What it approves
Installation of medical system.
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 SR00793LA
This certificate, issued to LifePort, LLC 1601 Heritage Street Woodland, WA 98674
Part 27* of the Federal Aviation Regulations. *Certification basis is set forth in in Type Certificate Data Sheet H9EU.
Original ProductType Certificate Number: H9EU Make: Eurocopter France Model: AS350C, AS350D, AS350D1, AS350B, AS350B1, AS350B2, AS350BA, AS350B3
Description of the Type Design Change: Installation of medical system in accordance with FAA Approved LifePort, Inc. Master Drawing List, EGR-584-00, Revision E, dated June 16, 1999, or later FAA approved revision.
Limitations and Conditions: Approval of this change in type design applies to the above model aircraft only.
This approval should not be extended to other aircraft of these model series on which other previously approved modification are incorporated unless the installer determines that the relationship between this change and any other previously incorporated approved modifications, including changes in type design, will introduce no adverse effect upon the airworthiness of that aircraft. A copy of this certificate must be maintained as part of the permanent records for the modified aircraft.
If the holder agree to permit another person to use this certificate to alter the product, the holder shall give the other person written evidence of that permission.
Date of application: September 24, 1998 Date reissued: May 10, 2019 Date of issuance: July 1, 1999 Date amended: May 9, 2002
FAA FORM 8110-2 (5/14) PAGE 1 OF 3 PAGES
(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
Number SR00793LA
LifePort, LLC Issued: July 1, 1999 Reissued: May 10, 2019
Installation of this STC on the AS350B3 helicopter is limited to LifePort, Inc. Drawing No. 375-40-10, and requires LifePort, Inc. Rotorcraft Flight Manual Supplement EGR-616-11, Rev. B, dated May 6, 2002, or later FAA Approved revision as a part of the installation.
For installation in accordance with LifePort, Inc. Drawing No. 375-40-10: LifePort, Inc. Rotorcraft Flight Manual Supplement EGR-616-11, Rev. A, dated December 13, 2001, or later FAA Approved revision is required as part of this installation.
For installation in accordance with LIfePort, Inc. Drawing No. 375-40-1, -2, -3, -4, -9, and -10: This STC is valid only with concurrent installation of STC SR09139RC.
For installation in accordance with LifePort, Inc. Drawing No. 375-40-1, -2, -3, -4, -5, -6, -7, and -8: LifePort, Inc.
Rotorcraft Flight Manual Supplement EGR-584-12, dated June 29, 1999, or later FAA Approved revision is required as a part of this installation.
For installation in accordance with LifePort, Inc. Drawing No. 375-40-9: No additional Flight Manual Supplement is required.
- END -
FAA FORM 8110-2 (5/14) PAGE 3 OF 3 PAGES
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