WHEEL - LOG CARD EMBRAER S/A - Av. Brigadeiro Faria Lima, 2.

170
São José dos Campos - SP - 12227-901 - Brasil

Equipment Description Equipment Part Number Equipment Serial Number

Manufacturer Shelf Life Time Between Overhaul

1) MANUFACTURER APPROVAL
Complete Name Signature Badge Date

2) REMARKS

3) EQUIPMENT INSTALLATION AND REMOVAL DATA

INSTALLATION REMOVAL
AIRCRAFT SERIAL NUMBER Equipment Cycles Equipment Cycles
Date Aircraft Cycles Certification Date Aircraft Cycles Certification
Since New Since O/H Since New Since O/H

4) ENGINEERING CHANGES (SB, AD, STC, etc.)

DATE TYPE NUMBER REPAIR SHOP WORK ORDER CERTIFICATION
5) MAINTENANCE, REPAIR AND OVERHAUL
DATE REPAIR SHOP WORK ORDER WORK SUMMARY CERTIFICATION