1. Approving Civil Aviation Authority/Country 2. AUTHORIZED RELEASE CERTIFICATE
Forni One
3. Form tracking No.
Transport Canada S60077
4. Organization Name and Address !5. Work Order/Contract/Invoice
Aviation Representatives Inc, 6245 Danville Rd. Mississauga Ont. LST 2H7 Tel (905) 790-0244 Fax (905) 790-3957 www.av-reps.com W59491
6. Item 7. Description 8. Part No. 9. Qty. 10. SeriaVBatch No. 11. Status/Work
1 UPPER TORQUE LINK 10135-501 1 DCL-A234 OVERHAULED
12. Remarks
OVERHAULED in accordance with Messier-Dowty CMM 32-10-07 at Rev. 11 dated May 23/14. CSN: 19,789 CSO: 0 Full details held on Work Order W59491. Customer RefR216472. Certifies that the work specified in block 11/12 was carried out in accordance with EASA-145 and with respect to that work the aircraft component is considered ready for release to service under EASA Part 145 approval Certificate# EASA.145.7105
(Prwvlously Form 24-0078)
Ix] CAR 571.10 Maintenance Release.
(i] Other regulations specified in Block 12.
Certifies that unless otherwise specified in Block 12, the work identified in Block 11 and described in Block 12, has been performed in compliance with the Canadian Aviation Regulations.
14c. Approved Organization Number
AMO 55-00
14e. Date (dd/mmm/yyyy)
Mike Milojevic 06-NOV-2014
nportant: Sae notas
INST ALLER RESPONSIBILITIES
Th16 certificate does not consbtute authority to install
Installers 'Mlrkmg m a::cordance with the nat10nal regulabons of a country olher lhct' that specified m Block 1, must ensure lhat their regulat:ons recognize cerbficabons from the country specified
Statements m blocks 13a or 14a clo not consbtute mstallabon certdicabon In all cases, the technical record for the arcralt must contain Ill 1r1stallabon certlficabon issued m a:cordMc:e wdh the applicable nal:IOOal regulal:lons before the arcraft may be flown
Work Order Scope and Traveler Page: 1 of 6
Aviation Representatives Inc. Work Order #: W59491
PN: 10135-501
Qty: 1
Descr: UPPER TORQUE LINK
Make:
Customer: 3 Points Aviation Code: PA9
I Serial Numbers: DCL-A234,
!Task: 3-TEARDOWN RESULTS
TEARDOWN / INSPECTION FINDINGS
Instructions Incoming Teardown
1- Provide detailed teardown I fault findings below.
2- Check applicable standard faults:
3- Technicians Training Log reviewed and updated
Lockwire Missing 11&_ Dirty/Contaminated J Rec'd Dissassembled hl1&._ Incorrectly Shimmed ~
Seals & B/U's Worn NII\ Internal Corrosion / --
Bearings Worn IJ/f\ Bushings Worn ./ Sealant Missing M Chrome Damaged ~
I Print Flntllngs or DlscrepancleS Here:
Station:
Model:
Site:
Parts Missing
Time: 2 34.03 PM Date Printed: 9/10/2014
Reg:
TECH s1 SEP 1 2 2014
TECH Sy SEP 12 2014
TECHS I SEP 1 2 2014 ~ff\
Incorrectly Adjusted ~
Motor Burned
Paint Damaged
Plating Worn
Work Order Scope and Traveler Aviation Representatives Inc. Work Order #: W59491
PN: 10135-501
Qty: 1
Customer: 3 Points Aviation
Serial Numbers: DCL-A234;
I Task: 4-SERVICE BULLETINS
Descr: UPPER TORQUE LINK
Make:
Code: PA9
DETAILAPPLICABLE S.B.'s &AD's
Instructions S.B's & A.D's
Station:
Model:
Site:
1- List recommended/ applicable Service Bulletins & Airworthiness Directives:
2- Detail Service Bulletins / Airworthiness Directives carried out:
I Print Findings or Discrepancies Here:
. ; f I I : • I ... I •, ... • t I t , .. .
\ ,
, I
Page: 2 of 5.
Time: 2:34:03 PM Date Printed: 9/10/2014
Reg:
' 'J f ' •
Work Order Scope and Traveler Aviation Representatives Inc. Work Order#: W59491
PN: 10135-501
Qty: 1
Customer: 3 Points Aviation
Serial Numbers: DCL-A234;
!Task: 4-SERVICE BULLETINS
Descr: UPPER TORQUE LINK
Make:
Code: PA9
DETAIL APPLICABLE S.B.'s &AD's
Instructions S.B's & A.D's
Station:
Model:
Site:
1- List recommended / applicable Service Bulletins & Airworthiness Directives:
2- Detail Service Bulletins /.Airworthiness Directives carried out:
Print Findings or Discrepancies Here:
• J • • ' ·1 J • -~ • I .. ' l '
\ ,
.. • • J •
Page: 2 of~
Time: 2:34:03 PM Date Printed: 9/10/2014
Reg:
a.
. .. , .,,
Work Order Scope and Traveler Aviation Representatives Inc. Work Order#: W59491
PN: 10135-501
Qty: 1
Descr: UPPER TORQUE LINK
Make:
Station:
Model: Customer: 3 Points Aviation Code: PA9
Serial Numbers: DCL-A234;
Task: 7-0UTSIDE SERVICES
OUTSIDE SERVICES REQ'D
Instructions Outside Services A - Check applicable outside service.
1- NOT : LPI / (QTY Jt ) MPl,J/4 (QTY~ ) EDDY_ (QTY
,.· z~ 9:AP. ~LA:i;~ ,i_ (QTY 5
3- MACHIN.ING / (QTY -'\
) Detail 1t- ~J~(n , 1 LJ Nk f/N1o1Yt- so'\ (.OC.L- "~~)
) Detail 1 llN\.;.75 r • i. eoB.eS:
Site:
5- CHROME _ (QTY , · )Detail ___________ _
6- OTHER _ (QTY ) Detail _ ___________ _
Outside Services Completed & Approved ~ ate ___EEl 2 7 2P.!__ Print Findings or Discrepancies Here:
Q.C.
Q.C.
Page: 3 of 6
Time: 2:34:03 PM Date Printed: 9/10/2014
Reg:
-----£&2: I s,
Work Order Scope and Traveler Page: 4 of 6
~-------------------------------------:Tl=m-e-:-=2-=347 ,0"'3=pM-
Aviation Representatives Inc. Date Printed: 911012014
Work Order#: W59491 PN: 10135-501
Qty: 1
Customer: 3 Points Aviation
I Serial Numbers: DCL-A234,
I Task: a-CORRECTIVE ACTION
Deacr: UPPER TORQUE LINK
Make:
Code: PA9
· UNIT ASSEMBLY/PRODUCTION
Instructions Assembly & Production Details 1- Unit Dissassembled, Cleaned & Inspected.
2- Fits & Clearances carried out.
' . . 3- Outside Serv1ces Completed
4- Install parts as required, per attached parts lists. ,
5- Assemble per CMM.
Station:
Model:
Site:
6- Finsih1ng per CMM; Alod1ne as Req'd __ Prime & Paint J Sealant Applied _L_
Reg:
TECH S'f SEP ' 1 10,4
TECH .S. '/ SEP 1 2 2014
TE NOV O 3 2014
~~ NOV O 4 2014 65-oo
7- Test & Adjust Per CMM T~
~EC~orrectiveAction Completed (Check 1): Overhaul I Repair_ Inspect/Test_ Modify_(i)1::v 4 5 ZOU.
I Print Findings or Discrepancies Here: I
Page: 4 of 6 Work Order Scope and Traveler 1-A-v-ia_t_i_o_n_R_e_p_r_e_s_e_n_ta_t_i_v_e_s_I_n_c_. ______ _:_ _____________ TI_m_•_:_2_·34--o-3-PM-
oate Printed: 9/10/2014 Work Order#: W59491
PN· 10135-501
Qty: 1
Customer: 3 Points Aviation
I Serial Numbers: DCL-A234,
I Task: a-CORRECTIVE ACTION
Descr: UPPER TORQUE LINK
Maka:
Code: PA9
. UNIT ASSEMBLY/PRODUCTION
instructions Assembly & Pro,duction Details 1- Urnt Dissassembled, Cleaned & Inspected.
2- Fits & Clearances carried out
3- OutJ1da Se~t:es Completed
4- Install parts as required, per attached parts lists. •
5- Assemble per CMM.
Station:
Modal:
Sita:
6- FInsIhing per CMM, Alodme as Req'd __ Prime & Paint J Sealant Applied _j_ 7- Test & Adjust Per CMM
8- Corrective Action Completed (Check 1) TECH
!Print Findings or Discrepancies Here:
Reg:
TECH S'f SEP , l toi4
TECH.s.y SEP 12 2014
NOV OJ 2014
NOV O 4 2014
Work Order Scope and Traveler ·Aviation Representatives Inc. Work Order#: W59491
PN: 10135-501
Qty: 1
Customer: 3 Points Aviation
Serial Numbers: DCL-A234;
I Task: 9-FINAL TESTING
Descr: UPPER TORQUE LINK
Make:
Code: PA9
TEST/INSPECTION & APPROVAL
Instructions Q.C. Test & Inspection
1- Final Test carried out per CMM / ATP.
Station:
Model:
Site:
2- Final lnspection·carried out. /
3- Approved for recertification as : Overhaul ~epair _ Inspect/ Test_ Modify_
4- Date W.O. Completed _ N_O_V _0_6_ZO_l4 _
_IPrfrit Findings or Discrepancies Here:
Page: 5 of 6
Time: 2:34:04 P M Date Printed: 9/1 0/2014
Reg:
NOVO 5 2014
NOVO 5 201'
NOV O 6 2014
Work Order Scope and Traveler
Aviation Representatives Inc. Work Order#: W59491
PN: 10135-501
Qty: 1
Customer: 3 Points Aviation
Sertal Numbers: DCL-A234;
'',,\.
Descr: UPPER TORQUE LINK
Make:
Code: PA9
Station:
Model:
Site:
Page: 6 of 6
Time: 2·34 04 PM . Date Printed: 9/10/2014
Reg:
Work Order Scope and Traveler Aviation Representatives Inc. Work Order#: W59491
PN: 10135-501
Qty: 1
Customer: 3 Points Aviation
Serial Numbers: DCL-A234,
Descr: UPPER TORQUE LINK
Make:
Code: PA9
Statlon:
Model:
Site:
Page: 6 of 6
Time: 2:34·04 PM Date Printed: 9/10/2014
Reg:
.
~~ Aviation Representatives Inc . Work Order
' 6245 Danville Rd Work Order #: W59491 Mississauga, On L5T 207
Canada. www.av-reps.com Date Printed: 9110/2014
~ Ph: (905) 790-0244, Fax: (905) 790-3957 Time: 2·33 33 PM
Page: 1
To: Ship To: ATTN: Clayton Coleman 3 Points Aviation 3 Points Aviation 1375 Almco Blvd 229 Conception Bay Hwy Units 7 & 8 Conception Bay South, NLAlW 301 Mississauga, ON L4W 1B5 Canada Canada
Ref#: R216472 Phone #:(905)6026145 Fax#: (519) 268- 7047 Emall: [email protected] Code:PA9 Site: PN: 10135-501 Descr: UPPER TORQUE LINK
Qty: 1 Station: Maka: Modal: Mfg: None
TSN: UNK TSO: UNK TSR: UNK CSN: 19769 CSO: UNK CSR: UNK
Entry Date: 9/10/2014 Need Data: 10/3/2014 Compl. Date: Warranty: No Container:
Serial Numbers: DCL-A234;
Task Description Status Seq Std Days Task Total 1-CUSTOMER COMMENTS Completed 1 1 $ 0 00
Notes: .,- OVERHAUL.
2-RECEIVING COMMENTS Completed 2 1 $000
Notes: NO SHIPPING DAMAGE NOTED.
Instructions '
Description: LIBRARY
MANUAL# 455 ATA# 32-10-07 MFR. MESS,IER-DOWTY REV: 11 DATED 23-MAY-14
~\C.1\) (l.E, s ON flU:)
~, '
Date W.O. Completed : N9V O 6 2q14 Parts Total: $ 0.00
Labor Total: $0 00
~~~ Misc. Total: $000 a.c Approval o 0 ::i:> ~w
• ,..,
-ho~edSlgna/d'~~~
Total: $000
V // (/
Form created with Quantum Control(tm) technology. Product Licensed to· Av1at1on RepresentatlVBS Inc.
Order Date: 5/11/2015
Ship Date: O
Sales Order: S331780
Customer#: UCA
To:
3 Points Aviation Urnt 7&8 1375 /i.imco Bou!evanj M1ss1ssauga, ON L.:tW 1B5, Canada
i : , I I : I
Terms: NET 30
Cust. PO#: 0-88266
FOB:YYZ
Buyer.MICHAEL HOPKINS
AWB:
: I/
Weight:
# of Boxes:
Ship Log#:0
TAX ID/EIN: 141695580
VAT#:
Ship To: COMMUTAIR
Packinn Slin Invoice #: 1145269
Invoice Date: 5/11/2015
Time: 1 55 05 PM
#ofltems: 1
Page: 1
Ship Via: FEDEX P1
Ship Via Acc:356770102
Ship Order: 8619
Shipment:
COMMUTAIR COMMUTAIR 240 Valley Rd South Burlington , VT 05403 USA
ATT: THOMAS ALLEN 14821 YONGE DRIVE JACKSONVILLE, FL 32218
Ph: 802-951-2500 Fax: 802-951-2525
Item Part Number/Description
1 10135-501 TORQUE LINK MLG
HS# 8803200000
Shipped BackOrd CD
0
Serial #: DCL-A-234 OH
Loc/Whse 06A05 MISSISSAUGA
Traceable To DAC AVIATION INTERNATIONAL
Cert Agency AV-REPS"F1.TD·oc
HST # 8557 42904
PLEASE SEND ALL PAYMENTS or INVOICES TO 229 CONCEPTION BAY HIGHWAY CONCEPTION BAY SOUTH. NL A1W3H1
MINIMUM PO IS$ 150 00
Cost Plus Exchange Core 1s repa1red/mod1fied to the same mod level/condlt1on as the unit that was shipped to the customer
Flat Rate Exchange Overhaul/Repair covers parts
and repair as required per CMM Parts and labor
required outside the Overhaul/Repair work scope as
per the CMM may require additional charges
I hereby certify that the aircraft parts descnbed herem were acquired from a source of supply that 1s
Unit Price UOM Total Amt
consistent with the conditions under which 3 Points Av1at1on d1stnbutors approval No 1-04 has bee,, 1------------------1
granted by Transport Canada
1) To the best of our knowledge, the matenal or part(s) were __ or were not~ subJect to
conditions of extreme stress, heat or environment (check one)
(1 e maJor engine/aircraft failure, accident, fire or warehouse fire) / 2) To the best of our knowledge, the matenal or parts(s) were __ or wer~ obtained from
the US Government or m1htary services ( check one) ,.,':I'? A \
~ ! 9 ' --~ ~~:i----- ~/
Authorized Signature.
Form created with Quantum Control(tm) technology Product Licensed to 3 Points Av1at,on
3 PTS PACKING SLIP ISSUE 29 MAY 2014