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Se Pursue I to the authority given persons &Pealed below, the unit identified in item 5 was nseecteo in the manner presorted by Me Administrator of the Federal Aviation Administration and is 2 Approved 0 Rejected BY FAA Flt Standards Inspect« Maintenance Organization Persons Appeared by Canavan Department or Transport FM
or. It) Airplane sNAME OF APPLICANT International Jet Interiors LIST OF DATA tit IDENTIFICATION 7,11TLE TP 268821-14 Rev A Dated 02/18/2014 Skandia. Inc. Flammability Test Report Bunsen Burner Testing Test Specimen P/N's 1 (represents floor covering) 2 (represents floor ducts) 3 (represents
8/08/2012 7. Approval for Return to Service Pursue 1 to me aulhontY 9 en ;sons Specified below, the unit identified in Rem 5 was Administrate( of the Federal Aviation Administration and a 2 Approved inducted n the manner presaibed by the II Rejected BY FM Ft. Standards Inspector Manufacturer maintenance Organization Peew
abricated using Garrett Leather C-616 Chatham Seafog Dye Lot 67296. Production cushions are fabricated using a combination of different densities of Skandia, Inc. DAX GraphiteJPoly with 26 ILD being the lowest density used. All cushion assembly components are bonded with Coral Adhesives CC1025 Adhesive.
uant Administrator BY to the authority given persons specified below. the unit identified In item 4 was impeded in the manner prescrbed by the of the Federal Aviation Administration and is 00 APPROVED LI REJECTED FM Pt Standards Inspector Manufacturer gr. Inspection Authorization Other (Sped*, FM Designee Repair Station
#DERY 405020-CE, Structural special. Recovered the left and right hand drink ledge consoles with Rogers & Fabric. FRET #9103-05, Baroque, Treated at Skandia, REF treatment #SKFP41539. See the bum test report WO #46487- 00 and the FORM 8110-3, both dated 04-13-00 and approved by Judy Boggs, D.E.R. #DERY —
ursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Adnwiistrator of the Federal Aviation Administration and is n APPROVED O REJECTED FM FN. Standards Inspector Manufacturer Maintenance Organization Persons Approved by Canadian Department of Tran
and Aeristo Leather. Alcantara Anthracite PN ALCA-AV-1883 (center insert). Reference Skandia Inc. FAA/DER form 8110-3 (attached) dated 08/21/2019 (Skandia burn report TP1/ 360764-19, Rev A dated 8/21/2019) by FAA/DER Jane Biberstein. (DERV-832780-CE). Crew seat belts have been rewebbed by C&M Marine Av
B El 12/29/2013 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified Administrator of the Federal Aviation Administration and is Ell in item 5 was Inspected In the manner presalbecl by the APPROVED K REJECTED FAA Flt Inspector Standards Manufacturer Maintenance
van installation: Installed (3) place divan part Number 32-0396(A6OPT)7123.K02 S/N 003702 In Accordance with Aviation Fabricators STCIST01572VVI and Skandia FlammiNity test report 5254976 per Jane Biberstein FM DER (DERY-832780-CE) dated 4/23-2013 THE FOLLOWING INTERIOR ITEMS HAVE BEEN MODIFIED: LM Gai
Entities connected to both the Federal Aviation Administration and Skandia

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