FA HEUACU SS AIRCRAFT & ENGINE AIRCRAFT ENG. CYCLES | CERTIFY THAT THE DAILY FLIGHT HRS / CYCLES / RIN HOURS ENG. 1 ENG. 2 | EVENTS INSPECTION WAS COMPLE’ ACCORDING TO THE NEXTSCHEOQULED —~- td ~ TYPE INSPECTION (60, 100, ETC.) < DATE: yh i Pos| | tT ANNUAL INSPECTION DUE DATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED NAME & & CERTIFICATE NO. FLIGHT DISCREPANCIES REMARKS 1 Ope — pa FEE EPO PRI LI ETE Eppa. rrigl’ LG COACTION CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG Bell Heliconter{i3.4( 7861 55349 REV 1945 A Subqidiary at Tend POOF OF PCE BOE AST = FORT WOMLTM, TELAD 26641 22/2} 7" eve a = oe _—* ce et ore ete a oe, oe tee eT ett a es pan we ents a _= Te — ——— ay oe = — — — a HOUSE _OVERSIGHT_006060

FA HEUACU SS AIRCRAFT & ENGINE AIRCRAFT ENG. CYCLES | CERTIFY THAT THE DAILY FLIGHT HRS / CYCLES / RIN HOURS ENG. 1 ENG. 2 | EVENTS INSPECTION WAS COMPLE’ ACCORDING TO THE NEXTSCHEOQULED —~- td ~ TYPE INSPECTION (60, 100, ETC.) < DATE: yh i Pos| | tT ANNUAL INSPECTION DUE DATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED NAME & & CERTIFICATE NO. FLIGHT DISCREPANCIES REMARKS 1 Ope — pa FEE EPO PRI LI ETE Eppa. rrigl’ LG COACTION CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG Bell Heliconter{i3.4( 7861 55349 REV 1945 A Subqidiary at Tend POOF OF PCE BOE AST = FORT WOMLTM, TELAD 26641 22/2} 7" eve a = oe _—* ce et ore ete a oe, oe tee eT ett a es pan we ents a _= Te — ——— ay oe = — — — a HOUSE _OVERSIGHT_006060

2 =P no, Lf Visas be TOTAL FOR THE DAY: AIRCRAFT & ENGINE nen FLIGHT HRS / CYCLES / RIN HOURS 422-9 | ENG. HOURS | CERTIFY THAT THE DAILY ENG. 1 ENG, 2 INSPECTION WAS COMPLE] ACCORDING TO THE MAINTENANGE MANUAL. YW) / ‘ sick, Ly RTIFICATE NO, EF Beate DATE: i 5 TOTALS BROUGHT FORWARD: TOTALS FOR TODAY: + ACCUMULATIVE TOTAL: Na ‘ ee Ee ee a re ee NEXT SCHEDULED INSPECTION DUE: TYPE INSPECTION (60, 100, ETC.) ANNUAL INSPECTION - mee Lae ) PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS 1 CORRECTIVE ACTION CORRECTIVE ACTION eee 3 ar SSE, CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG ! | Bell Helicopter {i344 | 7e61 55349 REY 195 a Sutaduey af Hrelre POOT OFFKE BOX 492 © FORT WOkTM. Tian TeIet HOUSE_OVERSIGHT_006059

2 =P no, Lf Visas be TOTAL FOR THE DAY: AIRCRAFT & ENGINE nen FLIGHT HRS / CYCLES / RIN HOURS 422-9 | ENG. HOURS | CERTIFY THAT THE DAILY ENG. 1 ENG, 2 INSPECTION WAS COMPLE] ACCORDING TO THE MAINTENANGE MANUAL. YW) / ‘ sick, Ly RTIFICATE NO, EF Beate DATE: i 5 TOTALS BROUGHT FORWARD: TOTALS FOR TODAY: + ACCUMULATIVE TOTAL: Na ‘ ee Ee ee a re ee NEXT SCHEDULED INSPECTION DUE: TYPE INSPECTION (60, 100, ETC.) ANNUAL INSPECTION - mee Lae ) PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS 1 CORRECTIVE ACTION CORRECTIVE ACTION eee 3 ar SSE, CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG ! | Bell Helicopter {i344 | 7e61 55349 REY 195 a Sutaduey af Hrelre POOT OFFKE BOX 492 © FORT WOkTM. Tian TeIet HOUSE_OVERSIGHT_006059

"ip DATE “TYPE OF" ACF HRS. | ENG. STARTS | nal ENG.1 ENG. 2 AIRGRAFT & ENGINE AIRCRAFT HOURS | ENG. CYCLES |1 | CERTIFY THAT THE DAILY FLIGHT HRS / CYCLES / RIN HOURS ENG. 1 ENG. 2 INSPECTION WAS COMPLE] TOTALS BROUGHT FORWARD: Lyf 2 MAINTENANGE . ; MAINTENANCE MANUAL. YU? 3WR NG? Yo Lf SSS. TT SS 6 ae ee ———— A 4 eee AS 2s eee a 2 NEXT SCHEDULED “RAME & CERTIFICATE NO. INSPECTION DUE: bad. SS PE INSPECTION 3/6 400, ETC.) e) Ho aot ANNUAL INSPECTION DUE DATE: FL PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS 1 CORRECTIVE ACTION 2 ey CORRECTIVE ACTION CORRECTIVE > o = ) Zz CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG | Bell Helicopter Dic 7861 56349 REV 195 , : eae POST OFFICE BON 482 © FORT WORTH, TERAD THIGH HOUSE_OVERSIGHT_006058

- Se oTaatS TORQ ENG. 1 ENG, 2 EVENTS ASSURANCE Spy ma Ca Taw - Py | fs FT Tin Ga sst | | - | | || [er | AIRCRAFT & ENGINE AIRCRAFT ENG. HOURS ENG. CYCLES | TORQUE |LANDINGS|| 1 CERTIFY THAT THE DAILY FLIGHT HRS / CYCLES / RIN HOURS ENG.1 ENG.2 | ENG.1 ENG.2 | EVENTS INSPECTION WAS COMPLET! TOTALS BROUGHT FORWARD: 7 462. >. : Ooh: ACCORDING TO THE 089 | 70 MAINTENANCE MANUAL. ff fg a a NAME & CERTIFICATE N NEXT SCHEDULED INSPECTION DUE: INSPECTION 00, ETC.) ANNUAL INSPECTION DUE DATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS | CORRECTIVE ACTION CORRECTIVE ACTION re K | nN Py rrr cere CORRECTIVE ? ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG Bell Helicopter 4 Suppdeary of Tealron | Ca FOat OFFICE GOT ABT « FORT PORTH, TERAR THD HOUSE_OVERSIGHT_006057 7861 55349 REV 195

- Se oTaatS TORQ ENG. 1 ENG, 2 EVENTS ASSURANCE Spy ma Ca Taw - Py | fs FT Tin Ga sst | | - | | || [er | AIRCRAFT & ENGINE AIRCRAFT ENG. HOURS ENG. CYCLES | TORQUE |LANDINGS|| 1 CERTIFY THAT THE DAILY FLIGHT HRS / CYCLES / RIN HOURS ENG.1 ENG.2 | ENG.1 ENG.2 | EVENTS INSPECTION WAS COMPLET! TOTALS BROUGHT FORWARD: 7 462. >. : Ooh: ACCORDING TO THE 089 | 70 MAINTENANCE MANUAL. ff fg a a NAME & CERTIFICATE N NEXT SCHEDULED INSPECTION DUE: INSPECTION 00, ETC.) ANNUAL INSPECTION DUE DATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS | CORRECTIVE ACTION CORRECTIVE ACTION re K | nN Py rrr cere CORRECTIVE ? ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG Bell Helicopter 4 Suppdeary of Tealron | Ca FOat OFFICE GOT ABT « FORT PORTH, TERAR THD HOUSE_OVERSIGHT_006057 7861 55349 REV 195

wey \ non eet ae ng ae ert ret, on ows ee a: are a ry sot & . yy yee 422 CENTURY COURT DR. \ PINEY FLATS, TN 37686 Packlist ID: PL40229AA PHONE 423.538.5151 Date: 09/28/2004 12.0 Gite A* 423.538.8469 Page: 1 ee OA pie. Reet An aie? gee ny Oy. or RES AS, pag Soe Sold ToAddres§ == ee Ship.to Address am. 9 Aare oak Pret Peal Ment dE ET hr Se Re PE EI ES sd AIR GHISLAINE, INC. CAV-AIR INC. 103 FOULK ROAD, SUITE 202 2011 SOUTH PERIMETER ROAD WILMINGTON, DE 19803 SUITE L USA FORT LAUDERDALE, FL 33309 USA te CUSTOMERAD Soe a CUSTOMER POe eae tee see PA VERBAL LARRY See SALES: REP IDS 22 soe SHIPPING METHOD: poe _FEDX P-1 AOGIII! | 2128/2004 31 BG1AA’ SSeS yee oe a ee pe es SHE ASS Re tae ge eae, és ‘OUR’ WORK. . Se a Re re eee Seanad eee ore BC [ORDER NO:< ie > e oo Toe Pee ot 0 18D Brn eg < TA as. ‘ A a o®. : © Cee sas ‘ —. acco ry Tee ee =e is “ Spa eees SHIP DATES = 2 eee eS eo deeetie cee ace eee aia KF Sea PART ID Seen es a ay — it 1.60 7.00 0,00 099-370-151 407 VALVE ASSEMBLY Ship Welght: Shipped Unit of Measure: EA . S/N : 364. QTY: 1.00 ae 8 FE Ut ee Se ae SBE AIF Ks SES tt ed SOS OR Se TR Rr Soa A ‘ cae ne ae ae a saree Bete eee ae ee ORDER : nea aan ECIE FICATION Se Se a ieee er ne pe ae Staats 2. ma 5 Be HOUSE_OVERSIGHT_006056

,ENG. 1 ENG TORQUE TOTATT "ENG § STARTS ENG. 1 ENG. 2 2 Sana ‘ > + | CERTIFY THAT THE DAILY INSPECTION WAS COMPLE’ ACCORDING TO THE MAINTENANCE MANUAL. AIRCRAFT & ENGINE AIRCRAFT ENG. FLIGHT HRS / CYCLES / RIN Hoo 7 ENG. TOTALS BROUGHT FORWARD: TOTALS FOR TODAY: ACCUMULATIVE TOTAL: NEXTSCHEDULED———«é NAME & CERTIFICATE NO. INSPECTION DUE: Y 4 199.5 = — TYPE INSPECTION (50, 100, ETC.} 50 too SE: ANNUAL INSPECTION DUE DATE: “alos PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS CORRECTIVE ACTION tins ) Cav-Alr Helicopters, LLC. 2014 South Perimeter Road, Suite L. Ft. —— COARECTIVE ye aa Lauderdale Executive Airport, Ft. Lauderdate, Fi. 33309, USA. ACTION = CORRECTIVE pretated new LH emergency bottle vatve assy pin 099-370-151407 s/n 364 with new orings pin's MS28778-4 (2 ea.) and MS28778-12 (2 ea.) and retainers pin's MS28773- | ACTION fas ene ). Serviced bottle with nitrogen to 3400 psl. Laak check ok at this time with no defects noted, Reconnected all electrical conneciors and | 4 : - a —EeE _ ithe Item Identified a above ¥ was inspected and r repaired and functionally tested in accordance with current Federal Aviation Regulations a and is ——<—-____——-— 9 approved for retum to service, Partine ria le at this agency under work order H4887. —_— CORRECTIVE . f , ACTION : September 30,2004 ; 5 | CORRECTIVE ACTION | , Beil Helicopter iis. 7861 55349 REV 195 nel alae PORT OFFICE BOK

; peas St 4 ‘ on + wine . e hee 3 mar ete oot ose OWNER Fi . eure we Cn i ee : aOR et ters ee oe * be Sait i TYPE OF ENG. STARTS | FLIGHT ENG. 2 om, : : AIRCRAFT & ENGINE AIRCRAFT ENG, CYCLES | CERTIFY THAT THE DAILY FLIGHT HRS / CYCLES / RIN HOURS ENG. 1 ENG. 2 INSPECTION WAS COMPLE TOTALS BROUGHT FO AR NOTRE. YY: pw “Slog 5 a: 'S le ACCORDING TO THE MAINTENANCE MANUAL. TOTALS FOR TODAY: : : a NEXT SCHEDULED 7 _— SS TW & CERTIFICATE NO. INSPECTION DUE: ugq, om TYPE INSPECTION (60, 100, ETC.) So Hew DATE: /; ANNUAL INSPECTION —— aos | | | || 7 5a it]oy Run On landings UY Bit OTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED piscneran Sept. 24,2004 N491GM S/N 53375 Hobbs 4573 1 Removed and replaced Emergency Float Bag covers P/N’s 206-050-247-131 L/H Fwd., ‘connect, ~132 R/H Fwd., -135 L/H & R/H Centers, -137 L/H Aft., and -138 R/H Aft. ACTION Performed 180 Day Scheduled Insp. In Accordance With BHT 407 MMS-1 2. per section 5-3guides: Removed existing High Skid Gear and installed pre existing High _ Skid Landing gear with Emergency Floats previously installed onto gear. connectiv Weight & Balance section of flight manual was updated. ACTION The above work was performed in accordance with BHT Maintenance Manuals 3 Inspection Guides, and in accordance with AC 43.13. 1A.2B. and was found to be in _ Airworthy Condition, and has been Approved for Return to Service. All detai CORRECTIN file at Cav-Air LLC unde | CUASHEe On

us| N491GM S/N 53375 ACTT 450:5 W Torque checked M/R mast nut, M/R hub lower cone, M/R hub through bolts, and T/R mast nut per Bell’s 407 Maintenance Manua for return to service. Teer Dit FAA REPAIR STATION FKFR930D PARTS AND SERVICES SOLD OR PERFORMED CONFORM TO BELL APPROVED PARTS STANDARDS, CURRENT BELL PUBLICATIONS AND FAA REQUIREMENTS, I CERTIY THAT THIS TRANSPONDER MAKE_Ki MODEL \ET-"11 sin BOOS) HAS BEEN TESTED, INSPECTED AND WAS FOUND TO MEET THE REQUIREMENTS OF FAR 91.413. ACTT_ 444.5 DATE__ W-1y-oY ee: ae EDWARDS & ASSOCIATES, INC. FAA REPAIR STATION FKFR930D DATE_4-I4-04 THE AIRCRAFT STATIC PRESSURE SYSTEM WAS TESTED AND INSPECTED AND FOUND TO COMPLY WITH FAR 91.411 (A)(2) AND FAR 43, APPENDIX E, PARA [A). EDWARDS & ASSOCIATES, INC. FAA REPAIR STATION FKFR930D . INSPECTOR FOR EDWARDS & ASSOCIATES, INC. BRISTOL, TN 37625 FAA REPAIR STATION FKFR930D actTr 444.5 pate A-14-047 SERTAL NUMBER S3375 i CERTIFY THAT THIS AIRCRAFT HAS BEEN INSPECTED IN ACCORDANCE WITH A 3co He [Arnot {34 Moth f b0 Monto INSPECTION AND WAS DETERMINED TO BE IN AIRWORTHY CONDITION, PERTINENT DETAILS OF THE INSPECTION AND REPAIR WORK PERFORMED ARE ON FILE AT ve AGENCY. ze a dita NO(S)_COH3STEA, fo 49 b3ER EDWARDS & ASSOCIATES, INC. acTT_NYUS syn _ S3395 ci al AP Bt ONNG. © INDEPENDENT CHECK CARRIED OUT ON AFFECTED FLIGHT CONTROLS. ACTT 44490, DATE 9-14 -o0 EDWARDS & ASSOCIATES, INC. FAA REPAIR STATION FKFR930D ILY INSPECTED THE MAKE/MODEL/SERIAL NUMBER PEE FAKYSO 7 4S

N491GM S/N 53375 W/O C04857EA, CO4863EA ACTT 449.5 9-14-04 Entry Continued Complied with the following: CEB-A-73-6041 Removed Fuel Nozzle P/N 6899001 S/N 1PP02599 TSN 449.5 and sent for upgrade. Reinstalled serviceable Fuel Nozzle P/N 23077067 S/N 1PP02599 TSN 449.5. ASB 407-01-48(B) Part V & AD 2003-05-03(e) Inspected tailboom, no defects noted. ASB 407-00-36{A) Part Il Installed serviceable Fuel Pressure/Ammeter Indicator PIN 407-375-007-105 S/N 0397. ASB 407-02-50(A) N/A to AAI P/N 407-725-104 Aft high gear crosstube installed. ASB 407-03-57(B) N/A to T/R gearbox P/N 406-040-406-101. ASB 407-03-58 Part Il HMU drive splines inspected by Standard Aero per CEB-A-73-6030. ASB 407-03-59 Assignment of 5000 RIN to crosstubes for run-on landings. Current Run-On Landings calculated total is 44 at this time. Created historical records for Forward Crosstube P/N 407-050-201-115 S/N A-334 and Aft Crosstube P/N 407-725-104 S/N AA-394. ASB 407-03-60 Removed ECU P/N 23071644 S/N JG6ALK0226 TSN 1354.4 and installed serviceable ECU P/N 23072790 SIN JG7ALK0377 TSN 2303.3. ASB 407-03-61, ASB 407-04-64(A), & CEB-A-72-6037 Removed Turbine Assembly P/N 23063354 S/N CAT-44587 TSN 449.5 TC 966 and sent for inspection of 3 stage wheel, inspection of 4'" stage wheel, and inspection of 1" stage nozzle shield. Reinstalled serviceable Turbine Assembly P/N 23063354 S/N CAT-44587 TSN 449.5 TC 966. ASB 407-04-62 Removed HMU P/N 23075495 S/N JGAMU0017 TSN 449.5 and sent for CEB-A-73-6042 Install

N491GM S/N 53375 W/O C04857EA, CO4863EA ACTT 449.5 9-14-04 Entry Continued Complied with the following: CEB-A-73-6041 Removed Fuel Nozzle P/N 6899001 S/N 1PP02599 TSN 449.5 and sent for upgrade. Reinstalled serviceable Fuel Nozzle P/N 23077067 S/N 1PP02599 TSN 449.5. ASB 407-01-48(B) Part V & AD 2003-05-03(e) Inspected tailboom, no defects noted. ASB 407-00-36{A) Part Il Installed serviceable Fuel Pressure/Ammeter Indicator PIN 407-375-007-105 S/N 0397. ASB 407-02-50(A) N/A to AAI P/N 407-725-104 Aft high gear crosstube installed. ASB 407-03-57(B) N/A to T/R gearbox P/N 406-040-406-101. ASB 407-03-58 Part Il HMU drive splines inspected by Standard Aero per CEB-A-73-6030. ASB 407-03-59 Assignment of 5000 RIN to crosstubes for run-on landings. Current Run-On Landings calculated total is 44 at this time. Created historical records for Forward Crosstube P/N 407-050-201-115 S/N A-334 and Aft Crosstube P/N 407-725-104 S/N AA-394. ASB 407-03-60 Removed ECU P/N 23071644 S/N JG6ALK0226 TSN 1354.4 and installed serviceable ECU P/N 23072790 SIN JG7ALK0377 TSN 2303.3. ASB 407-03-61, ASB 407-04-64(A), & CEB-A-72-6037 Removed Turbine Assembly P/N 23063354 S/N CAT-44587 TSN 449.5 TC 966 and sent for inspection of 3 stage wheel, inspection of 4'" stage wheel, and inspection of 1" stage nozzle shield. Reinstalled serviceable Turbine Assembly P/N 23063354 S/N CAT-44587 TSN 449.5 TC 966. ASB 407-04-62 Removed HMU P/N 23075495 S/N JGAMU0017 TSN 449.5 and sent for CEB-A-73-6042 Install

= “oa - ae eee “6 sis Oe pee Fey ial ae «le aad giesaten ee Et kee Lae = gt ge! en Peers a = "| . AIRCRAFT MODEL SERIAL NO. os REGISTRATION NO. | OWNER a, . . O77 53375 | NW4O16M au (ohis taine. 443515 PILOT Ic n -> @) as TOTAL TOTAL ACCU! | NEXT { INSPE\ TYPE | (50, 10: ANNUJ DUE D, FLIG DISCE CORA AC CORR AG CORA AC CORA AC CORR AC N491GM S/N 53375 W/O C04857EA, CO4863EA 9-1 4-04 ACTT 449.5 ENG 449.5 HOBBS 449.5 CYCLES 966 TQ EVENTS 1068 RUN-ON LANDINGS 44 Downloaded FADEC Fault History. No faults in system. Removed & reinstalled M/R blades to facilitate hangar. Performed 300 Hour/12 Month/Annual Airframe Periodic Inspection, 24 Month & 60 Month Inspections, and all 6 Events of the Airframe Progressive Inspection per Bell’s 407 Maintenance Manual. Performed 150 Hour/300 Hour Engine Inspections per Rolls Royce C47B Maintenance Manual. Performed 24 Month Inspection of fuel system, cyclic controls, and M/R flight control bolts Performed 1200 Hour/24 Month Inspection of T/R pitch change control tube. Drained and reserviced transmission & T/R gearbox oils with Royco 555. Drained and reserviced engine oil with Mobil 254. Greased swashplate, pitch link trunnions, & T/R pitch change assy with Mobil 28. ~~ Greased T/R hanger bearings & oil cooler bearings with Mobil 28, .—— Deep cycled battery P/N 31908-001 S/N 9902188. Washed engine compressor. Cleaned hydraulic filters. Drained and reserviced hydraulic fluid. Installed new airframe fuel filter P/N

TRESS na ee, Min Mitincea eh: i pal toe at RO wake Ten at A ri dy i Hy ¢ ae 5 L Bh) at His a? . . bes . is j ; 4 an of ar RL, pa a rr ot Vey 167 | LO RAEI Ree Se ee) ak) ce a: [REGISTRATION NO. : OWN ER. OF. “POWER ENG. 1. NG ASSURANCE, = “* "TOTAL FOR THE DAY: | 10-3 | 7 ” FLIGHTHRS/CYCLES/RIN | HOURS ENG. 1 ENG. 1 ENG. 2 7 TOTALS. BROUGHT FORWARD: 473GQ To 2 . TOTALS FOR TODAY: | CERTIFY THAT THE DAILY INSPECTION WAS COMPLE} ACCORDING TO THE MAINTENANCE MANUAL. TORQUE EVENTS | ACCUMULATIVE TOTAL: NEXT SCHEDULED INSPECTION DUE: TYPE INSPECTION (60, 100, ETC.) DATE: NAME & CERTIFICATE NO. ANNUAL INSPECTION DUE DATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS 1 CORRECTIVE ACTION 2 ca a et CORRECTIVE ACTION ; rp a F '* CORRECTIVE , | ‘ACTION SS carr Fe lp SSS yg SS Ss SSS SSS SSS lf fc yyy pyre 4 CORRECTIVE ACTION 5 CORRECTIVE ACTION HELICOPTER LOG | Bell Helicopterii24Uic 7861 55349 REV 195 & Sebsidhery of Tern PORT OFFICE BOK 462 » TOAT WOATH, FEZaAG 7608) Fwnastonge Es exe ~ tele coettatt EL eT ee Seanad rit Te ee a ee ee en ee ee a ee RE a ee ee BIG ml BD ela tics oem pacar imteo we wae aay we ada ane . —_-— & ww Oe HOUSE_OVERSIGHT_006050

AIRCRAFT MODEL SERIAL NO, REGISTRATION NO. OWNER O 523315| NYI/IG Aur ChArilamce 443514 ee ee ee eee ee eee PILOT DATE | TYPE OF| ACFT. HRS. ENG. STARTS | TORQUE POWER ENG. 1 ENG. FLIGHT ENG.1 ENG. 2 | EVENTS ASSURANCE ES / ba hs pw rh & : > | “tO ms - (OD TOTAL FOR THE DAY: AIRCRAFT & ENGINE AIRCRAFT ENG. CYCLES | TORQUE | CERTIFY THAT THE DAILY FLIGHT HRS / CYCLES / RIN HOURS ENG. 1 ENG. 2 | EVENTS INSPECTION WAS COMPLET! ACCORDING TO THE MAINTENANCE MANUAL. A Oo Gs oO gi . C < fi TOTALS BROUGHT FORWARD; 39 TOTALS FOR TODAY: lo’ ACCUMULATIVE TOTAL: 44Q's qs iyyqs |G NEXT SCHEDULED NAME & CERTIFICATE NO. INSPECTION DUE: TYPE INSPECTION (50, 100, ETC.) DATE: ANNUAL INSPECTION - DUE DATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT 1 THIS AIRCRAFT WAS INSPECTED AND FOUND TO BE IN es CORRECTIVE AIRWORTHY CONDITION FOR THE MAINTENANCE/ALTERATIONS ACTION PERFORMED, PERTINENT DETAILS OF THE WORK PERFORMED ———~————-____ ARE ON FILE AT THIS AGENCY UNDER WORK ORDER(S) et 2 CO¥RSIER, Lo4kbZER . THE AIRCRAFT IS APPROVED FOR RETURN TO SERVICE FOR TEST FLIGHTS To “CORRECTIVE CONDUCT REQUIRED OPERATIONAL CHECKS OF THE _ ACTION MAINTENANCE/ALTERATIONS PERFORMED PER FAR 91.407(B). 3 a a ae INSPECTOR FOR CORRECTIVE EDWARDS & ASSOCIATES, INC, ACTION FAA REPAIR STATION FKFR930D =" ee ee CORRECTIVE pele DATE 9-ff-of ACTT 4/513 SiN $3375 PERFORMED MAINTENANCE TEST FLIGHTS TO CONDUCT REQUIRED ey sO OPERATI

3 a TE TE PPT PAYS ES LO ke rg Te AIRCRAFT MODEL SERIAL NO. REGISTRATION NO. , V, : f hr, 5 -4¢o] |sza7s| 14916 As CJ. cdame 443513 PILOT ENG. STARTS | TORQUE LANDINGS ESURANCE ENG. 1 ENG FLIGHT ENG.1 ENG. 2 en Eo Cf an a a i CAE TS SENS Boy ym TOTAL FOR THE DAY: AIRCRAFT & ENGINE AIRCRAFT ENG. HOURS ENG. CYCLES FLIGHT HRS / CYCLES / RIN HOURS ENG. 71 ENG, 2 ENG. 1 ENG. 2 TOTALS BROUGHT FORWARD: a 37° m9 a ACCUMULATIVE TOTAL: | ~ [4 NEXTSCHEDULED | NAME & CERTIFICATE NO. INSPECTION DUE: Zar ES SS zi) TYPE INSPECTION g f te of (60, 100, ETC.) DATE: ANNUAL INSPECTION DUE DATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED 1 CERTIFY THAT THE DAILY INSPECTION WAS COMPLE’ TORQUE EVENTS FLIGHT DISCREPANCIES REMARKS | 1 CORRECTIVE ACTION 2 ee EE ———ve re CORRECTIVE ACTION eee 3 a a A rE 8 CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG Bell Helicopter {i3.4L. A Sutrasdeary of deal 7861 55349 REV 195 / a POET OFFICE O1 442 + FORT WORTH, TENA 18604 a ee ne en ees we = ere mews ow - ue A CO. cow eS es oe re ere = SA A Uy ca AI RE OY UO} Oo ee HG HOUSE_OVERSIGHT_006048

F AIRCRAFT MODEL =—=s |. SERIAL NO. | omens NO. OWFER 7 7 GS ; CLs Lacing 443512 PILOT DATE | TYPE OF! ACFT. <7 ENG. STARTS TORGUE LANDINGS]| POWER ENG.1 ENG FLIGHT ENG.1 ENG. 2 — — Pe: — | TOTATT Le fC pM pz OAT | CERTIFY THAT THE DAILY INSPECTION WAS COMPLE’ ACCORDING TO THE MAINTENANCE MANUAL. \ \ a \ SRR a incl Ww) | AAS uy | ARS TOTAL FOR THE DAY: AIRCRAFT & ENGINE AIRCRAFT ENG. CYCLES FLIGHT HRS / CYCLES / RIN HOURS ENG. 1 ENG. 2 |; EVENTS NEXT SCHEDULED INSPECTION DUE: BLS 6 ¥ Cy Pg ee AME & GERTIFICA#TE NO. TYPE INSPECTION (60, 100, ETC.) ANNUAL INSPECTION DUE DATE: v fos PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS t ; Kd8¢ Fray os fr fire Ju snortir Lo EST” Beshounsr “P| LIDAR fp 7, CO ACTION 2 = SPO Loge SEIDO teers AL Ons! PE ee 2 ! ; came rol Laas“ 2 : Seaateia’. CLEP” PAL SOG PL CORRECTIVE ACTION P79 9/2209. 3S + G&G Meu77 4, LEAD 0 tass. om 3 on , tj PV 2 $ firrhiuge Boe a EL ff OL. 4 agi P44 CORRECTIVE D ACTION OnLy SfPLS ef LVI ~Ptonstonce V7 fopr as CFu) Pr : - | FPR. Sones, GAA mn 7 Ft 7O CBr2C/? a, CORRECTIVE ay // ACTION ry f. CORRECTIVE ACTION A+ 2A es v2 HELICOPTER LOG Beli Helicopter [24 A Subasdierg al teat 7861 55349 REV 195 . PORT OFFICE BOX Ab2 s FORT WORTH. TEMAS TEIOY HOUSE_OVERSIGHT_006047

F AIRCRAFT MODEL =—=s |. SERIAL NO. | omens NO. OWFER 7 7 GS ; CLs Lacing 443512 PILOT DATE | TYPE OF! ACFT. <7 ENG. STARTS TORGUE LANDINGS]| POWER ENG.1 ENG FLIGHT ENG.1 ENG. 2 — — Pe: — | TOTATT Le fC pM pz OAT | CERTIFY THAT THE DAILY INSPECTION WAS COMPLE’ ACCORDING TO THE MAINTENANCE MANUAL. \ \ a \ SRR a incl Ww) | AAS uy | ARS TOTAL FOR THE DAY: AIRCRAFT & ENGINE AIRCRAFT ENG. CYCLES FLIGHT HRS / CYCLES / RIN HOURS ENG. 1 ENG. 2 |; EVENTS NEXT SCHEDULED INSPECTION DUE: BLS 6 ¥ Cy Pg ee AME & GERTIFICA#TE NO. TYPE INSPECTION (60, 100, ETC.) ANNUAL INSPECTION DUE DATE: v fos PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS t ; Kd8¢ Fray os fr fire Ju snortir Lo EST” Beshounsr “P| LIDAR fp 7, CO ACTION 2 = SPO Loge SEIDO teers AL Ons! PE ee 2 ! ; came rol Laas“ 2 : Seaateia’. CLEP” PAL SOG PL CORRECTIVE ACTION P79 9/2209. 3S + G&G Meu77 4, LEAD 0 tass. om 3 on , tj PV 2 $ firrhiuge Boe a EL ff OL. 4 agi P44 CORRECTIVE D ACTION OnLy SfPLS ef LVI ~Ptonstonce V7 fopr as CFu) Pr : - | FPR. Sones, GAA mn 7 Ft 7O CBr2C/? a, CORRECTIVE ay // ACTION ry f. CORRECTIVE ACTION A+ 2A es v2 HELICOPTER LOG Beli Helicopter [24 A Subasdierg al teat 7861 55349 REV 195 . PORT OFFICE BOX Ab2 s FORT WORTH. TEMAS TEIOY HOUSE_OVERSIGHT_006047

‘) A TENET EE TE TE Te PY BPG LT TNE TET PE EEE ee TN ace Dd | aha aa ee et le ite tl ee a ie ee AIRCRAFT MODEL SERIAL NO. OWNER AIR GHIScAiweE 443511 DATE | TYPEOF| ACFT. HRS. ENG. STARTS TORQUE | LANDINGS POWER EN cou puigir | ATT MRS: Tena enae2 | EVENTS aa assurance | NO * ENG. 4 Call alk rE PILOT TOTAL FOR THE DAY: AIRCRAFT & ENGINE AIRCRAFT ENG. HOURS ENG. CYCLES | TORQUE LANDINGS! | CERTIFY THAT THE DAILY FLIGHT HRS / CYCLES / RIN HOURS ENG.1 ENG. 2? ENG. 1 ENG. 2 | EVENTS INSPECTION WAS COMPLET! ACCORDING TOT TOTALS BROUGHT FORWARD: Gly MAINTENA : MANUAL. Fra Fon TOON oolee tp es ar NEXT SCHEDULED ~ — te RE & SERTIFIOR E a INSPECTION DUE: TYPE INSPECTION /s SOK [S| (50, 100, ETC.) ANNUAL INSPECTION DUE DATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS . On & YOY 27 dé 4 a tof 4 Sf) bogs ste CORRECTIVE ACTION , G wel tloet Ian: 1H a rae : ge Lt ee ta A bits -. — 7 a bf 2 CORRECTIVE — Wwe LT elesce eae wtf” tirhed w AA fa ritecl A itrve.f FOO here puspec. feet ct lencbs'n Cae Ce To, S$ pe, eorra Keal Accessovies Ine. Cour ditzuedl Av werelhiy ne 2 wood ee, f-OOW &{ CORRECTIVE ACTION F if — section zl ‘ectovne A eno cow peessov wash. InsTa feck naw aaa Ly 4 jt. Rif - Yl -18 |] CORRECTIVE F: ACTION and We weev sfeev VA tb -O9U0~ gi4- ie i atl fre whole Y T i SS Rein ed Ei tbew Core dunel OVE OF Cite “Vk bLlacky OW 2s Wig AT A he®. 7] r Ch AS oC CORRECTIVE a Att ab