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NATO USEFLS(S) CLASSIFiCAT/ON(S) 0 j Richard W. Southard PERT-710241-SW Structures FAA Fonm MI
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.
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815/227-1611 • Fax 815/227-1920 Client : SYNCRO AIRCRAFT INTERIORS Date : 05/19/00 Client P.O. Aircraft: GULFSTREAM GIV Test Plan 11: 5823 Skandia WON: 45812-00 Rev: IR S/N: 1085 FIREBLOCKING FLAMMABILITY TEST RESULTS FAR 25.853 (c) Appendix F Part U Amendment 25-83 Conditioning Room: Tim
tions, please call me at (319) 295-0618. Douglas W. Jessen Collins Avionics Certification Center Ma
#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 —
(As shown or:registration certiacate) Plan D, L.W. Address (As shown on reg)sfradon certificate) M
173-02, Rev IR, dated 7/I 1/18. Composite material Hermes Fabric M 16 — Toile Decoration Grege, (same material) has been previously burnt, reference Skandia burn report TPt/ dated 8/22/17. the LH Divan (Outer Dress Cover Only) with Cowtan & Tout Fabric: 18905-01, EMI Natural. In with Aviation Consultin
ections use indented Wool permits ccmplete IL W. and VII as coolIcable. I. AIRCRAFT DESCRIPTION
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
s B. Kind of Agency C. Certificate No. Kenneth W. Chitty X U.S. Certificated Mechanic 454944057
RY 405020-CE, Structural special. Recovered the left and right hand drink ledge consoles with Rogers & n: Fabric, FRET #9103-05, Baroque, Treated at Skandia, REF treatment #SKEP41539. See the burn test report WO #46487- 00 and the FORM 8110-3, both dated 04-13-00 and approved by Judy Boggs, D.E.R. #DERV —
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