<table>
<tbody>
<tr class="odd">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><code>shapeType</code><code>1</code><code>fFlipH</code><code>0</code><code>fFlipV</code><code>0</code><code>lTxid</code><code>65536</code><code>dxTextLeft</code><code>0</code><code>dyTextTop</code><code>0</code><code>dxTextRight</code><code>0</code><code>dyTextBottom</code><code>0</code><code>fFilled</code><code>0</code><code>lineWidth</code><code>0</code><code>fLine</code><code>0</code><code>fShadow</code><code>0</code></p>
<p>U.S Department of<br />
Transportation</p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>Federal Aviation</strong><br />
<strong>Administration</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p>U.S Department of<br />
Transportation</p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>Federal Aviation</strong><br />
<strong>Administration</strong></p></td>
<td><p><strong> SUPPLEMENTAL TYPE INSPECTION REPORT
(STIR)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong>TIA No</strong>.</p></td>
<td><p><strong>Date</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>Product </strong></p></td>
<td></td>
<td><p><strong>Make</strong></p></td>
<td></td>
<td><p><strong>Model</strong></p></td>
<td></td>
<td><p><strong>Identification and Serial No</strong>.</p></td>
<td></td>
<td><p><strong>Serial Nos. Eligible</strong></p></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong>Product Specification or TC Data Sheet</strong></p></td>
<td><p><strong>Rev. No</strong>.</p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>Certification Basis (Part and
Amendments</strong>)</p></td>
<td></td>
<td><p><strong>Applicant</strong></p>
<p><strong>Address</strong></p></td>
<td></td>
<td><p><strong>Modifier </strong></p>
<p><strong>Address</strong></p></td>
<td></td>
<td><p><strong>Description of Modification</strong></p></td>
<td></td>
<td><p><strong>Attachments</strong></p></td>
<td></td>
<td><p><strong>Inspection Conducted By</strong></p></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong>Report Prepared By</strong></p></td>
<td><p><strong>Date</strong></p></td>
<td><p><strong>Report Reviewed By</strong></p></td>
<td><p><strong>Date</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>Report Approved By</strong></p></td>
<td><p><strong>Date</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</tbody>
</table>

**FAA Form 8110-26 Computer Generated(10-83) Page 1 **

<table>
<tbody>
<tr class="odd">
<td><p><strong>Supplemental Type </strong></p>
<p><strong>Inspection Report General Instructions</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong>This form provides a means whereby inspectors may record
the results of inspections and/or tests, on modified products presented
for supplemental type certificates, accomplished in accordance with
instructions contained in the Type Inspection Authorization
(TIA).</strong></p>
<p><strong>A. Answer each question on this form by placing an "X" in the
appropriate "YES" , "NO", or "NA" (Not Applicable) block, or by filling
in the answer, as appropriate. When an answer requires an explanation,
record the explanation under "REMARKS" or on page 4, (TIA
comments).</strong></p>
<p><strong>B. The applicant's weight and balance report may be used in
lieu of the weight and dimensional page of this form, provided it
contains all the information requested. Weight and balance should be
included in attachment section of report, when required.</strong></p>
<p><strong>C. Original FAA Form 8130-9 (317) and FAA Form 8100-1 should
be part of the attachments section of this report.</strong></p></td>
<td></td>
<td></td>
<td><p><strong>Table of Regulations *</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>FAR</strong></p></td>
<td><p><strong>CAR</strong></p></td>
<td><p><strong>SUBJECT</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td><p><strong>Balloon</strong></p></td>
<td><p><strong>Cert'n</strong></p></td>
<td><p><strong> N.U.A.</strong></p></td>
<td><p><strong> T-Cat</strong></p></td>
<td><p><strong>Glider</strong></p></td>
<td><p><strong>N-Rotor</strong></p></td>
<td><p><strong>T-Rotor</strong></p></td>
<td><p><strong>Eng.</strong></p></td>
<td><p><strong>Prop</strong></p></td>
<td><p><strong> --------</strong></p></td>
<td><p><strong>21.31</strong></p></td>
<td></td>
<td></td>
<td><p><strong>3.14 <sup> 2</sup></strong></p></td>
<td><p><strong>4b.14 <sup>2</sup></strong></p></td>
<td></td>
<td><p><strong>6.14 <sup>2 </sup></strong></p></td>
<td><p><strong>7.14 <sup>2</sup></strong></p></td>
<td></td>
<td></td>
<td><p><strong>Type Design</strong></p></td>
<td><p><strong>21.33</strong></p></td>
<td></td>
<td><p><strong>1.15(a)</strong></p></td>
<td><p><strong>3.15</strong></p></td>
<td><p><strong>4b.15</strong></p></td>
<td><p><strong>5.15</strong></p></td>
<td><p><strong>6.15</strong></p></td>
<td><p><strong>7.15</strong></p></td>
<td><p><strong>13.15</strong></p></td>
<td><p><strong>14.15</strong></p></td>
<td><p><strong>Insp. &amp; Tests</strong></p></td>
<td><p><strong>21.35</strong></p></td>
<td></td>
<td></td>
<td><p><strong>3.16(b)</strong></p></td>
<td><p><strong>4b.16</strong></p></td>
<td><p><strong>5.16</strong></p></td>
<td><p><strong>6.16</strong></p></td>
<td><p><strong>7.16</strong></p></td>
<td></td>
<td></td>
<td><p><strong>Flight Tests</strong></p></td>
<td><p><strong> .29 </strong></p></td>
<td></td>
<td></td>
<td><p><strong>3.73 <sup>2</sup></strong></p></td>
<td><p><strong>4b.104</strong></p></td>
<td></td>
<td><p><strong>6.104</strong></p></td>
<td><p><strong>7.104</strong></p></td>
<td></td>
<td></td>
<td><p><strong>Empty Wt. &amp; C. G.</strong></p></td>
<td><p><strong> .31</strong></p></td>
<td><p><strong>31.51</strong></p></td>
<td></td>
<td><p><strong>3.72</strong></p></td>
<td><p><strong>4b.105</strong></p></td>
<td></td>
<td><p><strong>6.105</strong></p></td>
<td><p><strong>7.105</strong></p></td>
<td></td>
<td></td>
<td><p><strong>Removable Ballast</strong></p></td>
<td><p><strong> .605</strong></p></td>
<td><p><strong>31.35</strong></p></td>
<td></td>
<td><p><strong>3.293</strong></p></td>
<td><p><strong>4b.302</strong></p></td>
<td></td>
<td><p><strong>6.302</strong></p></td>
<td><p><strong>7.302</strong></p></td>
<td></td>
<td></td>
<td><p><strong>Fabrication Method</strong></p></td>
<td><p><strong> .871</strong></p></td>
<td></td>
<td></td>
<td><p><strong>3.401</strong></p></td>
<td><p><strong>4b.391</strong></p></td>
<td></td>
<td><p><strong>6.390</strong></p></td>
<td><p><strong>7.390</strong></p></td>
<td></td>
<td></td>
<td><p><strong>Leveling Means</strong></p></td>
<td><p><strong> .1301(a)(4)</strong></p></td>
<td></td>
<td></td>
<td><p><strong>3.652</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>Equip - Label</strong></p></td>
<td><p><strong> .1301(b)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>4b.601(b)</strong></p></td>
<td></td>
<td><p><strong>6.601(b)</strong></p></td>
<td><p><strong>7.601(b)</strong></p></td>
<td></td>
<td></td>
<td><p><strong>Equip - Label</strong></p></td>
<td><p><strong> .1301(c)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>4b.601(c)</strong></p></td>
<td></td>
<td><p><strong>6.601(c)</strong></p></td>
<td><p><strong>7.601(c)</strong></p></td>
<td></td>
<td></td>
<td><p><strong>Equip Install.</strong></p></td>
<td><p><strong> .1351(b)(1)</strong></p></td>
<td></td>
<td></td>
<td><p><strong>3.681</strong></p></td>
<td></td>
<td></td>
<td><p><strong>6.617</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>Elec - Haz &amp; Prot'n</strong></p></td>
<td><p><strong> .1351(b)(2)</strong></p></td>
<td><p><strong>31.71(b)</strong></p></td>
<td></td>
<td></td>
<td><p><strong>4b.622(b)(2)</strong></p></td>
<td></td>
<td></td>
<td><p><strong>7.622(b)(2)</strong></p></td>
<td></td>
<td></td>
<td><p><strong>Elec - Haz/Mal. Fail</strong></p></td>
<td><p><strong> .1431</strong></p></td>
<td></td>
<td></td>
<td><p><strong>3.721</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>Elec - Hazard</strong></p></td>
<td><p><strong> .1431(a)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>7.653(a)</strong></p></td>
<td></td>
<td></td>
<td><p><strong>Elec - Hazard</strong></p></td>
<td><p><strong> .1431(b)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>7.653(b)</strong></p></td>
<td></td>
<td></td>
<td><p><strong>Electronic Effect</strong></p></td>
</tr>
<tr class="odd">
<td><p><strong> .1431(c)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>4b.650(c)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>Electronic Effect</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong>* All regulations are those in effect on or preceding
date of recondification.</strong></p>
<p><strong><sup>1</sup> For airworthiness standards, except balloons, a
missing FAR denotes a generic requirement, Eg. FAR 23, 25, 27,
29.</strong></p>
<p><strong><sup>2</sup> In part, see CFR Redesignation
Tables.</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</tbody>
</table>

**FAA Form 8110-26 (10-83) Page2**

+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| **Su  |       |       |       |       |       |       |       |       |
| pplem |       |       |       |       |       |       |       |       |
| ental |       |       |       |       |       |       |       |       |
| T     |       |       |       |       |       |       |       |       |
| ype** |       |       |       |       |       |       |       |       |
|       |       |       |       |       |       |       |       |       |
| **    |       |       |       |       |       |       |       |       |
| Inspe |       |       |       |       |       |       |       |       |
| ction |       |       |       |       |       |       |       |       |
| R     |       |       |       |       |       |       |       |       |
| eport |       |       |       |       |       |       |       |       |
| **    |       |       |       |       |       |       |       |       |
| *     |       |       |       |       |       |       |       |       |
| *Admi |       |       |       |       |       |       |       |       |
| nistr |       |       |       |       |       |       |       |       |
| ative |       |       |       |       |       |       |       |       |
| D     |       |       |       |       |       |       |       |       |
| ata** |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| **A.  |       |       | **B.  |       |       | **C.  |       |       |
| P     |       |       | Where |       |       | N     |       |       |
| eriod |       |       | co    |       |       | umber |       |       |
| of    |       |       | nduct |       |       | of    |       |       |
| Inspe |       |       | ed?** |       |       | confo |       |       |
| ction |       |       |       |       |       | rmity |       |       |
| from  |       |       |       |       |       | i     |       |       |
| **    |       |       |       |       |       | nspec |       |       |
| \     |       |       |       |       |       | tions |       |       |
| _\_\_ |       |       |       |       |       | cond  |       |       |
| \_\_\ |       |       |       |       |       | ucted |       |       |
| _\_\_ |       |       |       |       |       | and   |       |       |
| \_\_\ |       |       |       |       |       | rec   |       |       |
| _\_** |       |       |       |       |       | orded |       |       |
| to**  |       |       |       |       |       | on    |       |       |
| \_\_\ |       |       |       |       |       | FAA   |       |       |
| _\_\_ |       |       |       |       |       | Form  |       |       |
| \_\_\ |       |       |       |       |       | 8     |       |       |
| _\_\_ |       |       |       |       |       | 100-1 |       |       |
| \_\_\ |       |       |       |       |       | and   |       |       |
| _\_\_ |       |       |       |       |       | rec   |       |       |
|       |       |       |       |       |       | orded |       |       |
|       |       |       |       |       |       | in    |       |       |
|       |       |       |       |       |       | pr    |       |       |
|       |       |       |       |       |       | oject |       |       |
|       |       |       |       |       |       | fi    |       |       |
|       |       |       |       |       |       | le.** |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| **D.  | o**   | **    | **E.  | o**   | o **  | **F.  | o**   | o**   |
| Were  | Yes** | No**  | Have  | Yes** | No**  | Does  | Yes   | No**  |
| d     |       |       | all   |       |       | the   | **    |       |
| esign |       |       | pr    |       |       | appl  |       |       |
| ch    |       |       | oduct |       |       | icant |       |       |
| anges |       |       | s/art |       |       | have  |       |       |
| n     |       |       | icles |       |       | on    |       |       |
| eeded |       |       | subj  |       |       | file  |       |       |
| to    |       |       | ected |       |       | inspe |       |       |
| co    |       |       | to    |       |       | ction |       |       |
| rrect |       |       | i     |       |       | re    |       |       |
| de    |       |       | nspec |       |       | cords |       |       |
| ficie |       |       | tions |       |       | sh    |       |       |
| ncies |       |       | a     |       |       | owing |       |       |
| rev   |       |       | nd/or |       |       | confo |       |       |
| ealed |       |       | tests |       |       | rmity |       |       |
| by    |       |       | been  |       |       | to    |       |       |
| FAA   |       |       | pro   |       |       | the   |       |       |
| Ins   |       |       | perly |       |       | type  |       |       |
| pecti |       |       | rec   |       |       | d     |       |       |
| on?** |       |       | orded |       |       | esign |       |       |
| ***If |       |       | by    |       |       | and   |       |       |
| yes,  |       |       | part  |       |       | accep |       |       |
| ide   |       |       | numbe |       |       | table |       |       |
| ntify |       |       | r(s), |       |       | qu    |       |       |
| ch    |       |       | s     |       |       | ality |       |       |
| anges |       |       | erial |       |       | of    |       |       |
| on    |       |       | numbe |       |       | the   |       |       |
| page  |       |       | r(s), |       |       | produ |       |       |
| 4     |       |       | or    |       |       | ct?** |       |       |
| (TIA  |       |       | re    |       |       |       |       |       |
| comme |       |       | gistr |       |       |       |       |       |
| nts), |       |       | ation |       |       |       |       |       |
| or on |       |       | numbe |       |       |       |       |       |
| atta  |       |       | r(s), |       |       |       |       |       |
| chmen |       |       | as    |       |       |       |       |       |
| t.*** |       |       | ap    |       |       |       |       |       |
|       |       |       | propr |       |       |       |       |       |
|       |       |       | iate, |       |       |       |       |       |
|       |       |       | on    |       |       |       |       |       |
|       |       |       | page  |       |       |       |       |       |
|       |       |       | 1, or |       |       |       |       |       |
|       |       |       | in    |       |       |       |       |       |
|       |       |       | att   |       |       |       |       |       |
|       |       |       | achme |       |       |       |       |       |
|       |       |       | nt?** |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| **G.  |       |       |       |       |       |       |       |       |
| Check |       |       |       |       |       |       |       |       |
| a     |       |       |       |       |       |       |       |       |
| pprop |       |       |       |       |       |       |       |       |
| riate |       |       |       |       |       |       |       |       |
| b     |       |       |       |       |       |       |       |       |
| locks |       |       |       |       |       |       |       |       |
| for   |       |       |       |       |       |       |       |       |
| any   |       |       |       |       |       |       |       |       |
| FAA   |       |       |       |       |       |       |       |       |
| forms |       |       |       |       |       |       |       |       |
| that  |       |       |       |       |       |       |       |       |
| have  |       |       |       |       |       |       |       |       |
| been  |       |       |       |       |       |       |       |       |
| subm  |       |       |       |       |       |       |       |       |
| itted |       |       |       |       |       |       |       |       |
| by    |       |       |       |       |       |       |       |       |
| the   |       |       |       |       |       |       |       |       |
| appl  |       |       |       |       |       |       |       |       |
| icant |       |       |       |       |       |       |       |       |
| prior |       |       |       |       |       |       |       |       |
| to,   |       |       |       |       |       |       |       |       |
| or at |       |       |       |       |       |       |       |       |
| the   |       |       |       |       |       |       |       |       |
| time  |       |       |       |       |       |       |       |       |
| of    |       |       |       |       |       |       |       |       |
| appl  |       |       |       |       |       |       |       |       |
| icati |       |       |       |       |       |       |       |       |
| on.** |       |       |       |       |       |       |       |       |
|       |       |       |       |       |       |       |       |       |
| **    |       |       |       |       |       |       |       |       |
| **o   |       |       |       |       |       |       |       |       |
| **    |       |       |       |       |       |       |       |       |
| FAA   |       |       |       |       |       |       |       |       |
| Form  |       |       |       |       |       |       |       |       |
| 81    |       |       |       |       |       |       |       |       |
| 10-12 |       |       |       |       |       |       |       |       |
| Date  |       |       |       |       |       |       |       |       |
| \_\_  |       |       |       |       |       |       |       |       |
| \_\_\ |       |       |       |       |       |       |       |       |
| _\_\_ |       |       |       |       |       |       |       |       |
| \_\_\ |       |       |       |       |       |       |       |       |
| _\_\_ |       |       |       |       |       |       |       |       |
| **o** |       |       |       |       |       |       |       |       |
| FAA   |       |       |       |       |       |       |       |       |
| Form  |       |       |       |       |       |       |       |       |
| 8     |       |       |       |       |       |       |       |       |
| 130-6 |       |       |       |       |       |       |       |       |
| Date  |       |       |       |       |       |       |       |       |
| \     |       |       |       |       |       |       |       |       |
| _\_\_ |       |       |       |       |       |       |       |       |
| \_\_\ |       |       |       |       |       |       |       |       |
| _\_\_ |       |       |       |       |       |       |       |       |
| \_\_\ |       |       |       |       |       |       |       |       |
| _\_** |       |       |       |       |       |       |       |       |
|       |       |       |       |       |       |       |       |       |
| **    |       |       |       |       |       |       |       |       |
| **o   |       |       |       |       |       |       |       |       |
| **    |       |       |       |       |       |       |       |       |
| FAA   |       |       |       |       |       |       |       |       |
| Form  |       |       |       |       |       |       |       |       |
| 337   |       |       |       |       |       |       |       |       |
| Date  |       |       |       |       |       |       |       |       |
| \_\_  |       |       |       |       |       |       |       |       |
| \_\_\ |       |       |       |       |       |       |       |       |
| _\_\_ |       |       |       |       |       |       |       |       |
| \_\_\ |       |       |       |       |       |       |       |       |
| _\_\_ |       |       |       |       |       |       |       |       |
| **o** |       |       |       |       |       |       |       |       |
| FAA   |       |       |       |       |       |       |       |       |
| Form  |       |       |       |       |       |       |       |       |
| 8     |       |       |       |       |       |       |       |       |
| 130-9 |       |       |       |       |       |       |       |       |
| (3    |       |       |       |       |       |       |       |       |
| 17)** |       |       |       |       |       |       |       |       |
| **    |       |       |       |       |       |       |       |       |
| Date  |       |       |       |       |       |       |       |       |
| \_    |       |       |       |       |       |       |       |       |
| \_\_\ |       |       |       |       |       |       |       |       |
| _\_\_ |       |       |       |       |       |       |       |       |
| \_\_\ |       |       |       |       |       |       |       |       |
| _\_** |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| **H.  | o Yes | o **  |       |       |       |       |       |       |
| Is    |       | **No  |       |       |       |       |       |       |
| su    |       |       |       |       |       |       |       |       |
| pplem |       |       |       |       |       |       |       |       |
| ental |       |       |       |       |       |       |       |       |
| type  |       |       |       |       |       |       |       |       |
| app   |       |       |       |       |       |       |       |       |
| roval |       |       |       |       |       |       |       |       |
| reco  |       |       |       |       |       |       |       |       |
| mmend |       |       |       |       |       |       |       |       |
| ed?** |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| *     |       |       |       |       |       |       |       |       |
| *Rema |       |       |       |       |       |       |       |       |
| rks** |       |       |       |       |       |       |       |       |
|       |       |       |       |       |       |       |       |       |
| ***If |       |       |       |       |       |       |       |       |
| \"Y   |       |       |       |       |       |       |       |       |
| es\", |       |       |       |       |       |       |       |       |
| items |       |       |       |       |       |       |       |       |
| s     |       |       |       |       |       |       |       |       |
| hould |       |       |       |       |       |       |       |       |
| be    |       |       |       |       |       |       |       |       |
| expl  |       |       |       |       |       |       |       |       |
| ained |       |       |       |       |       |       |       |       |
| under |       |       |       |       |       |       |       |       |
| a     |       |       |       |       |       |       |       |       |
| pprop |       |       |       |       |       |       |       |       |
| riate |       |       |       |       |       |       |       |       |
| TIA   |       |       |       |       |       |       |       |       |
| co    |       |       |       |       |       |       |       |       |
| mment |       |       |       |       |       |       |       |       |
| s.*** |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+

** FAA Form 8110-26 Computer Generated (10-83) Page 3**

<table>
<tbody>
<tr class="odd">
<td><p><strong>Supplemental Type</strong></p>
<p><strong>Inspection Report</strong> <strong>TIA
Comments</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong>The following comments are made with respect to special
inspections and/or tests conducted by reason of instructions contained
in Section 18 of the TIA, and are identified in accordance with TIA
numbering. Additional pages may be used as needed.</strong></p>
<p><strong>Item 18 - Part I:</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>1.0 Empty Weight and Corresponding Center of
Gravity</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>1.1 Describe Leveling Marks or Means </strong></p>
<p><strong>Ref: § .871</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>1.2 Location of Datum</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>1.3 Horizontal Distance (Inches) From Datum to Average
Front Main Scale CL _________________________.</strong></p>
<p><strong> Horizontal Distance (Inches) From Datum to Average Rear Main
Scale CL _________________________.</strong></p>
<p><strong> Horizontal Distance (Inches) From Datum to Auxiliary Scale
CL __________________________________.</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>1.4 Empty Weight</strong></p></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td><p><strong>Scale Reading</strong></p></td>
<td><p><strong>Tare</strong></p></td>
<td><p><strong>Net Weight</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong>Forward Left Main Scale</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>Forward Right Main Scale</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>Rear Left Main Scale</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>Rear Right Main Scale</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>Auxiliary Scale</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>Empty Weight</strong></p></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>NOTE: <em>The empty weight and corresponding center of
gravity must be determined by weighing the aircraft with
--</em></strong></p>
<p><strong><em> </em><em>(1) </em><em> </em><em>Fixed
Ballast</em></strong></p>
<p><strong><em> </em><em>(2)</em><em> </em><em>Unusable
Fuel</em></strong></p>
<p><strong><em> </em><em>(3)</em><em> </em><em>Full operating fluids,
including (i) oil (ii) hydraulic fluid and (iii) other fluids required
for normal operation of aircraft systems, except potable water, lavatory
precharge water, and water intended for injection in the
engines.</em></strong></p>
<p><strong>Center of Gravity is _______________________ inches o Forward
o Aft of Datum</strong></p>
<p><strong> Ref: § .29</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</tbody>
</table>

** FAA Form 8110-26 Computer Generated(10-83) Page 4**

<table>
<tbody>
<tr class="odd">
<td><p><strong>Supplemental Type</strong></p>
<p><strong>Inspection Report 2.0 Removable Ballast</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong>2.1 If removable ballast is used to show compliance with
the flight requirements, is the place for carrying ballast installed and
marked in accordance with the change to the type design?</strong></p>
<p><strong> Ref. § .31</strong></p></td>
<td><p><strong>Yes</strong></p></td>
<td><p><strong>No</strong></p></td>
<td><p><strong>N/A</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong> 3.0 Fabrication Process</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong>3.1 a. Has the applicant shown that materials, products,
parts, processes, construction, and assemblies conform to the
specifications and drawings shown in the change to the type
design?</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong> b. Has the product been changed between the time it was
shown to comply with item 3.1.a. of this report and the time it was
presented for FAA Inspection? Record any changes on FAA Form
8100-1.</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong> c. Has the applicant made all inspections and tests
necessary to determine --</strong></p>
<p><strong> (1) Compliance with the applicable airworthiness and
noise/emission requirements;</strong></p>
<p><strong> (2) That the materials and products conform to the
specifications in the changed type design;</strong></p>
<p><strong> (3) That the parts of the product conform to the drawings in
the changed type design;</strong></p>
<p><strong> (4) That the manufacturing processes, construction, and
assembly conform to those specified in the type design?</strong></p>
<p><strong> Ref. § 21..33</strong></p></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>3.2 Has the suitability and durability of materials used
for parts, the failure of which could adversely affect
safety:</strong></p>
<p><strong> a. Been established by experience or tests?</strong></p>
<p><strong> b. Been established through approved specifications that
ensure their having the strength and other properties assumed in the
design data? and</strong></p>
<p><strong> c. Been evaluated to take into account the affects of
environmental conditions, such as temperature and humidity, expected in
service?</strong></p>
<p><strong> Ref. § .603(a)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>3.3 Have high standards of workmanship been used in the
fabrication of parts?</strong></p>
<p><strong> Ref. § .603(b)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong> 4.0 Fuselage and Wing</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>4.1 Are changes to the fuselage or wing in conformity to
the change in type design?</strong></p>
<p><strong> Ref. § 21.31</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong> 5.0 Control System</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>5.1 Are changes to the control system in conformity to
the change in type design?</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>5.2 Do the control surface travels conform to the change
in type design?</strong></p>
<p><strong> Ref. § 21.31(a)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong> 6.0 Personnel and Cargo Accommodations</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>6.1 Are changes to the personnel and cargo compartments
in conformity with the change to the type design?</strong></p>
<p><strong> Ref. § 21.31(a)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong> 7.0 Powerplant Installation</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>7.1 Does the powerplant installation conform to the
change to the type design?</strong></p>
<p><strong> Ref. § 21.31(a)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong> 8.0 Equipment</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>8.1 Are changes to the installed equipment in conformity
to the change in type design?</strong></p>
<p><strong> Ref. § 21.31(a)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</tbody>
</table>

** FAA Form 8110-26 Computer Generated(10-83) Page 5**

<table>
<tbody>
<tr class="odd">
<td><p><strong>Supplemental Type</strong></p>
<p><strong>Inspection Report 8.0 Equipment (continued)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong>8.2 Is each item of equipment installed in accordance
with the change in type design --</strong></p>
<p><strong> a. Labeled as to the identification, or operation
limitations, or any applicable combination of these factors;
and</strong></p>
<p><strong> b. Installed according to limitations specified for that
equipment?</strong></p>
<p><strong> Ref. § .1301 (b) and (c)</strong></p></td>
<td><p><strong>Yes</strong></p></td>
<td><p><strong>No</strong></p></td>
<td><p><strong>NA</strong></p></td>
<td><p><strong>8.3 Are the electrical, radio, and electronic systems
included in or affected by the change in the type design free from
hazards in themselves, in their method of operation, and in their
effects on other components?</strong></p>
<p><strong> Ref. § .1351(b)(1)(i), .1431 or .1431(a)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>8.4 Are electrical cables and wire bundles included in or
affected by the change in type design protected from fuel, oil, water,
and other detrimental substances, and from mechanical
damage?</strong></p>
<p><strong> Ref. § .1351(b)(1)(ii)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>8.5 Are the changes to the radio and electronic
equipment, controls, and wiring installed so that operation of any one
unit or system of units will not adversely affect the simultaneous
operation of any other radio or electronic unit or system of units
required by the airworthiness or operation rules?</strong></p>
<p><strong> Ref. § 1431(b) or (c)</strong></p></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong> 9.0 Function and Reliability Testing</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong>9.1 Did the change in type design necessitate F &amp; R
tests?</strong></p>
<p><strong> Ref. § 21.35</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>9.2 Did the altered systems and installations function
satisfactorily during the F &amp; R tests?</strong></p>
<p><strong> Ref. § 21.35</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</tbody>
</table>

** FAA Form 8110-26 Computer Generated(10-83) Page 6**