AUTHORISED RELEASE CERTIFICATE
UNITED KINGDOM 286768t1
CIVIL AVIATION EASA FORM 1
-rr
AUTHORITY
R12733
l; lTEil I
MEL Aviation Ltd.
l- Laurence Walter House, Addison Road, Chilton lndustrial Estate, Sudbury, Suffolk. COl O 2YW, UK
Tel: (Q17A7l 3732A2 Fax: Q17A7t 310412
6. ITEM 7. DESCRIPTION 8, PA.RT NO. 9. OrY. 1O. SERIAL/BATCH NO. I 1, STATUSATr'ORK
1 ESCAPE SLIDE D31517-717 A15084 OVERHAULED
I2. REI\,IARKS Please see reverse for User/lnstaller Besponsibilities.
AD.2018-23"12 COMPLIANT TCCA APPROVAL NO: 808.05
Item 1 - CM[r: 25-60-56 - lss: 04 Dec 2018 Rev: 24 - DOL4: 01/2005 NEXT INSP DUE| 01/2021 NEXT OAt DUE: 05/2022
s8.4320.004-25-97(AD.201 6-0043)
CARBIED OUT
P/N CONFIRMED AS: D31517-717
o,a"' ruo. MRC: 431166
that tho items identified above were manulactured in conformity to: 14a. {PARI 1454.50 Release to Service fl/Orher Regutation specified in btock t 2
n data and are in condition for safe operation Certifies that unless otherwise specified in block 12, the work identilied in block 1 1
and described in block 12, was accomplished in accordance with PART 145 and in
tr Non-approved design in block 1 2 respecyo that work the items are considered ready for release to seNice.
3b. Authorised Signature ori"r,i." tlu.o",
1
Ft*le"tt 14c. Approval Relerence Number
w::;:,,*x;:
-
uK.145.O0169
13d. Name 13e. Date (dd/mmm/yyyy)
't We I
+a.\ame l4e Date {dd/mmm/yyyy)
f'Mn 15 May 2019
EASA Form 1 - lssue 2
MPS.F.519
lnflatable Equipment lssue 7
Overhaul & Test Data Record Page 1
Date: Oct 2018
MEL Aviation Limited, Sudbury, Suffolk, CO10 2YW.
Tel: (01787) 373282 Fax: (01787) 310812
CMM: 25-60-56
CMM REVISION: 24
CMM REVISION DATE: 12-2018
FOLDING PROCEDURE: P-1 '1895
FOLDING PROCEDURE REVISION No: AM
FOLDING PROCEDURE DATE: 12-2018
SLIDE / BAFT MANUFACTURE DATE: 1-2005
SLIDE/ RIfiT LAST OVERHAUL DATE: 5-2019
SLIDE/ BAFT NEXT OVERHAUL DATE: 5-2022
SLIDE RAPI NEXT INSPECTION DATE: (15 YR OLD +) 1-2021
CYLINDER AND VALVE ASSEMBLY PART No: D'18309-201
CYLINDER AND VALVE ASSEMBLY SERIAL No: ALT750-2s066
CYLINDER PART No: 6423.6-1
CYLINDER SERIAL No: ALT750-25066
CYLINDER MANUFACTURE DATE: 8-2018
CYLINDER LIFE LIMIT DATE: 8-2033
CYLINDER LAST HYDROSTATIC TEST DATE: 8-2018
CYLINDER NEXT HYDROSTATIC TEST DATE: 8-2023
REGULATOR PART No: 65566-1
REGULATOR SERIAL No: R04-006149
REGULATOR MANUFACTURE DATE: 4Q-2004
REGULATOR LAST OVERHAUL DATE: 5-2019
REGULATOR NEXT OVERHAUL DATE: 5-2022
BATTERY PART No: N/A
BATTERY SERIAL No: N/A
BATTERY MANUFACTURE DATE: N/A
BATTERY EXPIRY DATE: N/A
SURVIVAL BASIS KIT PART No: N/A
SURVIVAL BASIS KIT MANUFACTURE DATE: N/A
SURVIVAL BASIS KIT EXPIRY DATE: N/A
SURVIVAL REPLACEMENT KIT PART NO: N/A
SURVIVAL REPLACEMENT KIT MANUFACTURE DATE: N/A
SURVIVAL REPLACEMENT KIT EXPIRY DATE: N/A
HOSE ASSY(S) PART NUMBER(S) 63667- 103
HOSE ASSY(S) SERIAL NUMBER(S) 4334
ASPIRATOR(S) PART NUMBER(S) 66068-101
ASPIRATOR(S) SERIAL NUMBER(S) A12896
VERIFY CORRELATION OF INFLATABLE & VALISE S/No N/A
SERVICE BULLETINS PERFORMED AD.20 1 8-23- 1 2.COM PLIANT.
s8.A320.004-25-97. tAD.20',l 6-00431
ED OUT AND RELEASE STATUS
o-HAULED.14-5-2019.1
MEL Aviation Ltd.
Laurence Walter House, Addison Road, Chilton lndustrial Estate, Sudbury, Suffolk, CO10 2YW, UK
Tel: Sudbury 01787 373282
lnternational Tell 0O 44 1741 373242
Facsimile: 01 787 31 081 2
lnternational Fax: 00 44 1787 310812
E
WORKSHOP REPORT
CUSToMER: MEL AVIATION COMPONENTS LTD CUSTOMER ORDER:H12733
MRC NUMBER: 431166/1 OUANTITY: 1
ASSEMBLY PART NUMBER: D31517-717 SERIAL NUMBER:A15084
EOUIPMENT DESCRIPTIoN: ESCAPE SLIDE
REPORTED DEFECT: U/S
STRIP / WORK BEPORT:
1) INFLATABLE ASSY TESTED & INSPECTED
2) HOSE ASSY HYDRO TESTED
3) CYLINDER & VALVE ASSY O/HAULED (NEW CYLINDER ASSY FITTED)
4) AO.2O1 8-23-1 2 COM PLTANT
5) ESCAPE SLIDE BE.ASSEMBLED & BE.PACKED
6) FrNAL DTMENSTONS & ELECTRTCAL CHECKS WTTHtN SpECtFTED LtMTTS
7) S8.A320.004-25-97 CARRTED OUT
8)REFER TO FORM MPS.F-519 FOR DETAILS OF LIFE LIMITING ITEMS
9) UNIT VERIFIED AS BEING CLEAR OF TOOLS, EOUIPMENT, PABTS AND MATERIAL
AND ASSEMBLED CORRECTLY
TECHNICAL INSTRUCTION USED; 25-60-56
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stcNED:ol-/ Darc:lS-{'1j
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