What it approves
Installation of an air 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 SR09145RC
This certificate, issued to LifePort, LLC 1610 Heritage Street Woodland, WA 98674
Part 27 of the Federal Aviation Regulations.
Original ProductType Certificate Number: H11EU Make: Aerospatiale Model: AS-355F, F1, F2, N
Description of the Type Design Change: Installation of an air medical system in accordance with LifePort Drawing List 530-3500, Revision E, dated October 7, 1996, or later FAA Approved revision.
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 this model series unless the installer determines that the relationship between this change and any other previously incorporated approved modifications will introduce no adverse effect upon the airworthiness of that rotorcraft. A copy of this certificate, and Rotorcraft Flight Manual Supplement dated November 22, 1996, or later FAA Approved revision, must be maintained as part of the permanent records of the modified rotorcraft.
If the holder agrees 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: November 10, 1995 Date reissued: June 14, 1999; May 10, 2019 Date of issuance: November 22, 1996 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.