ESN 858790 

TECHNICAL DATA 

CFM56‐3C1 

ESN 858790 Summary Information 

• Engine Serial Number (ESN): 858790

• Engine Model: CFM56‐3C1

• Engine Total Time (ETSN): 30,052

• Engine Total Cycles (ECSN): 12457

• Reason for Last Shop Removal: Damage Observed on HPT Blades

• Engine Total Time Since Last Shop Visit (TTSLSV): 0

• Engine Total Cycles Since Last Shop Visit (TCSLSV): 0

• Last Operator: Turpial Airlines

• Last Installation: B737‐4H6 MSN 27352 ( A/C Reg YV621T )

ESN 858790 Summary Information 

• Date of Shop Visit: February 2021

• MRO:  Advanced Turbine Systems (ATS)

• Reason for Last Shop Removal:  Damage on HPT Blades

• Engine Total Time at shop visit (ETSN): 0

• Engine Total Cycles at shop visit (ECSN): 0

• Date of Shop Visit:  July 8th,2019

• MRO: FJ Turbine Power

• Reason for Last Shop Removal: TOP CASE REPAIR

• Engine Total Time at shop visit (ETSN): 48,778

• Engine Total Cycles at shop visit (ECSN): 31,997

ENGINE S/N: 858790TSN: 49345CSN: 32456

Removal Reason: HPT BLADES DAMAGESWork Order: TBC

Customer: TAARevision No.: 1

Revision Date: 26-Jan-21

ATA REF. BSI? REPLACE? MX LEVEL PROPOSED WORKSCOPE

21X FAN AND BOOSTER 72-21-00 NO NO MIN

22X NO.1 AND NO.2 BEARING SUPPORT ASSEMBLY 72-22-00 NO NO MIN

23X FAN FRAME ASSEMBLY 72-23-00 NO NO MIN

61X INLET GEARBOX AND NO.3 BEARING ASSEMBLY 72-61-00 NO NO MIN

63X ACCESSORY GEARBOX ASSEMBLY 72-63-00 NO NO MIN

62X TRANSFER GEARBOX ASSEMBLY 72-62-00 NO NO MIN

31X COMPRESSOR ROTOR ASSEMBLY 72-31-00 NO NO REPAIR TOP CASE REPAIR

32X COMPRESSOR FRONT STATOR ASSEMBLY 72-32-00 NO NO MIN

33X COMPRESSOR REAR STATOR ASSEMBLY 72-33-00 NO NO MIN

41X COMBUSTION CASE ASSEMBLY 72-41-00 NO NO MIN

42X COMBUSTION CHAMBER ASSEMBLY 72-42-00 NO NO MIN

51X HPT NOZZLE ASSEMBLY 72-51-00 NO YES REPAIR REPAIR AS APPLICABLE

52X HPT ROTOR ASSEMBLY 72-52-00 NO YES REPAIR REPAIR AS APPLICABLE

53X HPT SHROUD/STAGE 1 LPT NOZZLE ASSEMBLY 72-53-00 NO YES REPAIR REPAIR AS APPLICABLE

54X LPT ROTOR/STATOR ASSEMBLY 72-54-00 NO YES REPAIR REPAIR AS APPLICABLE

55X LPT SHAFT ASSEMBLY 72-55-00 NO NO MIN

56X TURBINE FRAME ASSEMBLY 72-56-00 NO NO MIN

NO LLP REPLACEMENT AT THIS SHOP VISIT

FUEL NOZZLE TO FLOW CHECK

POST TEST VIDEO BSI & REPORT

AD 2013-26-01 - AGB Handcranking pad cover inspection

AD 2017-14-08 - Perform paragraph (f)(3) Repetitive Inspection of Pull Force Check of Stages 1, 3 & 3 of the Compressor VSV Actuation SystemPOST TEST PRESERVATION FOR 365 DAYS.

SINGLE RELEASE CERTIFICATE (FAA)

Technical Aviation Advisors

SPECIAL INSTRUCTIONS

FAN

SECTIO

N

72-2

0-0

0

ACCESSO

RY D

RIV

E

SECTIO

N

72-6

0-0

0

HPC S

ECTIO

N

72-3

0-0

0

CO

MBU

STIO

N

SECTIO

N

72-4

0-0

0

OUTGOING ENGINE MPA RUN IAW AMM 71-00-00 Test N0. 5

INCOMING ENGINE PHYSICAL INSPECTION

WORKSCOPE PROPOSAL FOR ENGINES CFM56-3

TU

RBIN

E S

ECTIO

N

72-5

0-0

0

MODULE DESCRIPTION

REV. 1 (JAN 2021) PAGE 1 OF 1 FORM TAA-E001

DRAFT

MEMO/DIR-CAC/N° 046-20

Recipient: To Whom It May Concern Lugar y Fecha: Valencia, 11/23/2020. Non Incident /Non Accident Statement

Engine  Model:  CFM56‐3C1  Engine Serial Number: 858‐790This  letter  is  to  confirm  that  with  regard  to  the  above  mentioned  CFM56‐3C1  bearing  manufacture  serial  number  858‐790 Turpial  Airlines  C.A. confirms  that  to  the  best  of  our  knowledge  the  above  mentioned  Engine  during  it´s  operation  with  Turpial  Airlines  C.A.  from 09/21/2016 to current day has not been: 

1. Damage during, or identified as the root cause of, any reportable incident oraccident as defined by Chapter 1 of ICAO Annex 13; and

2. Subjected to several stress or heat (such as major engine failure, accident, or fire)or submersed in the salt water; and

3. Subjected to Government or Military use unless so operated under an Air OperatorCertificate issued for civil air transport.

4. No part has been  installed on  the  aircraft/component which was obtained  fromany Government, Military or unapproved source or was previously fitted to a non‐ civil aircraft.

Furthermore,  during  the  time  the  above  mentioned  engine  was  operated  by  Turpial Airlines C.A. and maintained in accordance with applicable INAC regulations. Also we can confirm  that  this engine was not altered  from  its original approved Type Certificate and has not been altered in type design. Usage Details: 

Aircraft Model / Registration / MSN  Pos Date  FH  FC 

B737‐4H6 / YV621T / 27352  2  start op.  09/21/2016  47.380,00  30660 

Removal  03/8/2020  49.345,00  32456 

Sincerely, 

Ing. Amalec Adan Dir. QAC

Turpial Airlines C.A.

1. Approving Civil Aviation 2. AUTHORIZED RELEASE CERTIFICATE

3. Form Tracking Number Authority/Country:

FANUnited States FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG 800886

4. Organization Name and Address: 5. Work Order/Contract/Invoice Number:

F. J. Turbine Power, Inc., 8195 West 20th Avenue, Hialeah, FL 33014 (FAA Approved Repair Station F7JR192Y) 800886 / 858-790

6. Item: 7. Description: 8. Part Number: 9. Quantity 10. Serial Number: 11. Status/Work:

1 TURBOFAN ENGINE CFM56-3C-1 1 858-790 REPAIRED

12. Remarks: INSPECTED AND REPAIRED AS PER CFM56-3, CFMI-SM.5, REV. 76, DATED DECEMBER 2018, MANUFACTURER'S SPECIFICATIONS

AND CUSTOMER INSTRUCTIONS.

THE FOLLOWING A.D.'s, ASB's & SB's WERE COMPLIED WITH/ VERIFIED THIS SHOP VISIT:

A.D. 2006-26-01 INSTALLED NEW FUEL FILTER P/N ACC462F2038. A.D. 2013-26-01 PERFORMED AN INDEPENDENT INSPECTION OF THE INSTALLATION OF THE AGB HANDCRANKING PAD COVER AFTER MAINTENANCE. A.D. 2017-14-08 COMPLIED WITH INSPECTION PER SB 72-1169 R2. SB 72-1169 R2 COMPLIED WITH PULL CHECK OF VARIABLE STATOR VANE ACTUATION RINGS.

DETAILS OF THIS REPAIR ARE ON FILE UNDER FJTP WO# 800886. FOR MORE DETAILS SEE FAA FORM 337, DISK SHEET (FORM FJT 7020A) AND A.D. SUMMARY (FORM FJT 7019A).

TOTAL TIMES AND CYCLES SUPPLIED BY OPERATOR: TSN: 48,778 CSN: 31,997

ENGINE WAS TESTED PER AMM 71-00-00, TEST NO. 10 AND PRESERVED FROM 1 TO 365 DAYS BY XTREME AVIATION, LLC. CRS #4XAR847C UNDER WO 003466, DATED 08-JUL-2019.

FOR FOREIGN REGISTERED PRODUCTS THIS FORM IS SUBJECT TO ACCEPTANCE BY THE GOVERNING CIVIL AVIATION AUTHORITY.

13a. Certifies the Items identified above were manufactured in conformance to: 14a.~ 14 CFR 43.9 Return to service. LJ Other regulation specified in Block 12.

□ Approved design data and are in condition for safe operation. Certifies that unless otherwise specified in Block 12, the work identified in Block 11 and described in Block 12 was accomplished in accordance with Title 14, Code of

□ Non-approved design data specified in Block 12. Federal Regulations, part 43 and in respect to that work, the items are approved for return to service. -

13b. Authorized Signature: 13c. Approval/Authorization No.: 14b. Authcfr)zed Sighatur~/ 14c. Approval/Certificate No.:

,,~{, {)/ / CG~ F7JR192Y 13d. Name (Typed or Printed): 13e. Date ( dd/mm/yyyy): 14d. NpJrl'e (Typed or Printed): ~ 14e. Date (dd/mmm/yyyy):

Jorge C. Ramirez 1 0-Jul-2019 User/Installer Responsibilities

It is important to understand that the existence of this document alone does not automatically constitute authority to install the aircraft engine/propeller/article.

Where the user/installer performs work in accordance with the national regulations of an airworthiness authority different than the airworthiness authority of the country specified in

6i: Block 1, it is essential that the user/installer ensures that his/her airworthiness authority accepts aircraft engine(s)/propeller(s)/article(s) from the airworthiness authority of the country specified in Block 1.

Statements in block 13a and 14a do not constitute installation certification. In all cases, aircraft maintenance records must contain an installation certification issued in accordance with the national regulations by the user/installer before the aircraft may be flown.

FAA Form 8130-3 (02-14) NSN: 0052-00-012-9005