3:40PM
ARROLJ AVIATION
3373644186
p.2
r,N t3 2oos
Sheet l of I
Serial No. DERT-750072-253
U.S. DEPARTMENT OF TRANSPORTATION
DATE
FEDERAL AVIATION ADMINISTRATION
January 12, 2005
STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS
AIRCRAFT OR AIRCRAFT COIIPONENT IDENTIFICATION
MAKE
MODEL HO.
"TYPE (Airplane, Radfo,
NAME OF APPLICANT
Hellcoptflr, •tc.)
Bell Helicopter Textron
412EP
Helicopter
EDWARDS & ASSOCL.\.TES
LIST OF DATA
IDENTIFICATION·
TITLE
Document:
EA-412-RP-0001
"REP AIR fQR QENTER ENGINE :QECK PANEL ACFf SIN; 36106"
Revision IR, 1/12/05
.
Notes:
1.
The Stru.ctural aspects of the above listed data are approved. Thia approval is for the design
data listed herein and does not constitute approval of the quality aspects of the installation on
the helicopter.
2.
This approval is valid only for Bell Model 412EP helicopter serial number 36106. ':fotal Time
2273.8 and is in support of a major repair to this aircraft.
'
.. , ...
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PURPOSE OF DATA
MAJOR REPAIR. TOBELLMODEL412EP
SN: 36106 TOTAL TIME2273.8.
APPLICABLE REQUIREMENTS (List specltlt: sections)
FAR Part 29i 29.30l(a),(b); 29.303; 29.305; 29.307(a); 29.601(a); 29.603; 29.605; 29.609(a); 29.613 ·--
CERTIFICATION- Under authority vested by direction of the Administrator and in accordance with conditions and limitations ofsppointment
under
Part J 83 of the Federal Aviation Regulations, data listed above and on attached sheets numbered None have been examined in
accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations.
I
~
Therefore
D
Recommend approval of these data
IX1
Approve these data
SIGNA TU REIS} OF DESIGN. TED ENGINEERING REPRESENTATJVECS> DESIGNATION NUMBERS) CLASSIFICA TIONIS)
t!-flA/lP1
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DER.T-750072-SW Structures
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FAA Form 8110-3 (11·70) SUPERSEDES PREVIOUS EDmON (COMPUTER REPRODUCTION)
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