Piper Malibu PA-46-310P Pilot Operating Handbook page 223

0
Form Approved
us Deportment
Of Tronsportarion
MAJOR REPAIR AND ALTERATION
(Airframe, Powerplant, Propeller, or Appliance)
For FAA Use Only
Federal Avlatton
Administration
Office Identification
.
INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B, and AC 43.9-1 ( or subsequent revision thereof) for instructions
and disposition of this form. This report is required by law (49 U.S.C. 1421 ). Failure to re·port can result in a civil penalty not to exceed $1,000
for each such violation (Section 901 Federal Aviation Act of 1958).
Make Model
1. Aircraft
PTPF.'R
Serial No.
certificate)
Address (As shown on registration certificate)
2. Owner
Unit Make
3. For FAA Use Only
4. Unit Identification
Model Serial No.
5. Type
Repair
AIRFRAME
,,,,,,,,,,,,,,,,,,,, ( As described in Item
1
above) , ,,,,,,,,,, ,, ,,,,
POWER PLANT
PROPELLER
Type
APPLIANCE
Manufacturer
A. Agency's Name and Address
Skytech, Inc.
701 Wilson Point road
Baltimore, MD 21220
6. Conformity Statement
B. Kind of Agency C.
Certificate No.
U.S. Certificated Mechanic
Foreign Certificated Mechanic
X
Certificated Repair Station
LF1R294K
Manufacturer
Alteration
xx
D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments hereto
have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information
furnished herein is true and correct to the best of my knowledge.
Date Signature of Authorized Individual
10-31-93
~---
David E. Conover
7. Approval·for Return To Service
Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the
Administrator of the Federal Aviation Administration and is
XXI
APPROVED D REJECTED
BY
FAA Flt. Standards
Inspector
Man uf actu rer
FAA Designee
X
Repair Station
Date of Approval or Rejection Certificate or
Designation No_
10-31-93 LF1R294K
FAA Form 337
112-88)
Inspection Authorization
Person.Approved by Transport
Canada Airworthiness Group
Other (Specify)
Signature of Authorized Individual
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