STC SA2675NM

niced States of Brrica Department of Transportation Federal Aviation Administration Supplemental Type Certificate Number: SA267510M This certificate issued to: SORM, Inc.

7999 Perimeter Road South Seattle, Washington 98108 Purt 4b othe Civil Air Regulalions. (See I.C. Data Sheet A5NW) Original Product - Type bertificate Number: A5NW Make: Fairchild Model: C-119L S/N 53-7836 (AF) Desomplion of Type Lesign lihange: Modify Type Design by the Installation of Bulk Liquid Cargo Tank Assembly Installed in accordance with Sorm Industries FAA sealed Drawing List SI-20000 dated April 28, 1982.

an FAA Approved Airplane Flight Manual Supplement is required with incorporation of this modification.

Type of Liquids to be Carried Were Not Considered in the Evaluation Innilaluns and bendilions: Data pertaining to this installation are considered inadequate for duplication in other aircraft. Therefore, this approval is limited to the installation in Fairchild Model C-119L S/N 53-7835(AF) only. A copy of this Certificate and a copy of FAA sealed Sorm, Inc., Drawing List SI-20000 shall be maintained as part of the permanent records for the modified aircraft. The aircraft shall be loaded and the system operated in accordance with Sorn, Inc., Report No. SI-2000, Pages 40-41 Revision C., or a later FAA approved Revision. Do not exceed revised C.G. limits The etfate and an supporting aů which a hans frappear solemned until sur rendered, suspended, revoked, or a termination dale is dherwise es laldished by the Administmats if the Federal Aviation Administration .

Date of Application: November 28, 1984 Jule reissued:

Date of Issuance: November 29, 1984 Sale umended FEDERAL AVIATION By Direction of the Administrator (Signature ) OHINISTRATIOS Manager, Seattle Aircraft Certification Office, ANM-100S (Title)

47.

FAA FOR 8110-2 (10-68)