oe con! No 2120-048
BREE
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“Eiko Seer * AUTHORIZED RELEASE CERTIFICATE % For Topocosoucozte89
FAA [UNITED STATES FAR FORM 8130-3, AIRWORTHINESS APPROVAL TAG. snenso,
Page 1 of 1
7. Grganizaen Nama and Address
3 Werk OrderiGontraciinvoles Number
GOODS SEEPS ATION, SRCRAFT WHEELS ard BRAES OWISION
101 WACO STREET, P.O.BOK 340 =
‘TROY, OHIO USA 453733972
Pow
Cerificate No. PT2042CE/PQ2042CE —
Sam [7 Deseo 3 Par wa a a 1 Savanon
OT | BRK ASST OF aT wa * WA Tew
3: Remarks
Purpose Export Aiworthiness Approve)
THIS BART [SA SUBCOMPONENT OF A TSO ARTICLE,
Export lo County Malaysia
PIN tstaatet
REVE.
TA Gerios the Wems Wanliied above ware manufactured conform Ta
7
(ts cFR 43.9 Retum to Service (other regulation specified in Block 13
[Ey tensor nce Tg etree ay ec
o eae Tistwotk, tievomeare approved orth seve.
[EK] Approved design data and ane ina condition for safe operation,
75 Auhoraed Signals
75 Approval Raaarizaion No 2 Authorized Signature
V7. Name (Typed or Pregl
78. Date (may 2B Name (Typed or Prniedy Bs, Date mnayy
TERRY ELLINGER ocr ai 2013,
User Installer Responsibilities
Tis iporant fo wndersand tha re existence of his dacumant alone dose nol aulomaliealy constitute author to fsa Be paricomponenvassemBly.
Where the userinstaller performs workin aceordonce with the naional regulations ofan airworthiness aulhoriy diferent than the airworthiness auhority of the caunty specie in Block 1, iis
Cree el nal he oxeringlaer ensures that hamher siwarhiness author accepts parsicempanents/assembiies from the ainworhiness aulhariy of ti country specie in Block 1.
Statamens in Blacks 14 and 19 de nat constitute installation cetifcaton. In alleasos, aera maintenance records must conain an installation eeriicatlon issued in accordance with the national
Fegulctons by the userinstalerbofere the acraft may be fiw
FRAFam S036
TiS aT SORE Soc ST WAT TE TOCA la NENT OORVODT GUTS
sea agnor etag ie koteneon ssoCERTIFICATE OF CONFORMANCE
Goodrich Aircraft Wheels and Brakes
101 Waco Street, Troy, OH 45373 USA
Sold-to Address: 4304
LION AIR
SLHASYIM ASHARI NO. 35
10130 JAKARTA,
INDONESIA,
Ship-to Address: 42010
LION AIR,
CIO KLAS ENGINEERING SERVICES SDN
MEZZANINE FL,
KLAS CARGO TERMINAL BUILDING
64000 SELANGOR-SOUTHERN SUPPORT ZONE
MALAYSIA,
="
GOODRICH
Date: Page tft
21-SEP-2013
Delivery No:
85980506
‘Customer Poritem:
PO149105
tem Material Description Total ty UOM BatchNbr_—_Gountry of Origin
Sub tem Material Description Balch Qty _UOM Batch Nbr Country of Origin
yo 134.281-1 DISK - ASSY. OF 18 EA us
Customer Part Number: 134-241-1
We certify that the parts supplied and identified horein were manufactured in accordance with an approved Goodrich Corporation
(formerly known as BFGoodrich) quality assurance program, conform to all applicable Goodrich specifications and requicements
Contract requirements, and are approved under TSO C26 or C135 Certificate per federal aviation regulations, part 21 or other
applicable regulations and spocifications for Goodrich Aircraft Wheol & Brake assemblies and sub-assembiles, ll substantiating
documents regarding the subject parts aro on fle at Aircraft Whools & Brakes, Goodrich Corporation, Troy, Ohio, USA, and are
available for inspection upon request.
SAP-1031-1
Yes (Wehbe ——>
Ene 0, Wallace
Senior Qually-Acsurance Engines
AUTHORIZED SIGNATURE
214-007-2013
DATE