What it approves
Installation of an Emergency 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 SR02054LA
This certificate, issued to LifePort, LLC 1610 Heritage Street Woodland, WA 98674
Part 29 of the Federal Aviation Regulations.
Original ProductType Certificate Number: R00002RD Make: AGUSTA Model: AB139 and AW139
Description of the Type Design Change: Installation of an Emergency Medical System in accordance with Master Drawing List (MDL) MDL-831-00, Revision AU, dated February 10, 2017, or later Federal Aviation Administration (FAA) approved revision. Maintained in accordance with Instructions for Continued Airworthiness (ICA) EGR-831-12, Revision D, dated February 16, 2017, or later FAA-accepted revision. Operated in accordance with Rotorcraft Flight Manual Supplement (RFMS) EGR-831-11, Revision B, dated February 14, 2017.
Limitations and Conditions: Approval of this change in type design applies to the above model rotorcraft only.
This approval should not be extended to other rotorcraft 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 rotorcraft. A copy of this certificate, the MDL, the ICA, and the RFMS must be maintained as part of the permanent records for the modified rotorcraft .
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: January 2, 2006 Date reissued: May 10, 2019 Date of issuance: June 19, 2007 Date amended: October 23, 2015;
November 29, 2016;
December 7, 2016; March 23, 2017
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 · 3
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 |
| March 23, 2017 | Amended, earlier issue | Certificate |
| June 19, 2007 | Issued, earlier issue | Certificate |