[1. Approving Civil Aviation [2 3 Form Tracking Number: ‘orn Coty AUTHORIZED RELEASE CERTIFICATE #130-14774 FAATUNITED STATES FAA FORM 8130-3, AIRWORTHINESS APPROVAL TAG pio Nir Tan cenrncamons oman) 8 Bak OW ns RE AEROWORKX, INC. Ul nN Number: das avr rae ausns.is ae ee en ; FAX: (310}891-1248 Cast Rel R240 aa [a ra 5g | Se Wa Tr Sa 1 [vaLve aNELICING BLEED soucronen 1 comms ‘ovEAULeD Tr Raa Tsien oan See ee ae era ana ‘Certtos that tho work specified in block 11/12 was card otin acardance with EASA 148 and in respect o that work the components consisered ready for release to service under EASA Approval Number: EASA.748 5107, Ss ae TL Wer ASRoma wks BY nw apn pcan AT (D) Approved desiga data and are in condition for safe operation (Certifies that unless otherwise specified in Block 12, the work identified ia Block 11 : Seceeasaatis res teh Cy Neer cette i lactones pu Sune oo ete pd ae ARERR | TS Ra RITE conan (SO a Na er i ba a nm Cipetortn Te bs aa Tar Rp TE spot nent fs Do ou Samay ae yw le TE ‘ht arnt ptm in te wi i tr pono ives my itt en swan iio ony ie Bk i ‘Seman irs ice aethiops eee ects am atom eel wc ee Bi | Suse lek ae mcmama. nal se nn nd i ca a ben ei hao xn ih eae Seer sa test ae one FAR Fam TOS OT a as TET TTY Wi GT IT a NENT RTOPOETHSAEROWORX, INC. 2565. 297TH STREET TORRANCE, CA 90505 Phone: (3108070300 FAK: (310)807-1248 FAA# OspRaezy THIRTY DAYS Se] Te a 1 | cat aerospace MH] caL Aerospace | ao WYOMING AVENUE 40 WYOMING AVENUE ne +7 | BANGOR Me sor | BaNcor Me uot Buss 3} usa ‘lon Reqaesiog Tat Nam Deserion ‘Seal oribor COVERRAUL eoAaTOGPTT ‘VALVE, ANTHIGING BLEED conics ‘Reerat Number Castor Par No anual Re. ~ TEA00 ‘Areah Posen ‘ast Rapa Staion 750 anual Daelloe [oaraeort SHELF REASON FOR RENOVAL ‘SPECIAL NSTRUCTIONS [ fareterei operon ecco ore "END USER USA(CAL sock) Nebel usT MANUFACTURERS SPECIFICATIONS, DISASSEMBLED. CLEANED AND INSPECTED. SHOP FINDINGS REVEALED THAT THE SHAFT ASSY IS WORN ‘ANO UNDERSIZE, THE CAM SHATT IS DAMAGED, LANVARO IS BROKEN, THE DEFLECTOR IS CRACKED. THE POPPET IS CRACKED, AND 100 PERCENT OF THE KIT IS WORN. OVERHAULED. REPLACED WORN AND PRECAUTIONARY PARTS, REASSEMBLED AND TESTED TOAEROWORX\, INC. ‘SHIPPER 25650. 237TH STREET Tasos | ososaoTe ‘TORRANCE, CA90505 Phone: (31091-0300 FAA: OSPRORY FAK (31001-1208 sine: CALAEROSPACE SO WYOMING AVENUE Shippers Acct# BANGOR, ME/04401 Usa Freight Terms: Golect Phone ‘Ae MIKE BERTHIAUME Customer 50 rence Werk Orde Number Temas 524430 21405015, INET 30 DAYS FOB ‘Shp ve. Freight 6 Numb “TORRANCE FEDEX GROUND 5696 4315 3103, Part Number: S044TO8P11 VALVE, ANTHICING BLEED Serial Number: COMO1648 Manufacturer. GE Condition: OVERHAULED ‘The stove tems have baen certied compete as represented ‘All eseropancios mus be noted no longer than 48 hours aes rcehing, of hey wi not be sceepled as changes tothe ‘extng work