### # Description Trans North FAA 2013- 0046 Respondent's Exhibit list


### 1 FltPlan.com

- dtd 20130720- 2 pp- replicates chg FP 20111127 2 FltPlan.com- dtd 20130708- 2 pp- replicates chg FP 20111127 3 NO EXHIBIT 4 NO EXHIBIT 

### 5 14 CFR 135.267- 2 pp 6 Ltr, FAA Boerman to Schalberg- dtd 20111222- 1 

### pp 7 Ltr, FAA MacPherson to Kidd- dtd 20121113 - 3 pp 8 Schematic dtd 20111127- 9 Ltr AMR ro Barnett- Borth- dtd 20130719- 10 Air Ambulance Med Cert- dtd 20111127- 1 pp 11 Trans North

- dtd 20111128- 1 pp 

### 12 13 14 15 16 17 18 19 20 ID IN X 

## X X 

## X

X X 

### X 

## X x NO 

### WD WD X X 

### X X X X


# RECE\VED SEP 26

**20\~** 

# HEAR\NG 

# DOCKETfltNnn.,om-Copyr\gln20137120/13tl:44AMWelcomeAboardPassengerFlightBriefingGoodMorningandWelcomeaboard.!ftherelsanythingwecandotomakeyourfllghtmoreenjoyable,FllghiCo·owC:1pwin:BillDidier!>•frr)·ntmlUlndgdlFlight.ifschedule:Saturday07120/2013DepartArriveKOSI-!-OSHKOSH,WIWITTMANRGNLKRMG-ROME,GARICHARDBRUSSELLpleaseletuSknow,DepartureFBO:·;o;;o;;;;;;,-'"·---"'·-·AlrrrnFtinfoCilllSign:N4599FAircmf!Type:CE-340."\10:30AMFlightTime03:0202:32PMCurrentWenU1eratROME,GAClear,Vis:10Miles,Temp;BOF(27C),Winds:CALMDestinationlnform<ltion:1SunriseSunset6;4320;51ThisTonightSundaySundayMondayMondayAfternoonNightNightTuesdayTuesdayWednesdayNight:..:;··---..,.:.:,.,.;.·•..;;;;;;:;..;;;;;;:;..;;;;;;:;."2"''(,;-·.<-::';:\,,,,.......,..··='··'"'-1150%ChanCeSO%.ChanceT-Siorm.sT-Stormsi-S!ormsLikelyT-StormsLikelyT-StormsLlke!yT-StormsLikely50%Chance30%Chance40%ChanceT-StormsT-StormsT-S!ormsiLf·llgl':88'Flow:?o"FHigh:37"·Flow.70·"FH1gl1.f\5"Flow:70"FHigh:07·Flow-:70·-F89"FSchadufe:Saturday07/2012013DepartKRMG-ROME,GARICHARDBRUSSELLArrivet<PB!-WESTPALMBEACH,FLPALMBEACHINTL03:02PM06:02PMFlightTime03:00CurrentWeEJtheru!WESTPALMBEACH,FL10_86F(JOC),Winds:Southeastat15mphThisTonightSundaySundayMondayMondayAftemoonNightNight;;;;;;:;;;;;;;;;;;:;Destinationln!ormatlon:·•limeZone:EastemTimeChange:SameTlmeZoneFBOName:JETAVIATION-AVITFBOPhane#:600-538-0724Tuesday1SunriseSunsetTuesdayNight;;;;;;:;6:3920:1450%Chance40%Chance50%Chance30%Chance30%Chance30%Chance30%Chance20%ChanceT-StormsHigh:36'fi!Wednesday40%ChanceT-S1onnsT-StormsT-StormsLaw:76High:'FT-StormsT-StormsT-StormsT-StormsT-StormsLow:76'FHigh:3\J"f'low:i'6"fHigl1;89'Plow:75"FllSchedule:Sunday07{21/2013jDepartKPBl-WESTPALMBEACH,FL11o30AMIFlightTimeDestinationInformation:lltlp.:/jwna.nrplan.com/l'fl-1--ragQ1or2A/)./2,-l\"/g:-vEXHIBITj72IZot>-On4GFI1Pion.cam **~Copyright** 2013

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- **P~g~2or2**r-ltP!afl.cO.'l- Copvright 2013 7/7/131:36 PM 

# Welcome Aboard 

# I Passenger Flight Briefing PART 91 LEGS ANDREW WOLF PIC KCFJ-KPXE KPXE-KPBI PART 

### 135 LEGS BILL DIDDlER PIC

Flight Crew Captain: Andrew Wolf "lvfnynard Blodgettl-'ligiH Pamrnedic



### ! 

### Schedule: Monday 07/08/2013 Depart !<GFJ 

### -CRAWFORDSVILLE, IN CRAWFORDSVILLE MUNI 

### Arrive KPl<E- PERRY, GA PERRY-HOUSTON COUNTY 

### KPBI-KJES KJES-KPWK

Aircraft Info C1ll Sign: NS9773 Aircraft Type: PA·31-350 NAVAJO



### 07:45AM 10:31 AM 

## Flight Time 

# 02:46 Destination Information: Time Zone: EBstern Time Change: Same Time Zone FBO Name: PERRY-HOUSTON FBO Phone#: 478-988-3699

Current Weather at MACON, GA Sunrise 6:34 Sunset 20:46 Overcast, Vis:-10 MileS-; 

### Temp:- 84F (29C)",-Wln-dS; S-outheast 

# at 6 mph


### This Tonight 

### Afternoon Monday Monday 

### Night Tuesday 

### Tuesday Night Wednesday Wednesday Thursday Night

50% 

### Chance 20% Chance 30% Chance 30% 

### Chance 30% Chance 20% Chance 40% Chance



### T-Storms T-Storms T-Storms T-Storms T-Storms T-Storms T-Storms



### Schedule: Monday 07/0812013

Depart KPXE
- PERRY, GA PERRY-HOUSTON COUNTY 

### Arrive I';PE! -WEST 

### PALM BEACH, FL PALM BEACH INTL 

### 11:01AM 01:19PM LD\N: 71 'F


## Flight Time 

# 02:18 Destination Information: Time Zone: Eastern Time Change: Same Time Zone FBO Name: JET AVIATION-AVIT FBO Phone#: 800-538-0724

Current Weather at WEST PALM BEACH, Fl 

### Sunrise 6:33 Sunset 20:17 Scattered Clouds, Vis: 

### 10 Miles, Temp: 

### 89F {32C), Winds: 

### East at 18 mph Gusting 

### to 24 mph


### This Afternoon 

### Tonight Monday Monday 

### Night Tuesday Tuesday 

### Night Wednesday Wednesday Thursday Night

Scattered 

### Scattered Breezy 20% 

### Chance 50% Chance 30% Chance 50% Chance 20% Chance 50% Chance Showers Showers 

### T-Storms T-Storms T-S!orms T-Storms T-Storms T-Storms 

### Lovv: 75

**~·F** 

# 'I Schedule: Monday 07/08/2013 

# l Destination Information: Time Zone: Eastern
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# II
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### Depart 

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### .il:·'S 

### -JESUP, GA 02:00PM 

### 03:50PM 

## Flight Time 

# 01:50 Time Change: Same Time Zone FBO Name: AIRPORT AUTH. FBO Phone#: 912-427-5949

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I JESUP-WAYNE COUNTY Current Weather 

### at JESUP, GA

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### Schedule: Monday 07/08/2013

Depart j{.lf:''S -JESUP, GA JESUP-WAYNE COUNTY 

## Arrive !·;P'NV.- CHICAGO/PROSPECT HGT, ll 04:00PM 07:05PM 

## Flight Time 

# 04:05
CHICAGO EXECUTIVE 

### Current Weather at CHICAGO/PROSPECT HGT, ll Scattered Clouds, Vis: 1O_MHes, Temp: 82F {28C), Winds:

**So~Jthwest** at 8 mph Wednesday Thursday 

### Night 

# 6
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### ------------

**-~--** 

### Destination Information: Time Zone: Central Time Change: Subtract 1 Hour(s) FBO Name: SIGNATURE FLIGHT FBO Phone#: 847-537-1200

Sunrise 5;23 Sunset 20:30
This Tonight Monday Monday Tuesday Tuesday Wednesday Wednesday Thursday 

### Afternoon Night Night Night



# ~ 20% Chance 50% Chance 50% Chance T-Storms T-Storms T-Stom1s 40% Chance Mostly Sunny

T-Storms 

### T-Storms T-Storms Likely Likely Likely T-Storms Clear 

### >·::;-; Lov..r: 73 "F '

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# \2.--} -z___. Page 2 of 2 

# '**AC~""ToCAITD r:;,**  US_ GOVERNMENT

lNFORMATION GPO



### § 135.267 flight crewmember ma.y accept an as- signment, for flight time in scheduled operations or in other commercial fly

### ing if 

### that crewmember's total flight time in all commercial flying will exceed-

(1) 1,200 hours in any calendar year. (2) 120 hours in any calendar month. 

### (3) 34 hours ili 

### any 7 consecutiVe days. (4) 8 hours during any 24 consecutive hours for a flight crew consisting of one pilot.



### (5) 8 hours between required rest periods for a flight crew consisting of two pilots qualified under this part for the operation being conducted.



### (b) Except as provided in 

### paragraph 

### (6) 

## or this 

### seotioh, no**cer~tifi'Cate** 

### hOlder· may schedule a flight crewmember, and no flight crewmember may accept 

### an assignment, for flight time during the 24 consecutive hours preceding the scheduled completion of any flight segment without a scheduled rest period during that 24 hours of at least the following:

(1) 9 consecutive hours of rest for less than 8 hours of scheduled flight time.

(2) 10 consecutive hours of rest for 8 or more but less than 9 hours of scheduled flight time.

(3) 11 consecutive hours of rest for 9 or more hours of scheduled flight time.

(c) A certificate holder may schedule a flight crewmember for less than the rest required 

### in paragraph (b) of thls section or may reduce a scheduled rest under the following conditions:

(1) A rest required under paragraph (b)(1) of this section may be scheduled for or reduced to a minimum of 8 hours if the flight crewmember is given a rest period of at least 10 hours that must begin no later than 24 hours after the commencement of the reduced rest period.

(2) A rest required under paragraph (b)(2) of this section may be scheduled for or reduced to a minimum of 8 hours if the flight crewmember is given a rest period of at least 11 hours that must begin no later than 24 hours after the commencement of the reduced rest period.

(3) A rest required under paragraph (b)(3) of this section may be scheduled for or reduced to a minimum of 9 hours if the flight crewmember is given a rest period of at least 12 hours that must 

### 14 CFR Ch. I (1-1-03 Edition) begin no later than 24 hours after the commencement of the reduced rest period.

(d) Each certificate holder shall relieve each flight crewmember engaged in scheduled air transportation from all further duty for at least 24 consecutive hours during any 7 consecutive days. § 135.267 Flight tim.e limitations and rest requirements: Unscheduled**one~** and**two~pilot** crews. (a) No certificate holder may assign any flight crewmember, and no flight crewmember may accept 

### an assig·nment, for flight time as a member of a une- 

### or two-pilot 

### creW if that 

### cr-ewmember's total flight time in all commercial flying will**exceed~**

(1) 500 hours in any calendar quarter. (2) 800 hours in any two consecutive calendar quarters.

(3) 1,400 hours in any calendar year. (b) Except as provided in paragraph (c) of this section, during any 24 consecutiVe hOlil"S the total ilight th'n8 Of the assigned flight when added to any other commercial flying by that flight crewmember may not**exceed~**

(1) 8 hours for a flight crew consisting of one pilot; or

(2) 10 hours for a flight crew consisting of two pilots qualified under this part for the operation being conducted.

(c) A flight crewmember's flight tim.e may exceed the flight time limits of paragraph (b) of this section if the assigned flight time occurs during a regularly assigned duty period of no mo;re than 14 hours**and~**

(1) If this duty period is immediately preceded by and followed by a required rest period of at least 10 consecutive hours of rest;

(2) If flight time is assigned during this period, that total flight time when added to any other commercial flying by the flight crewmember may not ex**ceed~**

(i) 8 hours for a flight crew consisting of one pilot; or

(ii) 10 hours for a flight crew consisting of two pilots; and

(3) If the combined duty and rest peliods equal 24 hours.

(d) Each assignment under paragraph (b) of this section must provide for at 

### 702 

## ,_-**b~** 

## EXHIBIT

### Federal Aviation Administration, DOT least 10 consecutive hours of rest during the 24-hour p8liod that precedes 

### the planned completion time of the as- signment.

(e) When a flight crewmember has exceeded the daily flight time limitations 

### in this section, because of cir

### cumstances beyofid the control of the certificate holder or flight crewmember (such as adverse weather conditions), that flight crewmember must 

### have a rest period before being assigned or accepting an assignment for flight time of at least-

(1) 11 consecutive hours of rest if the flight time limitation is exceeded by not more than 30 minutes;

(2) 12 

### consecutive hours of rest if the flight 

### time limitation is exceeded by 

### more than 30 minutes, but not more than 60 minutes; and

(3) 16 consecutive hours of rest if the flight time limitation is exceeded by more than 60 minutes.

(f) The certificate holder must provide each flight crewmember at least 13 rest periods of at least 24 consecutive hours each in each calendar quarter. [Doc. No. 23634, 50 FR 29320, July 18, 1989, as amended by Amdt. 135--33, 54 FR 39294, Sept. 25, 1989; Amdt. 135--60, 61 FR 2616, Jan. 26, 19"96] § 135.269 Flight time limitations and rest 1·equirements: Unscheduled**three~** and four-pilot crews. (a) No certificate holder may assign any flight crewmember, and no flight crewmem ber may accept an assignment, for flight time as a member of 

### a 

### th_ree- Qr fqur-pUot crew if 

### that crewmember's total flight time in all commercial flying will exceed-

(1) 500 hours in any calendar quarter. (2) 800 hours in any two consecutive calendar quarters.

(3) 1,400 hours in any calendar year. (b) No certificate holder may assign any pilot to a crew of three or four pilots, unless that assignment provides---

(1) At least 10 consecutive hours of rest immediately preceding the assignment;

(2) No more than 8 hours of flight deck duty in any 24 consecutive hours;

(3) No more than 18 duty hours for 

### a three-pilot crew or 20 duty hours for a four-pilot crew in any 24 consecutive hours; 

### § 

### 135.271 (4) No more than 12 hours aloft for a three-pilot crew or 16 hours aloft for a four-pilot crew during the maximum duty hours specified in paragraph (b)(3) of this section;

(5) Adequate sleeping facilities on the aircraft for the relief pilot;

(6) Upon completion of the assignment, 

### a rest period of at least 12 hours;

(7) For a three-pilot crew, a crew which consists of at least the following:

(i) A pilot in command (PIC) who meets the applicable flight crewmember requirements of subpart E of part 135;

(ii) A PIC who meets the applicable flight crewmember requirements of subpart E of part 135, except those prescribed in §§ 135.244 and 135.247; and

(iii) A second in command (SIC) who meets the 

### SID qualifications of §135.245.

(8) For a four-pilot crew, at least three pilots who meet the conditions of paragraph (b)(7) of this section, plus a fom,th pilot who meets the SIC qualifications of §135.245.

(c) When a flight crewmember has exceeded the daily flight deck duty limitation in 

### this section by more than 60 minutes, because of circumstances beyond the control of the certificate holder or flight crewmember, that flight crewmember must have a rest period before the next duty period of at least 16 consecutive hours.

(d) A certificate holder must provide each flight crewmember at least 13 rest 

### periods Of at least 

### 24 consecuttv-e hOUrS each in each calendar quarter. § 135.271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may assign any flight crewmember, and no flight crewmember may accept an assignment for flight time if that 

### crew- member's total flight time in all commercial flight will**exceed~**

(1) 500 hours in any calendar quarter. (2) 800 hours in any two consecutive calendar quarters.

(3) 1,400 hours in any calendar year. (b) No certificate holder may assign a helicopter flight crewmember, and no 

### 703

### U.S. Department of Transportation 

### Federal Aviation Administration



# DEC 2.2 

# 2011

Certified

- Return Receipt File Number: 2012GL030012 Mr. Ronald 

## J. Schaberg Trans North Aviation LTD Eagle River Airport P.O. Box 1445 Eagle River, 

### WI 54521 Dear Mr. Schaberg: DnPage Flight Standards District Oftice 31W775 North Avenue DuPage Airport 

### West Chicago. IL

**601&5~1056** (630)443-3100



### Personnel ofthis office are investigating an accident which occurred on November 28, 2011, involving the operation ofa Piper aircraft, N59773, on a Part 135 instrument Flight Rules (IFR) flight in the vicinity ofRiverwoods, Illinois at approximately l 0:45 

### p.m. This office is requesting the name ofthe pilot in command that was assigned by Trans North Aviation 

## LTD for the following flights:

• November 28, 2011: Crawfordsville Municipal Airport, Crawfordsville, Indiana (KCFJ)- Perry-Houston County, Perry, Georgia 

### (KPXE) • November 28, 201 I: KPXE- Palm Beach International, West Palm Beach, Florida (KPBI) • November 28,2011: KPBI- Jesup -Wayae County Airport, Jesup, Georgia (KJES) • November 28, 2011: KJES -Chicago Executive Airport, Wheeling, illinois (KPWK) Additionally, please provide this office a detailed description on how Trans North Aviation LTD utilizes their Fuel Policy Form 

## in their day to day operations, to indude any records ofdisciplinary actions or counseling ofpilots. This letter 

## is to inforn1 you that this matter is under investigation by tbe Federal Aviation Administration. We would appreciate receiving any evidence or statements you might care to make regarding this matter within 10 days ofreceipt ofthis letter. Any discussion or written statements furnished by you will be given consideration in our investigation, 

## Ifwe do not hear from you within the specified time, our report will be processed without the benefit ofyour statement.

**~** 

### /

**~:;:;?\---,-,** 

### y SinceJ·ely,
..

**--~-**



### Sandra Boerman Principal Operations Inspector

cc: Barnett Law Offices, P.C. \\avsagldpaaa\AGL203SB\EIR\Trans\LOITransnPIC.doc 

# A EXHIBIT 

# ltzG Zb(s:- OcACU.S. Department of 

### Transportation 

### Federal Aviq!ioq, 

# l 3 <oMii Administration 

## 11'1 

# 0 V Llllt 

## Jason M. Kidd 7201 Northview Drive Brookfield, OH 44403 Dear Mr. Kidd: Office of the Chief Counsel 800 Independence Ave., S.W. Washington, D.C. 20591



## 1bis is in response to your July 12, 2012 letter posing a number ofquestions about 14 C.F.R. part 13 5 operating rules. Flight, Duty, and Rest Questions 

## Question 1: Phone Calls During a Rest Period For your first question, you ask whether a certificate holder can require a flight crewmember to answer a phone call from the certificate holder during a rest period. During a rest period, a crewmember must be free from all restraint by the certificate holder. 1 

## If a crewmember is required to answer the phone by the certificate holder, then that crewmember is not free from all restraint. Thus, that flight crewmember is not on a valid rest period. Accordingly, a certificate holder cannot require a flight crewmember to answer a phone call during a rest period. We note, however, that the FAA has a "one phone call" policy that "generally allows a certificate holder to initiate one phone call during [a] crewmember' s rest period." 2 

## Ifthe crewmember voluntarily chooses to answer this phone call, then the FAA does not view the call as disruptive and breaking the rest period. 3 

## However, we emphasize that in order for the "one phone call" policy to apply, the crewmember cannot be required to answer the certificate holder's phone call, but must instead answer the phone on his own volition. 

## Question 2: Effect ofDelays >f"'**~~7** 

## ,/ ,1.(/_ 

### J.:,-'· ".: 

## For your next question, you pose 

## the following scenario. A part 135 certificate holder operates
.

# \?/'V"··

. unscheduled cargo and passenger operations pursuant to 14 C.F.R. § 

## 135.267( d). That certificate holder schedules its flightcrew to be in rest from 2200z until 0800z. The flightcrew is then scheduled to start a duty assignment that is supposed to begin at 0800z and end at 2100z. The duty assigrunent consists ofthree flight segments, each ofwhich is scheduled to be 3 hours long.

1 

### Letter to Glenn Jimenez from Rebecca MacPherson, Assistant ChiefCounsel for Regulations (June 9, 20II). 2 

### Id 3 

### Id 

## lj 

# EXHIBIT 1 

# (2_7

## The first flight segment is scheduled to depart at 0930z; the second segment is scheduled to depart at 1300z; and the fmal segment is scheduled to depart at 1800z. You then list a number ofdelays that could happen during the flightcrew' s assigned duty day. The delays specified in your letter consist of: (1) late-arriving passengers or cargo; (2) en-route flight delays due to low visibility; (3) a diversion due to a mechanical failure; and (4) a delayed takeoff clearance from air traffic controL Each ofthese delays would result in the flightcrew fmishing its duty day after 2100z. You ask whether these delays would result in the flightcrew violating the rest requirement of§ 135.267(d) 

## ifthat flightcrew fmishes all three flight segments of its originally-scheduled duty day. Subsection 135.267(d) requires that an assignment "must provide for at least 10 consecutive hours ofrest during the 24-hour period that precedes the planned completion time ofthe assignment." 

## In a previous interpretation, the FAA emphasized that "[t]he key to the applicability of§ 135.267(d) is in the fmal phrase 

## 'planned completion time ofthe assignment.' " 4 

## fu that interpretation, the FAA concluded that if a crewmember is realistically scheduled to receive 10 hours ofrest in a 24-hour period, then "ifthe original planning is upset for reasons beyond the control ofthe [certificate holder], the flight may nevertheless be conducted, even though crew duty time may extend beyond 14 hours" in a 24-hour period.5 

## The FAA has previously stated that delays due to air traffic control, mechanical problems, or adverse weather could constitute circumstances that are beyond the control ofthe certificate holder.6 

## In addition, the FAA has stated that delays due to late-arriving passengers or cargo could also constitute circumstances that are beyond the control ofthe certificate holder.7 

## Accordingly, the delays specified in your question (late-arriving passengers or cargo, low visibility, mechanical failure, and delayed takeoffclearance) could constitute circumstances that are beyond the control ofthe certificate holder that would permit the flightcrew to finish its duty day after the originally-planned 2100z completion time. However, we emphasize that in order for the circumstances-beyond-the-control-of-the-certificate-holder doctrine to apply, the original 2100z completion time must have been realistically scheduled. 8 

## Navigation and Chart Databases 

## Questions 3 and 4: Pilot-Performed Updates on Avionic Devices Two questions youpose concern pilot performed updates to aeronautical information avionic devices. First you ask whether the pilot ofan aircraft operated under part 135 may update a GPS and/or FMS navigation database (such as the Collins FMS-3000, GNS500 series or GIOOO), Second, you ask whether the same pilot may update the charts displayed electronically on a Multifunction Display, such as the Jeppesen approach charts on the Collins Proline 21. Because

4 

### Letter to Kevin Wilson from Donald P. Byrne, Assistant ChiefCounsel ofRegulations and Enforcement Division (Mar. 30, 1992) (quoting and emphasizing a portion ofthe regulatory text from§ 135.267(d)). 5 

### I

### d. See also Letter to 

### Mr. Ross from Donald P. Byrne (Aug. 30, 1993). 6 

### See Letter to William E. Banks, Jr. from Rebecca MacPherson (Mar. 18, 2009) (citing previous legal interpretations). 7 

### See Letter to Kevin Wilson and Letter to 

### Mr. Ross. 8 

### See Letter to Kevin Wilson. 

# 2

## both ofthese questions deal with a rule that the FAA is currently finalizing, we cannot answer these questions at this time. Instead, we will answer these questions in a separate letter once the pertinent rulemaking 

## has concluded. Weight and Balance Computations 

## Question 5: Load Manifest Duplicate For your next question, you state that 14 C.P.R.§ 135.63(c) requires you to prepare a load manifest before each takeoff. You ask whether a copy ofthis load manifest must be left with the certificate holder and/or departure airport personnel or whether it is sufficient to keep the only copy ofthe load manifest on board the aircraft. Subsection 135 .63(c) requires the certificate holder of a multiengine aircraft to prepare a load manifest in duplicate containing information concerning the loading ofthe aircraft. Pursuant to 

## § l35.63(d), the pilot-in-command must carry the load manifest inthe aircraft to its destination, and the certificate holder must then keep the load manifest for at least 30 days at its principal operations base, or at another location used by the certificate holder and approved by the FAA. When 

## § 135.63 was originally proposed it included a requirement that the pilot-in-command arrange at the takeoff airport for a copy ofthe load manifest to be retained in a suitable place at that airport. 9 

## However, this part ofthe proposed rule was withdrawn in response to comments. 10 

## As such, 

## § 135.63 does not specify what must be done with the duplicate ofthe load manifest. While§ 135.63(d) does not specify how the duplicate copy ofthe load manifest should be handled, the FAA advises certificate holders to incorporate procedures in their operations' manuals for the disposition ofthe duplicate copy. 11 

## The certificate holder should work with its principal operations inspector to develop such procedures. This is because the duplicate copy of the load manifest could provide valuable information to investigators regarding passengers, crewmembers, and aircraft weight and balance ifthere is an accident and the load manifest carried on-board the aircraft is destroyed. 12 

## Enforcement Action 

## Question 6: Manual that Violates FAA Regulations For your next question, you pose a scenario in which an operator has submitted a required manual containing procedures that violate FAA regulations. You ask whether in that scenario the FAA would hold responsible: (1) the certificate holder for submitting and enforcing improper procedures; and (2) the crewmember for complying with company procedures that violate FAA regulations.

9 

### See42FR43490, 43515 (Aug. 29, 1977). 10 

### See 43 Fed. Reg. 46742,46764 (Oct. 10, 1978); Letter to Stanley 

### L. Bernstein from Rebecca MacPherson (Nov. 13, 2009); Letter to Nettie Dickerson, from Edward P. Faberman, Acting Assistant ChiefCounsel (Nov. 5, 1980). 11 

### See Letter to Stanely Bernstein. · 

### l2.ld 

# 3

## Anyone who violates FAA regulations could be subject to an enforcement action. 

## In order to actually determine who would be held responsible by the FAA in your scenario, we would need additional details concerning the company procedures that violate FAA regulations. Operation Specifications C0 55 and A097 You also ask a number ofquestions about operation specifications (OpSpecs) C055 and A097. Your questions about these OpSpecs are policy questions, and as such, we have referred them to the AFS-200 program office. We appreciate your patience and trust that the above responds to your concerns. 

## Ifyou need further assistance, please contact my staff at (202) 267-3073. This response was prepared by Viola Pando and Alex Zektser, Attorneys, Regulations Division ofthe Office ofthe Chief Counsel, and coordinated with the Air Transportation Division ofFlight Standards Service. Sincerely,

# pt-r~ Rebecca B. MacPherson Assistant Chief Counsel for Regulations, AGC-200



# 4

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0 Jovember 28-29, 2011

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on all four legs and IFR flight plans list Mr. Didier as PIC.

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## Barnett & 

## Borth 8411 Pyatt Rd, Suite 110 Lake !n The Hills, !L 60156



## RE:~.

To Whom It May Concern: July 19, 2013

AMR recently received your request for transport records and invoices for the above referenced patient. Your records are enclosed. Should you have any questions regarding this matter, please feel free to contact the AMR Correspondence Department at 330-762-8891 ext 8410. Thank you for your prompt attention to this matter. Sincerely,



# ~~~ Karim Grays 

## Correspondence Representative Patient Business Services Records Department Enclosures



## !J< 

# EXHIBIT 

# I 729 ::Zo13-oo1?;
American Medical Response East, dba American Medical Response • Patient Business Services Department 530 S. Main Street- Suite 1041 )
• I. ,') Akron, Oh10 443ll

**~** l....<' Phone: (330) 762-8891 Fa" (330) 384-4024 

### ',1

# C C.::;' i ' 

# !

## 530 S. Main St. STE 1041 Akron, OH 44311-1010 330-762-8891 ext. 8410

KEEPER OF RECORDS AFFIDAVIT



## 1, Karim Grays hereby certify that I am a Custodian Representative of Records for American Medical Response and that these record(s) and invoice are true and complete and these charges are fair and reasonable. Signed this 19th day of July 2013 under the pains and the penalties of perjury.



# d/ f"

**·!'-~ .~~** 



## Karim Grays Correspondence Representative Patient Business Service

# I
I 

# I ! American Medical

**~esponse** 

### 530 S. Main St. Suite 1041 

### Akron, OH 44311



### REMIT PAYMENT TQ, 

### ATLANTIC PALM BEACH AMB INC PO BOX 402079 

### ATLANTA, GA 30384-2079 PLEASE CHARGE MY: 0 VISA 

### 0 IVJASTERCARD 

### 0 DISCOVER 0 A]JI..ERICAN EXPRESS ACCOUNT 

# D D D D D D D D D D D D D D D D EXPIRATION DATE 

# D D D D

SIGNATURE PLEASE ENTER AMODNI'

**P~~ID:** 

### $
______ _

1250 2250 3028 PLEASE DETACH AND RETURN THIS PORTION WITH YOOR PAYMENT



### BLS 

### NON EMER BASE 1 

### BLS MILEAGE 16 

### MISC DISPOSABLE ITEM 1 

## *** PAYMENTS 

# *** ***

**ADJUST~1ENTS** 

## *** 300.00 300.00 8.50 136.00

. 00 200.00- 236.00-



### ~vc; **~-­** FED 

### TAX ID 

## :GIIIilllllllllllllllllllli.c..-, .00

.00



# ·-;z 

# I

__,, I 

# I Send billing inqui:des to: .AMERICAN Ml!ID:C:CAL RESPONSE, 530 S. Main St., Suite 1041 1 Akron, OH' 44311 or call: 1-800-913-9106 Keep this portion for your recorda-**'~** 

# I 

# I i Case#: 4382200 

### Dispatch Information 4382200

Final Transport

**Mode~** 01:56:57 14:46:19 15:57:09 16:21:12 16:30:00
16:42:09 17:12:09 17:40:39 No Lights and Siren No lights and Siren

ALS Assessment: None



### Patient Demographics 4382200 Name: Address: City, 

### State, Zip: Cell: 

### Pt.# 

### 1 

### of 1

4382200 

## Patient Care Report
Unit JD: 2078 Date: 1112812011
Disposition: -Team Transport with Patient From Location: HOSP 2815 S SEACREST BLVD-BOYN, BOYNTON BEACH, FL 33435 lncicte-nt Locatio-n Type: Medical- Hospital To location: Jet Aviation 1515 PERIMETER RD-WPBH, WEST PALM BEACH, FL 33411 DestinatiQn Type: Nature of Call: Caller Name:

Age: 80 years Male Airport AIRPORT RUN INTENSIVE AIR AMBULANCE



### Caucasian



### Transfer Reason for Transport: Other Non-Emergency Impression 'fransfer Reasons: Underlying Medical Condition:



### History Of 

### Present Illness

Physician:



### Past Medical History 

# a 1 History Obtained From: 

### Health Care Personnsi Was Specialized Observation Required? Was pt Abie to Sit in WIC During Trans? Was There E:xisting Tx To Be Monitored? Was Special Positioning Required? Was Patient on Psych Hold? Was Oxygen Used During Transport?

History: Atrial Fibrillation, Congestive Heart Failure, MRSA, Pacemaker, Renal Failure C-Dtff, Hyperlipidemia Allergies: Medications;

Case#: 4382200 Print Date: 7/19{2012-11:25:29 AM

### Narrative 4382200 Upon arrival with flight crew found SO year o!d male patient supine in hospital bed in company of his wife, in care of Bethesda Memorial Hospllal, \Nith a CC of Increased swelling and blistering of lower extremities secondary to cardiac issues, Patient has been stabilized and requires transport to fixed wing aircraft for transport to Chicago for ongoing rehabilitation cam_ Patient lifted to stretcher and turned over to care of flight crew 'Nithout incident with fu!l report given. Patient has MRSA, all MRSA precautions observOO. All care en route provided by Flight Medic Maynard Blodgett. HEENT: Clear,

**Neck~** -JVO, -Trachael Deviation, 

### Chest Rise and Fall=, Abdomen: SNTx4, Pelvis: Stable, Extremities: Noted minor bruising and skin tear to Left Foreann. All other extremities unremarkable. Vitals taken and assessed en route as above. Patient loaded safely into fixed wfng aircraft without incident, with full report given, in Stable condition.



### Vitals

Time 16:55:00 17:41:00 

### BP 110/68 {82) 11on2 185) 

### Patient Disposition Pulse 100 

### 98
4382200 

### RR 20 20

Mileage Scene: 0.0 SPo2%

Mileage Hospital: 16.0 Total Mileage: 16.0 

### GCS Performed By turner T zachary,AMR Carmenate, Javier,AMR



### Patient Medical Insurances 4382200 

# ---------------- Guaranto-r:

Self



### Addendum Date 11/28/2011 Entered By ZTURNER 4382200 Addendum Employer:

RFT: Patient requires transport to fixed wing aircraft for Medical transport to Chicago. 11128/2011 ZTURNER Medical Necessity:

**Pa~ent** cannot travel safely by wheelchair due to extreme weakness all over secondary to rec-ent cardiac history and renal faifure. Patient requfres isolation precautions for !VIR SA. 1st Attendant: 2nd

**Attendant~ ~rd**  Attendant: 

# f:t!?/ 

# fNumber:

Certification: EMT

Case fi-: 4382200 Number: Certification: EMT Hospital Signatur-e-: Flight Crew



### I 

# )L 

# c/



# ~ ;,:



# ~

Print Date:

**71191201311~26~29** AM

### 11128/2011 at 

### 16:42:09

I acknowledge that I am legally responsible for the ambulance services provided to me. I request and assign payment of authorized Me.d)care benefits and/or other insurance benefits be made on mybehalfto AMR directly fur any ambulance services and supplies furnished to me by 

### AMR, whether in the past, now or in the future. I authorize any holder of medical information about me or other relevant documentation about 

### me to release to the Centers for Medicare and Medicaid Services and its agents and contractors, any and all appropriate third party payers a.'1d their respective agents and contractors, as well as.AMR, any information or documentation in their possession needed to determine these benefits and/or the benefits 

### payable fur related services, whether in the past, now, or in the future. I agree 

### to cooperate 

### with AMR or its agent in collecting any such benefits. acknowledge that I have been provided with a copy ofAMRts Notice ofPrivacy Practices. I expressly authorize AMR or its agents or associates 

### to contact me or any responsible party at 

### any phone number provided, including any cellular phone number provided, for the purpose ofresolving any unpaid balances or other pertinent issues. Nothing herein shall relieve me from dlrel-1: financial responsibility for any charges not paid by an insurer. I further agree to send promptly to AMR any payments 

### that an insurer forwards to me.



# '

Case #: 4382200 Prinl Date: 7/19/2013 11:26:29 AM

### I 

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