS 33
INSPECTION- MAINTENANCE- REPAIRS-ALTERATIONS
/
DATE NATURE OF
FLIGHT
TOTALS FORWARD
TOTALS TO DATE
TIME OF No.of FLIGHT P11ss.
TIME IN AIR
- ' 'rt.. I G HT LOG
Miles
Flown REPAIRS - ADJUSTMENTS - REMARKS SIGNATURE
----------- -~- ~----..:::~--~~---=,i.--~-,------------------
LICENSE NUMBER DAl
.. ' --..
t --
t f • ·.J....JI
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:~ez;Ztr~· .~------The aircraft, engine propeller or appliance identified above was repaired and inspected in accordance wi, ... tll--current regulations of the federal Aviation Admini• str;;t'on and is approved for retu • i Pertinent details of the repair are on file at this repair station. 'l2, ~ 1, Work Ora er No ... {)_t'.j:t). 1/.. .................... -
-----+---~----------D_ATL~"?j-~~?~~~;::=-----------.. ----SIGNED.. . ....... = . .✓-;,~,.a~~~if:::J .......... for
AV/All . 'fEXAS, INC.
~'-.. '. -.t+-.·- -----------~Fi... AH,·..,,A~."F,e~e~tt-ifi_ed_R_ep_a_ir_s_ta_t_io_n_#_3_B3_4_-__ --_--_··-_-_·_·-_-_-·---~---·-- 3300 lM Fielctrk
Da!tas, Tx. 75235
1--------------~~~---,-----------------~--~~---------------•~i
.•. •. J·
NATURE OF FLIGHT
TOTALS TO DATE
FLIG'I--H LOG - I
TIME OF TIME IN No.of FLIGHT AIR Miles Poss. 11--------tt----~-1, Flown
REPAIRS - ADJUSTMENTS -ttEMA-85 • ; Sl~NATURE LICENSE NUMBER
R~MARKS 37 ===,========================================i,
DATE INSPECTION- MAINTENANCE-':": REPAIRS-ALTERATIONS
FLIGHT LOG =~¼,~38~=====r=if=====::=::=ii=-~~-~·~F==r===========r===,==
TIME OF TIME IN
DATE NATURE OF
FLIGHT No.of FLIGHT AIR Pass.
Miles
Flown REPAIRS - ADJUSTMENTS - REMARKS SIGNATURE
---_J_ __ -J-4-t-----4_-+-+-+-------,--~
---.__'._'.TO~T~A~L=.S_:F~O:::R:_:W:.::::A:::RD:.__+---ff---t---iJ----j;11- 1 TOTALS TO DATE
REMARKS 39
DATE INSPECTION - MAINTENANCE- REPAIRS -ALTERATIONS
\
40 "''"'-==-,====r====r===r~~~~~r========r===
TIME OF TIME IN
FLIGHT LOG
------
DATE NATURE OF
FLIGHT No.of FLIGHT AIR Miles Poss. 11----~---11------,,-----tl Flown
Down Hours Min.
REPAIRS - ADJUSTMENTS - REMARKS SIGNATURE
~~'=1====t=~=t=+===l==#===r========±===lc= -----__ TOTALS FORWARD
----__ TOTALS TO DATE
R~MARKS 41
)ATE INSPECTION - MAINTENANCE- REPAIRS-ALTERATIONS
42
I DATE NATURE OF No.of
FLIGHT LOG
TIME IN AIR Miles
11----,----fl---,---H Flown REPAIRS - ADJUSTMENTS - REMARKS
~~===h======t===#===p -==
·f°•. TOTALS FORWARD
I .:.... TOTALS TO DATE
SIGNATURE
REMARKS 43
)AT(: INSP(:CTION- MAINTrnANC(:- R(:PAIRS-ALT(:RATIONS g
------t----------------------------1
t
~R,: ,_.... -- -------------- - -
' i 44 .-ftd :( FLIGHT LOG 1.==,=======,====n=T:§=IM=:l::=O=':F:=ir=:::Tl~Ml:~IN==tr=i==============r====F==
NATURE: OF FLIGHT
·'!TOTALS FORWARD
TOTALS TO DATE:
No.of FLIGHT AIR Miles A T TS R'"MARKS SIGNATUR'" LICl:NSI: Rl:PAIRS - DJUS Ml:N - c: c: Pass. 1---~--H-----.-------11 Flown NUMBl:R Up Down Hours Min.
---~-------~---------------~---
=
=
REMARKS LS
INSPECTION - MAINTENANCE- REPAIRS-ALTERATIONS
DATE NATURE OF
FLIGHT
--
II T!ME OF I No.of i FLIGHT
Pass.j'--1-I ii Up Down
FLIGHT LOG
TIME IN AIR ~-
Hours I Min.
Miles Flown
REPAIRS - ADJUSTMENTS - REMARKS
Dat~ -&?(-44-, 15) I f 8' ._5
SIGNATURE
em~~~~m--.;µ:icSV~~a1.-+--ttMake ----,1.:....L..o~:::::::;,~_,
TOTALS FORWARD
TOTALS TO DATE
R~MARKS 47
:~n: INSPECTION - MAINTENANCE - REPAIRS-ALTERATIONS
W. {), SI O-'i5,
REMARKS 49
=ATE INSPECTION - MAINTENANCE - REPAIRS -ALTERATIONS
50
NATURE OF FLIGHT
·1 TOTALS TO DATE
FLIGHT LOG
TIME OF No.of FLIGHT Miles Pass. 11-----------11 Flown
TIME IN AIR
Up Down Hours Min.
REPAIRS - ADJUSTMENTS - REMARKS SIGNATURE LICENSE NUMBER
------~-- ~-~=~---------------------------
REMARKS 51
INSPECTION - MAINTENANCE- REPAIRS -ALTERATIONS
I certify that this has b€en inspected
t
I
52 FLIGHT LOG ~-t= =~=--======c,===;,====,,======n====r===============r=========r===
' TIME OF TIME IN DATE i NATURE OF No.ofl FLIGHT AIR Miles
Flown REPAIRS - ADJUSTMENTS - REMARKS SIGNATURE
FLIGHT Pnss, 1
,,.·····- __ _"i._~7==¾'=====t===#=U=p=4==Do=w=jln l==H=ou=••==l==Mi=n.#====j==============j=====j,==== I
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. 'I TOTALS FORWARD . _--, -----------+-----"!t----+--tt---~1-------1
_ ! TOTALS TO DATE .. _-+ ---------~--~---'----'L--__.-"L__-'L---'----------------------
REMARKS
STATION 709--ll} 7
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54
DATE NATURE OF
FLIGHT
TOTALS FORWARD
TOTALS TO DATE
FLIGHT_ LQG
TIME OF TIME IN No.of FLIGHT AIR Miles Pass. 1>--~--,,----,-------,, Flown REPAIRS -ADJUSTMENTS - REMARKS SIGNATURE
Up Down Hours Min.
ss
. .1,TE INSPECTION - MAINTENANCE- REPAIRS-ALTERATIONS
DATE NATURE OF
FLIGHT
TOTALS FORWARD
TOTALS TO DATE
FLIGHT- LQ,G
TIME OF TIME IN No.of FLIGHT AIR Miles Pass. ll--~--Jt-------,---11 Flown REPAIRS - ADJUSTMENTS - REMARKS SIGNATURE
Up Down I-lours Min.
R~MARKS 57
INSPECTION- MAINTENANCE - REPAIRS-ALTERATIONS
, ... FAA Apprl)'/CJ 1\1:pair $t~Iioa No. 362-51
fJ..
~--R~MARKS S9
.ATE INSPECTION- MAINTENANCE - REPAIRS-ALTERATIONS
--r---· tJ,,,~
~ - .,_ • 60 =:
NAT DATE
FL
TOTALS FORWARD
TOTALS TO DATE
KRYSTAL AVIATION CERTIFIED REPAIR STA. _
LOVELL FIELD P.O. ·sox 21 s30
CHATTANOOGA, TN 37421
LOG BOOK ENTRY, ... 2
<S-fu DATE_,[ __ _
~.TACH •· TACH
0471.3 INV.# ___ _
(< e "I"\ l) ~<--c!}. o L! A\ -kl' "'a+ 0 .-1
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Sa<M<., G- r 0 ~"'cl R~"' l-c ~f5. Ck',,+
--&PL~"-----
Jbtt,-e /910 'Ji.A.I. /99:2 ,
SIGNATURE
REMARKS
INSPf::CTION- MAINTi:::NANCf::- Rf::PAIRS-ALTi:::RATIONS
lfAIIDMT'EMTESTEDTIIIDATI ~z- o ..... IYFMll.171 IN ACCORDANCE WITH FMOAPPlll• T
:-• ,- t'"~N!OS, INC. ' f,,•
PART& APPENDDC1"flGIGIIIII.Wl:E11111tFARl1171 THISIMlE •
FAA REPAIR STATION #NF2D029L
,un • MIIIIDIICEWII FAI 43, APPBIDIXT
JOU£I' l,'mRICS, mt FM r.::r:.:157ATICN l'HF2D029l ',;6;
R~MARKS 63
INSPECTION - MAINTENANCE - REPAIRS -ALTERATIONS
64
DATE NATURE OF
FLIGHT
I -_ 3~\L\- { I -
USEFU
TOTALS FORWARD
TOTALS TO DATE
FLIGHT LOG
TIME OF No.of FLIGHT Miles Pass. l-----.---tt---.-----11 Flown
TIME IN AIR
Up Down Hours Min.
8 '
\\"\9.4<
REPAIRS - ADJUSTMENTS - REMARKS
'REPJ'.\ l R.. · SThTI o
SIGNATURE
' ' ~~MARKS 65
INSPECTION- MAINTENANCE~ REPAIRS-ALTERATIONS
/ll-=--. /£ /1 A/11 ••1s0.~.r _/WT<.~ ~77 ';l,
. v'" /I
66 FLIGHT tvG"
TIME OF
DATE NATURE OF
FLIGHT No.of FLIGHT
P8SS.
TIME IN AIR Miles
Flown REPAIRS - ADJUSTMENTS - REMARKS SIGNATURE
TOTALS FORWARD
TOTALS TO DATE
• :,':,. ~ ~ ,. .I!!!',. ~,. .,~-·' / ~ ~~,_ . , ,,,c#;. - ~ • • 1••,- • 1•.• .1/. - • l~ ·,; -~- • ••••-• I• m ~ / IP ••••- •I• --~- , • •••• 1-•I• • •••• 1-•1• • •••• 1-•I• •••• , •• , • •••• , ••• •••• 1-•I• ==== •• 1•• 1-•I•
REMARKS --.~ 67
INSPECTION - MAINTENANCE- REPAIRS-ALTERATIONS
68
DATE
., -\, ...
NATURE OF
FLIGHT
TOTALS FORWARD
TOTALS TO DATE
-i=LIGHT LOG
TIME OF No.of FLIGHT Miles Pass. lt---~---1+----~- Flown
TIME IN AIR
Up Down Hours Min.
REPAIRS - ADJUSTMENTS - REMARKS SIGNATURE
REMARKS · 69
)ATE INSPECTION - MAINTENANCE - REPAIRS-ALTERATIONS
70
DATE: NATURE: OF
FLIGHT
TOTALS FORWARD
TOTALS TO DAT!:
TIMI: OF No.of FLIGHT
P8SS.
FLIGHT LOG
TIMI: IN AIR Miles
Flown .RE:PAlRS - ADJUSTME:NTS - RE:MARKS
Hours Min.
SERVICEABLE
SIGNATURE: LICE" NU!"~-'
Qxecutive Cl?eechcraft STL inc Phone: 314-532-4800 CRS: DEBRI52D
N4322W SIN D9589
AIRFRAME
REMARKS
DATE: 08129194 HOBBS: 805.8
REMOVED LEFT WING FROM ACFT DUE TO BIRO STRIKE ON LEADING EDGE. REMOVED LEADING EDGE FROM WING REPLACED LEADING EDGE SKIN PIN 000-110105·55U WITH NEW SKIN. REINSTALLED LEADING EDGE TO WING USING NEW PINS PIN t05774CZG19000. REINSTALLED WING ON AIRCRAFT. SENT OUT FUEL CELL FOR REPAIR. SEE ATTACHED YELLOW TAG. WING BOLT RETORQUE DUE AT 905.8. ALL WORK ACCOMPLISHED IN ACCORDANCE WITH A.C. 43. t3-1A ANO BEECHCRAFT BONANZA 35 SERIES SHOP MANUAL TEST FLIGHT REQUIRED PRIOR TO RELEASE Of AIRCRAFT.
•
'--~n
With respect to the work performed. !.this o., r u .. H is determi""' to
be in airworthy condition and is approved for return to service. Pertinent details of the repair are on file at this repair station under S.O. n 3 o,, r
Date .....,.:;.,....;;a....;:..-+--~-""-"
Signed~~&&:::~:..µ:.n..~:__-Executive Beechcraft STL In .
Spirit of St. Louis Airport -532 Beechcraft Drive Chesterfield. MO 63005 - (314) 532-4800
FAA Certificated Repair Station No. DEBR152D
DA~ tf'1
NATURE OF FLIGHT
FLIGHT LOG
TIME: OF No.of FLIGHT Miles Pass. 1>----~--,..------,-----, Flown
TIME IN AIR
Up Down Hours Min.
REPAIRS - ADJUSTMENTS - REMARKS
.• . . . " .
SIGNATURE:
ave been perfo -, t • 1•••• •1•••• at•,;1 I I
' r. ':II ,. ,...-~ .... _· ~ -:111•!-rAi• ~ -· · ~ .. :.,~,,.~::r-.,l• i.,.../..e!I:~ :z,".'. • .,:._.-~.--_:-..-1·1· I . . ~f -~~~~--
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1111111••!-• II I . · - ·. · · ,_ · •• I - • 11 I. ~· ••••- • i .. = .• ~ ~. • ••- • . ' I••
•• I••-• •• •-• •• I••-• - TOTALS FORWARD =· =· - TOTALS TO DATE • I •• - ••
..
REMARKS 73
INSPECTION- MAINTENANCE- REPAIRS-ALTERATIONS
___ Hrs.
1u RADIO INSPECTION AND REPAIR
FREQUENCY CHECKED REPAIRS
DATE: INSPE:CTED BY RE:SULTS DATE: RE:PAIRED BY RE:PAIRS MADE:
RADIO INSPECTION AND REPAIR
FREQUENCY CHECKED REPAIRS
>UE INSPECTED BY RESULTS DATE REPAIRED BY REPAIRS MADE
RADIO INSPECTION AND REPAIR ---~~~=========;,==========~---=--=-===-=========
FR~ourncY CHECKED REPAIRS --~---~------If---~----~-~--~--~-------------~
iSATE REPAIRED BY REPAIRS MADE ~/J-M-i----
1
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MEMORANDUM 77 DATE __________ _
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78 ME;MQAANDUM DATE ________ _
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