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ifrcratt Record General Information

Manufacturer _.i".\ml,JEl-f fN Tl::~NA,10N AL ~ o~f Seria'-_J,/ , DI 3 S.

Model MdOrN Registration Number N~ud=--"'0""-d-=-..,_\ __._IY\~-------

Dat• of Manufacture _w=,..=-.J~------------------------------Engine(s) currently installed:

Manufacturer ~NrtNPNT/\L Model 7~,o-:::so ..,. G_., (s) Serial 10 l I (aga Manufacturer _______ Model ------------ Serial ___________ _

p,opeller(s) currently installed: Manufacturer t:\ftRI:2- £LL Model PH C. -J 3Y F - lR F /f" '1 lf q HUB Model _______ Serial f P ::; 6'"9 d--b Serial

1

-------------1 Blade Model £ 1 LJ 9 Serial L-5 81D i Serial L S<fs r--7 DY Serial l-5 2S 'JD 3

Blade Model _______ Serial _______ Serial _______ Serial _______ _

YEAR: TOTAL Current Weight and Balance Information TIME IN

-- SERVICE Remart<s DATE Empty Weight EmptyC.O. Useful L-d

11 -13--ur B~6 a. If~~ 4 5',ol Cj?,2. /Jirer-,f;, Vn n,~.~ +?,,,I ' -

--

I

YEAR:

Z.DIS DATE

c - ').i

JI ... .

RECORDING TODAY'S TACH Fl.lQHT TIME

TOTAL TIMEIN SERVICE

Description of Inspections, Tests, Repairs and Alterations Entries must be endorsed with Name, Rating and Certificate Number of Technician or R . Facility. (See back pages for other specific entries.) eparr

DATE. THIS AIRCRAFT INSPECTED NEW ,:r 2 /'2. /'j . 0

I certH'y that the Production Fllpt Tut Procedare ~ulred by 14 CPR part 21.1

Cerp. Fli1ht Test Procedure number

YEAR: RECORDING TODAY'S TACH FLIGHT TIME

DATE

II- .

.,


- .--- - - ....__ ---__ .. ~~ _;..;-- --~-

Description of Inspections, Tests, Repairs and Alterations Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair Facility. (See back pages for other specific entries.)

Cerp. aprciicaliu IJIOOt ud II appruv.a ftr 111t uader lutrw-

YEAR:

DATE

RECORDING TODAY'S TACH FLIGHT TIME


Description of inspections, Tests, Repairs and AHerations Entries must be endorsed with Name, ~ating and Certificate Number of Technician or Repair Facility. (See back pages for other specific entnes.)

IC . . to

and Sutic System Teats

have been..perfarmed. -- ''' •·. > • · •~ ·• ·· • MOONEY • .INTERNA'FIONAL·CORP. TC2A3 ·· ~-·

{ • • .. ... • • ' I • • ,. ' )

J\,.'liU.A"o' '·_r •t ,,_ , <111 '° IL¥ fH. , _; . ,,, . ,~ . .. 1110 f tf .. - i• , "I find that the aircraft eets the . • requirements for the cel\ificatimf

ypR: RECORDING TODArS TOTAL Description of Inspections, Tests, Repairs and Alterations TACH FLIGHT TIMEIN Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair TIME SERVICE - Facility. (See back pages for other specific entries.)

DATE -BLT BAl l"W\Y BXP1

MAY .. . ,n?t . - - -



Description of Inspections, Tests, Repairs and Alterations -Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repai Facility. (See back pages for other specific entries.) r

N2021M M/N M20TN S/N 31-0138

Hobbs Time: 4.6

Mooney International Corporation Repair Station CRS# 8MBR609C

16S Al Mooney Road, North Kerrville, TX 78028

Weighed aircraft after pa int. Aircraft was weighed on certified scales. Aircraft weight and balance records have been revised. A copy of the weight and balance was inserted into the POH. Installed all required external placards. Removed GDL69 s/n 47768759 and installed GDL69 s/n 47765718. Replaced cabin speaker. Operational check good on GDL69 and speaker. Work accomplished per Mooney M20TN Maintenance Manual. Pertinent details can be found on work order 0017.

Sigoa<o,e~al,: CRS# 8M8R609C 0.te 02/19/2016 :::-i


11, g

-



. 77

YEAR:

_DA.ff

IIIICORDI- TODAY'S TACN FLIGHT ,... TOTAL

IN SDIYICS

,--.... STEVENS AVIATION, INC. ' ,A. NASHVILLE. TN

March 3, 2016

E

Ductlptlc.n.., n.sts, Repairs-Alterations Entries must be endorsed with Name. Rating and Certificate Number or Technician or Repair Facility. (See back pages ror Olher spedfic entries.)

N2021M SIN 31-0138

ACTT IS.I HM 15. I

Removed Autopilot Roll Servo PIN O 11-00878-20, SIN I a IO 13185. Installed Overhauled unit SIN I a IO 12065 from CRS# G6XR582Y. Performed function checks, no faults noted. Work performed IA W Mooney Aviation Company, Inc. M20TN Service & Maintenance Manual Chapter 22.

T he Maintenance Identified Above Has Be Inspected And The Item Is Approved For Return To Service. Peninent 1s Agency Under Work Order Number 6805.

j YEAR: RECORDING TODArS TOTAL Description of Inspections, Tests, Repairs and AHerations

TACH FLIGHT TIMEIN Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair TIME SERVICE - Facility. (See back pages for other specific entries.)

DATE

785 Atrpor1 Drive !!!.r...~C!I] Luis San Lu is Obispo, Ca lilorn 1a 93401

MARCH IO, 2016 N202IM MOONEY M20TN SIN 31-0138 AIRFRAME TOTAL TlME: 25.4 HRS HOBBS 25.4 HRS TACHTlME: 32.3 HRS

SERVICED TIRE'S, CHECKED LIGHTS AND BRAKE FLUID .. L _# AIR SAN LUIS INSPECTOR: - _ - / -- ·· - .,.,

/ W.O: 9288 ALAN IC YECNY Ac%P[7688141.J'('

- -

YEAR:

--.::::;: RECORDINQ TODAY'S TACH TOTAL

Description of Inspections, Tests, Repairs and Alterations FLIGHT TIMEIN - TIME

SERVICE Entnes must be endorsed with Name, Rating and Certificate Number of Technician .

DATE

Fac,hty. (See back pages for other specific entries. ) or Repair

--=,.-=; :--,,...,... --

- ---;-a5 ..!I,,.....,., D·"e

~~"! Luis -SJn L., s Ot»soo C.1\ ·lc,rn,, 01.101

- -- ---MARCI-I 24, 2016 N2021M MOONEY M20TN SIN 31-0138 AIRFRAME TOTAL T IME : 27.5 HRS HOBBS 27.5 HRS TACHTIME: 34.4 HRS -

ADJUSTED CABIN DOOR LATCH PIN. DEBURREDTRJM AND LUBED DOOR STOP. DOOR -OPERATES SATISFACTORY ..

-AJRSAN LUIS INSPECTOR: -W .O : 9297

-

YEAR: RECORDIN

DATE

TACH TIME

San Lurs Obispo, Air San a.v1S 785 A1rpor1 Drive @ • • • • • Caltlorn ia 93401 ,,c,, ,_.,.,. "' ,•.c e••

MAY 31 , 2016 N2021M MOONEY M20TN SIN 31-0138 AIRFRAME TOT AL TIME: 60.4 HRS HOBBS 60.4 HRS T ACH TIME: 67.4 HRS

' INSTALLED NEW DOOR HANDLE. LOCTITED SCREW. DOO

AIR SAN LlTIS W.O: 9297

TAIL: N2021M DATE: 7 September 2016 . TIME: 099.7

---+-----+-----+-~1

Installed connectors on replacement airspeed switch. Performed pitot leak check and sensor calibration after reinstallation. The pitot system

, leak checks satisfactory. See W.O. # 16692 for details.

San Luis Avionics, Inc. CRS ZSSR2200

I T:>~ __ _._ ___ ...J... __ ......L. _ ___J

I ------------------------------------------END--------------------------------------

ian or Repair

YEAR:

DATE

---- --,.:.,;.e:r-. .. c-~~-- ·

RECORDING TODAY'S TOTAL TIMEIN SERVICE

Description of Inspections, Tests, Repairs and Alterations TACH FLIGHT TIME Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair

Facility. (See back pages for other specific entries.)

SEPTEMBER 07, 2016 N2021M MOONEY M20TN AJRFRAME TOTAL TIME: 102.8 HRS\- -HOBBS 99.7 HRS TACH TIME:

SIN 31-0138 102.SHRS

SERVICED TlRE'S, CHECKED LIGHTS AND BRAKE FLUID .. REPLACED AIRSPEED SAFETY

_ I

SWITCH, PIN 880013-507, SIN 2591. PITOT STATIC SYSTEM TESTED BY SAN L AVIONICS.

AIR SANLUIS W.O: 9348

YEAR:

DATE

RECORDING TODAY'S TOTAL TIME IN SERVICE

Description of Inspections, Tests, Repairs and Alterations Entries must be endorsed with Name, Rating and Certificate Number of Te Facility. (See back pages for other specific entries.)

TACH FLIGHT TIME

I -

... .... I

-- j

IIJ; r1 /f:>4. N2021M Dugosh Aviation, LLC Hobbs: 165.5 1875 Airport Loop, Ste 105 March 10, 2017 Kerrville, TX 78028

C/W Annual Inspection of Aircraft per Mooney service and maintenace manual for M20TN. Jacked A/C, checked landing gear rigging and down lock preload. Cleaned and greased all wheel bearings. Lubricated Flight controls and greased landing gear pivot points. Cleaned and serviced engine air filter. C/W Precise Flight speedbrake ICA . C/W FAR 91.207 par.D, ELT function tested, no defects. Inspected overall condition of aircraft and accessories. Aircraft found to be in airworthy

1 condition for return to service. A.O. 17-04-06, United Instruments Altimeter. . N/A not installed. Checked all A.D.'s thru 17-05.

,~3~ ' David Behrens ' A&P 2804926 ;r//1

-YEAR:

~ 7?,..,,:----_-::

--1 STEVE'S AIRCRAFT 4695 Highland Springs Road ,r Repair

DATE Lakeport, Ca . 95453 - cR~e=g~:~N~2~ov2~1~M-;---------~M~a~k-e-,M~ o~de~l~: ~M~o-o~n~e-y~M- 2- o~T~N~--------s~,~N~:~3~1~-0~1~3~8 --- I

Date 08/31/2018 Page 1 of2 Hobbs: 187.7 Tach Time: 191 .1 -

1)

2)

3)

4) 5) 6) 7)

Remove and reinstall engine after prop strike inspection (see engine log) to include: replaced engine mount, lord mounts and hardware, the exhaust system (replace tail pipes), electrical , plumbing, fuel ---and oil lines etc. Replace propeller with new and install overhauled governor. Fit, trim and install new smooth belly from Fuse Sta: 100.0 to 91 .12, to include locating and installing all fasteners . Replace lower forward bulkheads at Fuse Sta: 19.12 and 18. 75 and forward aileron control tube shield fairing . Fit, trim and install new left and right side cowl exit skins. Replace forward lower cowling fairing. Remove and replace damaged NLG wheel well composite liner. Perform DER repair of gouge in LH lower wing skin just outboard of aft gear attach in accordance with Aerocraft Engineer Order SA-EO-06292018 dated 8-14-18 form 337 this date. (see attached) .

continued ..

YEAR:

DATE -

-

STEVE'S AIRCRAFT 4695 Highland Springs Road

Lakeport, Ca. 95453 Make/Model: Mooney M20TN S/N: 31-0138

Repair

Reg: N2021M Date 08/31/2018 Page2of2 Hobbs: 187.7 TachTime: 191 .1 __ _

.. continued

8) Replace main gear door top fairing on RH and LH. 9) Fit, trim and install new outboard main gear doors to include all rod ends and rods. 10) Fit, trim and install new NLG doors to include all rod ends and rods. 11) Function check gear operation and check gear rigging. Lasar (see attached). 12) Installed 106N0320-2 Display logic assembly. Installed BC203-2D standby regulator S/N __ _

1J7DG1X91. 13) Replace top and bottom cowl assembly with new. 14) Finish and paint work performed by T&P Aero Refinishers, Salinas, CA. 15) All work accomplished with parts as lis d (see attac ed) in accordance with Mooney Service Manual

Instructions.

58IA

YEAR:

DATE

RECORDING TODAY'S TACH FLIGHT Description of Inspections, Tests, Repairs and Alterations TIME

TOTAL TIMEIN SERVICE Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair

Facility. (See back pages for other specific entries.)


Lakeport, Ca. 95453 Reg; N2021M Make/Model: Cont. TSIO-550-G58 SIN: 1011682 Date: 08-31-2018 TT: 191.1 Tach: 191.1 Hobbs: 187.7 -Annual Inspection*** All AD's checked, no repetitive AD's due at this time.I certify that this engine has been inspected in accordance with an Annual Inspection and was determined to be in airw rthy con

--1 YEA

DATI

YEAR: RECORDING TODAY'S TOTAL TIMEIN SERVICE

Description of Inspections, Tests, Repairs and Alterations

DATE

TACH FLIGHT Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair Facility. (See back pages for other specific entries.)

TIME


Lakeport, Ca. 95453 Reg: N2021M Make/Model: Mooney M20TN SIN: 31-0138 Date: 08-31-2018 TT: 191.1 Tach: 191.1 Hobbs: 187.7 -Annual Inspection*** Inspect EL T in accordance with FAR 91 .207 (d). Battery due for replacement 2021. All AD's checked, no repetitive AD's due at this time. I certify that this aircraft has been inspected in accordance with an Annual Inspection and was determined to be

hy condi ,on.

A&P 2073958

YEAR:

DATE

RECORDING TODAY'S TACH FLIGHT TIME


Description of Inspections, Tests, Repairs and AHerations Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair Facility. (See back pages for other specific entries.)


165 Al Mooney Road, North Kerrville, TX 78028

N2021M M/N M20TN

S/N 31-0138 GlOOO Time: 238.3

C/W Mooney SB M20-335C by checking rudder and both elevators static balance. All controls were found to be within Mooney balance specifications per the M20TN Maintenance Manual. Reinstalled rudder and elevators IAW Mooney M20TN Maintenance Manual. The aircraft, airframe, aircraft engine, propeller, or appliance identified above was repaired and inspected in accordance with current Regulations of the Federal A 9 ion Agency and is approved for return to service. Pertinent details of the repa ir are on file at this re ·r st tion under Order No. i

Signature'-'"c'-J--'-.-'---'==-'1- ----\--I:~'--""- -'------- Mooney International Corporation

CRS# 8MBR609C Date 04/11/2019

I

YEAR: RECORDING TODAY'S TOTAL TACH FLIGHT TIME IN

- - TIME SERVICE

DATE




N2021M M/N M20TN

S/N 31-0138 GlOOO Time : 268.7

Hobbs: 264.8 - The repairs made on 8/31/2018 were inspected by Mooney International Factory Service

Center and were found to be in full compliance with Mooney Type Design Drawings and current Regulations of the Federal Aviation Agency. The aircra~, airframe, aircra~ engine, propeller, or

- appliance identified above was repaired and inspected in accordance with current Regulations of the Federal Aviation Agency and Is approved for return to service. Pertinent detalls of the repair are on file at this repair station under Order No . .Q.lJ.2.

: s;gaature ,#1'~ Mooney International Corporation - CRS# 8MBR609C Date 10/29/2019

I I

YEAR,

DATE

RECORDING TACH TIIIE

FLIGHT TODAY'Sl TOTAL nllE IN SERY1CE

Description of lnspectiona, Tests, Repairs and AHaratlDns Entries must be endorsed with Name, Rating and Certificate Number of Technician or Repair Facility. (See bad< pages for other specific entries.)

Mooney lnternatlonal Corporation Repair Station CRS# 8MBR609C


N2021M M/N M20TN

S/N 31-0138 Gl000 Time: 268.7

Hobbs: 264.8 Performed Altimeter system Inspection to 30,000 Ft. !AW FAR 91.411, Appendix E. Performed ATC transponder Inspection !AW FAR 91.413, Appendix F. I certify that the altimeter tested to 30,000 feet on 10/07/2019. I certify that ATC transponder test has been performed. Next certification due 10/07/2021. The aircraft, airframe, aircraft engine, propeller, or appllance Identified above was repaired and Inspected In accordance with current Regulations of the Federal Aviation Agency and Is approved for return to service. Pertinent detalls of the repair are on file at this repair station under Order No. QlJ.9..

Signature Mooney Internatlonal Corporation

CRS# 8MBR609C Date 10/29/2019

I

- Mooney International Corporation Repair Station CRS# 8MBR609C


N2021M M/N M20TN

S/N 31-0138 GI000 Time: 268.7

Hobbs: 264.8 Performed an annual inspection this date. Performed an annual Inspection this date. Inspected aircraft per Mooney Repair Station annual Inspection guide. Cleaned and recharged Challenger air Induction fllter per Challenger ICA #4003 . Checked landing gear rigging and was found to be out of Mooney spec. Replaced L/H MLG retraction tube 5602S5-501. Replaced R/H MLG bungee retraction tube 6S02S5·501. Shimmed for proper cl earance . Replaced over center assy bushings. Replaced 7 loose Cherry Ma11 rivets on the L/H MLG inboard gear door hinge with new Cherry Ma11 rivets . Rigged landing gear system to Mooney spec. Checked flight controls

- rigging. Adjusted L/H and R/H rudder travel to Mooney spec. Adjusted rudder trim travel to Mooney spec. All other flight control rigging is within Mooney spec. Lubed fllght control and landing gear systems. Repacked wheel bearings and Installed wheels and brakes. Performed gear retraction test. Updated Garmin GlOOO

- databases. Adjusted stand-by voltage regulator to 30.0 volts. Cleaned and tightened ground termlnals on alternator and batteries. Trimmed cowling for proper clearance of TKS sllnger ring. Replaced R/H outboard fuel sender and calibrated GlOOO fuel tank gauge. Sent 02 Bottle and regulator to Precise Flight for 3 year

- hydrostatic test and regulator overhaul . See attached Precise Flight FM form 8130-3. Sent Speedbrakes to Precise Flight for repair and reinstalled . See Precise Flight FAA form 8130·3. Replaced co-pilot air vent AV4045-l. Repaired defroster valve assy. All work accomplished per Mooney M20TN Maintenance Manual. C/W Garmin

- GFC 700 autopilot and GlOOO system ICA 190·00638-02. C/W Precise Flight 011ygen system ICA 106NMAN0002. C/W ME406 Ell task 2S·62-30-750-801 of Arte11 Maintenance Manual and performed FAR 91.207(d) check. Ell battery due 3/2021 . Replaced Ell remote switch battery. Remote battery e11pires 3/2024. C/W

_ Amsafe airbag ICA E508923. C/W Precise Flight speedbrake ICA 541SMAN0001. C/W flap discrete function check per ICA 190-00638-02. C/W AD 12-05-09 IAW Mooney SB M20-313A and no further action required . AD compliance checked through 2019-20. This aircraft has been Inspected IAW the scope and detail of

_ appendi11 D of part 43 and Mooney M20TN Maintenance Manual. I certify that this aircraft has been inspected In accordance with annual Inspection and was determined to be In airworthy condition . The alrcra~, airframe, aircraft engine, propeller, or appliance Identified above was repaired and

_ Inspected In accordance with current Regulations of the Federal Aviation Agency and ls approved for return to service. Pertinent detalls of the repair are on file at this repair station under Order No. 01.J..2.

- Signature Mooney International Corporation

CRS# 8MBR609C Date t0/07O01 Q

I

\202DI S,~ :Jl-(l!.l8 i\tODEL: '>f J(l~ ''1 TAO! TIME: 322.1 HOBBS TIME: Jt:;.:;

2980 AIRWAY AVE, COSTA Mlc:SA, CA 92626 TEL: 714-4.13-U75. W\~W.JAYSAIRCRAFT.COM FAA APPROVED REPAIR STATl01' II .:VYR016L

DA TE: 8/19/2020 W.0.11: 23786 TSMOH: TOTAL Tl:'\-U:: 322.1

/ AIRFRAME LOG FT AND / 0 0 PON ENT ID ·r, TIFIED AIIOVC WAS REPAIREIJ AND INSP[C:"ED IN ACCORDANCE WITH CURRENT FEDERAL AVIATION

REGU~ii~~C , .WAS FO , D IRWORTIIY t~R RETURN TO SERVICE. PERTINENT DETAILS Ot' TIIE REPAIR/ REPLACEMENT ARE ON FILE AT TIIIS AGENCY

SIGNED: " ' I' ! C/W AN i\L INSPECTiON !AW MOONi:Y M20TN MAINTENANCE MANUAL _____________________ _

I~\~ FAR 91-207(d)COMPLY WITH YEARLY INSl'ECTION OF ELT BATTERY BY PHYSICAL TEST AND VI SUAL INSPECTION. OPERATION

CH ECKED SATISFACTORY. ELT 13A TTERY EXPIRES 9/2021 \. PITOT STATIC TRANSPONDER TEST [)lJ E DATE: .:.10'-/=-20'-2'--1 _________________ _

OXYGEN SYSTEM INSPECTED !AW \ 1(XlNEY\,120TN SERVICE MANUAL IAW ,\NNUAL INSPECTION GlJIDELINES OPERATIONAL AND LEAK CHECK FOUND SATISFACTORY. NO FILL SERVICE PERFORMED AT THIS TIME. HYDROSTATIC CERTIFICATION ON I·

I, OXYGEN BOTTLE DUE 9/2022 ;· R&R BOTH MAIN BATTERiES WITH NEWPINRG24-15 (2), S/N 41080699 AND SIN 41080830 IAW MOONEY M20TN SERVICE l · I

MANUAL OPERATIONAL AND SECURITY CHECK FOUND SATISFACTORY. i SOME S8s THAT APPLY TO TH IS Al RC RAFT MAY NOT H';-A,';V:;::E°;:B;;:E:;:E:;:N;-;l-;-;-,1.:--:;:,R;-;F:;:O:-;;R::-M-;-;, E::-;· D~PE~: R;:-;::0:-:-:W:-::N-:-E:::c· l,,.,{'c:::S-=D=--=E=-=·C~l.,...S--:IO_N __ .- ---------

C/W ALL APPLICABLE ADs THROUGI IOUT Ti 11S OATE I - - -·-·------~-- __ ___J

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