What it approves
Installation of AM-Safe Inflatable Restraint System
What the certificate saysOCR
This is OCR from the scanned FAA certificate. OCR can misread letters and numbers.
United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate Number: SA01710LA This certificate issued to: Am-Safe Inc.
1043 N, 47"h Avenue Phoenix, Arizona 85043 CARS of the Civil. Air Pegulution). (*Certification basis is set forth in Type Certificate Data Sheet 2A3, see Limitations and Conditions: ) Original Product Type Certificate Number: 2A3 Make: Mooney Airplane Company, Inc.
Model: M20K, M20M, M20R, M20S Description of Type Design Change: Installation of AM-Safe Inflatable Restraint System on all seats of the Mooney M20K, M20M, M20R, and M20S aircraft in accordance with FAA Approved AMSAFE Master Data List E508922, Revision "A", dated February 28, 2005, or later FAA approved revision, and the FAA Approved Flight Manual Supplement E508930, Revision IR, dated December 28, 2004 or later FAA approved revisions.
Limitations and Conditions: This approval should not be incorporated in any aircraft unless it is determined that the interrelationship between this installation and any previous approved configuration will not introduce any adverse effect upon the airworthiness of the aircraft.
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.
*1 Special Conditions No. 23-156-SC dated February 25, 2005 is part of the Certification Basis for this STC.
*2 The Electronic Module Part Number 508358-409, and the inflator Assembly Part Number 508794-401 must be replaced every seven (7) years.
This certificate and the supporting data which is the basis for approval shall remain in effect until surrendered, suspended, revched or a termination dute is otherwise estublished by the Date of Application: April 13, 2004 Date Reissued:
Dule of issuunce: February 28, 2005 Date Amended:
Administrator FEDERAL AVIATION By engie of din teleminiseder (Signature) TOMINSTRATO ANY Manager, Cabin Safety/Mechanical and / Environmental Branch, Los Angeles Aircraft Certification Office (Title)
FAA Form 8110-2110-681 af This certificate may be transferred in arcordance with FAQ 21 47
ADs that name this STC · 0
An AD can apply because an STC is installed, or mention one in its text.