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e Area / Jeppesen Storage Box in Tapis, Grospoint Black 0091, Lot R. Flammability Testing (Spec /land Spe
osition of this form. This report iS reputed by taw (49 U.S.C. §447O ). Failure to report can result in a civil penally for each such violation. (49 U S.C. §463O1(a)) 1. Aircraft Nationality and megistrabon Mark USA N423TT Serial NO. 1085 Make Gulfstream Aerospace Model G-IV beats 2. Owner Na
NDIA, INC. PBLK1.00L & PBLK1.00H 1' LOOP AND HOOK BLACK PAGE: 3 SDNYGlvl_02753890 SUBJECT TO PROTECTIV
ereon for irenctorts end Minabon of It form. Thee report le wined by km (49 U.B.C. .44701) Fans to report cannot. hada prey to tech much Nolen. (49 U S.C. §48301(a)) .' I. Aircraft ova "le-tY and jigiets161:111-441 N677RP i scrim No. . 1085 make Gulfsueam ilothi G-IV sea 2. Owner Nana (Ai Ma
and Glare weal and Eyebrow panel rrzeetia min Mac Black Leatner n AmotOonCe byth kettle 400A AMFA 20-60-0
3.9. FAR 43 Appendix 8. ant/ AC 43.9.1 (or sut4equent revision thereof) for instrictora and clisposito of this form. This meat is required by bw (49 U S.C. 1421) Failure lo roped can result in a civil penalty not lo exceed 51030 f0r each Such NobiliCel (Section 901 Federal AMIl0n Ad 1958) I. Aircraft
HED' Repainted. recovered control °Arms MA Matte Black Leather Accordance wish Beath« 400A MIM 207040.70
AR 43 P FAR 43 Appendix 0. and AC 43 9.1 (or sarsequem caws on thereof) for mStruCcres are disp0sinon of MIS rpm. ThiS rennet is required by law (49 U S.C. t421) Failure b report can renal in a civil penny nol lo acted 51.000 kw iaacA sodi iolation (Section 901 Federal Aviation Act 1955) 1. Aircraft N
/Airstair with AerMat ST/1 003/1003/20R/54 Ribbed Black. Burn report IPM 329681.17 Rev A dated 8/22/I7 a
Part 43 Appendix B. and AC 43.9.1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U S.C. §44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §463O1(a)) Nationality and Registration Mani 4O1HB S
150 Park Row New York, New York 10007 Office: Black Ber >» 7/24/2019 12:16 PM > » Thanks Regional
public or those without a 'need to know: It contains Information that may be exempt from public release under the provisions of the Privacy Act (5 U S.C. 552). 1 of 3 SONY 00014494 EFTA00138176 Form 583 Report of Incident Incident #: NYM-19- Submitted By: 0076 Date/Time Of Incident: 7/23/2019
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