GE Business and General Aviation OnPoint Engine Qualification Inspection Customer: Aircraft: Inspection Company : Address: Customer Name AC Make Model Serial No. Inspection Company Name Address linel Address Line 2 City. State/ Providence. Country ZIP code INSPECTION RESULTS 1. ESN #1: Lngine Serial Number. o BSI Inspection all stages, list unserviceable findings • Fan • Compressor • Combustor • HPT • LPT • Visual Current AD Status: List Required AD's o Engine visual inspection: list observations unserviceable findings in, line 4 below • Damage • Corrosion • Oil Leakage o Preservation: Must be in accordance with AMM guidelines 2. ESN #2: Lngine Serial number. o BSI Inspection all stages, list unserviceable findings • Fan • Compressor • Combustor • HPT • LPT • Visual Current AD Status: List Required AD's Engine visual inspection: list observations unserviceable findings in, line 4 below 0 • Damage • Corrosion o Preservation: Must be in accordance with AMM guidelines • Oil Leakage 3. Power Assurance: CF34 only - Down load MDC w/performance at cruise show 18 deg ITT. 4. Results of the above inspections for acceptance on the OnPoint maintenance program: Results: Performed by: Email: Inspector Name Email License #: License Number Phone: Phone Number. Signature: Date Scan and email results to: EFTA00582777