What it approves
Installation of a Medical Stretcher.
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 SR01816LA
This certificate, issued to LifePort, LLC 1610 Heritage Street Woodland, WA 98674
Part 27* of the Federal Aviation Regulations. *Certification basis is set forth in Type Certificate Data Sheet H7EU.
Original ProductType Certificate Number: H7EU Make: AGUSTA Model: A109E, A119
Description of the Type Design Change: Installation of a Medical Stretcher in accordance with FAA approved LifePort, Inc. Master Drawing List for Composite Cabinet in the AGUSTA A109 and A119, MDL -812-00, Rev. E, dated July 5, 2005 or later FAA approved revisions. FAA approved Rotorcraft Flight Manual Supplement for the AGUSTA A109E and A119 rotorcraft, dated August 8, 2005, is required as part of this installation.
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: April 19, 2005 Date reissued: May 10, 2019 Date of issuance: August 9, 2005 Date amended:
FAA FORM 8110-2 (5/14) PAGE 1 OF 2 PAGES By direction of the Administrator
(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
ADs that name this STC · 0
An AD can apply because an STC is installed, or mention one in its text.
Approved models · 2
Every issue · 2
DRS keeps each issue of an STC as its own record, with its own certificate and attachments.
| Date | Status | Files |
|---|---|---|
| May 10, 2019 | Reissued, current | Certificate |
| August 9, 2005 | Issued, earlier issue | Certificate |