A/C TYPE BE. 400A REGN. HS- SERIAL No. RK- JOB No.
PAGE OF
T.A.T. HSR. MINS TOTAL LDGS. TECH. LOG REF.: DATE:
ENGINES: PRATT & WHITHEY ENGINE # 1 #1 T.E.I. HSR. MINS. # 1. C.S.N.:
ENGINE # 2 #2 T.E.I. HSR. MINS. # 2. C.S.N.:
ITEM DATE REPORT BY NATURE OF DEFECT / REQUIRED
ITEM RECTIFICATION / PERFORMED INCL. S/Nos., GRN’s MECH./LAE, LIC # DATE
RECORD OF SPECIAL TOOLS USED
NAME S/N LAST CAL NEXT CAL. DUE
_____ / _____ /_____ _____ / _____
_____ / _____ /_____ _____ / _____
_____ / _____ /_____ _____ / _____ /
L.EA. SIGNATURE IN THIS COLUMN WILL BE INTEPPRTED TO THE EFFECT: ALL THE ABOVE WORK HAS BEEN ACCOMPLISHED IN ACCORDANCE WITH THE MANUFACTURER’S
INSTRUCTIONS AND THE REQUIREMENTS OF THE AIR NAVIGATION ACT AND IN THAT RESPECT, THE AIRCRAFT, ENGINES AND ALL ACCESSORISE ARE CONSIDERED FIT FOR
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