Maximum Hours or Service Life between overhaul recommended by Mfg. ). iOe) years, whichever occurs first. Hrs. or _S;~:L...X~· __ PROPELLER MAINTENANCE RECORD Propeller Manufacturer: --1i..1.fs..L fl :....4 .........•.. Z'---"0t&'-'!...."'- _ Hub Model No. -.li t- H '1 't L\'----....!..« t_ Hub Serial No. L '/..1< f1 Governor Serial No. _ High _Lf-Y-"'3~.--=O~II-- Low ---'..h_t_ ..... 5',-_0 _P_ITC;e::: G _ E _...--.- Reverse __ ~ _ I Governor Manufacturer: _ Governor Model No. _
Transcript
Maximum Hours or Service Life between overhaul recommended by Mfg. ). iOe)years, whichever occurs first.
Hub Model No. -.li t -H '1't L\'----....!..«t_Hub Serial No. L '/..1< f1
Governor Serial No. _
High _Lf-Y-"'3~.--=O~II--Low ---'..h_t_.....5',-_0 _P_ITC;e:::
G
_
E
_...--.- Reverse __ ~ _I
Governor Manufacturer: _
Governor Model No. _
CUSTODY RECORD
Owner Date ReG'd.
Owner Date ReG'd.
Owner Date Bec'd.
Owner Date Hec'd.
Make/Model Serial #
Aircraft Installed On:
OVERHAUL RECORD .__ ._-,No. Date Repair Station and No. f Signature
IrA; h'],6 I'
/)JJC N, (0 F'I(A(;' rtive Propellers, tnc. t
'7:AA GAS #: EU6R595NA /J.' . '. ,...;·It A.r.h\<I!\
r;(\t1'~~-nV~!C;::-)..r.~" VC~II. • F.~ t j if: ...-
(:!l1itnl7r1i9'rliT$1l ,,{J ./' -
!I'
1~z::mPTIi!1HS OF ALL OPERATIONSWORTHINESS DIRECTIVES,NS, SERVICE LEITERS,
OR ADJUSTMENTS
DATE ~-=SCRIPTION OF WORK SIGNATURE
(818) 779-7767
FANUNITED STATES
Approving National AviationAuthority/Country:
I 4. Organization Name and Address: 5. Work Ordcr/Contract/lnvolcc
EXECUTIVE PROPELLERS, INC.Number:
I W.O. 09-46316146 COVELLO STREETVAN NUYS, CA 91406
6, Item: r. Description: I 8. Part Number: 9. EIi!!ibilit ,:,. 1O. uantitv: It. Serial/Batch Number: 12. StatusfWork:1 HARTZELL PROPELLER HC-H3YF-1RrlF7693DF I NiA 1 ASSY. SIN LX8B
IOVERHAUL
BLADE SIN'S
DATE TACH K22156
IK2215S
I K39940
13. RemarksPROPELLER OVERHAULED lAw' MFGS. MANUALS 1 13B, 133C & 202A. PROPELLER ASSEMBLED, FUNCTIONALLY BENCH CHECKED AND ANGLES SET TO MFGS. SPECS.16.5 DEGREES LOW PITCH: 43.0 DEGREES HIGH PITCH.SIB'S ALL REVIEWED & COMPLIED WITH @ 114D, 11SF, 1361,165E,226 REV.1, 23S, 259,61-226r1,227rev.4,269.SIl'S ALL REVIEWED & COMPLIED WITH @ 61-61,69,154,165,177,184,213,223,226 rev. 1,229.
Jftl/, 2010 / AD. 2007-26-09 IN COMPliANCE @ ACCOMPLISHED INSPECTIONS/REWORK PER MFGS. SIB 1 1SF. BLADE SHANKS ·COMPRESSION ROLLEO· AT THIS TIME. REOUIREDAT EACH OVERHAUL.A.D. 2003-13-17 - N/A TO THIS PROPELLER@ ASSEMBLY SIN.
I).O~~A.D.2005-14-1' - N/A TO THIS PROPELLER - PAST RECORDS.NO OTHER AIRWORTHINESS DIRECTIVES APPLICABLE TO THIS PROPELLER THRU THIS DATE @ 01-06-2010.
"~ I
"~'- vc were ma~! rs, " ,,=".""ur-n to Service 0 Other regulation specified " "'1
II
Ir pprovcd design data and arc in a coaditlou for safe ope . n, Certifies that unless otherwise specified in Block 13, the work identified in
o NO! roved design data specificd in Block 13Block 12 aud described in Block 13 was acccrnptisbed in accordance with Title14. Code of Federal RegUla:;.<;; part ..•3 and in respect to that work, the itemsare approved for returo/io s ceo '
I~ped or printed): 18.~ 2yt'rne (Typed Qr,,~,~ed):-----
23. Date (m/d/y):JUAN SALAIS JAI,UARY 6, 2010
I\...User/Installer Responsibilities !
fH is important 10 understand that the existence of this document alone docs not automatically constitute authority to install the part/component/assembly, II 'Where the user/installer performs work in accordance with rbc naficnu! rcgutaticns of an airworthiness authority different than the airworthiness authority of tbe country specified Iin Block I. it is essential that the user/installer ensures that his/her airworthiness autbcrtty accepts parts/components/assemblies from the airworthiness authority or the countryspecified in Blockt. I
Statements in Blocks 14 and 19 do nOIconstitute installation certification. In 3il cases. aircraft maintenance records must contain an installation certification issued in accordance Iwith the national regulations by the user/installer before the aircraft may be flown,
FAA Fonn 8130-3 (6·01) "tnstauer must cross-check eligibility with epplicabte technical dara. !leprodU«:d by AVaIllat. inc. NSN: 0052-00.012·9005
I I I / re.(j ., r
REG. N10111 HERNANDO COUNTY AIRPORT2495 BROAD STREET
MODEL HC-H3YF-1 RF BROOKSVILLE, FLORIDA 34604PHONE (352) 796-5173
SIN LX8B FAX (352) 799-4681 T.T. 160DATE 06/25/2010 FAA REPAIR STATION #TZ4R562M TSMOH 0
+ PROPELLER WAS REMOVED BY VECTAIR USA, OLIVE BRANCH MISSISSIPPI.+ REINSTALLED REPLACEMENT OVERHAULED PROPELLER M/N HC-H3YF-1RF/F7693DF SIN
LX8B. TORQUED AND SAFTIED ATTACH HARDWARE.+ GROUND RAN AND TEST FLEW AIRCRAFT.
W.O.
TACH
09-3440
N/A
--DESCRIPTIONS OF ALL OPERATIONS
PERTAINING TO AIRWORTHINESS DIRECTIVES,SERVICE BULLETINS, SERVICE LEITERS,
& MINOR ADJUSTMENTS
IWERICANI\VIA.1ION
MAINTENANCE RELEASEThe aircraft and/or component identified above was repaired and inspected in
~ord~th curL{ tS!~3f:t.con~ &4Jthe maintenance rules of the F.A.R.'s under which the operator is certified and isapproved for return to service as per these requirements. Pertinent details of therepair are on file at this agenCYY,Undr work order NO,. (') S ~? '(1'0Auth.0Insp. -¥~~~ __ ~----------~----------------------
- -- ---- ------------------------ ------
REG. N10111
MODEL HC-H3YF-1 RF
SIN LX8B
DATE 07/27/2010
HERNANDO COUNTY AIRPORT2495 BROAD STREET
BROOKSVILLE, FLORIDA 34604PHONE (352) 796-5173
FAX (352) 799-4681FAA REPAIR STATION #TZ4R562M
W.O. 10-3579
TACH N/A
T.T. 160
TSMOH 0
DESCRIPTIONS OF ALL OPERATIONSPERTAINING TO AIRWORTHINESS DIRECTIVES,
SERVICE BULLETINS, SERVICE LETTERS,& MINOR ADJUSTMENTS
IWERICANI\VIA1ION
+ COMPLIED WITH A 100 HOUR/ANNUAL INSPECTION lAW FAR 43 APPENDIX D, USING CESSNALC41-550FG INSPECTION GUIDE FOR A REFERENCE.
+ CHECKED ALL AD'S THRU CURRENT REVISION 2010-12. COMPLETED AN AD COMPLIANCERECORD.
+ GROUND RAN AND TEST FLEW AIRCRAFT WITH NO LEAKS NOTED.
MAINTENANCE RELEASEThe aircraft and/or component identified above was repaired and inspected inac ord nce with current i structions co.ntai ed i
. . t-~L{ '-5")'0 F0-- \ t.J
the maintenance rules of the FAR.'s under which the operator is certified and isapproved for return to service as per these requirements. Pertinent details of therepair are on file at this agenc . er work order No. _1l-!Lr'-<-_l.LS'--'-)-l1c-· -----Auth.Insp. ~~L_~I__-----------------
DESCRIPTIONS OF ALL OPERATIONSPERTAINING TO AIRWORTHINESS DIRECTIVES,
SERVICE BULLETINS, SERVICE LEITERS,& MINOR ADJUSTMENTS
PERFORMED A 100 HOUR/ANNUAL INSPECTION IN ACCORDANCE WITH FAR 43 WITH REFERENCE TO CESSNA MAINTENANCE MANUAL400MMOl. SERVICED PROPELLER WITH AEROSHELL 6 GREASE. REMOVED PROPELLERTO REPLACE LEFTALTERNATOR BELT,CLEANED ORINGGROOVE AND SLIP RING, REINSTALLEDWITH NEW MS28775-228 ORING. PROPELLERAND PROP HEAT OPERATION TESTSATISFACTORY WITHNO LEAK NOTED. AD'S CHECKED THROUGH BIWEEKLY2012-18.I CERTIFYTHISPROPELLERHAS BEEN INSPECTED IN ACCORDANCE WITH A 100 HOUR/ANNUAL INSPECTION AND WAS DETERMINED TO BE INAIRWORTHY CONDITION. PERTINENTDETAILSOF THE REPAIRSARE ON FILEAT THISREPAIR STATION UNDER THISWORK ORDER.
DAVIDR,JONES /) ~INSPECTOR ~ /) J
FAA AIRWORTHINESS DIRECTIVES COMPLIANCE RECORD
Total Hours Complied by the following:
E "''''·uth!P propellerS.)(0'" .>< " 95N
,_. '. : i»; '/# EU6R5 _'p. ':" Nu "-
16146 Covello~treet. \/;;61 YL·,;.
:::t;;~A.D. #
~c>j'l) ITJ»°5·li· u
Next Inspection Due:
f(jJ-~ jVe...e~l f$.(pTotal Hours
A.D.#
S)N L/113Cj
Approved By: S. Wead
Hartzell Propeller Inc.Assembly Inspection Check-off Record
COMPACT PROPELLERDate: 8/31/05 Form Rev.: N Exp. 0
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