118
LINE 3= 154 154 289 175 3rd COMP a 1- 2. ENG S/N T-55-GA-714A 3. NOMENCLATURE GA75103 1. MODEL 2 6. HISTORICAL COUNTS ON ENGINE PART 1 - 714A ENGINE / COMPONENT REPORT APPROVED BY HQ DA G4 ENGINE ASSY TURBINE f 2-001-020-39 g GP SPACER 4. P/N 187 195 8601682 10ANV1484 ENG OP HRS 1 ACFT h 1st GP 5A. DECU S/N 5. S/N 3rd TURB e d 155 1715 4th TURB b c 1st TURB 2nd TURB ENGINE = Total Counts READING AT REMOVAL OF 7. NO. OF OVERHAULS READING AT Counts since install LINE 2 MINUS LINE 1 = Total INSTALLATION

PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

  • Upload
    others

  • View
    1

  • Download
    0

Embed Size (px)

Citation preview

Page 1: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

LIN

E

3=

15

41

54

28

91

75

3rd

CO

MP

a

1-

2.

E

NG

S/N

T-5

5-G

A-7

14

A

3. N

OM

EN

CL

AT

UR

E

GA

75

10

3

1. M

OD

EL

2

6. H

IST

OR

ICA

L C

OU

NT

S O

N E

NG

INE

PA

RT

1 -

71

4A

EN

GIN

E /

CO

MP

ON

EN

T R

EP

OR

T A

PP

RO

VE

D B

Y H

Q D

A G

4

EN

GIN

E A

SS

Y T

UR

BIN

E

f

2-0

01

-02

0-3

9

g

GP

SP

AC

ER

4. P

/N

18

71

95

86

01

68

2

10

AN

V1

48

4

EN

G O

P H

RS

1

AC

FT

h

1st

GP

5A

. D

EC

U S

/N

5. S

/N

3rd

TU

RB

ed

15

51

71

5

4th

TU

RB

bc

1st

TU

RB

2n

d T

UR

B

EN

GIN

E =

To

tal C

ou

nts

RE

AD

ING

AT

RE

MO

VA

L O

F

7.

NO

. O

F O

VE

RH

AU

LS

RE

AD

ING

AT

Co

un

ts s

ince

inst

all

LIN

E 2

MIN

US

LIN

E 1

= T

ota

l

INS

TA

LL

AT

ION

Page 2: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

CYC/HRS

NSTALL

REMOVAL

CYC/HRS

REMOVAL

f

NSTALL

ji kgdcbaCYC/HRS

COMPO/H

NOMEN

WUC

Hours/Cycles)

O/H

LOCATIONNSNAND

heSINCE

LIFE

(EnginePREV

SER NO.AND

NOMENCLATURE PN

TIME CYC/HRS

DUEREPLAC

NO.

COMPONENTNOMEN

REP.O/H ORCOMP

6.

04A

5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE

ENGINE ASSY TURBINE 2840014585361 2-001-020-39 GA75103

Report Date: 2/803-Feb-2014

104A01C2-101-600-576136510356740

04A01C

1547CCCOMPRESSOR ROTOR ASSY 2-101-600-57 61365103567 CC 911 COND COND

104A02A2-131-110-763246371172440

04A02A

1547CCLINER ASSY, COMBUSTION 2-131-110-76 32463711724 CC 918 COND COND

Cycles104A02B122-121-075-366136510385940

04A02B12

195RCSEALING PLATE, 1ST GP 2-121-075-36 61365103859 RC 195 20990 20990

Cycles104A02B132-121-071-426136510725840

04A02B13

187RCSPACER, TURBINE GAS 2-121-071-42 61365107258 RC 187 8300 8300

204A02C2-121-430-251110824454440

04A02C

1657CCNOZZLE ASSY 1ST TURBINE 2-121-430-25 11108244544 CC 0 COND COND

Cycles104A03A2-121-090-796136510479440

04A03A

155RCDISK ASSY, 1ST TURBINE 2-121-090-79 61365104794 RC 155 10400 10400

104A03B2-121-470-493149950073540

04A03B

1547CCCYLINDER 1ST TURBINE 2-121-470-49 31499500735 CC 1100 COND COND

Cycles104A03C2-121-110-356136510433040

04A03C

175RCDISK ASSY, 2ND TURBINE 2-121-110-35 61365104330 RC 175 3300 3300

104A03D2-121-100-795249060597440

04A03D

1547CCNOZZLE ASSY, 2ND TURBINE 2-121-100-79 52490605974 CC 1451 COND COND

04A03E2-141-140-456P2927140

04A03E

1657CCTURBINE ROTOR 2-141-140-45 6P29271 CC 345 COND COND

PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4

Page 3: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

CYC/HRS

NSTALL

REMOVAL

CYC/HRS

REMOVAL

f

NSTALL

ji kgdcbaCYC/HRS

COMPO/H

NOMEN

WUC

Hours/Cycles)

O/H

LOCATIONNSNAND

heSINCE

LIFE

(EnginePREV

SER NO.AND

NOMENCLATURE PN

TIME CYC/HRS

DUEREPLAC

NO.

COMPONENTNOMEN

REP.O/H ORCOMP

6.

04A

5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE

ENGINE ASSY TURBINE 2840014585361 2-001-020-39 GA75103

Report Date: 3/803-Feb-2014

Eng Hrs104A05A110700-02D6115999000401450

04A05A

17150HYDROMECHANICAL ASSY 110700-02D6 11599900040145 0 1335 2400 4115

SIGNIFICANT HISTORICAL DATA7.

05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005./S/ M.THORN,CCAD, CORPUS CHRISTI,TX 78419-5260

DS420761 TASM-E MANNHEIM,GERMANY

11-Apr-2012 1 RESET INSPECTION COMPLETED AT 1659 ENGINE OP HOURS. ENGINE INSPECTED, CLEANED,REPLACED 1ST TURBINE NOZZLE, ENGINE TEST RUN SATISFACTORILY.

RT641287 HUNTER AFMA HAAF, GA 31409

PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4

Page 4: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

LIN

E

3=

00

00

3rd

CO

MP

a

1-

2.

E

NG

S/N

T-5

5-G

A-7

14

A

3. N

OM

EN

CL

AT

UR

E

61

36

51

03

56

7

1. M

OD

EL

2

6. H

IST

OR

ICA

L C

OU

NT

S O

N E

NG

INE

PA

RT

1 -

71

4A

EN

GIN

E /

CO

MP

ON

EN

T R

EP

OR

T A

PP

RO

VE

D B

Y H

Q D

A G

4

CO

MP

RE

SS

OR

RO

TO

R A

SS

Y

f

2-1

01

-60

0-5

7

g

GP

SP

AC

ER

4. P

/N

00

GA

75

10

3

10

AN

V1

48

4

EN

G O

P H

RS

CC

AC

FT

h

1st

GP

5A

. D

EC

U S

/N

5. S

/N

3rd

TU

RB

ed

00

4th

TU

RB

bc

1st

TU

RB

2n

d T

UR

B

EN

GIN

E =

To

tal C

ou

nts

RE

AD

ING

AT

RE

MO

VA

L O

F

7.

NO

. O

F O

VE

RH

AU

LS

RE

AD

ING

AT

Co

un

ts s

ince

inst

all

LIN

E 2

MIN

US

LIN

E 1

= T

ota

l

INS

TA

LL

AT

ION

Page 5: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

CYC/HRS

NSTALL

REMOVAL

CYC/HRS

REMOVAL

f

NSTALL

ji kgdcbaCYC/HRS

COMPO/H

NOMEN

WUC

Hours/Cycles)

O/H

LOCATIONNSNAND

heSINCE

LIFE

(EnginePREV

SER NO.AND

NOMENCLATURE PN

TIME CYC/HRS

DUEREPLAC

NO.

COMPONENTNOMEN

REP.O/H ORCOMP

6.

04A01C

5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE

COMPRESSOR ROTORASSY

NSN PENDING 2-101-600-57 61365103567

Report Date: 5/803-Feb-2014

Cycles104A01C012-101-238-095251740076640

04A01C01

289RCCOMPRESSOR SHAFT 2-101-238-09 52517400766 RC 273 15000 15652

Cycles104A01C09A2-101-331-096136510052840

04A01C09A

289RC#1 COMPRESSOR DISK 2-101-331-09 61365100528 RC 289 15000 15636

Cycles104A01C09B2-101-332-066136510197640

04A01C09B

289RC#2 COMPRESSOR DISK 2-101-332-06 61365101976 RC 289 15000 15636

Cycles104A01C09C2-101-263-076035010110140

04A01C09C

289RC#3 COMPRESSOR DISK 2-101-263-07 60350101101 RC 289 11800 11800

Cycles104A01C09D2-100-042-106035010104240

04A01C09D

289RC#4 COMPRESSOR DISK 2-100-042-10 60350101042 RC 289 15000 15636

Cycles104A01C09E2-100-043-106035010106640

04A01C09E

289RC#5 COMPRESSOR DISK 2-100-043-10 60350101066 RC 289 15000 15636

Cycles104A01C09F2-100-044-086035010290940

04A01C09F

289RC#6 COMPRESSOR DISK 2-100-044-08 60350102909 RC 289 15000 15636

Cycles104A01C09G2-100-045-096035010182540

04A01C09G

289RC#7 COMPRESSOR DISK 2-100-045-09 60350101825 RC 289 15000 15636

Cycles104A01C09H2-103-024-046035010444340

04A01C09H

289RCSPACER 1ST COMPRESSOR 2-103-024-04 60350104443 RC 289 15000 15636

Cycles104A01C09J2-100-047-096168680050940

04A01C09J

289RCSPACER 2ND COMPRESSOR 2-100-047-09 61686800509 RC 289 15000 15636

PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4

Page 6: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

CYC/HRS

NSTALL

REMOVAL

CYC/HRS

REMOVAL

f

NSTALL

ji kgdcbaCYC/HRS

COMPO/H

NOMEN

WUC

Hours/Cycles)

O/H

LOCATIONNSNAND

heSINCE

LIFE

(EnginePREV

SER NO.AND

NOMENCLATURE PN

TIME CYC/HRS

DUEREPLAC

NO.

COMPONENTNOMEN

REP.O/H ORCOMP

6.

04A01C

5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE

COMPRESSOR ROTORASSY

NSN PENDING 2-101-600-57 61365103567

Report Date: 6/803-Feb-2014

Cycles104A01C09K2-100-048-146251239207740

04A01C09K

289RCSPACER 3,4,5 COMPRESSOR 2-100-048-14 62512392077 RC 289 15000 15636

Cycles104A01C09K2-100-048-146251239208940

04A01C09K

289RCSPACER 3,4,5 COMPRESSOR 2-100-048-14 62512392089 RC 289 15000 15636

Cycles104A01C09K2-100-048-146251239211240

04A01C09K

289RCSPACER 3,4,5 COMPRESSOR 2-100-048-14 62512392112 RC 289 15000 15636

Cycles104A01C09L2-100-052-33190330563040

04A01C09L

289RCSPACER 6TH COMPRESSOR 2-100-052-33 1903305630 RC 289 15000 15636

Cycles104A01D2-100-180-176136510356740

04A01D

289RCCENTRIFUGAL IMPELLER 2-100-180-17 61365103567 RC 289 15000 15636

SIGNIFICANT HISTORICAL DATA7.

05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005./S/ M.THORN,CCAD, CORPUS CHRISTI,TX 78419-5260

DS420761 TASM-E MANNHEIM,GERMANY

11-Apr-2012 1 RESET INSPECTION COMPLETED AT 1659 ENGINE OP HOURS. ENGINE INSPECTED, CLEANED,REPLACED 1ST TURBINE NOZZLE, ENGINE TEST RUN SATISFACTORILY.

RT641287 HUNTER AFMA HAAF, GA 31409

PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4

Page 7: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

LIN

E

3=

00

00

3rd

CO

MP

a

1-

2.

E

NG

S/N

T-5

5-G

A-7

14

A

3. N

OM

EN

CL

AT

UR

E

6P

29

27

1

1. M

OD

EL

2

6. H

IST

OR

ICA

L C

OU

NT

S O

N E

NG

INE

PA

RT

1 -

71

4A

EN

GIN

E /

CO

MP

ON

EN

T R

EP

OR

T A

PP

RO

VE

D B

Y H

Q D

A G

4

TU

RB

INE

RO

TO

R

f

2-1

41

-14

0-4

5

g

GP

SP

AC

ER

4. P

/N

00

GA

75

10

3

10

AN

V1

48

4

EN

G O

P H

RS

CC

AC

FT

h

1st

GP

5A

. D

EC

U S

/N

5. S

/N

3rd

TU

RB

ed

00

4th

TU

RB

bc

1st

TU

RB

2n

d T

UR

B

EN

GIN

E =

To

tal C

ou

nts

RE

AD

ING

AT

RE

MO

VA

L O

F

7.

NO

. O

F O

VE

RH

AU

LS

RE

AD

ING

AT

Co

un

ts s

ince

inst

all

LIN

E 2

MIN

US

LIN

E 1

= T

ota

l

INS

TA

LL

AT

ION

Page 8: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

CYC/HRS

NSTALL

REMOVAL

CYC/HRS

REMOVAL

f

NSTALL

ji kgdcbaCYC/HRS

COMPO/H

NOMEN

WUC

Hours/Cycles)

O/H

LOCATIONNSNAND

heSINCE

LIFE

(EnginePREV

SER NO.AND

NOMENCLATURE PN

TIME CYC/HRS

DUEREPLAC

NO.

COMPONENTNOMEN

REP.O/H ORCOMP

6.

04A03E

5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE

TURBINE ROTOR 2840014830254 2-141-140-45 6P29271

Report Date: 8/803-Feb-2014

Cycles04A03E022-141-170-226136510058240

04A03E02

154RCDISK ASSY, 4TH TURBINE 2-141-170-22 61365100582 RC 154 10960 10960

Cycles04A03F2-141-350-104136510416040

04A03F

154RCSHAFT ASSY, INTEGRAL 2-141-350-10 41365104160 RC 154 13200 13200

SIGNIFICANT HISTORICAL DATA7.

05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005./S/ M.THORN,CCAD, CORPUS CHRISTI,TX 78419-5260

DS420761 TASM-E MANNHEIM,GERMANY

11-Apr-2012 1 RESET INSPECTION COMPLETED AT 1659 ENGINE OP HOURS. ENGINE INSPECTED, CLEANED,REPLACED 1ST TURBINE NOZZLE, ENGINE TEST RUN SATISFACTORILY.

RT641287 HUNTER AFMA HAAF, GA 31409

PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4

Page 9: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

LIN

E

3=

00

00

3rd

CO

MP

a

1-

2.

E

NG

S/N

T-5

5-G

A-7

14

A

3. N

OM

EN

CL

AT

UR

E

05

GG

A0

07

33

1. M

OD

EL

2

6. H

IST

OR

ICA

L C

OU

NT

S O

N E

NG

INE

PA

RT

1 -

71

4A

EN

GIN

E /

CO

MP

ON

EN

T R

EP

OR

T A

PP

RO

VE

D B

Y H

Q D

A G

4

EN

GIN

E A

SS

Y T

UR

BIN

E

f

2-0

01

-02

0-3

9

g

GP

SP

AC

ER

4. P

/N

00

86

01

68

2

10

AN

V1

41

3

EN

G O

P H

RS

0

AC

FT

h

1st

GP

5A

. D

EC

U S

/N

5. S

/N

3rd

TU

RB

ed

03

93

4th

TU

RB

bc

1st

TU

RB

2n

d T

UR

B

EN

GIN

E =

To

tal C

ou

nts

RE

AD

ING

AT

RE

MO

VA

L O

F

7.

NO

. O

F O

VE

RH

AU

LS

RE

AD

ING

AT

Co

un

ts s

ince

inst

all

LIN

E 2

MIN

US

LIN

E 1

= T

ota

l

INS

TA

LL

AT

ION

Page 10: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

CYC/HRS

NSTALL

REMOVAL

CYC/HRS

REMOVAL

f

NSTALL

ji kgdcbaCYC/HRS

COMPO/H

NOMEN

WUC

Hours/Cycles)

O/H

LOCATIONNSNAND

heSINCE

LIFE

(EnginePREV

SER NO.AND

NOMENCLATURE PN

TIME CYC/HRS

DUEREPLAC

NO.

COMPONENTNOMEN

REP.O/H ORCOMP

6.

04A

5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE

ENGINE ASSY TURBINE 2840014585361 2-001-020-39 05GGA00733

Report Date: 2/803-Feb-2014

204A01C2-101-600-575136510359114

04A01C

4CCCOMPRESSOR ROTOR ASSY 2-101-600-57 51365103591 CC 0 COND COND

204A02A2-131-110-765246371763614

04A02A

0CCLINER ASSY, COMBUSTION 2-131-110-76 52463717636 CC 0 COND COND

Cycles204A02B122-121-075-364136510899814

04A02B12

0RCSEALING PLATE, 1ST GP 2-121-075-36 41365108998 RC 0 20990 20990

Cycles204A02B132-121-071-425136510200014

04A02B13

0RCSPACER, TURBINE GAS 2-121-071-42 51365102000 RC 0 8300 8300

204A02C2-121-430-255P1994514

04A02C

0CCNOZZLE ASSY 1ST TURBINE 2-121-430-25 5P19945 CC 0 COND COND

Cycles204A03A2-121-090-794136510662914

04A03A

0RCDISK ASSY, 1ST TURBINE 2-121-090-79 41365106629 RC 0 10400 10400

204A03B2-121-470-495149950177640

04A03B

0CCCYLINDER 1ST TURBINE 2-121-470-49 51499501776 CC 0 COND COND

Cycles204A03C2-121-110-354136510839314

04A03C

0RCDISK ASSY, 2ND TURBINE 2-121-110-35 41365108393 RC 0 3300 3300

204A03D2-121-100-795249060841540

04A03D

0CCNOZZLE ASSY, 2ND TURBINE 2-121-100-79 52490608415 CC 0 COND COND

204A03E2-141-140-455P1945614

04A03E

4CCTURBINE ROTOR 2-141-140-45 5P19456 CC 0 COND COND

PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4

Page 11: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

CYC/HRS

NSTALL

REMOVAL

CYC/HRS

REMOVAL

f

NSTALL

ji kgdcbaCYC/HRS

COMPO/H

NOMEN

WUC

Hours/Cycles)

O/H

LOCATIONNSNAND

heSINCE

LIFE

(EnginePREV

SER NO.AND

NOMENCLATURE PN

TIME CYC/HRS

DUEREPLAC

NO.

COMPONENTNOMEN

REP.O/H ORCOMP

6.

04A

5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE

ENGINE ASSY TURBINE 2840014585361 2-001-020-39 05GGA00733

Report Date: 3/803-Feb-2014

Eng Hrs204A05A110700-02D6115990127095614

04A05A

40HYDROMECHANICAL ASSY 110700-02D6 1159901270956 0 0 2400 2404

SIGNIFICANT HISTORICAL DATA7.

28-Apr-2006 1 WUC: 04A PN; 2-001-020-39 PSN: 05GGA00733 T55-GA-714A ENGINE TURBINE ASSY28APR06 ENGINE HAD LOW OIL PRES. ON THE AIRCRAFT AFTER INITIAL INSTALL. AFTERTROUBLESHOOTING THE OIL PUMP WAS REPLACED AND THE ENGINE PASSED A FULL TEST ATFEDS. NEW FORM INITIATED. CUMULATIVE COUNTS 3RD COMP DISK 6, GP SEAL PLT 4, GP SPCR 4,1ST DISK 4, 2ND DISK 4, 3RD DISK 17, 4TH DISK 14. ENTERED BY RR5649 DOL/ALMD ESRA FTCKY

AH211404 DOL/ALMD ESRA FTCKY

11-Aug-2008 1 WUC: 04A02C PN: PSN: NOT INSTALLED ON AIRCRAFT NOZZLE ASSY 1ST TURBINE* COVERED * DATA WILL BE AVAILABLE AT NEXT TEARDOWN. AASF#2 PDT, OR

AH211404 AASF#2 PDT, OR

01-Apr-2010 1 WUC: 04A02A, P/N 2-131-110-76, LINER ASSEMBLY, COMBUSTION S/N UNKOWN WILL VERIFY ATNEXT DISASSEMBLY AS PER CECIL SMITH 2410 HOTLINE

JC111010 AASF #2 PENDLETON OR. 97862

PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4

Page 12: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

LIN

E

3=

00

00

3rd

CO

MP

a

1-

2.

E

NG

S/N

T-5

5-G

A-7

14

A

3. N

OM

EN

CL

AT

UR

E

51

36

51

03

59

1

1. M

OD

EL

2

6. H

IST

OR

ICA

L C

OU

NT

S O

N E

NG

INE

PA

RT

1 -

71

4A

EN

GIN

E /

CO

MP

ON

EN

T R

EP

OR

T A

PP

RO

VE

D B

Y H

Q D

A G

4

CO

MP

RE

SS

OR

RO

TO

R A

SS

Y

f

2-1

01

-60

0-5

7

g

GP

SP

AC

ER

4. P

/N

00

05

GG

A0

07

33

10

AN

V1

41

3

EN

G O

P H

RS

CC

AC

FT

h

1st

GP

5A

. D

EC

U S

/N

5. S

/N

3rd

TU

RB

ed

00

4th

TU

RB

bc

1st

TU

RB

2n

d T

UR

B

EN

GIN

E =

To

tal C

ou

nts

RE

AD

ING

AT

RE

MO

VA

L O

F

7.

NO

. O

F O

VE

RH

AU

LS

RE

AD

ING

AT

Co

un

ts s

ince

inst

all

LIN

E 2

MIN

US

LIN

E 1

= T

ota

l

INS

TA

LL

AT

ION

Page 13: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

CYC/HRS

NSTALL

REMOVAL

CYC/HRS

REMOVAL

f

NSTALL

ji kgdcbaCYC/HRS

COMPO/H

NOMEN

WUC

Hours/Cycles)

O/H

LOCATIONNSNAND

heSINCE

LIFE

(EnginePREV

SER NO.AND

NOMENCLATURE PN

TIME CYC/HRS

DUEREPLAC

NO.

COMPONENTNOMEN

REP.O/H ORCOMP

6.

04A01C

5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE

COMPRESSOR ROTORASSY

NSN PENDING 2-101-600-57 51365103591

Report Date: 5/803-Feb-2014

Cycles204A01C012-101-238-095251740000714

04A01C01

0RCCOMPRESSOR SHAFT 2-101-238-09 52517400007 RC 0 15000 15004

Cycles204A01C09A2-101-331-094136510817014

04A01C09A

0RC#1 COMPRESSOR DISK 2-101-331-09 41365108170 RC 0 15000 15004

Cycles204A01C09B2-101-332-065136510395714

04A01C09B

0RC#2 COMPRESSOR DISK 2-101-332-06 51365103957 RC 0 15000 15004

Cycles204A01C09C2-101-263-075035010079014

04A01C09C

0RC#3 COMPRESSOR DISK 2-101-263-07 50350100790 RC 0 11800 11800

Cycles204A01C09D2-100-042-105035010091514

04A01C09D

0RC#4 COMPRESSOR DISK 2-100-042-10 50350100915 RC 0 15000 15004

Cycles204A01C09E2-100-043-105035010093114

04A01C09E

0RC#5 COMPRESSOR DISK 2-100-043-10 50350100931 RC 0 15000 15004

Cycles204A01C09F2-100-044-085035010337914

04A01C09F

0RC#6 COMPRESSOR DISK 2-100-044-08 50350103379 RC 0 15000 15004

Cycles204A01C09G2-100-045-095035010342414

04A01C09G

0RC#7 COMPRESSOR DISK 2-100-045-09 50350103424 RC 0 15000 15004

Cycles204A01C09H2-103-024-074035010481240

04A01C09H

0RCSPACER 1ST COMPRESSOR 2-103-024-07 40350104812 RC 0 15000 15004

Cycles204A01C09J2-100-047-095168680093540

04A01C09J

0RCSPACER 2ND COMPRESSOR 2-100-047-09 51686800935 RC 0 15000 15004

PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4

Page 14: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

CYC/HRS

NSTALL

REMOVAL

CYC/HRS

REMOVAL

f

NSTALL

ji kgdcbaCYC/HRS

COMPO/H

NOMEN

WUC

Hours/Cycles)

O/H

LOCATIONNSNAND

heSINCE

LIFE

(EnginePREV

SER NO.AND

NOMENCLATURE PN

TIME CYC/HRS

DUEREPLAC

NO.

COMPONENTNOMEN

REP.O/H ORCOMP

6.

04A01C

5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE

COMPRESSOR ROTORASSY

NSN PENDING 2-101-600-57 51365103591

Report Date: 6/803-Feb-2014

Cycles204A01C09K2-100-048-145251239144640

04A01C09K

0RCSPACER 3,4,5 COMPRESSOR 2-100-048-14 52512391446 RC 0 15000 15004

Cycles204A01C09K2-100-048-145251239147540

04A01C09K

0RCSPACER 3,4,5 COMPRESSOR 2-100-048-14 52512391475 RC 0 15000 15004

Cycles204A01C09K2-100-048-145251239154340

04A01C09K

0RCSPACER 3,4,5 COMPRESSOR 2-100-048-14 52512391543 RC 0 15000 15004

Cycles204A01C09L2-100-052-3399193033087040

04A01C09L

0RCSPACER 6TH COMPRESSOR 2-100-052-33 991930330870 RC 0 15000 15004

SIGNIFICANT HISTORICAL DATA7.

28-Apr-2006 1 WUC: 04A PN; 2-001-020-39 PSN: 05GGA00733 T55-GA-714A ENGINE TURBINE ASSY28APR06 ENGINE HAD LOW OIL PRES. ON THE AIRCRAFT AFTER INITIAL INSTALL. AFTERTROUBLESHOOTING THE OIL PUMP WAS REPLACED AND THE ENGINE PASSED A FULL TEST ATFEDS. NEW FORM INITIATED. CUMULATIVE COUNTS 3RD COMP DISK 6, GP SEAL PLT 4, GP SPCR 4,1ST DISK 4, 2ND DISK 4, 3RD DISK 17, 4TH DISK 14. ENTERED BY RR5649 DOL/ALMD ESRA FTCKY

AH211404 DOL/ALMD ESRA FTCKY

11-Aug-2008 1 WUC: 04A02C PN: PSN: NOT INSTALLED ON AIRCRAFT NOZZLE ASSY 1ST TURBINE* COVERED * DATA WILL BE AVAILABLE AT NEXT TEARDOWN. AASF#2 PDT, OR

AH211404 AASF#2 PDT, OR

01-Apr-2010 1 WUC: 04A02A, P/N 2-131-110-76, LINER ASSEMBLY, COMBUSTION S/N UNKOWN WILL VERIFY ATNEXT DISASSEMBLY AS PER CECIL SMITH 2410 HOTLINE

JC111010 AASF #2 PENDLETON OR. 97862

PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4

Page 15: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

LIN

E

3=

00

00

3rd

CO

MP

a

1-

2.

E

NG

S/N

T-5

5-G

A-7

14

A

3. N

OM

EN

CL

AT

UR

E

5P

19

45

6

1. M

OD

EL

2

6. H

IST

OR

ICA

L C

OU

NT

S O

N E

NG

INE

PA

RT

1 -

71

4A

EN

GIN

E /

CO

MP

ON

EN

T R

EP

OR

T A

PP

RO

VE

D B

Y H

Q D

A G

4

TU

RB

INE

RO

TO

R

f

2-1

41

-14

0-4

5

g

GP

SP

AC

ER

4. P

/N

00

05

GG

A0

07

33

10

AN

V1

41

3

EN

G O

P H

RS

CC

AC

FT

h

1st

GP

5A

. D

EC

U S

/N

5. S

/N

3rd

TU

RB

ed

00

4th

TU

RB

bc

1st

TU

RB

2n

d T

UR

B

EN

GIN

E =

To

tal C

ou

nts

RE

AD

ING

AT

RE

MO

VA

L O

F

7.

NO

. O

F O

VE

RH

AU

LS

RE

AD

ING

AT

Co

un

ts s

ince

inst

all

LIN

E 2

MIN

US

LIN

E 1

= T

ota

l

INS

TA

LL

AT

ION

Page 16: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

CYC/HRS

NSTALL

REMOVAL

CYC/HRS

REMOVAL

f

NSTALL

ji kgdcbaCYC/HRS

COMPO/H

NOMEN

WUC

Hours/Cycles)

O/H

LOCATIONNSNAND

heSINCE

LIFE

(EnginePREV

SER NO.AND

NOMENCLATURE PN

TIME CYC/HRS

DUEREPLAC

NO.

COMPONENTNOMEN

REP.O/H ORCOMP

6.

04A03E

5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE

TURBINE ROTOR 2840014830254 2-141-140-45 5P19456

Report Date: 8/803-Feb-2014

Cycles204A03E022-141-170-225136510156714

04A03E02

0RCDISK ASSY, 4TH TURBINE 2-141-170-22 51365101567 RC 0 10960 10960

Cycles204A03F2-141-350-104136510416514

04A03F

0RCSHAFT ASSY, INTEGRAL 2-141-350-10 41365104165 RC 0 13200 13200

SIGNIFICANT HISTORICAL DATA7.

28-Apr-2006 1 WUC: 04A PN; 2-001-020-39 PSN: 05GGA00733 T55-GA-714A ENGINE TURBINE ASSY28APR06 ENGINE HAD LOW OIL PRES. ON THE AIRCRAFT AFTER INITIAL INSTALL. AFTERTROUBLESHOOTING THE OIL PUMP WAS REPLACED AND THE ENGINE PASSED A FULL TEST ATFEDS. NEW FORM INITIATED. CUMULATIVE COUNTS 3RD COMP DISK 6, GP SEAL PLT 4, GP SPCR 4,1ST DISK 4, 2ND DISK 4, 3RD DISK 17, 4TH DISK 14. ENTERED BY RR5649 DOL/ALMD ESRA FTCKY

AH211404 DOL/ALMD ESRA FTCKY

11-Aug-2008 1 WUC: 04A02C PN: PSN: NOT INSTALLED ON AIRCRAFT NOZZLE ASSY 1ST TURBINE* COVERED * DATA WILL BE AVAILABLE AT NEXT TEARDOWN. AASF#2 PDT, OR

AH211404 AASF#2 PDT, OR

01-Apr-2010 1 WUC: 04A02A, P/N 2-131-110-76, LINER ASSEMBLY, COMBUSTION S/N UNKOWN WILL VERIFY ATNEXT DISASSEMBLY AS PER CECIL SMITH 2410 HOTLINE

JC111010 AASF #2 PENDLETON OR. 97862

PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4

Page 17: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 1 of 3003-Feb-2014

DU01-May-1990

2/158AVN,FT.HOOD,TX PCW(EC7788)

404-May-1990

CIV CONTROL ,QUALITY

MODIFICATION OF AFT XMSNCOOLER FAN

55-1520-240-55-12MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 18: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 2 of 3003-Feb-2014

DU13-Oct-1989

77272 (EC7788) 518-Nov-1989

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORIMPROVEMENTS ON THE COMBININGTRANSMISSION COOLING FANS FORCH-47D HELICOPTER (NSN 1520-01-088-3669)

55-1520-240-55-11MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 19: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 3 of 3003-Feb-2014

DN07-Jun-2001

D CO 113 AVNAPO AE 09355(RH9717)

3015-Nov-2005

CIV CONTROL ,QUALITY

INSTALLATION OF FLIGHTCREWSEATS FOR MH-47DHELICOPTERS

1-1520-H47-50-97MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 20: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 4 of 3003-Feb-2014

FU05-Sep-2003

DYN CORP, KAFAFGHANISTAN(RH9717)

6603-Jun-2005

CIV CONTROL ,QUALITY

INSTALLATION OF DUAL AN/PRC-117FSATCOM RADIOS

1-1520-240-50-SATCOMMWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 21: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 5 of 3003-Feb-2014

DR01-Apr-1994

DYNCORP OLR,FT. HOOD, TX(EC7788)

1812-Jul-1994

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORAFT ENGINE FAIRING MODIFICATIONTO ALLEVIATE CORROSION FOR CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-49MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 22: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 6 of 3003-Feb-2014

DN31-May-1991

DYNCORPOLR,FT.HOODPCW (EC7788)

6008-Jan-1993

CIV CONTROL ,QUALITY

REINFORCEMENT OF AFT PYLON WL72 DECK CH-47D HELICOPTERS

55-1520-240-50-12MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 23: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 7 of 3003-Feb-2014

DN31-May-1988

DYNCORPOLR,FT.HOOD,TX (EC7788)

1606-Jun-1990

CIV CONTROL ,QUALITY

MODIFICATION TO AVIONICS TOPSHELF, AN/ALQ-156 BAND PASSFILTER INSTALLATION, AN/ALQ-156CABEL CONNECTOR REPLACEMENT,ANTENNAS SM-D-920683INSTALLATION AND AN/ALQ-156ANTENNA COVER PLATE IN CH-47DHELICOPTERS

55-1520-240-50-25MWO:

Mnt LevelPriority

DN23-Jan-1989

DYNCORPOLR,FT.HOOD,TX (EC7788)

10006-Jun-1990

CIV CONTROL ,QUALITY

INSTALLATION OF OMEGA/VLFNAVIGATION SYSTEM COMPLETEPROVISION ONLY IN CH-47DHELICOPTERS

55-1520-240-50-30MWO:

Mnt LevelPriority

DU15-Jan-1992

DYNCORPOLR,FT.HOOD,TX (EC7788)

3015-Mar-1993

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINSTALLATION OF CABIN TUNNELSMOKE BAFFEL IN CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EICRCD)

1-1520-240-50-40MWO:

Mnt LevelPriority

DR30-Apr-1993

DYNCORPOLR,FT.HOOD,TX (EC7788)

2412-Jul-1994

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINSTALLING OIL PRESSURETRANSMITTER ISOLATOR KITS ON CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-17MWO:

Mnt LevelPriority

DR30-Apr-1993

DYNCORPOLR,FT.HOOD,TX (EC7788)

112-Jul-1994

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF DOME LIGHTPOSITIVE LOCKING LEVER SWITCHFOR CH47D HELICOPTERS (NSN 1520-01-088-3669) (EIC:RCD)

1-1520-240-50-50MWO:

Mnt LevelPriority

DR31-Dec-1993

DYNCORPOLR,FT.HOOD,TX (EC7788)

1712-Jul-1994

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORHELICOPTER INTERNAL CARGOHANDLING SYSTEM (HICHS) RAMPCENTERLINE ATTACHMENT FORCH47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-59MWO:

Mnt LevelPriority

DR01-Apr-1994

DYNCORPOLR,FT.HOOD,TX (EC7788)

4912-Jul-1994

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORDELETION OF THE ENGINE AIR INLETANTI-ICE SYSTEM ON CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)

1-1520-240-50-22MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 24: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 8 of 3003-Feb-2014

DR01-Apr-1994

DYNCORPOLR,FT.HOOD,TX (EC7788)

2.512-Jul-1994

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORSEPARATE FUEL CONTROL RELAYBOX GROUND CONNECTIONS CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)

1-1520-240-50-58MWO:

Mnt LevelPriority

DR01-Apr-1994

DYNCORPOLR,FT.HOOD,TX (EC7788)

10412-Jul-1994

CIV CONTROL ,QUALITY

IMPROVED/ADJUSTABLE ENGINE AFTMOUNT LINK ASSEMBLY FOR CH-47DAND MH-47E HELICOPTERS) (NSN1520-01-088-3669) (EIC: RCD) AND(NSN 1520-01-282-3747) (EIC: RCE)

1-1520-240-50-60MWO:

Mnt LevelPriority

DU01-Apr-1994

DYNCORPOLR,FT.HOOD,TX (EC7788)

2412-Jul-1994

CIV CONTROL ,QUALITY

MODIFICATIONS INSTRUCTIONS FORINSTALLING ROTARY WING HEADPITCH HOUSING/LAG DAMPERIMPROVED BOLTS AND BUSHINGS TOREPLACE THE BOLTS AND BUSHINGSINSTALLED AT THE FACTORY/DEPOTAND VIA MWO 1-1520-240-50-37, PARTNUMBERS SK33346-2 (UPPERBUSHING), SK33346

1-1520-240-50-69MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 25: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 9 of 3003-Feb-2014

DN01-Aug-1988

DYNCORPOLR,FT.HOOD,TX. (EC7788)

220-Jun-1988

CIV CONTROL ,QUALITY

INSTALL DIODES TO PROTECTPILOTS AND CO-PILOTS C-6533 ICSBOXES (CH-47D HELICOPTERS)

55-1520-240-50-27MWO:

Mnt LevelPriority

DN01-Mar-1989

DYNCORPOLR,FT.HOOD,TX. (EC7788)

15018-Mar-1992

CIV CONTROL ,QUALITY

INSTALLATION OF AN/ARC-199, HF-SSB, RADIO SET COMPLETEPROVISION ONLY IN CH-47DHELICOPTERS

55-1520-240-50-29MWO:

Mnt LevelPriority

DN01-May-1990

DYNCORPOLR,FT.HOOD,TX. (EC7788)

3225-Oct-1991

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORIMPROVEMENTS SINGLE HANDLECARGO HOOKS RELEASE SYSTEMFOR CH47D HELICOPTERS

55-1520-240-50-15MWO:

Mnt LevelPriority

DN01-Jun-1990

DYNCORPOLR,FT.HOOD,TX. (EC7788)

125-Oct-1991

CIV CONTROL ,QUALITY

ADDITION OF SWITCH GUARD TO THEPILOT AND CO-PILOT CYCLIC GRIPASSEMBLIES A218-966376-03 FOR CH-47D HELICOPTERS

55-1520-240-50-23MWO:

Mnt LevelPriority

DU30-Nov-1990

DYNCORPOLR,FT.HOOD,TX. (EC7788)

2410-Oct-1990

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORREPLACING THE ENGINE CROSSSHAFT WITH A NEW ONE PIECECROSS SHAFT FOR CH47DHELICOPTERS

55-1520-240-50-43MWO:

Mnt LevelPriority

DR01-Feb-1991

DYNCORPOLR,FT.HOOD,TX. (EC7788)

1618-Mar-1992

CIV CONTROL ,QUALITY

WIRING MODIFICATION AND AN/APR-39A(V)1 RADAR WARNING SYSTEMINSTALLATION IN CH-47DHELICOPTER

1-1520-240-50-54MWO:

Mnt LevelPriority

DN01-Feb-1991

DYNCORPOLR,FT.HOOD,TX. (EC7788)

1625-Oct-1991

CIV CONTROL ,QUALITY

MODIFICATIONS INSTRUCTIONS FORREPLACEMENT OF COATED PITCHLINK BOLTS FOR CH47DHELICOPTERS

55-1520-240-50-34MWO:

Mnt LevelPriority

DN31-May-1991

DYNCORPOLR,FT.HOOD,TX. (EC7788)

1620-Mar-1992

CIV CONTROL ,QUALITY

REINFORCEMENT OF FORWARDPYLON HYDRAULIC MODULESUPPORT STRUCTURE CH-47DHELICOPTERS

55-1520-240-50-13MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 26: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 10 of 3003-Feb-2014

DN01-Jun-1991

DYNCORPOLR,FT.HOOD,TX. (EC7788)

2018-Mar-1992

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINSTALLATION OF TRANSMISSIONAND ENGINE FUZZ BURNOFF SYSTEMFOR CH-47D HELICOPTERS

55-1520-240-50-24MWO:

Mnt LevelPriority

DU16-Jan-1992

DYNCORPOLR,FT.HOOD,TX. (EC7788)

16218-Mar-1992

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINSTALLATION OF IMPROVED DRIPPAN, HYDRAULIC TUBING, AND WIREHARNESS KIT FOR CH47DHELICOPTERS (NSN 1520-01-088-3669)(EIC RCD)

1-1520-240-50-41MWO:

Mnt LevelPriority

DU01-Apr-1992

DYNCORPOLR,FT.HOOD,TX. (EC7788)

2608-Jan-1993

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINSTALLING IMPROVED BOLT ANDBUSHING ASSEMBLIES ON THEROTARY WING HEADS ANDFORWARD LOWER CONTROLS, CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-37MWO:

Mnt LevelPriority

DN01-Apr-1992

DYNCORPOLR,FT.HOOD,TX. (EC7788)

319-Oct-1993

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORIMPROVED FORWARD TRANSMISSIONOIL COOLER AIR INLET DUCT CH-47DHELICOPTERS

1-1520-240-50-57MWO:

Mnt LevelPriority

DR28-May-1993

DYNCORPOLR,FT.HOOD,TX. (EC7788)

1620-Oct-1993

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINSTALLING THE GROUND CONTACTANNUNICIATORS ON CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC:RCD)

1-1520-240-50-42MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 27: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 11 of 3003-Feb-2014

DU30-Jun-1992

DYNCORP,OLR,FT.HOOD,TX. (EC7788)

16.508-Jan-1993

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINSTALLATION OF IMPROVEDCLAMSHELL DOOR FITTING ANDLATCH FOR CH47D HELICOPTERS(NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-62MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 28: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 12 of 3003-Feb-2014

DU28-Jan-1989

DYNCORP,FT.HOOD,TX(EC7788)

6611-Feb-1989

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINTERIM IMPROVEMENT OF HEATRESISTANCE CAPABILITY FOR FLIGHTCONTROL SYSTEM BELLCRANK,IDLER AND CONNECTING LINKASSEMBLIES

55-1520-240-50-38MWO:

Mnt LevelPriority

DU01-Oct-1989

DYNCORP,FT.HOOD,TX(EC7788)

304-Oct-1989

CIV CONTROL ,QUALITY

MODIFICATION OF AFT DRIVE SHAFTBAFFLE AT STATION 482 ON CH-47DHELICOPTER (NSN 1520-01-088-3669)

55-1520-240-50-45MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 29: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 13 of 3003-Feb-2014

DU01-Aug-1989

DYNCORP,FT.HOOD,TX.(EC7788)

8128-Apr-1989

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINSTALLATION OF STAINLESS STEELFLIGHT CONTROL CONNECTINGLINKS FOR TUNNEL, AFT FUSELAGEAND AFT PYLON CH-47DHELICOPTERS

55-1520-240-50-39MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 30: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 14 of 3003-Feb-2014

DR01-Jul-2000

LSI/CCADCORPC, TX(NS4020)

801-Jan-2001

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORON/OFF SWITCH FOR THE AFT WHITEPOSITION LIGHT ON CH-47D AND MH-47E HELICOPTERS (NSN 1520-01-088-3669) AND(EIC: RCD) (NSN 1520-01-282-3747) (EIC: RCE)

1-1520-240-50-75MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 31: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 15 of 3003-Feb-2014

DR30-Sep-1999

LSI/OLRDYNCORP,C.C.TX (LY4166)

123-Oct-2003

CIV CONTROL ,QUALITY

ADDITION OF VACUUM RELIEF VALVETO THE PRESSURE REFUELINGSYSTEM FOR CH-47D HELICOPTERS(NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-81MWO:

Mnt LevelPriority

DR01-Feb-2000

LSI/OLRDYNCORP,C.C.TX (LY4166)

123-Oct-2003

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINSTALLING A HAND HOLD IN THECENTER CARGO HOOKCOMPARTMENT ON CH-47D AND MH-47E HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD) AND (NSN 1520-01-282-3747) (EIC: RCE)

1-1520-240-50-79MWO:

Mnt LevelPriority

DR01-Feb-2000

LSI/OLRDYNCORP,C.C.TX (LY4166)

123-Oct-2003

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTION TORETROFIT IMPROVED AFT PYLONCLAMSHELL DOOR LATCHCONFIGURATION ON CH-47D AND MH-47E HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD) AND (NSN 1520-01-282-3747) (EIC: RCE)

1-1520-240-50-80MWO:

Mnt LevelPriority

DR31-Mar-2000

LSI/OLRDYNCORP,C.C.TX (LY4166)

123-Oct-2003

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FOREXTENDED RANGES FUEL SYSTEMON CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-84MWO:

Mnt LevelPriority

DR01-May-2000

LSI/OLRDYNCORP,C.C.TX (LY4166)

123-Oct-2003

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINSTALLATION OF FULL AUTHORITYDIGITAL ENGINE CONTROLS (FADEC)ON CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-83MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 32: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 16 of 3003-Feb-2014

DR15-Mar-2006

LSI/OLR,CCAD,C.C.TX 78419(FO0364)

519-Aug-2003

CIV CONTROL ,QUALITY

INSTALLATION INSTRUCTIONS FORMASTER CAUTION PROTECTIVESHEILD ON CH-47 HELICOPTERS

1-1520-240-50-101MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 33: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 17 of 3003-Feb-2014

DN02-Apr-2001

LSI/OLR,CCAD,C.C.TX 78419(JO0364)

1519-Aug-2003

CIV CONTROL ,QUALITY

RECYCLE, IMPROVED NVG LIGHTINGBEZELS

R2-1520-240-50-71MWO:

Mnt LevelPriority

DR06-Apr-2001

LSI/OLR,CCAD,C.C.TX 78419(JO0364)

5419-Aug-2003

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINSTALLING IMPROVED AFT PYLONWORK PLATFORM DOOR LATCHESON CH-47D AND MH-47EHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD) (NSN 1520-01-282-3747)(EIC: RCE)

1-1520-240-50-77MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 34: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 18 of 3003-Feb-2014

DU03-Dec-1998

LSSI 103-Dec-1998

CIV CONTROL ,QUALITY

DEMODIFICATION OF MWO 1-1520-240-50-67, MODIFICATION INSTRUCTIONSFOR NON-METALLIC SPLINEADAPTERS FOR COMBININGTRANSMISSION COOLING FAN DRIVESHAFT ON CH-47D AND MH-47EHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD) (NSN 1520-01-282-3747)(EIC: RCE)

1-1520-240-50-67 DEMODMWO:

Mnt LevelPriority

DR02-Mar-2005

LSSI 62022-Jul-2009

MODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE COMMONMISSILE WARNING SYSTEM (CMWS)ON THE CH-47D AIRCRAFT W/ALE-47(NSN 1520-01-088-3669) (EIC RCD)

1-1520-240-55-14MWO:

Mnt LevelPriority

FR22-Aug-2005

LSSI 2122-Jul-2009

MODIFICATION INSTRUCTIONS FORINSTALLATION OF THECRASHWORTHY CREW CHIEF SEATAND FRAME KIT ON CH-47DHELICOPTERS

1-1520-240-50-96MWO:

Mnt LevelPriority

DN29-Aug-2005

LSSI 3422-Jul-2009

INSTALLATION INSTRUCTIONS FORTHE FLUX VALVE RELOCATION

1-1520-240-50-103MWO:

Mnt LevelPriority

DR08-Mar-2006

LSSI 222-Jul-2009

INSTALLION OF THE AVIONICSCOOLING FAN GUSSET FOR CH-47DHELICOPTERS.

1-1520-240-50-102MWO:

Mnt LevelPriority

DR15-Mar-2006

LSSI 722-Jul-2009

INSTALLATION OF THE NEW BRACKETFOR THE MA-16 INERTIA REELINSTALLED ON THE PILOT AND CO-PILOT SEAT FOR THE CH-47DHELICOPTERS.

1-1520-240-50-97MWO:

Mnt LevelPriority

DR18-Apr-2006

LSSI 1722-Jul-2009

M4 RIFLE MOUNT INSTALLATION FORTHE CH-47D HELICOPTERS

1-1520-240-50-104MWO:

Mnt LevelPriority

DR23-May-2006

LSSI 1922-Jul-2009

INSTALLATION OF THE FUELCROSSFEED BREAKAWAY FITTING

1-1520-240-50-98MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 35: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 19 of 3003-Feb-2014

DR12-Jul-2006

LSSI 14022-Jul-2009

MODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF BLUE FORCETRACKING ON THE CH-47D AIRCRAFT

1-1520-240-50-BFT47-002MWO:

Mnt LevelPriority

DR19-Feb-2007

LSSI 21222-Jul-2009

INSTALLATION OF THE DOPPLER GPSNAVIGATION SET PREPLANNEDPRODUCT IMPROVEMENT (DGNS P31)ON THE CH-47D HELICOPTER.

1-1520-240-50-95MWO:

Mnt LevelPriority

DR23-Feb-2007

LSSI 1622-Jul-2009

INSTALLATION OF THE LEFT HANDCRASHWORTHY CREW SEAT FOR CH-47D AND F HELICOPTERS

1-1520-240-50-99MWO:

Mnt LevelPriority

DR13-Mar-2007

LSSI 1022-Jul-2009

CIV CONTROL ,QUALITY

R/H REAR PYLON STEPINSTALLATION. (DRAFT MWO. DATEWILL CHANGE)

1-1520-240-50-111MWO:

Mnt LevelPriority

DR31-Mar-2007

LSSI 3422-Jul-2009

INSTALLATION OF THE ELECTRICHYDRAULIC PUMP

1-1520-240-50-109MWO:

Mnt LevelPriority

DN12-Jun-2007

LSSI 4.522-Jul-2009

MODIFICATION INSTRUCTIONS FORINSTALLATION OF AVA TRACKERBRACKET ON H-47 HELICOPTERS.

1-1520-240-50-117MWO:

Mnt LevelPriority

DR16-Jul-2007

LSSI 6522-Jul-2009

MODIFICATION OF CH-47DHELICOPTERS FOR THEINSTALLATION OF THE CMWS P3IUPGRADE TO THE MISCELLANEOUSCONTROL PANEL AND ASSOCIATEDWIRING (NSN 1520-01-088-3669)

1-1520-240-50-116MWO:

Mnt LevelPriority

DR04-Sep-2007

LSSI 322-Jul-2009

MODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE ARMORSEAT COMPENSATOR FOR THECOCKPIT SEATS ON THE H-47HELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)

1-1520-240-50-115MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 36: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 20 of 3003-Feb-2014

DN13-Nov-2007

LSSI 3322-Jul-2009

MODIFICATION INSTRUCTIONS FORINSTALLATION OF AFT PYLONACCESS PANELS ON CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC:RCD)

1-1520-240-50-118MWO:

Mnt LevelPriority

DR25-Jan-2008

LSSI 7322-Jul-2009

MODIFICATION OF CH-47D FOR THEINSTALLATION OF THE CMWS EOMS

1-1520-240-50-120MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 37: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 21 of 3003-Feb-2014

DN30-Mar-1990

OLR FT HOOD,TX (EC7788)

8006-Jun-1989

CIV CONTROL ,QUALITY

IMPROVED ROTOR BLADEGROUNDING STRAPS (JUMPERWIRES) CH-47D HELICOPTERS

55-1520-240-50-32MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 38: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 22 of 3003-Feb-2014

DR01-Sep-2002

OLR/LSI,PENDLETON, OR(GL7995)

2501-Dec-2004

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORSEALED LEAD ACID BATTERYINSTALLATION ON CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)

1-1520-240-50-82MWO:

Mnt LevelPriority

DR01-Sep-2002

OLR/LSI,PENDLETON, OR(GL7995)

62001-Dec-2004

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE AN/ALE-147 COUNTERMEASURES DISPENSERSYSTEM (CMDS) ON THE CH-47DAIRCRAFT (NSN 1520-01-088-3669)(EIC RCD)

1-1520-240-55-12MWO:

Mnt LevelPriority

DM22-Nov-2002

OLR/LSI,PENDLETON, OR(GL7995)

8001-Dec-2004

CIV CONTROL ,QUALITY

CH-47D BLUE FORCE TRACKING (BFT)CARGO BAY INSTALLATION ANDASSEMBLY

1-1520-240-50-BFTMWO:

Mnt LevelPriority

DR01-Jul-2003

OLR/LSI,PENDLETON, OR(GL7995)

6601-Dec-2004

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORCARGO LOADMASTER RADARALTIMETER INSTALLATION ON CH-47DHELICOPTERS (NSN 1520-01-282-3747)(EIC: RCD)

1-1520-240-50-72MWO:

Mnt LevelPriority

DN01-Jul-2003

OLR/LSI,PENDLETON, OR(GL7995)

901-Dec-2004

CIV CONTROL ,QUALITY

ADVANCED HEADS UP DISPLAY (HUD)AN/AVS-7(V) AND T55-GA-714AENGINE TORQUE INDICATINGSYSTEM

1-1520-240-50-88MWO:

Mnt LevelPriority

DN12-May-2004

OLR/LSI,PENDLETON, OR(GL7995)

63701-Dec-2004

CIV CONTROL ,QUALITY

INSTALLATION OF THE ELECTRICALAND AIRFRAME PROVISIONS FORENGINE AIR PARTICLE SEPARATORSHORT RAIL FOR CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC RCD)

1-1520-240-50-93MWO:

Mnt LevelPriority

DR07-Sep-2004

OLR/LSI,PENDLETON, OR(GL7995)

24001-Dec-2004

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE AIRWARRIOR MICROCLIMATE COOLINGAND MASK BLOWER SYSTEMS ON CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC RCD)

1-1520-240-50-91MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 39: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 23 of 3003-Feb-2014

DO12-Jan-2009

RASM EAST CSC 614-Oct-2010

P3 DRAIN LINE ON THE CH-47DMWO 1-1520-240-50-100MWO:Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 40: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 24 of 3003-Feb-2014

DR04-Sep-2007

SSI 222-Jul-2009

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINSTALLATION OF THE RECESSEDHEADREST RETROFIT ON THECRASHWORTHY CREW CHIEF SEATON CH-47 AIRCRAFT (NSN 1520-01-088-3669) (EIC: RCD) (NSN 1520-01-457-5179) (EIC: N/A)

1-1520-240-50-114MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 41: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 25 of 3003-Feb-2014

DU24-Feb-1997

USAAVNCFT.RUCKER,AL.(EC7788)

216-Sep-1996

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORNON-METALLIC SPLINE ADAPTERSFOR COMBINING TRANSMISSIONCOOLING FAN DRIVE SHAFT ON CH-47D AND MH-47E HELICOPTERS (NSN1520-01-088-3669) (EIC: RCD) (NSN1520-01-282-3747) (EIC: RCE)

1-1520-240-50-67MWO:

Mnt LevelPriority

DR21-Jul-1997

USAAVNCFT.RUCKER,AL.(EC7788)

822-Oct-1998

CIV CONTROL ,QUALITY

ILCA CONTROL VALVE INPUT ARMRETENTION SCREW AND NUTREPLACEMENT ON CH-47D AND MH-47E HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD) (NSN 1520-01-282-3747) (EIC: RCE)

1-1520-240-50-66MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 42: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 26 of 3003-Feb-2014

DN31-Jan-1989

USAAVNC, FT.RUCKER, AL(EC7788)

10018-Sep-1996

CIV CONTROL ,QUALITY

INSTALLATION OF THE SINGLECHANNEL GROUND RADIO/AIRBORNERADIO SYSTEM (SINCGARS) VHF FMHOMING AN/ARC-201 COMPLETEPROVISIONS ONLY RADIO SYSTEM INCH-47D HELICOPTERS

55-1520-240-50-28MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 43: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 27 of 3003-Feb-2014

DR31-Jan-1996

USAAVNC,FT.RUCKER,AL.(EC7788)

207-Apr-1997

CIV CONTROL ,QUALITY

INSTALLATION OF HEADS UP DISPLAY(HUD) AN/AVS-7 IN CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC:RCD)

1-1520-240-50-56MWO:

Mnt LevelPriority

DR15-Mar-1997

USAAVNC,FT.RUCKER,AL.(EC7788)

2030-Sep-1997

CIV CONTROL ,QUALITY

MOD INSTRUCTIONS FOR INSTALLINGPOSITIVE LOCKING BOLTS IN THEDRIVE SCISSORS INCH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)

1-1520-240-50-51MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 44: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 28 of 3003-Feb-2014

DN15-Jul-1991

USAAVNC,FT.RUCKER,AL.(EC7788)

2.520-Jun-1999

CIV CONTROL ,QUALITY

INSTALLATION OF IMPROVEDFREQUENCY MODULATION (IFM)BYPASS IN CH-47D HELICOPTER

1-1520-240-50-46MWO:

Mnt LevelPriority

DR31-May-1996

USAAVNC,FT.RUCKER,AL.(EC7788)

3620-Jun-1999

CIV CONTROL ,QUALITY

INSTALLATION OF ALTITUDE VOICEWARNING SYSTEM RADARALTIMETER AN/APN-209(V) IN CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)

1-1520-240-50-61MWO:

Mnt LevelPriority

DR04-Apr-1997

USAAVNC,FT.RUCKER,AL.(EC7788)

1631-Mar-1998

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINSTALLATION OF STAINLESS STEELBELLCRANKS IN COMBININGTRANSMISSION AREA FOR CH-47DAND MH-47E HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD) (NSN 1520-01-282-3747) (EIC: RCE)

1-1520-240-50-65MWO:

Mnt LevelPriority

DR14-Apr-1997

USAAVNC,FT.RUCKER,AL.(EC7788)

3531-Mar-1998

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINSTALLING THE COCKPITEMERGENCY RAMP CONTROLSYSTEM ON CH-47D HELICOPTERS(NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-48MWO:

Mnt LevelPriority

DR29-Aug-1997

USAAVNC,FT.RUCKER,AL.(EC7788)

14628-Mar-2000

CIV CONTROL ,QUALITY

INSTALLATION OF AN/ASN-128BDOPPLER/GPS NAVIGATION SYSTEMIN CH-47D HELICOPTERS (NSN 1520-01-088-3669 (EIC: RCD)

1-1520-240-50-73MWO:

Mnt LevelPriority

DR29-Aug-1997

USAAVNC,FT.RUCKER,AL.(EC7788)

5607-Apr-1997

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FOREASILY REPLACEABLE CABIN ESCAPEHATCH FOR CH-47D HELICOPTER,NSN 1520-01-088-3669 (EIC:RCD) ANDMH-47E HELICOPTER, NSN 1520-01-282-4787 (EIC:RCE)

1-1520-240-50-76MWO:

Mnt LevelPriority

DR30-Nov-1998

USAAVNC,FT.RUCKER,AL.(EC7788)

15028-Mar-2000

CIV CONTROL ,QUALITY

INSTALLATION OF AN/ARC-220 ANDTSEC/KY-100 IN CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)

1-1520-240-50-74MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 45: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 29 of 3003-Feb-2014

DN28-Feb-1987

USAAVNC,FT.RUCKER.AL.(EC7788)

10610-Sep-1996

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORNIGHT VISION GOGGLESCOMPATIBILITY CH-47DHELICOPTERS

55-1520-240-50-3MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 46: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

8601682CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 30 of 3003-Feb-2014

DR31-Oct-1995

USAAVNC,FT.RUCKER.AL.(EC7788)

54.810-Sep-1996

CIV CONTROL ,QUALITY

MODIFICATION INSTRUCTIONS FORINSTALLATION OF NVG/ANVISLIGHTING UPDATE CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)

1-1520-240-50-52MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

Page 47: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 1 of 5803-Feb-2014

AAFF # 2 NYARNGCOMPLIED WITH REQUIREMENTS OF H-47-12-SOF-01 AT 7153.9 ACFT HRS

23-Nov-2011 1

76 PATRIOT WAYROCHESTER, NY

RS441681

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 48: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 2 of 5803-Feb-2014

AASF # 2ULLS-AE (SCP 6) FULLY IMPLIMENTED 22-Aug-2008 1

PENDLETON, OR 97801

KM924012

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 49: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 3 of 5803-Feb-2014

AASF # 2CURRENT ULLS-A(SCP 5) DATA BASE SENTTO WESTAR IN CLARKSVILLE, TN TO BEINPUTED INTO ULLS-AE (SCP 6) DATA BASE

18-Jun-2008 1

PENDLETON, OR 97801

KM924012

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 50: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 4 of 5803-Feb-2014

AASF # 2 NYARNGCOMPLETED 200 HR SERVICE AT 7181.6 ACFTHRS. NEXT 400 HR PHASE DUE AT 7381.6ACFT HRS

02-Mar-2012 1

76 PATRIOT WAYROCHESTER, NY

RS441681

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 51: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 5 of 5803-Feb-2014

AASF #2COMPLY WITH REQUIREMENTS OF CH-47-06-ASAM-03; H-47 SERIES AIRCRAFT, AFTLONGITUDINAL CYCLIC TRIM (LCT)ACTUATOR; COMPLIED WITH AT 6175.2AIRCRAFT HOURS; R. HASCH, TI (RH9717)

11-May-2006 1

PENDLETON, OR 97801

QC000000

AASF #2COMPLY WITH REQUIREMENTS OF CH-47-06-SOF-04; H-47 SERIES AIRCRAFT, SUSPECTAFT ROTOR BLADES, COMPLIED WITH AT6189.5 AIRCRAFT HOURS; R. HASCH, TI(RH9717)

26-May-2006 1

PENDLETON, OR 97801

QC000000

AASF #2COMPLY WITH REQUIREMENTS OF CH-47-07-ASAM-01, ARC-220/KY-100 START-UPPROCEDURES @ 6291.8 AIRCRAFT HOURS(AN1404)

16-Jan-2007 1

PENDLETON, OR 97801

QC000000

AASF #2AWR DTD 05 OCT 2007, THE USE OF GARMINGPSMAP 496, 396, &295 ON ALL CH-47DHELICOPTERS (AWR 48553) EMC CHECKCOMPLETED 25 OCT 2007. EQUIPMENT TEMPINSTALLED AS MISSION DICTATES (KM4012)

25-Oct-2007 1

PENDLETON, OREGON97801

QC000000

AASF #2H-47-09-SOF-02 ENGINE DRIVESHAFT ANDADAPTERS REQUIRE A ONE-TIMEHISTORICAL RECORDS CHECK TO ENSURESPECIFIC COMPONENT FATIGUE LIVES HAVENOT BEEN EXCEEDED.RECORDS CHECKCOMPLETED ON 16 DEC 2008 BY KM924012

16-Dec-2008 1

PENDLETON, OR 97801

KM924012

AASF #2AWR DTD 18 JAN 08 CH-47D HELICOPTERSWITH ERFS II FUEL CONTROL PANEL (P/NHM022-367-11) INSTALLED (TTS 42779A).INSTALLED AS MISSION DICTATES.EMCSUCCESSFULY COMPLETED

02-Feb-2009 1

PENDLETON, OR 97801

KM924012

AASF #2200 HOUR CYCLE SERVICE INSP. COMPLETEDAT 6783.7 ACFT HOURS, 43.4 HRS PRIOR TOSCHEDULED CYCLE INSPECTION FOR PHASEFLOW. NEXT 200 HR CYCLE INSPECTION AND400 HR MAINTENANCE INSP DUE AT 6983.7ACFT HRS

05-Feb-2009 1

PENDLETON, OR 97801

JC111010

AASF #2AWR DTD 13FEB09 FOR CH-47D HELICOPTERWITH THE EBC-406HM, EMERGENCYLOCATOR TRANSMITTER (ELT) ID#ADCC09D07040775 EMC CHECKSUCCESSFULLY COMPLETED ON CH-47D8700100

28-May-2009 1

PENDLETON, OR 97801

JC111010

AASF #2COMPLIED WITH H-47-09-AMAM-02 , AFTSLIDER SHAFT ASSEMBLY RETIREMENT LIFE.AFTS SLIDER SHAFT: S/N JT3529MANUFACTURE DATE: 02/21/05

22-Jul-2009 1

PENDLETON, OR 97801

KM924012

AASF #2COMPLIED WITH H-47-09-AMAM-03, HALONHAND-HELD FIRE EXTINGUISHERS.

14-Sep-2009 1

PENDLETON, OR 97801

JC111010

AASF #2AWR DTD 26MAR08 FOR CH-47 HELICOPTERSTO INSTALL AND OPERATE WITH AVIATIONVIBRATION ANALYZER (AVA) SINGLECAMERA TRACKER BRACKET (TTS 54785)

17-Sep-2009 1

PENDLETON, OR 97801

JC111010

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 52: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 6 of 5803-Feb-2014

AASF #2AWR DTD 08JUL05 FOR CH-47D HELICOPTERSWITH FLUX VALVE RELOCATED.SUCCESSFUL COMPLETION OF DAILY VISUALINSPECTION

26-Oct-2009 4

PENDLETON, OR 97801

JC111010

AASF #2AWR DTD 04 NOV 08 FOR CH-47DHELICOPTERS WITH THE AIR WARRIOR (AW)DUAL ELECTRONIC DATA MANAGER (EDM).EMC SUCCESSFULLY COMPLETED

26-Oct-2009 3

PENDLETON, OR 97801

JC111010

AASF #2AWR DTD 22 APR 05 INSTALLATION OF THEAN/ASN-128D DOPPLER GLOBALPOSITIONING SYSTEM NAVIGATION SYSTEM(DGNS). EMC SUCCESSFULLY COMPLETED

26-Oct-2009 2

PENDLETON, OR 97801

JC111010

AASF #2AWR DTD 10 APR 09 FOR OPERATION OF CH-47D HELICOPTERS EQUIPPED WITH THEAN/AAR-57(V)5 CMWS/IMCD INSTALLED. EMCSUCCESSFULLY COMPLETED

26-Oct-2009 1

PENDLETON, OR 97801

JC111010

AASF #2COMPLIED WITH H-47-10-AMAM-02, AMCOMCHANGE 60B

23-Nov-2009 1

PENDLETON, OR 97801

JC111010

AASF #2COMPLIED WITH REQUIREMENTS OF H-47-10-ASAM-07 AT 6083.7 ACFT HRS

05-Oct-2010 1

42 PATRIOT WAYROCHESTER, NY

RS441681

AASF #2COMPLIED WITH REQUIREMENTS OF H-47-11-ASAM-01 AT 6983.7 ACFT HRS

14-Oct-2010 1

42 PATRIOT WAYROCHESTER, NY

RS441681

AASF #2COMPLIED WITH REQUIREMENTS OF H-47-11-ASAM-03 AT 7181.6 ACFT HOURS.

22-Mar-2012 2

76 PATRIOT WAYROCHESTER, NY

JV560025

AASF #2COMPLIED WITH REQUIREMENTS OF H-47-11-AMAM-04 AT 7181.6 ACFT HRS.

22-Mar-2012 1

76 PATRIOT WAYROCHESTER, NY

JV560025

AASF #2COMPLIED WITH REQUIREMENTS OF H-47-13-ASAM-06 (IMPROPERLY INSTALLEDFASTENERS)

22-Aug-2013 1

ST. CLOUD, MN 56304-9793

RW963945

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 53: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 7 of 5803-Feb-2014

AASF #2COMPLIED WITH H-47-10-AMAM-03, FORWARDROTOR HUB RETIREMENT LIFE REDUCTION

15-Mar-2010 1

PENDLETON, OR 97801

JC111010

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 54: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 8 of 5803-Feb-2014

AASF #2 NYARNGCOMPLIED WITH REQUIREMENTS OF H-47-11-AMAM-01 AT 6984.2 ACFT HRS

02-Dec-2010 1

42 PATRIOT WAYROCHESTER, NY

RS441681

AASF #2 NYARNGCOMPLIED WITH REQUIREMENTS OF H-47-11-ASAM-04 AT 7072.2 ACFT HOURS.

19-Apr-2011 1

42 PATRIOT WAYROCHESTER, NY

DH728425

AASF #2 NYARNGCOMPLIED WITH REQUIREMENTS OF H-47-11-AMAM-03 AT 7149.4 ACFT HRS

27-Oct-2011 1

76 PATRIOT WAYROCHESTER, NY

RS441681

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 55: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 9 of 5803-Feb-2014

AASF #2 ORARNGAWR DTD 26 JUN 2006, AIRCRAFT OPERATINGWITH ANVIS AN/AVS-6 SERIES NVGS. EMCCHECK COMPLETED JULY 2006. (RH9717)

06-Jul-2006 1

PENDLETON, OR 97801

QC000000

AASF #2 ORARNGH-47-08-ASAM-01, ALL H-47 AIRCRAFT PITCHHOUSING BUSHINGS COMPLIED WITH(AH1404)

11-Feb-2008 1

PENDLETON, OR 97801

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 56: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 10 of 5803-Feb-2014

AASF #2 SAINT CLOUDCOMPLIED WITH REQUIREMENTS OF H-47-12-AMAM-04, FADEC EMERGENCY PROCEDURECHANGES

17-Sep-2012 1

ST. CLOUD, MN 56304-9793

JB457068

AASF #2 SAINT CLOUDCOMPLIED WITH REQUIREMENTS OF H-47-13-AMAM-02 (LCF CHANGE 63)

07-Dec-2012 1

ST. CLOUD, MN 56304-9793

JB457068

AASF #2 SAINT CLOUDPMS 3 (400HR) COMPLETED AT 7373.1AIRCRAFT HOURS SAINT CLOUD MN, PMS2(200HR) DUE AT 7573.1 AIRCRAFT HOURS

28-Feb-2013 1

ST. CLOUD, MN 56304-9793

JB457068

AASF #2 SAINT CLOUDAIRCRAFT SATURATED IN FIRESUPPRESSION FOAM, AIRCRAFT WASHED,CLEANED, CPC, GROUND RUN TO ENSURESAFETY. SEE "-" WRITE UPS DATED 25 JUNE2013 FOR WORK COMPLETED.

21-Jun-2013 1

ST. CLOUD, MN 56304-9793

JB457068

AASF #2 SAINT CLOUDCOMPLIED WITH REQUIREMENTS OF H-47-13-AMAM-04 (LCF CHANGE 64)

01-Aug-2013 1

ST. CLOUD, MN 56304-9793

JB457068

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 57: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 11 of 5803-Feb-2014

AASF #2, ORARNGAWR DTD 17 DEC 1999, AIRCRAFTOPERATING WITH EMERGENCY LOCATORTRANSMITTER (ELT) INSTALLED. EMC TESTCOMPLETED JANUARY 2000. (CC8487)

01-Jan-2000 1

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGAWR DTD 09 FEB 2000, AIRCRAFT OPERATINGWITH T-62T-2B AUXILIARY POWER UNIT (APU)INSTALLED WITH MOD 1-2835-205-40-1. EMCCHECK COMPLETED DECEMBER 2000.(CC8487)

31-Dec-2000 1

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGACFT 86-01682 ACCEPTED ANDTRANSFERRED TO DET 1 CO D 113TH AVN,PENDLETON, OR 97801 AT 5355.7 ACFT HRS,R. HASCH, QC, AASF #2, PDT, OR 97801(RH9717)

04-Mar-2004 1

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGEMC TEST COMPLETED AT 5378.1 ACFT HRSIAW AWR FOR CH-47D HELICOPTERS WITHSEI INDUSTRIES BAMBI BUCKET, MODEL HL7600, 2000 GALLON WATER BUCKET ANDSACKSAFOAM INJECTION SYSTEMINSTALLED DATED 27 JUN 03 (RH9717)

31-Mar-2004 1

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGCH-47-04-ASAM-02 TRANSIENT AND AVOIDBANDS ON THE CRUISE GUIDE INDICATORCW AT 5433.6 ACFT HRS (RH9717)

05-May-2004 1

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGCH-47-04-ASAM-01 AFT FUSELAGEBELLCRANK BOLTS AT STA 444.5 FORPROPER DIRECTION CW AT 5436.6 ACFT HRS(RH9717)

12-May-2004 1

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGPHASE #1 COMPLETED AT 5551.0 ACFTHOURS, NEXT PHASE, #2, DUE AT 5751.0 ACFTHOURS (AN1404)

28-Sep-2004 1

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGAIRCRAFT ENTERED INTO MODULAR PMDAND 400 CSP IAW WITH AWR DATED 27AUGUST 2004. PHASE INSPECTIONS 1, 2, 3AND 4 COMPLETED AT 5551.0 ACFT HOURSAS PREREQUISITE INTO CPME PROGRAM(AN1404)

01-Oct-2004 1

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGCH-47-05-ASAM-01 CH-47 AIRCRAFT, AFTCRITICAL DYNAMIC COMPONENTS,COMPLETED AT 5553.5 ACFT HOURS (AN1404)

15-Oct-2004 1

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGAWR DTD 30 OCT 02, AIRCRAFT OPERATINGWITH AN/ALE-47 COUNTERMEASURESDISPENSE SYSTEM INSTALLED. EQUIPMENTTO REMAIN FULLY INSTALLED FORDEPLOYMENT PURPOSES. (RH9717)

01-Dec-2004 3

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGAWR DTD 02 APR 03, AIRCRAFT OPERATINGWITH T55-GA-714A ENGINES INSTALLED. EMCCOMPLETED DECEMBER 2004. (RH9717)

01-Dec-2004 2

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGAWR DTD 24 JUN 04 R-4 AIRCRAFTOPERATING WITH BLUE FORCE TRACKINGSYSTEM INSTALLED. EMC CHECKCOMPLETED DECEMBER 2004. (AN1404)

01-Dec-2004 1

PENDLETON, OR 97801

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 58: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 12 of 5803-Feb-2014

AASF #2, ORARNGAWR DTD 23 APR 02, AIRCRAFT OPERATINGWITH MEAPS INSTALLED. EMC COMPLETEDDECEMBER 2004. EQUIPMENT FULLYINSTALLED FOR DEPLOYMENT PURPOSES.(RH9717)

31-Dec-2004 2

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGAWR DTD 27 AUG 2004, AIRCRAFT ENTEREDINTO THE MODULAR PMD AND 400 HR CSP.(AN1404)

31-Dec-2004 1

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGIR ANTI-COLLISION STROBE LIGHT REMOVEDAFTER AIRCRAFT CAME BACK FROMDEPLOYMENT. AIRCRAFT NO LONGERREQUIRED TO OPERATE UNDER AWR DTD 01NOV 2004. (RH9717)

30-Apr-2006 3

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGBLUE FORCE TRACKING SYSTEM B KITREMOVED AFTER AIRCRAFT CAME BACKFROM DEPLOYMENT. AIRCRAFT NO LONGERREQUIRED TO OPERATE UNDER AWR DTD 24JUN 2004 UNTIL B KIT IS INSTALLED AGAIN.(RH9717)

30-Apr-2006 2

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGAN/PRC 117F (SATCOM) B KIT REMOVEDAFTER AIRCRAFT CAME BACK FROMDEPLOYMENT, NOT REQUIRED TO OPERATEUNDER AWR DTD 09 SEP 2004, UNTIL B KIT ISINSTALLED AGAIN. (RH9717)

30-Apr-2006 1

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGAWR DTD 18 OCT 2005, AIRCRAFTOPERATING WITH THE NPX-138 RADIOINSTALLED (TTS 14021). EMC CHECKCOMPLETED JULY 2006. EQUIPMENTTEMPORARILY INSTALLED DURING FIRESEASON. (RH9717)

25-Jul-2006 1

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGCOMPLY WITH REQUIREMENTS OF CH-47-07-SOF-02, ALL H-47 SERIES AIRCRAFT,SUSPECT ROTOR BLADES @ 6302.0AIRCRAFT HOURS (AN1404)

25-Jan-2007 1

PENDLETON, OR 97801

QC000000

AASF #2, ORARNGAN/ALE-47 COUNTERMEASURES DISPENSESYSTEM BUCKETS REMOVED FROMAIRCRAFT TEMPORARILY UNTIL AIRCRAFTREDEPLOYS. AIRCRAFT NO LONGERREQUIRED TO OPERATE UNDER AWR DTD 30OCT 2002 UNTIL INSTALLED. (AN1404)

19-Jul-2007 1

PENDLETON, OR 97801

QC000000

AASF #2, ORARNG200 HOUR INSPECTION COMPLETED AT 6428.8AIRCRAFT HOURS AT PENDLETON, OR. 400HOUR INSPECTION DUE AT 6628.8 AIRCRAFTHOURS. (AN1404)

11-Sep-2007 1

PENDLETON, OR 97801

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 59: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 13 of 5803-Feb-2014

AASF 2COMPLIED WITH REQUIREMENTSOF H-47-12-ASAM-01 (YAW ILCA INPUT CONTROLHARDWARE/HYDRAULIC PRESSURE TUBECLEARANCE)

14-Aug-2012 1

ST. CLOUD, MN 56304-9793

BF846868

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 60: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 14 of 5803-Feb-2014

AASF# 2 PENDLETON ,OREGON 97801

400 HR MAINTENANCE INSP COMPLETED AT6627.1 AIRCRAFT HOURS NEXT 400 HOURDUE AT 7027.1. 200 HR INSP NEXT DUE AT6827.1 AIRCRAFT HOURS. (KM924012)

25-Nov-2008 1

PENDLETON, OR 97801

KM924012

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 61: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 15 of 5803-Feb-2014

AASF#2IAW MWO 1-1520-240-55-90 DTD 06DEC2004(APX-118) RECORD THE ACFT'S MODE SADDRESS.MODE S OCTAL ADRESS FOR TAIL# 86-01682: 53410237

14-Jul-2009 1

PENDLETON, OR 97801

KM924012

AASF#2COMPLIED WITH H-47-10-ASAM-03, FORWARDPYLON HYDRAULIC LINE CLAMPING.COMPLETED @6798.7 AIRCRAFT HOURS ON21-DEC-2009 (BS960284)

21-Dec-2009 1

PENDLETON, OR 97801

BS960284

AASF#2COMPLIED WITH H-47-10-AMAM-04, SLIDERSHAFT ASSY. RETIREMENT LIFE

06-Apr-2010 1

PENDLETON, OR 97801

BS960284

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 62: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 16 of 5803-Feb-2014

AASF#2 NYARNGCOMPLETED 400 HR PHASE AT 6983.7 ACFTHRS. NEXT 200 HR INSP DUE AT 7183.7 ACFTHRS

01-Dec-2010 1

42 PATRIOT WAYROCHESTER, NY

RS441681

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 63: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 17 of 5803-Feb-2014

AASF#2 ORARNGAWR DTD 7 DEC 07, FOR CH47-DHELICOPTERS TO CONDUCT FLIGHTOPERATIONS WITH OREGON AERO, INC., CO-PILOT SEAT CUSHION PART #34MCHOFINSTALLED (TTS 48786, REV A) (KM4012)

11-Dec-2007 1

PENDLETON, OREGON97801

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 64: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 18 of 5803-Feb-2014

AASF2AWR TTS 107314 DTD 9 MAR 12 FOR T55-GA-714A ENGINE TIME-BETWEEN- OVERHAUL(TBO) EXTENSION FROM 2400 HOURS TO 2800HRS.

20-Sep-2012 1

ST. CLOUD, MN 56304-9793

BF846868

AASF2COMPLIED WITH REQUIREMENTS OF H-47-13-ASAM-02 (MID-CABIN HATCH CARGO HOOK).

13-Dec-2012 1

ST. CLOUD, MN 56304-9793

BF846868

AASF2COMPLIED WITH REQUIREMENTS OF H-47-13-ASAM-03 (IRSS SYSTEM)

18-Dec-2012 1

ST. CLOUD, MN 56304-9793

BF846868

AASF2COMPLIED WITH REQUIREMENTS OF GEN-13-AMAM-04, (AN/APN-209 RADAR ALTIMETERSET COMPONT TRACKING).

18-Sep-2013 1

ST. CLOUD, MN 56304-9793

BF846868

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 65: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 19 of 5803-Feb-2014

AVN BRANCH, HAAFAIRWORTHHINESS RELEASE (AWR) FOR CH-47D HELICOPTERS WITH THE UPPERCLAMSHELL DOOR LATCH MODIFICATIONINSTALLED(TTS# 22052) PCW

20-Sep-2006 1

GA

KM924012

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 66: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 20 of 5803-Feb-2014

B CO 2/211 GSABCOMPLIED WITH REQUIREMENTS OF H-47-13-SOF-02

15-Jun-2013 1

ST. CLOUD, MN 56304-9793

JS707699

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 67: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 21 of 5803-Feb-2014

B CO 2/227 AVN REGTCOMPLY WITH REQUIREMENTS OF CH-47-06-SOF-03; COMPLIED WITH AT 6129.3 AIRCRAFTHOURS (JQ1624)

11-Mar-2006 1

QASIM, PAKISTAN

QC000000

B CO 2/227 AVN REGT#1 #2 AND UTILITY HYDRAULIC SYSTEMPURIFICATION COMPLETED FOR 200 HOURCSP AT 6129.6 ACFT HOURS. (JQ1624)

15-Mar-2006 1

QASIM, PAKISTAN

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 68: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 22 of 5803-Feb-2014

B CO 2-211TH GSABCOMPLIED WITH REQUIREMENTS OF H-47-13-ASAM-01 (CORRODED CONNECTING LINKS)

19-Dec-2012 1

ST. CLOUD, MN 56304-9793

RW963945

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 69: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 23 of 5803-Feb-2014

B CO. 2/158 AVN RGMTSOF # CH-47-88-24 REVISION TO SOF CH-88-23ACFT PREPARATION INSTRUCTIONS FOR THEBOEING INTERNAL XMSN INSP(CH-47-88-23)C/W. JAMES S. THOMPSON,SSG, TI. (EC7788)

13-Jan-1989 2

FT. HOOD, TX.

QC000000

B CO. 2/158 AVN RGMTMWO 55-1520-240-50-38 COMPLETED BYDYNCORP, FT. HOOD, TX. AT 3076.2 ACFTHRS. PAUL C. CALIRI,SGT, TI. (EC7788)

30-Jan-1989 2

FT. HOOD, TX.

QC000000

B CO. 2/158 AVN RGMTSOF # CH-47-89-03 GROUNDING FORAPPLICATION OF MWO 55-1520-240-50-38 C/WAT 3076.2 ACFT HRS. PAUL C. CALIRI,SGT,TI.(EC7788)

30-Jan-1989 1

FT. HOOD, TX.

QC000000

B CO. 2/158 AVN RGMTSOF # CH-47-89-04 ONE TIME INSP OF FWDAND AFT ROTOR HEADS C/W AT 3076.2 ACFTHRS. JAMES E. BURKHART,SGT,TI. (EC7788)

09-Feb-1989 1

FT. HOOD, TX.

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 70: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 24 of 5803-Feb-2014

B CO. 2/158TH AVNRGMT

ACFT 86-1682 TEST FLOWN AND ACCEPTEDAT 2867.2. H.M. SMOTHERS (EC7788)

13-Nov-1987 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-87-14 ONE TIME AND RECURRINGINSP ON CH-47D ACFT FLT CONTROL ANDUTILITY HYD PUMP HOUSING RETAININGSCREWS C/W. H.M. SMOTHERS,TI. (EC7788)

05-Dec-1987 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF # CH-47-88-03 INSP OF HEATER FUELLINE AND ELECTRICAL COMPONENTS FORCHAFFING C/W. S. HARVEY, TI. (EC7788)

05-Mar-1988 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF # CH-47-88-07 ONE TIME VISUAL INSPAND TQ CK OF ENGINE DRIVE SHAFTS ANDASSOCIATED HARDWARE C/W AT 2950.8ACFT HRS. S.HARVEY,TI. (EC7788)

24-Mar-1988 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF # CH-47-88-08 ONE TIME AND RECURRINGINSP OF ENGINE CROSS SHAFTS C/W AT2955.6 ACFT HRS. STEVE A. HARVEY,TI.(EC7788)

12-Apr-1988 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF # CH-47-88-11 ONE TIME INSP OFPIVOTING AND SWIVELING SERVOCYLINDERS C/W. N.VIOLETTE,SGT,TI. (EC7788)

10-Jun-1988 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF # CH-47-88-10 ONE TIME REPLACEMENTOF #1 & #2 FLT CONTROL AND UTILITYHYDRAULIC PUMP RETAINING SCREWS C/WAT 2984.7 ACFT HRS. DOUGLAS POWELL,SSG,TI. (EC7788)

20-Jun-1988 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF # CH-47-88-13 CH-47D ACFT COMB XMSNOIL COOLER FAN INSP PRIOR TO NEXT FLTBY BOEING CONTRACT TEAM C/W @ 2984.7ACFT HRS. DOUGLAS POWELL,SSG,TI.(EC7788)

11-Jul-1988 2

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF # CH-47-88-12 ONE TIME INSP OF COMBXMSN FAN RETORQUE OF AFT AND COMBFAN ASSY C/W AT 2984.7 ACFT HRS.DOUGLAS POWELL,SSG,TI. (EC7788)

11-Jul-1988 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF # CH-47-88-14 ONE TIME INSP OFPIVOTING AND SWIVELING SERVOCYLINDERS C/W AT 2984.7 ACFT HRS. JAMESBURKHART,SGT,TI. (EC7788)

25-Jul-1988 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

OCM/ACE PERFORMED AT 3013 A/C HRS ATFT.HOOD,TX, BY ACE TEAM MEMBERX,AVSCOM OCMSEC,ST.LOUIS,MO. (EC7788)

15-Aug-1988 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF # CH-47-88-15 PROCEDURE FOR FUELSAMPLING WHEN USING THE EXTENDEDRANGE FUEL SYSTEM C/W AT 3016.1 A/C HRS.JAMES E. BURKHART. (EC7788)

26-Sep-1988 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF GEN-88-12 ONE TIME INSP OF INTERNALPORTABLE FIRE EXTINGUISHER C/W AT3024.1 ACFT HRS. DANIEL R. BURNS. (EC7788)

06-Oct-1988 1

FT. HOOD,TX.

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 71: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 25 of 5803-Feb-2014

B CO. 2/158TH AVNRGMT

SOF # CH-47-88-16 IDENTIFICATION OFADDITIONAL EMERGENCY DESCENTPROCEDURES. R. VANDUSEN,SSG,TI.(EC7788)

15-Nov-1988 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF # CH-47-88-18 ONE TIME AND RECURRINGINSP OF ENGINE DRIVE SHAFTS, ADAPTERSAND MOUNTING HARDWARE FORCRACKS,LOOSENESS OR DAMAGE ATINBOARD AND OUTBOARD ENDS C/W AT3070.9 A/C HRS. JAMES BURKHART. (EC7788)

18-Nov-1988 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF # CH-47-88-20 IMMEDIATE SUSPENSIONOF ALL CH-47 FLT OPERATIONS C/W.DOUGLAS POWELL,SSG,TI. (EC7788)

13-Dec-1988 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF MSG(CH-47-88-21) 01322 INSTRUCTIONSFOR RETURNING ACFT TO FULL FLT STATUS(EC7788)

16-Dec-1988 1

FT. HOOD,TX

QC000000

B CO. 2/158TH AVNRGMT

SOF # CH-47-88-22 ONE TIME INSP FORCERTAIN S/N'ED XMSNS PRIOR TO NEXT ACFTOPERATION C/W. BRUCE L. PERRY. (EC7788)

28-Dec-1988 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF # CH-47-88-19 ONE TIME AND RECURRINGINSP FWD XMSN IMPLELLER ASSY C/W.R.VANDUSEN,SSG,TTI. (EC7788)

06-Jan-1989 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF MSG CH-47-89-02(TB55-1520-24)RECORDSCK & INSP OF CONNECTING LINKS ANDBELLCRANK (EC7788)

12-Jan-1989 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF # CH-47-88-23 ONE TIME AND RECURRINGINSP OF FWD XMSN IMPELLER ASSY ANDADDITIONAL INFO CONCERNINGCOMPLETION OF SOF CH-47-88-22 C/W.JAMES S. THOMPSON. (EC7788)

13-Jan-1989 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF #HCH-47-89-05 ACFT PREVENTIVE MAINTPROCEDURES FOR FIRESLEEVED AND ALBIPAINTED FLT CONTROLS C/W AT 3093.5 ACFTHRS. BILLY J. CARPERTER,SSG,TI. (EC7788)

04-Apr-1989 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

MWO 55-1520-240-55-39(DRAFT) COMPLETEDBY DYNCORP, OLR,FT.HOOD,TX. AT 3099.9ACFT HRS. H.FRAZIER,CIV. (EC7788)

28-Apr-1989 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

ON 13 MAY 89 ACFT WAS SUBJECTED TOTORNADIC TYPE WINDS IN EXCESS 100KNOTS. SPECIAL INSP WAS COMPLETED BYBOEING AND AVSCOM REPRESENTATIVES.TODD E. GREGG,SGT,TI. (EC7788)

22-May-1989 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

ACFT EXPOSED TO TORNADO FORCE WINDSAT FT.HOOD,TX. 13MAY89 AND SUSTAINEDMODERATE DAMAGE AT 3107.1 ACFT HRS.SPECIAL INSP COMPLETED BY AMC INSPTEAM. TODD E. GREGG,SSG,TI. (EC7788)

06-Jun-1989 1

FT. HOOD,TX.

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 72: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 26 of 5803-Feb-2014

B CO. 2/158TH AVNRGMT

SOF CH-47-89-06 ONE TIME AND RECURRINGINSP OF ENG DRIVESHAFTS,ADAPTERS,ANDMOUNTING HARDWARE FOR CRACKS,LOOSENESS,OR DAMAGE AT INBOARD ANDOUTBOARD ENDS C/W AT 3107.1 ACFT HRS.TODD E. GREGG,SSG,TI. (EC7788)

28-Jun-1989 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

EDDY CURRENT INSP OF #1 AND #2 ENGDRIVE SHAFTS REQUESTED AND COMPLETEDBY BOEING REPRESENTATIVE. DENNIS R.PEDIGO,SGT,TI. (EC7788)

20-Jul-1989 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

OCM/ACE PERFORMED AT 3107 A/C HRS ATFT.HOOD,TX, BY ACE TEAM MEMBER PAVSCOM OCMSEC, ST. LOUIS,MO. (EC7788)

31-Aug-1989 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

MWO 55-1520-240-55-11 APPLIED ON 18NOV89AT 3701.1 A/C HRS BY BOEING SERVICECENTER.TODD E.GREGG,SSG, TI. (EC7788)

18-Nov-1989 2

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-89-11 CH-47D ACFTUNGROUNDING REQUIREMENTS C/W18NOV89 @ 3107.1 ACFT HRS. JAMESS.THOMPSON,SSG,TI. (EC7788)

18-Nov-1989 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-89-13 CH-47D A/C UNGROUNDINGREQUIREMENT C/W 27NOV89 AT 3107 ACFTHRS. JAMES S.THOMPSON,SSG TI. (EC7788)

28-Nov-1989 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-89-14 CH-47D ACFT EXTENSIONAND CLARIFICATION OF COMBINING XMSNCOOLER FAN DRIVE SHAFT REGREASE C/WAT 3111.9 ACFT HRS. TODD E.GREGG,SSG, TI.(EC7788)

07-Dec-1989 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-89-15 CH-47D ACFT EXTENSION OFCOMBINER XMSN COOLING FAN DRIVESHAFTINSP AND FINITE LIFE OF COOLER FAN P/N145D5318-5 C/W AT 3135 ACFT HRS. TODDE.GREGG,SSG,TI. (EC7788)

21-Dec-1989 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-90-01 UNGROUNDINGREQUIREMENTS FOR FAN EATERS ANDCHANGES TO CH-47-89-11 FOR ALL CH-47DACFT, VISUAL TIP RUB INSP C/W AT 3151.6ACFT HRS. TODD E.GREGG,SSG,TI. (EC7788)

17-Jan-1990 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-90-02 ALL CH-47D ACFTRECURRING EDDY CURRENT INSP ON ENGINECROSS SHAFTS C/W ON 24JAN90 @ 3156.6ACFT HRS. JAMES S.THOMPSON,SSG,TI.(EC7788)

24-Jan-1990 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-90-03 ALL CH-47D ACFTEXTENSION FOR COMBINER COOLING FANSHAFT REGREASE TO 100 HRS C/W @ 3162.7ACFT HRS. TODD E. GREGG,SSG,TI. (EC7788)

31-Jan-1990 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-90-05 ALL CH-47D ACFTEXTENSION OF VIB. TEST ON COMB XMSNCOOLING FANS FROM 25 TO 50 HRS ANDADDITIONAL TROUBLESHOOTINGPROCEDURES C/W ON 05APR90 AT 3180.1ACFT HRS. P.C. CALIRI. (EC7788)

05-Apr-1990 1

FT. HOOD,TX.

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 73: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 27 of 5803-Feb-2014

B CO. 2/158TH AVNRGMT

SOF CH-47-90-06 ALL CH-47D ACFT, ONE TIMEINSP OF AFT XMSN COOLING FAN AND MORETHAN 400 HRS TSN OF AFT XMSN RECURRINGINSP REQUIRED C/W AT 3184.9 A/C HRS. PAULC.CALIRI,SGT,TI. (EC7788)

17-Apr-1990 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-90-08 CLARIFICATION TO ONETIME INSP OF CH-47D FWD XMSN BARRELNUTS C/W 20APR90 AT 3184.9 ACFT HRS.PAUL C.CALIRI,SGT,TI. (EC7788)

20-Apr-1990 2

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-90-07 ONE TIME INSP OF ALL CH-47D ACFT FWD XMSN BARREL NUTS C/W AT3184.9 ACFT HRS. DENNIS R. PEDIGO,SGT,TI.(EC7788)

20-Apr-1990 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-90-09 ONE TIME & RECURRINGINSP OF CH-47D PITCH LINK RETAININGHARDWARE C/W AT 3214.9 ACFT HRS29APR90. PAUL C. CALIRI,SGT,TI. (EC7788)

27-Apr-1990 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

MOD OF AFT XMSN COOLER FAN FROM145DS210-3 TO 145DS210-5 C/W 04MAY90 AT3223.0 ACFT HRS. PAUL F.BYRNE,BOEINGSERVICE ENGINEER. ENTERED BY HAROLDA.LEE. (EC7788)

04-May-1990 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-90-10 ONE TIME & RECURRINGINSP OF CH-47D R/AFT BELLCRANK SUPPORTSTRUCTURE N/A TO THIS ACFT. KEVINL.GRUBB. (EC7788)

22-May-1990 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-90-11 ONE TIME INSP OF FUELPUMP ELECTRICAL GROUNDS CH-47D ONLY,AND REVISION TO FUEL SYSTEMEMERGENCY PROCEDURES FOR ALL CH-47C/D ACFT, C/W AT 3272.6 ACFT HRS.DENNIS R.PEDIGO,SGT,TI. (EC7788)

01-Aug-1990 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

PHASE INSP #3 COMPLETED AT 3291.2 ACFTHRS. WM. D. DOELL,DYNCORP,FT.HOOD,TX.(EC7788)

17-Aug-1990 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-90-12 ONE TIME INSP AND MOD TOHYDRAULIC LINE CLAMPS C/W ON 17SEP90AT 3325.8 ACFT HRS. HAROLD A.LEE.(EC7788)

17-Sep-1990 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-90-13 ONE TIME INSP OF FWDXMSN S/N'S, FOR SUSPECTED DEFECTIVEROTOR SHAFT C/W 26SEP90 @ 3327.1 A/CHRS. CALVIN D. JOHNSON,SSG,TI. (EC7788)

27-Sep-1990 2

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

OCM/ACE PERFORMED AT 3327 A/C HRS, ATFT.HOOD,TX, BY ACE TEAM MEMBER J.W.P.AVSCOM,OCMSEC,ST.LOUIS, MO. (EC7788)

27-Sep-1990 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

MWO 55-1520-240-50-43 INSTALLATION OFONE PIECE ENGINE DRIVE SHAFT C/W AT3333.7 ACFT HRS. MARION L.MIXON,CIV INSP.DYNCORP OLR. (EC7788)

10-Oct-1990 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

ASAM-CH-47-91-01 ALL CH-47D ACFT AFTXMSN COOLING FAN VIBRATION CK C/W23OCT90 AT 3344.0 ACFT HRS. CALVIN D.JOHNSON,SSG,TI. (EC7788)

29-Oct-1990 1

FT. HOOD,TX.

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 74: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 28 of 5803-Feb-2014

B CO. 2/158TH AVNRGMT

ASAM-CH-47-91-02 OPERATIONAL ALL CH-47DACFT THAT HAVE NOT UNDERGONE MWO 55-1520-240-50-43 C/W 05FEB91 AT 3401.3 ACBF THRS. DENNIS R. PEDIGO,SSG,TI. (EC7788)

05-Feb-1991 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF-CH-47-91-01 ONE TIME INSP ANDREMOVAL OF COMBINER XMSNS CONTAININGSUSPECT PINIONS AND GEARS C/W 04APR91AT 3472.4 ACFT HRS BY KEVIN L. GRUBB,.SGT,TI. (EC7788)

04-Apr-1991 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

COMBAT PHASE COMPLETED AT 3473.5 ACFTHRS IAW AVSCON MSG AMSAV-EOL 3120402AUG 90, THE NEXT PHASE DUE IS PHASE #4AT 3673.5 ACFT HRS. DENNIS R. PEDIGO,TI.(EC7788)

19-Apr-1991 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

ON 18NOV90 ACFT PREPARED FOR SHIPMENTTO SWA WITH 3366.4 ACFT HRS. OPERATED 5MONTHS IN DESERT ENVIROMENT ANDRETURNED TO CONUS ON 27JUL91 WITH3500.0 ACFT HRS. MICHAEL PORTER,SSG.(EC7788)

22-Aug-1991 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

ASAM CH-47-91-03 ACFT REVISION OFCHECKLIST FOR CH-47D ACFT OPERATINGSWA C/W AT 3502.7 ACFT HRS. MICHAELPORTER,SSG,TI. (EC7788)

03-Sep-1991 2

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-91-02 UPDATE TO SOF CH-47-91-02TO IDENTIFY SERVICEABLE COMBINER ANDENG XMSN C/W. RICKY D. YOUNGER,SSG.BCO. (EC7788)

03-Sep-1991 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

ASAM CH-47-91-04 ONE TIME INSP ANDREMOVAL OF XMSN CROSS SHAFT P/N1143247-1 CONTAINING XMSN CROSS SHAFTADAP. P/N 1143244.1 C/W AT 3503.4 ACFT HRS.RICKY D. YOUNGER,SSG. (EC7788)

04-Sep-1991 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

ASAM CH-47-91-05 CALCULATION OFFATIGUR LIFE FOR ACFT OPERATION ATGROSS WEIGHTS ABOVE 50,000 LBS C/W AT3505.2 ACFT HRS. MICHAEL PORTER,SSG,TI.(EC7788)

05-Sep-1991 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

ASAM CH-47-91-08 ALL CH-47D MH-47D ACFTONE TIME AND RECURRING INSP OF FWDAND AFT XMSN SUPPORT STRUCTURE C/WON 06SEP91 AT 3506.8 ACFT HRS. RICKY D.YOUNGER,SSG. (EC7788)

06-Sep-1991 3

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

ASAM CH-47-91-06 ALL CH-47D ACFTOPERATING IN SWA INSTALLATION OF NEWFWD XMSN OIL COOLER INLET DUCT P/N145S1981-2,-3,-4 C/W AT 3506.8 ACFT HRS.MICHAEL PORTER,SSG,TI. (EC7788)

06-Sep-1991 2

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

OCM/ACE PERFORMED AT 3503 ACFT HRS ATFT. HOOD,TX. BY ACE TEAM MEMBER XAVSCOM OCMSEC,ST.LOUIS,MO. (EC7788)

06-Sep-1991 1

FT. HOOD,TX.

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 75: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 29 of 5803-Feb-2014

B CO. 2/158TH AVNRGMT

ASAM CH-47-92-01 ONE TIME INSP OFINTERFERENCE BETWEEN ENG CROSSSHAFT AND RIGHT HAND FAIRING COVER TB1-1520-240-20-59 C/W AT 3549.4 ACFT HRS.WILLIAM K. SHEARON,SSG. (EC7788)

21-Oct-1991 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

CH-47-92-ASAM-02 ONE TIME INSP OFGENERATOR WIRE HARNESS AT THE FIREEXTING DISCHARGE TUBE C/W AT 3587.8ACFT HRS 27NOV91. RICKY D.YOUNGER,SSG.(EC7788)

27-Nov-1991 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

OCM/ACE PERFORMED AT 3747 A/C HRS ATFT. HOOD,TX. BY ACE TEAM MEMBER CAVSCOM OCM SEC ST. LOUIS, MO. (EC7788)

30-Sep-1992 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-93-01 ACFT GROUNDED DUE TOSUSPECTED MATERIAL FAILURE OF A SCREWIN UPPER BOOST ACTUATOR CONTROLVALVE C/W AT 3745.9 ACFT HRS ON 24OCT92.CALVIN JOHNSON. (EC7788)

24-Oct-1992 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-93-02 UNGROUNDING OF CH-47D,MH-47D, & MH-47E FOR REPLACEMENTOF ACTUATOR SCREWS C/W AT 3745.9 ACFTHRS. (EC7788)

05-Nov-1992 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

CH-47-93-ASAM-03 ONE TIME INSP OF PUMPHYD NSN 1650-01-249-431 C/W AT 3789.9 ACFTHRS. KEN LEROY,SSG. (EC7788)

15-Mar-1993 2

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

CH-47-93-ASAM-02 ONE TIME ANDRECURRING INSP OF HI-LOCK FASTENERSC/W AT 3789.9 ACFT HRS 12MAR93. KENLEROY,SSG. (EC7788)

15-Mar-1993 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-93-03 ONE TIME RECORDS CK TOIDENTIFY UNSERVICEABLE ENG XMSNS(EC7788)

16-Jul-1993 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

ACFT PHASE #1 COMPLETED AT 3855.0 ACFTHRS, NEXT PHASE DUE IS PHASE #2 AT 4055.0ACFT HRS. ENTERED BY M.LITAKER. (EC7788)

23-Sep-1993 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

OCM/ACE PERFORMED AT 3855 ACFT HRS ATFT. HOOD,TX. BY -A- (EC7788)

24-Sep-1993 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

ASAM-CH-47-94-01 ONE TIME ANDRECURRING INSP OF ROTARY WING HEADBUSHINGS C/W AT 3855.0 ACFT HRS. (EC7788)

28-Oct-1993 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

CH-47-94-ASAM-03 ONE TIME ANDRECURRING INSP OF RIGID CONNECTINGLINK(P/N 145C3340-10) C/W AT 3893.9 ACFTHRS. (EC7788)

26-Jan-1994 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

CH-47-94-ASAM-04 ONE TIME INSP OF PILOTSAND CO-PILOTS SEAT BELT RELEASE LEVERRETAINING PIN C/W AT 3889.2 ACFT HRS(EC7788)

16-Feb-1994 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

CH-47-94-ASAM-06 ONE TIME ANDRECURRING INSP OF HYD PUMP STRATO C/WAT 3937.7 ACFT HRS ON 29APR94. (EC7788)

02-May-1994 1

FT. HOOD,TX.

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 76: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 30 of 5803-Feb-2014

B CO. 2/158TH AVNRGMT

CH-47-94-ASAM-05 ONE TIME INSP OF 5000 LBTIE-DOWN ASSY C/W AT 3937.7 ACFT HRS ON02MAY94. (EC7788)

03-May-1994 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

MWO 01-1520-240-50-60 COMPLETED THISDATE LENGTH OF #1 AFT ADJ LINK IS 6.324 #2LINK IS 6.470" (EC7788)

18-Jul-1994 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF CH-47-95-01 ONE TIME VISUAL INSP OFUPPER DUAL BOOST ACTUATOR S/N'S TOENSURE PROPER SCREWS ARE INSTALLEDC/W AT 4017.2 ACFT HRS. (EC7788)

07-Dec-1994 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

ASAM(CH-47-95-ASAM-01)ONE TIME ANDRECURRING DAILY INSP OF THRUST IDLERASSY C/W AT 4018.9 ACFT HRS. (EC7788)

16-Dec-1994 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

ASAM(CH-47-95-ASAM-02)ONE TIME TQ OF #1& #2 PTU MOTOR PUMP NUTS P/N 145HS140-8WITHIN 10 FLT HRS/14 DAYS NLT 08FEB95 C/WAT 4019.1 ACFT HRS. (EC7788)

20-Jan-1995 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

OCM/ACE PERFORMED AT 4032 A/C HRS ATFT.HOOD,TX. BY -I- OCM SECTION,ST.LOUIS,MO. (EC7788)

20-Mar-1995 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

ASAM(CH-47-95-ASAM-04)ONE TIME INSP FORSTRATO POWER PUMPS 1650-02-249-4341 TOBE COMPLETED WITHIN 10 HRS OR 14 DAYSC/W AT 4035.5 HRS. (EC7788)

03-Apr-1995 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

SOF(CH-47-95-02) ONE TIME VISUAL INSP ANDTQ CK OF LOWER DRIVE LINK TOSWASHPLATE RETAINING HARDWARE TO BEC/W NLT 01JUN95. C/S ON 09MAY95 AT 4035.5ACFT HRS. (EC7788)

09-May-1995 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

CH-47-95-ASAM-07 COMPLETED MWO 1-1520-240-50-69 IS APPLIED NO SLIPPED BUSHINGSAND NO CRACKS FOUND. C/W ON 11SEP95 AT4051.3 HRS. (EC7788)

11-Sep-1995 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

CH-47-95-ASAM-06 INSP AND LUBE OF THEFLT CONTROL ROD END BEARINGS C/W AT4051.3 ACFT HRS. NEXT DUE AT 4251.3 HRS.(EC7788)

15-Sep-1995 2

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

ACFT PHASE #2 COMPLETED AT 4051.3 ACFTHRS. NEXT PHASE DUE IS PHASE #3 AT4250.2.NO CRACKS FOUND. (EC7788)

15-Sep-1995 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

CH-47-95-ASAM-08 INSP OF AFT VERTICALSHAFT AND DUST SEAL FOR PROPERCLEARANCE AND EVIDENCE OF RUBBINGC/W AT 4051.9 HRS. NEXT INSP DUE AT PHASE#3. (EC7788)

18-Sep-1995 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

CH-47-96-ASAM-01 INSP OF AFT DRAG LINKSFOR A #3 OR #5 PAINTED ON LINK C/W AT4096.5 ACFT HRS. (EC7788)

06-Nov-1995 1

FT. HOOD,TX.

QC000000

B CO. 2/158TH AVNRGMT

CH-47-96-ASAM-03 INSP OF ACCUMULATORGUAGES P/N G4284 FOR LOCATION OFMETALIC IDENTIFICATION TAPE COMPLETEDAT 4141.7 ACFT HRS. (EC7788)

29-Jan-1996 1

FT. HOOD,TX.

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 77: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 31 of 5803-Feb-2014

B CO. 2/158TH AVNRGMT

OCM/ACE PERFORMED AT 4142 A/C HRS BYAVSCOM OCM SEC, FT.HOOD,TX. (EC7788)

06-Feb-1996 1

FT. HOOD,TX.

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 78: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 32 of 5803-Feb-2014

B. CO 168 GSABCOMPLIED WITH H-47-10-ASAM-04, ALL H-47SERIES AIRCRAFT, CHROMALLOY ROTORHUBS @ 6949.3 ACFT HRS.

09-Jul-2010 1

PENDLETON, OR 97801

AB729281

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 79: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 33 of 5803-Feb-2014

BOEING COMPANYPLASTIC MEDIA BLASTING(PMB) IS BEINGACCOMPLISHED IN THE STRIPPING OF THEAIRFRAME AS PART OF THE "D"MODIFICATION PROGRAM. TOTAL TIME ATMOD:2856.9 ACFT HRS. (EC7788)

21-Oct-1987 2

PHILA.,PA.

QC000000

BOEING COMPANYACFT S/N 7015022 CH-47C INDUCTED ANDCONVERTED TO CH-47D S/N 8601682 ON15OCT87. TOTAL TIME AT MOD 2856.9 HRS.(EC7788)

21-Oct-1987 1

PHILA.,PA.

QC000000

BOEING COMPANYTB 55-1520-241-20-40 ONE TIME INSP OF CH-47A,B,C, & D HELICOPTERS WITH ENGINEXMSN BREATHER LINES INSTALLED C/W.(EC7788)

30-Oct-1987 1

PHILA.,PA.

QC000000

BOEING COMPANYACFT S/N 86-1682 TEST FLOWN ANDACCEPTED AT 2865.4 HRS. (EC7788)

31-Oct-1987 1

PHILA.,PA.

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 80: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 34 of 5803-Feb-2014

CCADCH-47-01-ASAM-03 FWD/AFT ROTOR HUBLIGHTNING HOLE INSP TB 1-1520-240-20-131

08-Nov-2000 1

CORPUS CHRISTI, TX

FC7929

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 81: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 35 of 5803-Feb-2014

CCAD TEAM, CORPC, TX78419

AIRCRAFT UNDERWENT DYNAMIC DRIVESYSTEM ALIGNMENT V2.1 DUE TOINSUFFICIENT CLEARANCE BETWEEN #1 D/SAND AIRFRAME. VARIOUS D/S LORD MOUNTBRACKETS FOUND TO BE IMPROPERLYINSTALLED. CORREDTED BY CCAD. @ 6486.5AIRCRAFT HOURS. SEE ENCLOSED PAPERSIN HISTORICALS. AH1404, TI, AASF#2ORARNG. (AH1404)

14-Feb-2008 1

PENDLETON, OR 97801

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 82: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 36 of 5803-Feb-2014

CORPUS CHRISTI ARMYDEPOT

CH-47-03-ASAM-01,ENGINE DRIVE SHAFT LIFEEXTENSION C/W @ 5351.0 ACFT HRS AND NOV23 2003. #1 DRIVE SHAFT S/N: A-2692 #2 DRIVESHAFT S/N: A-2752 (RD7033)

03-Dec-2003 22

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

GEN-03-ASAM-01,INSPECT OF BATTERYBOX,CY-8515 S/N: 0838A S/N: 0041A C/W @5351.0 ACFT HRS. AND MAY 22 2003. (RD7033)

03-Dec-2003 21

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

CH-47-02-ASAM-03,TB1-1520-240-20-147,INSPECT. FOR IMPROPERLYMANUFACTURED/ ASSEMBLED FUELCONTROL RELAY BOXES. C/W @ 5351.0 ACFTHRS. AND 18 JULY 2003. (RD7033)

03-Dec-2003 20

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

CH-47-02-ASAM-04,TB1-1520-240-20-149,INSPECTION FOR UNTESTED CRITICALSAFETY ITEM(CSI) P/N:114C3044-2, AFT YOKESUPPORT SHAFT. C/W @ 5351.0 ACFT. HRS.AND 23 SEPT. 2003 AFT YOKE SUPPORTSHAFT CAGE CODE 07952 (RD7033)

03-Dec-2003 19

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

CH-47-02-ASAM-02,TB1-1520-240-20-143,FORWARD YOKE SHAFT REPLACEMENTDATE EXTENSION. C/W @ 5351.0 ACFT HRS.AND 27 SEPT 2003 (RD7033)

03-Dec-2003 18

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

CH-47-02-ASAM-01,TB1-1520-240-20-142,ONETIME INSPECTION OF THE TUNNEL COVERSTRUT ASSEMBLIES. 5351.0 ACFT HRS. AND20 OCT 2003. (RD7033)

03-Dec-2003 17

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

CH-47-01-ASAM-09,TB1-1520-240-20-139,MANDATORY INSPECTION FORUNTESTED FLIGHT SAFETY PART(FSP)BOLTS,P/N: 114R3650-9 AND BACB30ST10-40.C/W @ 5351.0 ACFT HRS. AND OCT 1 2003.(RD7033)

03-Dec-2003 16

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

CH-47-01-ASAM-08,TB1-1520-240-20-138,INSPECTION OF FLIGHT AND UTILITYBOOST HYDRAULIC CONTROL MODULES. C/W@ 5351.0 ACFT AND NOV 19 2003. (RD7033)

03-Dec-2003 15

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

COMPLIANCE OF TIME CHANGE TO CROSSSHAFT ADAPTER ASSEMBLIES AS PERCHANGE 75.TM55-1520-20-23-1, S/N:CROSSSHAFT ADAPTER ASSEMBLIES(P/N:145D3500-16/17 HAVE FINITE LIFE OF 3048. COMPLIEDWITH NOV 25 2003 AND 5351.0 ACFT HRS.#1ENGINE D/S I/B ADAPTER ASSY: TM0140#1ENGINE D/S O/B ADAPTER ASSY: A-6758#2ENGINE D/S I/B ADAPTER ASSY: TM0116#2ENGINE D/S O/B ADPATER ASSY: A-5107(RD7033)

03-Dec-2003 14

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

CH-47-01-ASAM-07,TB1-1520-240-20-135,INSPECTION FOR UNTESTED FLIGHTSAFETY PART BOLTS, P/N: 114R3650-13 AND114R3650-15. C/W @ 5351.0 ACFT HRS. ANDOCT 02 2003. (RD7033)

03-Dec-2003 13

CORPUS CHRIST TX78419-5260

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 83: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 37 of 5803-Feb-2014

CORPUS CHRISTI ARMYDEPOT

CH-47-01-ASAM-02,TB1-1520-240-20-130,INSPECT. FOR UNTESTED FLIGHT SAFETYPART BOLTS,P/N:114R3050-6 AND 114R3650-11. C/W @ 5351.0 ACFT HRS. AND OCT 1, 2003.(RD7033)

03-Dec-2003 12

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

CH-47-00-ASAM-08,TB1-1520-240-20-128,INSPECTION OF FORWARD YOKESHAFT,P/N:145C3051-1 FOR CORROSION C/W@ 5351.0 ACFT HRS AND SEPT 27 2003.(RD7033)

03-Dec-2003 11

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

CH-47-00-ASAM-07,TB1-1520-240-20-125,INSPECTION OF UNTESTED FLIGHTSAFETY PART(FSP)BOLT, P/N: 114R3650-7.C/W @ 5351.0 ACFT HRS AND OCT 10, 2003.(RD7033)

03-Dec-2003 10

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

CH-47-00-ASAM-05,TB1-1520-240-20-123,INSPECTION OF FOWARD AND AFTSLIDER SHAFT SEALS. C/W @ 20 SEPT. 2003AND 5351.0 ACFT HRS (RD7033)

03-Dec-2003 9

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

CH-47-00-ASAM-01,TB1-1520-240-20-119,INITIAL AND RECURRING INSPECTION OFFUEL PODS FOR CORROSION ANDELECTRICAL BONDING. C/W @ 5351.0 ACFTHRS. AND 23 OCT 2003. (RD7033)

03-Dec-2003 8

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

BOEING SERVICE BULLETIN,CH-47-02-1011,01JULY 1995 FUEL SYSTEM RELAY BOX ANDLEVEL SENSING UNIT SUPPORT MOD. C/W @NOV 20 2002 AND 5351.0 ACFT HRS (RD7033)

03-Dec-2003 7

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

BOEING SERVICE BULLETIN,CH-47-02-1009,01JULY 1995 RECURRING INSPECTION OF PILOTAND COPILOT JETTISONABLE COCKPITDOORS. C/W WITH NOV 22 2003 AND ACFTHRS: 5351.0 . (RD7033)

03-Dec-2003 6

CORPUS CHRIST TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

ACFT EXTERIOR PAINTED WITH ACFTGREEN,MIL-C-46168 CREW COMPARTMENTWITH LACK LUSTERLESS BLK, MIL-C-46168CABIN INTERIOR AND RAMP SURFACE WITHLUSTERLESS GREY,MIL-C-46168,IAW TM55-1500-345-23, COMPLY WITH PAINTREQUIREMENT SET FORTH IN TM55-1500-240-23-2 PAGE 2-943. APPLY NON-SKID IAW TM55-1520-24-23-2 PAGE 2-934 C/W @ 5351.0 ACFTHRS (RD7033)

03-Dec-2003 5

CORPUS CHRISTI TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

FWD AND AFT ENGINE MOUNT'S NDT WASC/W @ 5351.0 ACFT HRS AND ON 14 OCT 2003AND 20 OCT 2003. (BOTH #1 AND #2 ENGINES)(RD7033)

03-Dec-2003 4

CORPUS CHRISTI TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

ACE PERFORMED BY CORPUS CHRISTI ARMYDEPOT AT 5351.0 ACFT HRS (RD7033)

03-Dec-2003 3

CORPUS CHRISTI TX78419-5260

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 84: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 38 of 5803-Feb-2014

CORPUS CHRISTI ARMYDEPOT

AIRCRAFT COMPLETED OCM/ALL PHASEINSPECTION ON FEB 6, 2004/5351.0 ACFT HRS.BY CORPUS CHRISTI ARMY DEPOT. IAWATCOM SOW WHICH INCLUDES ALL PHASES.NEXT PHASE INSPECTION IS #1 @ 5551.0ACFT HRS. (RD7033)

03-Dec-2003 2

CORPUS CHRISTI TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

ACFT DELIVERED TO CORPUS CHRISTI ARMYDEPOT FOR OCM/ALL PHASE INSPECTIONPROGRAM ON 14 MAY 2002, 5351.0 ACFT HRS.(RD7033)

03-Dec-2003 1

CORPUS CHRISTI TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

CH-47-01-ASAM-02,TB 1-1520-240-20-130,INSPECT FOR INSTALLATION OF M-16INERTIA REELS P/N:114R3050-6 AND 114R3650-11. C/W ON JAN 5 2004,5351.0 ACFT HRSR.DAVILA,RECORDS CLERK,CCAD,CORPUSCHRISTI,TX 78419-5260 (RD7033)

10-Feb-2004 3

CORPUS CHRISTI TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

CH-47-00-ASAM-03,TB 1-1520-240-20-121,HYDRULIC FLUID SAMPLING FROMFLIGHT CONTROLS AND UTILITY. C/W ON JAN.5, 2004, 5351.0 ACFT HRS. R.DAVILA RECORDSCLERK,CCAD, CORPUS CHRISTI TX 78419-5260. (RD7033)

10-Feb-2004 2

CORPUS CHRISTI TX78419-5260

QC000000

CORPUS CHRISTI ARMYDEPOT

CH-47-00-ASAM-06,TB 1-1520-240-20-126,ONETIME INSPECTION FOR DEFECTIVE FULLAUTHORITY DIGITAL ELECTRONICCONTROL(FADEC) P3 DRAIN CARTIDGE. C/WON DEC 15 2004,5351.0 ACFT HRS. R.DAVILA,RECORDS CLERK,CCAD,CORPUSCHRISTI TX 78419-5260 (RD7033)

10-Feb-2004 1

CORPUS CHRISTI TX78419-5260

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 85: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 39 of 5803-Feb-2014

CSCACE COMPLETED AT 7077.2 A/C HRS. BY ACETEAM MEMBERS B/G. AFMA, RASM-E,AMCOM..

10-May-2011 1

42 PATRIOT WAYROCHESTER, NY

JG389608

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 86: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 40 of 5803-Feb-2014

D CO 113 AVNMEAPS B KIT NO LONGER INSTALLED.AIRCRAFT NO LONGER REQUIRED TOOPERATE UNDER AWR DTD 23 APR 2002.(RH9717)

28-Feb-2005 1

FT. SILL, OK

QC000000

D CO 113 AVNAWR DTD 01 NOV 2004, AIRCRAFTOPERATING WITH IR ANTI-COLLISIONSTROBE LIGHT INSTALLED. EQUIPMENTINSTALLED FOR DEPLOYMENT PURPOSES.(RH9717)

05-May-2005 2

KAF, APO AE 09355

QC000000

D CO 113 AVNAWR DTD 09 FEB 2004 R-1, AIRCRAFTOPERATING WITH THE AN/PRC-117F RADIOINSTALLED (SATCOM). EMC CHECKCOMPLETED. EQUIPMENT TO REMAIN FULLYINSTALLED FOR DEPLOYMENT PURPOSES.(RH9717)

05-May-2005 1

KAF, APO AE 09355

QC000000

D CO 113 AVNCOMPLY WITH REQUIREMENTS OF CH-47-05-ASAM-02 INSPECT AFT ROTOR HEAD FORCERTAIN S/N'S COMPLIED AT 5847 AIRCRAFTHOURS, T. HOLGADO, TI (TH2673)

24-Jul-2005 2

KAF, APO AE 09355

QC000000

D CO 113 AVNCOMPLY WITH REQUIREMENTS OF CH-47-05-ASAM-03 CH-47 AIRCRAFT, VERTICAL HINGEPIN BEARINGS C/W AT 5834.7 AIRCRAFTHOURS, T. HOLGADO, TI (TH2673)

24-Jul-2005 1

KAF, APO AE 09355

QC000000

D CO 113 AVNCOMPLY WITH REQUIREMENTS OF CH-47-05-SOF-02 INSPECT BLADE ROOT END FORCRACKS NLT 04 AUG 2005 COMPLIED WITHAT 5853.0 AIRCRAFT HOURS, T. HOLGADO TI(TH2673)

31-Jul-2005 1

KAF, APO AE 09355

QC000000

D CO 113 AVNCOMPLY WITH REQUIREMENTS OF CH-47-05-ASAM-06 ALL H-47 AIRCRAFT, HYDRAULICFLUID SYSTEM MAINTENANCE; COMPLIEDWITH AT 5933.6 AIRCRAFT HOURS; R. HASCH,TI (RH9717)

15-Sep-2005 1

KAF, APO AE 09355

QC000000

D CO 113 AVN400 HOUR CYCLE INSPECTION COMPLETEDAT 5933.6 AIRCRAFT HOURS; NEXTINSPECTION DUE 6333.6 AIRCRAFT HOURS; R.HASCH, TI (RH9717)

24-Sep-2005 3

KAF, APO AE 09355

QC000000

D CO 113 AVNCOMPLY WITH REQUIREMENTS OF CH-47-05-ASAM-05, ALL H-47 AIRCRAFT, HYDRAULICCHECK VALVES AND FLUID PARTS,COMPLIED WITH AT 5933.6 AIRCRAFT HOURS;R. HASCH, TI (RH9717)

24-Sep-2005 2

KAF, APO AE 09355

QC000000

D CO 113 AVNCOMPLY WITH REQUIREMENTS OF CH-47-05-ASAM-04, H-47 SERIES AIRCRAFT, AFTTRANSMISSION RETAINER; COMPLIED WITHAT 5933.6 AIRCRAFT HOURS; R.HASCH, TI(RH9717)

24-Sep-2005 1

KAF, APO AE 09355

QC000000

D CO 113 AVNAWR DTD 03 JUN 2005, AIRCRAFT OPERATINGWITH FLIGHT ENGINEER/CREW CHIEF(SIMULA) SEAT AND FRAME KIT INSTALLED.(RH9717)

24-Nov-2005 1

KAF, APO AE 09355

QC000000

D CO 113 AVNNDI COMPLETED ON #2 ENGINE MOUNTS AT6035.3 AIRCRAFT HOURS - NEXT DUE AT6635.3 AIRCRAFT HOURS; R. HASCH, TI(RH9717)

09-Jan-2006 1

KAF, APO AE 09355

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 87: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 41 of 5803-Feb-2014

D CO 113 AVNCOMPLY WITH REQUIREMENTS OF CH-47-06-ASAM-01 H-47 SERIES AIRCRAFT UPPERBOOST ACTUATORS (UBA) COMPLIED WITHAT 6035.3 AIRCRAFT HOURS; R. HASCH, TI(RH9717)

10-Jan-2006 1

KAF, APO AE 09355

QC000000

D CO 113 AVNCOMPLYWITH REQUIREMENTS OF CH-47-06-SOF-01, CH-47 SERIES AIRCRAFT, M24 DOORMOUNTED ARMAMENT SUBSYTEM;COMPLIED WITH AT 6039.0 AIRCRAFT HOURS;R. HASCH, TI (RH9717)

19-Jan-2006 1

KAF, APO AE 09355

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 88: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 42 of 5803-Feb-2014

D CO. 2-227 AVN.CH-47-06-ASAM-02 M24/M240H CAMFOLLOWER COMPLIED WITH AT 6158.5 ACFTHRS. (EB3479)

26-Mar-2006 1

QASIM. PAKISTAN

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 89: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 43 of 5803-Feb-2014

DET 1 B CO 1/168THAVN

CH-47-07-SOF-03 SUSPECT ROTOR BLADESCOMPLIED WITH AT 6432.8 AIRCRAFT HOURS(KM4012)

27-Sep-2007 1

PENDLETON, OREGON

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 90: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 44 of 5803-Feb-2014

DYNCORPCH-47-05-SOF-01 ONE TIME AND RECURRINGINSPECTION OF FWD AND AFT SWAHPLATESCOMPLETED AT 5578.9 ACFT HOURS (JT3185)

19-Jan-2005 1

FT SILL OK

QC000000

DYNCORPNDI OF #2 ENG FWD AND AFT ENG MOUNTSCOMPLETED AT 6228.8 ACFT HOURS, NEXTDUE AT 6828.8 ACFT HOURS (NA7064)

28-Jul-2006 2

FTCKY 42223

QC000000

DYNCORPNDI OF #1 ENG FWD AND AFT ENG MOUNTSCOMPLETED AT 6228.8 ACFT HOURS, NEXTDUE AT 6828.8 ACFT HOURS (NA7064)

28-Jul-2006 1

FTCKY 42223

QC000000

DYNCORPOCM/ACE PERFORMED AT 6228.8 ACFTHOURS (NA7064)

03-Aug-2006 3

FTCKY 42223

QC000000

DYNCORPSTA 280 FLOOR BEAM REPLACED IAW MEC #F52371 (NA7064)

03-Aug-2006 2

FTCKY 42223

QC000000

DYNCORPSTA 534, BL 46R, WL45 T-ANGLE REPLACEDIAW MEC # F52370 (NA7064)

03-Aug-2006 1

FTCKY 42223

QC000000

DYNCORP#2 ENG FWD MOUNT STRUCTURE INBOARDL/S LUG REPAIRED IAW TASK 4-31 FINAL LUGBORE 0.8438 (NA7064)

07-Aug-2006 3

FTCKY 42223

QC000000

DYNCORP#1 ENG FWD MOUNT STRUCTURE OUTBOARDR/S LUG REPAIRED IAW TASK 4-31 FINAL LUGBORE 0.8348 (NA7064)

07-Aug-2006 2

FTCKY 42223

QC000000

DYNCORP#1 ENG FWD MOUNT STRUCTURE INBOARDL/S LUG REPAIRED IAW TASK 4-31 FINAL LUGBORE 0.9688 (NA7064)

07-Aug-2006 1

FTCKY 42223

QC000000

DYNCORPSTA 440 FLOOR BEAM REPLACED IAW MEC #F52372 A (NA7064)

11-Aug-2006 1

FTCKY 42223

QC000000

DYNCORPT-CAP AT STA 594, WL 51, BL 28R REPLACEDIAW MEC # F52071 (NA7064)

22-Aug-2006 2

FTCKY 42223

QC000000

DYNCORPAFT SWIVELING OUTBOARD AIRFRAMEATTACHEMNT LUG BUSHING OVERSIZE IAWMEC #F53073 (NA7064)

22-Aug-2006 1

FTCKY 42223

QC000000

DYNCORPCOMPLIED WITH SOF CH-47-06-SOF-05, INSPFWD ROTOR BLADES FOR DISTORTION T F(NA7064)

23-Aug-2006 1

FTCKY 42223

QC000000

DYNCORPCOMPLIED WITH SOF CH-47-06-SOF-06, AFTCRITICAL DYNAMIC COMPONENTS S/NINSPECTION T F (NA7064)

15-Sep-2006 1

FTCKY 42223

QC000000

DYNCORPCOMPLIED WITH SOF CH-47-07-SOF-01,SWASHPLATE ROTATING RING INSPINTERVAL CHANGE T F (NA7064)

23-Oct-2006 1

FTCKY 42223

QC000000

DYNCORPTB 1-1520-240-30-02, CH-47D AIRCRAFTDESSERT OPERATION SPECIAL INSP ANDCLEANING COMPLTED AT 6228.8 ACFTHOURS (NA7064)

26-Oct-2006 2

FTCKY 42223

QC000000

DYNCORP400 HR CYCLE SERVICE PROGRAM (CSP)COMPLETED AT 6228.8 ACFT HOURS, NEXTCSP DUE IS 200 HR AT 6428.8 ACFT HOURS(NA7064)

26-Oct-2006 1

FTCKY 42223

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 91: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 45 of 5803-Feb-2014

DYNCORP INTLACE PERFORMED AT 7461 AIRCRAFT HOURSAT ST CLOUD, MN BY TEAM MEMBERS RR & K

16-Aug-2013 1

ST. CLOUD, MN 56304-9793

AS425855

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 92: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 46 of 5803-Feb-2014

L3ACE COMPLETED AT 7183.6 A/C HRS. BY ACETEAM MEMBERS B/G. AFMA, RASM-E,AMCOM.

26-Mar-2012 1

76 PATRIOT WAYROCHESTER, NY

JG389608

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 93: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 47 of 5803-Feb-2014

LSI CONTRACT TEAM MWO 1-1520-240-50-118 INSTALLATION OFAFT PYLON ACCESS PANELS COMPLETED

16-Sep-2009 1

PENDLETON, OR 97801

JC111010

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 94: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 48 of 5803-Feb-2014

LSI/CCADALL ACFT HISTORICAL RECORDS FOR THISACFT CONVERTED TO ULLS-A,VERSION L3P-02-02 CHG #45, AT 5318.3 ACFT HRS (EC7788)

07-Jul-2000 1

CORPUS CHRISTI, TX.

QC000000

LSI/CCADCH-47-00-ASAM-05/TB1-1520-240-20-123 INSPOF FWD AND AFT SLIDER SHAFT SEALS C/W@ 5324.2 ACFT HRS. (EC7788)

01-Aug-2000 1

CORPUS CHRISTI, TX.

QC000000

LSI/CCADCH-47-00-ASAM-06/TB1-1520-240-20-126 1 XINSP FOR DEFECTIVE "FADEC" P3 DRAINCARTRIDGE. N/A THIS A/C @ 5348.1 ACFTHRS. (SF3674)

22-Sep-2000 1

CORPUS CHRISTI, TX.

QC000000

LSI/CCADCH-47-00-ASAM-07/TB1-1520-240-20-125 INSPFOR UNTESTED P/N 114R3650-7 BOLTS ON H-47 ACFT C/W AT 5349.5 ACFT HRS. CK'ED OK.(NS4020)

29-Sep-2000 1

CORPUS CHRISTI, TX.

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 95: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 49 of 5803-Feb-2014

LSSICH-47-92-ASAM-03 RESCISSION OFAIRWORTHINESS RELEASE ON TANK P/N855DSCC-D-00007-4 ENTERED AT 3660.1 ACFTHRS. PAUL C.CALIRI. (EC7788)

14-Apr-1992 1

FT. HOOD,TX.

QC000000

LSSICH-47-92-ASAM-04 ONE TIME ANDRECURRING INSP OF ENG CROSS SHAFTADAPTERS C/W AT 3660.1 ACFT HRS28APR92. PAUL C. CALINI. (EC7788)

28-Apr-1992 1

FT. HOOD,TX.

QC000000

LSSIACFT PHASE 1 THRU 4 (TB 1-1520-240-30-01)STIR COMPLETED AT 3660 ACFT HRS. NEXTPHASE DUE IS PHASE #1 AT 3860 ACFT HRS.M. MAXWELL (EC7788)

10-Jun-1992 1

FT. HOOD,TX.

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 96: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 50 of 5803-Feb-2014

OLR WESTACE PERFORMED @ 6783.7 A/C HRS ATPENDELTON OR. BY HH & E

31-Aug-2009 1

FT LEWIS WA 98439

CA866418

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 97: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 51 of 5803-Feb-2014

PROJECT OLRSOF CH-47D-89-08 IMMEDIATE GROUNDINGOF CH-47D ACFT WITH COMBINING XMSN OILCOOLER FAN P/N 145DS518-3 C/W AT 3107.1A/C HRS. MARION L.MIXON,CIV,TI. (EC7788)

31-Jul-1989 1

FT. HOOD,TX.

QC000000

PROJECT OLRSOF CH-47D-89-07 RETORQUE OF JAM NUTSON THE VALVE INPUT LINK ON CERTAINS/N'ED ILCA'S C/W BY DYNCORP OLR AT3107.1 ACFT HRS. MARION L.MIXON,CIV,TI.(EC7788)

14-Aug-1989 1

FT. HOOD,TX.

QC000000

PROJECT OLRSOF CH-47D-89-09 IMMEDIATE GROUNDINGOF CH-47D ACFT WITH COMBINING XMSN OILCOOLER FAN P/N 145D5518-4 C/W AT 3107.1ACFT HRS.MARION L.MIXON,CIV,TI. (EC7788)

17-Aug-1989 1

FT. HOOD,TX.

QC000000

PROJECT OLRSOF CH-47-89-10 ALL CH-47D ACFT INSP ANDDEGREASE OF COMBINING XMSN COOLINGFAN DRIVE SHAFT WITH COOLING FANCLARIFICATION PROCEDURES C/W AT 3107.1ACFT HRS. MARION L.MIXON,INSP. (EC7788)

21-Sep-1989 1

FT. HOOD,TX.

QC000000

PROJECT OLRBASE LINE PHASE INSP COMPLETED IAW SOFMSG CH-47-89-01(TB 55-1520-240-20-31). NEXTPHASE INSP DUE WILL BE #3 IAW MSG CH-47-89-MIM-09. BASELINE INSP COMPLETED3107.1 ACFT HRS. MARION L. MIXON,INSP.(EC7788)

30-Oct-1989 1

FT. HOOD,TX.

QC000000

PROJECT OLRSOF CH-47-89-12 IMMEDIATE GROUNDING OFALL CH-47D ACFT C/W AT 3107.1 ACFT HRS.MARION L. MIXON,INSP. (EC7788)

31-Oct-1989 1

FT. HOOD,TX.

QC000000

PROJECT OLRACE INSPECTION COMPLETED AT 6530AIRCRAFT HOURS AT PENDLETON, OR BY X &V. (DM0063)

15-May-2008 1

FT LEWIS, WA

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 98: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 52 of 5803-Feb-2014

PROJECT OLR, FT.LEWIS, WA

ACE INSPECTION PERFORMED AT 6344AIRCRAFT HOURS AT PENDLETON, OR 97801.COMPLETED BY JJ/LL (JE7125)

29-Mar-2007 1

AASF #2 PENDLETON,OR 97801

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 99: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 53 of 5803-Feb-2014

PROJECT OLR/LSIACE INSPECTION PERFORMED AT 5555.2 A/CHOURS AT PENDLETON, OR BY TEAMLEADER HH (GC0981)

03-Dec-2004 1

FT. LEWIS, WA 98433

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 100: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 54 of 5803-Feb-2014

RASM-PACE COMPLETED AT AASF#2, PENDLETON,OR 97801 AT 6886.2 A/C HRS BY JJ & E

21-Apr-2010 1

FT. LEWIS WA 98439

CA866418

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 101: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 55 of 5803-Feb-2014

USAAVNCTB 1-1520-240-20-84(CH-47-96-ASAM-05)ONETIME INSP OF THE FWD CONTROL INSTL FORTHE MANUFACTURE OF PN 114R3650-3 BOLTASSY C/W AT 4205.3 ACFT HRS. (EC7788)

25-Jun-1996 1

FT. RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-80(CH-47-ASAM-01)INSP &REQUISITION OF LANDING GEAR DRAG LINKSTHAT ARE SUSCEPTABLE TO STRESSCRACKING. (EC7788)

16-Aug-1996 1

FT. RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-88(CH-47-96-ASAM-08)ONETIME VISUAL INSP FOR AND REMOVAL OFCERTAIN S/N 145DS102-3 FWD XMSN MAINLUBRICATION PUMPS. (EC7788)

22-Aug-1996 1

FT. RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-86(CH-47-96-ASAM-07)TOINSP THE BOND LINES ON THE 114P8079-2 # -3ASSYS FOR LOOSENESS AROUND THEEDGES. (EC7788)

10-Sep-1996 1

FT. RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-89(CH-47-96-ASAM-09)INSPAND REPAIR OF AFT PYLON CHAMSHELLDOOR LOWER LATCH TO PRECLUDE WEARAND/OR INFLIGHT LOSS OF DOOR. (EC7788)

16-Sep-1996 1

FT. RUCKER,AL.

QC000000

USAAVNCPHASE INSP #3 COMPLETED @ 4230.9 ACFTHRS-NEXT PHASE INSP #4 DUE @ 4430.9 ACFTHRS (EC7788)

18-Sep-1996 1

FT.RUCKER,AL.

QC000000

USAAVNCACE/AACE PERFORMED AT 4276 A/C HRS BYDYNCORP OLR, FT.HOOD,TX PROFILER "W"(EC7788)

08-Nov-1996 1

FT.RUCKER,AL.

QC000000

USAAVNCSOF CH-47-97-01 TB 1-1520-240-20-91 ONETIME VISUAL INSP OF FWD XMSN MOUNTINGBARREL NUTS, P/N NAS 577B20A (EC7788)

18-Nov-1996 1

FT.RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-92/CH-47-97-ASAM-02 INSTLNOF GUARD AROUND CARGO HOOK RELEASESWITCH ON WINCH/HOIST OPERATORS GRIPASSY PN 114ES250-2 (EC7788)

08-Jan-1997 1

FT.RUCKER,AL.

QC000000

USAAVNCCH-47(GEN-97-ASAM-03) CHANGE OFPROCEDURES FOR LOADING THE CRYPTOKEYS IN NAVSTAR AN/ASN-149 GPSRECVEIVERS. (EC7788)

09-Jan-1997 1

FT.RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-93(CH-47-97-ASAM-05) ONETIME INSP FOR AND REMOVAL OF AN320-12CASTELLATED NUTS MADE BY GREER STOPNUT INC (EC7788)

04-Apr-1997 1

FT.RUCKER,AL.

QC000000

USAAVNCCH-47-97-ASAM-06 INFORMATIONAL UPDATEAND POSSIBLE SOLUTION FOR NAVSTARAS/ASN-149(VI) GPS CONTROL DISPLAY UNITLOCKUP WHENEVER THE RECEIVER ISTRACKING SATALLITE PRN 30. (EC7788)

08-Apr-1997 1

FT.RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-95/CH-47-97-ASAM-07 ACFTRECURRING INSP OF POWER DISTRIB.FEEDER FOR FRAYING/CHAFFING ANDARCING/BURNING, CERTAIN POWER DISTRIB.PANEL(PDP) CIRCUIT BREAKERS(CBS) FORWATER AND CORROSION. (EC7788)

14-Apr-1997 1

FT.RUCKER,AL.

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 102: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 56 of 5803-Feb-2014

USAAVNCTB 1-1520-240-20-96/CH-47-97-ASAM-04 ONETIME VISUAL INSP & REPLACEMENT OFCERTAIN P/N 4C3074 CRISSAIR CHECK VALVEINSTALLED IN POWER CONTROL MODULEASSYS. (EC7788)

17-Apr-1997 1

FT.RUCKER,AL.

QC000000

USAAVNCPHASE INSP 4 COMPLETED @ 4406.6 ACFTHRS-NEXT PHASE INSP #1 DUE AT 4606.6ACFT HRS (RS1956)

28-Apr-1997 1

FT.RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-99/CH-47-97-ASAM-10 ONETIME INSP OF ANVIS/HUD POWER SUPPLY.(RS1956)

03-Oct-1997 1

FT.RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-97/CH-47-97-ASAM-08 INSPAND LUB FLT CONTROL ROD END BRNGS INTHE FLT CNTRL CLOSET. (RS1956)

07-Oct-1997 1

FT.RUCKER,AL.

QC000000

USAAVNCPHASE INSP 1 COMPLETED @ 4604.3 ACFTHRS-NEXT PHASE INSP #2 DUE AT 4804.3ACFT HRS (RS1956)

08-Oct-1997 1

FT.RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-100/SOF CH-47-98-ASAM-02EXTENSION FOR REPLACEMENT FOR THELANDING GEAR DRAG LINK ASSY THAT ARESUSCEPTABLE TO STRESS CORROSIONCRACKING. (RS1956)

30-Oct-1997 1

FT.RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-103/SOF CH-47-98-01 ONETIME INSP OF AFT UPPER BOOSTACTUATORS TO STATIONARY RETAININGHARDWARE C/W AT 4774.6 ACFT HRS.(RB1940)

18-Mar-1998 1

FT.RUCKER,AL.

QC000000

USAAVNCACE/AACE PERFORMED @ FT.RUCKER,AL. @ACFT HRS 5784 (JR4681)

27-Mar-1998 1

FT.RUCKER,AL.

QC000000

USAAVNCALL ACFT HISTORICAL RECORDS FOR THISACFT CONVERTED TO ELAS AT 4783.6 ACFTHRS-ALL PREVIOUS HISTORICAL HARDCOPIES ARE ON FILE LOCALLY. (NS5857)

03-Apr-1998 1

FT.RUCKER,AL.

QC000000

USAAVNCPHASE INSP 2 COMPLETED @ 4783.6 ACFTHRS-NEXT PHASE INSP #3 DUE AT 4983.6ACFT HRS (RS1956)

09-Apr-1998 1

FT.RUCKER,AL.

QC000000

USAAVNCTB1-1520-240-20-101(CH-47-98-ASAM-05) ACFTREST TO FLT OPERATIONS AND INSPPROCEDURES IAW ASAM CH-47-98-ASAM-05(RS1956)

24-Sep-1998 1

FT.RUCKER,AL.

QC000000

USAAVNCPHASE #3 COMPLETED @ 4957.6 ACFT HRS-PHASE INSP #4 DUE AT 5157.6 ACFT HRS(RS1956)

04-Nov-1998 1

FT.RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-106(CH-47-99-ASAM-01)ONETIME INSP OF LAG DAMPERERS (RS1956)

10-Feb-1999 1

FT.RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-107(CH-47-99-ASAM-02) INSPOF SERVO CYLS/ACFT RECORDS (RS1956)

22-Feb-1999 1

FT.RUCKER,AL.

QC000000

USAAVNCTB 55-1520-240-20-108(CH-47-99-ASAM-03)ONE TIME AND RECURRING INSP OFHOIST/CARGO HOOK CONTROL PANEL ANDWATER INTRUSION IN THE COCKPIT (RS1956)

01-Mar-1999 1

FT.RUCKER,AL.

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 103: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 57 of 5803-Feb-2014

USAAVNCTB 55-1520-240-20-109(CH-47-99-ASAM-04)FWD & AFT LCT YOKE BUSHING INSPS &ACFT MAINT MANUAL CHANGES (RS1956)

18-Mar-1999 1

FT.RUCKER,AL.

QC000000

USAAVNCOCM/ACE PERFORMED AT 5118 ACFT HRS BYTEAM MEMBER "J" AMCOM, FTCKY (RS6922)

22-Apr-1999 1

FT.RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-110(CH-47-99-ASAM-05)EXTEN FOR REPLACEMENT OF THE AFTLANDING GEAR DRAG LINK ASSYS THAT ARESUSCEPTIBLE TO STRESS CORROSIONCRACKING (RS1956)

29-Apr-1999 1

FT.RUCKER,AL.

QC000000

USAAVNCPHASE #4 COMP @ 5158.2 ACFT HRS(OVERFLEW PHASE DUE TIME BY 0.6 HRS) PHASE #1DUE AT 5357.6 ACFT HRS (RS1956)

30-Jun-1999 1

FT.RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-111(SOF CH-47-99-01) ONETIME INSP OF SYNC SHAFT MOUNTINGBRACKETS FOR PROPER CLEARANCE TOSYNC SHAFT (RS1956)

07-Jul-1999 1

FT.RUCKER,AL.

QC000000

USAAVNCIMMEDIATE GROUNDING OF ALL H-47 SERIESACFT IAW SOF MSG CH-47-99-02 (RS1956)

09-Aug-1999 1

FT.RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-114(SOF CH-47-99-04)UNGROUNDING OF H-47 SERIES ACFT IAW SOMSG, TECHNICAL, RCS CSGLD-1860(R1) FORFWD AND AFT XMSN GEAR/BRNG ASSYSIDENTIFIED BY S/N PREFIX "VB" (RS1956)

27-Aug-1999 2

FT.RUCKER,AL.

QC000000

USAAVNCTB 55-1520-240-20-113(SOF CH-47-99-03) INSPOF H-47 SERIES ACFT FWD AND AFT XMSNSGEAR/BRNG ASSYS (RS1956)

27-Aug-1999 1

FT.RUCKER,AL.

QC000000

USAAVNCTB 1-2835-205-20-4(SOF CH-47-00-01)COMPLETE INSP PROCEDURES PRIOR LTONEXT FLT OR APU START (APU S/N:SP-E920129,2904 STARTS) (RS1956)

13-Oct-1999 1

FT.RUCKER,AL.

QC000000

USAAVNCTB 1-1520-240-20-116(SOF CH-47-00-03)INCREASE OF OPERATING LIMITATIONS FORFWD & AFT XMSNS GEAR/BEARING ASSYSIDENTIFIED BY S/N PREFIX "VB" (RS1956)

07-Dec-1999 1

FT.RUCKER,AL.

QC000000

USAAVNCINSPECTION REQUIREMENTS COMPLETEDFOR CONUS XFER OF ACFT @ 5311.5 ACFTHRS (NS5857)

17-Apr-2000 1

FT.RUCKER,AL.

QC000000

USAAVNCAWR FOR THE COMMUNICATION EAR PLUGDATED 14 JUL 99 ISSUED AT 5311.5 ACFTHRS. (NS5857)

18-Apr-2000 1

FT RUCKER, AL

QC000000

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 104: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 8601682HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 58 of 5803-Feb-2014

WPNVB0COMPLIED WITH REQUIREMENTS OF H-47-12-AMAM-02 AT 7259.6 ACFT HOURS.

05-Jun-2012 1

BLDG E-4081EDGEWOOD, MD 21010

JR137336

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

Page 105: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 1/703-Feb-2014

86016821520010883669 00HELICOPTER, CARGO

156001117108402A16 NOSE

1724991BF001C234N0003-1VIBRATION ABSORBER CCCC COND COND

156001117108402A17 PILOT

047181410102234N0003-1VIBRATION ABSORBER, PIL CCCC COND COND

156001117108402A18 CO-PILOT

20665351BF-748234N0003-1VIBRATION ABSORBER, CO- CCCC COND COND

291501563362804A06A 2

0698410ANV14132-170-700-01ECU CCCC COND COND

291501563362804A06A 1

0698410ANV14842-170-700-01ECU CCCC COND COND

168001227174804A07E

05656578145ES010-6N1 QUADRANT CONTROL CCCC COND COND

161501145710905A02 GREEN

9315551A-1-1837114R1702-37BLADE ASSY ROT WING FW CCCC COND COND

161501145710905A02 FWD YELLOW

27697373A1-2480114R1702-37BLADE ASSY ROT WING FW CCCC COND COND

161501145710905A02 RED

05351A1-3083114R1702-37BLADE ASSY ROT WING FW CCCC COND COND

156001326723105A03B UPPER

05931TS1080114R3434-9DRIVE ARM ASSEMBLY FWD CCCC COND COND

161501145711005B02 AFT YELLOW

073732012A3859114R1702-38BLADE ASSY ROT WING AF CCCC COND COND

161501145711005B02 GREEN

14945752A-2-1036114R1702-38BLADE ASSY ROT WING AF CCCC COND COND

161501145711005B02 RED

12986229A-2-2874114R1702-38BLADE ASSY ROT WING AF CCCC COND COND

156001326723105B03E UPPER

05752TS1072114R3434-9DRIVE ARM ASSEMBLY AFT CCCC COND COND

161501317644606B

7815351A7-497MG145D1300-9XMSN ASSY, WING DRIVE F CCCC COND COND

161501315407106C

13385351A9-303MG145D2300-7XMSN ASSEMBLY AFT CCCC COND COND

161501464397406D

11175934A8-218145D5300-20TRANSMISSION COMBINING CCCC COND COND

161501464711306E 1

4873732009A9888145D6300-14XMSN ASSY ENGINE MECH CCCC COND COND

161501464711306E #2

16676229A11-1095145D6300-14XMSN ASSY ENGINE MECH CCCC COND COND

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

Page 106: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 2/703-Feb-2014

86016821520010883669 00HELICOPTER, CARGO

161501113024906H06B

13065585A-3039145D3407-6FWD XMSN ADAPTER ASSY CCCC COND COND

161501140670306H12B C-BOX FWD

05351A37905145D3407-7COMBINING XMSM FWD AD CCCC COND COND

161501119336006H13B

42077373A637145D3407-8COMBINING XMSN AFT ADA CCCC COND COND

161501114084506H14B

21985351A1719145D3407-9AFT XMSN ADAPTER ASSY CCCC COND COND

165001302007607A37

17976229UR1196BAN145H6700-19CYLINDER ACT SWIVEL FW CCCC COND COND

165001304901607A38

18196229UR322BAN145H6600-19CYLINDER ASSY PIVOT FWD CCCC COND COND

165001303789807A39

27617182BCS215BSAN145H6700-18CYLINDER ACT SWIVEL AFT CCCC COND COND

165001303789707A40

11486229BCS475BANS145H6600-20CYLINDER ASSY PIVOT AFT CCCC COND COND

---07BU

06795MX403403AUTILITYHYDRAULIC SYSTEM, UTILIT CCCC COND COND

168001118560711D03

322169841454145CS100-5ACTUATOR ASSY, DASH CCCC COND COND

299501496368615A04 RAMP

0678409254504587ENGINE SEQUENCING UNIT CCCC COND COND

599601188333219D01A AVIONICS CL

06795791BBAM-7189A/ARCAMPLIFIER, RADIO FREQUE CCCC COND COND

599601415867319D01A

001811AM-7531/URCAMPLIFIER, RADIO FREQUE CCCC COND COND

582101413423419D02 CENTER CONS

10237263745AAC-12436/URCCONTROL, HF RADIO SET CCCC COND COND

584101399551319E04A CNTR CONS

067951676BCP-1252CCOMPUTER DISPLAY UNIT A CCCC COND COND

589501518878319E04B AVIONICS CL

067842123CV-3338B/ASN-128DSIGNAL DATA CONVERTER CCCC COND COND

589501245909019E05A

07461801BNNSM-C-967292RECEIVER, TRANSMITTER, CCCC COND COND

584101245909319E05C HOOK

07461450FFA3060591INDICATOR, HEIGHT CCCC COND COND

584101245909219E05C COPILOT

07461476ASM-C-967226INDICATOR, HEIGHT CCCC COND COND

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

Page 107: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 3/703-Feb-2014

86016821520010883669 00HELICOPTER, CARGO

581001376138119H02

0658423960N616779-1TSEC/AVH RCU CCCC COND COND

581001376138019H

065841078ON616736-1TSEC/KY-100 PROCESSOR CCCC COND COND

NSN PENDING76A03 VER 023.9 & 518

067951000AACP-1597A/APR-39(V)COMPARATOR/PROCESSOR CCCC COND COND

24-Jul-2008 54 WUC: 05B03L PN: 145R3650-1 PSN: UNK1682 BOLT PIVOT ACT TOSWASH AFTNEW BOLT INSTALLED T.T.: 0

29-Mar-2003 55 WUC: 06H04 PN: 145D3504-2 PSN: A-2692SHAFT ASSY, ENG. DRIVEN29 MAR 03, BOEING HELICOPTER,PHILA.PA. TT:0.0, JG8808 (610)591-2720.SERVICEABLE ITEM INSTALLED @ TSN: 0, ACFT HRS: 5351.0

03-Jun-2003 56 WUC: 06H04 PN: 145D3504-2 PSN: A-2752 SHAFTASSY, ENG. DRIVEN03 JUNE 2003, BOEING HELICOPTER PHILA. PA. TT:0.0 SERVICEABLE ITEMINSTALLED @ TSN: 0, ACFT HRS: 5351.0

24-Jul-2008 58 WUC: 06H14A PN: 145D3400-26 PSN: A-5760 AFT SEC 2 D/S ASSYSERVICEABLE ITEM INSTALLED @ TSN: 0, ACFT HRS: 5351.0

18-Mar-2005 94 WUC: 05A02 PN: 114R1702-37 PSN: A1-3083BLADE ASSY ROT WING FWD18 MAR 2005 ONE TIME AUTHORIZATION TO REPAIR BLADE ON UPPER LUG IAWWITH LETTER MEC NO: LE-BA008-0846 DTD 18 MAR 05 SIGNED BY WALT A.BUTSCH; TSN 232; R. HASCH, QA, KANDAHAR, AFGHANISTAN

27-Dec-1995 98 WUC: 05A02 PN: 114R1702-37 PSN: A1-2582BLADE ASSY ROT WING FWD95-12-27 AFTER BLADE TRACK AND BALANCE 8 BLADES REMAINED INSTALLEDC. GONZALES, CIV BSAS TRIM TAB ADJUSTED -1DEGREE

22-May-1997 99 WUC: 05A02 PN: 114R1702-37 PSN: A1-2582BLADE ASSY ROT WING FWD97-05-22 UPPER DAMPNER LUG BUSHINGS OVERSIZED FROM -4 BUSHING TO -6F. DUSINI D CO. 2/160 SOAR (A) FTCKY, 42223

15-May-2002 100 WUC: 05A02 PN: 114R1702-37 PSN: A1-2582BLADE ASSY ROT WING FWD15MAY2002 UPPER BUSHING POPPED- OVERSIZED TO 1.395 BUSHING P/N114R1774-8 W. HERRING D 2/160 SOAR FTCKY, 42223

SIGNIFICANT HISTORICAL EVENTS7.

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

Page 108: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 4/703-Feb-2014

86016821520010883669 00HELICOPTER, CARGO

01-Dec-2004 101 WUC: 05A02 PN: 114R1702-37 PSN: A1-2582BLADE ASSY ROT WING FWDDEC 01 2004 SERVICEABILITY INSP C/W REPAIRED PER ER TI 19019, ENG DWG114R1707 DOC D210-11668-1 & TM55-1520-240-23, TEETER BALANCED &TRACKED AT 2076 HRS. FINAL TAB SET AT 2 UP.. BOEING HELICOPTERS PHILAPA TI BY 60B8 DEC 01 2004

08-Nov-2006 103 WUC: 05A02 PN: 114R1702-37 PSN: A1-2582BLADE ASSY ROT WING FWD08 NOV 2006 FINAL RESET SETTING: WTS: 7, TRIM TAB: +6.0, NA7064, DYNCORPTI, FTCKY 42223.

15-Jan-1998 104 WUC: 05A02 PN: 114R1702-37 PSN: A-1-1837BLADE ASSY ROT WING FWD15JAN98-REPAIRED IAW TM55-1520-240-23-4 INSTALLED TOP LIGHTNING JUMPERSTRIP. REPLACED BOTH SHOCK BRACKET BUSHINGS. CLEANED ANDCORROSION TREATED TRACKING WEIGHTS AND PORTS. BALANCED WITH IAWAVION ROTOR BLADE STATIC BALANCE FIXTURE. S/D. SANCHEZ, CCAD, TXTSN: 372.

02-May-1998 105 WUC: 05A02 PN: 114R1702-37 PSN: A-1-1837BLADE ASSY ROT WING FWD02MAY98- FINAL TAB SETTINGS: .80 S/C. HERNANDEZ, ACFT REC CLK, CCAD,CORP, TX 78419-5260

24-Apr-2002 107 WUC: 05A02 PN: 114R1702-37 PSN: A-1-1837BLADE ASSY ROT WING FWD24APR02: BLADE ASSY STATIC BALANCED, CHORD CG: 8.21, SPAN CG: 185.3,BLADE WEIGHT: 352.6, # OF TIP CAP WEIGHTS: 10, AASF #2, ORARNG,PENDLETON, OR 97801, TI: C. CONSER

02-Dec-2003 108 WUC: 05A02 PN: 114R1702-37 PSN: A-1-1837BLADE ASSY ROT WING FWD02DEC03: BLADE ASSY STATIC BALANCED, CHORD CG: 8.369, SPAN CG: 185.3IN, BLADE WEIGHT: 352.67 ILBS, # OF TIP CAP WEIGHTS: 9, AASF #2 ORARNG,PENDELTON, OR 97801, AN1404 TI.

29-Aug-2006 109 WUC: 05A02 PN: 114R1702-37 PSN: A-1-1837BLADE ASSY ROT WING FWD29 AUG 2006 PERFORMED RESET INSP IAW TB 1-1520-240-30-02; REPAINTEDBLADE; PERFORMED STATIC BALANCE (SM: 65357 IN-LB, SCG: 185.30 IN, W: 352.7LB, CM: 2967 IN LB, CCG: 8.412 IN, VIBREX PLATES: 9, TRIM TAB: UNK) TSN:1609; JG6966, DOL/ALMD, FTCKY 42223.

08-Nov-2006 110 WUC: 05A02 PN: 114R1702-37 PSN: A-1-1837BLADE ASSY ROT WING FWD08 NOV 2006: FINAL SETTING, WTS: 9, TRIM TAB: + 1.0, NA7064, DYNCORP FTCKY42223.

08-Nov-2006 123 WUC: 05B02 PN: 114R1702-38 PSN: A2-393EBLADE ASSY ROT WING AFT08 NOV 2006 FINAL SETTING: WT: 10, TRIM TAB: -2.00, NA7064, DYNCORP TI,FTCKY 42223.

28-Mar-2000 126 WUC: 05B02 PN: 114R1702-38 PSN: A-2-1036BLADE ASSY ROT WING AFT28MAR00 BLADE ASSY PAINTED ON 20 MAR 00 BLADE ASSY WEIGHED: WEIGHT:356.26, CHORD CG: 8.43, MOMENT: 3003, SPAN CG: 183.46 MOMENT: 65361,TIPCAP HAS 10 PLATES REMAINING. RICHARD YOUNG, CIV, 2-502 AVN REGTAPO AE 09028

06-Apr-2007 130 WUC: 05B02 PN: 114R1702-38 PSN: A-2-1036BLADE ASSY ROT WING AFT06 APR 07 CRACK IN SKIN ON SURFACE REPAIRED BY RT3361 IAW TM 1-1520-240-23-4, JS2203, QA, AASF #2, PENDLETON, OR 97801.

09-Apr-2007 131 WUC: 05B02 PN: 114R1702-38 PSN: A-2-1036BLADE ASSY ROT WING AFT09 APR 07 BLADE ASSY WEIGHED (SM: 65366 IN LB, SCG: 183.71 IN, W: 355.83 LB,CM: 2974 IN LB, CCG: 8.357, TIP WT: 10) JS2203, QA, AASF# 2, PENDLETON, OR97801.

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

Page 109: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 5/703-Feb-2014

86016821520010883669 00HELICOPTER, CARGO

21-Jul-2008 133 WUC: 06H12B PN: 145D3407-7 PSN: A37905COMBINING XMSM FWD ADAPTERSERVICEABLE ITEM INSTALLED @ TSN: 0, ACFT HRS: 5351.0

21-Jul-2008 135 WUC: 06H14B PN: 145D3407-9 PSN: A1719AFT XMSN ADAPTER ASSYSERVICEABLE ITEM INSTALLED @ TSN: 2198, ACFT HRS: 5351.0

21-Jul-2008 136 WUC: 15A04 PN: 163290-100 PSN: 7375-0217ENGINE SEQUENCING UNITSAME ITEM LEFT ON

13-Sep-1993 137 WUC: 05A02 PN: 114R1702-37 PSN: A1-2582BLADE ASSY ROT WING FWD13SEPT93 AFTER BLADE BALANCE 8 WEIGHTS REMAINED INSTALLED. BOEINGPHILA PA HOLMES CIV

21-Jul-2008 139 WUC: 05A02 PN: 114R1702-37 PSN: A1-3083BLADE ASSY ROT WING FWDNEW: SERVICEABLE FWD ROTOR BLADE INSTALLED AT 5351.0 ACFT HRS. NEWTAB SETTING AND BALANCING WEIGHTS ON FWD YELLOW BLADE. TABSETTING: 0.80 AND BALANCING WEIGHTS +10 C/W ON FEB 5 2004, AND 5354.7ACFT HRS, BY RECORDS CLERK,R. DAVILA, CCAD, CORPUS CHRISTI TX 78419-5260

11-Dec-2001 140 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874BLADE ASSY ROT WING AFT11 DEC 01 BLADE HAS 1 TRACKING WEIGHT PER TUBE REMOVED FOR TRACK &BALANCE. B.RHUE, SSG, TI

06-Dec-2001 141 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874BLADE ASSY ROT WING AFT06 DEC 01: ROTOR BLADE INSTALLED ON ACFT 8524331 AT 0 TTSN BY T.CHERRY, LM2, TI FORT BRAGG, NC 28310

28-Dec-2001 142 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874BLADE ASSY ROT WING AFT28 DEC 01 BLADE HSA 8 PLATES INSTALLED B. RHUE, SSG TI

08-Nov-2006 150 WUC: 05B02 PN: 114R1702-38 PSN: A-2-1036BLADE ASSY ROT WING AFT08 NOV 2006 FINAL SETTING: WT: , TRIM TAB: +6.0, NA7064, DYNCORP TI, FTCKY42223.

21-Jul-2008 151 WUC: 06H04A PN: 145D3500-17 PSN: TM0116 ADAPTERASSEMBLY, ENG D/S INBSERVICEABLE ITEM INSTALLED TSN: 0, ACFT HRS: 5351.0

21-Jul-2008 152 WUC: 06H04B PN: 145D3500-16 PSN: A-5107 ADAPTERASSEMBLY, ENG D/S OUTBSERVICEABLE ITEM INSTALLED @ TSN: 2282, ACFT HRS: 5351.0

24-Jul-2008 153 WUC: 05A03L PN: 114R3650-3 PSN: UNK1682 BOLT SWVL ACT TOSWASHNEW BOLT INSTALLED T.T.:0

21-Jul-2008 154 WUC: 02A18 PN: 234N0003-1 PSN: BF-748 VIBRATIONABSORBER, CO-PILOTSERVICABLE ITEM INSTALLED @ TSN: 2066, ACFT HRS: 5351.0

29-Aug-2006 155 WUC: 05A02 PN: 114R1702-37 PSN: A1-3083 BLADE ASSY ROTWING FWD29 AUG 2006 PERFORMED RESET INSPECTION IAW TB 1-1520-240-30-02;REPAINTED BLADE; PERFORMED STATIC BALANCE (SM: 65367, IN-LB, SCG:184.85 IN, W: 353.63 LB, CM: 2972 IN-LB, CCG: 8.405 IN, VIBREX PLATES: 10, TRIMTAB: +1.0 DEG) TSN: 878, JG6966, DOL/ALMD, FTCKY 42223

08-Nov-2006 156 WUC: 05A02 PN: 114R1702-37 PSN: A1-3083 BLADE ASSY ROTWING FWD08 NOV 2006 FINAL SETTING: WTS: 1, TAB: +2.0, DYNCORP, FTCKY 42223, NA7064,DYNCORP TI.

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

Page 110: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 6/703-Feb-2014

86016821520010883669 00HELICOPTER, CARGO

29-Aug-2006 157 WUC: 05A02 PN: 114R1702-37 PSN: A1-2582 BLADE ASSY ROTWING FWD29 AUG 2006 PERFORMED RESET INSP IAW TB 1-1520-240-30-02; REPAINTEDBLADE; PERFORMED STATIC BALANCE (SM 65387 IN LB, SCG: 185.86 IN, W: 351.8LB, CM: 2868 IN LB, CCG: 8.436 IN, VIBREX PLATES: 10, TRIM TAB: +2.0 DEG) TSN:2443; JG6966, DOL/ALMD, FTCKY 42223

05-Mar-2002 158 WUC: 05A02 PN: 114R1702-37 PSN: A-1-1837 BLADE ASSY ROTWING FWD05MAR02: INSTALLED 2" X 6" OVAL SKIN PATCH TOP SIDE O BLADE, STA 162,WEIGHT OF BASE IN GRAMS: 11, WEIGHT OF HARDENER IN GRAMS: 3, TOATALWEIGHT OF REPAIR IN POUNDS: 0.06, PROJECT OLR/LSI FT LEWIS WA TI: 99262498980, BLADE HOURS: 743

08-May-2002 159 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874 BLADE ASSY ROTWING AFT08 MAY 02 BLADE HAS 10 WEIGHTS INSTALLED TRIM TAB: +4.0 B. RHUE

11-Aug-2004 160 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874 BLADE ASSY ROTWING AFT11 AUG 04 BLADE REPAIRED & BALANCED 1513 HRS, SM= 65370 IN LB,SCG=185.07 IN, W=353.21 LB, CM=2956 IN LB, CCG=8.369 BY ALMD (CH) FORTBRAGG, NC 28310-5000

26-Oct-2004 161 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874 BLADE ASSY ROTWING AFT26 OCT 2004 ROTOR BLADE TRACK CONFIRMATION REVEALED 10 WT REMAIN,DS2/OLR, ES4360, FORT BRAGG, NC 38310-5000

10-Oct-2006 162 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874 BLADE ASSY ROTWING AFT10 OCT 2006 PERFORMED RESET INSPECTION IAW TB 1-1520-240-30-02;REPAINTED BLADE; PERFORMED STATIC BALANCE (SM: 65372 IN LB, SCG:184.69 IN, W: 353.96, CM: 2955 IN LB, CCG: 8.348 IN, VIBREX PLATES: 9 TRIM TAB:UNK) REPLACED ROOT END VHP LINER IAW MEO CONTINUED # A5367 DTD: 31MAY 2006; TSN: 1298; JG6966, DOL/ALMD FTCKY 42223

08-Nov-2006 163 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874 BLADE ASSY ROTWING AFT08 NOV 2006 FINAL SETTING: WTS: 9, TRIM TAB: +3.0, NA7064,DYNCORP TI,FTCKY 42223.

05-Feb-2004 164 WUC: 05B02 PN: 114R1702-38 PSN: A2-393E BLADE ASSY ROTWING AFT05 FEB 04 NEW SETTING AND BALANCING ON AFT YELLOW BLADE. TABSETTING:+3.50 AND BALANCING WEIGHTS +9, C/W ON FEB 5 2004 AND 5351.0ACFT HRS BY RECORDS CLERK,R. DAVILA,CCAD,CORPUS CHRISTI TX 78419-5260

28-Sep-2006 165 WUC: 05B02 PN: 114R1702-38 PSN: A2-393E BLADE ASSY ROTWING AFT28 SEP 2006 PERFORMED RESET INSP IAW TB 1-1520-240-30-02; REPAINTEDBLADE; PERFORMED STATIC BALANCE (SM: 65375 IN LB, SCG: 184.83 IN, W:353.71 LB, CM: 2741 IN LB, CCG: 7.749 IN, VIBREX PLATES: 10, TRIM TAB: UNK)REPAIRED CRACK IN ROOT OF TRIM TAB AT CONTINUED BS241.00 IAW AMCOMMEC #F53172 DTD 24 AUG 06; REPAIRS IAW TM-1-1520-240-23: 1.25 IN BY 3 INVOID IN BOTTOM SURFACE OF BLADE (BS154.5 - BS157.5, 10.25 IN - 11.50 INFROM TRAILING EDGE) 5.00 IN CHORDWISE CRACK IN COMPOSITE SKIN UPPERSURFACE OF BLADE AT BS273.00 AND 3.00 IN DIA HOLE IN COMPOSITE SKINUPPER SURFACE OF BLADE AT BS159.00; TSN: 2303; JG6966, DOL/ALMD, FTCKY42223

09-Apr-2007 166 WUC: 05B02 PN: 114R1702-38 PSN: A2-393E BLADE ASSY ROTWING AFT09 APR 07 BLADE ASSY WEIGHED (SM: 65369 IN LB, SCG: 184.73 IN, W: 353.85 LB,CM: 2937 IN LB, CCG: 8.300, TIP WT: 10) JS2203, QA, AASF #2, PENDLETON, OR97801.

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

Page 111: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 7/703-Feb-2014

86016821520010883669 00HELICOPTER, CARGO

30-Oct-2003 167 WUC: 05B02 PN: 114R1702-38 PSN: A-2-1036 BLADE ASSY ROTWING AFTOCT 30 2003 REPAIRED PER ERTI8633, ENG DWG 114R1702, DOC D210-11668-1 &TM 55-1520-240-23, TEETER BALANCED & TRACKED AT 1494 HRS, BOEINGHELICOPTERS PHILA, PA

05-Sep-2006 168 WUC: 05B02 PN: 114R1702-38 PSN: A-2-1036 BLADE ASSY ROTWING AFT05 SEP 2006 PERFORMED RESET INSP IAW TB 1-1520-240-02; REPAINTED BLADE;PERFORMED STATIC BALANCE (SM: 65375 IN LB, SCG: 183.75 IN LB, W: 355.79 LB,CM: 2969 IN LB, CCG: 8.346, VIBREX PLATE: 9, TRIM TAB: +6.0 DEG) TSN: 645,JG6966, DOL/ALMD, FTCKY 42223

21-Jul-2008 169 WUC: 06H13B PN: 145D3407-8 PSN: A-36769 COMBINING XMSNAFT ADAPTERSERVICEABLE ITEM INSTALLED @ TSN: 1199, ACFT HRS: 5351.0

30-Dec-2002 170 WUC: 05B02 PN: 114R1702-38 PSN: A2-393EBLADE ASSY ROT WING AFT12-30-02,S/N A2-393E,RECEIVED AND INSPECTED DRIED,REPAIRED ANDREFINSHED BY AVTASK LP ARDMORE OK. BLADE WAS SODABLASTED,INSPECTED,LOWER BUSHING AND COMPOSITE SKIN REPAIRS MADEPER TM-55-1520-240-23 DRIED IN AVTASK DRYING UNIT SEALED WITH AVTASKSEALER AND REFINISHED PER TM-55-1520-240-23 BLADE STATIC BALANCED ONAVION USBF S/N:97007, WGT: 353.01, SM: 65379, DWK-AVTASK LP ARDMORE,OK.

09-Apr-2007 171 WUC: 05B02 PN: 114R1702-38 PSN: A2-393EBLADE ASSY ROT WING AFT09 APR 07 VOID IN UPPER SURFACES REPAIRED WITH PATCH BY RT4361 IAW 1-1520-240-23-4 JS2203, QA, AASF #2, PENDLETON, OR 97801.

19-Apr-2007 172 WUC: 05B02 PN: 114R1702-38 PSN: A-2-1036BLADE ASSY ROT WING AFT19 APR 07 REPLACEMENT OF UPPER BLADE BUSHING, OVERSIZED TO 1.385;BUSHING P/N: 114R1774-5, LAG DAMPNER UPPER BUSHING, AN1404, QA, AASF#2, PENDLETON, OR 97801.

21-Jul-2008 173 WUC: 02A16 PN: 234N0003-1 PSN: BF001CVIBRATION ABSORBERSERVICEABLE ITEM INSTALLED @ TSN: 360 ACFT HRS: 5351.0

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

Page 112: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

1520010883669 8601682HELICOPTER, CARGO

kjigfdcbaRMVL HRS RMVL HRS

NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC

he (ACFTLIFESINCEPREVSER NO.ANDAND

INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE

NOMEN REP.O/H ORCOMP6.

4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE

Report Date:

TIME CHANGE COMPONENTS1/703-Feb-2014

00

161500003114605A03L FWD12874

AVK1067 05351114R3650-3BOLT SWVL ACT TO SWAS RCRC7523

161500003114605A03N TOP14896

04921-3 07373114R3650-3BOLT PIV ACT TO SWASH RCRC7523

530601301779305A03Q GREEN11373

16998-16 07373114R3650-16BOLT, PCL TO ROTOR HEA RCRC4000

530601301779305A03Q RED11373

17635-16 07373114R3650-16BOLT, PCL TO ROTOR HEA RCRC4000

530601301779305A03Q YELLOW11373

25939-16 07373114R3650-16BOLT, PCL TO ROTOR HEA RCRC4000

530601301779405A03R FWD GREEN11373

04359 07373114R3650-17BOLT PITCH LINK LOWER RCRC4000

530601301779405A03R FWD RED11373

12434-17 07373114R3650-17BOLT PITCH LINK LOWER RCRC4000

530601301779405A03R FWD YELLOW11373

20412-17 07373114R3650-17BOLT PITCH LINK LOWER RCRC4000

161501115360905B03J AFT UPPER10429

03017-1 06429145R3650-1BOLT SWIVEL ACT TO SWP RCRC4000

530600008502505B03K AFT LOWER14939

05205 07182BACB30ST8-31BOLT, SWIV ACT/LWR ATT RCRC7757

161501115360905B03L AFT PIVOT10627

02990-1 06627145R3650-1BOLT PIVOT ACT TO SWA RCRC4000

530601301779305B03N AFT YELLOW11373

24210-16 07373114R3650-16BOLT, PCL TO ROTOR HEA RCRC4000

530601301779305B03N AFT RED11373

25827-16 07373114R3650-16BOLT, PCL TO ROTOR HEA RCRC4000

530601301779305B03N AFT GREEN11373

25952-16 07373114R3650-16BOLT, PCL TO ROTOR HEA RCRC4000

530601301779405B03P AFT RED11373

09008-17 07373114R3650-17BOLT PITCH LINK/SWASHP RCRC4000

530601301779405B03P AFT GREEN11373

16457-17 07373114R3650-17BOLT PITCH LINK/SWASHP RCRC4000

530601301779405B03P AFT YELLOW11373

22115-17 07373114R3650-17BOLT PITCH LINK/SWASHP RCRC4000

530600008502505B03Q LWR PIV13986

01370 5666795BACB30ST8-31BOLT PVT ACT/LOW ACT A RCRC7757

168001320119106H02 AFT11283

2007A950 06486145D3300-6SHAFT ASSY, AFT VERTICA RCRC4797

For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91

Page 113: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

1520010883669 8601682HELICOPTER, CARGO

kjigfdcbaRMVL HRS RMVL HRS

NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC

he (ACFTLIFESINCEPREVSER NO.ANDAND

INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE

NOMEN REP.O/H ORCOMP6.

4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE

Report Date:

TIME CHANGE COMPONENTS2/703-Feb-2014

00

161501316266106H04 #111351

A-2692 05351145D3504-2SHAFT ASSY, ENG. DRIVEN RCRC6000

161501316266106H04 #211351

A-2752 05351145D3504-2SHAFT ASSY, ENG. DRIVEN RCRC6000

161501319509206H04A #110515

A-7902 05934145D3500-17ADAPTER ASSEMBLY, ENG RCRC4581

161501319509206H04A #29932

TM0116 05351145D3500-17ADAPTER ASSEMBLY, ENG RCRC4581

161501319509106H04B #111067

A-8195 06486145D3500-16ADAPTER ASSEMBLY, ENG RCRC4581

161501319509106H04B10100

A7142 18547373145D3500-16ADAPTER ASSEMBLY, ENG RCRC4581

161501113024806H06A #116547

2005A3737 06486145D3400-23SEC 1 D/S ASSEMBLY RCRC10061

161501112589706H10 #410445

A-8775 49675351145D3400-31SEC 2-6 D/S ASSEMBLY RCRC10061

161501112589706H10 #214050

NC669 22406229145D3400-31SEC 2-6 D/S ASSEMBLY RCRC10061

161501112589706H10 #316290

2005A4973 06229145D3400-32SEC 2-6 D/S ASSEMBLY RCRC10061

161501112589706H10 #513750

A-4348 25406229145D3400-32SEC 2-6 D/S ASSEMBLY RCRC10061

161501112589706H10 #613902

A-4351 15105351145D3400-32SEC 2-6 D/S ASSEMBLY RCRC10061

161501112589506H12A #716290

A-4921 06229145D3400-24SEC 7 D/S ASSY RCRC10061

161501113029206H13A #816053

A-15995 06627145D3400-25AFT SEC 1 D/S ASSY RCRC9426

161501119335906H14A #916211

A-16332 06785145D3400-26AFT SEC 2 D/S ASSY RCRC9426

312000110854211G01 AFT FIXED UP13177

YD1280 06229114CS123-1BEARING,ROD END AFT FI RCRC6948

312000110854211G02 AFT LCT14321

YD1832 07373114CS123-1BEARING,ROD END AFT LO RCRC6948

For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91

Page 114: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

1520010883669 8601682HELICOPTER, CARGO

kjigfdcbaRMVL HRS RMVL HRS

NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC

he (ACFTLIFESINCEPREVSER NO.ANDAND

INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE

NOMEN REP.O/H ORCOMP6.

4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE

Report Date:

TIME CHANGE COMPONENTS3/703-Feb-2014

00

24-Jul-2008 54 WUC: 05B03L PN: 145R3650-1 PSN: UNK1682 BOLT PIVOT ACT TOSWASH AFTNEW BOLT INSTALLED T.T.: 0

29-Mar-2003 55 WUC: 06H04 PN: 145D3504-2 PSN: A-2692SHAFT ASSY, ENG. DRIVEN29 MAR 03, BOEING HELICOPTER,PHILA.PA. TT:0.0, JG8808 (610)591-2720.SERVICEABLE ITEM INSTALLED @ TSN: 0, ACFT HRS: 5351.0

03-Jun-2003 56 WUC: 06H04 PN: 145D3504-2 PSN: A-2752 SHAFTASSY, ENG. DRIVEN03 JUNE 2003, BOEING HELICOPTER PHILA. PA. TT:0.0 SERVICEABLE ITEMINSTALLED @ TSN: 0, ACFT HRS: 5351.0

24-Jul-2008 58 WUC: 06H14A PN: 145D3400-26 PSN: A-5760 AFT SEC 2 D/S ASSYSERVICEABLE ITEM INSTALLED @ TSN: 0, ACFT HRS: 5351.0

18-Mar-2005 94 WUC: 05A02 PN: 114R1702-37 PSN: A1-3083BLADE ASSY ROT WING FWD18 MAR 2005 ONE TIME AUTHORIZATION TO REPAIR BLADE ON UPPER LUG IAWWITH LETTER MEC NO: LE-BA008-0846 DTD 18 MAR 05 SIGNED BY WALT A.BUTSCH; TSN 232; R. HASCH, QA, KANDAHAR, AFGHANISTAN

27-Dec-1995 98 WUC: 05A02 PN: 114R1702-37 PSN: A1-2582BLADE ASSY ROT WING FWD95-12-27 AFTER BLADE TRACK AND BALANCE 8 BLADES REMAINED INSTALLEDC. GONZALES, CIV BSAS TRIM TAB ADJUSTED -1DEGREE

22-May-1997 99 WUC: 05A02 PN: 114R1702-37 PSN: A1-2582BLADE ASSY ROT WING FWD97-05-22 UPPER DAMPNER LUG BUSHINGS OVERSIZED FROM -4 BUSHING TO -6F. DUSINI D CO. 2/160 SOAR (A) FTCKY, 42223

15-May-2002 100 WUC: 05A02 PN: 114R1702-37 PSN: A1-2582BLADE ASSY ROT WING FWD15MAY2002 UPPER BUSHING POPPED- OVERSIZED TO 1.395 BUSHING P/N114R1774-8 W. HERRING D 2/160 SOAR FTCKY, 42223

01-Dec-2004 101 WUC: 05A02 PN: 114R1702-37 PSN: A1-2582BLADE ASSY ROT WING FWDDEC 01 2004 SERVICEABILITY INSP C/W REPAIRED PER ER TI 19019, ENG DWG114R1707 DOC D210-11668-1 & TM55-1520-240-23, TEETER BALANCED &TRACKED AT 2076 HRS. FINAL TAB SET AT 2 UP.. BOEING HELICOPTERS PHILAPA TI BY 60B8 DEC 01 2004

08-Nov-2006 103 WUC: 05A02 PN: 114R1702-37 PSN: A1-2582BLADE ASSY ROT WING FWD08 NOV 2006 FINAL RESET SETTING: WTS: 7, TRIM TAB: +6.0, NA7064, DYNCORPTI, FTCKY 42223.

SIGNIFICANT HISTORICAL EVENTS7.

For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91

Page 115: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

1520010883669 8601682HELICOPTER, CARGO

kjigfdcbaRMVL HRS RMVL HRS

NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC

he (ACFTLIFESINCEPREVSER NO.ANDAND

INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE

NOMEN REP.O/H ORCOMP6.

4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE

Report Date:

TIME CHANGE COMPONENTS4/703-Feb-2014

00

15-Jan-1998 104 WUC: 05A02 PN: 114R1702-37 PSN: A-1-1837BLADE ASSY ROT WING FWD15JAN98-REPAIRED IAW TM55-1520-240-23-4 INSTALLED TOP LIGHTNING JUMPERSTRIP. REPLACED BOTH SHOCK BRACKET BUSHINGS. CLEANED ANDCORROSION TREATED TRACKING WEIGHTS AND PORTS. BALANCED WITH IAWAVION ROTOR BLADE STATIC BALANCE FIXTURE. S/D. SANCHEZ, CCAD, TXTSN: 372.

02-May-1998 105 WUC: 05A02 PN: 114R1702-37 PSN: A-1-1837BLADE ASSY ROT WING FWD02MAY98- FINAL TAB SETTINGS: .80 S/C. HERNANDEZ, ACFT REC CLK, CCAD,CORP, TX 78419-5260

24-Apr-2002 107 WUC: 05A02 PN: 114R1702-37 PSN: A-1-1837BLADE ASSY ROT WING FWD24APR02: BLADE ASSY STATIC BALANCED, CHORD CG: 8.21, SPAN CG: 185.3,BLADE WEIGHT: 352.6, # OF TIP CAP WEIGHTS: 10, AASF #2, ORARNG,PENDLETON, OR 97801, TI: C. CONSER

02-Dec-2003 108 WUC: 05A02 PN: 114R1702-37 PSN: A-1-1837BLADE ASSY ROT WING FWD02DEC03: BLADE ASSY STATIC BALANCED, CHORD CG: 8.369, SPAN CG: 185.3IN, BLADE WEIGHT: 352.67 ILBS, # OF TIP CAP WEIGHTS: 9, AASF #2 ORARNG,PENDELTON, OR 97801, AN1404 TI.

29-Aug-2006 109 WUC: 05A02 PN: 114R1702-37 PSN: A-1-1837BLADE ASSY ROT WING FWD29 AUG 2006 PERFORMED RESET INSP IAW TB 1-1520-240-30-02; REPAINTEDBLADE; PERFORMED STATIC BALANCE (SM: 65357 IN-LB, SCG: 185.30 IN, W: 352.7LB, CM: 2967 IN LB, CCG: 8.412 IN, VIBREX PLATES: 9, TRIM TAB: UNK) TSN:1609; JG6966, DOL/ALMD, FTCKY 42223.

08-Nov-2006 110 WUC: 05A02 PN: 114R1702-37 PSN: A-1-1837BLADE ASSY ROT WING FWD08 NOV 2006: FINAL SETTING, WTS: 9, TRIM TAB: + 1.0, NA7064, DYNCORP FTCKY42223.

08-Nov-2006 123 WUC: 05B02 PN: 114R1702-38 PSN: A2-393EBLADE ASSY ROT WING AFT08 NOV 2006 FINAL SETTING: WT: 10, TRIM TAB: -2.00, NA7064, DYNCORP TI,FTCKY 42223.

28-Mar-2000 126 WUC: 05B02 PN: 114R1702-38 PSN: A-2-1036BLADE ASSY ROT WING AFT28MAR00 BLADE ASSY PAINTED ON 20 MAR 00 BLADE ASSY WEIGHED: WEIGHT:356.26, CHORD CG: 8.43, MOMENT: 3003, SPAN CG: 183.46 MOMENT: 65361,TIPCAP HAS 10 PLATES REMAINING. RICHARD YOUNG, CIV, 2-502 AVN REGTAPO AE 09028

06-Apr-2007 130 WUC: 05B02 PN: 114R1702-38 PSN: A-2-1036BLADE ASSY ROT WING AFT06 APR 07 CRACK IN SKIN ON SURFACE REPAIRED BY RT3361 IAW TM 1-1520-240-23-4, JS2203, QA, AASF #2, PENDLETON, OR 97801.

09-Apr-2007 131 WUC: 05B02 PN: 114R1702-38 PSN: A-2-1036BLADE ASSY ROT WING AFT09 APR 07 BLADE ASSY WEIGHED (SM: 65366 IN LB, SCG: 183.71 IN, W: 355.83 LB,CM: 2974 IN LB, CCG: 8.357, TIP WT: 10) JS2203, QA, AASF# 2, PENDLETON, OR97801.

21-Jul-2008 133 WUC: 06H12B PN: 145D3407-7 PSN: A37905COMBINING XMSM FWD ADAPTERSERVICEABLE ITEM INSTALLED @ TSN: 0, ACFT HRS: 5351.0

21-Jul-2008 135 WUC: 06H14B PN: 145D3407-9 PSN: A1719AFT XMSN ADAPTER ASSYSERVICEABLE ITEM INSTALLED @ TSN: 2198, ACFT HRS: 5351.0

21-Jul-2008 136 WUC: 15A04 PN: 163290-100 PSN: 7375-0217ENGINE SEQUENCING UNITSAME ITEM LEFT ON

For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91

Page 116: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

1520010883669 8601682HELICOPTER, CARGO

kjigfdcbaRMVL HRS RMVL HRS

NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC

he (ACFTLIFESINCEPREVSER NO.ANDAND

INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE

NOMEN REP.O/H ORCOMP6.

4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE

Report Date:

TIME CHANGE COMPONENTS5/703-Feb-2014

00

13-Sep-1993 137 WUC: 05A02 PN: 114R1702-37 PSN: A1-2582BLADE ASSY ROT WING FWD13SEPT93 AFTER BLADE BALANCE 8 WEIGHTS REMAINED INSTALLED. BOEINGPHILA PA HOLMES CIV

21-Jul-2008 139 WUC: 05A02 PN: 114R1702-37 PSN: A1-3083BLADE ASSY ROT WING FWDNEW: SERVICEABLE FWD ROTOR BLADE INSTALLED AT 5351.0 ACFT HRS. NEWTAB SETTING AND BALANCING WEIGHTS ON FWD YELLOW BLADE. TABSETTING: 0.80 AND BALANCING WEIGHTS +10 C/W ON FEB 5 2004, AND 5354.7ACFT HRS, BY RECORDS CLERK,R. DAVILA, CCAD, CORPUS CHRISTI TX 78419-5260

11-Dec-2001 140 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874BLADE ASSY ROT WING AFT11 DEC 01 BLADE HAS 1 TRACKING WEIGHT PER TUBE REMOVED FOR TRACK &BALANCE. B.RHUE, SSG, TI

06-Dec-2001 141 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874BLADE ASSY ROT WING AFT06 DEC 01: ROTOR BLADE INSTALLED ON ACFT 8524331 AT 0 TTSN BY T.CHERRY, LM2, TI FORT BRAGG, NC 28310

28-Dec-2001 142 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874BLADE ASSY ROT WING AFT28 DEC 01 BLADE HSA 8 PLATES INSTALLED B. RHUE, SSG TI

08-Nov-2006 150 WUC: 05B02 PN: 114R1702-38 PSN: A-2-1036BLADE ASSY ROT WING AFT08 NOV 2006 FINAL SETTING: WT: , TRIM TAB: +6.0, NA7064, DYNCORP TI, FTCKY42223.

21-Jul-2008 151 WUC: 06H04A PN: 145D3500-17 PSN: TM0116 ADAPTERASSEMBLY, ENG D/S INBSERVICEABLE ITEM INSTALLED TSN: 0, ACFT HRS: 5351.0

21-Jul-2008 152 WUC: 06H04B PN: 145D3500-16 PSN: A-5107 ADAPTERASSEMBLY, ENG D/S OUTBSERVICEABLE ITEM INSTALLED @ TSN: 2282, ACFT HRS: 5351.0

24-Jul-2008 153 WUC: 05A03L PN: 114R3650-3 PSN: UNK1682 BOLT SWVL ACT TOSWASHNEW BOLT INSTALLED T.T.:0

21-Jul-2008 154 WUC: 02A18 PN: 234N0003-1 PSN: BF-748 VIBRATIONABSORBER, CO-PILOTSERVICABLE ITEM INSTALLED @ TSN: 2066, ACFT HRS: 5351.0

29-Aug-2006 155 WUC: 05A02 PN: 114R1702-37 PSN: A1-3083 BLADE ASSY ROTWING FWD29 AUG 2006 PERFORMED RESET INSPECTION IAW TB 1-1520-240-30-02;REPAINTED BLADE; PERFORMED STATIC BALANCE (SM: 65367, IN-LB, SCG:184.85 IN, W: 353.63 LB, CM: 2972 IN-LB, CCG: 8.405 IN, VIBREX PLATES: 10, TRIMTAB: +1.0 DEG) TSN: 878, JG6966, DOL/ALMD, FTCKY 42223

08-Nov-2006 156 WUC: 05A02 PN: 114R1702-37 PSN: A1-3083 BLADE ASSY ROTWING FWD08 NOV 2006 FINAL SETTING: WTS: 1, TAB: +2.0, DYNCORP, FTCKY 42223, NA7064,DYNCORP TI.

29-Aug-2006 157 WUC: 05A02 PN: 114R1702-37 PSN: A1-2582 BLADE ASSY ROTWING FWD29 AUG 2006 PERFORMED RESET INSP IAW TB 1-1520-240-30-02; REPAINTEDBLADE; PERFORMED STATIC BALANCE (SM 65387 IN LB, SCG: 185.86 IN, W: 351.8LB, CM: 2868 IN LB, CCG: 8.436 IN, VIBREX PLATES: 10, TRIM TAB: +2.0 DEG) TSN:2443; JG6966, DOL/ALMD, FTCKY 42223

05-Mar-2002 158 WUC: 05A02 PN: 114R1702-37 PSN: A-1-1837 BLADE ASSY ROTWING FWD05MAR02: INSTALLED 2" X 6" OVAL SKIN PATCH TOP SIDE O BLADE, STA 162,WEIGHT OF BASE IN GRAMS: 11, WEIGHT OF HARDENER IN GRAMS: 3, TOATALWEIGHT OF REPAIR IN POUNDS: 0.06, PROJECT OLR/LSI FT LEWIS WA TI: 99262498980, BLADE HOURS: 743

For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91

Page 117: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

1520010883669 8601682HELICOPTER, CARGO

kjigfdcbaRMVL HRS RMVL HRS

NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC

he (ACFTLIFESINCEPREVSER NO.ANDAND

INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE

NOMEN REP.O/H ORCOMP6.

4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE

Report Date:

TIME CHANGE COMPONENTS6/703-Feb-2014

00

08-May-2002 159 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874 BLADE ASSY ROTWING AFT08 MAY 02 BLADE HAS 10 WEIGHTS INSTALLED TRIM TAB: +4.0 B. RHUE

11-Aug-2004 160 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874 BLADE ASSY ROTWING AFT11 AUG 04 BLADE REPAIRED & BALANCED 1513 HRS, SM= 65370 IN LB,SCG=185.07 IN, W=353.21 LB, CM=2956 IN LB, CCG=8.369 BY ALMD (CH) FORTBRAGG, NC 28310-5000

26-Oct-2004 161 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874 BLADE ASSY ROTWING AFT26 OCT 2004 ROTOR BLADE TRACK CONFIRMATION REVEALED 10 WT REMAIN,DS2/OLR, ES4360, FORT BRAGG, NC 38310-5000

10-Oct-2006 162 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874 BLADE ASSY ROTWING AFT10 OCT 2006 PERFORMED RESET INSPECTION IAW TB 1-1520-240-30-02;REPAINTED BLADE; PERFORMED STATIC BALANCE (SM: 65372 IN LB, SCG:184.69 IN, W: 353.96, CM: 2955 IN LB, CCG: 8.348 IN, VIBREX PLATES: 9 TRIM TAB:UNK) REPLACED ROOT END VHP LINER IAW MEO CONTINUED # A5367 DTD: 31MAY 2006; TSN: 1298; JG6966, DOL/ALMD FTCKY 42223

08-Nov-2006 163 WUC: 05B02 PN: 114R1702-38 PSN: A-2-2874 BLADE ASSY ROTWING AFT08 NOV 2006 FINAL SETTING: WTS: 9, TRIM TAB: +3.0, NA7064,DYNCORP TI,FTCKY 42223.

05-Feb-2004 164 WUC: 05B02 PN: 114R1702-38 PSN: A2-393E BLADE ASSY ROTWING AFT05 FEB 04 NEW SETTING AND BALANCING ON AFT YELLOW BLADE. TABSETTING:+3.50 AND BALANCING WEIGHTS +9, C/W ON FEB 5 2004 AND 5351.0ACFT HRS BY RECORDS CLERK,R. DAVILA,CCAD,CORPUS CHRISTI TX 78419-5260

28-Sep-2006 165 WUC: 05B02 PN: 114R1702-38 PSN: A2-393E BLADE ASSY ROTWING AFT28 SEP 2006 PERFORMED RESET INSP IAW TB 1-1520-240-30-02; REPAINTEDBLADE; PERFORMED STATIC BALANCE (SM: 65375 IN LB, SCG: 184.83 IN, W:353.71 LB, CM: 2741 IN LB, CCG: 7.749 IN, VIBREX PLATES: 10, TRIM TAB: UNK)REPAIRED CRACK IN ROOT OF TRIM TAB AT CONTINUED BS241.00 IAW AMCOMMEC #F53172 DTD 24 AUG 06; REPAIRS IAW TM-1-1520-240-23: 1.25 IN BY 3 INVOID IN BOTTOM SURFACE OF BLADE (BS154.5 - BS157.5, 10.25 IN - 11.50 INFROM TRAILING EDGE) 5.00 IN CHORDWISE CRACK IN COMPOSITE SKIN UPPERSURFACE OF BLADE AT BS273.00 AND 3.00 IN DIA HOLE IN COMPOSITE SKINUPPER SURFACE OF BLADE AT BS159.00; TSN: 2303; JG6966, DOL/ALMD, FTCKY42223

09-Apr-2007 166 WUC: 05B02 PN: 114R1702-38 PSN: A2-393E BLADE ASSY ROTWING AFT09 APR 07 BLADE ASSY WEIGHED (SM: 65369 IN LB, SCG: 184.73 IN, W: 353.85 LB,CM: 2937 IN LB, CCG: 8.300, TIP WT: 10) JS2203, QA, AASF #2, PENDLETON, OR97801.

30-Oct-2003 167 WUC: 05B02 PN: 114R1702-38 PSN: A-2-1036 BLADE ASSY ROTWING AFTOCT 30 2003 REPAIRED PER ERTI8633, ENG DWG 114R1702, DOC D210-11668-1 &TM 55-1520-240-23, TEETER BALANCED & TRACKED AT 1494 HRS, BOEINGHELICOPTERS PHILA, PA

05-Sep-2006 168 WUC: 05B02 PN: 114R1702-38 PSN: A-2-1036 BLADE ASSY ROTWING AFT05 SEP 2006 PERFORMED RESET INSP IAW TB 1-1520-240-02; REPAINTED BLADE;PERFORMED STATIC BALANCE (SM: 65375 IN LB, SCG: 183.75 IN LB, W: 355.79 LB,CM: 2969 IN LB, CCG: 8.346, VIBREX PLATE: 9, TRIM TAB: +6.0 DEG) TSN: 645,JG6966, DOL/ALMD, FTCKY 42223

21-Jul-2008 169 WUC: 06H13B PN: 145D3407-8 PSN: A-36769 COMBINING XMSNAFT ADAPTERSERVICEABLE ITEM INSTALLED @ TSN: 1199, ACFT HRS: 5351.0

For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91

Page 118: PART 1 - 714A ENGINE / COMPONENT REPORT ......05-Sep-2011 1 18 AUG 10, ENG RECAPPED (OVERHAUL) 13 AUG 10 IAW DMWR 1-2840-265-1 AND 2 DTD 31AUG2005. /S/ M.THORN,CCAD, CORPUS CHRISTI,TX

1520010883669 8601682HELICOPTER, CARGO

kjigfdcbaRMVL HRS RMVL HRS

NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC

he (ACFTLIFESINCEPREVSER NO.ANDAND

INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE

NOMEN REP.O/H ORCOMP6.

4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE

Report Date:

TIME CHANGE COMPONENTS7/703-Feb-2014

00

30-Dec-2002 170 WUC: 05B02 PN: 114R1702-38 PSN: A2-393EBLADE ASSY ROT WING AFT12-30-02,S/N A2-393E,RECEIVED AND INSPECTED DRIED,REPAIRED ANDREFINSHED BY AVTASK LP ARDMORE OK. BLADE WAS SODABLASTED,INSPECTED,LOWER BUSHING AND COMPOSITE SKIN REPAIRS MADEPER TM-55-1520-240-23 DRIED IN AVTASK DRYING UNIT SEALED WITH AVTASKSEALER AND REFINISHED PER TM-55-1520-240-23 BLADE STATIC BALANCED ONAVION USBF S/N:97007, WGT: 353.01, SM: 65379, DWK-AVTASK LP ARDMORE,OK.

09-Apr-2007 171 WUC: 05B02 PN: 114R1702-38 PSN: A2-393EBLADE ASSY ROT WING AFT09 APR 07 VOID IN UPPER SURFACES REPAIRED WITH PATCH BY RT4361 IAW 1-1520-240-23-4 JS2203, QA, AASF #2, PENDLETON, OR 97801.

19-Apr-2007 172 WUC: 05B02 PN: 114R1702-38 PSN: A-2-1036BLADE ASSY ROT WING AFT19 APR 07 REPLACEMENT OF UPPER BLADE BUSHING, OVERSIZED TO 1.385;BUSHING P/N: 114R1774-5, LAG DAMPNER UPPER BUSHING, AN1404, QA, AASF#2, PENDLETON, OR 97801.

21-Jul-2008 173 WUC: 02A16 PN: 234N0003-1 PSN: BF001CVIBRATION ABSORBERSERVICEABLE ITEM INSTALLED @ TSN: 360 ACFT HRS: 5351.0

For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91