+-----------------+---------------------------+------------------------+
| ![](m           | Scottsdale Flight         | 17777 North Perimeter  |
| edia/image1.png | Standards District Office | Drive Suite 101        |
| ){width="1.1402 |                           |                        |
| 777777777777in" |                           | Scottsdale, Arizona    |
| height="1.16319 |                           | 85255                  |
| 44444444444in"} |                           |                        |
|                 |                           | \(480\) 419-0330 X230, |
|                 |                           | Fax: (480) 419-0800    |
+-----------------+---------------------------+------------------------+

**ADDING AN AIRCRAFT TO AIR CARRIER OPERATIONS**

Dear Applicant:

To add an aircraft to an air carrier operation the certificate holder
must complete the following four steps.

1.  Decide the kinds of operations you intend with the aircraft and
    prepare a written statement showing that the aircraft and its
    equipment conforms to the requirements of FAR 135.25(a), including
    registration, current airworthiness certification, identification,
    and current airworthy condition. The certificate holder must also
    show that it meets the requirements for all intended operations.

2.  Use **OST Forms 4507** and **6410 to i**nitiate or update your Air
    Carrier Registration with **FAA Headquarters, Air Transportation
    Division AFS-260, 800 Independence Avenue SW, Washington, DC
    20591.** Register and identify each aircraft used and keep the
    registration current.\
    For blank forms go to
    <http://www.faa.gov/about/office_org/headquarters_offices/avs/offices/afs/afs200/branches/afs260/exemptions/>
    .\
    See **HBAT 98-35** for more information: go to
    [www.faa.gov/library/manuals/examiners_inspectors/8400/hbat/media/hbatindx.pdf](http://www.faa.gov/library/manuals/examiners_inspectors/8400/hbat/media/hbatindx.pdf)
    .

3.  Provide copies of the documents prepared in steps 1 and 2 to the
    FSDO and receive Operations Specifications Paragraph D85 and any
    other Operations Specifications that may be required (see below).

4.  Comply with FAR 135.63(a)(3) by adding the aircraft, including the
    kinds of operations authorized for the aircraft, to your official
    control-listing of aircraft used or available for use in air carrier
    operations.

The attached documents, ***Notice of Intent to Add an Aircraft*** and
***Aircraft Compliance Statement for FAR 135 Operations,*** will help
you accomplish steps 1 and 3. They provide a means to document
compliance and provide the information we need to issue all necessary
Operations Specifications.

**[THE INFORMATION REQUESTED IN THESE FORMS IS REQUIRED]{.underline}.**
You may use any method that provides complete and accurate information.
However, the forms provided here give you an organized means to provide
the FSDO the information it needs to issue the appropriate Operations
Specifications.

**[ACCURACY IS IMPORTANT:]{.underline}** The **Director of Maintenance**
should complete the document in consultation with the **Director of
Operations**. The **Director of Maintenance** should sign the statement
on page 4-1 signifying complete and accurate technical information.
Consult with qualified specialists as needed for special operations or
special means of navigation. **Technical errors or omissions can cause
unnecessary delays to completion of the project.**

The **[SCHEDULE OF EVENTS]{.underline}** on page 1-1 lists the events
that may relate to adding the aircraft to your 135 operation. If you
schedule those events on this form, we will be able to determine our
ability to meet your expectations and schedule our resources. We will
contact you if there are scheduling difficulties.

We hope you find these forms useful in helping you determine aircraft
eligibility and as a way to apply for certain kinds of operations.
Please let us know if you have any questions or suggestions.

The Scottsdale FSDO

CONTENTS

SECTION 1 NOTICE OF INTENT TO ADD AN AIRCRAFT
[1-1](#__RefHeading___Toc16496418)

1.1 OPERATOR AND AIRCRAFT INFORMATION [1-1](#__RefHeading___Toc16496419)

1.2 DOCUMENTS REQUIRED AT SUBMISSION OF THIS NOTICE
[1-1](#documents-required-at-submission-of-this-notice)

1.3 SCHEDULE OF EVENTS [1-1](#schedule-of-events)

1.4 CONTACT INFORMATION [1-1](#__RefHeading___Toc16496422)

SECTION 2 REQUEST FOR OPERATIONS SPECIFICATIONS FOR THIS AIRCRAFT
[2-1](#request-for-operations-specifications-for-this-aircraft)

2.1 INTENDED KINDS OF OPERATIONS: [2-1](#intended-kinds-of-operations)

2.2 AIRCRAFT OPERATIONS [2-1](#aircraft-operations)

2.3 AREAS OF OPERATION [2-2](#areas-of-operation)

2.4 PART C TERMINAL AREA OPERATIONS
[2-3](#part-c-terminal-area-operations)

2.5 PART D MAINTENANCE PROGRAM [2-4](#part-d-maintenance-program)

2.6 SPECIAL OPERATIONS SPECIFICA TIONS FOR HELICOPTERS
[2-5](#special-operations-specifica-tions-for-helicopters)

2.7 ADDITIONAL REQUIRED AIRCRAFT INFORMATION
[2--6](#additional-required-aircraft-information)

2.8 MAINTENANCE HISTORY [2--6](#maintenance-history)

2.9 PRIMARY MAINTENANCE BASE [2--6](#primary-maintenance-base)

2.10 MAJOR ALTERATIONS [2--7](#major-alterations)

2.11 PRESSURE CYLINDERS AND SPHERS
[2--7](#pressure-cylinders-and-spheres)

SECTION 3 AIRCRAFT COMPLIANCE STATEMENT FOR 135 OPERATIONS
[3-1](#aircraft-compliance-statement-for-135-operations)

3.1 ALL AIRCRAFT [3-1](#all-aircraft)

3.2 RNAV AND EXTENDED OVERWATER OPERATIONS
[3-2](#rnav-and-extended-overwater-operations)

3.3 TURBINE-POWERED, TURBOJET, AND/OR TEN-OR-MORE PASSENGER AIRCRAFT.
[3-3](#turbine-powered-turbojet-andor-ten-or-more-passenger-aircraft.)

SECTION 4 FAR 135 AIRWORTHINESS CHECKLIST
[4-1](#far-135-airworthiness-checklist)

  -----------------------------------------------------------------------
  NOTE: These forms are designed for on-screen fill-in. To navigate
  through the forms use TAB (down) and Shift-Tab (up). Use the page
  up/down and the mouse to skip large areas.

  -----------------------------------------------------------------------

 

+------------------------------------------------------+---------------+
| # NOTICE OF INTENT TO ADD AN AIRCRAFT                | **Check if    |
|                                                      | this is an    |
|                                                      | UPDA          |
|                                                      | TE/REVISION** |
+------------------------------------------------------+---------------+

<table style="width:100%;">
<colgroup>
<col style="width: 14%" />
<col style="width: 9%" />
<col style="width: 4%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 14%" />
<col style="width: 4%" />
<col style="width: 3%" />
<col style="width: 4%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 12%" />
</colgroup>
<tbody>
<tr class="odd">
<td rowspan="9"><h2 id="operator-and-aircraft-information"><br />
OPERATOR AND AIRCRAFT INFORMATION</h2></td>
<td>Operator<br />
Name</td>
<td colspan="9">     </td>
<td colspan="3">Certificate<br />
Number</td>
<td colspan="2">     </td>
</tr>
<tr class="even">
<td colspan="3">Aircraft Make</td>
<td colspan="3">Complete Model Number</td>
<td colspan="6">Serial No</td>
<td colspan="3">Registration Number</td>
</tr>
<tr class="odd">
<td colspan="3">     </td>
<td colspan="3">     </td>
<td colspan="6">     </td>
<td colspan="3">N     </td>
</tr>
<tr class="even">
<td colspan="4">Total Aircraft Time</td>
<td colspan="4">No 1. Engine Time(s) No. 2</td>
<td colspan="7">No 1. Propeller Time(s) No. 2</td>
</tr>
<tr class="odd">
<td colspan="4">      Hrs</td>
<td>      Hrs</td>
<td colspan="4">      Hrs</td>
<td colspan="5">      Hrs</td>
<td>      Hrs</td>
</tr>
<tr class="even">
<td colspan="2">Registered Owner<br />
(see <strong>NOTE</strong> below)</td>
<td colspan="13">     </td>
</tr>
<tr class="odd">
<td colspan="2" rowspan="2">Address</td>
<td colspan="13">     </td>
</tr>
<tr class="even">
<td colspan="13">     </td>
</tr>
<tr class="odd">
<td colspan="2">City</td>
<td colspan="5">     </td>
<td colspan="4">State   </td>
<td colspan="4">ZIP      -    </td>
</tr>
</tbody>
</table>

> **NOTE**: If the aircraft owner\'s registered name is not exactly the
> same as the certificate holder's legal name the applicant must show
> how she or he will control the operation and maintenance of the
> aircraft. Show this by providing a copy of a lease or other agreement.

+---------+------------------+--------+----------------------+--------+
| ##      | ** Document     | **Not  | ** Document         | **Not  |
|   DOCUM | Included**       | Appli  | included**           | Appli  |
| ENTS RE |                  | cable\ |                      | cable\ |
| QUIRED  |                  | **    |                      | **    |
| AT SUBM |                  |        |                      |        |
| ISSION  |                  |        |                      |        |
| OF THIS |                  |        |                      |        |
|  NOTICE |                  |        |                      |        |
|         |                  |        |                      |        |
| See     |                  |        |                      |        |
| Section |                  |        |                      |        |
| 2 for   |                  |        |                      |        |
| indi    |                  |        |                      |        |
| cations |                  |        |                      |        |
| of the  |                  |        |                      |        |
| need    |                  |        |                      |        |
| for new |                  |        |                      |        |
| or      |                  |        |                      |        |
| revised |                  |        |                      |        |
| Pro     |                  |        |                      |        |
| cedures |                  |        |                      |        |
| Manuals |                  |        |                      |        |
| and     |                  |        |                      |        |
| T       |                  |        |                      |        |
| raining |                  |        |                      |        |
| P       |                  |        |                      |        |
| rograms |                  |        |                      |        |
+=========+==================+========+======================+========+
|         | Minimum          |        | Approved Aircraft    |        |
|         | Equipment        |        | Inspection Program\  |        |
|         | List/revision    |        | (Turbine Powered     |        |
|         |                  |        | Aircraft)            |        |
+---------+------------------+--------+----------------------+--------+
|         | Maintenance      |        | > Other (list)       |        |
|         | Program/Revision |        |                      |        |
+---------+------------------+--------+----------------------+--------+
|         | Copy of aircraft |        | Continuous           |        |
|         | lease, letter of |        | Airworthiness        |        |
|         | intent, or other |        | Maintenance Program\ |        |
|         | agreement (see   |        | (Required for        |        |
|         | **NOTE** above)  |        | Ten-or-More PAX      |        |
|         |                  |        | optional for other   |        |
|         |                  |        | operations)          |        |
+---------+------------------+--------+----------------------+--------+
|         | Operations       |        | Approved Icing       |        |
|         | Manual/Revisions |        | Procedures/revision  |        |
+---------+------------------+--------+----------------------+--------+

+---------+-------------------------+-----+---------------------+-----+
| #       | **PHASE 3 DOCUMENT      |     | **PHASE 4           |     |
| #  SCHE | COMPLIANCE**            |     | DEMONSTRATION &     |     |
| DULE OF |                         |     | INSPECTION**        |     |
|  EVENTS |                         |     |                     |     |
|         |                         |     | **All documents     |     |
| If an   |                         |     | must be approved or |     |
| event   |                         |     | accepted before     |     |
| or item |                         |     | this phase**        |     |
| is      |                         |     |                     |     |
| app     |                         |     |                     |     |
| licable |                         |     |                     |     |
| please  |                         |     |                     |     |
| enter   |                         |     |                     |     |
| your    |                         |     |                     |     |
| es      |                         |     |                     |     |
| timated |                         |     |                     |     |
| date    |                         |     |                     |     |
| ot      |                         |     |                     |     |
| herwise |                         |     |                     |     |
| leave   |                         |     |                     |     |
| blank.  |                         |     |                     |     |
+=========+=========================+=====+=====================+=====+
|         | **EVENT**               | **p | **EVENT**           | **p |
|         |                         | lan |                     | lan |
|         |                         | ned |                     | ned |
|         |                         | s   |                     | s   |
|         |                         | ubm |                     | ubm |
|         |                         | iss |                     | iss |
|         |                         | ion |                     | ion |
|         |                         | DAT |                     | DAT |
|         |                         | E** |                     | E** |
+---------+-------------------------+-----+---------------------+-----+
|         | Deviation Request\      |     | Pilot training      |     |
|         | (For Proving Test       |     |                     |     |
|         | flights)                |     |                     |     |
+---------+-------------------------+-----+---------------------+-----+
|         | Pilot Training          |     | Maintenance         |     |
|         | Program/revision        |     | training            |     |
+---------+-------------------------+-----+---------------------+-----+
|         | Maintenance Training    |     | FAA Conformity      |     |
|         | Program                 |     | Inspection          |     |
+---------+-------------------------+-----+---------------------+-----+
|         | Proving Test or         |     | Proving Test        |     |
|         | Validation Plan         |     | Flights             |     |
+---------+-------------------------+-----+---------------------+-----+
|         | Final Compliance        |     | Proficiency/Flight  |     |
|         | Statement               |     | Checks              |     |
+---------+-------------------------+-----+---------------------+-----+
|         | Insurance Registration  |     | Validation Test     |     |
|         | with AFS-260, using OST |     | Flights             |     |
|         | Forms 4507 and 6410     |     |                     |     |
|         | (see cover letter)      |     |                     |     |
|         |                         |     |                     |     |
|         | NOTE: After initial     |     |                     |     |
|         | certification, the date |     |                     |     |
|         | may may be up to 30     |     |                     |     |
|         | days after adding an    |     |                     |     |
|         | additional aircraft     |     |                     |     |
+---------+-------------------------+-----+---------------------+-----+
|         |                         |     |                     |     |
|         |                         |     |                     |     |
+---------+-------------------------+-----+---------------------+-----+
|         |                         |     |                     |     |
|         |                         |     |                     |     |
+---------+-------------------------+-----+---------------------+-----+
|         | **PHASE 5 FAA           |     | **PROPOSED          |     |
|         | CERTIFICATION and/or    |     | completion Date**   |     |
|         | OPS SPECS**             |     |                     |     |
|         |                         |     |                     |     |
+---------+-------------------------+-----+---------------------+-----+

+---------+-----+--------------------------------+----+---------------+
| ##      | **  |                                | *  |               |
|   CONTA | NAM |                                | *P |               |
| CT INFO | E** |                                | ho |               |
| RMATION |     |                                | ne |               |
|         |     |                                | &  |               |
|         |     |                                | E  |               |
|         |     |                                | MA |               |
|         |     |                                | IL |               |
|         |     |                                | A  |               |
|         |     |                                | DD |               |
|         |     |                                | RE |               |
|         |     |                                | SS |               |
|         |     |                                | ** |               |
+---------+-----+--------------------------------+----+---------------+
|         | Di  | **[     ]{.underline}**        | Ph | (   )-        |
|         | rec |                                | on |               |
|         | tor |                                | e: |               |
|         | of  |                                |    |               |
|         | Ma  |                                |    |               |
|         | int |                                |    |               |
|         | ena |                                |    |               |
|         | nce |                                |    |               |
+---------+-----+--------------------------------+----+---------------+
|         |     |                                | EM |               |
|         |     |                                | AI |               |
|         |     |                                | L: |               |
+---------+-----+--------------------------------+----+---------------+
|         |     |                                | F  | (   )-        |
|         |     |                                | AX |               |
+---------+-----+--------------------------------+----+---------------+
|         | Di  | **[     ]{.underline}**        | Ph | (   )-        |
|         | rec |                                | on |               |
|         | tor |                                | e: |               |
|         | of  |                                |    |               |
|         | O   |                                |    |               |
|         | per |                                |    |               |
|         | ati |                                |    |               |
|         | ons |                                |    |               |
+---------+-----+--------------------------------+----+---------------+
|         |     |                                | EM |               |
|         |     |                                | AI |               |
|         |     |                                | L: |               |
+---------+-----+--------------------------------+----+---------------+
|         |     |                                | F  | (   )-        |
|         |     |                                | AX |               |
+---------+-----+--------------------------------+----+---------------+

Submitted by

**(signature):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Title: [     ]{.underline} Date: [      ]{.underline}**

# REQUEST FOR OPERATIONS SPECIFICATIONS FOR THIS AIRCRAFT

+---------+------------------------+----------+----------+-----------+
| ##  I   | Cargo Only\            | Maximum  | Day Only | Day/Night |
| NTENDED | (Never Passengers)     | Pa       |          |           |
|  KINDS  |                        | ssenger\ |          |           |
| OF OPER |                        | Seating  |          |           |
| ATIONS: |                        | **Ca     |          |           |
|         |                        | pacity** |          |           |
+---------+------------------------+----------+----------+-----------+
|         | YES NO                 |          | YES NO   | YES NO    |
+---------+------------------------+----------+----------+-----------+

<table>
<colgroup>
<col style="width: 13%" />
<col style="width: 7%" />
<col style="width: 4%" />
<col style="width: 15%" />
<col style="width: 9%" />
<col style="width: 21%" />
<col style="width: 3%" />
<col style="width: 11%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 6%" />
</colgroup>
<thead>
<tr class="header">
<th rowspan="17"><h2 id="aircraft-operations"><br />
AIRCRAFT OPERATIONS</h2></th>
<th colspan="6" rowspan="2"><p><strong>INSTRUCTIONS</strong></p>
<p><strong>1. If you want an operation described below, check the box to
the left of its description.</strong></p></th>
<th rowspan="2"><strong>Document Requirements</strong></th>
<th colspan="3"><strong>Procedures</strong></th>
</tr>
<tr class="odd">
<th></th>
<th colspan="2"><strong>Training/<br />
Skill</strong></th>
</tr>
<tr class="header">
<th></th>
<th><strong></strong></th>
<th colspan="5"><strong>2. Then, look to see if a  appears to the right
of the operation under “Procedures” and/or “Training/Skill” and revise
your operating procedures and training manual and prepare to show
proficiency as indicated. The FSDO will provide any guidance you
request.</strong></th>
<th><strong></strong></th>
<th><strong></strong></th>
<th><strong>OPSS<br />
Ref/<br />
Par</strong></th>
</tr>
<tr class="odd">
<th colspan="10"><h3 id="part-a-general">PART A GENERAL</h3></th>
</tr>
<tr class="header">
<th rowspan="6"><strong>Crew</strong></th>
<th colspan="6"> Conduct certain FAR 135 operations in accordance with
flight and rest time limitations under 14 CFR Sections 135.261 through
135.273.</th>
<th><strong></strong></th>
<th></th>
<th>A033</th>
</tr>
<tr class="odd">
<th rowspan="3"></th>
<th colspan="5"><p>Make arrangements with training centers and other
organizations for certificate holder training in accordance with 14 CFR
Section 135.324.</p>
<p>If applicable, provide the FAR 142 Training Center information below
or attach a list with the indicated information.</p></th>
<th rowspan="3"><strong></strong></th>
<th rowspan="3"></th>
<th rowspan="3">A031</th>
</tr>
<tr class="header">
<th>Name</th>
<th>Certificate<br />
number</th>
<th>Address</th>
<th colspan="2">Course name(s)</th>
</tr>
<tr class="odd">
<th>     </th>
<th>     </th>
<th><p>     </p>
<p>     </p></th>
<th colspan="2"><p>     </p>
<p>     </p></th>
</tr>
<tr class="header">
<th colspan="6"> Use an approved computer-based flight Crew
recordkeeping system for FAR 135 operations</th>
<th><strong></strong></th>
<th></th>
<th>A025</th>
</tr>
<tr class="odd">
<th colspan="6"><p> Use an autopilot in lieu of a second-in-command.
Provide the following</p>
<p><strong>Autopilot Make/Model</strong> <strong><u>      /      .</u>
Date Installed <u>     .</u></strong></p>
<p> Please furnish a copy <strong>(cover page only</strong>) of the
Flight Manual Supplement that identifies the aircraft and the
autopilot.</p>
<p> Unless the autopilot is aircraft manufacturer installed, please
furnish a copy of the FAA Form 337 showing the installation
data.</p></th>
<th></th>
<th><strong></strong></th>
<th>A015</th>
</tr>
<tr class="header">
<th rowspan="3"><strong>Icing</strong></th>
<th colspan="6"> Conduct a pretakeoff contamination check during ground
icing conditions for Part 135 Operators.</th>
<th><strong></strong></th>
<th><strong></strong></th>
<th>A041</th>
</tr>
<tr class="odd">
<th colspan="6"> Conduct Part 135 airplane operations without a
deicing/anti-icing procedure.</th>
<th><strong></strong></th>
<th><strong></strong></th>
<th>A042</th>
</tr>
<tr class="header">
<th colspan="6"> Determine ground icing conditions for the purpose of
flight [using an approved deicing/anti-icing procedure IAW CFR Section
135.227(b)(3)].</th>
<th><strong></strong></th>
<th><strong></strong></th>
<th>A023</th>
</tr>
<tr class="odd">
<th rowspan="4"><strong>special Opera-tions</strong></th>
<th colspan="6"> Conduct airplane air ambulance operations Part
135.</th>
<th><strong></strong></th>
<th><strong></strong></th>
<th>A024</th>
</tr>
<tr class="header">
<th colspan="6"> Conduct Land and Hold Short Operations (LAHSO) at
designated airports and specified runway configurations as identified by
Air Traffic Services in Notice 7110.118, Appendix 1.</th>
<th><strong></strong></th>
<th><strong></strong></th>
<th>A027</th>
</tr>
<tr class="odd">
<th colspan="6"> Conduct Single Engine IFR (SEIFR) Passenger-Carrying
Operations Under CFR Part 135.</th>
<th><strong></strong></th>
<th><strong></strong></th>
<th>A046</th>
</tr>
<tr class="header">
<th colspan="6"> Conduct special en route IFR operations in Class G
airspace.</th>
<th><strong></strong></th>
<th><strong></strong></th>
<th>A014</th>
</tr>
</thead>
<tbody>
</tbody>
</table>

+-------+----+---+------------------------------+---+---------+---+---+---+
| **2   | ** |   |                              |   | **D     | * |   |   |
| .2**\ | IN |   |                              |   | ocument | * |   |   |
| *     | ST |   |                              |   | Require | P |   |   |
| **AIR | RU |   |                              |   | ments** | r |   |   |
| CRAFT | CT |   |                              |   |         | o |   |   |
| O     | IO |   |                              |   |         | c |   |   |
| PERAT | NS |   |                              |   |         | e |   |   |
| IONS\ | ** |   |                              |   |         | d |   |   |
| co    |    |   |                              |   |         | u |   |   |
| ntinu | ** |   |                              |   |         | r |   |   |
| ed*** | 1. |   |                              |   |         | e |   |   |
|       | If |   |                              |   |         | s |   |   |
|       | y  |   |                              |   |         | * |   |   |
|       | ou |   |                              |   |         | * |   |   |
|       | wa |   |                              |   |         |   |   |   |
|       | nt |   |                              |   |         |   |   |   |
|       | an |   |                              |   |         |   |   |   |
|       | o  |   |                              |   |         |   |   |   |
|       | pe |   |                              |   |         |   |   |   |
|       | ra |   |                              |   |         |   |   |   |
|       | ti |   |                              |   |         |   |   |   |
|       | on |   |                              |   |         |   |   |   |
|       | d  |   |                              |   |         |   |   |   |
|       | es |   |                              |   |         |   |   |   |
|       | cr |   |                              |   |         |   |   |   |
|       | ib |   |                              |   |         |   |   |   |
|       | ed |   |                              |   |         |   |   |   |
|       | be |   |                              |   |         |   |   |   |
|       | lo |   |                              |   |         |   |   |   |
|       | w, |   |                              |   |         |   |   |   |
|       | c  |   |                              |   |         |   |   |   |
|       | he |   |                              |   |         |   |   |   |
|       | ck |   |                              |   |         |   |   |   |
|       | t  |   |                              |   |         |   |   |   |
|       | he |   |                              |   |         |   |   |   |
|       | b  |   |                              |   |         |   |   |   |
|       | ox |   |                              |   |         |   |   |   |
|       | to |   |                              |   |         |   |   |   |
|       | t  |   |                              |   |         |   |   |   |
|       | he |   |                              |   |         |   |   |   |
|       | le |   |                              |   |         |   |   |   |
|       | ft |   |                              |   |         |   |   |   |
|       | of |   |                              |   |         |   |   |   |
|       | i  |   |                              |   |         |   |   |   |
|       | ts |   |                              |   |         |   |   |   |
|       | de |   |                              |   |         |   |   |   |
|       | sc |   |                              |   |         |   |   |   |
|       | ri |   |                              |   |         |   |   |   |
|       | pt |   |                              |   |         |   |   |   |
|       | io |   |                              |   |         |   |   |   |
|       | n. |   |                              |   |         |   |   |   |
|       | ** |   |                              |   |         |   |   |   |
+=======+====+===+==============================+===+=========+===+===+===+
|       |    |   |                              |   |         |   | * |   |
|       |    |   |                              |   |         |   | * |   |
|       |    |   |                              |   |         |   | T |   |
|       |    |   |                              |   |         |   | r |   |
|       |    |   |                              |   |         |   | a |   |
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|       |    |   |                              |   |         |   | n |   |
|       |    |   |                              |   |         |   | g |   |
|       |    |   |                              |   |         |   | / |   |
|       |    |   |                              |   |         |   | * |   |
|       |    |   |                              |   |         |   | * |   |
|       |    |   |                              |   |         |   |   |   |
|       |    |   |                              |   |         |   | * |   |
|       |    |   |                              |   |         |   | * |   |
|       |    |   |                              |   |         |   | S |   |
|       |    |   |                              |   |         |   | k |   |
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|       |    |   |                              |   |         |   | * |   |
|       |    |   |                              |   |         |   | * |   |
+-------+----+---+------------------------------+---+---------+---+---+---+
|       |    | * | **2. Then, look to see if a  |   |         | * | * | * |
|       |    | * |  appears to the right of    |   |         | * | * | * |
|       |    |  | the operation under          |   |         |  |  | O |
|       |    | * | "Procedures" and/or          |   |         | * | * | P |
|       |    | * | "Training/Skill" and revise  |   |         | * | * | S |
|       |    |   | your operating procedures    |   |         |   |   | S |
|       |    |   | and training manual and      |   |         |   |   | \ |
|       |    |   | prepare to show proficiency  |   |         |   |   | R |
|       |    |   | as indicated. The FSDO will  |   |         |   |   | e |
|       |    |   | provide any guidance you     |   |         |   |   | f |
|       |    |   | request.**                   |   |         |   |   | \ |
|       |    |   |                              |   |         |   |   | P |
|       |    |   |                              |   |         |   |   | a |
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|       |    |   |                              |   |         |   |   | * |
+-------+----+---+------------------------------+---+---------+---+---+---+
|       | ## |   |                              |   |         |   |   |   |
|       | #  |   |                              |   |         |   |   |   |
|       | PA |   |                              |   |         |   |   |   |
|       | RT |   |                              |   |         |   |   |   |
|       |  B |   |                              |   |         |   |   |   |
|       |  E |   |                              |   |         |   |   |   |
|       | NR |   |                              |   |         |   |   |   |
|       | OU |   |                              |   |         |   |   |   |
|       | TE |   |                              |   |         |   |   |   |
+-------+----+---+------------------------------+---+---------+---+---+---+
|       |    |   |                              |   |         |   | * | B |
|       |    | I |                              |   |         |   | * | 0 |
|       |    | F |                              |   |         |   |  | 3 |
|       |    | R |                              |   |         |   | * | 2 |
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+-------+----+---+------------------------------+---+---------+---+---+---+
|       | C  |   |                              | * |         | * | * | B |
|       | la | U |                              | * |         | * | * | 0 |
|       | ss | s |                              | C |         |  |  | 3 |
|       | I  | i |                              | o |         | * | * | 4 |
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|       |    | , |                              |   |         |   |   |   |
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|       |    | 3 |                              |   |         |   |   |   |
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|       |    | , |                              |   |         |   |   |   |
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|       |    | . |                              |   |         |   |   |   |
+-------+----+---+------------------------------+---+---------+---+---+---+
|       |    |   |                              |   |         | * | * | B |
|       |    | I |                              |   |         | * | * | 0 |
|       |    | n |                              |   |         |  |  | 3 |
|       |    | t |                              |   |         | * | * | 5 |
|       |    | h |                              |   |         | * | * |   |
|       |    | e |                              |   |         |   |   |   |
|       |    | U |                              |   |         |   |   |   |
|       |    | . |                              |   |         |   |   |   |
|       |    | S |                              |   |         |   |   |   |
|       |    | . |                              |   |         |   |   |   |
|       |    | C |                              |   |         |   |   |   |
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|       |    | u |                              |   |         |   |   |   |
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|       |    | n |                              |   |         |   |   |   |
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|       |    | e |                              |   |         |   |   |   |
|       |    | n |                              |   |         |   |   |   |
|       |    | a |                              |   |         |   |   |   |
|       |    | v |                              |   |         |   |   |   |
|       |    | i |                              |   |         |   |   |   |
|       |    | g |                              |   |         |   |   |   |
|       |    | a |                              |   |         |   |   |   |
|       |    | t |                              |   |         |   |   |   |
|       |    | i |                              |   |         |   |   |   |
|       |    | o |                              |   |         |   |   |   |
|       |    | n |                              |   |         |   |   |   |
|       |    | s |                              |   |         |   |   |   |
|       |    | y |                              |   |         |   |   |   |
|       |    | s |                              |   |         |   |   |   |
|       |    | t |                              |   |         |   |   |   |
|       |    | e |                              |   |         |   |   |   |
|       |    | m |                              |   |         |   |   |   |
|       |    | . |                              |   |         |   |   |   |
+-------+----+---+------------------------------+---+---------+---+---+---+
|       | C  |   |                              |   |         | * | * | B |
|       | la | C |                              |   |         | * | * | 0 |
|       | ss | o |                              |   |         |  |  | 3 |
|       | II | n |                              |   |         | * | * | 6 |
|       | Na | d |                              |   |         | * | * |   |
|       | vi | u |                              |   |         |   |   |   |
|       | -\ | c |                              |   |         |   |   |   |
|       | ga | t |                              |   |         |   |   |   |
|       | ti | u |                              |   |         |   |   |   |
|       | on | s |                              |   |         |   |   |   |
|       |    | i |                              |   |         |   |   |   |
|       |    | n |                              |   |         |   |   |   |
|       |    | g |                              |   |         |   |   |   |
|       |    | ( |                              |   |         |   |   |   |
|       |    | d |                              |   |         |   |   |   |
|       |    | u |                              |   |         |   |   |   |
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|       |    | ) |                              |   |         |   |   |   |
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|       |    | v |                              |   |         |   |   |   |
|       |    | i |                              |   |         |   |   |   |
|       |    | g |                              |   |         |   |   |   |
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|       |    | t |                              |   |         |   |   |   |
|       |    | i |                              |   |         |   |   |   |
|       |    | o |                              |   |         |   |   |   |
|       |    | n |                              |   |         |   |   |   |
|       |    | s |                              |   |         |   |   |   |
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|       |    | m |                              |   |         |   |   |   |
|       |    | s |                              |   |         |   |   |   |
|       |    | . |                              |   |         |   |   |   |
+-------+----+---+------------------------------+---+---------+---+---+---+
|       |    |   |                              |   |         | * | * | B |
|       |    | C |                              |   |         | * | * | 0 |
|       |    | o |                              |   |         |  |  | 3 |
|       |    | n |                              |   |         | * | * | 7 |
|       |    | d |                              |   |         | * | * |   |
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+-------+----+---+------------------------------+---+---------+---+---+---+
|       |    |   |                              |   |         | * | * | B |
|       |    | C |                              |   |         | * | * | 0 |
|       |    | o |                              |   |         |  |  | 3 |
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+-------+----+---+------------------------------+---+---------+---+---+---+
|       |    |   |                              |   |         | * | * | B |
|       |    | C |                              |   |         | * | * | 0 |
|       |    | o |                              |   |         |  |  | 3 |
|       |    | n |                              |   |         | * | * | 9 |
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|       |    | . |                              |   |         |   |   |   |
+-------+----+---+------------------------------+---+---------+---+---+---+
|       |    |   |                              |   |         | * | * | B |
|       |    | C |                              |   |         | * | * | 0 |
|       |    | o |                              |   |         |  |  | 4 |
|       |    | n |                              |   |         | * | * | 0 |
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|       |    | . |                              |   |         |   |   |   |
+-------+----+---+------------------------------+---+---------+---+---+---+
|       |    |   |                              |   |         | * | * | B |
|       |    | C |                              |   |         | * | * | 0 |
|       |    | o |                              |   |         |  |  | 5 |
|       |    | n |                              |   |         | * | * | 4 |
|       |    | d |                              |   |         | * | * |   |
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+-------+----+---+------------------------------+---+---------+---+---+---+
|       |    |   |                              |   |         | * | * | B |
|       |    | C |                              |   |         | * | * | 0 |
|       |    | o |                              |   |         |  |  | 4 |
|       |    | n |                              |   |         | * | * | 5 |
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+-------+----+---+------------------------------+---+---------+---+---+---+
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|       |    | . |                              |   |         |   |   |   |
+-------+----+---+------------------------------+---+---------+---+---+---+

+-------+-------------------------------------+-------+-------+------+
| ##    | Operations Outside the Contiguous   | **    | *     | **B0 |
|   ARE | United States.\                     | Yes** | *No** | 50** |
| AS OF | (If yes, please list each country   |       |       |      |
|  OPER | and oceanic area of operation)      |       |       |      |
| ATION |                                     |       |       |      |
+-------+-------------------------------------+-------+-------+------+
|       | **Enter "No change to B50" if       |       |       |      |
|       | appropriate**                       |       |       |      |
+-------+-------------------------------------+-------+-------+------+
|       |                                     |       |       |      |
+-------+-------------------------------------+-------+-------+------+

+---------+----+---+--------------------------------+---------+---+---+----+
| ##  PAR | ** |   |                                | **D     | * |   |    |
| T C TER | IN |   |                                | ocument | * |   |    |
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|         | ** |   |                                |         |   |   |    |
+=========+====+===+================================+=========+===+===+====+
|         |    |   |                                |         |   | * |    |
|         |    |   |                                |         |   | * |    |
|         |    |   |                                |         |   | T |    |
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|         |    |   |                                |         |   | / |    |
|         |    |   |                                |         |   | * |    |
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|         |    |   |                                |         |   | * |    |
+---------+----+---+--------------------------------+---------+---+---+----+
|         |    | * | **2. Then, look to see if a   |         | * | * | *  |
|         |    | * | appears to the right of the    |         | * | * | *O |
|         |    |  | operation under "Procedures"   |         |  |  | PS |
|         |    | * | and/or "Training/Skill" and    |         | * | * | S\ |
|         |    | * | revise your operating          |         | * | * | Re |
|         |    |   | procedures and training manual |         |   |   | fP |
|         |    |   | and prepare to show            |         |   |   | ar |
|         |    |   | proficiency as indicated. The  |         |   |   | ** |
|         |    |   | FSDO will provide any guidance |         |   |   |    |
|         |    |   | you request.**                 |         |   |   |    |
+---------+----+---+--------------------------------+---------+---+---+----+
|         |    |   |                                |         | * | * | C0 |
|         |    | C |                                |         | * | * | 51 |
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+---------+----+---+--------------------------------+---------+---+---+----+
|         |    |   |                                |         |   | * | C0 |
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|         |    | v |                                |         |   |   |    |
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|         |    | f |                                |         |   |   |    |
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|         |    | h |                                |         |   |   |    |
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|         |    | e |                                |         |   |   |    |
|         |    | s |                                |         |   |   |    |
|         |    | . |                                |         |   |   |    |
+---------+----+---+--------------------------------+---------+---+---+----+
|         |    |   |                                |         | * | * | C0 |
|         |    | C |                                |         | * | * | 79 |
|         |    | o |                                |         |  |  |    |
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|         |    | n |                                |         |   |   |    |
|         |    | s |                                |         |   |   |    |
|         |    | . |                                |         |   |   |    |
+---------+----+---+--------------------------------+---------+---+---+----+

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 10%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 20%" />
<col style="width: 23%" />
<col style="width: 12%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 6%" />
</colgroup>
<thead>
<tr class="header">
<th rowspan="13"><h2 id="part-d-maintenance-program"><br />
PART D MAINTENANCE PROGRAM</h2></th>
<th colspan="5" rowspan="2"><p><strong>INSTRUCTIONS</strong></p>
<p><strong>1. If you want an operation described below, check the box to
the left of its description.</strong></p></th>
<th rowspan="2"><strong>Document Requirements</strong></th>
<th colspan="3"><strong>Procedures</strong></th>
</tr>
<tr class="odd">
<th></th>
<th colspan="2"><p><strong>Training/</strong></p>
<p><strong>Skill</strong></p></th>
</tr>
<tr class="header">
<th></th>
<th colspan="2"><strong></strong></th>
<th colspan="3"><strong>2. Then, look to see if a  appears to the right
of the operation under “Procedures” and/or “Training/Skill” and revise
your operating procedures and training manual and prepare to show
proficiency as indicated. The FSDO will provide any guidance you
request.</strong></th>
<th><strong></strong></th>
<th><strong></strong></th>
<th><strong>OPSS<br />
Ref<br />
Par</strong></th>
</tr>
<tr class="odd">
<th colspan="2" rowspan="4"><strong>camp<br />
135.411(a)(2)<br />
and 135.423</strong></th>
<th colspan="4"> Conduct continuous airworthiness maintenance programs.
(CAMP) (required for 10-or-more operators, optional for all
others).</th>
<th><strong></strong></th>
<th><strong></strong></th>
<th>D072</th>
</tr>
<tr class="header">
<th colspan="4"> Use the provisions of contractual agreements limited to
specific maintenance functions.</th>
<th><strong></strong></th>
<th></th>
<th>D078</th>
</tr>
<tr class="odd">
<th colspan="4"> Conduct ferry flights under special flight permits with
continuing authorization.</th>
<th><strong></strong></th>
<th><strong></strong></th>
<th>D084</th>
</tr>
<tr class="header">
<th colspan="4"> Use maintenance time limitations for operators without
a reliability program.</th>
<th><strong></strong></th>
<th></th>
<th>D089</th>
</tr>
<tr class="odd">
<th colspan="2"><strong>aaip<br />
134.419</strong></th>
<th colspan="4"> Use an approved aircraft inspection program (AAIP).
(required for Turbine powered multi-engine aircraft, optional for
others)</th>
<th><strong></strong></th>
<th><strong></strong></th>
<th>D073</th>
</tr>
<tr class="header">
<th colspan="2"><strong>rvsm</strong></th>
<th colspan="4"> Use an approved maintenance program for listed
airplanes used in operations in designated RVSM airspace.</th>
<th><strong></strong></th>
<th><strong></strong></th>
<th>D092</th>
</tr>
<tr class="odd">
<th colspan="2"><strong>MEL<br />
135.179</strong></th>
<th colspan="4"> Use an approved minimum equipment list (MEL).
Inoperable instruments and equipment:</th>
<th><strong></strong></th>
<th><strong></strong></th>
<th>D095</th>
</tr>
<tr class="header">
<th colspan="2" rowspan="3"><strong>NINE OR LESS PAX SEATS<br />
135.411(a)(1)</strong>.</th>
<th colspan="2"> Annual &amp; 100 Hour Inspections<br />
FAR Parts 91.409(a) &amp; (b)</th>
<th colspan="2"> Additional maintenance requirements of 14 CFR Section
135.421 applicable for aircraft engine, propeller, and propeller control
(governor).</th>
<th></th>
<th></th>
<th>D101</th>
</tr>
<tr class="odd">
<th colspan="2"> Progressive Inspections<br />
FAR Part 91.409(d)</th>
<th colspan="2"> Additional maintenance requirements of 14 CFR Section
135.421 applicable for single engine IFR.</th>
<th><strong></strong></th>
<th><strong></strong></th>
<th>D103</th>
</tr>
<tr class="header">
<th colspan="2"> Manufacturers Program<br />
FAR 91.409 (f3)</th>
<th colspan="2"> Additional maintenance requirements of 14 CFR Section
135.421 applicable for emergency equipment.</th>
<th></th>
<th></th>
<th>D104</th>
</tr>
</thead>
<tbody>
</tbody>
</table>

+---------+----+------------------------------------+--------+---+---+----+
| ##  S   | ** |                                    | **Do   | * |   |    |
| PECIAL  | IN |                                    | cument | * |   |    |
| OPERATI | ST |                                    | Re     | P |   |    |
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| CIFICA  | CT |                                    | ents** | o |   |    |
| TIONS F | IO |                                    |        | c |   |    |
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|         | n. |                                    |        |   |   |    |
|         | ** |                                    |        |   |   |    |
+=========+====+====================================+========+===+===+====+
|         |    |                                    |        | * | * |    |
|         |    |                                    |        | * | * |    |
|         |    |                                    |        |  | T |    |
|         |    |                                    |        | * | r |    |
|         |    |                                    |        | * | a |    |
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|         |    |                                    |        |   | n |    |
|         |    |                                    |        |   | i |    |
|         |    |                                    |        |   | n |    |
|         |    |                                    |        |   | g |    |
|         |    |                                    |        |   | / |    |
|         |    |                                    |        |   | * |    |
|         |    |                                    |        |   | * |    |
|         |    |                                    |        |   |   |    |
|         |    |                                    |        |   | * |    |
|         |    |                                    |        |   | * |    |
|         |    |                                    |        |   | S |    |
|         |    |                                    |        |   | k |    |
|         |    |                                    |        |   | i |    |
|         |    |                                    |        |   | l |    |
|         |    |                                    |        |   | l |    |
|         |    |                                    |        |   | * |    |
|         |    |                                    |        |   | * |    |
+---------+----+------------------------------------+--------+---+---+----+
|         | *  | **2. Then, look to see if a       |        |   | * | *  |
|         | * | appears to the right of the        |        |   | * | *O |
|         | ** | operation under "Procedures"       |        |   |  | PS |
|         |    | and/or "Training/Skill" and revise |        |   | * | S\ |
|         |    | your operating procedures and      |        |   | * | Re |
|         |    | training manual and prepare to     |        |   |   | f\ |
|         |    | show proficiency as indicated. The |        |   |   | P  |
|         |    | FSDO will provide any guidance you |        |   |   | ar |
|         |    | request.**                         |        |   |   | ** |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        | * | * | A0 |
|         | U  |                                    |        | * | * | 17 |
|         | se |                                    |        |  |  |    |
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|         | ty |                                    |        |   |   |    |
|         | P  |                                    |        |   |   |    |
|         | ro |                                    |        |   |   |    |
|         | gr |                                    |        |   |   |    |
|         | am |                                    |        |   |   |    |
|         | In |                                    |        |   |   |    |
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|         | li |                                    |        |   |   |    |
|         | co |                                    |        |   |   |    |
|         | pt |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
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|         | pe |                                    |        |   |   |    |
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|         | ti |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | s. |                                    |        |   |   |    |
|         | (  |                                    |        |   |   |    |
|         | to |                                    |        |   |   |    |
|         | D  |                                    |        |   |   |    |
|         | ep |                                    |        |   |   |    |
|         | la |                                    |        |   |   |    |
|         | ne |                                    |        |   |   |    |
|         | P  |                                    |        |   |   |    |
|         | AX |                                    |        |   |   |    |
|         | in |                                    |        |   |   |    |
|         | s  |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | ri |                                    |        |   |   |    |
|         | le |                                    |        |   |   |    |
|         | ar |                                    |        |   |   |    |
|         | ea |                                    |        |   |   |    |
|         | s) |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        | * | * | A0 |
|         | C  |                                    |        | * | * | 21 |
|         | on |                                    |        |  |  |    |
|         | du |                                    |        | * | * |    |
|         | ct |                                    |        | * | * |    |
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|         | ir |                                    |        |   |   |    |
|         | a  |                                    |        |   |   |    |
|         | mb |                                    |        |   |   |    |
|         | ul |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | ce |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | at |                                    |        |   |   |    |
|         | io |                                    |        |   |   |    |
|         | ns |                                    |        |   |   |    |
|         | in |                                    |        |   |   |    |
|         | ac |                                    |        |   |   |    |
|         | co |                                    |        |   |   |    |
|         | rd |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | ce |                                    |        |   |   |    |
|         | wi |                                    |        |   |   |    |
|         | th |                                    |        |   |   |    |
|         | C  |                                    |        |   |   |    |
|         | FR |                                    |        |   |   |    |
|         | 14 |                                    |        |   |   |    |
|         | Pa |                                    |        |   |   |    |
|         | rt |                                    |        |   |   |    |
|         | 13 |                                    |        |   |   |    |
|         | 5. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        | * | * | A0 |
|         | C  |                                    |        | * | * | 50 |
|         | on |                                    |        |  |  |    |
|         | du |                                    |        | * | * |    |
|         | ct |                                    |        | * | * |    |
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|         | li |                                    |        |   |   |    |
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|         | ig |                                    |        |   |   |    |
|         | ht |                                    |        |   |   |    |
|         | vi |                                    |        |   |   |    |
|         | si |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | go |                                    |        |   |   |    |
|         | gg |                                    |        |   |   |    |
|         | le |                                    |        |   |   |    |
|         | o  |                                    |        |   |   |    |
|         | pe |                                    |        |   |   |    |
|         | ra |                                    |        |   |   |    |
|         | ti |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | s. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        |   |   | D0 |
|         | U  |                                    |        |   |   | 93 |
|         | se |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | ap |                                    |        |   |   |    |
|         | pr |                                    |        |   |   |    |
|         | ov |                                    |        |   |   |    |
|         | ed |                                    |        |   |   |    |
|         | m  |                                    |        |   |   |    |
|         | ai |                                    |        |   |   |    |
|         | nt |                                    |        |   |   |    |
|         | en |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | ce |                                    |        |   |   |    |
|         | p  |                                    |        |   |   |    |
|         | ro |                                    |        |   |   |    |
|         | gr |                                    |        |   |   |    |
|         | am |                                    |        |   |   |    |
|         | f  |                                    |        |   |   |    |
|         | or |                                    |        |   |   |    |
|         | i  |                                    |        |   |   |    |
|         | ts |                                    |        |   |   |    |
|         | he |                                    |        |   |   |    |
|         | li |                                    |        |   |   |    |
|         | co |                                    |        |   |   |    |
|         | pt |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | n  |                                    |        |   |   |    |
|         | ig |                                    |        |   |   |    |
|         | ht |                                    |        |   |   |    |
|         | vi |                                    |        |   |   |    |
|         | si |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | go |                                    |        |   |   |    |
|         | gg |                                    |        |   |   |    |
|         | le |                                    |        |   |   |    |
|         | o  |                                    |        |   |   |    |
|         | pe |                                    |        |   |   |    |
|         | ra |                                    |        |   |   |    |
|         | ti |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | s. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        |   |   | D1 |
|         | U  |                                    |        |   |   | 02 |
|         | se |                                    |        |   |   |    |
|         | ai |                                    |        |   |   |    |
|         | rc |                                    |        |   |   |    |
|         | ra |                                    |        |   |   |    |
|         | ft |                                    |        |   |   |    |
|         | wi |                                    |        |   |   |    |
|         | th |                                    |        |   |   |    |
|         | ni |                                    |        |   |   |    |
|         | ne |                                    |        |   |   |    |
|         | or |                                    |        |   |   |    |
|         | le |                                    |        |   |   |    |
|         | ss |                                    |        |   |   |    |
|         | p  |                                    |        |   |   |    |
|         | as |                                    |        |   |   |    |
|         | se |                                    |        |   |   |    |
|         | ng |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | s  |                                    |        |   |   |    |
|         | ea |                                    |        |   |   |    |
|         | ts |                                    |        |   |   |    |
|         | wi |                                    |        |   |   |    |
|         | th |                                    |        |   |   |    |
|         | t  |                                    |        |   |   |    |
|         | he |                                    |        |   |   |    |
|         | ad |                                    |        |   |   |    |
|         | di |                                    |        |   |   |    |
|         | ti |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | al |                                    |        |   |   |    |
|         | m  |                                    |        |   |   |    |
|         | ai |                                    |        |   |   |    |
|         | nt |                                    |        |   |   |    |
|         | en |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | ce |                                    |        |   |   |    |
|         | re |                                    |        |   |   |    |
|         | qu |                                    |        |   |   |    |
|         | ir |                                    |        |   |   |    |
|         | em |                                    |        |   |   |    |
|         | en |                                    |        |   |   |    |
|         | ts |                                    |        |   |   |    |
|         | of |                                    |        |   |   |    |
|         | 14 |                                    |        |   |   |    |
|         | C  |                                    |        |   |   |    |
|         | FR |                                    |        |   |   |    |
|         | S  |                                    |        |   |   |    |
|         | ec |                                    |        |   |   |    |
|         | ti |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | 1  |                                    |        |   |   |    |
|         | 35 |                                    |        |   |   |    |
|         | .4 |                                    |        |   |   |    |
|         | 21 |                                    |        |   |   |    |
|         | ap |                                    |        |   |   |    |
|         | pl |                                    |        |   |   |    |
|         | ic |                                    |        |   |   |    |
|         | ab |                                    |        |   |   |    |
|         | le |                                    |        |   |   |    |
|         | f  |                                    |        |   |   |    |
|         | or |                                    |        |   |   |    |
|         | ro |                                    |        |   |   |    |
|         | to |                                    |        |   |   |    |
|         | rc |                                    |        |   |   |    |
|         | ra |                                    |        |   |   |    |
|         | ft |                                    |        |   |   |    |
|         | o  |                                    |        |   |   |    |
|         | pe |                                    |        |   |   |    |
|         | ra |                                    |        |   |   |    |
|         | ti |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | s. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        |   |   | H1 |
|         | C  |                                    |        |   |   | 01 |
|         | on |                                    |        |   |   |    |
|         | du |                                    |        |   |   |    |
|         | ct |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | rm |                                    |        |   |   |    |
|         | in |                                    |        |   |   |    |
|         | al |                                    |        |   |   |    |
|         | fl |                                    |        |   |   |    |
|         | ig |                                    |        |   |   |    |
|         | ht |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | at |                                    |        |   |   |    |
|         | io |                                    |        |   |   |    |
|         | ns |                                    |        |   |   |    |
|         | u  |                                    |        |   |   |    |
|         | nd |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | in |                                    |        |   |   |    |
|         | st |                                    |        |   |   |    |
|         | ru |                                    |        |   |   |    |
|         | me |                                    |        |   |   |    |
|         | nt |                                    |        |   |   |    |
|         | fl |                                    |        |   |   |    |
|         | ig |                                    |        |   |   |    |
|         | ht |                                    |        |   |   |    |
|         | r  |                                    |        |   |   |    |
|         | ul |                                    |        |   |   |    |
|         | es |                                    |        |   |   |    |
|         |  - |                                    |        |   |   |    |
|         | h  |                                    |        |   |   |    |
|         | el |                                    |        |   |   |    |
|         | ic |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | r. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        |   |   | H1 |
|         | C  |                                    |        |   |   | 02 |
|         | on |                                    |        |   |   |    |
|         | du |                                    |        |   |   |    |
|         | ct |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | at |                                    |        |   |   |    |
|         | io |                                    |        |   |   |    |
|         | ns |                                    |        |   |   |    |
|         | u  |                                    |        |   |   |    |
|         | si |                                    |        |   |   |    |
|         | ng |                                    |        |   |   |    |
|         | b  |                                    |        |   |   |    |
|         | as |                                    |        |   |   |    |
|         | ic |                                    |        |   |   |    |
|         | in |                                    |        |   |   |    |
|         | st |                                    |        |   |   |    |
|         | ru |                                    |        |   |   |    |
|         | me |                                    |        |   |   |    |
|         | nt |                                    |        |   |   |    |
|         | ap |                                    |        |   |   |    |
|         | pr |                                    |        |   |   |    |
|         | oa |                                    |        |   |   |    |
|         | ch |                                    |        |   |   |    |
|         | pr |                                    |        |   |   |    |
|         | oc |                                    |        |   |   |    |
|         | ed |                                    |        |   |   |    |
|         | ur |                                    |        |   |   |    |
|         | es |                                    |        |   |   |    |
|         | f  |                                    |        |   |   |    |
|         | or |                                    |        |   |   |    |
|         | he |                                    |        |   |   |    |
|         | li |                                    |        |   |   |    |
|         | co |                                    |        |   |   |    |
|         | pt |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | s. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        | * | * | H1 |
|         | C  |                                    |        | * | * | 03 |
|         | on |                                    |        |  |  |    |
|         | du |                                    |        | * | * |    |
|         | ct |                                    |        | * | * |    |
|         | Ca |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | go |                                    |        |   |   |    |
|         | ry |                                    |        |   |   |    |
|         | I  |                                    |        |   |   |    |
|         | I  |                                    |        |   |   |    |
|         | FR |                                    |        |   |   |    |
|         | la |                                    |        |   |   |    |
|         | nd |                                    |        |   |   |    |
|         | in |                                    |        |   |   |    |
|         | gs |                                    |        |   |   |    |
|         | o  |                                    |        |   |   |    |
|         | th |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | th |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | ai |                                    |        |   |   |    |
|         | rb |                                    |        |   |   |    |
|         | or |                                    |        |   |   |    |
|         | ne |                                    |        |   |   |    |
|         | r  |                                    |        |   |   |    |
|         | ad |                                    |        |   |   |    |
|         | ar |                                    |        |   |   |    |
|         | ap |                                    |        |   |   |    |
|         | pr |                                    |        |   |   |    |
|         | oa |                                    |        |   |   |    |
|         | ch |                                    |        |   |   |    |
|         | es |                                    |        |   |   |    |
|         |  - |                                    |        |   |   |    |
|         | h  |                                    |        |   |   |    |
|         | el |                                    |        |   |   |    |
|         | ic |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | r. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        |   |   | H1 |
|         | C  |                                    |        |   |   | 04 |
|         | on |                                    |        |   |   |    |
|         | du |                                    |        |   |   |    |
|         | ct |                                    |        |   |   |    |
|         | I  |                                    |        |   |   |    |
|         | FR |                                    |        |   |   |    |
|         | he |                                    |        |   |   |    |
|         | li |                                    |        |   |   |    |
|         | co |                                    |        |   |   |    |
|         | pt |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | en |                                    |        |   |   |    |
|         | r  |                                    |        |   |   |    |
|         | ou |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | d  |                                    |        |   |   |    |
|         | es |                                    |        |   |   |    |
|         | ce |                                    |        |   |   |    |
|         | nt |                                    |        |   |   |    |
|         | (H |                                    |        |   |   |    |
|         | ED |                                    |        |   |   |    |
|         | A) |                                    |        |   |   |    |
|         | p  |                                    |        |   |   |    |
|         | ro |                                    |        |   |   |    |
|         | ce |                                    |        |   |   |    |
|         | du |                                    |        |   |   |    |
|         | re |                                    |        |   |   |    |
|         | s. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        |   |   | H1 |
|         | U  |                                    |        |   |   | 05 |
|         | se |                                    |        |   |   |    |
|         | a  |                                    |        |   |   |    |
|         | lt |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | na |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | a  |                                    |        |   |   |    |
|         | ir |                                    |        |   |   |    |
|         | po |                                    |        |   |   |    |
|         | rt |                                    |        |   |   |    |
|         | I  |                                    |        |   |   |    |
|         | FR |                                    |        |   |   |    |
|         | w  |                                    |        |   |   |    |
|         | ea |                                    |        |   |   |    |
|         | th |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | mi |                                    |        |   |   |    |
|         | ni |                                    |        |   |   |    |
|         | mu |                                    |        |   |   |    |
|         | ms |                                    |        |   |   |    |
|         |  - |                                    |        |   |   |    |
|         | h  |                                    |        |   |   |    |
|         | el |                                    |        |   |   |    |
|         | ic |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | r. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        |   |   | H1 |
|         | C  |                                    |        |   |   | 06 |
|         | on |                                    |        |   |   |    |
|         | du |                                    |        |   |   |    |
|         | ct |                                    |        |   |   |    |
|         | he |                                    |        |   |   |    |
|         | li |                                    |        |   |   |    |
|         | co |                                    |        |   |   |    |
|         | pt |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | at |                                    |        |   |   |    |
|         | io |                                    |        |   |   |    |
|         | ns |                                    |        |   |   |    |
|         | u  |                                    |        |   |   |    |
|         | si |                                    |        |   |   |    |
|         | ng |                                    |        |   |   |    |
|         | st |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | da |                                    |        |   |   |    |
|         | rd |                                    |        |   |   |    |
|         | t  |                                    |        |   |   |    |
|         | ak |                                    |        |   |   |    |
|         | eo |                                    |        |   |   |    |
|         | ff |                                    |        |   |   |    |
|         | mi |                                    |        |   |   |    |
|         | ni |                                    |        |   |   |    |
|         | mu |                                    |        |   |   |    |
|         | ms |                                    |        |   |   |    |
|         | u  |                                    |        |   |   |    |
|         | nd |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | Pa |                                    |        |   |   |    |
|         | rt |                                    |        |   |   |    |
|         | 13 |                                    |        |   |   |    |
|         | 5. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        |   |   | H1 |
|         | U  |                                    |        |   |   | 07 |
|         | se |                                    |        |   |   |    |
|         | s  |                                    |        |   |   |    |
|         | pe |                                    |        |   |   |    |
|         | ci |                                    |        |   |   |    |
|         | al |                                    |        |   |   |    |
|         | re |                                    |        |   |   |    |
|         | st |                                    |        |   |   |    |
|         | ri |                                    |        |   |   |    |
|         | ct |                                    |        |   |   |    |
|         | io |                                    |        |   |   |    |
|         | ns |                                    |        |   |   |    |
|         | f  |                                    |        |   |   |    |
|         | or |                                    |        |   |   |    |
|         | f  |                                    |        |   |   |    |
|         | or |                                    |        |   |   |    |
|         | ei |                                    |        |   |   |    |
|         | gn |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | rm |                                    |        |   |   |    |
|         | in |                                    |        |   |   |    |
|         | al |                                    |        |   |   |    |
|         | in |                                    |        |   |   |    |
|         | st |                                    |        |   |   |    |
|         | ru |                                    |        |   |   |    |
|         | me |                                    |        |   |   |    |
|         | nt |                                    |        |   |   |    |
|         | pr |                                    |        |   |   |    |
|         | oc |                                    |        |   |   |    |
|         | ed |                                    |        |   |   |    |
|         | ur |                                    |        |   |   |    |
|         | es |                                    |        |   |   |    |
|         |  - |                                    |        |   |   |    |
|         | h  |                                    |        |   |   |    |
|         | el |                                    |        |   |   |    |
|         | ic |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | r. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        | * | * | H1 |
|         | C  |                                    |        | * | * | 08 |
|         | on |                                    |        |  |  |    |
|         | du |                                    |        | * | * |    |
|         | ct |                                    |        | * | * |    |
|         | he |                                    |        |   |   |    |
|         | li |                                    |        |   |   |    |
|         | co |                                    |        |   |   |    |
|         | pt |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | Ca |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | go |                                    |        |   |   |    |
|         | ry |                                    |        |   |   |    |
|         | II |                                    |        |   |   |    |
|         | o  |                                    |        |   |   |    |
|         | pe |                                    |        |   |   |    |
|         | ra |                                    |        |   |   |    |
|         | ti |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | s. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        | * | * | H1 |
|         | C  |                                    |        | * | * | 09 |
|         | on |                                    |        |  |  |    |
|         | du |                                    |        | * | * |    |
|         | ct |                                    |        | * | * |    |
|         | he |                                    |        |   |   |    |
|         | li |                                    |        |   |   |    |
|         | co |                                    |        |   |   |    |
|         | pt |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | Ca |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | go |                                    |        |   |   |    |
|         | ry |                                    |        |   |   |    |
|         | I  |                                    |        |   |   |    |
|         | II |                                    |        |   |   |    |
|         | o  |                                    |        |   |   |    |
|         | pe |                                    |        |   |   |    |
|         | ra |                                    |        |   |   |    |
|         | ti |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | s. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        | * | * | H1 |
|         | U  |                                    |        | * | * | 10 |
|         | se |                                    |        |  |  |    |
|         | fl |                                    |        | * | * |    |
|         | ig |                                    |        | * | * |    |
|         | ht |                                    |        |   |   |    |
|         | c  |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | tr |                                    |        |   |   |    |
|         | ol |                                    |        |   |   |    |
|         | gu |                                    |        |   |   |    |
|         | id |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | ce |                                    |        |   |   |    |
|         | s  |                                    |        |   |   |    |
|         | ys |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | ms |                                    |        |   |   |    |
|         | f  |                                    |        |   |   |    |
|         | or |                                    |        |   |   |    |
|         | ai |                                    |        |   |   |    |
|         | rc |                                    |        |   |   |    |
|         | ra |                                    |        |   |   |    |
|         | ft |                                    |        |   |   |    |
|         | a  |                                    |        |   |   |    |
|         | ut |                                    |        |   |   |    |
|         | om |                                    |        |   |   |    |
|         | at |                                    |        |   |   |    |
|         | ic |                                    |        |   |   |    |
|         | l  |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | di |                                    |        |   |   |    |
|         | ng |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | at |                                    |        |   |   |    |
|         | io |                                    |        |   |   |    |
|         | ns |                                    |        |   |   |    |
|         |  - |                                    |        |   |   |    |
|         | h  |                                    |        |   |   |    |
|         | el |                                    |        |   |   |    |
|         | ic |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | r. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        | * | * | H1 |
|         | U  |                                    |        | * | * | 11 |
|         | se |                                    |        |  |  |    |
|         | ma |                                    |        | * | * |    |
|         | nu |                                    |        | * | * |    |
|         | al |                                    |        |   |   |    |
|         | ly |                                    |        |   |   |    |
|         | f  |                                    |        |   |   |    |
|         | lo |                                    |        |   |   |    |
|         | wn |                                    |        |   |   |    |
|         | fl |                                    |        |   |   |    |
|         | ig |                                    |        |   |   |    |
|         | ht |                                    |        |   |   |    |
|         | c  |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | tr |                                    |        |   |   |    |
|         | ol |                                    |        |   |   |    |
|         | gu |                                    |        |   |   |    |
|         | id |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | ce |                                    |        |   |   |    |
|         | s  |                                    |        |   |   |    |
|         | ys |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | ms |                                    |        |   |   |    |
|         | c  |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | ti |                                    |        |   |   |    |
|         | fi |                                    |        |   |   |    |
|         | ed |                                    |        |   |   |    |
|         | f  |                                    |        |   |   |    |
|         | or |                                    |        |   |   |    |
|         | ai |                                    |        |   |   |    |
|         | rc |                                    |        |   |   |    |
|         | ra |                                    |        |   |   |    |
|         | ft |                                    |        |   |   |    |
|         | l  |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | di |                                    |        |   |   |    |
|         | ng |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | at |                                    |        |   |   |    |
|         | io |                                    |        |   |   |    |
|         | ns |                                    |        |   |   |    |
|         |  - |                                    |        |   |   |    |
|         | h  |                                    |        |   |   |    |
|         | el |                                    |        |   |   |    |
|         | ic |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | r. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        | * | * | H1 |
|         | C  |                                    |        | * | * | 12 |
|         | on |                                    |        |  |  |    |
|         | du |                                    |        | * | * |    |
|         | ct |                                    |        | * | * |    |
|         | he |                                    |        |   |   |    |
|         | li |                                    |        |   |   |    |
|         | co |                                    |        |   |   |    |
|         | pt |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | ap |                                    |        |   |   |    |
|         | pr |                                    |        |   |   |    |
|         | oa |                                    |        |   |   |    |
|         | ch |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | at |                                    |        |   |   |    |
|         | io |                                    |        |   |   |    |
|         | ns |                                    |        |   |   |    |
|         | u  |                                    |        |   |   |    |
|         | si |                                    |        |   |   |    |
|         | ng |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | ar |                                    |        |   |   |    |
|         | ea |                                    |        |   |   |    |
|         | na |                                    |        |   |   |    |
|         | vi |                                    |        |   |   |    |
|         | ga |                                    |        |   |   |    |
|         | ti |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | s  |                                    |        |   |   |    |
|         | ys |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | m. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        | * |   | H1 |
|         | C  |                                    |        | * |   | 13 |
|         | on |                                    |        |  |   |    |
|         | du |                                    |        | * |   |    |
|         | ct |                                    |        | * |   |    |
|         | no |                                    |        |   |   |    |
|         | ns |                                    |        |   |   |    |
|         | ch |                                    |        |   |   |    |
|         | ed |                                    |        |   |   |    |
|         | ul |                                    |        |   |   |    |
|         | ed |                                    |        |   |   |    |
|         | p  |                                    |        |   |   |    |
|         | as |                                    |        |   |   |    |
|         | se |                                    |        |   |   |    |
|         | ng |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | a  |                                    |        |   |   |    |
|         | nd |                                    |        |   |   |    |
|         | a  |                                    |        |   |   |    |
|         | ll |                                    |        |   |   |    |
|         | -c |                                    |        |   |   |    |
|         | ar |                                    |        |   |   |    |
|         | go |                                    |        |   |   |    |
|         | (s |                                    |        |   |   |    |
|         | ch |                                    |        |   |   |    |
|         | ed |                                    |        |   |   |    |
|         | ul |                                    |        |   |   |    |
|         | ed |                                    |        |   |   |    |
|         | a  |                                    |        |   |   |    |
|         | nd |                                    |        |   |   |    |
|         | n  |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | sc |                                    |        |   |   |    |
|         | he |                                    |        |   |   |    |
|         | du |                                    |        |   |   |    |
|         | le |                                    |        |   |   |    |
|         | d) |                                    |        |   |   |    |
|         | s  |                                    |        |   |   |    |
|         | pe |                                    |        |   |   |    |
|         | ci |                                    |        |   |   |    |
|         | al |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | rm |                                    |        |   |   |    |
|         | in |                                    |        |   |   |    |
|         | al |                                    |        |   |   |    |
|         | ar |                                    |        |   |   |    |
|         | ea |                                    |        |   |   |    |
|         | I  |                                    |        |   |   |    |
|         | FR |                                    |        |   |   |    |
|         | ro |                                    |        |   |   |    |
|         | to |                                    |        |   |   |    |
|         | rc |                                    |        |   |   |    |
|         | ra |                                    |        |   |   |    |
|         | ft |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | at |                                    |        |   |   |    |
|         | io |                                    |        |   |   |    |
|         | ns |                                    |        |   |   |    |
|         | in |                                    |        |   |   |    |
|         | C  |                                    |        |   |   |    |
|         | la |                                    |        |   |   |    |
|         | ss |                                    |        |   |   |    |
|         | G  |                                    |        |   |   |    |
|         | a  |                                    |        |   |   |    |
|         | ir |                                    |        |   |   |    |
|         | sp |                                    |        |   |   |    |
|         | ac |                                    |        |   |   |    |
|         | e. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        |   |   | H1 |
|         | U  |                                    |        |   |   | 14 |
|         | se |                                    |        |   |   |    |
|         | s  |                                    |        |   |   |    |
|         | pe |                                    |        |   |   |    |
|         | ci |                                    |        |   |   |    |
|         | al |                                    |        |   |   |    |
|         | a  |                                    |        |   |   |    |
|         | ir |                                    |        |   |   |    |
|         | po |                                    |        |   |   |    |
|         | rt |                                    |        |   |   |    |
|         | a  |                                    |        |   |   |    |
|         | ut |                                    |        |   |   |    |
|         | ho |                                    |        |   |   |    |
|         | ri |                                    |        |   |   |    |
|         | za |                                    |        |   |   |    |
|         | ti |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | s, |                                    |        |   |   |    |
|         | li |                                    |        |   |   |    |
|         | mi |                                    |        |   |   |    |
|         | ta |                                    |        |   |   |    |
|         | ti |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | s, |                                    |        |   |   |    |
|         | a  |                                    |        |   |   |    |
|         | nd |                                    |        |   |   |    |
|         | pr |                                    |        |   |   |    |
|         | ov |                                    |        |   |   |    |
|         | is |                                    |        |   |   |    |
|         | io |                                    |        |   |   |    |
|         | ns |                                    |        |   |   |    |
|         |  - |                                    |        |   |   |    |
|         | h  |                                    |        |   |   |    |
|         | el |                                    |        |   |   |    |
|         | ic |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | r. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        |   |   | H1 |
|         | C  |                                    |        |   |   | 16 |
|         | on |                                    |        |   |   |    |
|         | du |                                    |        |   |   |    |
|         | ct |                                    |        |   |   |    |
|         | he |                                    |        |   |   |    |
|         | li |                                    |        |   |   |    |
|         | co |                                    |        |   |   |    |
|         | pt |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | at |                                    |        |   |   |    |
|         | io |                                    |        |   |   |    |
|         | ns |                                    |        |   |   |    |
|         | u  |                                    |        |   |   |    |
|         | si |                                    |        |   |   |    |
|         | ng |                                    |        |   |   |    |
|         | l  |                                    |        |   |   |    |
|         | ow |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | th |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | st |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | da |                                    |        |   |   |    |
|         | rd |                                    |        |   |   |    |
|         | t  |                                    |        |   |   |    |
|         | ak |                                    |        |   |   |    |
|         | eo |                                    |        |   |   |    |
|         | ff |                                    |        |   |   |    |
|         | mi |                                    |        |   |   |    |
|         | ni |                                    |        |   |   |    |
|         | mu |                                    |        |   |   |    |
|         | ms |                                    |        |   |   |    |
|         | u  |                                    |        |   |   |    |
|         | nd |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | Pa |                                    |        |   |   |    |
|         | rt |                                    |        |   |   |    |
|         | 13 |                                    |        |   |   |    |
|         | 5. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        |   |   | H1 |
|         | C  |                                    |        |   |   | 17 |
|         | on |                                    |        |   |   |    |
|         | du |                                    |        |   |   |    |
|         | ct |                                    |        |   |   |    |
|         | he |                                    |        |   |   |    |
|         | li |                                    |        |   |   |    |
|         | co |                                    |        |   |   |    |
|         | pt |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | Ca |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | go |                                    |        |   |   |    |
|         | ry |                                    |        |   |   |    |
|         | I, |                                    |        |   |   |    |
|         | IL |                                    |        |   |   |    |
|         | S, |                                    |        |   |   |    |
|         | ML |                                    |        |   |   |    |
|         | S, |                                    |        |   |   |    |
|         | or |                                    |        |   |   |    |
|         | G  |                                    |        |   |   |    |
|         | LS |                                    |        |   |   |    |
|         | ap |                                    |        |   |   |    |
|         | pr |                                    |        |   |   |    |
|         | oa |                                    |        |   |   |    |
|         | ch |                                    |        |   |   |    |
|         | pr |                                    |        |   |   |    |
|         | oc |                                    |        |   |   |    |
|         | ed |                                    |        |   |   |    |
|         | ur |                                    |        |   |   |    |
|         | es |                                    |        |   |   |    |
|         | wi |                                    |        |   |   |    |
|         | th |                                    |        |   |   |    |
|         | sp |                                    |        |   |   |    |
|         | ec |                                    |        |   |   |    |
|         | if |                                    |        |   |   |    |
|         | ic |                                    |        |   |   |    |
|         | I  |                                    |        |   |   |    |
|         | FR |                                    |        |   |   |    |
|         | l  |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | di |                                    |        |   |   |    |
|         | ng |                                    |        |   |   |    |
|         | m  |                                    |        |   |   |    |
|         | in |                                    |        |   |   |    |
|         | im |                                    |        |   |   |    |
|         | um |                                    |        |   |   |    |
|         | s. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        | * | * | H1 |
|         | C  |                                    |        | * | * | 18 |
|         | on |                                    |        |  |  |    |
|         | du |                                    |        | * | * |    |
|         | ct |                                    |        | * | * |    |
|         | he |                                    |        |   |   |    |
|         | li |                                    |        |   |   |    |
|         | co |                                    |        |   |   |    |
|         | pt |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | ci |                                    |        |   |   |    |
|         | rc |                                    |        |   |   |    |
|         | le |                                    |        |   |   |    |
|         | -t |                                    |        |   |   |    |
|         | o- |                                    |        |   |   |    |
|         | la |                                    |        |   |   |    |
|         | nd |                                    |        |   |   |    |
|         | m  |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | eu |                                    |        |   |   |    |
|         | ve |                                    |        |   |   |    |
|         | rs |                                    |        |   |   |    |
|         | u  |                                    |        |   |   |    |
|         | si |                                    |        |   |   |    |
|         | ng |                                    |        |   |   |    |
|         | I  |                                    |        |   |   |    |
|         | FR |                                    |        |   |   |    |
|         | Ca |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | go |                                    |        |   |   |    |
|         | ry |                                    |        |   |   |    |
|         | I  |                                    |        |   |   |    |
|         | l  |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | di |                                    |        |   |   |    |
|         | ng |                                    |        |   |   |    |
|         | m  |                                    |        |   |   |    |
|         | in |                                    |        |   |   |    |
|         | im |                                    |        |   |   |    |
|         | um |                                    |        |   |   |    |
|         | s. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        | * | * | H1 |
|         | C  |                                    |        | * | * | 19 |
|         | on |                                    |        |  |  |    |
|         | du |                                    |        | * | * |    |
|         | ct |                                    |        | * | * |    |
|         | he |                                    |        |   |   |    |
|         | li |                                    |        |   |   |    |
|         | co |                                    |        |   |   |    |
|         | pt |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | c  |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | ta |                                    |        |   |   |    |
|         | ct |                                    |        |   |   |    |
|         | ap |                                    |        |   |   |    |
|         | pr |                                    |        |   |   |    |
|         | oa |                                    |        |   |   |    |
|         | ch |                                    |        |   |   |    |
|         | es |                                    |        |   |   |    |
|         | u  |                                    |        |   |   |    |
|         | si |                                    |        |   |   |    |
|         | ng |                                    |        |   |   |    |
|         | I  |                                    |        |   |   |    |
|         | FR |                                    |        |   |   |    |
|         | Ca |                                    |        |   |   |    |
|         | te |                                    |        |   |   |    |
|         | go |                                    |        |   |   |    |
|         | ry |                                    |        |   |   |    |
|         | I  |                                    |        |   |   |    |
|         | l  |                                    |        |   |   |    |
|         | an |                                    |        |   |   |    |
|         | di |                                    |        |   |   |    |
|         | ng |                                    |        |   |   |    |
|         | m  |                                    |        |   |   |    |
|         | in |                                    |        |   |   |    |
|         | im |                                    |        |   |   |    |
|         | um |                                    |        |   |   |    |
|         | s. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+
|         |    |                                    |        | * | * | H1 |
|         | C  |                                    |        | * | * | 22 |
|         | on |                                    |        |  |  |    |
|         | du |                                    |        | * | * |    |
|         | ct |                                    |        | * | * |    |
|         | s  |                                    |        |   |   |    |
|         | pe |                                    |        |   |   |    |
|         | ci |                                    |        |   |   |    |
|         | al |                                    |        |   |   |    |
|         | n  |                                    |        |   |   |    |
|         | on |                                    |        |   |   |    |
|         | C  |                                    |        |   |   |    |
|         | FR |                                    |        |   |   |    |
|         | Pa |                                    |        |   |   |    |
|         | rt |                                    |        |   |   |    |
|         | 97 |                                    |        |   |   |    |
|         | in |                                    |        |   |   |    |
|         | st |                                    |        |   |   |    |
|         | ru |                                    |        |   |   |    |
|         | me |                                    |        |   |   |    |
|         | nt |                                    |        |   |   |    |
|         | ap |                                    |        |   |   |    |
|         | pr |                                    |        |   |   |    |
|         | oa |                                    |        |   |   |    |
|         | ch |                                    |        |   |   |    |
|         | or |                                    |        |   |   |    |
|         | d  |                                    |        |   |   |    |
|         | ep |                                    |        |   |   |    |
|         | ar |                                    |        |   |   |    |
|         | tu |                                    |        |   |   |    |
|         | re |                                    |        |   |   |    |
|         | ro |                                    |        |   |   |    |
|         | to |                                    |        |   |   |    |
|         | rc |                                    |        |   |   |    |
|         | ra |                                    |        |   |   |    |
|         | ft |                                    |        |   |   |    |
|         | op |                                    |        |   |   |    |
|         | er |                                    |        |   |   |    |
|         | at |                                    |        |   |   |    |
|         | io |                                    |        |   |   |    |
|         | ns |                                    |        |   |   |    |
|         | s  |                                    |        |   |   |    |
|         | pe |                                    |        |   |   |    |
|         | ci |                                    |        |   |   |    |
|         | fi |                                    |        |   |   |    |
|         | ed |                                    |        |   |   |    |
|         | f  |                                    |        |   |   |    |
|         | or |                                    |        |   |   |    |
|         | t  |                                    |        |   |   |    |
|         | he |                                    |        |   |   |    |
|         | f  |                                    |        |   |   |    |
|         | ol |                                    |        |   |   |    |
|         | lo |                                    |        |   |   |    |
|         | wi |                                    |        |   |   |    |
|         | ng |                                    |        |   |   |    |
|         | a  |                                    |        |   |   |    |
|         | ir |                                    |        |   |   |    |
|         | po |                                    |        |   |   |    |
|         | rt |                                    |        |   |   |    |
|         | s. |                                    |        |   |   |    |
+---------+----+------------------------------------+--------+---+---+----+

  -----------------------------------------------------------------------
  ***NOTICE: PART NUMBERS AND DOCUMENT NUMBERS MUST BE COMPLETE AND
  ACCURATE.***

  -----------------------------------------------------------------------

+---------+----------+-------+---+---+------------+---+-------------+-------+
| ##      | **       |       | > | A |            | * |             |       |
|  ADDITI | AIRCRAFT |       |   | i |            | * |             |       |
| ONAL RE | :**      |       |  | r |            |   |             |       |
| QUIRED  | Enter    |       |   | c |            |   |             |       |
| AIRCRAF | the      |       |   | r |            |   |             |       |
| T INFOR | Aircraft |       |   | a |            |   |             |       |
| MATION  | mai      |       |   | f |            |   |             |       |
|         | ntenance |       |   | t |            | * |             |       |
| **For   | pub      |       |   | M |            | * |             |       |
| Ope     | lication |       |   | a |            |   |             |       |
| rations | (identi  |       |   | i |            |   |             |       |
| under   | fication |       |   | n |            |   |             |       |
| Part    | or part  |       |   | t |            |   |             |       |
| 135.41  | number)  |       |   | e |            |   |             |       |
| 1(a)(1) | here:    |       |   | n |            |   |             |       |
| Only\   |          |       |   | a |            |   |             |       |
| ("Nine- |          |       |   | n |            |   |             |       |
| or-Less |          |       |   | c |            |   |             |       |
| Operati |          |       |   | e |            |   |             |       |
| ons")** |          |       |   | \ |            |   |             |       |
|         |          |       |   | M |            |   |             |       |
|         |          |       |   | a |            |   |             |       |
|         |          |       |   | n |            |   |             |       |
|         |          |       |   | u |            |   |             |       |
|         |          |       |   | a |            |   |             |       |
|         |          |       |   | l |            |   |             |       |
|         |          |       |   | & |            |   |             |       |
+---------+----------+-------+---+---+------------+---+-------------+-------+
|         |          |       |   | R |            | * |             |       |
|         |          |       |   | e |            | * |             |       |
|         |          |       |   | v |            |   |             |       |
|         |          |       |   | i |            |   |             |       |
|         |          |       |   | s |            |   |             |       |
|         |          |       |   | i |            |   |             |       |
|         |          |       |   | o |            |   |             |       |
|         |          |       |   | n |            | * |             |       |
|         |          |       |   | L |            | * |             |       |
|         |          |       |   | e |            |   |             |       |
|         |          |       |   | v |            |   |             |       |
|         |          |       |   | e |            |   |             |       |
|         |          |       |   | l |            |   |             |       |
+---------+----------+-------+---+---+------------+---+-------------+-------+
|         |          |       |   | D |            | * |             |       |
|         |          |       |   | a |            | * |             |       |
|         |          |       |   | t |            |   |             |       |
|         |          |       |   | e |            |   |             |       |
|         |          |       |   |   |            |   |             |       |
|         |          |       |   |   |            |   |             |       |
|         |          |       |   |   |            |   |             |       |
|         |          |       |   |   |            | * |             |       |
|         |          |       |   |   |            | * |             |       |
+---------+----------+-------+---+---+------------+---+-------------+-------+
|         | ITEM     | Make  |   |   | Maintenanc |   | Time In     | T     |
|         |          | &\    |   |   | e/Overhaul |   | Service     | IME-I |
|         |          | Model |   |   | Document   |   | Document ID | N-SER |
|         |          |       |   |   | ID or Part |   | or Part     | VICE\ |
|         |          |       |   |   | Number\    |   | Number\     | INT   |
|         |          |       |   |   | (Read Note |   | (Read Note  | ERVAL |
|         |          |       |   |   | 1)         |   | 2)          |       |
+---------+----------+-------+---+---+------------+---+-------------+-------+
|         | *        |       |   |   |            |   |             |       |
|         | *ENGINE\ |       |   |   |            |   |             |       |
|         | **(Left  |       |   |   |            |   |             |       |
|         | or       |       |   |   |            |   |             |       |
|         | Single   |       |   |   |            |   |             |       |
|         | Engine)  |       |   |   |            |   |             |       |
+---------+----------+-------+---+---+------------+---+-------------+-------+
|         | **E      |       |   |   |            |   |             |       |
|         | NGINE**\ |       |   |   |            |   |             |       |
|         | (Right   |       |   |   |            |   |             |       |
|         | if       |       |   |   |            |   |             |       |
|         | app      |       |   |   |            |   |             |       |
|         | licable) |       |   |   |            |   |             |       |
+---------+----------+-------+---+---+------------+---+-------------+-------+
|         | **PR     |       |   |   |            |   |             |       |
|         | OPELLER\ |       |   |   |            |   |             |       |
|         | (Left or |       |   |   |            |   |             |       |
|         | Single   |       |   |   |            |   |             |       |
|         | E        |       |   |   |            |   |             |       |
|         | ngine)** |       |   |   |            |   |             |       |
+---------+----------+-------+---+---+------------+---+-------------+-------+
|         | **PR     |       |   |   |            |   |             |       |
|         | OPELLER\ |       |   |   |            |   |             |       |
|         | **(Right |       |   |   |            |   |             |       |
|         | if       |       |   |   |            |   |             |       |
|         | app      |       |   |   |            |   |             |       |
|         | licable) |       |   |   |            |   |             |       |
+---------+----------+-------+---+---+------------+---+-------------+-------+
|         | **P      |       |   |   |            |   |             |       |
|         | ROPELLER |       |   |   |            |   |             |       |
|         | G        |       |   |   |            |   |             |       |
|         | OVERNOR\ |       |   |   |            |   |             |       |
|         | **(Left  |       |   |   |            |   |             |       |
|         | or       |       |   |   |            |   |             |       |
|         | Single   |       |   |   |            |   |             |       |
|         | Engine)  |       |   |   |            |   |             |       |
+---------+----------+-------+---+---+------------+---+-------------+-------+
|         | **P      |       |   |   |            |   |             |       |
|         | ROPELLER |       |   |   |            |   |             |       |
|         | G        |       |   |   |            |   |             |       |
|         | OVERNOR\ |       |   |   |            |   |             |       |
|         | **(Right |       |   |   |            |   |             |       |
|         | if       |       |   |   |            |   |             |       |
|         | app      |       |   |   |            |   |             |       |
|         | licable) |       |   |   |            |   |             |       |
+---------+----------+-------+---+---+------------+---+-------------+-------+
|         | *        |       |   |   |            |   |             |       |
|         | *PRIMARY |       |   |   |            |   |             |       |
|         | GO       |       |   |   |            |   |             |       |
|         | VERNOR** |       |   |   |            |   |             |       |
+---------+----------+-------+---+---+------------+---+-------------+-------+
|         | **O      |       |   |   |            |   |             |       |
|         | VERSPEED |       |   |   |            |   |             |       |
|         | GO       |       |   |   |            |   |             |       |
|         | VERNOR** |       |   |   |            |   |             |       |
+---------+----------+-------+---+---+------------+---+-------------+-------+

NOTE 1. Please enter the exact name and identification or part number of
the publication(s), including revision level, under which the item will
be maintained (normally these are the airframe and the engine,
propeller, and governor service manuals).

NOTE 2. Please identify the manufacturer\'s publication(s) by exact
number and title that specify the overhaul /replacement time, or
time-in-service interval for the item. This is often a service bulletin.

+---------+---------+----------------+-----+--------+----------------+
| ##      | *       |                |     |        |                |
|  MAINTE | *Before |                |     |        |                |
| NANCE H | this    |                |     |        |                |
| ISTORY  | appli   |                |     |        |                |
|         | cation, |                |     |        |                |
|         | the     |                |     |        |                |
|         | a       |                |     |        |                |
|         | ircraft |                |     |        |                |
|         | was     |                |     |        |                |
|         | mai     |                |     |        |                |
|         | ntained |                |     |        |                |
|         | under   |                |     |        |                |
|         | the     |                |     |        |                |
|         | fo      |                |     |        |                |
|         | llowing |                |     |        |                |
|         | m       |                |     |        |                |
|         | aintena |                |     |        |                |
|         | nce/ins |                |     |        |                |
|         | pection |                |     |        |                |
|         | pro     |                |     |        |                |
|         | gram:** |                |     |        |                |
|         | (Please |                |     |        |                |
|         | check)  |                |     |        |                |
+---------+---------+----------------+-----+--------+----------------+
|         | **FAR   | **(a) Annual   |     |        |                |
|         | Parts   | inspections**  |     |        |                |
|         | 43, 91  | **(b) 100 Hour |     |        |                |
|         | and     | Inspections\   |     |        |                |
|         | 9       | ** **(d)       |     |        |                |
|         | 1.409** | Progressive    |     |        |                |
|         |         | inspections,   |     |        |                |
|         |         | or**           |     |        |                |
+---------+---------+----------------+-----+--------+----------------+
|         |         | **Air          | **M |        | **Other        |
|         |         | Carrier's      | anu |        | Approved       |
|         |         | Program\       | fac |        | Program\       |
|         |         | ** **(f1) or** | tur |        | ** **(f4)**    |
|         |         | **(f2)**       | ers |        |                |
|         |         |                | Pro |        |                |
|         |         |                | gra |        |                |
|         |         |                | m** |        |                |
|         |         |                | **( |        |                |
|         |         |                | f3) |        |                |
|         |         |                | o   |        |                |
|         |         |                | r** |        |                |
+---------+---------+----------------+-----+--------+----------------+
| ##  PRI | L       |                |     | [      |                |
| MARY MA | ocation |                |     |      ] |                |
| INTENAN | of the  |                |     | {.unde |                |
| CE BASE | **a     |                |     | rline} |                |
|         | ircraft |                |     |        |                |
|         | re      |                |     |        |                |
|         | cords** |                |     |        |                |
|         | and,\   |                |     |        |                |
|         | If      |                |     |        |                |
|         | applic  |                |     |        |                |
|         | able,\* |                |     |        |                |
|         | the     |                |     |        |                |
|         | office  |                |     |        |                |
|         | of the  |                |     |        |                |
|         | **D     |                |     |        |                |
|         | irector |                |     |        |                |
|         | Of      |                |     |        |                |
|         | Mainten |                |     |        |                |
|         | ance**\ |                |     |        |                |
|         | \*O     |                |     |        |                |
|         | ptional |                |     |        |                |
|         | for     |                |     |        |                |
|         | Single  |                |     |        |                |
|         | Pilot   |                |     |        |                |
|         | and     |                |     |        |                |
|         | Single  |                |     |        |                |
|         | Pi      |                |     |        |                |
|         | lot-in- |                |     |        |                |
|         | Command |                |     |        |                |
|         | Op      |                |     |        |                |
|         | erators |                |     |        |                |
+---------+---------+----------------+-----+--------+----------------+

+-------------------------------------------+--------------------------+
| ## MAJOR ALTERATIONS                      | **A/C Make/Model      ** |
|                                           |                          |
|                                           | **Registration N     **  |
+-------------------------------------------+--------------------------+

**LIST ALL MAJOR ALTERATIONS THAT CURRENTLY APPLY TO THE AIRCRAFT;\
use additional copies of this p**age as needed.

  ------------------------- ----------------------- ----------------------- ----------------------- --------------------------------------------
  **DATE\                   **Instructions For                                                      
  337 block 7**             Continued                                                               
                            Airworthiness**                                                         

                            **Apply\                **Field Approval**                              
                            (Yes or No)**                                                           

                                                    **in Block 3\           **Flight Manual         
                                                    (Yes or No)**           Supplement**            

                                                                            **Required (Yes or      **Brief Description of the Major
                                                                            No)**                   Alteration**

  **[     ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[   ]{.underline}**   **[     ]{.underline}**
  ------------------------- ----------------------- ----------------------- ----------------------- --------------------------------------------

+-----------------------------------------------------------------------+
| ## PRESSURE CYLINDERS AND SPHERES                                     |
+-----------------------------------------------------------------------+

**List all Pressure Cylinders and Spheres installed as Aircraft
Equipment**

**Please refer to HBAW 02-01, July 16, 2002, (or later revi**sion) for
details.

  ------------------------- ------------------------- ------------------------- --------------------------
  **Part Number**           **Description or\         **Manufacturer's          **Applicable limitations
                            Part Name**               Maintenance Document**    and provisions including
                                                                                current due dates.**

  **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**

  **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**   **[     ]{.underline}**
  ------------------------- ------------------------- ------------------------- --------------------------

# AIRCRAFT COMPLIANCE STATEMENT FOR 135 OPERATIONS

+-------------------------------------------+--------------------------+
| ## ALL AIRCRAFT                           | **A/C Make/Model      ** |
|                                           |                          |
|                                           | **Registration N     **  |
+-------------------------------------------+--------------------------+

**INSTRUCTIONS FOR SECTION 3:**

-   **Please refer to FAR 135 Subpart C Aircraft and Equipment, and Far
    91 as applicable, for the specific requirements of the items listed
    below**

-   **Check the box next to the item to indicate that it meets the
    requirements of the rule.**

-   Provide all additional information indicated.

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 7%" />
<col style="width: 4%" />
<col style="width: 3%" />
<col style="width: 11%" />
<col style="width: 12%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 5%" />
<col style="width: 13%" />
</colgroup>
<tbody>
<tr class="odd">
<td rowspan="3"><h3 id="general-requirements"><br />
General requirements</h3></td>
<td rowspan="6">135.143</td>
<td colspan="15"> (a) For each item initialed, the applicant certifies
that the equipment meets the applicable Federal Aviation Regulations.
Indicate items that do not apply by “NA.”</td>
</tr>
<tr class="even">
<td colspan="15" rowspan="2"> (b) All equipment not originally installed
by the aircraft manufacturer meets FAA approved data shown by FAA
Form(s) 337 which are listed in Section 2.10 of this form and are
available for inspection by the FSDO.</td>
</tr>
<tr class="odd">
</tr>
<tr class="even">
<td rowspan="3"><h3 id="atc-transponders"><br />
ATC Transponders</h3></td>
<td colspan="3"> (c) ATC<br />
Transponder</td>
<td colspan="8">Make &amp; Model</td>
<td colspan="4">Date Installed</td>
</tr>
<tr class="odd">
<td colspan="3">#1</td>
<td colspan="8">     </td>
<td colspan="4">     </td>
</tr>
<tr class="even">
<td colspan="3">#2</td>
<td colspan="8">     </td>
<td colspan="4">     </td>
</tr>
<tr class="odd">
<td rowspan="3"><h3 id="equipment-requirements-general"><br />
Equipment requirements: General</h3></td>
<td>135.144</td>
<td colspan="15"> List all portable electronic devices intended to be
used by the Flight Crew</td>
</tr>
<tr class="even">
<td>135.147</td>
<td colspan="15"> Dual controls are installed</td>
</tr>
<tr class="odd">
<td>135.149</td>
<td colspan="15"><p> (a) Altimeter(s): Sensitive &amp; adjustable for
barometric pressure<br />
(b) Carburetor: Heat/Deice or Pressure Carburetor: Alternate air
source</p>
<p> (c) For Turbojet airplanes: Third artificial horizon installed
according to FAR 121.305(j)</p></td>
</tr>
<tr class="even">
<td rowspan="2"><h3 id="performance-requirements"><br />
Performance requirements:</h3></td>
<td>135.181</td>
<td colspan="15"> Aircraft operated over‑the‑top or in IFR
conditions</td>
</tr>
<tr class="odd">
<td>135.183</td>
<td colspan="15"> Land aircraft operated over water.</td>
</tr>
<tr class="even">
<td><h3 id="empty-weight-and-center-of-gravity"><br />
Empty weight and center of gravity:</h3></td>
<td>135.185</td>
<td colspan="15"><p>Currency requirement</p>
<p><strong>For multiengine aircraft: Date Last Weighed<u>:
</u></strong><strong><u>      .</u></strong></p></td>
</tr>
<tr class="odd">
<td rowspan="9"><h3 id="emergency-equipment"><br />
Emergency Equipment</h3></td>
<td rowspan="5">135.155</td>
<td colspan="15"><strong>FIRE EXTINGUISHERS</strong></td>
</tr>
<tr class="even">
<td></td>
<td colspan="3">Make/Model</td>
<td colspan="9"><strong>Maintenance Document</strong></td>
<td colspan="2"><strong>Aircraft Location</strong></td>
</tr>
<tr class="odd">
<td><strong>1</strong></td>
<td colspan="3"><strong>     </strong></td>
<td colspan="9"><strong>     </strong></td>
<td colspan="2"><strong>     </strong></td>
</tr>
<tr class="even">
<td><strong>2</strong></td>
<td colspan="3"><strong>     </strong></td>
<td colspan="9"><strong>     </strong></td>
<td colspan="2"><strong>     </strong></td>
</tr>
<tr class="odd">
<td><strong>3</strong></td>
<td colspan="3"><strong>     </strong></td>
<td colspan="9"><strong>     </strong></td>
<td colspan="2"><strong>     </strong></td>
</tr>
<tr class="even">
<td rowspan="2">91.205<br />
(b)(12)</td>
<td colspan="15"><strong>APPROVED PERSONAL FLOATATION
GEAR</strong><br />
<strong>Note: This equipment is required for operations in coastal
areas. It need not meet 135.167</strong></td>
</tr>
<tr class="odd">
<td colspan="2">Make Model:</td>
<td colspan="4"><strong>           </strong></td>
<td colspan="3">No Installed</td>
<td colspan="3"><strong>  </strong></td>
<td colspan="3"> <strong>one for each seat.</strong></td>
</tr>
<tr class="even">
<td rowspan="2">91.207</td>
<td colspan="15"><strong>Emergency Locator Transmitter</strong></td>
</tr>
<tr class="odd">
<td colspan="2">Make/<br />
Model</td>
<td colspan="3"><strong>     </strong></td>
<td colspan="3"><strong>ELT<br />
Type</strong></td>
<td colspan="3"><strong>     </strong></td>
<td colspan="3"><strong>TSO<br />
Number</strong></td>
<td><strong>     </strong></td>
</tr>
<tr class="even">
<td><h3 id="oxygen-equipment"><br />
Oxygen Equipment </h3></td>
<td>135.157</td>
<td colspan="15"> <strong>Meets all requirements</strong></td>
</tr>
<tr class="odd">
<td><h3
id="passenger-carrying-under-vfr-at-night-or-vfr-overthetop-conditions"><br />
Passenger carrying under VFR at night or VFR over‑the‑top
conditions</h3></td>
<td>135.159</td>
<td colspan="6"><p> (a) Gyroscopic Rate-of-Turn indicator</p>
<p> (b) Slip skid indicator</p>
<p> (c) Gyroscopic bank-and-pitch indicator</p>
<p> (d) Gyroscopic direction indicator</p></td>
<td colspan="9"><p> (e) Generators meeting FAR specifications</p>
<p>(f) For Night Flight Authorization</p>
<p> Anti collision light system</p>
<p> Instrument lights</p>
<p> 2 "D" Cell flashlight or equivalent</p></td>
</tr>
<tr class="even">
<td rowspan="3"><h3 id="vfr-radio-and-navigational-equipment"><br />
VFR Radio and navigational equipment </h3></td>
<td rowspan="3">135.161</td>
<td colspan="2"></td>
<td colspan="5"><strong>Make/Model</strong></td>
<td colspan="3"></td>
<td colspan="5"><strong>Make/Model</strong></td>
</tr>
<tr class="odd">
<td colspan="2">VHF<br />
COM 1</td>
<td colspan="5"><strong>     </strong> 8.33 Khz<br />
Spacing</td>
<td colspan="3">DME 1</td>
<td colspan="5"><strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="2">VOR 1</td>
<td colspan="5"><strong>     </strong> FM<br />
Imunity</td>
<td colspan="3">ADF 1</td>
<td colspan="5"><strong>     </strong></td>
</tr>
</tbody>
</table>

+----------------------------------------+-----------------------------+
| **3.1 ALL AIRCRAFT (continued)**       | **A/C Make/Model      **    |
|                                        |                             |
|                                        | **Registration N     **     |
+----------------------------------------+-----------------------------+

+---------+----+-------+------------------+----+---------------------+
| ###     | 1  | (a)   |                  |    |                     |
|  Passen | 35 | Ver   |                  | (  |                     |
| gers Un | .1 | tical |                  | e) |                     |
| der IFR | 63 | speed |                  | A  |                     |
|         |    | indi  |                  | lt |                     |
|         |    | cator |                  | er |                     |
|         |    |       |                  | na |                     |
|         |    | (b)   |                  | te |                     |
|         |    | Free  |                  | st |                     |
|         |    | air   |                  | at |                     |
|         |    | t     |                  | ic |                     |
|         |    | emper |                  | s  |                     |
|         |    | ature |                  | ou |                     |
|         |    | indi  |                  | rc |                     |
|         |    | cator |                  | e\ |                     |
|         |    |       |                  | S  |                     |
|         |    | (c)   |                  | ee |                     |
|         |    | H     |                  | O  |                     |
|         |    | eated |                  | rd |                     |
|         |    | pitot |                  | er |                     |
|         |    | tube  |                  | 8  |                     |
|         |    | for   |                  | 34 |                     |
|         |    | each  |                  | 0. |                     |
|         |    | air   |                  | 1a |                     |
|         |    | speed |                  | c  |                     |
|         |    | indi  |                  | hg |                     |
|         |    | cator |                  | 8  |                     |
|         |    |       |                  | 1, |                     |
|         |    | (d)   |                  | a  |                     |
|         |    | Gyros |                  | pp |                     |
|         |    | copic |                  | 1  |                     |
|         |    | power |                  | 4, |                     |
|         |    | s     |                  | p  |                     |
|         |    | ource |                  | ar |                     |
|         |    | indi  |                  | 3  |                     |
|         |    | cator |                  | 4- |                     |
|         |    | or    |                  | 31 |                     |
|         |    | power |                  | f  |                     |
|         |    | fa    |                  | or |                     |
|         |    | ilure |                  | ex |                     |
|         |    | wa    |                  | ce |                     |
|         |    | rning |                  | pt |                     |
|         |    | indi  |                  | io |                     |
|         |    | cator |                  | ns |                     |
|         |    |       |                  |    |                     |
|         |    |       |                  | (  |                     |
|         |    |       |                  | f) |                     |
|         |    |       |                  | S  |                     |
|         |    |       |                  | in |                     |
|         |    |       |                  | gl |                     |
|         |    |       |                  | e- |                     |
|         |    |       |                  | En |                     |
|         |    |       |                  | gi |                     |
|         |    |       |                  | ne |                     |
|         |    |       |                  | a  |                     |
|         |    |       |                  | ir |                     |
|         |    |       |                  | cr |                     |
|         |    |       |                  | af |                     |
|         |    |       |                  | t\ |                     |
|         |    |       |                  | (  |                     |
|         |    |       |                  | Ge |                     |
|         |    |       |                  | ne |                     |
|         |    |       |                  | ra |                     |
|         |    |       |                  | to |                     |
|         |    |       |                  | r/ |                     |
|         |    |       |                  | lo |                     |
|         |    |       |                  | ad |                     |
|         |    |       |                  | c  |                     |
|         |    |       |                  | om |                     |
|         |    |       |                  | bi |                     |
|         |    |       |                  | na |                     |
|         |    |       |                  | ti |                     |
|         |    |       |                  | on |                     |
|         |    |       |                  | as |                     |
|         |    |       |                  | sp |                     |
|         |    |       |                  | ec |                     |
|         |    |       |                  | if |                     |
|         |    |       |                  | ie |                     |
|         |    |       |                  | d) |                     |
|         |    |       |                  |    |                     |
|         |    |       |                  | (  |                     |
|         |    |       |                  | g) |                     |
|         |    |       |                  | Mu |                     |
|         |    |       |                  | lt |                     |
|         |    |       |                  | i- |                     |
|         |    |       |                  | en |                     |
|         |    |       |                  | gi |                     |
|         |    |       |                  | ne |                     |
|         |    |       |                  | ai |                     |
|         |    |       |                  | rc |                     |
|         |    |       |                  | ra |                     |
|         |    |       |                  | ft |                     |
|         |    |       |                  | :\ |                     |
|         |    |       |                  | (t |                     |
|         |    |       |                  | wo |                     |
|         |    |       |                  | ge |                     |
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|         |    |       |                  | ra |                     |
|         |    |       |                  | to |                     |
|         |    |       |                  | rs |                     |
|         |    |       |                  | lo |                     |
|         |    |       |                  | ad |                     |
|         |    |       |                  | ed |                     |
|         |    |       |                  | as |                     |
|         |    |       |                  | sp |                     |
|         |    |       |                  | ec |                     |
|         |    |       |                  | if |                     |
|         |    |       |                  | ie |                     |
|         |    |       |                  | d) |                     |
|         |    |       |                  |    |                     |
|         |    |       |                  | (  |                     |
|         |    |       |                  | h) |                     |
|         |    |       |                  | T  |                     |
|         |    |       |                  | wo |                     |
|         |    |       |                  | i  |                     |
|         |    |       |                  | nd |                     |
|         |    |       |                  | ep |                     |
|         |    |       |                  | en |                     |
|         |    |       |                  | de |                     |
|         |    |       |                  | nt |                     |
|         |    |       |                  | s  |                     |
|         |    |       |                  | ou |                     |
|         |    |       |                  | rc |                     |
|         |    |       |                  | es |                     |
|         |    |       |                  | of |                     |
|         |    |       |                  | en |                     |
|         |    |       |                  | er |                     |
|         |    |       |                  | gy |                     |
|         |    |       |                  | as |                     |
|         |    |       |                  | s  |                     |
|         |    |       |                  | pe |                     |
|         |    |       |                  | ci |                     |
|         |    |       |                  | fi |                     |
|         |    |       |                  | ed |                     |
|         |    |       |                  | to |                     |
|         |    |       |                  | p  |                     |
|         |    |       |                  | ow |                     |
|         |    |       |                  | er |                     |
|         |    |       |                  | gy |                     |
|         |    |       |                  | ro |                     |
|         |    |       |                  | sc |                     |
|         |    |       |                  | op |                     |
|         |    |       |                  | ic |                     |
|         |    |       |                  | i  |                     |
|         |    |       |                  | ns |                     |
|         |    |       |                  | tr |                     |
|         |    |       |                  | um |                     |
|         |    |       |                  | en |                     |
|         |    |       |                  | ts |                     |
+---------+----+-------+------------------+----+---------------------+
| ###     | 1  | Make/ |                  |    | two microphones     |
|  Radio  | 35 | Model |                  |    |                     |
| and Nav | .1 |       |                  |    | Marker Beacon       |
| igation | 65 |       |                  |    | Receiver            |
| al Equi |    |       |                  |    |                     |
| pment:  |    |       |                  |    | two headsets or     |
| IFR Ope |    |       |                  |    |                     |
| rations |    |       |                  |    | one headset and one |
|         |    |       |                  |    | speaker             |
+---------+----+-------+------------------+----+---------------------+
|         |    | VHF   | **     ** 8.33   |    |                     |
|         |    | COM 2 | Khz\             |    |                     |
|         |    |       | Spacing          |    |                     |
+---------+----+-------+------------------+----+---------------------+
|         |    | VOR   | **     ** FM\    |    |                     |
|         |    | NAV 2 | Imunity          |    |                     |
+---------+----+-------+------------------+----+---------------------+

## RNAV AND EXTENDED OVERWATER OPERATIONS

+---------+----+---+-------------+---+------------------+---+------+--------+
| #       | 1  | * |             |   |                  |   |      |        |
| ##  ARE | 35 | * |             |   |                  |   |      |        |
| A or Lo | .1 | R |             |   |                  |   |      |        |
| ng Rang | 65 | a |             |   |                  |   |      |        |
| e NAV S |    | d |             |   |                  |   |      |        |
| ystems: |    | i |             |   |                  |   |      |        |
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+---------+----+---+-------------+---+------------------+---+------+--------+
|         |    | * | **M         | * |                  | * |      |        |
|         |    | * | ake/Model** | * |                  | * |      |        |
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+---------+----+---+-------------+---+------------------+---+------+--------+
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+---------+----+---+-------------+---+------------------+---+------+--------+
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+---------+----+---+-------------+---+------------------+---+------+--------+
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|         |    | . |             |   |                  |   |      |        |
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|         |    | , |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
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|         |    | 2 |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
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|         |    | v |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | d |             |   |                  |   |      |        |
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|         |    | t |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
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|         |    | l |             |   |                  |   |      |        |
|         |    | l |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | w |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | g |             |   |                  |   |      |        |
|         |    | : |             |   |                  |   |      |        |
|         |    | * |             |   |                  |   |      |        |
|         |    | * |             |   |                  |   |      |        |
|         |    |   |             |   |                  |   |      |        |
|         |    | C |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | f |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | f |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | l |             |   |                  |   |      |        |
|         |    | l |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
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|         |    | v |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | l |             |   |                  |   |      |        |
|         |    | d |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | u |             |   |                  |   |      |        |
|         |    | m |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | ( |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | g |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | l |             |   |                  |   |      |        |
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|         |    | q |             |   |                  |   |      |        |
|         |    | u |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
|         |    | m |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | L |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | F |             |   |                  |   |      |        |
|         |    | A |             |   |                  |   |      |        |
|         |    | A |             |   |                  |   |      |        |
|         |    | F |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | m |             |   |                  |   |      |        |
|         |    | 3 |             |   |                  |   |      |        |
|         |    | 3 |             |   |                  |   |      |        |
|         |    | 7 |             |   |                  |   |      |        |
|         |    | ) |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | d |             |   |                  |   |      |        |
|         |    |   |             |   |                  |   |      |        |
|         |    | F |             |   |                  |   |      |        |
|         |    | l |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | g |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | M |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | u |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | l |             |   |                  |   |      |        |
|         |    | S |             |   |                  |   |      |        |
|         |    | u |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
|         |    | l |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | m |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | w |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | m |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | k |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | d |             |   |                  |   |      |        |
|         |    | m |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | d |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | l |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | f |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | q |             |   |                  |   |      |        |
|         |    | u |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
|         |    | m |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | d |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | v |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | l |             |   |                  |   |      |        |
|         |    | f |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | q |             |   |                  |   |      |        |
|         |    | u |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | d |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | . |             |   |                  |   |      |        |
|         |    | C |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | F |             |   |                  |   |      |        |
|         |    | S |             |   |                  |   |      |        |
|         |    | D |             |   |                  |   |      |        |
|         |    | O |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | f |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | y |             |   |                  |   |      |        |
|         |    | q |             |   |                  |   |      |        |
|         |    | u |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | . |             |   |                  |   |      |        |
+---------+----+---+-------------+---+------------------+---+------+--------+
| ###     | 1  |   |             |   |                  |   |      |        |
| Emergen | 35 | ( |             |   |                  |   |      |        |
| cy equi | .1 | a |             |   |                  |   |      |        |
| pment E | 67 | ) |             |   |                  |   |      |        |
| xtended |    | T |             |   |                  |   |      |        |
|  overwa |    | h |             |   |                  |   |      |        |
| ter ope |    | e |             |   |                  |   |      |        |
| rations |    | f |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | l |             |   |                  |   |      |        |
|         |    | l |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | w |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | g |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | u |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | u |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | l |             |   |                  |   |      |        |
|         |    | y |             |   |                  |   |      |        |
|         |    | m |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | k |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | d |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | d |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | l |             |   |                  |   |      |        |
|         |    | y |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | b |             |   |                  |   |      |        |
|         |    | l |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | u |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | f |             |   |                  |   |      |        |
|         |    | d |             |   |                  |   |      |        |
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|         |    | t |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | g |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | u |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | : |             |   |                  |   |      |        |
+---------+----+---+-------------+---+------------------+---+------+--------+
|         |    |   |             |   | Make/Model       |   | Mai  |        |
|         |    |   |             |   |                  |   | nten |        |
|         |    |   |             |   |                  |   | ance |        |
|         |    |   |             |   |                  |   | Docu |        |
|         |    |   |             |   |                  |   | ment |        |
|         |    |   |             |   |                  |   | ID   |        |
+---------+----+---+-------------+---+------------------+---+------+--------+
|         |    |   |             |   |       /          |   |      |        |
|         |    | L |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | f |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | P |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | v |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | w |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
|         |    | L |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | g |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | f |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | h |             |   |                  |   |      |        |
|         |    | o |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | u |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | . |             |   |                  |   |      |        |
+---------+----+---+-------------+---+------------------+---+------+--------+
|         |    |   |             |   |       /          |   |      |        |
|         |    | L |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | f |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | r |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | f |             |   |                  |   |      |        |
|         |    | t |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | a |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | s |             |   |                  |   |      |        |
|         |    | p |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | f |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | e |             |   |                  |   |      |        |
|         |    | d |             |   |                  |   |      |        |
|         |    | i |             |   |                  |   |      |        |
|         |    | n |             |   |                  |   |      |        |
|         |    | 1 |             |   |                  |   |      |        |
|         |    | 3 |             |   |                  |   |      |        |
|         |    | 5 |             |   |                  |   |      |        |
|         |    | . |             |   |                  |   |      |        |
|         |    | 1 |             |   |                  |   |      |        |
|         |    | 6 |             |   |                  |   |      |        |
|         |    | 7 |             |   |                  |   |      |        |
|         |    | ( |             |   |                  |   |      |        |
|         |    | b |             |   |                  |   |      |        |
|         |    | ) |             |   |                  |   |      |        |
|         |    | & |             |   |                  |   |      |        |
|         |    | ( |             |   |                  |   |      |        |
|         |    | c |             |   |                  |   |      |        |
|         |    | ) |             |   |                  |   |      |        |
|         |    | . |             |   |                  |   |      |        |
+---------+----+---+-------------+---+------------------+---+------+--------+

  -----------------------------------------------------------------------
  **PLEASE COMPLETE THIS PAGE ONLY IF APPLICABLE.**

  -----------------------------------------------------------------------

+--------------------------------------------+-------------------------+
| ## TURBINE-POWERED, TURBOJE                | **A/C Make/Model        |
| T, AND/OR TEN-OR-MORE PASSENGER AIRCRAFT.  |      **                 |
|                                            |                         |
|                                            | **Registration N     ** |
+--------------------------------------------+-------------------------+

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 7%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 14%" />
<col style="width: 6%" />
<col style="width: 5%" />
<col style="width: 2%" />
<col style="width: 30%" />
<col style="width: 12%" />
</colgroup>
<tbody>
<tr class="odd">
<td><h3 id="proving-test-flights"><br />
Proving Test Flights</h3></td>
<td>135.145</td>
<td></td>
<td colspan="3"><strong>NOT REQUIRED</strong></td>
<td colspan="3"> <strong>REQUIRED</strong></td>
<td colspan="2"> Proving test plan is scheduled on page 1-1<br />
Proving tests are scheduled on page 1-1<br />
Request for deviation is scheduled on page 1-1</td>
</tr>
<tr class="even">
<td rowspan="9"><h3 id="additional-equipment-requirements"><br />
Additional Equipment Requirements</h3></td>
<td>135.150</td>
<td colspan="9"> <strong>Public address and crewmember interphone
systems</strong></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="6"></td>
<td colspan="2">Make/Model/Series</td>
<td>Date Installed</td>
</tr>
<tr class="even">
<td>135.151</td>
<td colspan="3"></td>
<td colspan="3">Cockpit Voice Recorders</td>
<td colspan="2">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>135.151(d)</td>
<td colspan="3"></td>
<td colspan="3">Dual Headsets/Boom Mics</td>
<td colspan="2">     </td>
<td>     </td>
</tr>
<tr class="even">
<td>135.152</td>
<td colspan="3"></td>
<td colspan="3">Flight Recorders</td>
<td colspan="2">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>135.153</td>
<td colspan="3"></td>
<td colspan="3">Ground Proximity Warning System</td>
<td colspan="2">     </td>
<td>     </td>
</tr>
<tr class="even">
<td rowspan="2">135.154</td>
<td colspan="3" rowspan="2"></td>
<td colspan="3">Terrain Awareness &amp; Warning System (TAWS)</td>
<td colspan="2" rowspan="2">     </td>
<td rowspan="2">     </td>
</tr>
<tr class="odd">
<td colspan="3"> <strong>Class A</strong> <strong>Class B</strong></td>
</tr>
<tr class="even">
<td>135.158</td>
<td colspan="3"></td>
<td colspan="6">Pitot heat indication systems</td>
</tr>
<tr class="odd">
<td rowspan="9"><h3 id="additional-airworthiness-requirements"><br />
Additional Airworthiness Requirements</h3></td>
<td>135.169</td>
<td colspan="9"><p><strong>(a)</strong> For all <strong>large
airplanes</strong> (more than 12,500 pounds, maximum certificated
takeoff weight)<strong>:</strong> The aircraft</p>
<blockquote>
<p> is a commuter category airplane, or</p>
<p> meets the additional requirements of FAR 121.213 through 121.283,
and 121.307: <strong>(SEE NOTE)</strong></p>
</blockquote>
<p><strong>(b)</strong> For <strong>Reciprocating-engine
airplanes</strong> configured for <strong>ten-or-more</strong>
passengers or<br />
For <strong>Turbopropeller-powered Small Airplanes</strong> configured
for <strong>ten-or-more</strong> passengers<strong>:</strong></p>
<blockquote>
<p> meets all applicable conditions specified in 135.169(b) <strong>(SEE
NOTE)</strong></p>
<p><strong>NOTE:</strong> <strong>Applicants must attach a conformity
statement showing compliance with all additional rules indicated in the
applicable paragraph above</strong>.</p>
</blockquote>
<p><strong>(c)</strong> For all <strong>ten-or-more</strong>
<strong>small</strong> airplanes<br />
state the maximum <strong>Passenger seating configuration <u>     
</u></strong></p>
<p>(d) Cargo or baggage compartments: All transport category airplanes
type certificated after January 1, 1958.</p>
<blockquote>
<p> each class C or D cargo compartments is not greater than 200 cubic
ft in volume, or<br />
meets all applicable conditions specified in this 135.169(d)</p>
</blockquote></td>
</tr>
<tr class="even">
<td>135.170</td>
<td colspan="9"> Materials for compartment interiors</td>
</tr>
<tr class="odd">
<td>135.171</td>
<td colspan="9"> Shoulder harness installation at flight crewmember
stations</td>
</tr>
<tr class="even">
<td rowspan="2">135.173</td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="3"><strong>Make/Model/ Series</strong></td>
<td><strong>Date Installed</strong></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="3"><strong>Airborne thunderstorm detection equipment
requirements</strong></td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="even">
<td>135.175.</td>
<td colspan="2"></td>
<td colspan="3"><strong>Airborne weather radar equipment
requirements</strong></td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>135.177</td>
<td colspan="2"></td>
<td colspan="7"><strong>Emergency equipment requirements for aircraft
having<br />
a passenger seating configuration of more than 19
passengers</strong></td>
</tr>
<tr class="even">
<td rowspan="2">135.180</td>
<td colspan="2" rowspan="2"></td>
<td colspan="3" rowspan="2"><strong>Traffic Alert and Collision
Avoidance System</strong></td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td colspan="4"> TCAS I TCAS II<br />
TCAS II Software Version 7 or higher? Yes No</td>
</tr>
</tbody>
</table>

# FAR 135 AIRWORTHINESS CHECKLIST

  -----------------------------------------------------------------------
  **We suggest you use this checklist frequently and especially before
  presenting the aircraft to the FAA for inspection or before an FAA
  check ride.**

  **A/C Make and Model**       **Registration** **N      **
  -----------------------------------------------------------------------

**CHECK THE BOX TO INDICATE COMPLIANCE**

+-----------------------------------------------------------------------+
| **INSPECTION ITEM**                                                   |
|                                                                       |
| **** Check if the item meets all applicable FAR Requirements         |
+-----------------------------------------------------------------------+
| CERTIFICATES AND REGISTRATION                                         |
+-----------------------------------------------------------------------+
| The Registration Certificate is on board and current.                 |
+-----------------------------------------------------------------------+
| The Airworthiness Certificate is on board and current.                |
+-----------------------------------------------------------------------+
| The Radio Station License is on board and current.                    |
+-----------------------------------------------------------------------+
| OPERATING LIMITATIONS                                                 |
+-----------------------------------------------------------------------+
| FAA Approved Aircraft Flight Manual (AFM) or Pilots Operating         |
| Handbook is current, complete, and in serviceable condition.          |
+-----------------------------------------------------------------------+
| AFM contains Flight Manual Supplements that are current and           |
| applicable to the installed Autopilot/Flight Director, Navigation     |
| equipment, and other installed equipment to which a Flight Manual     |
| supplement applies.                                                   |
+-----------------------------------------------------------------------+
| All flight deck placards required by the Type Certificate or the AFM  |
| are secure and readable.                                              |
+-----------------------------------------------------------------------+
| The flight deck contains all operating manuals and/or placards        |
| required by TC, STC, or FAA Form 337s.                                |
+-----------------------------------------------------------------------+
| All switches, circuit breakers, controls, etc., are properly labeled  |
+-----------------------------------------------------------------------+
| AFM contains current weight and balance data, and all obsolete weight |
| and balance data is superseded; or, for aircraft not requiring an     |
| AFM, the current weight and balance and equipment list is in the      |
| aircraft.                                                             |
+-----------------------------------------------------------------------+
| AFM contains a current and complete equipment list.                   |
+-----------------------------------------------------------------------+
| For multiengine aircraft, the AFM contains a weighing record showing  |
| the aircraft was weighed within the last three years. The record      |
| includes an equipment list, which describes the approved aircraft     |
| configuration at the time of weighing. The weighing record has the    |
| signature and certificate number of the person or agency doing the    |
| work and the date of completion.                                      |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
| AIR CARRIER OPERATIONS DOCUMENTS                                      |
+-----------------------------------------------------------------------+
| Aircraft Maintenance Log (14 CFR 135.65) contains no open Mechanical  |
| Irregularities                                                        |
+-----------------------------------------------------------------------+
| Minimum Equipment List is on board and current.                       |
+-----------------------------------------------------------------------+
| Air Carrier Operations Manual is on board and Current.                |
+-----------------------------------------------------------------------+
| Deferred Maintenance Log contains no items deferred beyond the time   |
| allowed in the MEL.                                                   |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
| PASSENGER SAFETY                                                      |
+-----------------------------------------------------------------------+
| All internal cabin placards required by the Type Certificate or the   |
| AFM are secure and readable.                                          |
+-----------------------------------------------------------------------+
| Passenger Briefing Cards meet 14 CFR 135 Requirements.                |
+-----------------------------------------------------------------------+
| Required emergency equipment is on board, properly stowed, and        |
| inspected.                                                            |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
| GENERAL AIRWORTHINESS                                                 |
+-----------------------------------------------------------------------+
| The aircraft has the proper equipment and approval documentation      |
| required by 14 CFR 135 Sub-Part C. All equipment is operating         |
| properly.                                                             |
+-----------------------------------------------------------------------+
| All external placards, required by the Type Certificate or the AFM,   |
| are secure and readable.                                              |
+-----------------------------------------------------------------------+
| All cowl fasteners, screws, etc., are secure.                         |
+-----------------------------------------------------------------------+
| Antennas are free from erosion.                                       |
+-----------------------------------------------------------------------+
| ADF Sense antenna is under spring tension.                            |
+-----------------------------------------------------------------------+
| All static wicks installed, none broken except as allowed under MEL.  |
| No bonding straps broken                                              |
+-----------------------------------------------------------------------+
| The aircraft Make, Model and Serial Number data are on the outside of |
| the fuselage.                                                         |
+-----------------------------------------------------------------------+
| All instruments, systems and equipment are operating properly; the    |
| aircraft is airworthy and legal to fly.                               |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
| MAINTENANCE RECORDS                                                   |
+-----------------------------------------------------------------------+
| The maintenance records show that all airworthiness inspections are   |
| current including, Annual/100 hr or Programmed Inspection, Altimeter, |
| Encoder, Static System, ATC Transponder, etc.                         |
+-----------------------------------------------------------------------+
| All required maintenance, including maintenance of life limited       |
| items, is current.                                                    |
+-----------------------------------------------------------------------+
| The maintenance records include an Airworthiness Directive (AD)       |
| Listing showing that all ADs are complied with including Recurring    |
| ADs. The listing must comply with FAR 91.417(a)(i)(v)                 |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+

  ---------------------------------------------------- ------------------
  I certify that, to the best of my knowledge, the     
  information contained in this report is complete and 
  accurate.                                            

                                                            

  **Director of Maintenance**                          **Date**
  ---------------------------------------------------- ------------------