STC SA01917CH

Install Air Ambulance Conversion in accordance with the Aero Medical Products Mfg., Inc. Installation Drawing List Report 006-I as listed on AML SA01917CH, amended December 22, 2009, or later FAA Approved revisions.

1. A copy of this Certificate and FAA Approved Model List (AML) No. SA01917CH, amended December 22, 2009, or later approved revisions, must be maintained as part of the permanent records for the modified aircraft.

2. FAA Approved Aircraft Flight Manual Supplement dated December 4, 2003, or later FAA approved revisions required.

3. Prior to the first flight of each modified aircraft, and after each change to any of the Communication, Navigational, or Med Pack equipment, a ground EMI test must be conducted in accordance to EA Form 173, dated November 15, 1993. A copy of EA Form 173 must be kept with the aircraft records.

4. FAA Approved Aircraft Maintenance Manual Supplement dated December 22, 2009, or later FAA approved revisions required.

5. The installer must determine whether this design change is compatible with previously approved modifications.

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

Paul/ Lanna Egan LLC 6534 Tanglewood Dr. NE Saint Petersburg, FL 33702 (see attached FAA Approved Model List (AML) No. SA01917CH for list of Approved models and applicable airworthiness regulations) October 04, 2003

December 05, 2003

September 1, 2016

December 22, 2009

Original Signed By:

Karol Mordasiewicz

(Signature) Karol Mordasiewicz Manager, Airframe & Administrative Branch Chicago Aircraft Certification Office

(Title)

FAA FORM 8110-2-1(10-69) PAGE 2 of 2 PAGES