utd-apu_091321a-gtcp131-9b pn 3800702-1_minipack

APU Life Limited Parts Model: GTCP 131-9 (B)

Mfr Date: 200-11-02

49-052-00 Compressor Rotor

49-082-00 Turbine Shaft

49-062-00 Stg 1 Turbine Disc

49-072-00 Stg 2 Turbine Disc

Vladimir Sysoev

Powerplant and APU Lead Engineer

Yakutia Airlines

P/N: 3800702-1 S/N:

3822391-6

3822504-3

3840310-3

3840165-4

Current Position: MSN 28645 Reg.# VQ-BIZ

APU TSN: 11 379

APU CSN: 43 068 As of: 23-Jul-2020

5 101 30 000 24 899

13 138 30 000 16 862

5 101 30 000 24 899

5 101 30 000 24 899

UTD-APU_091321A-GTCP131-9B PN 3800702-1_MiniPack

APU AD Status

Engine Model ESN MFD rrsN CSN

AUXILIARY POWER UNIT 2000-11-02 11379 43068

NO AFFECTED AD AT THIS TIME.

C?YAKUTIA AIRLINES Powerplant and APU Engineer

16 July 2020

AC Installed

VQ-BIZ


APU SB Status

Engine Model ESN MFD rrsN CSN

AUXILIARY POWER UNIT 2000-11-02 11379 43068

NO AFFECTED SB AT THIS TIME.

C?YAKUTIA AIRLINES Powerplant and APU Engineer

23 July 2020

TSLSV CSLSV AC Installed

NA NA Removed


Date: 23 July 2020

Whom It May Con cernTo:

From:

APU: One (1) Honeywell Auxiliary Power Unit Model No. 3800702-1,

Part Number: GTCP 1131-9(B)

SUBJECT: INCIDENT/ACCIDENT CLEARANCE STATEMENT

This is to certify that, to the best of our knowledge, the following statement are the true for the APU

referenced above (including the parts installed thereon) during its entire period of operation with _ 07 Jul

2019 till 21 July 2020

• The APU has not been involved in any accident. Incident, major failure or fire as defined in Chapter of

ICA Annex 13 and CPR 49 part 830.2.

• The APU has not been subject extreme heat or any other form of extreme stress.

• The APU has not been immersed in salt water, or exposed to any other form of corrosive agent.

• The APU has not been subject to military or government use, and no part installed was obtained from

military, government or unapproved source or was previously fitted on a state aircraft as deemed by article3 of the Chicago Convention.

• The APU TSN/CSN at time of Delivery are Respectively 10162 / 42196

• Current APU TSN/CSN 11379/43068.

Signature:

Position: Powerplant and APU Lead Enginee r

Date: 23 July 2019


Revision No: 10; Eff. Date: 28 Feb 2020 Form 006

1 . Approving Competent Authority/ Country 2.

3 . Form Tracking Number

Transporto kompetencij4 agentura,

AUTHORISED RELEASE CERTIFICATE Lietuvos Respublika

Transport Competence Agency, Republic of

Lithuania

4. Organisation Name and Address:

6 . Item 7 . Description

1. Auxiliary Power Unit (APU)

12 . Remarks

8 . Part No.

3800702-1

EASA FORM 1

. - ..

9 . Qty.

BSl-0019-20

S. Work Order/ Contract/ Invoice - - . . . .

SW200181-BIZ03

10 . Serial No. 11 . Status/ Work

□ Overhauled

□ Repaired 1

l::sl Inspected / Tested

□ Modified

SW200181 -BIZ03 BORESCOPE INSPECTION AFTER REMOVAL OF ENGINE 3800702-1 , (ESN: PS612 TSN: 3 5330 .00, CSN: 3072 6) HAS BEEN PERFORMED I.A.W. AMM TASK 49-21-00-200-801 . References: WP200181 -BIZ;

737- 600/700/800/ 900 -AMM GFJ D633 Al01- GEF, Rev 72 · 15 Jun 2020

Borescope inspection report No: 200721-P-5612

INSPECTION RESULT: SERVICEABLE CONDITION

INSPECTION WAS CARRIED OUT AT FLTECHNICS, KAUNAS INTERNATIONAL AIRPORT.

13a. Certifies that the items Identified above were manufactured in conformity to:

1, D approved design data and are in condition for safe operation

D non- approved design data specified in block 12 ---

13b. Authorised Signature 13c. Approval/ Authorisation Number

..

-·

186.lilame 13e. Date (dd mmm yyyy)

USER/ INSTALLER RESPONSIBILITIES

This certificate does not automatically constitute authority to install the item(s).

14a. l::sl Part-145.A.SD Release to Service D Other regulations specified in block 12

Certifies that unless otherwise specified in block 12, the work identified in block 11 and described in block 12, was accomplished in accordance with Part-145 and in respect to that work the items are considered ready for Release to Service.

14b. Authorised Signature

14d. Name

�

�] 'o-694:,.::£

45_,.{'Y �

14c. Certificate/ Approval Ref. No.

LT.145.011

14e. Date (dd mmm yyyy)

21 JULY 2020

Where the user/ installer performs works in accordance with regulations of an airworthiness authority different than the airworthiness authority specified in block 1, it is essential that the user/ installer ensures that his/ her airworthiness authority accepts items from the airworthiness authority specified in block 1.

Statements in blocks 13a and 14a do not constitute installation certification. In all cases aircraft maintenance records must contain an installation certification issued in accordance with the national regulations by the user/ installer before

the aircraft may be flown.

EASA Form 1 - MF/CA0/145 Issue 3


user

Rectangle

of 4

Borescope Inspection Report No. 200721

CONDITION OBSERVED REMARKS PHOTO NO

1. APU engine inspection NO ACTIONS REQUIRED TASK 49-21-00-200-801

- Minor nick and discoloration SUBTASK 49-21-00-290-002 Photo No 1 noted on Load Compressor Par. (4); (k); 4); 5); Blades LIE, within AMM limits.

- Discoloration and minor nicks SUBTASK 49-21-00-290-002 Photo No 2 noted on several inlet guide Par. (4); (g); (i); 5); 6); vanes, within AMM limits.

- Minor nicks, discoloration and SUBTASK 49-21-00-290-007 Photo No 3 minor rub damaged between Par. (5); (e); 3); 5); 6); impeller and shroud noted.Within AMM limits.

- Missing TBC, panel SU BT ASK 49-21-00-290-010 Photo No 4 discoloration noted in Par. (6); (a); 3); c); e); Combustion Chamber andFuel Nozzles. Within AMMlimits

- Discoloration noted on the SUBTASK 49-21-00-290-005 Photo No 5 blades of Stage 2 Turbine. Par. (7); (b); 4); g); Within AMM limits

Attachments: Photos from No 1 to No 5. Videos and photos of borescope inspection within USB (3800702-1, S/N P-5612)

Inspector details:

Name: T.Kurcenkovas

Company Authorization: No 694

Date: 21 JULY 2020

Signature/Stamp:


of 4

Photo No 2

Photo No 3



Photo No 4

Photo No 5

Page 4 of 4



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