What it approves
nstallation of a IGA-5001 Antenna (structural provisions only)
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.
FAA Form 8110-2 (5/14) Page 1 of
Part of the
Signature
Title 2 ST09848AC Delta G Design, Inc.
716 Lake Air Dr., Suite G Waco, TX 76710 Federal Aviation Regulations 25 Installation of a IGA-5001 Antenna (structural provisions only) in accordance with Delta G Design Master Data List DGD-IGA01-MD-02, Rev. IR, dated March 13, 2015, or later FAA approved revision. Maintained per Delta G Design Instructions for Continued Airworthiness DGD-IGA01-IC-02, Rev. IR, dated February 20, 2015, or later FAA accepted revision.
The installer must determine whether this design change is compatible with previously approved modifications. If the holder agrees to permit another person to use this certificate to alter a product, the holder must give the other person written evidence of that permission. This certificate is for structural provisions only. EMI and functional testing is required as part of a separate approval when associated component parts are installed.
Scott A. Horn Acting Manager, Airplane Certification Office Southwest Region The Boeing Company 767-200 Series, 767-300 Series, 767-300F Series, 767-400ER Series October 2, 2014 March 20, 2015 ST02309AC-T AG A1NM
FAA Form 8110-2 (5/14) Page 2 of
To (Name and address of transferee)
From (Name and address of grantor)
2 ST09848AC
ADs that name this STC · 0
An AD can apply because an STC is installed, or mention one in its text.