# STC SA01496CH

- Type: Supplemental type certificate
- Status: Current, Amended
- Holder: Med-Pac Inc., United States
- Description: Installation of an air ambulance conversion kit.
- Applied: June 20, 2000
- Status date: November 21, 2017
- Product: Aircraft, Small Airplane
- Certification basis: Part 23
- Data sheets: [TCDS A14CE](https://openairdocs.org/tcds/A14CE), [TCDS A24CE](https://openairdocs.org/tcds/A24CE)
- Certificate PDF: https://openairdocs.org/files/sha256/53/6a/536a9e07b4bed293ab51aea9018c95b1bd6861d53fc18fb53f5148abc7885626
- Approved model list and other attachments: [SA01496CH_AML.pdf](https://openairdocs.org/files/sha256/99/1a/991a055841c3cab1191e0197f18e18b05e62457845acdfe2b114371301b7c190)
- FAA DRS: https://drs.faa.gov/browse/excelExternalWindow/DRSDOCID130594320020260917163114.0001
- DRS record last changed: September 17, 2026
- Page: https://openairdocs.org/stc/SA01496CH

## ADs that name it (0)

None.

## Approved models (25)

- Raytheon Aircraft Company 100 ([TCDS A14CE](https://openairdocs.org/tcds/A14CE))
- Raytheon Aircraft Company 200 ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Raytheon Aircraft Company 200C ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Raytheon Aircraft Company 200T ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Raytheon Aircraft Company 300 ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Raytheon Aircraft Company 300LW ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Raytheon Aircraft Company A100 ([TCDS A14CE](https://openairdocs.org/tcds/A14CE))
- Raytheon Aircraft Company B100 ([TCDS A14CE](https://openairdocs.org/tcds/A14CE))
- Raytheon Aircraft Company B200 ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Raytheon Aircraft Company B200C ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Raytheon Aircraft Company B200CT ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Raytheon Aircraft Company B300 ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Textron Aviation Inc. 200 ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Textron Aviation Inc. 200C ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Textron Aviation Inc. 200T ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Textron Aviation Inc. 300 ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Textron Aviation Inc. 300LW ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Textron Aviation Inc. B200 ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Textron Aviation Inc. B200C ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Textron Aviation Inc. B200C (C-12F) ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Textron Aviation Inc. B200C (C-12R) ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Textron Aviation Inc. B200C (UC-12F) ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Textron Aviation Inc. B200C (UC-12M) ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Textron Aviation Inc. B200CT ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))
- Textron Aviation Inc. B300 ([TCDS A24CE](https://openairdocs.org/tcds/A24CE))

## What the certificate says

Read from the PDF's text layer, without the form's printed wording; the layout is lost and the order can differ. The PDF is the record.

Part * of the * Regulations. *

Installation of an air ambulance conversion kit in accordance with Med-Pac, Inc. Drawings as listed on AML SA01496CH issued July 26, 2001, or later FAA approved revisions.

1) A copy of this Certificate and FAA Approved Model List (AML) No. SA01496CH, or later FAA approved revision, must be maintained as part of the permanent records for the modified aircraft.

2) Compatibility of this design change with previously approved modifications must be determined by the installer.

3) FAA Approved Airplane Flight Manual Supplement approved July 26, 2001, or later FAA approved revision, is required on board the modified aircraft.

4) If the holder agrees to permit another person to use this certificate to alter the product, the holder shall give the other person written evidence of that permission.

Med-Pac, Inc.

2093 South 2nd Street Lake Park, MN 56554 *(See attached FAA Approved Model List Make : * (AML) No. SA01496CH for list of approved Model :* Airplane models and applicable airworthiness regulations)

Date of application : June 20, 2000

Date of issuance : July 26, 2001

Date reissued : July 14, 2006

Date amended : October 26, 2001, July 14, 2006

( Signature) William H Rohder, Jr.

Acting Manager, Airframe and Administrative Branch Chicago Aircraft Certification Office

( Title)

### SA01496CH_AML.pdf

This is OCR from the scanned FAA attachment. OCR can misread letters and numbers.

**FAA APPROVED MODEL LIST (AML) NO. SA01496CH MED-PAC, INC. FOR**

INSTALLING AN AIR AMBULANCE CONVERSION KIT Issue Date: July 26, 2001

**INSTALLATION**

**INSTRUCTIONS**

**ORIGINAL CERTIFICATION TYPE BASIS REVISION NO. AFM AML**

**AIRCRAFT AIRCRAFT CERTIFICATE FOR AND DATE SUPPLEMENT AMENDMENT**

ITEM MAKE MODEL NUMBER ALTERATION NUMBER NUMBER/DATE DATE 1 Raytheon 100, A100, B100 A14CE 14 CFR Part 23 and Drawing 145 Rev. 1, AFMS 145, Rev. 1, 10/26/01 Aircraft Co. Amendments listed in dtd. 07/15/01 dtd. 07/15/01 (Beech) TCDS No. A14CE or later FAA approved revision 2 Raytheon 200, 200C, 200T, A24CE 14 CFR Part 23 Drawing 150 kev. - AFMS 150, Rev. -, 10/26/01 Aircraft Co. B200, B200C, Amendments listed in Itd. 12/01/00 dtd 12/01/00 (Beech) B200CT, 300, 300LW TCDS No. A24CE or later FAA approved revision 3 Raytheon B300, A24CE 14 CFR Part 23 Drawing 150 Rev. 2, AFMS 150, Rev. 2, 07/14/06 Aircraft Co. Amendments listed in dtd. 04/01/06 dtd 04/01/06 (Beech) TCDS No. A24CE or later FAA approved revision 4 Textron 200, 200C, 200T, A24CE 14 CFR Part 23 Drawing 150- kev. - AFMS 150-PRO, 11/21/17 Aviation Inc. B200, B200C, Amendments listed in PRO Itd. 08/01/17 Rev. -, B200CT, 300, 300LW, TCDS No. A24CE dtd 08/01/17 B300 or later FAA approved revision FAA Approved:

Aaron L. Foutch Acting Manager, Airframe & Administrative Services Section, AIR-7C1 Chicago ACO Branch Amended: 10/26/01, 07/14/06, 11/21/2017 Page lof 1

## Every issue (3)

- November 21, 2017: Amended, Current. [certificate](https://openairdocs.org/files/sha256/53/6a/536a9e07b4bed293ab51aea9018c95b1bd6861d53fc18fb53f5148abc7885626), [SA01496CH_AML.pdf](https://openairdocs.org/files/sha256/99/1a/991a055841c3cab1191e0197f18e18b05e62457845acdfe2b114371301b7c190)
- July 14, 2006: Reissued, Historical. [certificate](https://openairdocs.org/files/sha256/53/6a/536a9e07b4bed293ab51aea9018c95b1bd6861d53fc18fb53f5148abc7885626), [SA01496Ch AML.pdf](https://openairdocs.org/files/sha256/75/6a/756aa3440fff4bdd7c795a5035f21212e16a34340b02558224b197b1df24380f)
- July 26, 2001: Issued, Historical. [certificate](https://openairdocs.org/files/sha256/18/26/1826249b2bb07a6b22464edfb864ce27718140273dafd33178ee57cb163d4539)

---
OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.
