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EFTA00278135 | EFTA00278299 : .. .::- .i. e - • -.-: MAJOR REPAIR ANDALTERATION ' ' -. ... .:; : :: Form Approved OMB No. 2120-0020 • For FAA Use .Only Office Identification " • . (Airframe, Powerplant, Prcpeller, or Appliance) ; .. . • ' -• 571-frice :' • . • ' • subsequent revision thereof) for instructions INSTRUCTIONS: F4iniser type all entries. See FAR 43.9;FAR 43 AppendixO, and AC 43.9-1 (or result!ma civil penalty not to exceed $1,000 1421). Failure to report Can US Dem:men -. ix konsponoion Federal Aviation Actinktfrarkin - 3 - and disposition of thii form. This report lsreqUired by law (49 U.S.C. for each such violation (Sectibp 901 Federal Aviation Act of 1958).. . . Make . ,. SPACE GULFSTREAM 1: Aircraft '• • Serial- No. . . 153; . , Name (As shown on registration certilkate) • . ., " Nationality and Registration Mark N979RA , • certilicate) Address (As shown on registration ' Westchester County Airport, ' Hgr 1D3 New _York 10604 . White Plains, . • • •. P . “ les Inflic•W Cke-efslY••••: • " -.'i"..3 silerAfinn irishrifed hero n c o . • . G713.59B Ogden Management Service,••InC.- • • 2. Owner ' Model • ax:iy,oritiiness requirements and is approved:for the above. cif):...:::@—• • / 445MaA vr 704/ / 5 • tVirli Pii6Nr— CO/HP.947Rbe . tircraft, sub;ect to conformity inspection by a person autliazi..,:). MAIL/tent- 5 &few-to-sr: PAA• • . , ic!.FAR Part 43, Section 43.7." ".• . t. 6,4roverte.v , ... 4 Ante..b. 77-iff gi.bf 8 ,4a , . .sari.- Fsbo . -:n:.:tric-f (Wit°. InspectiO 17MDato • Type S. 4. Unit IdenlIfIcallan ' AIRFRAME ..• Make • Unit • - . • • Model • ' " . . • 2.i• - • Serial No. 1 . • • ' • • ' PROPELLER . . . - ' _.• • • • • . •• . . Type APPLIANCE Alteration ' . ' Repair' . . •• • (As described in Item 1 abovd) . ' POWERPLANT' • .• ' .. •• ,7-• . • • Manufacturer . A. Agency's Name and Address . Inc. Midcoast Aviation, #8 Archviebi- Drive St. LoUis Downtown-Parks Cahokia. IL 62206 . e: Conformly Statement B. Kind cl Agency U.S. Certificated Mechanic Foreign Certificated Mechanic . X CerillicalTed RePeir Station • Airport .. Masiulacturer C. Certificate No. . .t•-• CRS R03R822L .. • . . the ieverse or attachmedi hereto D. I certify that the repair and/or alteration made to the un t(s) dentilied initem 4 above and described on s end that the information Regulation Aviation Federal U.S. 'have been made in accordanCe with the requinimenti of Part 43 of the : furnished herein is true and correct to the best of my knowledge ' Signe tuft 61 Authorized Individual Date . . 30, 1989 June .: • • )d.Z440-a .I .. a „142,„. __ a • • . T. Apploval for Helium To Service .. • ,i manner prescribed by the ' Pu avant to the authority given persons specified below.; !ha unit identified in item 4 was inspected in the 0 REJECTED APPROVED Administratortl the Federal Aviation Adminiitrition and i3 . ., Other (Specify) • • Fit. Standards FAA n Authorizatio insCection • er! Manufactur • Inspector • BY •' * • • ‘ • ; Person Approved by Transport X Repair Station FAA Designee , • • ' Canada Airworthiness Group •' •' Signature of Authorized Individual • Certificate or Date of Approval or Rejection . Designation No. ' . . . . _ R03R822L June 30, 1989 •- „...r• • -; ' •••,• ft-p- ;• "- . . . . . • knarei 4itle ; f•-•, ' EFTA00278299
April 26, 2026 at 2:14 AM