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1. Star Avionics Inc 1 108 Nowlin Lane Hangar 21 Chattanooga TN 37421 CRS TA4R337M 423 499 1100 Date July 2012 S N 42100165 Hobbs 4985 6 A Installed the following equipment Avidyne MLB700 MultiLink Broadcast Receiver P N 700 00159 001 S N M121465829 at F S 39 50 in nose of aircraft Avidyne MLB700 Satellite Antenna P N 200 00176 000 S M M139489 ai F S 203 75 on top of aircraft Avidyne MLB700 Remote Control Antenna P N 200 00175 000 S N M125209 at F S 170 00 under cabin headliner King KA 39 Voltage Converter P N 071 1041 S N 24131 at F S 137 00 under Copilot s seat B All work was accomplished referencing STC SA00258B0 the Avidyne MLB700 Broadcast Datalink Receiver Installation Manual 600 00174 000 Rev 04 May 13 2008 and in accordance with the FAR AC 43 13 2B Chapter 1 Structural Data paragraphs 101 Structural Design Process 103 Static Loads 104 Strucsural Sizing and Analysis 105 Static Tests 106 Materials and Workmanship 107 Materiat Strength Proparties and Design Values 108 Fasteners 109 Protection of Structure 110 Accessibility 111 Affecis on Weight and Balance 112 on Safe Operation pages 1 thru 8 Chapter 2 Communication Navigation and Emergency Locator Transmitter System Installations paragraphs 201 Hazards and Warnings 202 Considerations when installing Avionics Equipment 204 Other Mounting Areas 205 Fabrication of Sup
2. 421 MAINTE T FOLLOWING OV BY SHORELINE WITH NITROGEN COMPLIED WITH TOM SB96 12 CYLINDER CRACK witi NO DE COMPLIED W 11 AD 2001 01 16 FIGURE 1 ITEM INSPECTION j SPECTED THE LEFT ENGINE EXHAUST IN A CONTINUED ON NEXT PAGE ERS MVSROSSN AD2001 01 16 FIGURE ITEM B WITH NO DEFECTS NOTED DUE IN 50 HOURS OR 30 DAYS WHICHEVER IS LATER COMPLIED WITH TCM SB96 12 CYLINDER CRACK LEAK CHECK ON THE RIGHT ENGINE WITH NO DEFECTS NOTED COMPLIED WITH AD 2001 01 1G FIGUREZIZITEM B OF EXHAUST VISUAL INSPECTION ON THE RIGHT ENGINE INSPECTED THE RIGHT ENGINE EXHAUST IN ACCORDANCE WITH AD 2001 01 16 FIGURE ITEM B WITH NO DEFECTS NOTED DUE IN 50 HOURS OR 30 DAYS WHICHEVER IS LATER INSTALLED NEW ADEL CLAMP P N MS21919WH8 ON LEFT PROP DEICE CABLE ADJUSTED LEFT PROPELLER DEICE CLAMP FOR CLEARANCE ADJUSTED RIGHT PROP DEICE CLAMPS TO OBTAIN CLEARANCE ACCESSED FUEL SELECTOR GEAR BOXES INSPECTED AND LUBRICATED ADJUSTED LEFT SELECTOR CONTROL PRESSURE WASHED THE FLAP AND MAIN WHEEL WELLS AND NACELLES LUBRICATED FLAP HINGES AND LINKAGES AND NOSE GEAR REPOSITIONED LEFT ENGINE DRAIN MAST TO PREVENT CHAFING REMOVED LOOSE RIVET AND INSTALLED NEW MS20426AD5 RIVET IN LEFT MAIN GEAR DOOR WING HINGE ACCORDANCE WITH AC43 13 1B CHAPTER 4 SECTION 4 INSTALLED NEW VACUUM SY M FILTER P N AMI035351A INSTALLED NEW VACUUM REGULATOR FILERS P N 3 5 1 INSTALLED i LEFT AND RIGHT MAIN FUEL TANK CAP O RINGS P N MS29513
3. EXE YEAR RECORDING TGDAY S TOTAL Description of inspections Tests Repairs and Alterations W TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of DATE TIME SERVICE Technician or Repair Facility See back pages for other specific entries Corrective Action 71 REMOVED OLD PULLEYS INSTALLED TWO NEW PULLEYS PART NUMBER 378 1 INTO THE TAIL FOR I THE ELEVATOR TRIM SYSTEM CESSNA 421C AMM 5 30 _ Discrepancy 72 WO RUDDER CABLE PULLEYS IN LOWER VERTICAL STABILIZER ARE WORN Corrective Action 72 REMOVED OLD PULLEYS INSTALLED TWO NEW PULLEYS PART NUMBER 5378 4 INTO THE LOWER VERTICAL STABILIZER FOR THE RUDDER CONTROL SYSTEM CESSNA 421C AMM 5 20 Discrepancy 73 FOUR YAW DAMPENER RUDDER BRIDAL CABLE PULLEYS IN LOWER VERTICAL STABILIZER ARE WORN Corrective Action 73 1 REMOVED OLD PULLEYS INSTALLED FOUR NEW PULLEYS PART NUMBER S378 1 INTO THE LOWER VERTICAL STABILIZER FOR THE RUDDER YAW DAMPENER SYSTEM CESSNA 421C AMM 5 21 Discrepancy 74 _ NUT PLATE COMING APART LOWER LEFT INSPECTION PANEL ON VERTICAL STABILIZER Corrective Action 74 R A REMOVED OLD NUT PLATE INSTALLED NEW NUT PLATE PART NUMBER MS21059L3 FOR THE LOWER f LEFT INSPECTION PANEL ON THE VERTICAL STABILIZER 1 Discrepancy 75 RIGHT HYDRAULIC FLOW ANNUNCIATOR LIGHT LENS IS BROKEN
4. Correcive Action 75 i REMOVED BROKEN LENS NSTALLED NEW LENS AND PLACARD PART NUMBER 65 0890 3 FOR THE RIGHT HYDRAULIC FLOW INDICATOR LIGHT IN THE ANNUNCIATOR PANEL AS NEEDED OPERATIONAL CHECK GOOD AT THIS TIME nS know On next Doac i I E RECORDING TACH TIME TODAY S FLIGHT TOTAL TIME IN SERVICE Description of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries Discrepancy 76 ENGINE MONITOR WIRING IN CENTER FLOOR AFT OF PEDESTAL IS LAYING ON FLIGHT CONTROL CABLES Corrective Action 76 SECURED THE ENGINE MONITOR WIRING AWAY FROM THE FLIGHT CONTROL CABLES IN THE CENTER FLOOR AS NEEDED Discrepancy 77 ELEVATOR CABLE PULLEY JUST FORWARD OF FLAP MOTOR WORN Corrective Action 77 REMOVED OLD PULLEY INSTALLED NEW PULLEY PART NUMBER 5378 3 INTO CENTER CABIN FLOOR FOR THE ELEVATOR CONTROL SYSTEM WORK PERFORMED CESSNA 421C AMM 5 30 Discrepancy 78 TWO AILERON CONTROL CABLE PULLEYS ARE WORN IN CENTER FLOOR AFT OF FLAP MOTOR Corrective Action 78 REMOVED OLD PULLEYS INSTALLED TWO NEW PULLEYS PART NUMBER S378 3 INTO THE CENTER FLOOR FOR THE AILERON CONTROL SYSTEM CESSNA 421C AMM 5 10 Discrepancy 79 TWO WORN ELEVATOR PULLEYS IN CENTER FLOOR Corrective Action 79
5. CESSNA 421C AMM 5 40 YEAR RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations 20 TACH TIME IN Entries must be endorsed with Name Rating and Certificate Number of DATE TIME SERVICE Technician or Repair Facility See back pages for other specific entries Discrepancy 8 OUTBOARD RIGHT FLAP HINGE BROKEN FROM RIGHT M L G UP LANDING A Corrective Action 8 REMOVED BROKEN OUTBOARD RIGHT WING FLAP HINGE HALF FROM WING INSTALLED NEW RIGHT eem WING OUTBOARD FLAP HINGE HALF PART NUMBER 0822275 184 Discrepancy 9 ALL FLAP CONTROL CABLES REPLACE BOTH FLAP PUSH PULL RODS REPLACE AND FLAP MOTOR Auc OPERATION TROUBLESHOOTING FROM RIGHT M L G UP LANDING Corrective Action 9 REMOVED ALL OLD FLAP CONTROL CABLES FROM LEFT AND RIGHT SIDES REMOVED ALL RIGHT OUTBOARD AND INBOARD FLAPS PUSH PULL RODS GOING FROM BELL CRANKS TO FLAPS es x INSPECTED THE REST OF THE RIGHT AND LEFT SIDE FLAPS PUSH PULL RODS AND BELL CRANKS Bid rcv Sar NO DEFECTS NOTED AT THIS TIME INSTALLED NEW LEFT LOWER RETURN FLAP CABLE PART NUMBER 5000008 159 INSTALLED NEW LEFT UPPER EXTEND FLAP CABLE PART NUMBER 5000008 63CR NEW RIGHT LOWER RETURN FLAP CABLE PART NUMBER 000008 61CR RIGHT UPPER EXTEND FLAP CABLE PART NUMBER 000008 62CR THREE NEW RIGHT SIDE PUSH PULL RODS FROM BELL TO FLAPS PART NUMBERS 0862
6. 45 13 2B Chapter 3 Antenna Jastallations Paragraph 301 Hazards and Warnings 302 Additional References 303 Structural Support 304 Physicai Interference 306 Antenna Location 307 Antenna Bonding 308 Electromagnetic Interference 309 Mechanical Installation 310 Ground Plane Requirement Wood and Composite and 311 Antenna Feed Line Balun The two Avidyne TCAS L Ban Antennas were iustalled due to the installation of an Avidyne TAS615 TEAS System see FAA Form 337 dated 7 3 2012 C The Avidyne TAS 615 was operationally tested and was found to be compatible with the above listed DER Drawings Installation Manual STC and AC43 13 2B A new empty aircraft weight and balance was calculated The new C G falls within the limits as specified in the flight manual The new electrical load does not exceed 80 of the aircraft capability Iti the responsibility of the pilot to ensure correct weight and balance before each flight p TRA EP sr mE rrr HAS Ce STE TEES FI STAGES Details are on file at Star Avionics Inc under W O 32023 lt E AG id CRS Z 4R537M Jeffrey Milley RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Nurnber of TIME SERVICE Technician or Repair Facility
7. LO ASA SA 2 antawa niyaq EST Aircraft Record General Intormation Manufacturer CESSNA Model 42 C Serial a ees Registration Number 1976 Manufacture Engine s currently installed Model Serial Manufacturer Model Serial Manufacturer Propeller s currently installed Manufacturer Model HUB Model Serial Serial Blade Model Serial Serial Serial Blade Model Serial Serial Serial START 2 00 TT 5514 5 BES 4522 6 MEM RECORDING TACH TIME Ron Collies Aviation Ete rona TODAY S TOTAL FLIGHT Replaced cabin wiv FONSS 63 L C 2158 S ns aviation 2017 Description of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries Logbook Entry sm a ate He 1464 ORS Hs PC SoMa org iisas antip com y SLE CR fumed Biennial check require by 51 413 __GTX327 ___ Transponder system ms 83720247 H2 SIN 83720291 _ Specifications were met per Part 43 Appendix F and were recorded _ 28 1522 Ron Collins Aviation Electronics LLC He faa Repair Station PG2R082L Qk
8. RIGHT ELEVATOR REQUIRES BALANCING Corrective Action 19 BALANCED THE RIGHT ELEVATOR AS NEEDED NO DEFECTS NOTED WORK PERFORMED CESSNA 421 AMM 1 90 Discrepancy 20 LANDING GEAR NITROGEN BLOW DOWN BOTTLE VALVE ALLOWS NITROGEN GO TO GEAR WHEN VALVE 1 SHUT Corrective Action 20 REMOVED THE NITROGEN STORAGE BOTTLE PART NUMBER 9910154 2 SERIAL NUMBER 375 SENT OUT FOR REPAIR TO AMERON GLOBAL PRODUCT SUPPORT INSTALLED REPAIRED NITROGEN BOTTLE PART NUMBER 9910154 2 SERIAL NUMBER 375 CYLINDER 1101T FROM AMERON GLOBAL PRODUCT SUPPORT ON THEIR WORK ORDER NUMBER 11 0678 DATED 10 19 11 NO DEFECTS NOTED AT THIS TIME SERVICED BOTTLE WITH NITROGEN WORK PERFORMED I A W CESSNA 421C 2 60 4 60 h 7 7 Discrepancy 21 ANTENNA WAS DAMAGED ON BOTTOM OF FUSELAGE 77 Corrective Action 21 REMOVED UN USED ANTENNA FROM BELLY STRAIGHTENED ANTENNA OUT AND RE INSTALLED BACK ONTO BELLY arc Discrepancy 400 REMOVE THE RIGHT ENGINE FOR SUDDEN STOPPAGE INSPECTION AFTER RIGHT MAIN GEAR UP LANDING Corrective Action 400 REMOVED THE RIGHT ENGINE MODEL NUMBER GTSIO 520 L SERIAL NUMBER 272347 R AND SENT OUT TO RAM FOR SUDDEN STOPPAGE INSPECTION ON 2 28 11 ACTT 5980 1 ENGTSOH 212 7 RE Contiaved On Next pane o 20 DATE RECORDING TACH FLIGHT TIME TODAY S TOTAL TIME IN SERVICE Descripti
9. ntose ze for ine work performed tation unter Work Order 08 1519 1161 FAX 270 22 is Aviation EL 58 State Route 136W Henderson 42420 RS No 25290321 eom Removed checks were normal Repas Station onder Orten r cn ai ts Louis Gaisser Cert LLO 2 For Ron Collins Aviate Logbook Entry is H S 1 Serr i 48995 sys checks were aft was repaired andlor in tor the work veriormed air Station under Wore Order ng repairs Rernos e ith current in accordance above proved for return to Ser at this F is A Ga 36W Henderson KY 2158 State Route 43 For Ron Collins X 2 01827 1194 ORS No PG2ROS2L Phone 270 827 i ronconin n ied www roncoliins avtetion cor E TOTAL TIME iN SERVICE Description ot Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries 112872009 N7U TX Cessna 421 S N 421C0165 TCM GTSIO 520 L Hobbs 4536 5 AFTT 5632 5 Removed cabin blower fan from southwind heater Replaced with overhau unit PN 722043 Functional check All work acco
10. Date Certify the Altimeter and Static System tests required by FAR Dart 91 411 have been performed 31 Altimater was tasted _39_ feeton 11 9 08 HD Altimeter was tested lo _35 feeton 11 19 08 H1 Data correspondence to 30 2 Dala correspondence to 35 feet on n Collins Avialion Electronics LLC Henderson 2epair Station PG2R082L Inspections Tests Repairs and Alterations ndorsed with Name Rating and Certificate Number of air Facility See back pages for other specific entries 729900 _ 34800 30000 imeter 8010 _ 8010 6030 BORRES er CALE s in 4 j08 Date MER 4 YEAR 20 pernonme waves ections Tests Repairs and Alterations SCALE CORRECTION ALT SIN 2783 sd with Name Rating and Certificate Number of 4 8900 25060 cility See back pages for other specific entries Yt 20 bi Dale 11 19 2008 Make Ce Logbook Entry a Ne 7447X The air it and or appliance id FAA regulations and 18 appro for retur of this repan ere on file at tnis Rep ired A P and sys checks were normal on the ground Wied above wes repaired and or inspected in accordance with current
11. HOUR METER DUE HEATER HOUR METER 1470 8 HRS AT TIME OF AD Corrective Action 100 COMPLIED WITH AD 81 09 09 AMENDMENT 39 4102 DATED 5 8 81 AIRCRAFT CABIN HEATER INSPECTION AT HEATER HOUR METER OF 1470 8 NO DEFECTS NOTED AT THIS TIME OPERATIONAL CHECK GOOD NEXT DUE IN 250 HEATER HOURS Discrepancy 101 AD 10 01 03 AMEND 39 16159 DATED 1 20 10 FIRE FIGHTING ENTERPRISES LIMITED CONTAMINATED HALON DUE Corrective Action 101 COMPLIED WITH AD 10 01 03 AMENDMENT 39 16159 DATED 1 20 10 FIRE FIGHTING ENTERPRISES LIMITED CONTAMINATED HALON THIS AD DOES NOT APPLY DIFFERENT MANUFACTURER OF THE CABIN FIRE EXTINGUISHER Discrepancy 102 AD 10 04 16 AMEND 39 16209 DATED 3 08 10 TYPE H1 10 AIR HALON 1211 SICLI P N 1708337B4 PORTABLE FIRE EXTINGUISHER CONTAMINATED HALON DUE Corrective Action 102 COMPLIED WITH AD 10 04 16 AMENDMENT 39 16209 DATED 3 8 10 TYPE H1 10 AIR HALON 1211 SICLI PART NUMBER 170833784 PORTABLE FIRE EXTINGUISHER CONTAMINATED HALON AD DOES NOT APPLY TO INSTALLED FIRE EXTINGUISHER BY MANUFACTURER Discrepancy 103 AD 95 09 13 AMEND 39 9217 DATED 6 14 95 FUEL TANK INLET FLOAT VALVES INSPECT DUE IN 10 HOURS On ne page REN a SRI E A E kah ENA ERE Description of RECORDING TACH TIME TIME IN SERVICE Technician or Repa Inspections Tests Repairs and Alterations Entries must be endorsed with Name R
12. See back pages for other specific entries r Star Avionics Inc 108 Nowlin Lane Hangar 21 Chattanooga TN 37421 CRS TA4R537M 423 499 1100 Date July 3 2012 N711TX S N 421C0165 Hobbs 4985 6 A Installed the following equipment Avidyne 9900BX TAS Processor P N 70 2420 8TAS615 S N M122169782 at F S 23 00 in nose of aircraft Avidyne XPDR Coupler 1 P N 70 2040 S N M122069532 at F S 103 50 behind the center instrument panel Avidyne XPDR Coupler 2 P N 70 2040 S N M122069169 at F S 103 50 behind the center instrument panel B All work was accomplished in accordance with STC SA02013CH and the Avidyne Traffic Advisory System Installation Manual 32 2351 Rev 04 Oct 2005 The Avidyne TAS 615 i connected to the Avidyne EX600 MFD the Garmin GMA 340 Audio Panel and the Pilot s Encoding Barometric Altimeter for attitude information All test were conducted in accordance with Avidyne Traffic Advisory System Post Installation Performance Testing procedures System met accuracy requirements per Instructions for Continued Airworthiness for STC 2013 C FAA approved Airplane Flight Manual Supplement 600 00281 000 Rev 00 dated May 02 2011 and ICA dated March 11 2011 for the Avidyne TAS 615 was provided The Avidyne TAS 615 was operationally tested and was found to be compatible with the above listed Installation Manual ICA and AFMS A new em
13. CESSNA 421C AMM ss Discrepancy 33 THE MAIN AIRCRAFT BATTERY IS BAD ALL CELLS WERE DRY x24 Corrective Action 33 oe Page A RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of TIME SERVICE Technician or Repair Facility See back pages for other specific entries REMOVED THE OLD AIRCRAFT BATTERY PART NUMBER G 246 SERVICED CHARGED AND INSTALLED NEW AIRCRAFT BATTERY PART NUMBER G 246 SERIAL NUMBER G02679388 AIRCRAFT ELECTRICAL OPERATIONAL CHECK GOOD AT THIS TIME WORK PERFORMED CESSNA 421C AMM 13 21 Discrepancy 34 THE FLOOR ACCESS PANEL UNDER THE PILOT S SEAT IS MISSING AND INSPECTION HOLES IN FORWARD CABIN FLOOR PANELS NEED SECURED Corrective Action 34 I INSTALLED USED SERVICEABLE FLOOR PANELS PART NUMBER 5015084 4 UNDER PILOT S SEAT AS NEEDED SECURED OPENINGS IN FORWARD CABIN FLOOR AS NEEDED Discrepancy 35 LEFT ENGINE WIRE BUNDLE CHAFING HYDRAULIC HOSE AT FILTER AND TURBO CONTROLLER DRAIN LINE Corrective Action 35 REPAIRED CHAFED AREA IN LEFT ENGINE WIRE BUNDLE AS NEEDED RE POSITIONED LEFT ENGINE WIRE BUNDLE TO PREVENT FUTURE CHAFING Discrepancy 36 2 LEFT ENGINE NUMBER FOUR CYLINDER PROBE SHIELDING TORN AND BROKEN Corrective Action 36 REMOVED OLD EGT PROBE INSTALLED NEW EGT PROBE PART NUMBER M 111 G I
14. Discrepancy 144 RIGHT ENGINE WHEN LEFT MAG SWITCHED OFF ENGINE DIES NO MAG DROP ON RIGHT MAG Corrective Action 141 TROUBLESHOT RIGHT P LEAD REMOVED AND CLEANED TO CANNON PLUGS ONE IN WING ROOT THE OTHER IN LOWER SIDE CONSOLE RE INSTALLED CANNON PLUGS FOUND RING TERMINAL TO BE COMING OFF REMOVED AND REPLACED RING TERMINAL AT MAGNETO MAGNETO P LEAD OPERATIONAL CHECK GOOD AT THIS TIME The aircraft airframe aircraft engine propeller or appliance identified above was repaired and inspected in accordance with the current regulations of the Federal Aviation Administration and was found ainworthy and is approved for retum to service with the following unairworthy items listed in the next airframe logbook entry and a 5 permit for this aircraft t of the repair are on at this repair station i Dated d 4 Signed Ahaia A Tri State Inc CRRA ITR102C Flightline Drive Evarj vil Indiana 47725 812 426 1221 EAR RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of TIME SERVICE Technician or Repair Facility See back pages for other specific entries TAT Stodi Neco kaS completd an annual _ LASpsc Los GA E X lessan YC Geral AL DU EX cad The A items l Co Dot S S lt
15. RESEALED RIGHT WASTE REMOVED DM760 ROCKER GAS GATE CONTROLLER UST P N 760000 6C S N 03852 AND REINSTALLED 9 TIGHTENED HYDRAULIC FITTI RAFT MAINTENANCE D LEAK G BULKHEAD IN RETRACTION EXTENSION CHECKS CONTINUED ON NEXT PAGE INSPECT EXHAU TEST IN ACCORDANCE WITH MANUAL SPECTION ON LEFT ENGINE IN ACCORDAN WITH BOROS OTED OIL SAMPLE REM AVIATION CRS INSTALLED NEW RIGHT KETS ON WITH TCM MAIN 655910 AND REINSTALLED FO O 65880 03 19 09 IN ACCORDANCE WITH TCI EW O RINGS P N ST SYSTEM FROM THE APPENDIX OF THIS AD RDANCE WITH 421C MAINTENANCE COMPLIED WIT BACKLASH MEASURED E IN ACCORDANCE WITH 421C M H LEFT ENGINE AD 2007 05 15 0 040 0 050 0 040 0 050 AINTENANCE MANUAL ENGINE AD 2007 05 15 STARTER ADAPTER 100 HOUR 055 NO DEFECTS NOTED ALL AND AD 2007 05 15 PART 2 CE WITH SID 97 2 WITH NO COPE INSPECTION ON DEFERRED AT OVED EXHAUST RISER NJSROG9N WORK ENANCE GROUND RUNS ALL DER P N 655910 AND 0 03 19 09 IN KER 4 CYLINDER AND INTAKE TENANCE MANUAL LLOWING REPAIR BY M OVERHAUL MANUAL 528778 6 amp MS28778 7 FOLLOWING REPAIR BY JP NGS AT FORWARD PRESSURE UAL COMPLI ED WITH GEAR OOD AT THIS TIME CO PAGE 2 OF 4 INSTALLED NEW NOSE WHEEL RACES P N 1 M29710 PACKED NEW BEARINGS P N LM29749 WITH GREASE AND INSTALLED AND REINSTALLED WHEEL ASS BLY AND SERVICED TIRE RESEALED LEFT BRAKE CALIPER USING NEW O RING
16. 1211 IN THE HAND HELD FIRE EXTINGUISHER BOTTLE PART NUMBER 863520 00 AD DOES NOT APPLY THAT FIRE EXTINGUISHER PART NUMBER NOT INSTALLED IN AIRCRAFT Discrepancy 120 LEFT ENGINE FUEL PRESSURE CONTROLER BRACKET CRACKED Corrective Action 120 FABRICATED AND INSTALLED NEW LEFT ENGINE FUEL PRESSURE REGULATOR MOUNT BRACKET Discrepancy 121 2 amp 3 CYLINDER PROBES BAD ON LEFT ENGINE Corrective Action 121 REMOVED OLD EGT PROBES FROM LEFT ENGINE INSTALLED TWO NEW EGT PROBES PART NUMBER M 111 G INTO CYLINDERS NUMBER 2 amp 3 ON LEFT ENGINE OPERATIONAL CHECK GCOD AT THIS TIME Discrepancy 122 AIRCRAFT REQUIRES FAINT WORK Corrective Action 122 RE PAINTED THE BOTTOM OF BOTH ENGINE NACELLES AND TOP COWLING S AS NEEDED Discrepancy 123 RIGHT AILERON CONTROL CABLE S KINKED Corrective Action 123 on nex s queue nm a 20 DATE RECORDING TODAY S TOTAL TACH TIME INE SERVICE REMOVED OLD CONTROL CABLE INSTALLED NEW RIGHT AILERON CONTROL CABLE PART NUMBER 5000008 97 RIGGED AND CHECKED TRAVELS Discrepancy 124 LANDING GEAR THREE GREEN LIGHTS NOT WORKING Corrective Action 124 TROUBLESHOT SYSTEM AND FOUND CANNON PLUG GOING TO LIGHT DIMMER SWITCHES HAD BEEN PULLED LOOSE UPON
17. 338 SECURED THE WIRE STAND OFFS IN RIGHT WING TIP INSTALLED NEW ELEVATOR TRIM PUSH ROD HARDWARE FREE PLAY 1 NOW WITHIN LIMITS DRILLED HOLE DIMPLED AND INSTALLED P N MS20436AD4 RIVET IN FLUX VALVE COVER IN ACCORDANCE WITH AC43 13 1B CHAPTER 4 SECTION 4 REMOVED THE RIGHT ELEVATOR ROUTED OUT DAMAGE ON ELEVATOR TRAILING EDGE FABRICATED REPAIR DOUBLER FROM 025 2024 T3 AND INSTALLED DOUBLER ON TRAILING EDGE USING 82906 4 1 BLIND FASTENERS AND PRIMED AND PAINTED REPAIR AREA TO MATCH IN ACCORDANCE WITH 421 S R M 15 40 FIG 37 BALANCED ELEVATOR AND REINSTALLED IN ACCORDANCE WITH THE CESSNA 421 MAINTENANCE MANUAL CLEANED EVAPORATORS ADJUSTED BOTH ALTERNATE AIR DOORS AND ADJUSTED THE CABLE ON THE RIGHT SIDE INSTALLED NEW NUTPLATE P N NAS1474A08 USING NEW RIVETS P N M 20426AD3 ON LOWER BELLY ACCESS PANEI AND REINSTALLED ACCESS PANEL IN ACCORDANCE WITH 43 15 1 CHAPTER 4 SECTION 4 AND CESSNA 421 MAINTENANCE MANUAL INSTALLED NEW RIVNUT P N NAS1329A08K75 iN LEFT SIDE TABLE CONTINUED ON NEXT PAGE CRS MV3SROSSN PAGE 2 OF 3 YEAR SEALED AIR CONDITIONING TOSI AND RIGHT ENGINE CONTROL THRU WING USING PRI440 1B2 GA LIGHT BULB P N CM6839 COMPLIED WITH GROUND RUN AND LEAN 20 SEALANT INSTALLED NEW DATE CHECKS ALL CHECKS SATISFAC TORY AT TUIS TIMI P mT 3 411 AIRCRAFT HAS BEEN IN ACTED IN ACCORDANCE WITH AN ANNUAL 1 CERTIFY THAT INSPECTION AND Is TO OPERATOR DE
18. CENTER CONSOLE REASSEMBLY RECONNECTED DIMMER SWITCH CANNON PLUG AND SECURES AS NEEDED LANDING GEAR GREEN LIGHTS OPERATIONAL CHECK GOOD AT THIS TIME Discrepancy 125 BOTH LEFT AND RIGHT PROP CONTROLS DUE NOT GO PAST THE FEATHER GATE Corrective Action 125 ADJUSTED BOTH LEFT AND RIGHT PROPELLER CONTROL CABLES IN ENGINE COMPARTMENT TO ALLOW HANDLES IN CONSOLE TO GO PAST THE FEATHER GATES OPERATIONAL CHECK GOOD Discrepancy 126 TAIL NAV LIGHT IS IN OP Corrective Action 126 sP REMOVED OLD LAMP INSTALLED NEW LAMP PART NUMBER 50911 001 INTO THE TAIL NAV LIGHT ASSEMBLY OPERATIONAL CHECK GOOD AT THIS TIME Discrepancy 127 BATTERY BOX SEAL CAME APART Corrective Action 127 REMOVED THE REMAINDER OF THE OLD BATTERY BOX SEAL INSTALLED NEW BATTERY BOX SEAL PART NUMBER R581546 AS NEEDED TO THE BOX Discrepancy 128 Cake on Page Description of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries X p RECORDING TACH TIME TIME IN SERVICE Description of Inspections Tests Entries must be endorsed with Name Rating and Technician or Repair Facility See back pages for other specific entries Repairs and Alterations ertificate Number of L Discrepancy 129 Discrepancy 130 AIRCRAFT NEEDS
19. IN ACCORDANCE WITH AIRCRAFT MAINTENANCE MANUAL AND FAR 43 APPENDIX D DRAINED LEFT AND RIGHT ENGINE OIL INSPECTED FILTERS NO METAL FOUND INSTALLED NEW 48111 FILTERS AND SERVICED WITH 20W50 OIL PERFORMED COMPRESSION CHECKS LEFT ENGINE 1 74 80 2 78 80 3 78 80 4 75 80 5 76 80 6 75 80 RIGHT ENGINE 1 22 80 2 50 80 3 69 80 4 64 80 5 57 80 6 74 80 COMPLIED WITH 30 DAY FIRE EXTINGUISHER WEIGHT CHECK WEIGHT WITHIN LIMITS INSTALLED NEW ELT BATTERY P N BS2166 S N 010957337 DUE REPLACEMENT 03 2011 COMPLIED WITH 12 MONTH ELT INSPECTION OPERATIONAL CHECK IN ACCORDANCE WITH FAR 91 207D 1 4 COMPLY WITH TCM S B 96 12 CYLINDER CRACK LEAK CHECK ON LEFT ENGINE NO DEFECTS NOTED AT THIS TIME COMPLIED WITH TCM S B 96 12 CYLINDER CRACK LEAK CHECK ON RIGHT ENGINE NO DEFECTS NOTED AT THIS TIME COMPLIED WITH AD 2001 01216 FIGURE 1 ITEM B LEFT ENGINE EXHAUST VISUAL INSPECTION WITH NO DEFECTS NOTED GOMPLIED WITH AD 2001 01216 FIGURE 1 ITEM B RIGHT ENGINE EXHAUST VISUAL INSPECTION WITH NO DEFECTS NOTED COMPLIED 2001 0116 FIGURE 1 ITEM C REMOVE TAIL PIPES AND INSPECT LEFT ENGINE REMOVED HEAT SHIELD ACCESS PANEL BELOW WING AND LEFT TAIL PIPE PREFORMED ITEM C INSPECTION NO DEFECTS NOTED REINSTALLED TAIL PIPE ACCESS AND HEAT SHIELD DURING REINSTALLATION REPLACED RETIGHTENED DAMAGED SCREWS ON OUTBOARD NACELLE COMPLIED WITH AD 2001 0i 16 FIGURE I ITEM E INSPECT EXHAUST SYSTEM FROM THE SLIP JOINTS AND AFT AND PERFORM A PRESSURE TES
20. INSPECTION AND WAS DETERMINED TO BE IN AIRWORTHY CONDITION AND 15 APPROVED FOR RETURN TO SERVICE FOR THE DISCREPANT ITEMS LISTED DETAILS ARE ON FILE UNDER THE ABOVE REFERENCED WORK ORDER SS By i SIGNED 7 FOR EAGLE AVIATION SERVICES INC FAA CERTIFICATED REPAIR STATION MV5R055N PAGE 4 OF 4 RECORDING TACH TIME TODAY S TOTAL TIME IN SERVICE Description of Inspect Entries must be endorsed wi Technician or ions ith Name Rating and r Facility See back pages Tests Repairs and Alterations ertificate Number of for other specific entries 16 ITEM C COMPLIED WITH AD 2001 01 16 FIGURE 1 IYEM SLIP JOINTS AND AFT AND PERFORM A PRESSURE RIGHT ENGINE NO DEFECTS NOTED ALL WORK DONE IN ACCOI AD 2001 01 16 PART AND APPENDIX PTER 100 HOUR INSPECTION FOUND INCHES NO DEFECTS NOTED ALL WORK DON AND AD 2007 05 15 PART2 COMPLIED WITH RIGHT INSPECTION FOU LASH MEASURED 0 055 0 04 WORK DONE IN WITH 421C MAINTENAN 0 D AT THIS TIME COMPLIED WITH NO DEFECTS N THIS TIME INSTALLED A 5 8 18 HELI INE OIL SUMP THE LEFT ENGINE AND RE INSTALLED AFTER REPAIR BY DAWLEY ORDER 98513 03 19 09 CHECK CHECKS SATISFACTORY AT THIS REINSTALLED FOLLOWING REPAIR G amp N AIRCRAFT ACCORDANCE WITH TCM OVERHAUL MANUAL BOX GASKET P N 1366 1 2 CY ROCKER GASKET ON THE 6 CY REMOVED RIGHT ENGINE 1 CONNECTING ROD P N G amp N AIRCRAFT CRS MW2RO70L W
21. NUMBER 378 3 UNDER THE NOSE BAGGAGE FLOOR FOR THE NOSE GEAR STEERING CABLES WORK PERFORMED VAAW CESSNA 421C AMM 4 50 Discrepancy 64 NOSE GEAR TORQUE LINKS UPPER AND LOWER MOUNTS ARE WORN Corrextive Action 64 REMOVED THE NOSE GEAR TORQUE LINKS REMOVED OLD UPPER LOWER AND CENTER BUSHINGS INSTALLED NEW UPPER AND LOWER BUSHINGS PART NUMBER0841004 9 CENTER BUSHING PART NUMBER 0841004 6 INTO TORQUE LINKS RE INSTALLED UPPER TORQUE LINK WITH NEW BOLT PART NUMBER AN175 31 RE INSTALLED LOWER TORQUE LINK WITH NEW BOLT PART NUMBER AN176 42 SECURED CENTER OF TORQUE LINKS WITH NEW BOLT PART NUMBER AN175 16 WORK PERFORMED IAW CESSNA 421C AMM 4 20 Discrepancy 65 TWO AILERON PULLEYS ARE WORN INSIDE FORWARD BELLY PANEL AFT OF NOSE WHEEL WELL Corrective Action 65 REMOVED OLD PULLEYS INSTALLED TWO NEW PULLEYS PART NUMBER 378 4 FOR THE AILERON CONTROL SYSTEM IN BELLY PANEL AFT OF NOSE WHEEL WELL WORK PERFORMED CESSNA 421C AMM 5 10 Discrepancy 66 TWO ELEVATOR TRIM PULLEYS WORN INSIDE FORWARD BELLY PANEL AFT OF NOSE WHEEL WELL Corrective Action 66 REMOVED OLD PULLEYS INSTALLED TWO NEW PULLEYS PART NUMBER MS20219 2 FOR THE ELEVATOR TRIM CONTROL SYSTEM IN BELLY PANEL AFT OF THE NOSE WHEEL WELL WORK DET on nt Prac Description of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific ent
22. PART NUMBER MIL DTL 6000D 5 8 RUBBER HOSE WITH NEW FIRE SLEEVE PART NUMBER 05 01841 Discrepancy 117 LEFT ENGINE OUTBOARD SNIFFLE VALVE THREADS ARE STRIPPED Corrective Action 117 y REMOVED OLD LEFT ENGINE OUTBOARD FUEL DRAIN VALVE INSTALLED NEW LEFT ENGINE OUTBOARD FUEL DRAIN VALVE INTO LOWER ENGINE NACELLE NO LEAKS NOTED Discrepancy 118 RIGHT M L G UP DOWN HYDRAULIC CYLINDER REPAIR FOLLOWING RIGHT M L G UP LANDING Corrective Action 118 REMOVED THE RIGHT M L G HYDRAULIC CYLINDER PART NUMBER 9910136 2 INSTALLED OVERHAULED RIGHT M L G HYDRAULIC CYLINDER PART NUMBER 9910136 2 SERIAL NUMBER 3821 EROM AIR CAPITAL JET LLC ON THEIR WORK ORDER NUMBER 3821 DATED 1 5 2011 INSTALLED NEW ORIFICE FITTING PART NUMBER 5727005 11 INTO THE CYLINDER OPERATIONAL AND LEAK CHECK Gk eek oa next Page TODAY S TOTAL FLIGHT TIME IN SERVICE RECORDING TACH TIME Description of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries GOOD AT THIS TIME WORK PERFORMED CESSNA 421C AMM 4 31 4 30 Discrepancy 119 AD 11 11 04 AMEND 39 16703 DATED 6 17 11 CONTAMINATED HALON 1211 IN THE HAND HELD FIRE EXTINGUISHER BOTTLE P N 863520 00 DUE Corrective Action 119 COMPLIED WITH AD 11 11 04 AMENDMENT 39 16703 DATED 6 17 11 CONTAMINATED HALON
23. REMOVED OLD PULLEYS INSTALLED TWO NEW PULLEYS PART NUMBER S378 3 FOR THE ELEVATOR CONTROL SYSTEM CESSNA 421C AMM 5 30 Discrepancy 80 TWO AILERON AUTO PILOT SERVO BRIDAL CABLE PULLEYS ARE WORN Corrective Action 80 REMOVED OLD PULLEYS INSTALLED TWO NEW PULLEYS PART NUMBER S378 1 INTO CENTER Costura ak on wer ass m ee YEAR v DATE TACH FLIGHT TIME Entries must be endorsed with Name Rating and Certificate Number of RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations TIME SERVICE Technician or Repair Facility See back pages for other specific entries 1 d FLOOR FOR THE AILERON AUTO PILOT CABLES VAAN CESSNA 421C AMM 14 10 Discrepancy 81 AILERONS AUTO PILOT SERVO BRIDAL CABLE HAS BROKEN STRANDS Corrective Action 81 REMOVED OLD AILERON AUTO PILOT BRIDAL CABLE INSTALLED NEW AILERON AUTO PILOT BRIDAL CABLE PART NUMBER 5000008 101CR AND LINK KEEPER PART NUMBER S2294 25 UNDER CENTER 4 FLOOR JUST FORWARD OF CABIN DOOR CESSNA 421C AMM 14 10 3 Discrepancy 82 Ei ALL BELLY DRAIN PRESSURIZATION SEALS NEED CLEANED OUT Corrective Action 82 CLEANED OUT ALL FUSELAGE BELLY DRAIN SEALS AS NEEDED ig Discrepancy 83 Fi TWO ELEVATOR PULLEYS WORN UNDER CABIN FLOOR AFT OF CABIN DOOR a Corrective Action 83 REMOVED OLD PULLEYS INSTALLED TWO NEW PULLEYS PART NUMBER 5378 4 UNDER THE CE
24. SEATS Coreective Action 1 Discrepancy 131 Corrective Action 1 421C AMM 13 22 Discrepancy 132 ARE ROAD RUNNER S INSTALLED NEW LEFT ENGIN NUMBER 80136728 OPERATIONAL CHECK GOOD AT THIS TIME WORK PERFORI LEFT AILERON ACTUATOR ARM LOOSE IN AILERON Corrective Action 128 REMOVED ACTUATOR ARM FROM LEFT AILERON REI INSTALLED NEW LOWER ARM BEARING PART NUMBER MS27641 4 AND BOLT PART NUMBE RE INSTALLED LEFT AILERON ACTUATOR ARM INTO AILERON RE INSTALLED LEFT PERFORMED CESSNA 421AMM 5 10 MISSING ATTACH PINS IN PILOT S SEAT FRAME Corrective Action 129 INSTALLED NEW PINS IN THE PILOT S SEAT FRAME FOR THE MOVED OLD LOWER BEARING AND BOLT R AN24 11 ILERON WORK K REST RECLINING MECHANISM WEIGHT AND BALANCE UPDATED BECAUSE OF MISSING INTERIOR PANELS AND 30 WEIGHED THE AIRCRAFT ON WHEELS PER THE POH AND UPDATED THE AIRCRAFT W BALANCE REPORT TO SHOW THAT NO INTERIOR IS INSTALLED AND ONLY ONE RADIO SCALES USED CALES M N 8500914 01 AND NEXT DUE CERTIFICATION 40 2012 31 REMOVED OLD LEFT ENGINE ALTERNATOR OUT LIGHT SENSOR PART NUMBER 9 ALTERNATOR OUT LIGHT SENSOR PART NUMBER 9910 abend On Neth eaae LEFT ENGINE ALTERNATOR OUT LIGHT IS NOT ON WHEN ENGINE NOT RUNNING MEDI EIGHT AND 910094 4 094 4 SERIAL CESSNA YEAR RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations 2
25. a Ex Quac Gorm 2 X doceile max Fuel tank Looks 4 X Z emo js net i zc Onta Cereus Ses di Communi Cod ioa 5 js Not inSball ol checks ceguicral to he Deforce i Chm Evy Operational checks i Ky ermit akional 5 It hea dad key nee ood S Fo clone Dac AST enel Lr issue Cyr ANTS Cean Ev to CHAS TRS airera T hos occa kek anak hes o Safe E Asar ass Tab Ree tle of CL f i i i i i 2 V OUP AAT YEAR RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations 20 TACH FLIGHT TIMEIN Entries must be endorsed with Name Rating and Certificate Number of TIME SERVICE Technician or Repair Facility See back pages for other specific entries Dated ia _ Tel Sede hers The has complet d an sansa Hm 1 Spec Cessna C Saco qusaber AMTK ficit 590 Sad dA 4 Soka 4 Co Papi gt Meet 2 Ror elle cls Dus wage S key qc gt eot jan Ce 4 M Marler Condesa tek Casi ts ask So kel Bis c Soc oper ceo ed nee acc chec
26. and Certificate Number of TIME SERVICE Technician or Repair Facility See back pages for other specific entries er ee TERE er Star Avionics Inc i i H 108 Nowlin Lane Hangar 21 1 Chattanooga TN 37421 te CRS TA4R537M 423 499 1100 i Date July 3 2012 NTUTX S N 421 0165 Robbs 4985 6 P A Removed the following equipment i Avidyne 509 MED P N 700 00007 004 S N 20071145 trom P S 112 50 in the center instrument panel VHE Datalink Antenna P N CI 211 1 S N 4050020 from 5 203 75 on top Y B Installed the following equipment 0 lii Avidyne EX 600 MED P N 700 00167 104 SN 92128085 at F S 112 50 in the center instrument p C Atl work was accomplished in accordance with 51 i H instatlation Manua 600 00175 000 06 dated March 19 B 615 TCAS system Avidyne MLB 700 Multit ink Broadcast system Bendix King RO R 130 Radar system the 4 i PAETA gt Oarnin GNS 430W GPS NAV COM sysiems D FAA approved Airplane Flight Manual Supplement 600 00226 000 Rev 00 gated January 12 2010 ond Rev Hu dated October 20 2005 for the Avidyne EX600 MFD was provided The Avidy e be compatible with the above listed Instatiation Manual ICA and AFM
27. and inspected in 7 08 accordance with the current regulations of the Federal Aviation Administration and was found airworthy and is on file at this repair station approve for return to service Pertinent de jis of the repair are Signed 4 N Dated _S M unu Evansville indiana 47725 812 426 1221 Tri State Agro Inc alia 8191 Flightline Drive i Alterations Number of Date 10 31 2011 Aircraft 71 qTX 421 C SIN 421 0165 Hobbs 4984 1 Tachi Total Time scific entries 41 0153 10 S N 97126625 PREVIOUSLY REMOVED BY WESTAR ISFACTORY liance identified above Was repaired and inspected in was found airworthy and is e Federal Aviation Administration and re on file at this repair station s of the repair al 21 2011 Dated E 6101 Flightline Drive Evansville Indlana 4T125 N 011 00280 ERFORMS SAT ller or app N GNS430 P 812 426 1221 L T emeret e nent Description of Inspections Tests Repairs and Alterations RECORDING TODAY S TOTAL TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of TIME SERVICE Technician or Repair Facility See back pages for other specific entries Date 11 14 2011 Aircraft N711TX Type 421C S N 421C0165 Hobbs 4984 1 Tach Total Time 5980 1 Shop Order S
28. nose tire tube with Aero Class P N TR 20 4 Removed and replace both RH and LH main tires and tubes with 2 Goodyear tires P N 650C86 3 and 2 Aero Class tubes P N TR 25 5 Complied with AD 2000 01 16 section b by visual inspection next due at hobbs 4757 6 or by 8 1 2009 which ever comes l ter Run up accomplished with no leaks found and good ops check for right alternator charging system All work accomplished LAW ACA3 13 1B 2A Cessna 421C maintenance manual and all applicable FARs 2 2 William Wood amp 2769598 TCM GTSIO 520 L Hobbs 4771 3 AFTT 5767 3 TSOR 0 1 Removed Lt engine S N 265093 R repaired by Ram and reinstalled 2 Removed Rt engine Installed Ram overhauled engine S N 272347 R 3 Installed overhauled Aircraft heater fuel pump P N 714769 Tested heater and checked for fuel leaks with no discrepancies noted 4 Flight tested aircraft with good operation of both engines and no discrepancies noted All work accomplished IAW AC43 13 1B 2B Cessna 421C maint manual GTSIO 520 overhaul manual and all applicable FARs A then William Wood A amp P IA 2769598 r 5 421C SIN 421C0165 W O p22611w COMPLIED WITH AN ANNUAL INSPE ION IN ACCORDANCE wird AIRCRAFT MAIN MANUAL AND VAR 43 APP ENDIN D OIL AND FILTERS WERE CHANGED 2 3 HOURS AGO COMPRESSION CHECKS 1 I 1 172880 77680 3776 80 4 76 80 5 71180 6 77 80 175 80 2
29. 0 TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of DATE TIME SERVICE Technician or Repair Facility See back pages for other specific entries RIGHT ENGINE DRIVEN HYDRAULIC PUMP 1 LEAKING AROUND DRIVE SHAFT Corrective Action 132 REMOVED OLD RIGHT ENGINE HYDRAULIC PUMP PART NUMBER 9910137 1 SERIAL NUMBER 11477 INSTALLED NEW RIGHT ENGINE HYDRAULIC PUMP PART NUMBER 9910137 1 SERIAL NUMBER 2627 FROM CESSNA AIRCRAFT COMPANY ON THEIR WORK ORDER NUMBER 1143906 DATED NOV 01 2011 OPERATIONAL AND LEAK CHECK GOOD AT THIS TIME WORK PERFORMED AW CESSNA 421C AMM 11 02 Discrepancy 133 RIGHT NACELLE TANK LEAKING Corrective Action 133 INFORMED PILOT THAT THE RIGHT NACELLE FUEL TANK LEAKS BEFORE TANK BECOMES FULL THEY DO NOT WANT TO FIX AT THIS TIME COVERED THE FILLER CAP WITH SPEED TAPE AND PLACARDED TANK AS IN OP DO NOT USE ALSO LISTED LEAKING FUEL TANK ON FERRY PERMIT Discrepancy 134 RIGHT WING FUEL TANK LEAKING FUEL OUT OF LOWER OUTBOARD CORNER Corrective Action 134 REMOVED OUTBOARD RIGHT WING FUEL TANK PANEL RE SEALED THE OUTBOARD WING RIB AND AFT CORNER AS NEEDED WITH SEALANT RE INSTALLED THE OUTBOARD FUEL TANK ACCESS PANEL NO LEAKS NOTED AT THIS TIME Discrepancy 135 RIGHT ENGINE TACHOMETER INDICATES LOW AT IDLE TO MID RANGE POWER Corrective Action 135 REMOVED CANNON PLUG FROM RIGHT ENGINE TACHOMETER GENERATOR FOUND LOOSE WIRE IN CANNON PLUG RE SOLDERED ALL THR
30. 100 50 0862100 51 0862100 52 INSPECTED FLAP SYSTEM MOTOR AND LIMIT SWITCHS NO DEFECTS NOTED RE RIGGED THE FLAP CONTROL SYSTEM WORK PERFORMED CESSNA 421 AMM 5 40 Discrepancy 10 RIGHT UP DOWN HYDRAULIC CYLINDER REPAIR FOLLOWING RIGHT M LIG UP LANDING Corrective Action 10 FOR CORRECTIVE ACTION SEE WORK ORDER SH 11 0081 ITEM 118 Discrepancy 11 RIGHT MUG UP LOCK ASSEMBLY AND HYDRAULIC ACTUATOR REPAIR FOLLOWING RIGHT MUG UP Contiaved On ant pese TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of TE TIME SERVICE Technician or Repair Facility See back pages for other specific entries LANDING Corrective Action 11 Y REMOVED THE RIGHT MIL G UP LOCK HYDRAULIC ACTUATOR PART NUMBER 5727110 9 INSTALLED aO OVERHAULED RIGHT M L G UP LOCK HYDRAULIC ACTUATOR PART NUMBER 5727110 9 SERIAL NUMBER 511977 FROM THE AVIATION GROUP ON THEIR WORK ORDER NUMBER 36039 DATED uo MARCH 29 2011 OPERATIONAL AND LEAK CHECK GOOD AT THIS TIME WORK PERFORMED ti 7 CESSNA 421C AMM 4 33 4 30 9 Discrepancy 12 RIGHT AILERON DAMAGED DURRING GEAR UP LANDING Corrective Action 12 I REMOVED DAMAGED RIGHT AILERON PART NUMBER 5124000 98 INSTALLED REPAIRED RIGHT AILERON PART NUMBER 5124000 98 SERIAL NUMBER 2057 FROM AIR IMPRESSIONS INC ON THEIR i WORK ORDER NUMBER 3051 DATED 2 28 11 AILERON TRAVELS AND R
31. 6 01501 WORK PERFORMED CESSNA 421C AMM 4 43 Discrepancy 51 BATTERY BOX VENT TUBE ON BOTTOM OF WING MISSING Corrective Action 51 REMOVED THE REMAINDER OF THE OLD BATTERY BOX VENT TUBE INSTALLED NEW BATTERY BOX VENT TUBE PART NUMBER 5118419 2 ONTO THE BOTTOM OF THE LEFT WING AND PAINTED WORK PERFORMED CESSNA 421C AMM 13 21 Discrepancy 52 BUSHING MISSING EROM LEFT HEAT EXCHANGER BUTTERFLY VALVE ON THE INBOARD END Corrective Action 52 7 REMOVED THE LEFT WING HEAT EXCHANGER INSTALLED MISSING BUSHING PART NUMBER 1080 2 INTO THE INBOARD END OF HEAT EXCHANGER BUTTERFLY VALVE RE INSTALLED LEFT SIDE HEAT EXCHANGER INTO WING WITH NEW LEFT SIDE LOWER HOSE PART NUMBER CM321 1 1089 5 WORK PERFORMED CESSNA 421C AMM 6 10 Discrepancy 53 LOOSE RIVETS IN LEFT WING TO FUSELAGE FAIRING BOTTOM FORWARD END Corrective Action 53 REMOVED OLD LOOSE RIVETS INSTALLED NEW RIVETS INTO THE LEFT AND RIGHT WING TO FUSELAGE FAIRINGS AS NEEDED Discrepancy 54 BOTH MAIN CANNON PLUGS IN LEFT AND RIGHT INBOARD WING LEADING EDGES NEED TO BE On Page Ge YEAR RECORDING TOBAY S TOTAL Description of Inspections Tests Repairs and Alterations 3 20 TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of DATE TIME SERVICE Technician or Repair Facility See back pages for other specific entries SAFETIED Corrective Act
32. 78 80 3 79 80 4 78 80 57780 0 76 80 COMPLIED WITH 50 100 500 amp 1000 HOUR LUDRIC S IN ACCORDANCE WITH CESS TENANCE MANUAL COMPLIED WITI ONE YE NGUISHER WEIGUT CHECK FIRE EXTINGUISHER WEIGHT WITHIN LIMITS COMPLIED 1 TNSPECTION OPERATIONAL CHECK IN ACCORDANCE WITH FAR 91 2 OTED REMOVED THE OXYGEN E AND FOUND DOT3AAA BOTTI HAS NO LIFE LIMIT REINSTALLED OXYGEN BOTTLE AND SERVICED COMPLIED WITH 400 HOUR HYDRAULIC FILTER REPLAC INSTALLED NEW HYDRAULIC FILTER P N AN6235 2A COMPLIED WITI 400 HOUR BAGGAG 19 KER DOOR PECTIONS IN ACCORDANCE SSNA 421 ANCE MANUAL WITH N C RING INSPECTION IN ACCORDANCE WITH CESS WETH 400 HOUR CABIN DOOR LUBRICA 03 27 10 HOBBS 4836 5 AFTI 5 NOTED COMPILIED WITH 400 HOUR 421 MAINTENANCE MANUAL WITH NO IN ACCORDANCE witht D IGD N ION TENANCE MANUAL COMPI WITH 600 5 YEAR LANDING GEAR PW NANCE MANUAL WETH NO CTION IN ACCORDANCE CESSNA 421 MAINTE COMPUIED WITH NOSE GEAR TRUNION BEAR i IN NCI MANUAL WITH NO DERE Ir MAU N GEAR TRUNION PINOT BEA NW C MANUAL WITH NO DEFECTS INSTALLED NEW LEET INDUCE JM FILTER P N BAI COMPLIE HYDROSTATIC TEST REMOVED TUE NITROGEN BOTTLE P N 900297 375 AND REINSTALL E MARINE CRS QLCR829X W O 1 E iCTION IN ACCORDANCE DUE IN 1000 HOURS LION IN ACCORDANC ED DUE IN 1000 HOURS WITH NITROGEN BOTTLE D
33. AMAGED FASTENER FABRICATED REPAIR DOUBLER FROM 1032 2024 13 AINXA4IN DRILLED TREATED AND PRIMED AND INSTALLED DOUBLER ON RIGHT NACELLE OUTBOARD SIDE USING 2457 AND NAS1097AD4 RIVETS IN ACCORDANCE WITH CESSNA 421 S R M 15 40 39 INSTALLED NEW OIL RETURN LINE P N 51001 10 32 FOR THE LEFT MASTER GA CONTROLLER REMOVED AUTOPILOT HEAD TO ACCESS COLUMN INTERIOR FOUND GEAR SHAFT BACKED AWAY FROM CORRECT POSITION CAUSING LOSS OF CONTACT with INDICATOR AND DRIVE GEARS REPOSITIONED SHAFT AND GEARS VERIFIED CORRECT POSITION AND CONTINUED ON NEXT PAGE PAGE 3 OF 4 rations mber of entries RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of TIME SERVICE Technician or Repair Facility See back pages for other specific entries 7 1 2009 N711TX C 21C S N 421C0165 i ENS 01 04 2010 N7LITX Cessna 421C S N 421C0165 TCM GTSIO 520L S N 265093 L S N 241213 R Hobbs 4707 6 TTA 5703 6 TTE 4474 6 TSOH 1529 1 1 Drained Engine and removed oil filters both engines seviced with I2qts Aeroshell 15W 50 and new Tempest 4448111 filters cut open and inspected filters with no debris found 2 Removed bad right engine altemator installed Aerotech overhauled unit P N 649304 S N 008HA284 3 Removed and replaced nose tire with Goodyear P N 606C66 8 and
34. ARD OF LEFT ENGINE NACELLE FORWARD OF TAIL PIPE Corrective Action 96 REMOVED LOOSE RIVETS REPLACED WITH NEW SOLID RIVETS Discrepancy 97 CHANGE OUT ALL FLIGHT CONTROL CABLE PRESSURE VESSEL SEALS PACK SEALS WITH GREASE Corrective Action 97 REMOVED ALL OLD FLIGHT CONTROL CABLES PRESSURE VESSEL SEALS AND RETAINING CLIPS INSTALLED ALL NEW FLIGHT CONTROL CABLES PRESSURE VESSEL SEALS AND NEW RETAINING CLIPS AS NEEDED PACKED ALL FLIGHT CONTROL CABLES PRESSURE VESSEL SEALS WITH GREASE AS NEEDED vn e Discrepancy 98 CENTER BELLY PRESSURIZATION SEAL TORN Corrective Action 98 REMOVED OLD SEALS INSTALLED NEW FORWARD BELLY DRAINS PRESSURIZATION SEALS PART NUMBER CM3575 4 WORK PERFORMED CESSNA 421C AMM 15 40 Discrepancy 99 WHILE DOING ENGINE BEAM WORK FOUND CORROSION BETWEEN SKIN PIECES Corrective Action 99 REMOVED CORROSION FROM ENGINE BEAMS AND LOWER SKINS AS NEEDED ETCHED ALODINED on pese I YEAR RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations 20 TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of DATE TIME SERVICE Technician or Repair Facility See back pages for other specific entries AND PAINTED AREAS AS NEEDED WORK PERFORMED CESSNA 421C AMM 15 50 Discrepancy 100 AD 81 09 09 AMEND 39 4102 DATED 5 08 81 AIRCRAFT HEATER INSPECTION PARA A 250 HEATER
35. ATIONAL CHECK GOOD AT THIS TIME BATTERY NEXT DUE REPLACEMENT AUGUST 2013 Discrepancy 88 RUDDER GUST LOCK TAB THAT RELEASES RUDDER LOCK IS BENT AND BARELY TOUCHING RELEASES TRIGGER Corrective Action 88 ADJUSTED THE RUDDER GUST LOCK RELEASE TAB AS NEEDED CESSNA 421C AMM 5 22 _ Discrepancy 89 CENTRAL VACUUM FILTER IS DUE REPLACEMENT Corrective Action 89 REMOVED OLD VACUUM FILTER INSTALLED NEW CENTRAL VACUUM FILTER PART NUMBER AM1035351A CESSNA 421 AMM 10 20 NEXT DUE AGAIN IN 12 MONTHS Discrepancy 90 CHECK ALL FLIGHT CONTROL TRAVELS AND CABLE TENSIONS mec QURE o nett page G reat 1 4 YEAR 20 DATE RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of TIME SERVICE Technician or Repair Facility See back pages for other specific entries CE m Corrective Action 90 CHECKED ALL FLIGHT CONTROL CABLE TENSIONS AND TRAVELS CESSNA 421C AMM 5 00 Discrepancy 91 EMERGENCY EXIT WINDOW BROKEN OUT BETWEEN LOWER FASTENERS Corrective Action 91 REMOVED OLD EMERGENCY EXIT WINDOW INSTALLED NEW WINDOW PART NUMBER 511605 2 INTO THE EMERGENCY EXIT WINDOW FRAME WORK PERFORMED CESSNA 421C AMM 3 32 Discrepancy 92 UPRIGHT STRINGER ON EMERGENCY EXIT
36. Corrective Action 26 REMOVED OLD CHT PROBE FROM LEFT ENGINE NUMBER TWO CYLINDER INSTALLED NEW CHT PROBE PART NUMBER 0813601 6 INTO THE NUMBER TWO CYLINDER OF THE LEFT ENGINE OPERATIONAL CHECK GOOD AT THIS TIME WORK PERFORMED CESSNA 421C AMM 7 32 Discrepancy 27 LEFT AND RIGHT ENGINES OUTBOARD SIDE COWLING S HINGE PINS ARE NOT SECURED Corrective Action 27 SECURED BOTH THE LEFT AND RIGHT ENGINES SIDE COWLING S HINGE PINS AS NEEDED Discrepancy 28 LOOSE AND WORKING RIVETS IN THE LEFT AND RIGHT ENGINES INBOARD AND OUTBOARD ENGINE BEAMS TOP PLATES Corrective Action 28 REMOVED THE LEFT AND RIGHT ENGINE FROM AIRPLANE REMOVED THE OLD TOP CAPS OF THE LEFT AND RIGHT SIDES INBOARD AND OUTBOARD BEAMS INSTALLED NEW TOP CAPS PART NUMBER 5054020 7 AND 5054020 8 ONTO THE LEFT AND RIGHT SIDES INBOARD AND OUTBOARD ENGINE BEAMS RE SEALED AREAS WITH FIRE WALL SEALANT AS NEEDED RE INSTALLED THE LEFT AND RIGHT ENGINES NO LEAKS NOTED AT THIS TIME OPERATIONAL CHECK GOOD WORK PERFORMED IVAW CESSNA 424C AMM 15 7 AND AC43 13 1B FILLED OUT AND SUBMITTED FAA FORM 337 Discrepancy 29 BOTH LEFT AND RIGHT M L G BRAKE CALIPERS LEAKING HYORAULIC FLUID Corrective Action 29 REMOVED LEFT AND RIGHT BRAKE CALIPERS FROM AIRPLANE DIS ASSEMBLED CLEANED gees nee SURE TODAY S TOTAL FLIGHT TIME IN SERVICE RECORDING TACH TIME Description of Inspections Tests Repairs and Alterations Entries
37. Corrective Action 47 INSTALLED TWO RIVETS INTO THE LEFT WING INBOARO FLAP HINGE LINE AS NEEDED Discrepancy 48 LEFT WING NACELLE FUEL TANK AFT SUMP SEEPING FUEL AROUND FITTINGS Corrective Action 48 REMOVED THE LEFT AUX FUEL TANK FOR OTHER MAINTENANCE FOUND THE AUX TANK BLADDER NIPPLE BROKEN AND LEAKING FUEL FROM THERE ONTO SUMP DRAIN INSTALLED NEW LEFT NAGELLE AUX BLADDER SEE ITEM NUMBER 111 ON THIS WORK ORDER Discrepancy 49 LEFT WING PNEUMATIC DUCT CLAMP IS NOT POSITIONED CORRECTLY ON WING STRUCTURE MOUNT AND HOLE TORN IN DUCT Corrective Action 49 REMOVED OLD AIR DUCT INSTALLED NEW AIR DUCT PART NUMBER CM3211 10838 0 INTO TRE LEFT WING FOR BLEED AIR BETWEEN ENGINE AND HEAT EXCHANGER WORK PERFORMED CESSNA 421 AMM 6 23 Discrepancy 50 ALL LEFT AND RIGHT BRAKE LININGS HELD ON WITH Continued ees RECORDING TACH TIME TODAY S TOTAL FLIGHT TIME iN SERVICE Description of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries Corrective Action 50 REMOVED ALL BRAKE LININGS FROM BACKING PLATES CLEANED OFF SILICONE FROM LININGS AND BACKING PLATES ADJUSTED BACKING PLATE PINS SO THAT THE LININGS WILL FIT TIGHTLY ON PLATES FOUND ONE BACKING PLATE PIN DAMAGED REMOVED BAD PIN AND INSTALLED NEW PIN PART NUMBER 0
38. E COME APART AT FUEL SERVO Corrective Action 113 F REMOVED OLD LEFT AND RIGHT THROTTLE CABLES INSTALLED NEW LEFT ENGINE THROTTLE CABLE PART NUMBER 9910272 29 AND RIGHT ENGINE THROTTLE CABLE PART NUMBER 9910272 28 INTO AIRPLANE RE SEALED FUSELAGE PASS THROUGH ON BOTH SIDES AND RIGGED THROTTLES AS NEEDED WORK PERFORMED CESSNA 421C AMM 7 50 Discrepancy 114 LEFT AND RIGHT ENGINE POP OFF VALVE DRAIN LINES HAVE HOLES CHAFED INTO THEM Corrective Action 114 REMOVED OLD DRAIN LINES FABRICATED AND INSTALLED NEW LEFT AND RIGHT TURBO POP OFF On Next pege amp D L YEAR 20 TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of 1 DATE TIME SERVICE Technician or Repair Facility See back pages for other specific entries RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alteration VALVE DRAIN LINES IN ENGINE NACELLES Discrepancy 115 RIGHT ENGINE MANIFOLD PRESSURE LINE IS CHAFED INTO Corrective Action 115 REMOVED OLD MANIFOLO PRESSURE LINE FROM RIGHT ENGINE INSTALLED NEW MANIFOLD PRESSURE LINE PART NUMBER 5100109 58 FROM RIGHT ENGINE TO NACELLE FIRE WALL MANIFOLD OPERATIONAL CHECK GOOD Discrepancy 116 RIGHT ENGINE VACUUM HOSE IS BURNT BECAUSE IT IS TOO SHORT CAUSING IT TO LAY ON THE EXHAUST Y PIPE HEAT SHIELD Corrective Action 116 REMOVED OLD VACUUM HOSE FROM RIGHT ENGINE INSTALLED NEW 7 LENGTH OF
39. EE WIRES IN THE CANNON PLUG AS NEEDED AND RE INSTALLED CANNON PLUG TO GENERATOR OPERATIONAL CHECK GOOD AT THIS O JG LS TOLL f cas ATES Bet Pace rat retina AIR rie HH nomeo s RECORDING TACH TIME TODAY S TOTAL FLIGHT TIME IN SERVICE Description of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries TIME WORK PERFORMED CESSNA 421C AMM 7 80 Discrepancy 136 LEFT HYDRAULIC FLOW ANNUNCIATOR DOES NOT EXTINGUISH WHEN ENGINE IS RUNNING Corrective Action 136 REMOVED THE LEFT HYDRAULIC FLOW SWITCH CLEANED AND PRESSURE TESTED SWITCH OPERATIONAL CHECK GOOD RE INSTALLED SWITCH BACK INTO WING LEAK AND OPERATIONAL CHECK GOOD AT THIS TIME WORK PERFORMED CESSNA 421C AMM 11 10 Discrepancy 137 PILOT S SEAT LEFT SIDE PIVOT ARM BROKE Corrective Action 137 REMOVED THE BROKEN LEFT SIDE PIVOT ARM FROM THE PILOT S SEAT REMOVED THE SAME PART NUMBER 0812735 3 LEFT SIDE PIVOT ARM FROM CO PILOT S SEAT AND INSTALLED ONTO PILOT S SEAT INSTALLED BROKEN PIVOT ARM ONTO CO PILOT S SEAT INFORMED OWNER PILO THEY DON T WANT TO FIX AT THIS TIME PLACED BROKEN PIVOT ARM ON FERRY PERMIT Discrepancy 138 LEFT WASTE GATE STICKS CLOSED LEFT ENGINE OVER BOOSTS WHEN THROTTLE ADVANCED Corrective Action 13
40. H 11 0017 Discrepancy 2 EVALUATE DAMAGE REPAIR ESTIMATE Corrective Action 2 INSPECTED AIRCRAFT FOLLOWING RIGHT GEAR UP LANDING MADE UP AIRCRAFT REPAIR ESTIMATE ALL FINDINGS ARE LISTED ON THIS WORK ORDER Discrepancy 3 PERFORM NDT TESTING OF AIRCRAFT RIGHT WING SPAR AND ALL ATTACH FITTINGS Corrective Action 3 NDT TESTING PERFORMED BY S amp S TESTING LLC ON THEIR WORK ORDER NUMBER 3011 DATED 21411 THEY PERFORMED NDT TESTING PER SID CESSNA 421C PAGE 1 MARCH 3 2003 SEC IV GENERAL EDDY CURRENT INSPECTION SURFACE SCAN OF LOWER RIGHT SPAR ENGINE BEAMS UPPER RIGHT HAND SPAR WHEEL WELL FORWARD BOX SECTION RETRACT CYLINDER MOUNTS RETRACT CYLINDER UP LOCK MOUNTS NO CRACKS NOTED ALL WORK ACCOMPLISHED ON RIGHT WING Discrepancy 4 REPAIR DAMAGE TO THE RIGHT LOWER FUSELAGE SKIN AND FORMERS FROM THE RIGHT MIL G UP LANDING Corrective Action 4 REMOVED DAMAGED SKIN DRAINS AND FORMERS FROM THE RIGHT LOWER FUSELAGE INSTALLED NEW FORMER PART NUMBER 5111115 13 AND INSTALLED NEW FUSELAGE SKIN SECTION PART NUMBER 5111303 62 WITH PRESSURIZATION SEALANT TO THE RIGHT LOWER SIDE OF FUSELAGE BETWEEN FUSELAGE STATIONS 225 50 238 13 INSTALLED NEW DRAIN ASSEMBLY PART NUMBER 5119541 2 TO BOTTOM OF FUSELAGE WORK PERFORMED CESSNA 421C AMM 15 30 AND AC UE ss page G9 RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations TACH _ FLIGHT TIME IN Entries must be endors
41. HAS BROKEN RIVET Corrective Action 92 REMOVED REMAINDER OF BROKEN RIVET INSTALLED NEW RIVET INTO THE STRINGER ON THE EMERGENCY EXIT WINDOW FRAME AS NEEDED Discrepancy 93 ONE ENGINE HAS PAPER INDUCTION AIR FILTER THE OTHER ENGINE IS A BRACKET FOAM AIR FILTER BOTH ENGINES NEED TO BE THE SAME TYPE OF AIR FILTER Corrective Acion 93 REMOVED OLD ENGINE AIR FILTERS FROM BOTH SIDES INSTALLED TWO NEW BRACKET AIR FILTERS PART NUMBER BA 108 INTO BOTH LEFT AND RIGHT ENGINE AIR BOXES AIR FILTERS NEXT DUE REPLACEMENT IN 200 HOURS OR 12 MONTHS OR 50 COVERED WHICHEVER OCCURS FIRST WORK PERFORMED CESSNA 421C AMM 7 40 Discrepancy 94 RIGHT ELEVATOR TRIM TAB HINGE IS WORN ON ELEVATOR SIDE Corrective Action 94 SEE ITEM NUMBER 19 REPLACED ELEVATOR Discrepancy 95 C Y On next page TODAY S TOTAL FLIGHT RECORDING TACH TIME SERVICE Description of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries BOTH LEFT AND RIGHT RUDDER TORQUE TUBE INBOARD CLAMPS ARE LOOSE ALSO FOUND RIGHT OUTBOARD TORQUE TUBE CLAMP TO BE LOOSE Corrective Action 95 RE SECURED LEFT AND RIGHT INBOARD RUDDER TORQUE TUBE CLAMPS ALSO SECURED RIGHT OUTBOARD RUDDER TORQUE TUBE CLAMP CESSNA 421C AMM 5 20 Discrepancy 96 THREE LOOSE RIVETS OUTBO
42. HINGE LINES AS NEEDED Discrepancy 41 LEFT AND RIGHT M L G DOORS ATTACH HINGES ARE WORN Corrective Action 41 REMOVED OLD LEFT AND RIGHT M L G DOOR HINGES INSTALLED NEW UPPER HINGE HALF PART NUMBER 5122117 27 FOR BOTH LEFT AND RIGHT SIDES RE INSTALLED GEAR DOORS OPERATIONAL CHECK GOOD AT THiS TIME WORK PERFORMED CESSNA 421C AMM 3 14 Discrepancy 42 v AX U paac PS i H j i i i 1 tee t i RECORDING TODAY S TACH FLIGHT TIME TOTAL TIME IN SERVICE Description of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries LEFT AND RIGHT WING FUEL BOOST PUMPS MOUNT PLATES HAVE BOLTS MISSING Corrective Action 42 REMOVED HARDWARE FROM LEFT AND RIGHT BOOST PUMP MOUNTING PLATES ADJUSTED MOUNTING PLATES TO ALINE MOUNTING HOLES ALSO ADJUSTED AND RE SECURED THREE NUT PLATES ON RIGHT SIDE MOUNTING PLATES INSTALLED NEW HARD WARE IN MOUNTING PLATES ON LEFT AND RIGHT SIDES WORK PERFORMEDN CESSNA 421C AMM 9 10 Discrepancy 43 LEFT AND RIGHT WINGS FUEL SELECTOR VALVE MOUNT BOLTS SAFETY WIRED BACK WARDS Corrective Action 43 RE SAFETIED THE MOUNT BOLTS FOR THE LEFT AND RIGHT WINGS FUEL SELECTOR VALVES IAW CESSNA 421C AMM 9 10 Discrepancy 44 LEFT M L G DOOR PUSH PULL ROD ROD END WORN AT THE DOO
43. IGGING CHECK GOOD AT THIS H TIME WORK PERFORMED I AAN CESSNA 421C AMM 1 90 5 10 j d 1 Discrepancy 13 j RIGHT ELEVATOR TIP DAMAGE REPAIR Corrective Action 13 n REMOVED RIGHT ELEVATOR SANDED AND RE PAINTED THE RIGHT ELEVATOR TIP AS NEEDED i RE INSTALLED ONTO RIGHT HAND ELEVATOR AND BALANCED FLIGHT CONTROL Ss Discrepancy 14 1 REMOVE RIGHT WING DE ICE BOOT TO REMOVE AND INSTALL WING TIP INSTALL RIGHT WING DE vum Bi ICE BOOT I Corrective Action 14 REMOVED RIGHT WING DE ICE BOOT INSTALLED NEW RIGHT WING DE ICE BOOT PART NUMBER SMR5070 38 SERIAL NUMBER 1104 FROM B E AEROSPACE INC ON THEIR WORK ORDER NUMBER mm RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations i i i H 1 t i i f EXT EQ Pe 20 DATE TODAY S TOTAL TIME IN SERVICE RECORDING TACH TIME Description of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries 66492 DATED MAY 24 2011 OPERATI CESSNA 421C AMM 12 60 Discrepancy 15 REPAIR FIBERG Corrective Action 15 Discrepancy 16 REMOVE RH WING Corrective Action 16 FUEL PANELS RE INSTALLED ALL FUEL PAN Discrepancy 17 RIGHT EXHAUST TAIL
44. ING S WORK PERFORMED CESSNA 421C AMM 15 10 Discrepancy 59 LEFT PROPELLER SPINNER HAS A HOLE CHAFED THROUGH IT Corrective Action 59 REMOVED THE LEFT SIDE PROPELLER SPINNER AND SENT IT OUT FOR REPAIR REINSTALLED AND POLISHED THE REPAIRED SPINNER AFTER BEING REPAIRED BY S amp B INDUSTRIES INC ON THERE W O 10521DATED 6 16 2011 WORK PERFORMED CESSNA 421C AMM 8 00 Discrepancy 60 LEFT ENGINE OUTBOARD NOSE COWLING HAS FASTENER HOLE TORN OUT Corrextive Action 60 REPAIRED THE TORN OUT FASTENER HOLE WITH FIBERGLASS REPAIR TO THE LEFT ENGINE CUTBOARD NOSE COWLING AND PAINTED AS NEEDED WORK PERFORMED l A W CESSNA 421C AMM 15 40 Discrepancy 61 LEFT ENGINE COWLING HAS TWO HOLES CHAFED THROUGH THE UPPER SKIN Corrective Action 61 FABRICATED AND INSTALLED PATCHES TO THE INSIDE OF THE LEFT ENGINE TOP COWLING AND PAINTED AREA AS NEEDED Discrepancy 62 CLEAN HEATER FUEL FILTER Corrective Action 62 REMOVED CLEANED INSPECTED AND RE INSTALLED THE CABIN HEATER FUEL FILTER WITH NEW GASKET PART NUMBER 264054 NO LEAKS OR DEFECTS NOTED AT THIS TIME WORK PERFORMED CESSNA 421C AMM 9 40 Discrepancy 63 ate on Neel e sa Ta 20 DATE TODAY S TOTAL FLIGHT TIME IN SERVICE RECORDING TACH TIME BOTH LEFT AND RIGHT NOSE GEAR STEERING CABLE PULLEYS ARE WORN Corrective Action 63 REMOVED OLD PULLEYS INSTALLED NEW PULLEYS PART
45. IR WORK ORDER NUMBER 2381 DATED 4 1 2009 OPERATED THE LANDING GEAR THROUGH SEVERAL CYCLES NO LEAKS OR DEFECTS NOTED AT THIS TIME WORK PERFORMED CESSNA 421C AMM 4 31 4 30 Discrepancy 6 oN neck Page RECORDING TACH TIME TODAY S TOTAL TIME IN SERVICE Description of inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages lor other Specific entries THE LEFT M L G UP LOCK HOOK ACTUATOR NEEDS OVERHAULED Corrective ACtion 6 REMOVED THE LEFT M L G UP LOCK HYDRAULIC ACTUATOR PART NUMBER 5727110 9 INSTALLED OVERHAULED LEFT M L G UP LOCK HOOK HYDRAULIC ACTUATOR PART NUMBER 572711 0 9 SERIAL NUMBER CE378 FROM THE AVIATION GROUP ON THEIR WORK ORDER NUMBER 36038 DATED MARCH 29 2011 OPERATIONAL AND LEAK CHECK GOOD AT THIS TIME WORK PERFORMED CESSNA 421C AMM 4 33 4 30 Discrepancy 7 FOUND CORROSION UNDER RIGHT WING DE ICE BOOT Corrective Action 7 REMOVED THE CORROSION FROM THE RIGHT WING LEADING EDGE AND ALODINED AS NEEDED WORK PERFORMED CESSNA 421C AMM 15 50 Discrepancy 8 RIGHT AILERON OUTBOARD HINGE BEARING WORN Corrective Action 8 REMOVED THE OLD RIGHT OUTBOARD AILERON BEARING INSTALLED NEW RIGHT AILERON BEARING PART NUMBER ASR4 402 WORK PERFORMED CESSNA 421C AMM 5 10 Discrepancy 9 COMP
46. L CABLE AT THE GOVERNOR WORK CESSNA 4216 7 50 Discrepancy 19 RIGHT ELEVATOR TIP RUBBING THE HORIZONTAL STABILIZER LAM ot Corrective Action 19 REMOVED THE OLO ELEVATOR ASSEMBLY PART NUMBER 5093400 6 INSTALLED REPAIRED RIGHT ELEVATOR ASSEMBLY PART NUMBER 5093400 6 SERIAL 421C 1059 FROM CESSNA 421 1059 ELEVATOR REPAIRED BY BEEGLES AIRCRAFT SERVICE INC ON THEIR WORK ORDER NUMBER 40 856 DATED 02 06 08 ELEVATOR CAME FROM DODSON INTERNATIONAL THEIR LOT NUMBER 91 BAR CODE NUMBER 6776554 DATED 2 25 08 INSPECTED PAINTED AND BALANCED ELEVATOR ww ees BEFORE INSTALLATION NO RUBBING AND OPERATIONAL CHECK GOOD AT THIS TIME WORKED PERFORMED CESSNA 421C AMM 5 30 ES Discrepancy 20 ELEVATOR TRIM TAB ROD END BEARING WORN IN TRIM TAB HORN Corrective Action 20 REMOVED OLD BEARING INSTALLED NEW BEARING PART NUMBER 3895 1 INTO THE ELEVATOR TRIM TAB HORN WORK PERFORMED AAW CESSNA 421 AMM 5 30 Discrepancy 21 SCAB PATCH INSTALLED ONTO ELEVATOR TRIM TAB Cole Raae gt we RECORDING TODAY S TOTAL Description of inspections Tests Repairs and Alterations TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number o TIME SERVICE Technician or Repair Facility See back pages for other specific entries Corrective Action 21 SEE ITEM NUMBER 19 INSTALLED REPLACEMENT ELEVATOR TRIM TAB THAT CAME WITH ELEVATOR Discrepan
47. L TANK FILLER NECK DRAIN LINE CORRODED AND BROKEN IN HALF Corrective Action 110 FABRICATED AND INSTALLED NEW AUXILIARY NACELLE FUEL TANK FILLER NECK DRAIN LINES FOR LEFT AND RIGHT SIDES PER 43 13 18 Discrepancy 111 Corb neck aget Page RECORDING TACH TIME TODAY S TOTAL TIME IN SERVICE Description of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries LEFT NACELLE FUEL TANK RUBBER BLADDER NIPPLE BROKEN OFF AND THE ALUMINUM CARRYING BOX IS SEVERELY CORRODED AND COMING APART Corrective Action 111 REMOVED OLD RUBBER BLADDER AND BLADDER SUPPORT BOX FROM AIRPLANE INSTALLED NEW RUBBER LEFT NACELLE FUEL BLADDER PART NUMBER 4941 3 SERIAL NUMBER 585 FROM FLOATS AND FUEL CELLS INTO AN USED SERVICEABLE FUEL TANK BOX PART NUMBER 5156103 1 INSPECTED LEFT NACELLE FUEL TANK BOX AND FOUND GOOD FOR SERVICE INSTALLED COMPLETED ASSEMBLY INTO AIRCRAFT LEFT NACELLE NO LEAKS NOTED AT THIS TIME WORK PERFORMED CESSNA 421C AMM 9 20 Discrepancy 112 BOTH LEFT AND RIGHT OUTBOARD ENGINE COWLING S AFT SUPPORTS ARE CRACKED Corrective Action 112 FABRICATED AND INSTALLED PATCHES AS NEEDED FOR THE LEFT AND RIGHT OUTBOARD ENGINE COWLING S AFT SUPPORTS PER AC43 13 18 Discrepancy 113 I BOTH LEFT AND RIGHT ENGINE THROTTLE CABLES HAV
48. LY WITH CESSNA MEB 77 34 TRIM CONTROL SYSTEM INSPECTION Corrective Action 9 COMPLIED WITH CESSNA MEB77 34 TRIM CONTROL SYSTEM INSPECTION NO DEFECTS NOTED AT THIS TIME Discrepancy 10 S B ME75 4 BATTERY amp BATTERY BOX MAINTENANCE DUE Corrective Action 10 B k RECORDING TODAY S TOTAL TACH FLIGHT TIME IN TIME SERVICE Description of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries COMPLIED WITH CESSNA MEB 75 4 BATTERY AND BOX MAINTENANCE NO DEFECTS NOTED AT THIS TIME NEXT DUE IN 50 HOURS Discrepancy 11 AD 00 01 16 AMEND 39 11514 DATED 2 15 00 BOTH LEFT AND RIGHT ENGINE EXHAUST SYSTEM INSPECTION PER COMPLIANCE TABLE FIGURE 1 PARA B C 0 amp E DUE Corrective Action 11 COMPLIED WITH AD 00 01 16 AMENDMENT 39 11514 DATED 2 15 00 ON BOTH LEFT AND RIGHT ENGINES EXHAUST SYS MED THE REQUIREMENTS OF AD FIGURE ONE PARAGRAPH B C D amp E NO DEF TIME ON LEFT ENGINE RIGHT ENGINE LEAKING OUT TAIL PIPE CLAMP AND AOVED OLD CLAMPS INSTALLED NEW MAIN TAIL CLAMP PART NU NEW WASTE GATE TO TAIL PIPE CLAMP PART NUMBER U10C050 240M NO LI SIDE PARAGRAPH 1 NEXT DUE IN 50 HOURS OR 30 CALENDAR DAYS E PARAGRAPH IS NEXT DUE NOT EXCEED 12 CALENDAR MONTHS PARAGRAPH D NEXT DUE NOT TO EXCEED 500 HOURS TIME IN SERVICE PARAGRAPH E NEXT DUE
49. ME IN Entries must be endorsed with Name Rating and Certificate Number of DATE TIME SERVICE Technician or Repair Facility See back pages for other specific entries 9 29 10 N7HTX Cessna 421C SIN 4210165 TCM GTSIO 520 L a 7 Hobbs 4918 8 AFTT 5914 8 Jane O tire S N 01962236 and new RtGood Acro Classic tubes and new Lt Goodyear Flight Custom m 6 5 1 year Flight Custom Ill tire S N 01952233 on both Rt and Lt main wheels Lubricated main wheel bearing Inflated tires to manufacturer recommended psi and checked for leaks with no leaks noted 2 Installed new 16 new Rapco RA66 66 brake linings on Rt and Lt brake calipers Broke in new Recommendation Brakes operating satisfactorily at this time o work accomplished TAW AC43 43 1B 2A Cessna 421C maintenance manual and all applicable FARS Wood A amp P 2769598 1 Installed 2 new 6 5 10 with Aeroshell 22 grease brakes as per manuf Date 5 16 2011 Aircraft N711TX Type 421 SIN 421C0165 Hobbs 4984 Tach Total Time Shop Order 4 SH 1 1 0176 Discrepancy 2 RIGHT HAND COCKPIT SIDE WINDOW CHIPPED W INSTALLED REPAIRED WINDOW PART NUMBER Corrective Action 2 REMOVED THE OLD RIGHT SIDE COCKPIT WINDO 5111605 4 SERIAL NUMBER 1 22 10 FROM PERKINS AIRCRAFT SERVICES INC ON THEIR WORK ORDER NUMBER 027834 DATED 4 25 11 The aircraft airframe aircraft engine propeller or appliance identified above was repaired
50. NOT TO EXCEED 12 CALENDAR MONTHS Discrepancy 12 BOTH LEFT AND RIGHT HYDRAULIC FILTERS DUE CHANGE Corrective Action 12 REMOVED OLD HYDRAULIC FILTERS FROM LEFT AND RIGHT SIDES INSTALLED NEW HYDRAULIC FILTERS PART NUMBER AN6235 2A FOR THE LEFT AND RIGHT SIDES NO LEAKS NOTED AT THIS TIME WORK PERFORMED YAW CESSNA 421C AMM 11 03 Discrepancy 13 CREW CHIEF TECHNICAL RESEARCH Corrective Action 13 COMPLIED WITH CREW CHIEF TECHNICAL RESEARCH on Merk Description of Inspections Tests Repairs and Alteration Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries YEAR RECORDING 20 TACH DATE TIME TIME IN SERVICE ___ Discrepancy 14 LEFT UP LOCK HOOK MOUNT BRACKET BROKEN _ _ __ Corrective Action 14 REMOVED THE LEFT M L G UP LOCK HOOK INBOARD AND OUTBOARD BRACKETS INSTALLED NEW LEFT MILIG UP LOCK HOOK INBOARD BRACKET PART NUMBER 5141204 3 AND OUTBOARD SUPPORT PART NUMBER 5141205 203 AND NEW BEARING BLOCK PART NUMBER 5141203 3 WITH NEW Ls ATTACHING HARDWARE OPERATIONAL CHECK OF THE UP LOCK HOOK ASSEMBLY 1S GOOD AT THIS TIME WORK PERFORMED VAW CESSNA 421C AMM 15 10 earls _ _ Discrepancy 15 RIGHT M LIG UP LOCK HOOK MOUNT BRACKET BROKEN _ Corrective Action 15 REMOVED THE RIGHT MILIG UP LOCK HOOK INBOARD AND OUTBOARD BRACKETS INSTALLED NEW
51. NTER FLOOR AFT OF THE CABIN DOOR FOR THE ELEVATOR CONTROL SYSTEM CESSNA E 421C AMM 8 30 Discrepancy 84 i E ONE RUDDER CABLE PULLEY WORN UNDER CABIN FLOOR AFT OF CABIN DOOR Corrective Action 84 L REMOVED OLD PULLEY INSTALLED NEW PULLEY PART NUMBER S378 4 UNDER THE CENTER FLOOR AFT OF CABIN DOOR FOR THE RUDDER CONTROL SYSTEM CESSNA 421C AMM 5 20 Discrepancy 85 A TWO RUDDER TRIM PULLEYS WORN UNDER CABIN FLOOR AFT OF CABIN DOOR d Corrective Action 85 Queries On Next page Gd RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of TIME SERVICE Technician or Repair Facility See back pages for other specific entries REMOVED OLD PULLEYS INSTALLED NEW PULLEYS PART NUMBER S278 1 UNDER CENTER FLOOR AFT OF THE CABIN DOOR FOR THE RUDDER TRIM CONTROL SYSTEM VAAW CESSNA 421C AMM 5 20 Discrepancy 86 TWO ELEVATOR TRIM PULLEYS WORN UNDER CABIN FLOOR AFT OF CABIN DOOR Corrective Action 86 REMOVED OLD PULLEYS INSTALLED TWO NEW PULLEYS PART NUMBER 5378 1 UNDER THE CENTER FLOOR AFT OF CABIN DOOR FOR THE ELEVATOR TRIM CONTROL SYSTEM VAAN CESSNA _ 421 AMM 5 30 Discrepancy 87 ELT BATTERY IS DUE REPLACEMENT Corrective Action 87 REMOVED THE OLD ELT BATTERY INSTALLED NEW ELT BATTERY PART NUMBER 1010 OPER
52. NTO THE LEFT ENGINE NUMBER FOUR CYLINDER WORK PERFORMED CESSNA 421C AMM 7 61 Discrepancy 37 LEFT WING FUEL CAP LANYARD BROKEN Corrective Action 37 E REMOVED BROKEN FUEL CAP LANYARD INSTALLED NEW LEFT WING FUEL CAP LANYARD PART on next YEAR RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations 20 TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of DATE TIME SERVICE Technician or Repair Facility See back pages for other specific entries NUMBER 452 16 6 A W CESSNA 421C AMM 9 00 Discrepancy 38 LEFT AILERON TRIM TAB HAS SCAB PATCH INSTALLED ON IT Corrective Action 38 REMOVED LEFT AILERON TRIM TAB INSTALLED OVERHAULED LEFT AILERON TRIM TAB PART NUMBER 5124000 71 FROM AIR IMPRESSIONS INC ON THEIR WORK ORDER NUMBER 2761 175 amie DATED 7 14 2009 OPERATIONAL AND TRAVEL CHECKS GOOD BALANCED THE AILERON ASSEMBLY IAW THE CESSNA 421C M M CHAP 1 90 PAGE 7 12 TO 4 00 IN LBS Discrepancy 38 BOTH WING FUEL CAPS O RINGS ARE DRY ROTTED Corrective Action 39 REMOVED OLD O RINGS FROM FUEL INSTALLED NEW O RINGS PART NUMBER 29513 338 ONTO THE LEFT AND RIGHT WING FUEL CAPS CESSNA 421C AMM 9 00 Discrepancy 40 LOOSE RIVETS IN RIGHT AND LEFT WINGS OUTBOARD OF THE M L G DOOR HINGES Corrective Action 40 REMOVED AND REPLACED LOOSE RIVETS AS NEEDED OUTBOARD OF THE M L G DOOR
53. PIPE IS DAMAGED Corrective Action 17 PERFORMED CESSNA 421C AMM 7 60 Discrepancy 18 AIRCRAFT REQUIRES EXTENSIVE PAINT WORK RE PAINTED AREAS AND RI osi o Met Peat Corrective Action 18 ACCIDENT Discrepancy 19 1ONAL CHECK GOOD AT THIS TIME WORK PERFORMED LASS OUTBOARD AFT NACELLE FAIRING DAMAGED FRO REPAIRED THE OUTBOARD AFT NACELLE FAIRING INSTALLED THE FAIRING ONTO THE AIRPLANE Wi FUEL ACCESS PANELS FOR INSPECTION FOLLOWING RI REMOVED OLD RIGHT SIDE EXHAUST TAIL PIPE PART NUMBER 9910300 02 SERIAL NUMBER 203388 M RIGHT UP LANDING WITH FIBERGLASS CLOTH AND RESIN AND RE ORK PERFORMED CESSNA 421 AMM 15 40 gt GHT M L G UP LANDING LEANED PANELS AND WING MATING lt REMOVED ALL RIGHT WING FUEL ACCESS PANELS Cc INSTALLED NEW SEALS ONTO ALL REMOVED SURFACES REMOVED THE OLD FUEL PANEL SEALS ELS ONTO THE RIGHT WING CESSNA 421C 9 00 INSTALLED NEW RIGHT SIDE EXHAUST TAIL PIPE A KNISLEY EXHAUST SYSTEMS WORK EPLACEMENT PANELS AND PARTS THAT WERE DAMAGED DURING THE TODAY S FLIGHT YEAR 20 DATE RECORDING TACH TIME TOTAL TIME IN SERVICE Description of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries D
54. Pertinent details of the repair are on file at this repair station Signed Dated M Tri State Inc CRSAHTR102C A9101 Flightline Drive Evahsvilie Indiana 47725 812 426 1221 aae RECORDING TACH TIME TODAY S TOTAL TIME IN SERVICE Description of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries Date 11 14 2011 Aircraft N711TX Type 421C S N 42100165 Hobbs 4948 1 Tach Total Time 5980 1 Shop Order SH 11 0081 Discrepancy 2 ANNUAL INSPECTION DUE ON THIS CESSNA 421C Corrective Action 2 COMPLIED WITH THE ANNUAL INSPECTION ON THIS CESSNA 421C Discrepancy 3 A D RESEARCH IS DUE Corrective Action 3 COMPLIED WITH THE A D RESEARCH FOR THIS AIRCRAFT UP THE DATE OF THIS ANNUAL INSPECTION Discrepancy 4 ELT INSPECTION IS DUE PER FAR 91 207 d Corrective Action 4 COMPLIED WITH THE ELT INSPECTION PER FAR 91 207 d NO DEFECTS NOTED AT THIS TIME Discrepancy 5 THE LEFT M L G HYDRAULIC ACTUATOR LEAKING REMOVE AND SEND OUT Corrective Action 5 REMOVED THE LEFT M L G HYDRAULIC ACTUATOR PART NUMBER 9910136 2 INSTALLED LEFT HYDRAULIC M L G ACTUATOR PART NUMBER 9910136 2 SERIAL NUMBER 2381 WITH NEW ORIFICED FITTING PART NUMBER 5727005 11 ACTUATOR OVERHAULED AT AIR CAPITOL JET ON THE
55. R Corrective Action 44 REMOVED OLD ROD END FROM LEFT SIDE INSTALLED NEW ROD END PART NUMBER ARB4EDUS ONTO THE LEFT SIDE M L G DOOR PUSH PULL ROD DOOR SIDE OPERATIONAL CHECK GOOD AT THIS TIME WORK PERFORMED CESSNA 421C AMM 3 14 Discrepancy 45 LEFT ENGINE INBOARD AFT NACELLE SKIN ON BOTTOM HAS LOOSE RIVETS AND SKIN IS CRACKED Corrective Action 45 i REMOVED LOOSE RIVETS STOP DRILLED SMALL CRACK IN SKIN INSTALLED NEW RIVETS AS NEEDED Discrepancy 46 BOTH M L G CENTER TORQUE LINK BOLTS ARE LOOSE LEFT ONE LOOKS LIKE IT HAS IMPROPER HARDWARE E aw i n E a 1 EE RUNS 20___ DATE TODAY S TOTAL Description of Inspections Tests TIME IN SERVICE RECORDING TACH TIME 5 i Repairs and Alteratior Entries must be endorsed with Name Rating and Certificate Number o Technician or Repair Facility See back pages for other specific entries Corrective Action 46 DE FLATED BOTH L BOTH LEFT AND RIG EFT AND RIGHT STRUTS REMOVED OLD ATTACHING HARDWARE FROM M L G CENTER TORQUE LINKS REPLACED CENTER BUSHING PART NUMBER 5041013 3 ON LEFT SIDE UPPER TORQUE LINK REPLACED ALL BOLTS WASHERS SPACERS AND NUTS ON BOTH CENTER TORQUE LINKS SERVICED BOTH LEFT AND RIGHT STRUTS WITH NITROGEN AS NEEDED PER CESSNA 421C AMM CHAPTER 4 10 Discrepancy 47 TWO RIVETS MISSING IN THE LEFT WING INBOARD FLAP HINGE LINE
56. RIGHT MIL G UP LOCK HOOK INBOARD BRACKET PART NUMBER 5141204 4 AND OUTBOARD EE SUPPORT PART NUMBER 5141205 202 AND NEW BEARING BLOCK PART NUMBER 5141203 3 WITH NEW ATTACHING HARDWARE OPERATIONAL CHECK OF THE UP LOCK HOOK ASSEMBLY 1S GOOD AT Ze THIS TIME WORK PERFORMED CESSNA 421 AMM 15 10 Discrepancy 16 RIGHT MIL G UP LOCK SWITCH WIRES PULLED OUT OF THE BACK OF IT Corrective Action 16 REMOVED THE OLD RIGHT MILIG UP LOCK SWITCH INSTALLED AND RIGGED NEW RIGHT M L G UP LOCK SWITCH PART NUMBER 602ENS55 6B OPERATIONAL CHECK GOOD AT THIS TIME WORK asa PERFORMED CESSNA 421C 4 70 Discrepancy 17 RIGHT ALTERNATOR AXILLARY WIRE RING TERMINAL BROKEN Corrective Action 17 o 2 DATE RECORDING TACH TIME TOBAY S TOTAL FLIGHT TIME IN SERVICE Description of inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries REMOVED OLD RING TERMINAL INSTALLED NEW RING TERMINAL PART NUMBER 36153 ON RIGHT ALTERNATOR AUXILIARY WIRE AS NEEDED Discrepancy 18 RIGHT ENGINE PROPELLER CONTROL ROD END WORN AT THE GOVERNOR Corrective Action 18 REMOVED OLD RIGHT PROPELLER CONTROL ROD END INSTALLED NEW ROD END PART NUMBER 1105 3 FOR THE RIGHT ENGINE PROPELLER CONTRO
57. S new empty a airen a weight and balance ES was ealculaied The new C G falls within the timis as specified io the flight manu new ci2etreenl tood does wol exceed q 80 oF the aireraf t ititv It is the responsibility of the pilot to ensure vesighi and baiance before euch fight i j Derails are on file at Star Avionics Inc under W O 32023 d i k i i l fi YEAR RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations 20 TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of 3 DATE TIME SERVICE Technician or Repair Facility See back pages for other specific entries T ere Star Avionies Inc 108 Nowlin Lane Harigar 21 Chattancoga TN 37421 CRS TA4R3537M 423 499 1100 Date July 3 2012 N711TX S N 421C0165 Hobbs 4985 6 sl _ A Installed the following equipment Avidyne TCAS L Ban Top Antenna P N S72 1750 31L S N 9861 at F S 149 50 on top of aircraft Avidyne TCAS L Ban Bottom Antenna P N 372 1750 32L S N 9927 at F S 171 33 on bottom of aircraft All work was accomplisked in accordance with DER drawing N71 1TX 060612 1 and N711TX 00612 2 referencing n Avidyne STC SA02013CH Avidyne Traffic Advisory System Installation Manual 32 2351 Rev 04 Oct 2005 and AC
58. S P N MS28775 AND REINSTALLED AND BLED RESEALED RIGHT BRAKE CALIPER USING NEW O RINOS P N MS 28775 132 AND REINSTALLED AND BLED INSTALLED NEW LEFT BRAKE DISC WITH NEW P N 164 06406 NEW BRAKE LININGS P N 068 06600 AND NEW SHIM P N 068 03 100 INSTALLED NEW RIGHT BRAKE DISC P N 164 06406 NEW LININGS P N 066 06600 AND NEW SPACER PIN 0683 03100 SAFETIED LEFT OUTBOARD ELAP INBOARD ACTUATOR CONNECTIONS STRAIGHTENED RIGHT OUTBOARD FLAP WELL OUTBOARD FRAME ADJUSTED RIGHT WING AILERON CABLE TENSION TO WITHIN LIMITS AND VERIFIED NEUTRAL POSITION BLENDED DAMAGE AT TOP ELEVATOR SKIN PER CESSNA 421 SERVICE MANUAL 15 40 37 INSTALLED NEW RIGHT WING OU TBOARD AFT SUMP VALVE P N 79C1 AND USING NEW O RING P N MS28775 132 TIGHTENED HYDRAULIC FITTINGS IN LEFT WING LEADING EDGE CLEANED AND PREPPED AREA DORSAL PIN APPLIED EPOXY AND APPLIED EDGE SEALANT INSTALLED NEW LEFT WING INSPECTION LIGHT P N 1385 SECURED IN DASH CENTER RADIO RACK FRAME REMOVED LOOSE RIVET ON RIGHT NACELLE LEFT AIR SCOOP AND INSTALLED BLIND FASTENER P N 2456 4 4 IN ACCORDANCE WITH CESSNA S R M 15 003 REMOVED AND REPLAC SHEARED RIVETS IN RIGHT NACELLE LEFT AFT CAMLOCK IN ACCORDANCE WITH CESSNA S R M 15 00 3 REMOVED WORKING RIVETS ON LEFT NOSE GEAR DOOR HINGE AND REPLACED L MS20426AD4 RIVETS IN ACCORDANCE WITH CESSNA 421 SRM 15 003 REMOVED PULLED RI RIGHT WING ROOT FAIRING AND REPLACED USING NAS1097ADS RIVETS WET WITH PR1440 B2 SEALANT IN ACCORDANCE WITH CESSNA 421 SRM 15 00 04 REMOVED D
59. SION FROM HED ALODINED AND PAINTED SKIN AND BRACKETS RACKETS BACK ONTO AIRCRAFT WORK Q YEAR 20 DATE RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of TIME SERVICE Technician or Repair Facility See back pages for other specific entries Discrepancy 107 FOUND AFT BULKHEAD OF LEFT ENGINE CANTED BEAM TO BE CRACKED Corrective Action 107 REMOVED OLD AFT BULKHEAD OF LEFT CANTED BEAM INSTALLED NEW AFT BULKHEAD PART NUMBER 505 4030 35 AND NEW MIDDLE SUPPORT CAP PART NUMBER 505 4030 34S OF LEFT SIDE CANTED BEAM AS NEEDED AW CESSNA 421C AMM CHAPTER 15 AND AC43 13 1B Discrepancy 108 LEFT ENGINE OIL FILTER MOUNT BRACKET CRACKED Corrective Action 108 FABRICATED AND INSTALLED PATCHES TO THE LEFT ENGINE FILTER MOUNT AS NEEDED WORK PERFORMED PER AC43 13 1B Discrepancy 109 FOUND LEFT ENGINE OUTBOARD ENGINE BEAM TO BE CRACKED Corrective Action 109 FABRICATED AND INSTALLED PATCHES TO LEFT ENGINE OUTBOARD ENGINE BEAM DERT 710242 8W PERFORMED BY GEORGE B SPARLING DATED 8 8 11 PERFORMED ALL PARAGRAPHS OF REPAIR SCHEME INSPECTION REQUIREMENTS AT A PERIOD TO NOT EXCEED EVERY 12 MONTHS VISUALLY INSPECT THE REPAIR AREA TO THERE IS NO ADDITIONAL CRACKING FILLED OUT AND SUBMITTED FAA FORM 337 Discrepancy 110 LEFT AND RIGHT NACELLE FUE
60. T IN ACCORDANCE WITH APPENDIX OF THIS AD LEFT ENGINE FOUND CRACKED WELDS ON BOTH EXHAUST MANIFOLDS AT INTERSECTION OF CYLINDER AND COLLECTOR TUBES NO OTHER DEFECTS NOTED ALL WORK DONE IN ACCORDANCE WITH 421C MAINTENANCE MANUAL AND AD32001 01216 TTEM E 4ND APPENDIX COMPLIED WITH AD 2001 01 16 FIGURE 1 TTEM C REMOVE TAIL PIPES AND INSPECT RIGHT ENGINE REMOVED HEAT SHIELDS UNDER WING ACCESS AND TAIL PIPE PREFORMED ITEM C INSPECTION NOTED WEAR ON UPPER BEND OF TAILPIPE CHAFING FROM MOUNT BRACKET PREFORMED NDT TO CHECK FOR CRACKING NO CRACKS FOUND NO FURTHER DEFECTS NOTED REINSTALLED TAIL PIPE ACCESS AND HEAT SHIELD ALL WORK DONE IN ACCORDANCE WITH 421C MAINTENANCE MANUAL AND AD 2001 01 CONTINUED ON NEXT PAGE CRS MVSR0SSN PAGE 1 OF 4 RECORDING TODAY S TOTAL Description of inspections Tests Repairs and Alterations TACH FLIGHT TIMEIN Entries must be endorsed with Name Rating and Certificate Number of SERVICE Technician or Repair Facility See back pages for other specific en TRAVEL OF AILERON TRIM INDICATOR REINSTALLED AUTOPILOT HEAD FABRICATED NEW BRACKET FOR LEFT ALTITUDE COMPENSATING VALVE BRAC USING 202413 0 040 amp 0 063 LOCATED DRILLED AND INSTALLED REFERENCING AC43 13 1B CHAPTER 4 SECTION 4 COMPLIED WITH GROUND RUN AND LEAK CHECKS ALL CI IECKS SATISFACTORY AT THIS TIME CERTIFY THAT THIS AIRCRAFT HAS BEEN INSPECTED IN ACCORDANCE WITH AN ANNUAL
61. TAL D 7 IST OF DISCREPANCIES FORWARDED ENCED WORK ORDER NOT APPROVED FOR RETURN TO SI RVICE LS ARE ON FILE UNDER THE ABOVE REFI ES SIGNED pL X Ans eo VOR EAGLE CREEK AVIATION SERVICES INC FAA CERTIFICATED REPAIR STATION MVSR0SSN Logbook Entry E Date 6 18 2010 Make Cessna Installed aft pressure bulkhead connector at FS 277 2 IAW DER drawing number 70G 257F018 rev IR The aircraft and or appliance identified abov RUN FAA regulations and is approved for return t Pertinent details of this repair are on file at this Repair Station under Work Order 49 3845 4414 N 741TX e was repaired and or inspected in accordance with current o service for the work performed Rowan Jorf s For Ron Collins Aviation Electronics LLC 2158 State Route 136W Henderson KY 42420 Phone 270 827 1161 270 827 1164 CRS No PG2R0821 URL www roncollinsaviation com E Mail rowan rcae info RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of TIME SERVICE Technician or Repair Facility See back pages for other specific entries 06 182010 7 CHIC SN 412C0165 Hobbs 4837 5 AFTT 5833 5 Removed right tanding light assy PN45 0148 4 Replaced motor with new Honeywell PN A6532 replaced bulb with GE 4553 reinstalled unit in aircraft Operatio
62. TAR AVIATION SERVICES po Lo 1 i 728 2012 NTWTX CRIC SN 412C0165 Hobbs 5035 7 AFTT 6031 7 1 Replaced Lane Voltage Regulators with Plane Power PN R1224B Left SN B 120517 Right SN B 115132 Removed over voltage relays as per Plane Power instructions Set Voltages and tested system operation OK Replaced starter vibrator with new 10 357487242 Tested starting system OK 43 13 1B 2A Cessna 421C mainten All work accomplished IAW AC approved for return to respect to work performed lity liam Wood A amp P IA 2769598 AU T 99 ance manual and ali applicable FAR s certify this aircraft is YEAR RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations 20 TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of DATE TIME SERVICE Technician or Repair Facility See back pages for other specific entries Prairie Star Aviation Ri 2 12 13 N711TX Cessna 421C S N 421C0165 618 262 6464 225 or TCM GTSIO 520 L Mt Carmel Airport AJG 10188 Mt Carmel Airport Ln 1 Hobbs 5071 6 AFTT 6067 6 St Francisville IL 62460 pee 1 Adjusted micro switch on Rt landing light to extend retract properly 2 Replaced Lt wing deice inspection light bulb P N GE1385 25 73 3 Replaced seal on Lt wing lower inboard fuel panel P N 1556 2 4 Removed Rt wing aux fuel lock
63. amp 9 REMOVED THE LEFT ENGINE WASTE GATE PART NUMBER 165006 0113 SERIAL NUMBER VKLO0102 INSTALLED OVERHAULED LEFT TURBO WASTE GATE PART NUMBER 481064 9001 SERIAL NUMBER MIO00177 FROM KELLY AEROSPACE ENERGY SYSTEMS ON THEIR WORK ORDER NUMBER M238160 DATED SEP 25 2009 OPERATIONAL CHECK GOOD NO LEAKS NOTED AT THIS TIME WORK PERFORMED CESSNA 421C AMM 7 42 Discrepancy 139 THE AFT PRESSURE BULK HEAD ACCESS PANEL HAS MISSING ATTACH BRACKET ON BOTTOM SIDE Corrective Action 139 Ceara wa On Next pege Ge 5 NEMPE peri um ead A asia 1 __ 20 DATE TODAY S TOTAL RECORDING TACH TIME Description of Inspections Tests Repairs and Alterationd Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries i FLIGHT TIMEIN SERVICE INSTALLED NEW RETAINER BRACKET PART NUMBER 5310120 4 TO THE LOWER SIDE OF THE AFT PRESSURE BULKHEAD CLOSE OUT PANEL INSTALLED NEW 1 4 TURN FASTENERS INTO BRACKET Discrepancy 140 LEFT ENGINE OIL LINE B NUT SLEEVE CRACKED FROM TURBO WASTE GATE TO OIL FILTER ADAPTER Corrective Action 140 REMOVED CRACKED SLEEVE FROM OIL LINE INSTALLED NEW SLEEVE AND ORIGINAL B NUT AND RE FLARED THE OIL LINE FROM THE LEFT ENGINE TURBO WASTE GATE TO THE FILTER FITTING AS NEEDED NO LEAKS NOTED AT THiS TIME
64. ating and Certificate Number of ir Facility See back pages for other specific entries Corrective Action 103 INFORMED AIRCRAFT OWNER AND FUEL TANK INLET FLOAT VALVES INSPECTION TO COMPLY WITH THIS AD AT THIS TIME Discrepancy 104 BOTH LEFT AND RIGHT HEAT EXCH Corrective Action 104 INSTALLED NEW BUSHINGS f HEAT EXCHANGER BUTTERFLY VALVES OPERATIONAL PERFORMED CESSNA 421C AMM 6 10 E Discrepancy 105 BOTH LEFT AND Corrective Action 105 REMOVED AND R PART NUMBER 2 0385613 60 OPERATIONAL CHECK CESSNA 421C AMM 6 40 Discrepancy 106 FOUND CORROSION UNDER THE LEFT WING AUXILIARY F OTHER MAINTENANCE Corrective Action 106 REMOVED AUX FUEL TANK HOLD DOWN STRAPS STRAP BRACKETS AND TOP OF WING SKIN ETC RE INSTALLED FUEL TANK HOLD DOWN STRAPS AND B GER THAT AD 95 09 13 AMENDMENT 39 9217 DATED 6 14 95 15 COMING DUE IN 10 HOURS THEY DUE NOT WISH REMOVED RIGHT AND LEFT HEAT EXCHANGER BUTTERFLY VALVES S2323 4 AT CONTROL VALVE ARMS RE I RIGHT BLEED AIR DUMP VALVE SEALS ARE BAD EPLACED THE RIGHT AND LEFT BLEED AIR DUMP VALVE GOOD AT THIS TIME PERFORMED CESSNA 421 AMM 15 50 AND AMM 9 20 Cand on Nett page ANGER BUTTERFLY VALVES DO NOT MOVE NSTALLED LEFT AND RIGHT HECK GOOD AT THIS TIME WORK SEALS WITH NEW SEALS WORK PERFORMED VAW 5 UEL TANK AFTER IT WAS REMOVED FOR BRACKETS CLEANED ALL CORRO
65. cy 22 RIGHT ELEVATOR HAS STICK ON WHEEL WEIGHTS INSTALLED ON TIP Corrective Action 22 SEE ITEM NUMBER 19 INSTALLED REPLACEMENT ELEVATOR Discrepancy 23 LEFT AND RIGHT M L G BRAKE DISCS ARE WORN BELOW LIMITS Corrective Action 23 REMOVED OLD BRAKE DISCS FROM LEFT AND RIGHT WHEEL ASSEMBLIES INSTALLED NEW BRAKE DISCS PART NUMBER 164 06406 ONTO BOTH LEFT AND RIGHT MAIN WHEEL ASSEMBLIES WORK PERFORMED CESSNA 421C AMM 4 43 Discrepancy 24 EMERGENCY EXIT WINDOW FRAME IS PUNCTURED IN LOWER AFT CORNER Corrective Action 24 REMOVED THE EMERGENCY EXIT WINDOW LOWER AFT AIRFRAME CORNER AND INSTALLED A NEW CORNER PIECE 5111311 6 GUSSET WORK PERFORMED CESSNA 421C AMM 15 30 Discrepancy 25 WHILE REMOVING ACCESS PANEL UNDER RUDDER TRIM TAB THE TRIM TAB WAS FOUND TO BE MAKING CONTACT WITH ACCESS PANEL Corrective Action 25 RE POSITIONED THE UPPER TAIL CONE AS NEEDED AND FILED OFF EXCESS SKIN FROM THE LOWER END OF THE RUDDER TRIM TAB TO PROVIDE MORE CLEARANCE BETWEEN TRIM TAB AND TAIL CONE Contin idc on r xi 20 DATE TACH TIME RECORDING TODAY S TOTAL FLIGHT TIME IN SERVICE Description of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries Discrepancy 26 LEFT ENGINE NUMBER TWO CYLINDER CHT PROBE WIRING BROKEN
66. e responsibility of the pilot to ensure correct weight and balance before each flight Details are on file at Star Avionics lnc under W O 32023 mz de p aec n i 1 1 STAR AVIATION SERVICES HAMA LOVELL FIELD j 20 CHATTANOOGA TN 37421 DATE 423 499 1100 N711TX CESSNA 421C S N 421C0165 HM 4985 6 7 5 2012 REMOVED ALL INTERIOR FURNISHINGS FOR REFURBISHMENT INTERIOR FURNISHING REFURBISHED BY M amp M UPHOLSTERY SEE ATTACHED BURN CERTS REINSTALLED FURNISHINGS AFTER REFURBISHMENT REMOVED AND REPLACED THE PILOTS SEAT PEDISTAL BASE P N 5015079 162 WITH A USED SERVICEABLE UNIT REPLACED THE PILOTS SEAT LH OUTBOARD PIVOT ARM P N 0812735 350Z WITH A USED SERVICEABLE ARM REPLACED THE PILOT amp CO PILOTS SIDE WINDOW TRIM PANELS P N 5119101 13 LH amp 5119101 14 RH TRIMMED FITTED PAINTED amp INSTALLED REPLACED LEFT AND RIGHT WING LOCKER DOOR SEALS P N R581535 AND INTERIOR CARPETING RESEALED THE LOWER CABIN DOOR SNUBBER ALL SEAT BELTS REWEBBED BY AVIATION ____ SAFTETY PRODUCTS FAA CRSHXWIRS31X SEE ATTACHED 8130 3 S DETAILS OF THESE REPAIRS ARE ON FILE AT THIS FACILITY UNDER W O M5450 EN Dewan nnn n aaae RANDALL MOATS A amp P 3336808lA POR S
67. ed with Name Rating and Certificate Number of TIME SERVICE Technician or Repair Facility See back pages for other specific entries 4313 8 Discrepancy 5 RIGHT WING BONDED PANEL REPAIR DAMAGED DUE TO LANDING WITH RIGHT MIL G IN UP POSITION Corrective Action 5 REMOVED THE DAMAGED BONDED PANEL FROM RIGHT WING JUST OUTBOARD OF ENGINE NACELLE INSTALLED NEW BONDED WING SKIN PANEL PART NUMBER 5122053 130 BETWEEN WING STATIONS 106 79 AND 463 29 WORK PERFORMED CESSNA 421C AMM 15 10 AND AC 43 13 B Discrepancy 6 RIGHT WING TIP DAMAGED IN GEAR UP LANDING Corrective Action 6 REMOVED THE RIGHT WING TIP PART NUMBER 1094 2 SERIAL NUMBER 4090 SHIPPED TO RAM FOR REPAIR INSTALLED RIGHT WING TIP PART NUMBER 1094 2 SERIAL NUMBER 1090 FOLLOWING REPAIR AT RAM AIRCRAFT ON THEIR WORK ORDER NUMBER 5626 DATED MAY 11 2011 WING LET INSTALLED RAM AIRCRAFT WING LETS STC NUMBER SA5811SW AND CHECKLIST NUMBER 1090 2 Discrepancy 7 BOTH INBOARD AND OUTBOARD FLAPS DAMAGED FROM RIGHT MILIG UP LANDING Corrective Action REMOVED OLD DAMAGED INBOARD AND OUTBOARD RIGHT WING FLAPS INSTALLED REPAIRED RIGHT OUTBOARD FLAP PART NUMBER 0825000 82 FROM WILLIAMS AIRMOTIVE ON THEIR WORK ORDER NUMBER 013568 DATED FEB 28 2011 WITH NEW HINGE PIN PART NUMBER 0820027 1 INSTALLED REPAIRED RIGHT INBOARD FLAP A 96 FROM WILLIAMS AIRMOTIVE ON THEIR WORK ORDER NUMBER 013569 DATED f NGE PIN PART NUMBER 0820027 2 WORK PERFORMED
68. er tank bladder and sent to FFC for repairs Reinstalled repaired fuel bladder P N 9941 4 with New inler o ring P N MS29513 250 5 Replaced ELT battery with Narco P N BP1010 battery Next due Feb 2015 TEF 6 Replaced Instrument air filter P N 1035351 Next due Feb 2013 7 Replaced 16 brake linings with APS P N 66 066 brakes adjusted and services with 5606 fluid L 8 Replaced both Rt and Lt induction air filters Brackett P N 108 9 Replaced Lt induction air scoop duct Ram P N 1151 1 10 Serviced all lubrication points according to Cessna MM lubrication chart N i 11 Landing gear serviced with 5606 fluid and dry nitrogen to manufacturer specs _ 12 bottle removed sent to Ameron Global Product Support RU2R148L for hydrostatic testing Bottle re installed and i fen needs serviced with oxygen Next hydro due 12 2017 12 AD 95 09 13 due all other AD s current through rev 2013 02 eS All work accomplished IAW AC43 13 1B 2B Cessna 421C maint manual GTSIO 520 overhaul manual and all applicable FARs I certify this airframe has been inspected IAW annual inspection and a list of discrepancies and unairworthy items dated 2 12 13 has been A provided to the owner T Lm lt t Tam Wood A amp P 2769598 20___ DATE RECORDING TACH TIME Description of Inspections Tests Repairs and Alterati Entries must be endorsed
69. escription of Inspections Tests Repairs and Alterations 20 TACH TIME IN Entries must be endorsed with Name Rating and Certificate Number of DATE TIME SERVICE Technician or Repair Facility See back pages for other specific entries Prairie Star Aviation 5713 N7IITX Cessna 421C S N 421 COL6S 618 262 6464 Mt Carmel Airport AJG 10188 Mt Carmel Airport Ln Hobbs 5096 4 6092 4 St Francisville IL 62460 1 Removed and replaced emergency oxygen bottle instrument line Cessna P N C166011 0106 Alp work gegompli 43 13 1 2 Cessna 421C maint manual and all applicable FARs illiam Wood A amp P IA 2769598 ima U I _ z I K O aO M
70. he following equipment Q Garmin GNS 430W P N 011 01060 40 S N 97104435 in F S 121 00 in the center instrament panel Garmin GNS 430W P N 011 01060 40 S N 97105808 in F S 122 40 in the center instrument panel Garmin GA 35 Antenna P N 013 00235 00 S N 62020 from F S 113 00 on top of aircraft Garmin GA 35 Antenna PZN 013 00235 00 S N 78517 from I S 113 00 on top of aircraft C All work was accomplished IAW Garmin STC SA01933LA D Garmin 400W 500W Series STC Upgrade Installatio Manual P N 190 00357 06 Rev D March 2008 The Garmin Dual GNS 430W is connected to the Pilot s HSI ARC 800 IFCS Avidyne EX600 Garmin GMA 240 and to the Dual Garmin GTX 327 Transponders for altitude informatio 1 and 2 WAAS Antennas were installed in existing holes and doublers D FAA approved Airplane Flight Manual Supplement for Garmin GNS 430W dated July 31 2009 and Garmin 4 Rev B dated July 30 2009 were provided and must be maintained in the aircraft at all times The Garmin Dual GN system was operationally tested and was found to be compatible with the above listed Flight Manual Supplement ani new empty aircraft weight and balance was calculated The new C G falls within the Jimits as specified in the flight It is the responsibility of the pilot to ensure correct weight and balance before each fight Details are on file at Star Avionics Inc under W O 32023 GAS 30
71. ion 54 SAFETY WIRED BOTH LEFT AND RIGHT MAIN CANNON PLUGS IN INBOARD LEADING EDGES Discrepancy 55 FLEXIBLE DUCT COMING FROM RIGHT ENGINE BLEED AIR LINE GOING TO RIGHT SIDE HEAT EXCHANGER HAS HOLE IN IT Corrective Action 55 TT REMOVED OLD FLEXIBLE DUCT INSTALLED NEW FLEXIBLE DUCT PART NUMBER CM3211 10B38 0 FROM RIGHT ENGINE BLEED AIR LINE TO THE RIGHT SIDE HEAT EXCHANGER WORK PERFORMED CESSNA 421C AMM 6 23 Discrepancy 56 ROW OF LOOSE RIVETS BOTTOM INBOARD AFT OF LEFT AND RIGHT NACELLE SKIN Corrective Action 56 REMOVED OLD RIVETS INSTALLED NEW RIVETS INTO THE LOWER LEFT AND RIGHT NACELLE SKIN AS NEEDED Discrepancy 57 RIGHT ENGINE TOP COWLING HAS HOLE CHAFED THROUGH UPPER SKIN Corrective Action 57 FABRICATED AND INSTALLED PATCH TO THE INSIDE OF THE RIGHT ENGINE TOP COWLING AND PAINTED AS NEEDED Discrepancy 58 LEFT AND RIGHT ENGINE TOP COWLING S FORWARD STRINGERS ARE CRACKED Corrective Action 58 CLEANED COWLING S FABRICATED DOUBLER AND ALODINED STOP DRILLED CRACKS IN STRINGERS INSTALLED DOUBLER TO THE FORWARD STRINGER ON EACH LEFT AND RIGHT UPPER Gia On next pr D RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations TACH FLIGHT Entries must be endorsed with Name Rating and Certificate Number of TIME Technician or Repair Facility See back pages for other specific entries ENGINE COWL
72. ks Cos pleLed 5 io he Ses Factora Oop fmd isu Soc Ces io cia m CIN CN eco iospecdech acl he o N 504 the Els 1 NS am dAd a pol AL AWTR loa X dese el V j aE ES sa meet RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations 0 TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of DATE TIME SERVICE Technician or Repair Facility See back pages for other specific entries Tac has Cosolt AO i ASA khe Cessh 5 Seil Last Pt aja ke ms ol Pilotis Seot Lele Syor arm broken Qua Eel bank Loks Qala Cera euts chas capi rons tako 15 nat d Tor Sper coa al E ght Xo be comblede 25 Ton Eu ks C te o h oks Pac CU Lit ter eee 1 suro for ADU X B en x has G A it lal neces Velo ODE MAX M 1 i i ss RECORDING TODAY S TOTAL Description of inspections Tests Repairs and Aiterations TACH FLIGHT TIME IN Entries must be endorsed with Name Rating
73. mplished IAW AC43 12 B 2A Cessna 421C maintenance manual and all applicable FARs Z tam Wood A amp P 2769598 2 ate S PUE 06 12 09 HOBBS 4703 1 AFTT 5699 1 N7ITTN 421C S N 421C0165 W O P21646W REMOVED RIGHT STARTER P N MHJ4003 S N 9012635 AND INSTALLED OVERHAULED STARTER P N MILI4003RX S N 1000715 ACCESSORIES INC CRS TM2R1921 W O 61609R 02 25 09 IN ACCORDANCE WITH SCM MAINTENANCE MANUAL ADJUSTED RIGHT VOLTAGE REGULATOR IN ACCORDANCE WITI AIRCRAFT MAINTENANCE MANUAL OPERATIONAL CHECKS GOOD AT THIS TIME THE MAINTENANCE OPERATIONS DESCRIBED WERE INSPECTED AND WITH RESPECT TO THE WORK PERFORMED THE AIRCRAFT AND OR COMPONENTS WAS FOUND AIRWORTHY AND I APPROVED FOR RETURN TO SERVICE FOR DISCREPANT ITEMS LISTED DETAILS ARE ON FILE UNDER THE ABOVE REFERENCED WORK ORDER A JP SIGNED _ AZ FOR EAGLE CREEK AVIATION SERVICES INC FAA CERTIFICATED REPAIR STATION MV5RO55N 04 col ANI FOU cot 1 22 CHI REF ACC ON Cu 01 1 Cor NO INS PRE SHI NAC SUI LI CYL WIT 2001 SHI UPP CRA HEA RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations TACH FLIGHT TIME IN Entries must be endorsed with Name Rating and Certificate Number of TIME SERVICE Technician or Repair Facility See back pages for other specific entries 04 01 09 HOBBS 4658 4 AFTT 5654 4 N711TX 421C S N 421C0165 W O P21327W COMPLIED WITH AN ANNUAL INSPECTION
74. must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries 20 DATE INSPECTED AND RE SEALED BOTH LEFT AND RIGHT BRAKE CALIPERS WITH NEW O RINGS PART Lo NUMBER MS28775 132 RE INSTALLED BOTH BRAKE CALIPERS ONTO AIRCRAFT WITH A NEW BRAKE SHIM PART NUMBER 068 02800 ON THE RIGHT SIDE BLED BOTH LEFT AND RIGHT BRAKE SYSTEMS ________ AS NEEDED WORK PERFORMED VAAW CESSNA 421C AMM 4 43 ux Discrepancy 30 _ SHIMMY DAMPENER NEEDS RE SEALED AND SERVICED WITH HYDRAULIC FLUID Gorrective Action 30 _ Ss REMOVED SHIMMY DAMPENER FROM AIRPLANE DIS ASSEMBLED CLEANED INSPECTED AND RE ASSEMBLED WITH NEW SEAL KIT PART NUMBER 084241 0 200 AND NEW AFT BEARING PART NUMBER 0842413 2 SERVICED WITH HYDRAULIC FLUID AND RE INSTALLED BACK ONTO NOSE GEAR WORK PERFORMED CESSNA 421C AMM 4 21 Discrepancy 31 RIGHT ENGINE FUEL PRESSURE REGULATOR MOUNT BAD Action 31 REMOVED OLD FUEL PRESSURE MOUNT FROM RIGHT ENGINE INSTALLED NEW FUEL PRESSURE MOUNT PART NUMBER 5154066 10N THE RIGHT ENGINE po Discrepancy 32 A GALLEY DRAIN LINE T FITTING tS CORRODED UNDER FLOOR IN AFT FUSELAGE x Cortective Action 32 REMOVED OLD GALLEY DRAIN T FITTING INSTALLED NEW DRAIN T FITTING AND NEW HOSES d UNDER AFT CABIN FLOOR FOR THE GALLEY DRAINS WORK PERFORMED
75. nal check List of discrepancies from Eagle Creek Aviation completed at this time All work accomplished AW AC43 13 1B 2B Cessna 421C maintenance manual and all applicable FAR s I certify this aircraft is approved for retum to service in respect to work performed 202 L a Loe EB iam Wood A amp P IA 2769598 08 25 10 HOBBS 4893 2 AFTT 58892 NTIITX 421C S N 421C0165 W O P22935W 1 CERTIFY THAT THE ALTIMETER SYSTATIC SYSTEM S TRANSPONDERS AND ENCODERS AS LISTED HAVE BEEN TESTED AS REQUIRED BY FAR 91 217 91 411 AND 91 413 THE COMPONENTS AND SYSTEMS WERE FOUND TO BE AIRWORTHY AND ARE APPROVED FOR RETURN TO SERVICE SYSTEMS WERE FOUND TO COMPLY WITH THE LIMITS SET FORTH IN FAR 43 APPENDICES E AND AND AC 43 6 TO 35 000 FEET MFG MODEL P N SERIAL ALTIMETERE2 United Inst 5934 PA ID 9A326 ALTIMETER 3 TRANSPONDER 1 Garmin STX327 011 00490 00 53720251 TRANSPONDER 2 Garmin GTX327 011 00490 00 83720247 ENCODER 1 ARC 801 43300 61288 2783 ENCODER 2 ALTIMETER 1 ARC 43300 61288 2783 DETAILS OF THE INSPECTIONS AND TESTS ARE ON FILE AT THIS AGENCY UNDER THE ABOVE REFERENCED WORK ORDER SIGNED r AQ Ska FOR EAGLE K AVIATION SERVICES INC FAA CERTIFICATED REPAIR STATION MV5R055N ons Tests Repairs and Atterations Description of inspecti YEAR RECORDING TODAY S TOTAL 20 TACH FLIGHT TI
76. on of Inspections Tests Repairs and Alterations Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries i INSTALLED THE RIGHT ENGINE MODEL NUMBER GTSIO 520 L SERIAL NUMBER 272347 R FOLLOWING SUDDEN STOPPAGE INSPECTION AT RAM AIRCRAFT ON THEIR PROJECT NUMBER 5621 DATED 3 21 11 OPERATIONAL CHECK AND LEAK CHECK GOOD AT THIS TIME RIGGED ENGINE IDLE IDLE MIXTURE AND MANIFOLD PRESSURE AS NEEDED WORK PERFORMED CESSNA 421C AMM 7 00 EIE Discrepancy 600 RIGHT PROPELLER DAMAGED FROM RIGHT M UG UP LANDING Corrective Action 600 I REMOVED THE RIGHT SIDE DAMAGED MCCAULEY PROPELLER P N 3FF32C501 GS0UMB 0 S N 822757 AND RED TAGGED INSTALLED AN OVERHAULED MCCAULEY PROPELLER P N 3FF32C501 G90UMB 0 SIN 806280 PER THE CESSNA 421C M M CHAP 08 00 PAGE 6 AND OPS CHECKED GOOD THIS PROPELLER WAS OVERHAULED BY MID FLORIDA AIRCRAFT PROPELLER INC ON THERE W O 3501A DATED 2 05 2010 NEW DE ICE BOOTS INSTALLED BY AIRCRAFT SPECIALISTS INC ON THERE W O 147031 DATED 5 13 2011 AND THE BLADES PAINTED BY AIRCRAFT SPECIALISTS INC ON THERE W O 147078 DATED 5 20 2011 The aircraft airframe aircraft engine propeller or appliance identified above was repaired and inspected in accordance with the current regulations of the Federal Aviation Administration and was found airworthy and is approve for return to service
77. porting Brackets for Attachment to Structure Other Than Plooring 206 Reinforcement of supporting Structure 207 Electrical Requirements 208 Electrical Load Analysis 209 Electromagnetic Cempatibitity and 210 Functional Hazard Assessment Pages 9 thru 22 and Chapter 3 Antenna installation paragraphs 301 Hazards and Warnings 303 Strucrura Support 304 Physica Interference 306 Antenna Location 307 Antenna Bonding 308 Electromagnetic Interference 309 Mechanical Installation and 311 Antenna Feed Line Balun pages 23 thru 28 The Avidyne MLB700 is connected 10 the Avidyne EX 600 MFD the Garmin GMA 340 Audio Panel and the aircraft avionics buss through s Klixon 2 amp circuit breaker P N 727 The circuit breaker was piacarded XM The King 39 is connected 10 the power outlets located the tables in the cabin and the aircraft avionics buss through Klixon 5 amp circuit breaker P N 7277 2 5 The circuit h breaker was placarded PWR Converter amp C FAA approved ICA AVSSG 008 Rev 04 dated September 27 2007 for the Avidyne MLB700 was provided The Avidyne MLB700 was operationally tested and was found to oc compatible with the above listed Installation Manual ICA and AC43 13 2B A new empty aircraft weight and balance was catculated The new C G falls within the limits as specified in the flight manual The new electrical load does nor exceed 30 of the aircraft capability It is th
78. pty aircraft weight and balance was calculated The new falls within the limits as specified in the flight manual The new electrical load does not exceed 30 of the aircraft capability It is the responsibility of the pilot to ensure correct weight and balance before each flight Details are on file at Star Avionics Inc under W O 32023 lt Lb CRSP 537 pm K Miller YEAR 20 DATE RECORDING TACH TIME TODAY S TOTAL FLIGHT TIME IN SERVICE Description of Inspections Tests Repairs and Aiteratiori Entries must be endorsed with Name Rating and Certificate Number d Technician or Repair Facility See back pages for other specific entri I i Star Avionics Inc 108 Nowlin Lane Hangar 21 Chattanooga TN 37421 CRS TA4R537M 423 499 1100 N711TX S N 421C0165 Date July 3 2012 Hobbs 4985 A Removed the following equipment Garmin GNS 430 P N 011 00280 10 S N 97126600 from F S 113 00 in the center instrument panel Garmin GNS 430 P N 011 00280 10 S N 97126625 from F S 113 40 in the center instrument panel Garmin GA 56 Antenna P N 011 00134 00 S N 59405664 from F S 113 00 on top of aircraft Garmin GA 56 Antenna P N 011 00134 00 S N 59405674 from F S 113 00 on top of aircraft B Installed t
79. ries RECORDING TODAY S TOTAL Description of Inspections Tests Repairs and Alterations TACH TIME IN Entries must be endorsed with Name Rating and Certificate Number of Technician or Repair Facility See back pages for other specific entries TIME SERVICE PERFORMED l AAW CESSNA 421C AMM 5 30 Discrepancy 67 CO PILOT S STORM WINDOW CRACKED Corrective Action 67 REMOVED OLD CO PILOT S FOUL WEATHER WINDOW INSTALLED NEW CO PILOT S FOUL WEATHER WINDOW PART NUMBER 511603 6 WORK PERFORMED CESSNA 421C AMM 3 30 Discrepancy 68 RIGHT HORIZONTAL STABILIZER DE ICE BOOT HAS SMALL SPLIT IN IT Corrective Action 68 ROUGHED UP AND CLEANED AREA FOR PATCH PART NUMBER 74 451 187 INSTALLED ON SMALL SPLIT IN RIGHT HORIZONTAL STABILIZER DE ICE BOOT WORK PERFORMED VAAN CESSNA 421C AMM 12 60 Discrepancy 69 LEFT ELEVATOR CENTER BEARING WORN Corrective Action 69 REMOVED LEFT ELEVATOR REMOVED OLD CENTER MOUNT BEARING INSTALLED NEW BEARING PART NUMBER MS24462 4 FOR THE CENTER MOUNT HINGE FOR THE LEFT ELEVATOR WORK PERFORMED I A W CESSNA 421C AMM 5 30 Discrepancy 70 TWO RUDDER TRIM PULLEYS IN TAIL ARE WORN Corrective Action 70 REMOVED OLD PULLEYS INSTALLED TWO NEW RUDDER TRIM PULLEYS PART NUMBER MS20219 2 CESSNA 421C AMM 5 20 Discrepancy 71 TWO ELEVATOR TRIM PULLEYS IN TAIL ARE WORN Corak on pege D Y
80. with Name Rating and Certificate Number ie Technician or Repair Facility See back pages for other specific ente J TODAY S TOTAL FLIGHT TIMEIN SERVICE d 2n213 Cessna421C S N 421C0165 Mt Carmel Airport AJG This aircraft has been inspected and found safe for the inten Prairie Star Aviation 618 262 6464 TCM GTSIO 520 L j 10188 Mt Carmel Airport Un St Francisville IL 62460 Hobbs 5071 6 AFTT 6067 6 ded flight in accordance with special flight permit dated February 1 2013 Jomplished JAW_AC43 13 1B 2B Cessna 421C maint manual GTSIO 520 overhaul manual and ali applicable FARs Tam Wood A amp P IA 2769598 AFTT 60683 N7IITX 421C S N 421C0165 W O P25792W AT VALVE FUNCTIONAL CHECK BY TESTING THE FLOAT INSTALLATION TEST NO DEFECTS NOTED RE 02 15 13 HOBBS 5072 3 COMPLIED WITH AD 95 09 13 FUEL INLET FLO VALVES IN ACCORDANCE WITH MEB93 10 RI INSPECTION DUE IN 600 HRS THE MAINTENANCE OPERATIONS DESCRIBED HEREIN WERE INSPECTED AND WITH RESPECT TO THE WORK PERFORMED THE AIRCRAFT AND OR COMPONENTS WAS FOUND AIRWORTHY AND IS APPROVED FOR RETURN TO SERVICE FOR DISCREPANT ITEMS LISTED DETAILS ARE ON FILE UNDER THE ABOVE REFERENCED WORK ORDER SIGNED Xd FOR EAGLE CREEK AVIATION SERVICES INC FAA CERTIFICATED REPAIR STATION MVSR0SSN YEAR RECORDING TODAY S TOTAL D

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