What it approves
Installation of Infant Transport Module (ITM).
What the certificate says
From the PDF’s text layer, without the form’s printed wording. Layout and order may differ; the PDF is the record.
Number SA00840LA
This certificate, issued to LifePort, LLC 1610 Heritage Street Woodland, WA 98674
Part 23* of the * Regulations.
Original ProductType Certificate Number: * See attached Federal Aviation Administration (FAA) Make: Approved Model List (AML) SA00840LA for approved Model: airplane models and applicable airworthiness regulations.
Description of the Type Design Change: Installation of Infant Transport Module (ITM) in accordance with FAA approved LifePort, Inc. Master Drawing List EGR-504-00, Rev. B, dated October 7, 1999, or later FAA approved revision as listed on AML No. SA00840LA, dated October 14, 1999, or later FAA approved revisions.
Limitations and Conditions: The Infant Transport Module (ITM) is installed on the LifePort Patient Loading and Utility System (PLUS) base unit. Prior to installation of the ITM, the PLUS must be installed in accordance with STC Number SA4745NM or STC Number SA00273WI. Approval of this change in type design applies to the aircraft listed on AML SA00840LA only. This approval should not be extended to other aircraft of these models on which other previously approved modifications are incorporated unless it is determined by the installer that the relationship between this change and other previously approved modifications, including changes in type design, will introduce no adverse effect upon the airworthiness of that aircraft. A copy of this certificate and AML SA00840LA, must be maintained as part of the permanent records for the modified aircraft.
If the holder agrees to permit another person to use this certificate to alter the product, the holder shall g ive the other person written evidence of that permission.
Date of application: June 8, 1999 Date reissued: March 10, 2019 Date of issuance: October 14, 1999 Date amended:
FAA FORM 8110-2 (5/14) PAGE 1 OF 2 PAGES By direction of the Administrator
(Signature)
Acting Manager, Seattle ACO Branch (Title)
Transfer the ownership of Supplemental Type Certificate Number
to (Name of Transferee)
(Address of Transferee)
(Number and Street)
(City, State, and ZIP Code)
from (Name of Grantor) (Print or Type)
(Address of Grantor)
(Number and Street)
(City, State, and ZIP Code)
Signature of Grantor (In Ink):
U.S. GPO: 1987-763-289
ADs that name this STC · 0
An AD can apply because an STC is installed, or mention one in its text.
Approved models · 32
| Make | Model | Data sheet |
|---|---|---|
| Raytheon Aircraft Company | 100 | A14CE |
| Raytheon Aircraft Company | A100 (U-21F) | A14CE |
| Raytheon Aircraft Company | A100A | A14CE |
Every issue · 1
DRS keeps each issue of an STC as its own record, with its own certificate and attachments.
| Date | Status | Files |
|---|---|---|
| March 10, 2019 | Reissued, current | CertificateApproved model list |