CH-47D 9100268 HELICOPTER, CARGO HISTORICAL ...

445
NUMBER PID ENTRY ORGANIZATION LOCATION 8. 7. DATE 6. REMARKS 4. 5. CH-47D 9100268 HELICOPTER, CARGO 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER 1. AIRCRAFT MODEL Page 1 of 21 BOEING HELICOPTERS AIRCAFT S/N 61-02419, CH-47A, INDUCTED AND CONVERTED TO CH-47D, S/N 91-0268 ON 27 AUG 1992, TOTAL TIME AT MODIFICATION: 4340.0 HRS. BOEING HELICOPTERS, PHILA, PA. S/ K.L.MRUK, CIV. (KM0000) 27-Aug-1992 1 PHILADELPHIA, PA. brian.b.tims BOEING HELICOPTERS AIRCRAFT S/N 91-0268 TEST FLOWN AND ACCEPTED AT 4349.6 HRS. BOEING HELICOPTERS, PHILA, PA. S/ K.L. MRUK, CIV. (KM0000) 14-Oct-1992 1 PHILADELPHIA, PA. brian.b.tims BOEING HELICOPTERS CH-47-93-02; UNGROUNDING OF U.S. ARMY CH-47D, MH-47D AND MH-47E AIRCRAFT (TB1- 1520-240-20-63) COMPLIED WITH. 6 NOV 1992, BOEING HELICOPTERS, PHILA, PA. S/ V. HOLMES. CIV. (KM0000) 06-Nov-1992 1 PHILADELPHIA, PA. brian.b.tims AASF ACFT PICKED UP AT BOEING HELICOPTER, PHILA, PA. BY AASF, MERIDIAN, MS. ON 24 NOV 92 AT 4354.6 ACFT. HRS. ENTERED BY B.A. GIBSON, T.I., AASF, MERIDIAN, MS. (BG8488) 24-Nov-1992 1 MERIDIAN, MS. brian.b.tims AASF CH-47-93-ASAM-03; ONE TIME INSP. OF HYD. PUMP, NSN 1650-01-240-4341, C/W 15 MAR 93 AT 4413.0 ACFT. HRS. AT AASF, MERIDIAN, MS. S/ B.A. GIBSON, T.I. (BG8488) 17-May-1993 1 MERIDIAN, MS. brian.b.tims AASF CH-47-93-ASAM-02, INSP OF HI-LOCK FASTENERS AT FUSELAGE STATION 83 TO 120 ENTERED AT AASF, MERIDIAN, MS. S/ B.A. GIBSON, T.I. (BG8488) 01-Jun-1993 1 MERIDIAN, MS. brian.b.tims AASF SOF CH-47-93-03, RECORDS CHECK OF ENGINE TRANSMISSIONS P/N 145D6300 SERIES TO IDENTIFY UNSERVISEABLE TRANSMISSIONS C/W. (BG8488) 19-Jul-1993 1 MERIDIAN, MS. brian.b.tims AASF PHASE #1 COMPLETED AT 4539.9 ACFT. HRS. NEXT PHASE NO. 2 DUE AT 4739.9 ACFT. HRS. (BG8488) 30-Sep-1993 1 MERIDIAN, MS. brian.b.tims AASF CH-47-94-ASAM-01, ON TIME AND RECURRING INSP OF ROTARY WING HEAD BUSHINGS (TB 1-1520-240-20-67) C/W AT 4561.1 ACFT. HRS. (BG8488) 28-Oct-1993 1 MERIDIAN, MS. brian.b.tims AASF CH-47-94-ASAM-02, AMMENDMENT TO CH-47- 94-ASAM-01 (BG8488) 04-Nov-1993 1 MERIDIAN, MS. brian.b.tims OCM SECTION OCM/ ACE PERFORMED AT 4570.0 ACFT. HRS. AT MERIDIAN, MS. BY "A". (AB0000) 23-Nov-1993 1 ST. LOUIS, MO. brian.b.tims AASF CH-47-94-ASAM-03, MAINTENANCE MANDATORY, ONE TIME AND RECURRING INSP OF CERTAIN RIGID CONNECTING LINKS, P/N 145C3340-10 UNTIL REPLACEMENT (TB 1- 1520-240-20-68) (BG8488) 26-Jan-1994 1 MERIDIAN, MS.. brian.b.tims AASF CH-47-94-ASAM-04, ONE TIME INSP OF PILOTS AND COPILOTS SEAT BELT BUCKLE C/W AT AASF, MEI. (BG8488) 17-Feb-1994 1 MERIDIAN, MS.. brian.b.tims AASF CH-47-94-ASAM-05, ONE TIME INSP OF 5000 LB TIE DOWN RECEPTACLE ASSY C/W AT AASF, MEI. (BG8488) 03-May-1994 1 MERIDIAN, MS.. brian.b.tims For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG EDITION OF JAN 64 IS OBSOLETE HISTORICAL RECORD FOR AIRCRAFT DA FORM 2408-15, OCT 1991

Transcript of CH-47D 9100268 HELICOPTER, CARGO HISTORICAL ...

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 1 of 21

BOEING HELICOPTERSAIRCAFT S/N 61-02419, CH-47A, INDUCTEDAND CONVERTED TO CH-47D, S/N 91-0268 ON27 AUG 1992, TOTAL TIME AT MODIFICATION:4340.0 HRS. BOEING HELICOPTERS, PHILA,PA. S/ K.L.MRUK, CIV. (KM0000)

27-Aug-1992 1

PHILADELPHIA, PA.

brian.b.tims

BOEING HELICOPTERSAIRCRAFT S/N 91-0268 TEST FLOWN ANDACCEPTED AT 4349.6 HRS. BOEINGHELICOPTERS, PHILA, PA. S/ K.L. MRUK, CIV.(KM0000)

14-Oct-1992 1

PHILADELPHIA, PA.

brian.b.tims

BOEING HELICOPTERSCH-47-93-02; UNGROUNDING OF U.S. ARMYCH-47D, MH-47D AND MH-47E AIRCRAFT (TB1-1520-240-20-63) COMPLIED WITH. 6 NOV 1992,BOEING HELICOPTERS, PHILA, PA. S/ V.HOLMES. CIV. (KM0000)

06-Nov-1992 1

PHILADELPHIA, PA.

brian.b.tims

AASFACFT PICKED UP AT BOEING HELICOPTER,PHILA, PA. BY AASF, MERIDIAN, MS. ON 24NOV 92 AT 4354.6 ACFT. HRS. ENTERED BYB.A. GIBSON, T.I., AASF, MERIDIAN, MS.(BG8488)

24-Nov-1992 1

MERIDIAN, MS.

brian.b.tims

AASFCH-47-93-ASAM-03; ONE TIME INSP. OF HYD.PUMP, NSN 1650-01-240-4341, C/W 15 MAR 93AT 4413.0 ACFT. HRS. AT AASF, MERIDIAN,MS. S/ B.A. GIBSON, T.I. (BG8488)

17-May-1993 1

MERIDIAN, MS.

brian.b.tims

AASFCH-47-93-ASAM-02, INSP OF HI-LOCKFASTENERS AT FUSELAGE STATION 83 TO120 ENTERED AT AASF, MERIDIAN, MS. S/ B.A.GIBSON, T.I. (BG8488)

01-Jun-1993 1

MERIDIAN, MS.

brian.b.tims

AASFSOF CH-47-93-03, RECORDS CHECK OFENGINE TRANSMISSIONS P/N 145D6300SERIES TO IDENTIFY UNSERVISEABLETRANSMISSIONS C/W. (BG8488)

19-Jul-1993 1

MERIDIAN, MS.

brian.b.tims

AASFPHASE #1 COMPLETED AT 4539.9 ACFT. HRS.NEXT PHASE NO. 2 DUE AT 4739.9 ACFT. HRS.(BG8488)

30-Sep-1993 1

MERIDIAN, MS.

brian.b.tims

AASFCH-47-94-ASAM-01, ON TIME AND RECURRINGINSP OF ROTARY WING HEAD BUSHINGS (TB1-1520-240-20-67) C/W AT 4561.1 ACFT. HRS.(BG8488)

28-Oct-1993 1

MERIDIAN, MS.

brian.b.tims

AASFCH-47-94-ASAM-02, AMMENDMENT TO CH-47-94-ASAM-01 (BG8488)

04-Nov-1993 1

MERIDIAN, MS.

brian.b.tims

OCM SECTIONOCM/ ACE PERFORMED AT 4570.0 ACFT. HRS.AT MERIDIAN, MS. BY "A". (AB0000)

23-Nov-1993 1

ST. LOUIS, MO.

brian.b.tims

AASFCH-47-94-ASAM-03, MAINTENANCEMANDATORY, ONE TIME AND RECURRINGINSP OF CERTAIN RIGID CONNECTING LINKS,P/N 145C3340-10 UNTIL REPLACEMENT (TB 1-1520-240-20-68) (BG8488)

26-Jan-1994 1

MERIDIAN, MS..

brian.b.tims

AASFCH-47-94-ASAM-04, ONE TIME INSP OF PILOTSAND COPILOTS SEAT BELT BUCKLE C/W ATAASF, MEI. (BG8488)

17-Feb-1994 1

MERIDIAN, MS..

brian.b.tims

AASFCH-47-94-ASAM-05, ONE TIME INSP OF 5000 LBTIE DOWN RECEPTACLE ASSY C/W AT AASF,MEI. (BG8488)

03-May-1994 1

MERIDIAN, MS..

brian.b.tims

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 2 of 21

AASFCH-47-94-ASAM-06, ONE TIME ANDRECURRING INSP OF HYD PUMPING UNIT, C/WAT AASF, MEI. (BG8488)

03-May-1994 2

MERIDIAN, MS..

brian.b.tims

AASFSOF CH-47-95-01, ONE TIME VISUAL INSP OFUPPER BOOST ACT S/N'S TO ENSUREPROPER SREWS ARE INSTALLED (TB 1-1520-243-20-2) C/W AT 4739.6 ACFT.HRS. (BG8488)

14-Dec-1994 1

MERIDIAN, MS..

brian.b.tims

AASFCH-47-95-ASAM-01, ONE TIME ANDRECURRING DAILY INSPECTION OF THRUSTIDLER ASSY (TB 1-1520-243-20-1) C/W AT4739.6 HRS. (BG8488)

04-Jan-1995 1

MERIDIAN, MS..

brian.b.tims

AASFOCM/ ACE PERFORMED AT 4740 ACFT HRS ATMERIDIAN, MS. BY "W", OCM SECTION, STLOUIS, MO. (AB0000)

09-Jan-1995 1

MERIDIAN, MS..

brian.b.tims

AASFCH-47-95-ASAM-02, ONE TIME TORQUE CHECKOF PTU MOTOR PUMP NUTS, TB 1-1520-243-20-4, C/W AT 4739.6 HRS. (BG8488)

08-Feb-1995 1

MERIDIAN, MS..

brian.b.tims

AASFPHASE #2 COMPLETED AT 4739.6 ACFT. HRS.PHASE #3 DUE AT 4939.6 ACFT. HRS. (BG8488)

13-Feb-1995 1

MERIDIAN, MS..

brian.b.tims

AASFCH-47-95-ASAM-04, ALL CH-47DHELICOPTERS, ONE TIME INSP FORSTRATOPOWER PUMPS NSN: 1650-01-249-4341 AND REPORTING FOR TURN AROUNDPROGRAM (TB 1-1520- 240-20-75) AT 4778.6ACFT. HRS. (BG8488)

31-Mar-1995 1

MERIDIAN, MS..

brian.b.tims

AASFSOF CH-47-95-02, ONE TIME VISUAL INSP ANDTORQUE CHECK OF LOWER DRIVE LINK TOSWASHPLATE RETAINING HARDWARE AT4817 ACFT HRS. (BG8488)

12-May-1995 1

MERIDIAN, MS.

brian.b.tims

AASFCH-47-95-ASAM-05, INSP. AND LUBRICATIONOF THE FLT CONTROL ROD END BEARINGS(ROLLING ELEMENT) TB 1- 1520-240-20-77 AT4852.7 ACFT. HRS. (BG8488)

02-Jun-1995 1

MERIDIAN, MS.

brian.b.tims

AASFCH-47-95-ASAM-06, REVISION TO CH-47-95-ASAM-05 (TB 1-1520-240-20-77) AT 4933.0ACFT. HRS. (BG8488)

05-Sep-1995 1

MERIDIAN, MS.

brian.b.tims

AASFCH-47-95-ASAM-07, ALL CH-47D ACFT,ONETIME RECORDS CHECK FOR MWO 1-1520-240-50-69, REINSTALLATION OF MWO 1-1520-240-50-69FOR ROTOR HEADS MODIFIED INEUROPE AND RECURRING VISUAL INSP. FORSLIPPED BUSHINGS AND OR CRACKED PITCHHOUSING LUGS FOR HEAD WITH MWO 1-1520-240-50-69 APPLIED (TB 1-1520-240- 20-79) AT4934.9 ACFT. HRS. (BG8488)

21-Sep-1995 1

MERIDIAN, MS.

brian.b.tims

DYNCORP OLRENGINE AFT MOUNT LINK INSTALLEDDIMENSIONS AFTER COMPLETION OF MWO1-1520-240-50-60. L/H 6.360 IN. R/H 6.430 INCHES.(LB2657)

26-Sep-1995 1

FT. HOOD, TX.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-95-ASAM-08, ALL CH47D ACFT,INSPECTION 0F AFT VERTICAL SHAFT (TB1-1520-240-20-78) AT 4934.9 ACFT HRS. (RL8391)

26-Sep-1995 2

MERIDIAN, MS.

brian.b.tims

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 3 of 21

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-01 (TB1-1520-240-20-80) ALLCH-47D HELICOPTERS REPLACEMENT OF AFTLANDING GEAR DRAG LINK ASSY'SSUSCEPTIBLE TO STRESS CORROSIONCRACKING. (RL8391)

08-Nov-1995 1

MERIDIAN, MS

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-03 (TB1-1520-240-20-82)MAINT. MANDATORY, ONE TIME VISUAL INSP.OF PRESSURE GUAGE FOR I. D. TAPE LOC. AT4937.7 ACFT HRS. (RL8391)

31-Jan-1996 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

# 1 ENGINE AIRFRAME FWD MOUNT NDI INSPCOMPLETED AT 4937.7 ACFT HRS. 28 NOV 95(BG8488)

23-Feb-1996 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

PHASE #3 COMPLETED 96-02-14 AT 4937.7ACFT HRS. PHASE #4 WILL BE DUE AT 5137.7ACFT HRS. (BG8488)

24-Feb-1996 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-04 (TB1-1520-240-20-83) ONETIME INSPECTION OF FWD & AFT ROTARYWING HEADS FOR HORIZONTAL HINGE PINBEARING OIL FLOW. (RL8391)

06-Jun-1996 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-05 (TB1-1520-240-84)MAINTENANCE MANDATORY, ALL CH-47DACFT, ONE TIME INSPECTION OF THEFORWARD CONTROL INSTALLATION FOR THEMFG. OF P/N 114R3650-3 BOLT ASSY, (TB1-1520-240-84) C/W @ 5015.7 ACFT. HRS. RLUKE, AASF MEI, MS. (RL8391)

12-Jul-1996 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-06 MAINTENANCEMANDATORY, ALL CH-47DACFT, ONE TIMEVISUAL INSPECTION & RECORDS CHECK OFTHE UPPER BOOST ACTUATOR & PULL TESTOF SWASHPLATES C/W @ 5015.7 ACFT. HRS.R. LUKE, MEI. MS. (TB1-1520-240-20-85)(RL8391)

12-Jul-1996 8

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-07 INSPECT THE BOND LINESON THE 114P8079-2 & -3 STRAP ASSY'S FORLOOSENESS AROUND THE EDGES (TB1-1520-240-20-86). (RL8391)

13-Jul-1996 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-08 (TB1-1520-240-20-88) ONETIME VISUAL INSPECTION FOR AND REMOVALOF CERTAIN S/N 145DS102-3 FWD XMSN MAINLUBE PUMPS. (RL8391)

23-Aug-1996 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

ACE/AACE PERFORMED AT 5110 A/C HRS BYDYN CORP FT HOOD, TX. OLR PROFILER 'N'(DS0000)

10-Sep-1996 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-09 (TB1-1520-240-20-89)INSPECT & REPAIR AFT PYLON CLAM SHELLDOOR LOWER LATCH C/W @ 5130.5 ACFT.HRS. (RL8391)

16-Sep-1996 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-01 (TB1-1520-240-20-90) ONETIME RECORDS CK., VISUAL INSPECTION FOR& REMOVAL OF CERTAIN S/N 145D3400-23, -25, -32 SYNC D/S C/W . (RL8391)

11-Oct-1996 1

MERIDIAN, MS.

brian.b.tims

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 4 of 21

AASF/ CO. G 185THAVN.

SOF MSG CH-47-97-01 (TB1-1520-240-20-91)ONE TIME VISUAL INSPECTION OF FORWARDTRANSMISSION MOUNTING (BARREL) NUTS.(RL8391)

14-Nov-1996 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-02 (TB1-1520-240-20-92)MAINTENANCE MANDATORY, VISUAL INSP.FOR WINCH/HOIST CONTROL GRIP SWITCHGUARD. COMPLETED 9 JAN 97 (DT2810)

12-Jan-1997 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

GEN-97-ASAM-03 (AN/ASN-149 GLOBALPOSITIONING SYS) NOT INSTALLED ON ACFTDOES NOT APPLY AS OF PRESENT TIME(BG8488)

14-Jan-1997 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-03 (TB1-1520-240-20-94), ONETIME & RECCURING INSP. OF CABIN FLOOR &RAMP 5000# TIE- DOWN FITTINGS. (RL8391)

07-Feb-1997 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-05 (TB1-1520-240-20-93) ONETIME INSPECTION & REPLACEMENT OF AN320-12 CASTELLATED NUTS. (RL8391)

19-Mar-1997 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-04 (TB1-1520-240-20-96) ONETIME VISUAL INSPECTION & REPLACEMENTOF CERTAIN P/N 4C3074 CRISSAIR CHECKVALVES. (RL8391)

19-Mar-1997 17

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-08 (TB1-1520-240-20-97)MAINTENANCE MANDATORY, INSP. & LUBEOF FLT CONTROL ROD END BEARINGS.(RL8391)

24-Apr-1997 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-06 (AN/ASN-149 GLOBALPOSITIONING SYS) NOT INSTALLED ON ACFT,DOES NOT APPLY AS OF PRESENT TIME.(RL8391)

24-Apr-1997 2

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-07 (TB1-1520-240-20-95) ONETIME AND RECURRING INSP OF PDP FEEDERWIRE/CBS. AND INSTALLATION OF CB.COVERS/SEALS. (RL8391)

06-May-1997 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-09 OPERATION OF T-62-T-2BAPU & APU FLT HRS. (RL8391)

05-Jun-1997 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-10 (TB 1-1520-240-20-99) ONETIME INSPECTION OF ANVIS/HUD POWERSUPPLY C/W. (RL8391)

02-Oct-1997 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-98-ASAM-01, UNCOMMANDEDCONTROL INPUTS, C/W (RL8391)

22-Oct-1997 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-98-ASAM-02 (TB1-1520-240-20-100)EXTENSION OF (CH-47-96-ASAM-01)REPLACEMENT OF AFT LANDING GEAR DRAGLINK ASSY (-3 IF INSTALLED) TO 30 APR 99(RL8391)

27-Nov-1997 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-98-01 (TB 1-1520-240-20-103) ONE TIMEINSP OF AFT UPPER BOOST ACTUATORS TOSTATIONARY SWASHPLATE RETAININGHARDWARE. (RL8391)

24-Mar-1998 1

MERIDIAN, MS.

brian.b.tims

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 5 of 21

AASF/ CO. G 185THAVN.

CH-47-98-ASAM-03 (TB1-2835-205-20-3)MANDATORY TORQUE CHECK ANDREPLACEMENT OF APU BOLTS COMPLIEDWITH AT 5242.7 ACFT. HRS. (TE7467)

03-May-1998 1

MERIDIAN, MS.

brian.b.tims

AASF/CO. G 185TH AVN.ACE/CPC PERFORMED AT 5254 A/C HRS. BYTEAM MEMBER "K" AMCOM OLR/MWOBRANCH HUNTSVILLE, AL. DANNY MEYERS.(DM5698)

13-May-1998 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-98-ASAM-04 (TB1-1520-240-20-102) ONETIME INSPECTION FOR AFT TRANSMISSIONSWITH SUSPECTED IMPROPERLY SHIMMEDINPUT PINION GEAR ASSY C/W. (DT2810)

19-May-1998 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF CH-47-98-02, FLIGHT RESTRICTIONS ANDMAINTENANCE INSPECTION PROCEDURESFOR ACFT WITH MWO 1-1520-240-50-67APPLIED(NONMETALLIC C-BOX SPLINEDADAPTERS) C/W. (JS5030)

20-Jul-1998 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-98-ASAM-05, REVISION TO CH-47-98-ASAM-02, RESCINDING ROLL ON LANDINGRESTRICTION FOR -3 DRAG LINK ASSYS.(DT2810)

24-Sep-1998 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

#2 ENGINE AIRFRAME MOUNT 600 HR.INSPECTION COMPLETED AT 5333.9 ACFT.HRS. (RL8391)

10-Dec-1998 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-99-ASAM-02 (TB1-1520-240-20-107)ACTIONS TO REDUCE SUSCEPTIBILITY TOFLIGHT CONTROL LOCKUP AND/ORUNCOMMANDED MANEUVERS COMPLIEDWITH. (DT2810)

24-Feb-1999 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

#1 EMER. POWER TIMER INDICATES 1 MIN. NOACTUAL EMER. POWER TIME ON INSTALLEDENGINE. TO BE CONSIDERED 0 TIME. 5333.9ACFT. HRS. (DT2810)

27-Feb-1999 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

#2 EMER. POWER TIMER INDICATES 1 MIN. NOACTUAL EMER. POWER TIME ON INSTALLEDENGINE. TO BE CONSIDERED 0 TIME. 5333.9ACFT. HRS. (DT2810)

27-Feb-1999 2

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-99-ASAM-01 (TB1-1520-240-20-106)MAINTENANCE MANDATORY, ALL CH-47ACFT. ONE TIME INSP OF LAG DAMPENERSCOMPLIED WITH. (DT2810)

02-Mar-1999 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-99-ASAM-04 (TB1-1520-240-20-109)MAINTENANCE MANDATORY; ALL H-47 ACFT;FWD AND AFT LCT YOKE BUSHING INSP. ANDACFT. MAINT. MANUAL CHANGES C/W.(DT2810)

16-Mar-1999 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-99-ASAM-03, MAINT. MANDATORY; ALLCH-47 ACFT ONE TIME AND RECURRING INSP.OF THE HOIST/CARGO HOOK CONTROLPANEL AND WATER INTRUSION IN COCKPITCOMPLIED WITH. (TB55-1520-240-20-108)(DT2810)

17-Mar-1999 1

MERIDIAN, MS.

brian.b.tims

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 6 of 21

AASF/ CO. G 185THAVN.

PHASE #1 COMPLETED 19 MAR 99 AT 5333.9ACFT. HRS. PHASE #2 WILL BE DUE AT 5533.9ACFT. HRS. (RL8391)

19-Mar-1999 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

ACE/CPC PERFORMED AT 5342 ACFT. HRS. BYTEAM MEM- BER "N" AMCOM OLR/MWOBRANCH, KILLEEN, TX. S/DON E.SCHROEDER. (DS5651)

15-Apr-1999 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-99-ASAM-05 (TB1-1520-240-20-110)MAINTENANCE MANDATORY;ALL CH-47ACFT,EXTENSION FOR REPLACEMENT OFAFT LANDING GEAR DRAG LINK ASSY'S C/W.(DT2810)

30-Apr-1999 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF MESSAGE CH-47-99-01 (TB1-1520-240-20-111) ONE TIME INSP. OF SYNC SHAFTMOUNTING BRACKETS FOR PROPERCLEARANCE TO SYNC SHAFTS (DT2810)

07-Jul-1999 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF CH-47-99-02 EMERGENCY;IMMEDIATEGROUNDING OF ALL H-47 SERIES AIRCRAFT.(JS5030)

10-Aug-1999 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF CH-47-99-03, TB 55-1520-240-20-113,TECHNICAL, ALL H-47 SERIES AIRCRAFT,INSPECTION OF H-47 AIRCRAFT FORWARDAND AFT TRANSMISSIONS GEAR/BEARINGASSEMBLIES REQ'D. TO BE C/W N/L/T 7 SEP99 (JS5030)

25-Aug-1999 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF CH-47-99-04 (TB 1-1520-240-20-114),TECHNICAL , CH-47D, MH-47D, MH-47EAIRCRAFT, INSPECTION OF H-47 AIRCRAFTFOR FORWARD AND AFT TRANSMISSIONGEAR/BEARING ASSEMBLIES IDENTIFIED BYSERIAL NUMBER PREFIX "VB" (JS5030)

27-Aug-1999 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF CH-47-99-05;TB 1-1520-240-20-115:TECHNICAL,ALL H-47 SERIES AIRCRAFT,REPLACEMENT OF SUSPECT FOR WARD ANDAFT TRANSMISSION ASSEMBLIES WITH ONESTHAT HAVE BEEN INSPECTED AND CLEAREDFOR OPERATION (CM6742)

14-Sep-1999 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF CH-47-00-01/ TB 1-2835-205-20-4, ONETIME RECORDS INSP TO DETERMINE IF APUCOMPRESSOR WHEEL HAS BEEN NDI ANDADD # OF STARTS TO APU. APU S/N877548.048. (JS5030)

12-Oct-1999 1

MERIDIAN, MS.

brian.b.tims

AASF/CO G. 185TH AVN.SOF CH-47-00-02; CORRECTION TO SOF CH-47-00-01, PARA 10D, 9A, 9B, & 12C. (JS5030)

10-Nov-1999 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF CH-47 00-03/ TB 1-1520-240-20-116; ALL H-47 SERIES AIRCRAFT, INCREASE OFOPERATING LIMITATIONS FOR FORWARDAND AFT TRANSMISSION GEAR/ BEARINGASSEMBLIES IDENTIFIED BY SERIAL # PREFIX"VB" (JS5030)

06-Dec-1999 1

MERIDIAN, MS.

brian.b.tims

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 7 of 21

AASF/ CO.G 185TH AVN.SOF CH-47-00-04/ TB1-1520-240-20-117; ONETIME INSPECTION OF ENGINE TRANSMISSIONHISTORICAL RECORDS FOR SUSPECT GEARSAND REPLACEMENT OF SUSPECTTRANSMISSIONS. (JS5030)

31-Jan-2000 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

ACFT SUBJECTED TO HIGH WIND ORMICROBURST ON 10 MARCH 00, ACFT WASINSPECTED FOR HIGH WIND DAMAGE IAW TM55-1520-240-23-1 AND TASK 5-63.3. ACFTSUSTAINED DAMAGE TO THE AFT ROTORHEAD RED UPPER PITCH HOUSING STOPSAND THE FWD ROTOR HEAD UPPER YELLOWAND RED UPPER PITCH HOUSING STOPS. AFTAND FWD ROTOR HEADS WERE REMOVEDAND SENT TO OVERHAUL. P/C LINKS WEREREMOVED AND DESTROYED. ACFT WASINSPECTED IAW MEMORANDUM FROMAMCOM ENGINEERING DIVISION AND BOEINGHELICOPTERS. (JS5030)

31-Mar-2000 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF CH 47-00-05/(TB 1-1520-240-20-120); ONETIME INSPECTION OF PITCH HOUSINGS, P/N145R2075-13/-14/-15/-16. (CM6742)

02-May-2000 1

MERIDIAN, MS

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-ASAM-00-01/TB 1-1520-240-20-119;INITIAL AND RECURRING INSPECTION OFFUEL PODS FOR CORROSION ANDELECTRICAL BONDING. (CM6742)

02-May-2000 2

MERIDIAN, MS

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-00-ASAM-02: 10 MAY 00,INITIAL ANDRECURRING INSPECTIONS ANDREPLACEMENT OF HORIZONTAL HINGE PINSHOULDER BOLTS P/N 114R2201-1. (CM6742)

11-May-2000 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF CH-47-00-06; AUTHORIZATION FOR ACFTWITH APU CONTAINMENT DEVICE TOOPERATE WITHOUT RESTRICTIONS IMPOSEDBY SOF CH-47-00-01 (JS5030)

11-May-2000 2

MERIDIAN,MS

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-00-ASAM-03: 13 JUN 2000, IMMEDIATEAND PERIODIC HYDRAULIC FLUID SAMPLINGOF H-47 SERIES AIRCRAFT. ACFT HRS 5485.0(CM6742)

13-Jun-2000 1

MERIDIAN,MS

brian.b.tims

AASF/ CO. G 185THAVN.

ACE/CPC PERFORMED AT 5485.0 ACFT. HRS.BY TEAM MEMBER "W" AMCOM OLR MWOBRANCH, KILLEEN, TX. (JP2527)

20-Jun-2000 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-00-ASAM-04; ONE TIME INSPECTION OFROTOR HEAD HISTORICAL RECORDS FORCERTAIN S/N HORIZONTAL HINGE PINS.(JS5030)

27-Jul-2000 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-00-ASAM-05; ONE TIME INSPECTION OFFORWARD AND AFT SLIDER SHAFT SEALSFOR PROPER CONSTRUCTION HINGE PINS.(JS5030)

27-Jul-2000 2

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-00-ASAM-07;(TB 1-1520-240-20-125) ONETIME INSPECTION AND REPLACEMENT OFUNTESTED AFT LCT ACTUATOR AND FIXEDLINK BOLT P/N 114R3650-7.ES. BEARINGASSEMBLIES REQ'D TO BO C/W N/L/T 7 SEP99REFIX "VB" (CM6742)

26-Sep-2000 1

MERIDIAN, MS

brian.b.tims

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 8 of 21

AASF/ CO. G 185THAVN.

SOF CH-47-00-07/ (TB 1-1520-240-20-129)INITIAL AND RECURRING INSPECTION OFCOMBINING TRANSMISSION COOLING FANDRIVE SHAFT AND DRIVE GEAR SPLINES.(CM6742)

26-Sep-2000 2

MERIDIAN, MS

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-00-ASAM-06/ TB 1-1520-240-20-126; ONETIME INSPECTION OF H-47 SERIES AIRCRAFTFOR DEFECTIVE FADEC P3 DRAINCARTRIDGE. (CM6742)

27-Sep-2000 1

MERIDIAN, MS

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-00-ASAM-08/ TB 1-1520-240-20-128;INSPECTION OF FWD YOKE SHAFT, P/N145C3051-1, FOR CORROSION. (JS5030)

29-Sep-2000 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-01/ TB 1-1520-240-20-127; ONETIME INSPECTION FOR MA-16 INERTIA REELSP/N 015-870145-3-16. (JS5030)

18-Oct-2000 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-02/ TB 1-1520-240-20-130; ONETIME INSPECTION FOR UNTESTED FSP P/N114R3650-6 & 114R3650-11 BOLTS. (JS5030)

31-Oct-2000 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-03/ TB 1-1520-240-131; INITIAL& RECURRING INSPECTION OF FWD & AFTROTOR HUB LIGHTENING HOLES. (JS5030)

28-Nov-2000 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-04/ TB 1-1520-240-20-133; ONETIME INSPECTION FOR UNTESTED FSP TIEBAR PIN ASSEMBLIES P/N 114R268-3 & -4 C/WAT 5485.0 ACFT.HRS. (JS5030)

19-Dec-2000 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-05/ TB 1-1520-240-20-132; ONETIME INSPECTION OF ROTOR HEADASSEMBLY DROOP STOP BOLTS FORPROPER LENGTH C/W AT 5065.0 ACFT.HRS.(JS5030)

19-Dec-2000 2

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF CH-47-01-01/ TB 1-1520-240-20-134; ONETIME INSPECTION OF AFT ROTOR HEADASEMBLIES AND ENGINE CROSS SHAFTADAPTER ASSEMBLIES FOR MH-47E CLOSEDLOOP ESCAPEMENTS C/W AT 5065.9 ACFTHRS. (JS5030)

02-Jan-2001 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-06/ TB 1-1520-240-20-133;ADDITIONAL CAGE CODE ADDED TOINSPECTION REQUIREMENTS OF CH-47-01-ASAM-04 C/W AT 5065.9 ACFT. HRS. (JS5030)

03-Jan-2001 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

#1 & #2 FWD AIRFRAME ENGINE MOUNTSEDDY CURRENT COMPLETED @ 5485.0 ACFT.HRS. (JS5030)

30-Jan-2001 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF CH-47-01-02/ TB 1-1520-240-20-136; ONETIME INSPECTION OF FIXED DROOP STOPSFOR PROPER INSTALLATION C/W AT 5485.0ACFT.HRS. (JS5030)

06-Feb-2001 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-07/ TB 1-1520-240-20-135; ONETIME INSPECTION FOR UNTESTED FSP P/N114R3650-13/-15 P/C/L BOLTS C/W @ 5485.0ACFT.HRS. (JS5030)

13-Feb-2001 1

MERIDIAN, MS.

brian.b.tims

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 9 of 21

AASF/ CO. G 185THAVN.

SOF CH-47-01-03/ TB 1-1520-240-20-137;UNGROUNDING REQUIREMENTS FORAIRCRAFT WITH IMPROPERLY INSTALLEDDROOP STOPS C/W @ 5485.0 ACFT.HRS.(JS5030)

22-Feb-2001 1

MERIDAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

EMC TEST COMPLETED FOR INSTALLATIONOF APU P/N 160150-10A IAW AWR DTD 9 FEB2000 @ 5485.7 ACFT. HRS. (JS5030)

19-Jul-2001 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-08/ TB 1-1520-240-20-138; ONETIME INSPECTION OF FLIGHT & UTILITYBOOST HYDRAULIC CONTROL MODULES FORSHUT-OFF DIAPHRAGM HARDWAREINSTALLATION C/W @ 5490.6 ACFT. HRS.(JS5030)

09-Aug-2001 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-09/ TB 1-1520-240-20-139; ONETIME INSPECTION FOR UNTESTED FSP114R3650-9 AND BACB30ST10-40 BOLTS C/W@ 5501.0 ACFT. HRS. (JS5030)

07-Sep-2001 1

MERIDIAN, MS.

brian.b.tims

AASF MERIDIANCH-47-02-ASAM-01/TB 1-1520-240-20-142; ONETIME INSPECTION OF TUNNEL COVERSTRUTS C/W @ 5502.8 ACFT HOURS. (CM6742)

09-Oct-2001 1

MERIDIAN, MS

brian.b.tims

DYNCORP OLRACE-CPCE PERFORMED AT 5526 ACFT HRSBY TEAM "K" MEMBERS & II, AMCOM OLRBRANCH, KILLEEN, TX. LARRY LEWIS (LL2629)

15-Nov-2001 1

AASF MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-02-ASAM-02/ TB 1-1520-240-143;FORWARD YOKE SHAFT REPLACEMENT DATEEXTENSION C/W @ 5525.6 ACFT HRS. (JS5030)

02-Jan-2002 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF CH-47-02-01/ TB 1-1520-240-20-144; ONETIME INSPECTION OF LOWER SWASHPLATERETAINER SELF- LOCKING NUTS C/W @5525.6 ACFT. HRS. (JS5030)

27-Jan-2002 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF CH-47-02-02/ TB 1-1520-240-20-141;REWORK OF ALL ROTOR TACHOMETERS C/W@ 5525.6 ACFT. HRS. (JS5030)

28-Jan-2002 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF CH-47-02-03/ TB 1-1520-240-20-141;REWORK OF ALL ROTOR TACHOMETERS C/W@ 5525.6 AFT. HRS. (JS5030)

29-Jan-2002 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

SOF CH-47-02-04/ TB 1-1520-240-20-145; ONETIME INSPECTION OF FORWARD PIVOTINGACTUATOR TO SWASHPLATE ATTACHMENTHWARE FOR PROPER INSTALLATIO C/W @5525.6 ACFT. HRS. (JS5030)

07-Feb-2002 1

MERIDIAN, MS.

brian.b.tims

1109TH AVCRADSOF CH-47-02-05/ TB 1-1520-240-20-146; ONETIME INSPECTION OF ALL TIE BARASSEMBLIES FOR SERVICEABILITY ANDCHANGE OF O/H AND RETIREMENT TIME C/W@ 5533.9 ACFT. HRS. (DO7847)

25-Mar-2002 1

GROTON, CT.

brian.b.tims

ACE TEAMACE COMPLETED AT 5534 ACFT HRS. BY ACEMEMBER "L" PID EH9090 OLR/MWO BRANCH(EH9090)

13-May-2002 1

GROTON, CT

brian.b.tims

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 10 of 21

CT AVCRAD 1109THSOF CH-47-02-06/TB 1-1520-240-20-148; ONETIME INSPECTION OF COMBINING XMSNSHISTORICAL RECORDS FOR CERTAIN S/N'S &O/H DATES C/W @ 5533.9 ACFT. HRS. (DO7847)

19-Jun-2002 1

GROTON, CT.

brian.b.tims

CT AVCRAD 1109THCH-47-02-ASAM-04/TB 1-1520-240-20-149;INSPECT FOR ALL UNTESTED CSI AFT YOKESUPPORT SHAFTS P/N 114C3044-2 C/W @5533.9 ACFT. HRS. (DO7847)

25-Jul-2002 1

GROTON, CT.

brian.b.tims

CT AVCRAD 1109THCH-47-02-ASAM-03/TB-1-1520-240-20-148INSPECT FOR IMPROPERLY MANUFACTURED/ ASSEMBLED FUEL CONTROL RELAY BOXESC/W @ 5533.9 ACFT HRS. (DO7847)

10-Oct-2002 1

GROTON, CT.

brian.b.tims

CT AVCRAD 1109THCH-47 SOF CH-47-03-01 INSP FWD AND AFTSWASHPLATE BEARINGS AND GREASESAMPLES C/W @ 5533.9 ACFT HRS. (DO7847)

18-Oct-2002 1

GROTON, CT.

brian.b.tims

DYNCORPACE/CPCE PERFORMED @ ACFT HRS BYTEAM MEMBER "K& W" AMCOM PROJECTOLR, KILLEEN TX. DERRY D PARKS (JP2527)

13-Nov-2002 1

KILLEEN TEXAS

brian.b.tims

AASF/ CO. G 185THAVN. MERIDIAN, MS

GEN-03-ASAM-01; ONE TIME INSPECTION OFSINCGARS BATTERY BOX FOR DAMAGE &BATTERY CONDITION. (JS5030)

16-Dec-2002 1

MERIDIAN, MS.

brian.b.tims

CT AVCRAD 1109THPHASE # 2 COMPLETED AT CT AVCRAD 30DEC 2002 @ 5533.9 ACFT HRS. (DO7847)

30-Dec-2002 1

GROTON, CT

brian.b.tims

AASF/ CO. G 185THAVN.

CH-47-03-ASAM-01;ONE TIME INSPECTION OFHISTORICAL RECORDS FOR CERTAIN S/NENGINE DRIVE SHAFTS AND ADJUSTMENT OFRETIREMENT LIFE C/W AT 5563.3 ACFT HRS.(JS5030)

02-Apr-2003 1

MERIDIAN, MS.

brian.b.tims

AASF/ CO. G 185THAVN.

ACE\CPCE PERFORMED @ 5628 ACFT HRS. BYTEAM MEMBER"K" & "I" AMCOM PROJECTOLR, KILLEEN, TX. (JL7296)

17-Jun-2003 1

MERIDIAN, MS.

brian.b.tims

CO.G 185TH AVNCH-47-04-ASAM-01; AFT FUSELAGEBELLCRANK FASTENER FOR CORRECTINSTALLATION C/W @ 5709.2 ACFT. HRS(PP3896)

08-Feb-2004 1

MERIDIAN,MS

brian.b.tims

CO G 185TH HHSOF CH-47-04-01 DELETION OF 50 HOURRECURRNIG AOAP GREASE SAMPLE OF THEFWD AND AFT SWASHPLATE C/W @5719.2 A/CHRS M. WILKINSON, TI, FT BENNING, GA(MW7796)

12-Feb-2004 1

FT BENNING, GA

brian.b.tims

CO.G 185TH AVNSOF CH-47-04-01 DELETION OF 50 HRSRECURRING AOAP GREASE SAMPLE OF THEFWD & AFT SWASHPLATE C/W (AB2458)

12-Feb-2004 2

FORT BENNING, GA.

brian.b.tims

CO.G 185TH AVNAIRCRAFT DEPLOYED OVERSEAS TO BALADIRAQ MARCH 2004 SOEICAL INSPECTION ANDCLEANING ACFT PERSEVED AND SHINKWRAPPED (MW7796)

13-Apr-2004 1

FT. BENNING GA.

brian.b.tims

CO. G 185TH AVN. 1ST-244TH

COMPLY WITH REQUIREMENTS OF CH-47-04-ASAM-02 BEFORE_5743.5_ AIRCRAFT HOURS.BUT N/L/T 13 MAY 2004 SSG MICHAELWILKINSON T.I. BALAD IRAQ (MW7796)

30-Apr-2004 1

BALAD IQ.

brian.b.tims

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 11 of 21

CO. G 185TH ACNCH-47-04-ASAM-02 BEFORE ______ AIRCRAFTHRS BUT NLT 13 MAY 2004 COMPLIED WITH(MW7796)

13-May-2004 1

BALAD IRAQ

brian.b.tims

L-151 AVIMPHASE #3 COMPLETED AT 5733.8 ACFT HRS,PHASE #4 DUE AT 5937,8 ACFT HRS (PP3896)

28-May-2004 1

BALAD IQ

brian.b.tims

CO,G. 185TH AVNBLUE FORCE TRACKER MOD INSTALLEDJUNE 2004 (AB2458)

11-Jul-2004 1

BALAD, IRAQ

brian.b.tims

L3 AEROTECHPHASE #4 COMPLETED AT 5937.8 ACFT HRS,PHASE #1 DUE AT 6137.8 ACFT HRS (SZ7514)

18-Sep-2004 1

BALAD,IRAQ

brian.b.tims

L3 AEROTECHTB 1-1520-240-20-155 C/W @ 5937.8ENHANCED DESERT MAINT. (SZ7574)

18-Sep-2004 2

BALAD,IRAQ

brian.b.tims

L3 AEROTECHUTILITY HYD PRESS + RETURN FILTERSREPLACED 5937.8 ACFT HRS. 6737.8 ACFTHRS (SZ7574)

18-Sep-2004 3

BALAD IRAQ

brian.b.tims

CO. G 185TH AVNCH-47-05-ASAM-01; AFT CRITICAL DYNAMICCOMPONENT. C/ @ 5968.7 AIRCRAFT HOURS20041015 (AB2458)

15-Oct-2004 1

BALAD, IRAQ

brian.b.tims

CO. G 185THCOMPLY WITH REQUIREMENTS OF CH-47-05-SOF-01 BEFORE6147.8 AIRCRAFT HOURS BUTNLT 19 JAN. 2005 (MW7796)

05-Jan-2005 1

BALAD IRAQ

brian.b.tims

CO. G 185TH AVNNDI COMPLETED TO COMPLY WITH CH-47-05-SOF-01 20050109 (MW7796)

09-Jan-2005 1

BALAD IRAQ

brian.b.tims

G.CO. 185HT AVNCOMPLIED WITH REQUIREMENTS OF TB 1-1500-200-20-31,AIRCRAFT DESERTOPERATIONS CLEANING

20-Mar-2005 1

KUWAIT

PP213896

AASF MERIDIAN,MSCH-47-05-ASAM-02 COMPLIED WITH @ 6213ACFT. HRS. ON 20050721 (TE7467)

23-Jul-2005 1

MERIDIAN,MS

brian.b.tims

AASF MERIDIAN,MSCH-47-05-ASAM-03 COMPLIED WITH @ 6213ACFT. HRS. ON 20050722 (TE7467)

23-Jul-2005 2

MERIDIAN,MS

brian.b.tims

AASF#3/CO.G 185 AVNCH-47-05-SOF-02; INSP.ROTOR BLADES FORROOT END FIBER DISTORTION C/W @ 6212.6ACFT.HRS (TE7467)

27-Jul-2005 1

MERIDIAN MS

brian.b.tims

AASF/CO. G 185 AVNREQUIREMENTS OF CH-47-05-ASAM-06 C/WT,EZELL TI. AASF MERIDIAN MS. 15 SEPT.2005(TE7467)

15-Sep-2005 1

MERIDIAN MS.

brian.b.tims

AASF # 3 / B CO 1/111THAVN

CH-47-06-ASAM-01: INSPECTION OF ALL 4UBA'S FOR SWAPPED END CAPS (RETURNPORT). (AB2458)

09-Jan-2006 1

MERIDIAN, MS

brian.b.tims

AASF # 3 B CO. 1/111THAVN

CH-47-06-SOF-01: INSPECT ALL M24 DOORMOUNTED GUN MOUNTS. C/W @ 6330.2 ACFTHRS. (AB2458)

17-Jan-2006 1

MERIDIAN, MS

brian.b.tims

AASF # 3 / B CO.1/111TH AVN

CH-47-06-SOF-02: INSPECT APU FOR PN160150-10A C/W @6330.2 ACFT HRS.

14-Feb-2006 1

MERIDIAN, MS

brian.b.tims

AMCOM PROJECT OLRACE/CPCE PERFORMED AT 6030 ACFT HRSBY AMCOM PROJECT OLR FT LEWIS WA.DURING RESET

21-Feb-2006 1

FT LEWIS WA.

JD415449

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 12 of 21

AASF # 3 / B CO.1/111TH AVN

CH-47-06-ASAM-02 (CH-47 SERIES AIRCRAFT,M24/M240H CAM FOLLOWER (AB2458)

27-Feb-2006 1

MERIDIAN, MS

brian.b.tims

AASF #3 / B CO.1/111ATH AVN

CH-47-06-SOF-SOF-03: TEMPORARY FLIGHTRESTRICTION DUE TO AFT BLADE FIBERDISTORTION. C/W 6330.2 ACFT HRS. (AB2458)

08-Mar-2006 1

MERIDIAN, MS

brian.b.tims

OLR/LSIMEC CONTROL # F6554 WORK PLATFORMDELAMINATION COMPLIED WITH @ 6330.2AIRCRAFT HRS. LETTER DATED 2006-02-06

16-Mar-2006 1

FT LEWIS WA.

MS068034

OLR/LSIMEC CONTROL # F47462 FLIGHT CONTROLSUPPORT ASSY INSTALATION OF OVERSIZEDBUSHING COMPLIED WITH @ 6330.2 ACFTHRS. LETTER DATED 2006-03-06

17-Mar-2006 1

FT LEWIS WA.

MS068034

OLR/LSICH-47-05-ASAM-05 REPLACEMENT OF CHECKVALVES COMPLIED WITH @ 6330.2 ACFT HRS.ON 2006-03-10

19-Mar-2006 1

FT LEWIS WA.

MS068034

OLR/LSICH-47-05-ASAM-04 XMSN SEAL RETAININGRING COMPLIED WITH @ 6330.2 AIRCRAFTHRS. ON 2006-03-10

19-Mar-2006 2

FT LEWIS WA.

MS068034

AASF #3 / B,CO. 1/111THAVN

CH-47-06-ASAM-03 (AFT LONGITUDINALCYCLIC TRIM (LCT) ACTUATOR) CW @6337.3ACFT HRS ON 12 MAY 2006

11-May-2006 1

MERIDIAN, MS

arthur.g.brown

B CO 1/111TH AVNCH-47-06-SOF-04 AFT ROTOR BLADE S/NCHECK COMPLIED WITH @6340.3 ACFT HRSJD415449

26-May-2006 1

MERIDIAN MS

JD415449

AASF 3PHASE 1-4 COMPLETED BY RESET TEAMOLR/LSI FT LEWIS WA. AT 6330.2 ACFT HRS,NEXT PHASE DUE AT 6530.2 ACFT HRS

15-Jun-2006 1

MERIDIAN MS

JD415449

AASF#3CH-47-06-SOF-05 FWD ROTOR BLADE S/NCHECK COMPLIED WITH @ 6374.0 ACFT HRS

23-Aug-2006 1

MERIDIAN,MS

PP213896

AASF#3CH-47-070ASAM-01 ARC-220/KY-100 START-UPPROCEDURES C/W @ 6405.0 ACFT HRS.

17-Jan-2007 1

MERIDIAN,MS

PP213896

AASF#3CH-47-07-SOF-02 SUSPECT ROTOR BLADESS/N CHECK COMPLIED WITH @ 6404.8 ACFTHRS

24-Jan-2007 1

MERIDIAN,MS

PP213896

AASF#3CH-47-07-ASAM-02,RIGID CONNECTINGLINKS,COMPLIED WITH @ 6404.8 ACFT HRS.

05-Mar-2007 1

MERIDIAN,MS

PP213896

AASF #3AIRWORTHINESS RELEASE FOR FLIGHTOPERATIONS ON US ARMY CH-47DHELICOPTERS WITH T55-GA-714A ENGINESDTD 2 APR 03

15-Mar-2007 1

MERIDIAN MS

ace.j.arias

AASF#3CH-47-07-SOF-03 SUSPECT ROTOR BLADESCOMPLIED WITH @ 6440.1 ACFT HRS.

28-Sep-2007 1

MERIDIAN,MS

PP213896

AMCOM PROJECT OLRANNUAL ACE EVALUATION COMPLETED AT6452 ACFT HRS AT MERIDIAN, MS BY TEAMMEMBERS RR & W

06-Nov-2007 1

KILLEEN, TX

AS425855

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 13 of 21

AASF#3AWR FOR CH-47D HELICOPTERS TOCONDUCT FLIGHT OPERATIONS WITH THEOREGON AERO,INC,PILOT/CO-PILOT SEATCUSHION PART#34MCHOF INSTALLED(DATED7 DEC 07)

06-Jan-2008 1

MERIDIAN MS 39304

PP213896

AASF#3EMC COMPLETED FOR AWR TO AUTHORIZEUSE OF GARMAN GPSMAP 496,396,296,&295ON ALL CH-47D HELICOPTERS(AWR 48553)

01-Feb-2008 1

MERIDIAN MS 39304

PP213896

AASF#3EMC COMPLETED FOR AWR FOR OPERATIONOF CH-47D HELICOPTERS WITH ERFS 2 FUELCONTROL PANEL (P/N HM022-367-11)INSTALLED (TTS 42779A)

01-Mar-2008 1

MERIDIAN MS 39304

PP213896

AASF #3COMPLIED WITH REQUIREMENTS OF H-47-08-AMAM-03(DOPPLER GPS NAVIGATION SET

27-Mar-2008 1

MERIDIAN MS 39304

PP213896

FT. HOOD, PROJECTOLR.

MWO 1-1520-240-50-95 APPENDIX A, HSI MODESELECT MODIFICATION COMPLETED ON THISDATE @ 6528.4 AIRCRAFT HOURS. HSI SERIALNUMBER 398 RE-IDENTIFIED WITH THEFOLLOWING PART NUMBERS; 1005390-65,1005390-67, AND 1005390-69.A.PARKERPROJECT OLR., INSPECTOR

20-May-2008 1

MERIDIAN MS 39304

albert.d.parker

FT. HOOD PROJECTOLR

MWO 1-1520-240-50-95 APPENDIX A, HSI MODESELECT MODIFICATION COMPLETED ON THISDATE @ 6528.4 AIRCRAFT HOURS. HSI SERIALNUMBER 479 RE-IDENTIFIED WITH THEFOLLOWING PART NUMBERS; 1005390-65,1005390-67, AND 1005390-69.A.PARKERPROJECT OLR., INSPECTOR

20-May-2008 2

MERIDIAN MS 39304

albert.d.parker

AASF#3200 HR. CYCLE SERVICE COMPLETED @6528.1 ACFT HRS.NEXT SERVICE DUE 400HR.PMS @6728.1 ACFT HRS.

23-May-2008 1

MERIDIAN MS 39304

PP213896

AMCOM FT HOODPROJECT OLR

ACE/CPCE PERFORMED AT 6663 AIRCRAFTHOURS BY TEAM MEMBERS K & Q.

12-Nov-2008 1

MERIDIAN MS 39304

wilfredo.santiago

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-09-SOF-02 ENG DRIVE SHAFT AND ADAPTERSTIME CHECK

17-Dec-2008 1

MERIDIAN MS 39304

PP213896

AASF#3AWR FOR INSTALLATION OF EBC-406HMEMERGENCY LOCATOR TRANSMITTER DATED13 FEB 09

12-Mar-2009 1

MERIDIAN MS 39304

PP213896

AASF#3400 HR. CYCLE SERVICE COMPLETED @6728.1 ACFT. HRS. NEXT SERVICE DUE 200HR.PMS @ 6928.1 ACFT. HRS.

15-May-2009 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-09-AMAM-02,AFT SLIDER SHAFT ASSEMBLYRETIREMENT LIFE.

17-Jul-2009 1

MERIDIAN MS 39304

PP213896

AASF#3AWR FOR CH-47D HELICOPTERS TONCONDUCT FLIGHT OPERATIONS WITHOREGON AERO,PILOT/CO-PILOT SEATCUSHION PART#34MCHOF INSTALLED (TTS48786,REV B)

07-Aug-2009 1

MERIDIAN MS 39304

PP213896

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 14 of 21

AASF#3AWR FOR CH-47D/F HELICOPTERS TOCONDUCT FLIGHT OPERATIONS WITHOREGON AERO,PILOT/CO-PILOT SEATCUSHION PART NUMBER 34MCHOF AND/OR31046-1-A1 INSTALLED(TTS 71417A)

23-Sep-2009 1

MERIDIAN MS 39304

PP213896

1108TH AVCRADCOMPLIED WITH THE REQUIREMENTS OF H-47-09-AMAM-03 HELON HANDHELD FIREEXTINGUSHER

07-Oct-2009 1

MERIDIAN MS 39304

joe.pittman

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-09-AMAM-03(HALON HAND HELD FIREEXTENGUISHER)

07-Oct-2009 2

MERIDIAN MS 39304

PP213896

FT HOOD AFMAAIRCRAFT 9100268 ACE COMPLETED AT 6812ACFT HRS AT GULFPORT, MS BY TEAMMEMBERS RR & W

09-Oct-2009 1

GULFPORT, MS

AS425855

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-AMAM-02,(ULLS-AE CHG. 60B)

08-Dec-2009 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIANCE WITH REQUIREMENTS H-47-10-ASAM-02 (FORWARD PYLON HYDRAULIC LINECLAMPING)

04-Jan-2010 1

MERIDIAN MS 39304

PP213896

CSC RASM-EAWR TTS 69499A, DATED 5 NOV. 2009, FOROPERATION OF CH-47D HELICOPTERS WITHTHE BLUE FORCED TRACKING(BFT) SYSTEMAND AIR WARRIOR SINGLE EDM INSTALLED.

23-Feb-2010 1

MERIDIAN MS 39304

JS501134

CSC RASM-EAWR, TN 67638, DATED 10 APR 2009, FOROPERATION OF CH-47D HELICOPTERSEQUIPPED WITH THE AN/AAR-57(V)5CMWS/ICMD INSTALLED. PLUS 5TH EOMSSENSOR.

23-Feb-2010 2

MERIDIAN MS 39304

JS501134

CSC RASM-EAWR, TTS 70944, DATED 25 JUNE 2009, FORTHE FLEET WIDE INSTALLATION OF THE P3CHECK VALVE AND OVERBOARD DRAIN LINEFROM THE DIGITAL ELECTRONIC CONTROLUNIT ON CH-47D HELICOPTERS.

23-Feb-2010 3

MERIDIAN MS 39304

JS501134

CSC RASM-EAWR, 32395, DATED 17 AUG. 2006, FOR CH-47D HELICOPTERS WITH THE ADVANCEDHEADS UP DISPLAY(HUD) SYSTEM SIGNALDATA CONVERTER(SDC) PART NUMBER125110-007 INSTALLED.

23-Feb-2010 4

MERIDIAN MS 39304

JS501134

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-AMAM-03 NLT 29 MAR 10. FWD ROTOR HUBRETIREMENT.

16-Mar-2010 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-AMAM-04. SLIDER SHAFT RETIREMENT.

07-Apr-2010 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-ASAM-04. CHROMALLOY ROTOR HUB.

16-Jul-2010 1

MERIDIAN MS 39304

PP213896

AASF#3200 HR. SERVICE COMPELTED @ 6928.1 ACFT.HRS. ,NEXT SERVICE DUE 400 HR [email protected] ACFT. HRS.

23-Jul-2010 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-ASAM-07. 5000 LB. TIE-DOWN.

30-Sep-2010 1

MERIDIAN MS 39304

PP213896

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 15 of 21

CSC RASM-EOCM/ACE PERFORMED AT 6968.7 ACFT HRSBY TEAM MEMBER UU & QQ AMCOM RASM-E

04-Oct-2010 1

FT. CAMPBELL KY.42223

HM009565

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-11-ASAM-01. AN960-1016 ALUMINUM WASHERS.

15-Oct-2010 1

MERIDIAN MS 39304

PP213896

CSC RASM-EAWR, 41283, DATED 26 MAY 2010, FOR CH-47DHELICOPTERS TO OPERATE MODERNIZEDSIGNAL PROCESSING UNIT (MSPU)EQUIPMENT.

19-Oct-2010 1

MERIDIAN MS 39304

JS501134

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-11-AMAM-01. LCF CHANGE 61.

11-Jan-2011 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH H-47-11-ASAM-03(CORRODED CONNECTING LINKS)

07-Apr-2011 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-11-ASAM-04(BLADE LAG DAMPNER ROD ENDBEARING)

19-Apr-2011 1

MERIDIAN MS 39304

PP213896

1-111TH AVN GSABAIRCRAFT RELOCATED TO FT HOOD TX FORPREPARATION OF OPERATION NEW DAWN @7055.0 ACFT.HRS

01-Sep-2011 1

LONGHORN AAF NORTHFT HOOD TX.

DR536665

CO D, 111TH AVN (QC)COMPLIED WITH H-47-11-AMAM-O4. ASN-128BSUITE "D" SOFTWARE UPDATE NOTINSTALLED @ 7055.0

24-Sep-2011 1

LONGHORN AAF, N FTHOOD TX.

christopher.sanchez

AASF #3H-47-11-AMAM-03 UNIT LEVEL LOGISTICSSYSTEM - AVAITION (ENHANCED) (ULLS-A(E))INTEGRATED MATERIEL MANAGEMENTCENTER (IMMC) LEGITIMATE CODE FILE (LCF)CHANGE 62 REQUIREMENTS C/W AT 7104.2ACFT HOURS.

21-Oct-2011 1

Davenport, IA

stephen.p.galvin

B CO. 1-111TH. AVN.AIRCRAFT TRANSFERED IAW TM 55-1500-328-25 AT 3078.1 ACFT. HRS. FROM B CO. 1-111TH.AVN GSAB (WYDGBO) TO B CO. 2-211TH.AVN. GSAB (WP7TBO) ON 23 OCT. 2011.

23-Oct-2011 1

FT HOOD TX.

james.r.gill

AASF - DVN1GARMIN GPSMAP 696, 496, 396, 296, AND 295ARE AUTHORIZED FOR USE ON ALL CH-47DHELICOPTERS PER THE LIMITATIONS ANDRESTRICTIONS OF AWR TTS 48553A DATED 19JULY 2010 R1. THIS AWR SUPERSEDES AWR48553 DATED 5 OCT 2007 AND TERMINATESUPON CHANGES IN CONFIGURATION OF THESUBJECT EQUIPMENT OR UNTILSUPERSEDED OR REVOLKED, WHICHEVEROCCURS FIRST.

31-Oct-2011 1

Davenport, IA

stephen.p.galvin

AASF - DVNAN/AVS-6 SERIES NIGHT VISION GOGGLES(NVG'S) ARE AUTHORIZED FOR USE ON ALLCH-47D HELICOPTERS PER THE LIMITATIONSAND RESTRICTIONS OF AWR TN 93334 DATED10 MAR 2011. THIS AWR SUPERSEDES AWRDATED 26 JUN 2006 AND TERMINATES UPONCHANGES IN CONFIGURATION OF THESUBJECT EQUIPMENT, OR UPON ISSUANCEOF A LATER AWR FOR THE SUBJECTEQUIPMENT, WHICHEVER OCCURS FIRST.

31-Oct-2011 2

Davenport, IA

stephen.p.galvin

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 16 of 21

AASF - DVNELECTRICALLY POWERED HYDRAULICACCUMULATOR PUMP INSTALLED. ACFT ISAUTHORIZED TO BE OPERATED WITHIN THELIMITATIONS AND RESTRICTIONS PER AWRTTS 49400 DATED 16 OCT 2007 R1. THIS AWRSUPERSEDES AWR TTS 39748 DATED 17 JAN2007 AND TERMINATES UPON ISSUANCE OF ALATER REVISION TO THIS AWR OR CHANGESIN CONFIGURATION TO THE SUBJECTEQUIPMENT.

31-Oct-2011 3

Davenport, IA

stephen.p.galvin

AASF - DVNAUTHORIZATION TO USE MILTOPE MSDLAPTOP COMPUTER TO CONDUCT ENGINETROUBLESHOOTING BY MONITORING ENGINEPARAMETERS FROM THE DEGITIALELECTRONIC CONTROL UNIT (DECU) ON T55-GA-714A ENGINES IAW AWR TTS 27259BDATED 09 NOV 09 R2. THIS AWRSUPERCEDES AWR TTS 27259A DATED 28AUG 09 AND TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER MILTOPE MSD AWR, WHICHEVEROCCURS FIRST.

31-Oct-2011 4

Davenport, IA

stephen.p.galvin

AASF - DVNAVIATION VIBRATION ANALYZER (AVA)SINGLE CAMARA BRACKET IS AUTHORIZEDFOR USE ON ALL CH-47D HELICOPTERS PERTHE LIMITATIONS AND RESTRICTIONS OFAWR TTS 54785 DATED 26 MAR 2008. THISAWR TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATERAWR, WHICHEVER OCCURS FIRST.

31-Oct-2011 5

Davenport, IA

stephen.p.galvin

AASF #3H-47-12-SOF-01 ALL H-47 SERIES AIRCRAFT,DIGITAL ELECTRONIC CONTROL UNIT (DECU)RECALL, C/W AT 7104.2 ACFT HOURS.

23-Nov-2011 1

DAVENPORT, IA

stephen.p.galvin

AASF DAVENPORT#1 AND #2 AIRFRAME FWD ENGINE MOUNTNDI INSPECTION COMPLETED. #1 AND #2ENGINE MOUNT DRAG LINK INSPECTIONCOMPLETED. THESE INSPECTIONS WERECONDUCTED @ 7104.2 ACFT HOURS.

23-Jan-2012 1

Davenport, IA

roger.k.garrett

AASF DAVENPORTMEC # F139922A, AUTHORIZATION FOR MO-TASMG TO REPAIR INBOARD ENGINE MOUNTLUG ON THE #1 ENGINE SIDE OF THEAIRFRAME. THE FORWARD/INBOARD LUG (BLUG) HAS A GOUGED AREA ON THE INBOARDSPOT FACE. THE DAMAGED LUG AND SLEEVEWILL BE REPAIRED IAW THIS MEC AND DMWR1-1520-240 DATED 25 JAN 2005.

22-Feb-2012 1

Davenport, IA

roger.k.garrett

AASF - DVNH-47-11-ASAM-03 ALL H-47 SERIES AIRCRAFT,CORRODED CONNECTING LINKS, C/W AT7104.2 ACFT HOURS

03-Apr-2012 1

Davenport, IA

stephen.p.galvin

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 17 of 21

AASF - DVNAN/ASN-128D DGNS CONFIGURED WITHSOFTWARE SUITE B, C, AND D INSTALLED.ACFT IS AUTHORIZED TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 98912A DATED 12 MAR 2012.THIS AWR SUPERSEDES AWR TN 98912DATED 4 AUG 2011. THIS AWR IS TERMINATEDON 12 MAR 2013 OR UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER AWR FOR THE SUBJECT EQUIPMENT,WHICHEVER OCCURS FIRST.

03-Apr-2012 2

Davenport, IA

stephen.p.galvin

AASF - DVNH-47-11-AMAM-04 ALL CH-47D AND UH-60A/LSERIES AIRCRAFT, AN-ASN-128D DOPPLERAND AVIATION MISSION PLANNING SYETEM(AMPS) SOFTWARE UPGRADE, C/W AT 7104.2ACFT HOURS.

26-Apr-2012 1

Davenport, IA

stephen.p.galvin

AASF #3PMS 3 (400 HR) WAS COMPLETED OUTSIDEOF THE WINDOW AND CONDUCTED @ 7104.2ACFT HRS. NEXT INSP DUE IS PMS2 (200 HR)@ 7304.2 ACFT HRS.

02-May-2012 1

Davenport, IA

roger.k.garrett

AASF - DVNDUAL ELECTRONIC DATA MANAGER (EDM)AND ENCRYPTED BLUE FORCE TRACKING(EBFT) SYSTEM WITH GPS MESSAGE ROUTER(GMR) AND KGV-72 ENCRYPTION DEVICEINSTALLED. AIRCRAFT IS TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 106093 DATED 02 MAY 12. THISAWR TERMINATES ON 31 OCT 2013, UPONTRANSFER OF THE HELICOPTER, CHANGESIN CONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER SUPERSEEDING AWR, WHICHEVEROCCURS FIRST.

16-May-2012 2

Davenport, IA

stephen.p.galvin

AASF - DVNH-47-12-AMAM-02, ALL H-47 SERIESAIRCRAFT, TRANSMISSION OIL SAMPLEINTERVAL CHANGE. C/W AT 7110.9 ACFTHOURS.

29-May-2012 1

Davenport, IA

stephen.p.galvin

AASF - DVNAIRCRAFT WIRELESS INTERCOM SYSTEM(AWIS)/ ENCRYPTED AIRCRAFT WIRELESSINTERCOM SYSTEM (EAWIS) INSTALLED.ACFT IS AUTHORIZED TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 107597 DATED 21 JUN 12. THISAWR TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ASUPERSEDING AWR, WHICHEVER OCCURSFIRST.

21-Jun-2012 1

Davenport, IA

stephen.p.galvin

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 18 of 21

AASF - DVNNCS MAGNUS MODEL RNM101 LAPTOP ISAUTHORIZED TO BE OPERATED ONBOARDCH-47D AND CH-47F HELICOPTERS DURINGAIRCRAFT FLIGHTS AND GROUNDMAINTENANCE OPERATIONS WITHIN THELIMITATIONS AND RESTRICTIONS PER AWR16 MAY 2012 R1. THIS AWR SUPERSEDESAWR 83544 DATED 21 JUNE 2010. THIS AWR ISTERMINATED UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, UPON ISSUANCE OF A LATERAWR, OR 15 JUNE 2014, WHICHEVER COMESFIRST.

21-Jun-2012 2

Davenport, IA

stephen.p.galvin

FT HOOD AFMAACE COMPLETED AT 7182 AIRCRAFT HOURSA DAVENPORT, IA BY TEAM MEMBERS W & Q.

31-Jul-2012 1

Davenport, IA

wilfredo.santiago

AASF - DVNH-47-12-ASAM-01, ALL H-47 SERIESAIRCRAFT, YAW INTEGRATED LOWERCONTROL ACTUATOR INPUT CONTROLHARDWARE / HYDRAULIC PRESSURE TUBECLEARANCE C/W AT 7181.9 ACFT HOURS.

16-Aug-2012 1

Davenport, IA

stephen.p.galvin

AASF - DVNMODERNIZED SIGNAL PROCESSING UNIT(MSPU) INSTALLED. ACFT IS AUTHORIZED TOBE OPERATED WITHIN THE LIMITATIONS ANDRESTRICTIONS PER AWR DATED 24 JUL 12R15. THIS AWR SUPERSEDES AWR TTS 41283REVISION 14 DATED 26 MAY 10. THIS AWR ISTERMINATED UPON CHANGE INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER AWR, WHICHEVER OCCURS FIRST.

16-Aug-2012 3

Davenport, IA

stephen.p.galvin

AASF #3MEC #F152009 ONE TIME AUTHORIZATIONFOR THE MO-TASMG TO REPLACE RH STRAP@ STA. 482, W/L 40, B/L 43R.

30-Aug-2012 1

Davenport, IA

roger.k.garrett

AASF - DVNH-47-12-AMAM-04, ALL H-47 SERIESAIRCRAFT, FULL AUTHORITY DIGITAL ENGINECONTROLS (FADEC) EMERGENCYPROCEDURE CHANGE C/W AT 7181.9 ACFTHOURS.

13-Sep-2012 1

Davenport, IA

stephen.p.galvin

AASF - DVNINSPECTION OF #1 ENGINE SN: 07PGA010754TH STAGE POWER TURBINE ROTORLOCKING CUP FOR CORROSION AND CRACKSWAS COMPLETED AT 7104.2 ACFT HOURSIAW AWR DATED 9 MAR 2012 T55-GA-714AENGINE TBO EXTENSION (TTS 107314).POWER TURBINE LOCKING CUP WASREPLACED WITH PN: 2-141-222-08.

09-Oct-2012 1

Davenport, IA

stephen.p.galvin

AASF - DVNNSPECTION OF #2 ENGINE SN: 06PGA009344TH STAGE POWER TURBINE ROTORLOCKING CUP FOR CORROSION AND CRACKSWAS COMPLETED AT 7104.2 ACFT HOURSIAW AWR DATED 9 MAR 2012 T55-GA-714AENGINE TBO EXTENSION (TTS 107314).POWER TURBINE LOCKING CUP WASREPLACED WITH PN: 2-141-222-08.

09-Oct-2012 2

Davenport, IA

stephen.p.galvin

AASF #3COMPLIED WITH ASAM: [email protected] ACFT. HOURS (CORRODEDCONNECTING LINKS)

26-Nov-2012 1

Davenport, IA

roger.k.garrett

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 19 of 21

OHIO AASF #1H-47-13-AMAM-02 ULLS-A(E) LCF CHANGE 63C/W 10 DEC 2012 (MISSING ENTRY)

10-Dec-2012 1

NORTH CANTON, OH44720

RL765610

AASF - DVNAIRCRAFT WIRELESS INTERCOM SYSTEM(AWIS)/ENCRYPTED AIRCRAFT WIRELESSINTERCOM SYSTEM (EAWIS) INSTALLED.AIRCRAFT IS AUTHORIZED TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 107597B DATED 07 AUG 12 R1.THIS AWR TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ASUPERSEDING AWR, WHICHEVER COMESFIRST.

11-Dec-2012 1

Davenport, IA

stephen.p.galvin

AASF #3H-47-13-ASAM-02, ALL H-47 AIRCRAFT, MID-CABIN HATCH CARGO HOOK. INITIALREPORTING COMPLETED @ 7196.3 AIRCRAFTHOURS. UNIT HAS DECIDED NOT TOPROCURE THE REPLACEMENT RESCUEHOOK AND HARDWARE.

18-Dec-2012 1

Davenport, IA

roger.k.garrett

AASF #3H-47-13-ASAM-03, ALL CH-47 SERIESAIRCRAFT, INFRARED SUPPRESSOR SYSTEMC/W @ 7196.3 AIRCRAFT HOURS.

18-Dec-2012 2

Davenport, IA

roger.k.garrett

AASF#3FUEL CELL SYSTEM INSP A-460 DUE @ 7363.4ACFT HRS. L/H MAIN FUEL CELL AND TANKCOMPLETE ASSEMBLY WAS CONTROLEXCHANGED FROM ANOTHER AIRFRAME @7196.3 ACFT HRS. INSP " TILL DUE " TIMEREMAINING ON TRANSFERRED FUEL CELLAND TANK WAS 167.1 HRS.

30-Jan-2013 1

Davenport, IA

roger.k.garrett

AASF - DVNAIRCRAFT WIRELESS INTERCOM SYSTEM(AWIS) ENCRYPTED AIRCRAFT WIRELESSINTERCOM SYSTEM (EAWIS) INSTALLED.AIRCRAFT IS AUTHORIZED TO BE OPERATEDWITHIN TH LIMITATIONS AND RESTRICTIONSPER AWR TN 107597C DATED 22 JAN 13 R2.THIS AWR TERMINATES UPONCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ASUPERSEDING AWR, WHICHEVER OCCURSFIRST.

01-Feb-2013 1

Davenport, IA

stephen.p.galvin

AASF #1AIRCRAFT TRANSFERRED IAW TM55-1500-238-25 AT 7193.8 ACFT HRS. FROM B CO. 2-211THAVN. GSAB (WP7TBO) TO B CO. 3-238TH GSAB(WTQVBO) ON 22 FEB 2013.

22-Feb-2013 1

NORTH CANTON, OH44720

james.p.shirey

AASF#1 OHIOCOMPLIED WITH GEN-13-AMAM-02, UPDATEDOF THE ULLS-A LCF @7197.8 AIRCRAFTHOURS.

20-Mar-2013 1

NORTH CANTON, OH44720

james.p.shirey

OHIO AASF #1H-47-13-SOF-02, ALL H-47 SERIES AIRCRAFT,SYNCHRONIZATION SHAFT BOLTSINSPECTION C/W WITH AT 7287.7 ACFT HRS.

19-Jun-2013 1

NORTH CANTON, OH44720

RL765610

1108TH TASMGH-47-13-AMAM-04, LEGITIMATE CODE FILE(LCF) CHANGE 64 REQUIREMENTS COMPLIEDWITH

04-Nov-2013 1

GULFPORT, MS

joey.sharplin

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 20 of 21

1108TH TASMGACE/OCM PERFORMED AT 7300.5 ACFT. HRS.BY TEAM MEMBERS UU & QQ AMCOM RASM-C

22-Nov-2013 1

GULFPORT, MS. 39505

KS372668

1108TH TASMGPMS 2 (200 HR) WAS COMPLETED @ 7304.2ACFT HRS. NEXT INSP DUE IS PMS4 (400 HR)@ 7504.2 ACFT HRS.

13-Jan-2014 1

GULFPORT, MS

joey.sharplin

1108TH TASMGH-47-13-ASAM-06, REPLACE AFT UPPERBBOOST PIVOTING SERVOCYLINDER MOUNTFASTENERS COMPLIED WITH

07-Feb-2014 1

GULFPORT, MS

joey.sharplin

1108TH TASMGCOMPLIED WITH H-47-14-AMAM-02 @ 7309.7ACFT HOURS (LCF CHANGE 65REQUIREMENTS)

07-Mar-2014 1

GULFPORT, MS

joey.sharplin

AASF#1AIRCRAFT TRANSFERED IAW TM 1-1500-328-23 FROM MISSISSIPPI NATIONAL GUARD TOFLORIDA NATIONAL ON 12 JUN 14 @ 7328.2A/C HOURS

13-Jun-2014 1

JACKSONVILLE, FL

michael.l.carson

AASF#1 1/111TH AVNPMS2 (200 HR) COMPLETED AT 7300.5 ACFTHRS PER END ITEM ADMIN SCREEN.MULTIPLE PHASE COMPLETED 13-1 ENTRIES(22 AUG 13, 17 OCT 13, 17 JAN 14, 22 JAN 14,AND 23 JAN 14) MULTIPLE COMPLETED ACFTTIMES NOTED FOR PHASE COMPLETION.NEXT PHASE DUE @ 7500.5 ACFT HRS. A-460 -18 INSPECTION ( INSPECT FUEL TANKASSEMBLIES ) COMPLETED DURING PHASEINSPECTION. NEXT A-460 DUE @ 8500.5 ACFTHRS.

27-Jun-2014 1

JACKSONVILLE, FL

robert.l.wilson

AASF#1 FLARNGH-47-14-AMAM-03) ULLSA(E) ALC LCFCHANGE 66 COMPLIED WITH

27-Aug-2014 1

JACKSONVILLE, FL

JE569883

AASF # 1, FLARNGH-47-15-AMAM-01) ENGINE CHIP DETECTOR,COMPLIED WITH @ 7392 A/C HRS. (ML399295)

29-Jan-2015 1

JACKSONVILLE, FL

michael.lee

AASF #1 1/111TH AVNGSAB

H-47-15-AMAM-02) IDENTIFICATION OFAVIATION SURVIVABILITY EQUIPMENTCOMPLIED WITH @ 7404.4 ACFT HRS

17-Feb-2015 1

JACKSONVILLE, FL

robert.l.wilson

AASF#1 FLARNGH-47-15-SOF-01) DRIVE SHAFT TUNNELCOVER HINGE ASSEMBLY COMPLIED WITH @7438.5 ACFT HRS.

09-Apr-2015 1

JACKSONVILLE, FL

JE569883

AASF#1MEC# F199630 COMPLETED @ 7444 A/CHOURS. DURING A POST FLIGHT INSP. ANOUT OF ROUND CONDITION WAS FOUND ATTHE #2 UPPER IDLER ARM LUG (STA 200)THAT ACCEPTS BUSHING NAS 75-5-008 ONSTRINGER (PN 114S2503-163). THE LARGESTMEASUREMENT ACROSS THE ELONGATION IS.440 WHICH IS OUT OF TOERANCE.

08-May-2015 1

JACKSONVILLE, FL

michael.l.carson

AASF#1 FLARNGH-47-15-AMAM-03) PILOT CYCLIC WIREHARNESS FOR CHRONOLOGICAL ORDERONLY

26-May-2015 1

JACKSONVILLE, FL

JE569883

AASF#1 FLARNGH-47-15-AMAM-04) COCKPIT VOICE DATARECORDER UPGRADE FOR CHRONOLOGICALORDER ONLY

15-Jun-2015 1

JACKSONVILLE, FL

JE569883

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

NUMBER PIDENTRY

ORGANIZATION LOCATION8.7.

DATE6.

REMARKS4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Page 21 of 21

AASF#1 FLARNGH-47-15-AMAM-05) STEP CABLEREPLACEMENT FOR CHRONOLOGICALORDER ONLY

15-Jun-2015 2

JACKSONVILLE, FL

JE569883

1/111TH GSABH-47-15-SOF-02, SOF TECHNICAL FWD, AFT,COMBINING AND ENG XSMS C/W @ 7486.1ACFT HRS.

16-Jun-2015 1

JACKSONVILLE, FL

robert.l.wilson

AASF #1 FLARNGAASF #1 FLARNG TRANSFERRED AIRCRAFT9100268 TO SUMMIT AVIATION FORINDUCTION INTO CH-47F MODEL PROGRAM @7493.1 ACFT. HRS

15-Jul-2015 1

JACKSONVILLE, FL32221

DR536665

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991

Inspection #

7500.49100268CH-47D

Till DueShelf LifeSerial NumberMFG DateLot #NarrativePart NumberDODIC

PROJECTEDDAYS: CURRENT HRS: Ser No.MDS:

Sorted By: Days to InspectionAUTOMATED CADS & PADS PROJECTIONSReport Date: Page 1 of 113-Oct-2015

MA690 22219701-Jul-2007ESD07G017-004CARTRIGE,FIRE EXTINGUSHER,POWERDEVICE

1.37701E+12MH92 992

MA699 22220001-Jul-2007ESD07G017-004CARTRIDGE, FIRE EXTINGUISHER POWERDEVICE

1.37701E+12MH92 992

MA700 22219601-Jul-2007ESD07G017-004CARTRIDG, FIRE EXTINGUISHER POWERDEVICE

1.37701E+12MH92 992

MA710 22219901-Jul-2007ESD07G017-004CARTRIDGE, FIRE EXTINGUISHER POWERDEVICDE

1.37701E+12MH92 992

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 1 of 1713-Oct-2015

DR01-May-2000

AASF#3 89815-Mar-2007

J, DMODIFICATION INSTRUCTIONS FORINSTALLATION OF FULL AUTHORITYDIGITAL ENGINE CONTROLS (FADEC)ON CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-83MWO:

Mnt LevelPriority

DT07-Aug-2010

AASF#3 12013-Aug-2010

P, PMWO 1-1520-240-50-126 INSTALATIONOF THE ENCRYPTED AIRCRAFTWIRELESS INTERCOMSYSTEM(EAWIS)

1-1520-240-50-126MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 2 of 1713-Oct-2015

DN01-Jul-2003

CSC RASM-E 923-Feb-2010

J, SADVANCED HEADS UP DISPLAY (HUD)AN/AVS-7(V) AND T55-GA-714AENGINE TORQUE INDICATINGSYSTEM

1-1520-240-50-88MWO:

Mnt LevelPriority

DR17-Nov-2004

CSC RASM-E 7223-Feb-2010

J, SMODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE AN/APX-118 MODE S TRANSPONDER (CXP) ONTHE CH-47D AIRCRAFT (NSN 1520-01-088-3669) (EIC RCD)

1-1520-240-50-90MWO:

Mnt LevelPriority

DR02-Mar-2005

CSC RASM-E 90023-Feb-2010

J, SMODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE COMMONMISSILE WARNING SYSTEM (CMWS)ON THE CH-47D AIRCRAFT W/ALE-47(NSN 1520-01-088-3669) (EIC RCD)

1-1520-240-55-14MWO:

Mnt LevelPriority

DR04-May-2005

CSC RASM-E 24023-Feb-2010

J, SMODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE AIRWARRIOR MICROCLIMATE COOLINGAND MASK BLOWER SYSTEMS ON CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC RCD)

1-1520-240-50-91 C1MWO:

Mnt LevelPriority

DN09-Jun-2005

CSC RASM-E 63723-Feb-2010

J, SINSTALLATION OF THE ELECTRICALAND AIRFRAME PROVISIONS FORENGINE AIR PARTICLE SEPARATORSHORT RAIL FOR CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC RCD)

1-1520-240-50-93 C1MWO:

Mnt LevelPriority

DR23-May-2006

CSC RASM-E 1923-Feb-2010

J, SINSTALLATION OF THE FUELCROSSFEED BREAKAWAY FITTING

1-1520-240-50-98MWO:

Mnt LevelPriority

DR06-Jun-2006

CSC RASM-E 14023-Feb-2010

J, SBLUE FORCE TRACKING SYSTEM1-1520-240-50-BFT47-002MWO:Mnt LevelPriority

DR07-Sep-2006

CSC RASM-E 24023-Feb-2010

J, SINSTALLATION OF THE AIR WARRIORMICRO CLIMATE COOLING AND MASKBLOWER SYSTEM

1-1520-240-50-91-C2MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 3 of 1713-Oct-2015

DR10-Oct-2006

CSC RASM-E 623-Feb-2010

J, SINSTALLATION OF DUAL ELECTRONICDATA MANAGEMENT (EDM) SYSTEMWITH ETHERNET HUB

1-1520-240-50-100MWO:

Mnt LevelPriority

DR04-Apr-2008

CSC RASM-E 7323-Feb-2010

J, SMODIFICATION OF CH-47DHELICOPTERS FOR THEINSTALLATION OF THE 5 TH ELECTRO-OPTIC MISSILE SENSOR ON CH-47DAIRCRAFT

1-1520-240-50-120MWO:

Mnt LevelPriority

DR25-Apr-2008

CSC RASM-E 123-Feb-2010

J, SMODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF AFT PYLONACCESS PANELS ON CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)

1-1520-240-50-118MWO:

Mnt LevelPriority

DR10-Jun-2008

CSC RASM-E 6523-Feb-2010

J, SINSTALLATION OF THE CMWS P31UPGRADE TO THE MISCELLANEOUSCONTROL PANEL AND ASSOCIATEDWIRING.

1-1520-240-50-116MWO:

Mnt LevelPriority

DR08-Mar-2010

CSC RASM-E 17019-Oct-2010

J, SINSTALLATION OF THE MODERNIZEDSIGNAL PROCESSING UNIT. (MSPU)

1-1520-MSPU-CH47-50-1REV1

MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 4 of 1713-Oct-2015

DR26-Mar-2008

CSC RASM-E` 4.523-Feb-2010

J, SMODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF AVA TRACKERBRACKET ON CH-47 HELICOPTERS(NSN 1520-01-088-3669)(EIC:RCD)(NSN 1520-01-457-5179)(EIC: ECH

1-1520-240-50-117MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 5 of 1713-Oct-2015

DR01-Apr-1994

DYNCORP OLRFT HOOD TX(LB0000)

1827-Sep-1995

SSG SKINNER,JEFFERY

MODIFICATION INSTRUCTIONS FORAFT ENGINE FAIRING MODIFICATIONTO ALLEVIATE CORROSION FOR CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-49MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 6 of 1713-Oct-2015

DR01-Feb-1991

DYNCORP OLR,FT. HOOD, TX(LB0000)

1627-Sep-1995

SSG SKINNER,JEFFERY

WIRING MODIFICATION AND AN/APR-39A(V)1 RADAR WARNING SYSTEMINSTALLATION IN CH-47DHELICOPTER

1-1520-240-50-54MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 7 of 1713-Oct-2015

DN31-Jan-1989

DYNCORP OLR,FT. HOOD, TX(LB2657)

10011-Apr-1997

SSG SKINNER,JEFFERY

INSTALLATION OF THE SINGLECHANNEL GROUND RADIO/AIRBORNERADIO SYSTEM (SINCGARS) VHF FMHOMING AN/ARC-201 COMPLETEPROVISIONS ONLY RADIO SYSTEM INCH-47D HELICOPTERS

55-1520-240-50-28MWO:

Mnt LevelPriority

DN01-Mar-1989

DYNCORP OLR,FT. HOOD, TX(LB2657)

15011-Apr-1997

SSG SKINNER,JEFFERY

INSTALLATION OF AN/ARC-199, HF-SSB, RADIO SET COMPLETEPROVISION ONLY IN CH-47DHELICOPTERS

55-1520-240-50-29MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 8 of 1713-Oct-2015

DR30-Nov-1998

DYNCORP OLR,FT. HOOD, TX(LH6989)

17204-May-2001

SSG SKINNER,JEFFERY

INSTALLATION OF AN/ARC-220 ANDTSEC/KY-100 IN CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)

1-1520-240-50-74MWO:

Mnt LevelPriority

DR30-Sep-1999

DYNCORP OLR,FT. HOOD, TX(LH6989)

1604-May-2001

SSG SKINNER,JEFFERY

ADDITION OF VACUUM RELIEF VALVETO THE PRESSURE REFUELINGSYSTEM FOR CH-47D HELICOPTERS(NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-81MWO:

Mnt LevelPriority

DR01-Feb-2000

DYNCORP OLR,FT. HOOD, TX(LH6989)

804-May-2001

SSG SKINNER,JEFFERY

MODIFICATION INSTRUCTIONS FORINSTALLING A HAND HOLD IN THECENTER CARGO HOOKCOMPARTMENT ON CH-47D AND MH-47E HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD) AND (NSN 1520-01-282-3747) (EIC: RCE)

1-1520-240-50-79MWO:

Mnt LevelPriority

DR01-Feb-2000

DYNCORP OLR,FT. HOOD, TX(LH6989)

804-May-2001

SSG SKINNER,JEFFERY

MODIFICATION INSTRUCTION TORETROFIT IMPROVED AFT PYLONCLAMSHELL DOOR LATCHCONFIGURATION ON CH-47D AND MH-47E HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD) AND (NSN 1520-01-282-3747) (EIC: RCE)

1-1520-240-50-80MWO:

Mnt LevelPriority

DU17-Mar-2000

DYNCORP OLR,FT. HOOD, TX(LH6989)

1504-May-2001

SSG SKINNER,JEFFERY

MODIFICATION INSTRUCTIONS FORIMPROVED NVG LIGHTING BEZEL FORTURN AND SLIP INDICATOR, RADARALTIMETER, AND VERTICAL GYROINDICATOR AND MODIFICATIONINSTRUCTIONS OF FORWARD PYLONDRAIN HOLES AND REPLACEMENT OFNO. 1 AND NO.2 PDP AC BUS THECIRCUIT BREAKE

1-1520-240-50-71MWO:

Mnt LevelPriority

DR31-Mar-2000

DYNCORP OLR,FT. HOOD, TX(LH6989)

18004-May-2001

SSG SKINNER,JEFFERY

MODIFICATION INSTRUCTIONS FOREXTENDED RANGES FUEL SYSTEMON CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-84MWO:

Mnt LevelPriority

DR01-Jul-2000

DYNCORP OLR,FT. HOOD, TX(LH6989)

804-May-2001

SSG SKINNER,JEFFERY

MODIFICATION INSTRUCTIONS FORON/OFF SWITCH FOR THE AFT WHITEPOSITION LIGHT ON CH-47D AND MH-47E HELICOPTERS (NSN 1520-01-088-3669) AND(EIC: RCD) (NSN 1520-01-282-3747) (EIC: RCE)

1-1520-240-50-75MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 9 of 1713-Oct-2015

DR31-Dec-1993

DYNCORP OLR,FT. HOOD, TX(LM0000)

1727-Sep-1995

SSG SKINNER,JEFFERY

MODIFICATION INSTRUCTIONS FORHELICOPTER INTERNAL CARGOHANDLING SYSTEM (HICHS) RAMPCENTERLINE ATTACHMENT FORCH47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-59MWO:

Mnt LevelPriority

DR01-Apr-1994

DYNCORP OLR,FT. HOOD, TX(LM0000)

10427-Sep-1995

SSG SKINNER,JEFFERY

IMPROVED/ADJUSTABLE ENGINE AFTMOUNT LINK ASSEMBLY FOR CH-47DAND MH-47E HELICOPTERS) (NSN1520-01-088-3669) (EIC: RCD) AND(NSN 1520-01-282-3747) (EIC: RCE)

1-1520-240-50-60MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 10 of 1713-Oct-2015

DN15-Jul-1991

DYNCORP OLR,FT. HOOD, TX(LB2657)

2.511-Apr-1997

SSG SKINNER,JEFFERY

INSTALLATION OF IMPROVEDFREQUENCY MODULATION (IFM)BYPASS IN CH-47D HELICOPTER

1-1520-240-50-46MWO:

Mnt LevelPriority

DR31-Oct-1995

DYNCORP OLR,FT. HOOD, TX(LB2657)

7811-Apr-1997

SSG SKINNER,JEFFERY

MODIFICATION INSTRUCTIONS FORINSTALLATION OF NVG/ANVISLIGHTING UPDATE CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)

1-1520-240-50-52MWO:

Mnt LevelPriority

DR31-Jan-1996

DYNCORP OLR,FT. HOOD, TX(LB2657)

27411-Apr-1997

SSG SKINNER,JEFFERY

INSTALLATION OF HEADS UP DISPLAY(HUD) AN/AVS-7 IN CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC:RCD)

1-1520-240-50-56MWO:

Mnt LevelPriority

DR31-May-1996

DYNCORP OLR,FT. HOOD, TX(LB2657)

3617-Sep-1998

SSG SKINNER,JEFFERY

INSTALLATION OF ALTITUDE VOICEWARNING SYSTEM RADARALTIMETER AN/APN-209(V) IN CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)

1-1520-240-50-61MWO:

Mnt LevelPriority

DR14-Apr-1997

DYNCORP OLR,FT. HOOD, TX(LB2657)

3617-Sep-1998

SSG SKINNER,JEFFERY

MODIFICATION INSTRUCTIONS FORINSTALLING THE COCKPITEMERGENCY RAMP CONTROLSYSTEM ON CH-47D HELICOPTERS(NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-48MWO:

Mnt LevelPriority

DR29-Aug-1997

DYNCORP OLR,FT. HOOD, TX(LB2657)

14607-Oct-1999

SSG SKINNER,JEFFERY

INSTALLATION OF AN/ASN-128BDOPPLER/GPS NAVIGATION SYSTEMIN CH-47D HELICOPTERS (NSN 1520-01-088-3669 (EIC: RCD)

1-1520-240-50-73MWO:

Mnt LevelPriority

DR29-Aug-1997

DYNCORP OLR,FT. HOOD, TX(LB2657)

6411-Apr-1997

SSG SKINNER,JEFFERY

MODIFICATION INSTRUCTIONS FOREASILY REPLACEABLE CABIN ESCAPEHATCH FOR CH-47D HELICOPTER,NSN 1520-01-088-3669 (EIC:RCD) ANDMH-47E HELICOPTER, NSN 1520-01-282-4787 (EIC:RCE)

1-1520-240-50-76MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 11 of 1713-Oct-2015

DR04-Apr-1997

DYNCORP OLR,FT. HOOD, TX(LH6989)

1622-Aug-2000

SSG SKINNER,JEFFERY

MODIFICATION INSTRUCTIONS FORINSTALLATION OF STAINLESS STEELBELLCRANKS IN COMBININGTRANSMISSION AREA FOR CH-47DAND MH-47E HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD) (NSN 1520-01-282-3747) (EIC: RCE)

1-1520-240-50-65MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 12 of 1713-Oct-2015

DR01-Sep-2002

DYNCORPOLR,KILLEEN76543 (RV4789)

2512-Jan-2004

SSG SKINNER,JEFFERY

MODIFICATION INSTRUCTIONS FORSEALED LEAD ACID BATTERYINSTALLATION ON CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)

1-1520-240-50-82MWO:

Mnt LevelPriority

DR01-Sep-2002

DYNCORPOLR,KILLEEN76543 (RV4789)

62012-Jan-2004

SSG SKINNER,JEFFERY

MODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE AN/ALE-147 COUNTERMEASURES DISPENSERSYSTEM (CMDS) ON THE CH-47DAIRCRAFT (NSN 1520-01-088-3669)(EIC RCD)

1-1520-240-55-12MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 13 of 1713-Oct-2015

DR22-Aug-2005

FT. HOOD,PROJECT OLR

2109-May-2008

CIV PARKER,ALBERT D

MODIFICATION INSTRUCTIONS FORINSTALLATION OF THECRASHWORTHYCREW CHIEF SEATAND FRAME KIT ON CH-47DHELICOPTERS (NSN 1520-01-088-3669)

1-1520-240-50-96MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 14 of 1713-Oct-2015

DN29-Aug-2005

FT. HOOD,PROJECT OLR.,KILLEEN, TX

3409-May-2008

CIV PARKER,ALBERT D

INSTALLATION INSTRUCTIONS FORTHE FLUX VALVE RELOCATION

1-1520-240-50-103MWO:

Mnt LevelPriority

DR14-Mar-2006

FT. HOOD,PROJECT OLR.,KILLEEN, TX

709-May-2008

CIV PARKER,ALBERT D

INSTALLATION OF THE NEW BRACKETFOR THE MA-16 INERTIA REELINSTALLED ON THE PILOT AND CO-PILOT SEATS FOR THE CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC:RCD)

1-1520-240-50-97MWO:

Mnt LevelPriority

DR15-Mar-2006

FT. HOOD,PROJECT OLR.,KILLEEN, TX

609-May-2008

CIV PARKER,ALBERT D

INSTALLATION INSTRUCTIONS FORMASTER CAUTION PROTECTIVESHIELD ON CH-47D HELICOPTERS(NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-101MWO:

Mnt LevelPriority

DR18-Apr-2006

FT. HOOD,PROJECT OLR.,KILLEEN, TX

1709-May-2008

CIV PARKER,ALBERT D

M4 RIFLE MOUNT INSTALLATION FORTHE CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)

1-1520-240-50-104MWO:

Mnt LevelPriority

DR16-Oct-2006

FT. HOOD,PROJECT OLR.,KILLEEN, TX

3409-May-2008

CIV PARKER,ALBERT D

INSTALLATION OF ELECTRICALHYDRAULIC PUMP SYSTEM ON CH-47D HELICOPTERS

1-1520-240-50-109MWO:

Mnt LevelPriority

DM01-Jan-2007

FT. HOOD,PROJECT OLR.,KILLEEN, TX

1609-May-2008

CIV PARKER,ALBERT D

INSTALLATION OF LEFT HANDCRASHWORTHY SEAT SYSTEM

1-1520-240-50-99MWO:

Mnt LevelPriority

DR19-Feb-2007

FT. HOOD,PROJECT OLR.,KILLEEN, TX

20209-May-2008

CIV PARKER,ALBERT D

MODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE DOPPLERGPS NAVIGATION SET PREPLANNEDPRODUCT IMPROVEMENT (DGNS P3I)ON THE CH-47D HELICOPTER (NSN1520-01-088-3669) (EIC RCD)

1-1520-240-50-95MWO:

Mnt LevelPriority

DR04-Sep-2007

FT. HOOD,PROJECT OLR.,KILLEEN, TX

209-May-2008

CIV PARKER,ALBERT D

MODIFICATION INSTRUCTIONS FORINSTALLATION OF THE RECESSEDHEADREST RETROFIT ON THECRASHWORTHY CREW CHIEF SEATON CH47D AIRCRAFT

1-1520-240-50-114MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 15 of 1713-Oct-2015

DR04-Sep-2007

FT. HOOD,PROJECT OLR.,KILLEEN, TX

309-May-2008

CIV PARKER,ALBERT D

MODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE ARMORSEAT COMPENSATOR FOR THECOCKPIT SEATS ON THE H47HELICOPTERS

1-1520-240-50-115MWO:

Mnt LevelPriority

DR26-Oct-2007

FT. HOOD,PROJECT OLR.,KILLEEN, TX

1009-May-2008

CIV PARKER,ALBERT D

MODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE AFTPYLON STEP DOUBLER ON THE CH-47D HELICOPTERS

1-1520-240-50-111MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 16 of 1713-Oct-2015

DR06-Apr-2001

OLR/LSI FTLEWIS WA(TM9262)

5420-Apr-2006

J, DMODIFICATION INSTRUCTIONS FORINSTALLING IMPROVED AFT PYLONWORK PLATFORM DOOR LATCHESON CH-47D AND MH-47EHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD) (NSN 1520-01-282-3747)(EIC: RCE)

1-1520-240-50-77MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

9100268CH-47DHELICOPTER, CARGO

3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE

Report Date: Page 17 of 1713-Oct-2015

DR18-Feb-2004

OLR/LSI FTLEWIS WA.(TM9262)

6520-Apr-2006

J, DMODIFICATION INSTRUCTIONS FORCARGO LOADMASTER RADARALTIMETER INSTALLATION ON CH-47DHELICOPTERS (NSN 1520-01-282-3747)(EIC: RCD)

1-1520-240-50-72 C1MWO:

Mnt LevelPriority

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

BLADE ASSY ROT WING FWD 9100268A119031. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 1/6013-Oct-2015

21-Jul-2005 DT

GM215017-Sep-2010

0BOEING PHILA.H-47 SERIES AIRCRAFT, ROTORBLADE, ROOT END FIBERDISTORTION

SOF CH-47-05-SOF-02MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

BLADE ASSY ROT WING FWD 9100268A1890E1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 2/6013-Oct-2015

21-Jul-2005 DT

GM251008-Dec-2010

0BOEING PHILA.H-47 SERIES AIRCRAFT, ROTORBLADE, ROOT END FIBERDISTORTION

CH-47-05-SOF-02MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

BLADE ASSY ROT WING AFT 9100268A2-28301. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 3/6013-Oct-2015

21-Jul-2005 OT

JD41544927-Jul-2005

1AASF MERIDIAN,MS. (TE7467)

H-47 SERIES AIRCRAFT, ROTORBLADE, ROOT END FIBERDISTORTION

CH-47-05-SOF-02MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

BLADE ASSY ROT WING AFT 9100268A2-28301. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 4/6013-Oct-2015

23-Jan-2007 OT

PP21389624-Jan-2007

1AASF#3ALL H-47 SERIES ACFT, SUSPECTROTOR BLADES

CH-47-07-SOF-02MWO:

Priority Mnt Level

27-Sep-2007 OT

PP21389621-Mar-2008

1AASF#3ALL H-47 SERIES AIRCRAFT,SUSPECT ROTOR BLADES

CH-47-07-SOF-03MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

BLADE ASSY ROT WING AFT 9100268A2-28301. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 5/6013-Oct-2015

26-May-2006 OT

JD41544926-May-2006

0.1LSI FT LEWIS,WA (GL0998)

H-47 SERIES AIRCRAFT, SUSPECTAFT ROTOR BLADES

CH-47-06-SOF-04MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

BLADE ASSY ROT WING AFT 9100268A2-28301. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 6/6013-Oct-2015

27-Jan-2012 DR

LH90452727-Jan-2012

4MO-TASMGREPLACED ROOT SOCKET LINERIAW SRA: AX210711

DMWRMWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

BLADE ASSY ROT WING AFT 9100268A216171. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 7/6013-Oct-2015

23-Jan-2007 OT

PP21389624-Jan-2007

1AASF#3ALL H-47 SERIES ACFT, SUSPECTROTOR BLADES

CH-47-07-SOF-02MWO:

Priority Mnt Level

27-Sep-2007 OT

PP21389621-Mar-2008

1AASF#3ALL H-47 SERIES AIRCRAFT,SUSPECT ROTOR BLADES

CH-47-07-SOF-03MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

BLADE ASSY ROT WING AFT 9100268A216171. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 8/6013-Oct-2015

21-Jul-2005 OT

MS06803415-Feb-2006

1BOEING PHILAH-47 SERIES AIRCRAFT, ROTORBLADE, ROOT END FIBERDISTORTION

CH-47-05-SOF-02MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

BLADE ASSY ROT WING AFT 9100268A216171. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 9/6013-Oct-2015

26-May-2006 OT

JD41544926-May-2006

0.4LSI FT LEWISWA

H-47 SERIES AIRCRAFT, SUSPECTAFT ROTOR BLADES

CH-47-06-SOF-04MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

HUB ROTARY WING AFT 9100268FM03721. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 10/6013-Oct-2015

15-Dec-2000 DU

EL995208-Jun-2007

4CCAD C.C.TEXAS 78419-5260

ALL H-47 SERIES AIRCRAFT,FORWARD AND AFT HUB LIGHTNINGHOLE INSPECTIONS.

1-1520-240-20-131MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

TIE BAR ASSY 9100268A203701. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 11/6013-Oct-2015

20-Jan-2002 DU

EL995208-Jun-2007

2CCAD C.C.TEXAS 78419-5260

ALL H-47 SERIES A/C, INSPECTIONOF THE ROTARY WING HEAD TIEBAR ASSY

1-1520-240-20-146MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

TIE BAR ASSY 9100268A53571. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 12/6013-Oct-2015

20-Jan-2002 DU

EL995208-Jun-2007

2CCAD C.C.TEXAS 78419-5260

ALL H-47 SERIES A/C, INSPECTIONOF THE ROTARY WING HEAD TIEBAR ASSY

1-1520-240-20-146MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

TIE BAR ASSY 9100268A99751. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 13/6013-Oct-2015

20-Jan-2002 DU

EL995208-Jun-2007

2CCAD C.C.TEXAS 78419-5260

ALL H-47 SERIES A/C, INSPECTIONOF THE ROTARY WING HEAD TIEBAR ASSY

1-1520-240-20-146MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

PIN HORIZ. AFT, ROTATE/SHOTPEEN 9100268TZ456*1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 14/6013-Oct-2015

28-Jul-2000 OU

EL995208-Jun-2007

4CCAD C.C.TEXAS 78419-5260

MANDATORY INSPECTION OFHORIZONTAL HINGE PIN ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT

1-1520-240-20-122MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

PIN HORIZ. AFT, REPLACE 9100268AF780*1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 15/6013-Oct-2015

28-Jul-2000 DU

EL995208-Jun-2007

4CCAD C.C.TEXAS 78419-5260

MANDATORY INSPECTION OFHORIZONTAL HINGE PIN ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT

1-1520-240-20-122MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

PIN HORIZ. AFT, REPLACE 9100268TZ1300*1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 16/6013-Oct-2015

28-Jul-2000 DU

EL9956208-Jun-2007

4CCAD C.C.TEXAS 78419-5260

MANDATORY INSPECTION OFHORIZONTAL HINGE PIN ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT

1-1520-240-20-122MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

FORWARD TRANSMISSION 9100268A7-5741. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 17/6013-Oct-2015

26-Aug-1999 DT

JD41544930-Aug-1999

0.5AASF -MERIDIAN, MS.(CM6742)

CH-47D, MH-47D, AND MH-47EAIRCRAFT, INSPECTION OF H-47AIRCRAFT FOR FORWARD AND AFTTRANSMISSION GEAR/BEARINGASSEMBLIES IDENTIFIED BY SERIALNUMBER PREFIX "VB"

CH-47-99-04MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

FORWARD TRANSMISSION 9100268A7-5741. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 18/6013-Oct-2015

23-Oct-2014 FM

ML39928523-Oct-2014

0.5AASF #1,JACKSONVILLE,FL.32225,FLARNG

MEC # F191330 A, ONE TIMEAUTHORIZATION TO REPAIRDAMAGED THREADS ON THELOWER THIRD OF THE SHAFTTHREADS. AUTHORIZED BY MR.SCOTT T. KREPPS([email protected])PER MR.PHILLIP (KEITH) HERNDON;AEROSPACE ENGINEER, AED,CARGO SYSTEMS DIVISION.

F191330 AMWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

AFT TRANSMISSION 9100268A9-5761. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 19/6013-Oct-2015

26-Aug-1999 DT

JD41544930-Aug-1999

0.5AASF MEI. MS.(CM6742)

CH-47D, MH-47D, AND MH-47EAIRCRAFT, INSPECTION OF H-47AIRCRAFT FOR FORWARD AND AFTTRANSMISSION GEAR/BEARINGASSEMBLIES IDENTIFIED BY SERIALNUMBER PREFIX "VB"

CH-47-99-04MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

AFT TRANSMISSION 9100268A9-5761. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 20/6013-Oct-2015

14-May-1998 OM

JD41544919-May-1998

0.5AASF MEI. MS.(DT2810)

C/MH-47D/E, ONE TIME INSPECTIONFOR AFT TRANSMISSIONS WITHSUSPECTED IMPROPERLY SHIMMEDINPUT PINION GEAR ASSEMBLY

CH-47-98-ASAM-04MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

AFT TRANSMISSION 9100268A9-5761. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 21/6013-Oct-2015

08-Nov-2007 OM

PP21389612-May-2008

6AASF#3,MERIDIAN,MS

INSPECT AFT XMSN ROTOR SHAFTSEAL RETAINER ASSY OIL JET THRUPASSAGES FOR THE PRESENCE OFSEALANT

H-47-08-AMAM-01MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

AFT TRANSMISSION 9100268A9-5761. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 22/6013-Oct-2015

28-Jul-2005 OM

JD41544919-Mar-2006

5OLR/LSI FTLEWIS WA

H-47 SERIES AIRCRAFT, AFTTRANSMISSION RETAINER

CH-47-05-ASAM-04MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

SHAFT ASSY, AFT VERTICAL 9100268A-10111. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 23/6013-Oct-2015

15-Sep-2006 OT

PP21389618-Sep-2006

2AASF,MERIDIAN,MS

H-47 AIRCRAFT, AFT CRITICALDYNAMIC COMPONENTS

CH-47-06-SOF-06MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

SHAFT ASSY, AFT VERTICAL 9100268A-10111. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 24/6013-Oct-2015

30-Apr-1987 DM

MS06803404-Jan-2006

89.8CCAD C.CTEXAS 78419-5260

NATIONAL MAINTENANCE REPIARSTANDARDS FOR DRIVE SHAFTING;SHAFT ASSEMBLY, FORWARDSYNCHRONIZING DRIVE, PN:145D3400-23 (NSN 1615-01-113-0248),PN: 145D3400-24 (NSN 1615-01-112-5895), 145D3400-31 (NSN 1615-01-112-5897), PN: 145D3400-32 (NSN 1615-01-112-5897); SHAFT ASSEMBLY, AFTSYNCHRONIZING DRIVE, PN:145D3400-25 (NSN 1615-01-113-0292),PN: 145D3400-26 (NSN 1615-01-119-3359); ADAPTER ASSEMBLY,SYNCHRONIZING DRIVE SHAFT, PN:145D3407-6 (NSN 1615-01-113-0249),PN: 145D3407-7 (NSN: 1615-01-140-6703), PN: 145D3407-8 (NSN 1615-01-119-3360), PN: 145D3407-9 (NSN 1615-01-114-0845); SHAFT ASSEMBLY,ENGINE TO COMBININGTRANSMISSION DRIVE, PN:145D3504-2 (NSN 3010-01-316-2661);ADAPTER ASSEMBLY, ENGINETRANSMISSION DRIVE, PN:145D3500-16 (NSN 1615-01-319-5091);ADAPTER ASSEMBLY, COMBININGTRANSMISSION DRIVE, PN:145D3500-17 (NSN 1615-01-319-5092);SHAFT ASSEMBLY, AFT ROTOR, PN:145D3300-6 (NSN 1680-01-320-1191)

55-1615-322MWO:

Priority Mnt Level

26-Jul-2000 FM

MS06803404-Jan-2006

0.1CCAD C.CTEXAS 78419-5260

ALL H-47 SERIES AIRCRAFT,INSPECTION OF FORWARD AND AFTSLIDER SHAFT SEALS

CH-47-00-ASAM-05MWO:

Priority Mnt Level

14-Oct-2004 DM

MS06803404-Jan-2006

2CCAD C.CTEXAS 78419-5260

CH-47 AIRCRAFT, AFT CRITICALDYNAMIC COMPONENTS

CH-47-05-ASAM-01MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

SEC 1 DRIVE SHAFT ASSY 9100268A-48481. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 25/6013-Oct-2015

10-Oct-1996 OM

AB30245811-Oct-1996

1AASF MERIDIAN,MS. (RL9391)

ALL CH-47D, MH-47D, AND MH-47EAIRCRAFT, ONE TIME RECORDSCHECK, VISUAL INSPECTION FOR,AND REMOVAL OF CERTAIN SERIALNUMBERED 145D3400-23/-25/-32FORWARD SYNCHRONIZING DRIVESHAFT ASSEMBLIES

CH-47-97-ASAM-01MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

DRIVESHAFT ASSY, SEC 2-6 9100268A45691. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 26/6013-Oct-2015

29-Sep-2000 DT

JL906423-Aug-2011

22CCAD, W0MUAARECAPPEDDMWR 55-1615-322 CH-10MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

DRIVESHAFT ASSY, SEC 2-6 9100268A86621. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 27/6013-Oct-2015

29-Sep-2000 DT

FR462627-Aug-2011

22CCAD/WOMUAARECAPPEDDMWR 55-1615-322 CH-10MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

ADAPTER ASSY ENG D/S OUTB 9100268A-60311. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 28/6013-Oct-2015

22-Dec-2000 OT

JD41544909-Jan-2001

1AASF-MERIDIAN,MS. (JS5030)

CH/MH-47D AIRCRAFT, ONE TIMEINSPECTION OF AFT ROTOR HEADASSEMBLIES AND ENGINE CROSSSHAFT ADAPTER ASSEMBLIES

CH-47-01-01MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

ADAPTER ASSY ENG D/S OUTB 9100268A62461. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 29/6013-Oct-2015

01-Oct-2002 DR

GA344001-Sep-2011

17CCAD/W0MUAARECAPPED55-1650-322,C 10 22MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

ADAPTER ASSY ENG D/S INB 9100268A-60591. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 30/6013-Oct-2015

22-Dec-2000 DU

JD41544909-Jan-2001

1AASF-MERIDIAN, MS.(JS5030)

CH/MH-47D AIRCRAFT, ONE TIMEINSPECTION OF AFT ROTOR HEADASSEMBLIES AND ENGINE CROSSSHAFT ADAPTER ASSEMBLIES

CH-47-01-01MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

ADAPTER ASSY ENG D/S INB 9100268A60941. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 31/6013-Oct-2015

22-Oct-2002 DR

FR462622-Apr-2013

12CCADRECAPPEDDMWR 55-1615-322 C 10MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

TMSN ASSY ENGINE MECH 9100268A11-4681. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 32/6013-Oct-2015

23-May-2008 MM

PP21389627-May-2008

1AASF#3ENGINE TRANSMISSION PINIONGEAR

H-47-08-SOF-01MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

TMSN ASSY ENGINE MECH 9100268A11-4681. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 33/6013-Oct-2015

27-Jan-2000 OT

MS06803431-Jan-2000

1AASF-MERIDIANMS.

ALL CH-47D, MH-47D AND MH-47ESERIES AIRCRAFT, ONE-TIMEINSPECTION OF ENGINETRANSMISSIONS RECORDS FORSUSPECT GEARS ANDREPLACEMENT OF SUSPECTTRANSMISSIONS

CH-47-00-04MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

GEARSHAFT, BEVEL 9100268M1092DRGI1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 34/6013-Oct-2015

23-May-2008 OR

PP21389627-May-2008

0.1AASF#3,MERIDIAN,MS

ENGINE TRANSMISSION PINIONGEAR

H-47-08-SOF-01MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

GEARSHAFT, BEVEL 9100268M9671. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 35/6013-Oct-2015

23-May-2008 OR

PP21389627-May-2008

0.1AASF#3,MERIDIAN,MS

ENGINE TRANSMISSION PINIONGEAR

H-47-08-SOF-01MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

CYLINDER ASSY PIVOT AFT 9100268BCS420BSA1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 36/6013-Oct-2015

09-Jan-2006 OM

JD41544910-Jan-2006

1AASF #3MERIDIAN, MS.(TE7467)

H-47 SERIES AIRCRAFT, UPPERBOOST ACTUATORS (UBA)

CH-47-06-ASAM-01MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

CYLINDER ASSY PIVOT AFT 9100268BCS420BSA1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 37/6013-Oct-2015

22-Jul-1996 OU

JD41544912-Jul-1996

32AASF,MERIDIAN, MS(RL8391)

ONE TIME VISUAL INSPECTION ANDRECORDS CHECK OF THE UPPERBOOST ACTUATORS AND PULL TESTOF SWASHPLATE FOR ALL CH-47D,MH-47D, AND MH-47E AIRCRAFT

1-1520-240-20-85MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

CYLINDER ACT SWIVEL AFT 9100268UR-480BAN1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 38/6013-Oct-2015

09-Jan-2006 OM

JD41544910-Jan-2006

1AASF #3MERIDIAN, MS.(TE7467)

H-47 SERIES AIRCRAFT, UPPERBOOST ACTUATORS (UBA)

CH-47-06-ASAM-01MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

CYLINDER ACT SWIVEL FWD 9100268UR951BAN1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 39/6013-Oct-2015

09-Jan-2006 OM

LU605222-Dec-2010

1CCAD/WOMUAAH-47 SERIES AIRCRAFT, UPPERBOOST ACTUATORS (UBA)

CH-47-06-ASAM-01MWO:

Priority Mnt Level

16-Jan-2008 DM

LU605222-Dec-2010

57CCAD/WOMUAARECAPPEDDMWR 55-1650-400MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

HEAD ASSY ROT WING FWD 9100268A4-2931. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 40/6013-Oct-2015

08-Jul-2010 OM

PP21389609-Jul-2010

0.5AASF#3,MERIDIAN

ALL H-47 SERIES AIRCRAFT,CHROMALLOY ROTOR HUBS

H-47-10-ASAM-04MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

HEAD ASSY ROT WING FWD 9100268A4-2931. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 41/6013-Oct-2015

11-May-2000 DU

JD41544905-Dec-2005

0.5CCAD C.C. TX78419-5260(RS7369)

CH-47D, MH-47D AND MH-47EAIRCRAFT, ONE TIME INSPECTIONOF PITCH HOUSINGS, P/N 145R2075-13/-14/-15/-16

1-1520-240-20-120MWO:

Priority Mnt Level

28-Jul-2000 DU

JD41544905-Dec-2005

4CCAD C.C. TX78419-5260(RS7369)

MANDATORY INSPECTION OFHORIZONTAL HINGE PIN ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT

1-1520-240-20-122MWO:

Priority Mnt Level

15-Dec-2000 DU

JD41544905-Dec-2005

4CCAD C.C. TX78419-5260(RS7369)

MANDATORY INSPECTION OFFORWARD AND AFT ROTOR HUBLIGHTENING HOLES ON ALL CH-47D,MH-47D AND MH-47E AIRCRAFT

1-1520-240-20-131MWO:

Priority Mnt Level

15-Dec-2000 DU

JD41544905-Dec-2005

0.5CCAD C.C. TX78419-5260(RS7369)

MANDATORY ONE TIME INSPECTIONOF ROTOR HEAD ASSEMBLY DROOPSTOP BOLTS FOR PROPER LENGTH,ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT

1-1520-240-20-132MWO:

Priority Mnt Level

15-Dec-2000 DU

JD41544905-Dec-2005

0.5CCAD C.C. TX78419-5260(RS7369)

MANDATORY INSPECTION FORUNTESTED FLIGHT SAFETY PARTS(FSP) TIE BAR PIN ASSEMBLIES, P/N114R2168-3 AND 114R2168-4, ON ALLCH-47D, MH-47D AND MH-47EAIRCRAFT

1-1520-240-20-133MWO:

Priority Mnt Level

15-Dec-2000 DU

JD41544905-Dec-2005

0.1CCAD C.C. TX78419-5260(RS7369)

ONE TIME INSPECTION OF AFTROTOR HEAD ASSEMBLIES ANDENGINE CROSS SHAFT ADAPTERASSEMBLIES ON ALL CH-47D ANDMH-47D AIRCRAFT

1-1520-240-20-134MWO:

Priority Mnt Level

06-Feb-2001 DU

JD41544905-Dec-2005

0.5CCAD C.C. TX78419-5260(RS7369)

ONE TIME INSPECTION FORPROPER INSTALLATION OF DROOPSTOPS ON ALL CH-47D, MH-47D ANDMH-47E AIRCRAFT

1-1520-240-20-136MWO:

Priority Mnt Level

20-Feb-2001 DU

JD41544905-Dec-2005

0.5CCAD C.C. TX78419-5260(RS7369)

UNGROUNDING REQUIREMENTSFOR ALL CH-47D, MH-47D AND MH-47E AIRCRAFT WITH INCORRECTLYINSTALLED DROOP STOPS

1-1520-240-20-137MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

HEAD ASSY ROT WING FWD 9100268A4-2931. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 42/6013-Oct-2015

20-Jan-2002 DU

JD41544905-Dec-2005

2CCAD C.C. TX,78419-5260(RS7369)

INSPECTION OF THE ROTARY WINGHEAD TIE BAR ASSEMBLY ON ALLCH-47D, MH-47D AND MH-47EAIRCRAFT

1-1520-240-20-146MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

HEAD ASSY ROT WING FWD 9100268A4-2931. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 43/6013-Oct-2015

11-May-2000 DU

JD41544905-Dec-2005

0.5CCAD C.C.TX78419-5260 (RS7369)

INITIAL AND RECURRINGINSPECTIONS AND REPLACEMENTOF HORIZONTAL HINGE PINSHOULDERED BOLTS FOR ALL CH-47D, MH-47D AND MH-47E SERIESAIRCRAFT

1-1520-240-20-118MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

HEAD ASSY ROT WING FWD 9100268A4-2931. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 44/6013-Oct-2015

30-Jan-2003 DM

MS06803425-Jan-2005

45CCAD, C.C. TX78419-5260

FWD AND AFT ROTARY WING HEADASSEMBLIES; P/N 145R2003-10(FWD) P/N 145R2004-20 (AFT)

T3332MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

HEAD ASSY ROT WING FWD 9100268A4-2931. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 45/6013-Oct-2015

01-Apr-1994 DU

JD41544905-Dec-2005

17CCAD, C.C. TX.78419-5260(RS7369)

MODIFICATIONS INSTRUCTIONSFOR INSTALLING ROTARY WINGHEAD PITCH HOUSING/LAG DAMPERIMPROVED BOLTS AND BUSHINGSTO REPLACE THE BOLTS ANDBUSHINGS INSTALLED AT THEFACTORY/DEPOT AND VIA MWO 1-1520-240-50-37, PART NUMBERSSK33346-2 (UPPER BUSHING),SK33346

1-1520-240-50-69MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

HEAD ASSY ROT WING AFT 9100268A5-8691. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 46/6013-Oct-2015

15-Dec-2000 DU

EL995212-Jun-2007

0.5CCAD C.CTEXAS 78419-5260

ONE TIME INSPECTION OF AFTROTOR HEAD ASSEMBLIES ANDENGINE CROSS SHAFT ADAPTERASSEMBLIES ON ALL CH-47D ANDMH-47D AIRCRAFT

1-1520-240-20-134MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

HEAD ASSY ROT WING AFT 9100268A5-8691. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 47/6013-Oct-2015

01-Apr-1994 DU

EL995212-Jun-2007

17CCAD C.C.TEXAS 78419-5260

MODIFICATIONS INSTRUCTIONSFOR INSTALLING ROTARY WINGHEAD PITCH HOUSING/LAG DAMPERIMPROVED BOLTS AND BUSHINGSTO REPLACE THE BOLTS ANDBUSHINGS INSTALLED AT THEFACTORY/DEPOT AND VIA MWO 1-1520-240-50-37, PART NUMBERSSK33346-2 (UPPER BUSHING),SK33346

1-1520-240-50-69MWO:

Priority Mnt Level

11-May-2000 DU

EL995212-Jun-2007

0.5CCAD C.C.TEXAS 78419-5260

CH-47/MH-47/MH-47E ACFT INITALAND RECURRING INSP ANDREPLACEMENT OF HORIZONTALHINGE PIN SHOULDER BOLT P/N114R2201-1

1-1520-240-20-118 / CH-47-MWO:

Priority Mnt Level

28-Jul-2000 DU

EL995212-Jun-2007

4CCAD C.C.TEXAS 78419-5260

MANDATORY INSPECTION OFHORIZONTAL HINGE PIN ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT

1-1520-240-20-122MWO:

Priority Mnt Level

15-Dec-2000 DU

EL995212-Jun-2007

4CCAD C.C.TEXAS 78419-5260

MANDATORY INSPECTION OFFORWARD AND AFT ROTOR HUBLIGHTENING HOLES ON ALL CH-47D,MH-47D AND MH-47E AIRCRAFT

1-1520-240-20-131MWO:

Priority Mnt Level

15-Dec-2000 DU

EL995212-Jun-2007

0.5CCAD C.C.TEXAS 78419-5260

MANDATORY ONE TIME INSPECTIONOF ROTOR HEAD ASSEMBLY DROOPSTOP BOLTS FOR PROPER LENGTH,ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT

1-1520-240-20-132MWO:

Priority Mnt Level

15-Dec-2000 DU

EL995212-Jun-2007

0.5CCAD C.C.TEXAS 78419-5260

MANDATORY INSPECTION FORUNTESTED FLIGHT SAFETY PARTS(FSP) TIE BAR PIN ASSEMBLIES, P/N114R2168-3 AND 114R2168-4, ON ALLCH-47D, MH-47D AND MH-47EAIRCRAFT

1-1520-240-20-133MWO:

Priority Mnt Level

06-Feb-2001 DU

EL995212-Jun-2007

0.5CCAD C.C.TEXAS 78419-5260

ONE TIME INSPECTION FORPROPER INSTALLATION OF DROOPSTOPS ON ALL CH-47D, MH-47D ANDMH-47E AIRCRAFT

1-1520-240-20-136MWO:

Priority Mnt Level

EL995212-Jun-2007

0.5CCAD C.C.TEXAS 78419-5260

UNGROUNDING REQUIREMENTSFOR ALL CH-47D, MH-47D AND MH-47E AIRCRAFT WITH INCORRECTLYINSTALLED DROOP STOPS

1-1520-240-20-137MWO:

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

HEAD ASSY ROT WING AFT 9100268A5-8691. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 48/6013-Oct-2015

20-Feb-2001 DU

Priority Mnt Level

20-Jan-2002 DU

EL995212-Jun-2007

2CCAD C.C.TEXAS 78419-5260

INSPECTION OF THE ROTARY WINGHEAD TIE BAR ASSEMBLY ON ALLCH-47D, MH-47D AND MH-47EAIRCRAFT

1-1520-240-20-146MWO:

Priority Mnt Level

30-Jan-2003 DU

EL995212-Jun-2007

45CCAD C.C.TEXAS 78419-5260

RECAP FOR CH-47 FWD & AFTROTARY WING HEAD ASSY, P/N:145R2003-10 (FWD) AND P/N:145R2004-20 (AFT).

AED T3332 DMWR 55-16MWO:

Priority Mnt Level

14-Oct-2004 DM

EL995212-Jun-2007

0.5CCAD C.C.TEXAS 78419-5260

ALL H-47 SERIES AIRCRAFT, AFTROTARY WING HEAD

CH-47-05-ASAM-02MWO:

Priority Mnt Level

14-Oct-2004 DU

EL995212-Jun-2007

2CCAD C.C.TEXAS 78419-5260

INSP -16 FOR SPECIFIC S/N'S DURTO CRUISE GUIDE INDICATORENCOUNTERED.

UMD-CH47-X1159 (CH47-0MWO:

Priority Mnt Level

05-Jul-2005 DU

EL995212-Jun-2007

1CCAD C.C.TEXAS 78419-5260

CH-47D AIRCRAFT, VERTICAL HINGEPIN BEARINGS (CH-47-05-ASAM-03)

1-1520-240-20-159MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

HEAD ASSY ROT WING AFT 9100268A5-8691. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 49/6013-Oct-2015

11-May-2000 DU

EL995212-Jun-2007

0.5CCAD C.C.TEXAS 78419-5260

CH-47D, MH-47D AND MH-47EAIRCRAFT, ONE TIME INSPECTIONOF PITCH HOUSINGS, P/N 145R2075-13/-14/-15/-16

1-1520-240-20-120MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

PITCH HOUSING 9100268AM12571. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 50/6013-Oct-2015

11-Feb-2008 OM

PP21389613-Feb-2008

0AASF#3ALL H-47 AIRCRAFT, PITCH HORNBUSHING

H-47-08-ASAM-01MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

PITCH HOUSING 9100268AM14591. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 51/6013-Oct-2015

11-Feb-2008 OM

PP21389613-Feb-2008

0AASF#3ALL H-47 AIRCRAFT, PITCH HORNBUSHING

H-47-08-ASAM-01MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

PITCH HOUSING, AFT 9100268GA34881. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 52/6013-Oct-2015

12-May-2000 DU

EL995208-Jun-2007

0.5CCAD C.C.TEXAS 78419-5260

CH-47D, MH-47D AND MH-47EAIRCRAFT, ONE TIME INSPECTIONOF PITCH HOUSINGS, P/N 145R2075-13/-14/-15/-16

1-1520-240-20-120MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

PITCH HOUSING, AFT 9100268ILS2451. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 53/6013-Oct-2015

12-May-2000 DU

EL995208-Jun-2007

0.5CCAD C.C.TEXAS 78419-5260

CH-47D, MH-47D AND MH-47EAIRCRAFT, ONE TIME INSPECTIONOF PITCH HOUSINGS, P/N 145R2075-13/-14/-15/-16

1-1520-240-20-120MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

PITCH HOUSING, AFT 9100268TZ-9821. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 54/6013-Oct-2015

12-May-2000 DU

EL995208-Jun-2007

0.5CCAD C.C.TEXAS 78419-5280

CH-47D, MH-47D AND MH-47EAIRCRAFT, ONE TIME INSPECTIONOF PITCH HOUSINGS, P/N 145R2075-13/-14/-15/-16

1-1520-240-20-120MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

SWASHPLATE ASSY FWD 9100268A841221. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 55/6013-Oct-2015

25-Jan-2002 DU

BB420118-Oct-2012

1CCADSWASHPLATE LOWER SEALRETAINER SELF-LOCKING NUTINSPECTION

CH-47-02-01 TB 1-1520-24MWO:

Priority Mnt Level

05-Jun-2005 DU

BB420118-Oct-2012

1CCADSWASHPLATE ROTATING RINGEDDY CURRENT INSPECTION

CH-47-06-SOF-01 TB 1-15MWO:

Priority Mnt Level

12-Jun-2008 OM

BB420118-Oct-2012

0.5CCADFWD & AFT SWASHPLATE ASSYRETAINING SPACERS

H-47-08-AMAN-04MWO:

Priority Mnt Level

14-Aug-2008 DU

BB420118-Oct-1012

10CCADRECAP REQUIREMENTSDMWR 55-1615-297 / TB 1-MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

SWASHPLATE ASSY FWD 9100268A846841. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 56/6013-Oct-2015

24-Jan-2002 OT

EG564130-Oct-2013

2CCADH-47, SWASHPLATE LOWER SEALRETAINER SELF-LOCKING NUTINSPECTION

SOF CH-47-02-01MWO:

Priority Mnt Level

25-Mar-2002 DR

EG564130-Oct-2013

10CCADRECAPPED55-1615-297 C/7MWO:

Priority Mnt Level

05-Jan-2005 DU

EG564130-Oct-2013

1CCADH-47 SERIES AIRCRAFT,SWASHPLATE ROTATING RING

CH-47-05-SOF-01MWO:

Priority Mnt Level

12-Jun-2008 OR

EG564130-Oct-2013

5CCADSWASHPLATE ASSEMBLYRETAINING SPACERS

CH-47-08-AMAM-04MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

SWASHPLATE ASSY AFT 9100268A8413481. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 57/6013-Oct-2015

30-Apr-1985 DM

FC792929-Jan-2009

10CCADFORWARD AND AFTCONTROLLABLE SWASHPLATEASSMEBLIES; PART NUMBERS145R3551-19 (NSN 1615-01-473-4376),145R3551-20 (NSN 1615-01-475-9838)

55-1615-297MWO:

Priority Mnt Level

24-Jan-2002 OT

FC792929-Jan-2009

2CCADH-47, SWASHPLATE LOWER SEALRETAINER SELF-LOCKING NUTINSPECTION

CH-47-02-01MWO:

Priority Mnt Level

31-Jan-2002 OU

FC792929-Jan-2009

2CCADINSPECTION OF SWASHPLATELOWER SEAL RETAINER SELF-LOCKING NUT ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT

1-1520-240-20-144MWO:

Priority Mnt Level

04-Feb-2004 DU

FC792929-Jan-2009

10CCADALL H-47 CHINOOK AIRCRAFT,SWASHPLATE BEARING, FWD ANDAFT

CH-47-03-01MWO:

Priority Mnt Level

12-Feb-2004 OU

FC792929-Jan-2009

10CCADINSPECTION OF SWASHPLATEBEARING, FORWARD AND AFT ONALL H-47 SERIES AIRCRAFT

1-1520-240-20-152MWO:

Priority Mnt Level

04-Jan-2005 FT

FC792929-Jan-2009

10CCADH-47 SERIES AIRCRAFT,SWASHPLATE ROTATING RING

CH-47-05-SOF-01MWO:

Priority Mnt Level

31-Jan-2005 DU

FC792929-Jan-2009

10CCADREQUIREMENT FOR INITIAL ANDRECURRING EDDY CURRENTINSPECTION FOR ALL FORWARDAND AFT SWASHPLATE ROTATINGRINGS ON ALL CH-47D, MH-47F, MH-47D AND MH-47E AIRCRAFT

1-1520-240-20-156MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

ENGINE ASSY, TURBINE 910026806PGA009341. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 58/6013-Oct-2015

27-Jan-2015 FM

ML39928529-Jan-2015

0.5AASF # 1,FLARNG,JACKSONVILLE,FL 32221

H-47-AMAM-01 ENGINE CHIPDETECTOR

H-47-15-AMAM-01MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

ENGINE ASSY, TURBINE 910026807PGA010751. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 59/6013-Oct-2015

27-Jan-2015 FM

ML39928529-Jan-2015

0.5AASF # 1,FLARNG,JACKSONVILLE,FL 32221

H-47-AMAM-01 ENGINE CHIPDETECTOR

H-47-15-AMAM-01MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

PIDMWODATE HRS

DATEORAPPLYINGMWO TITLEAND MAN

8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.

VIBRATION ABSORBER 9100268YT6581. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER

Report Date: 60/6013-Oct-2015

11-Jun-1997 DR

AA754002-Aug-2011

35CCAD/W0MUAARECAPPEDDMWR 55-1560-275MWO:

Priority Mnt Level

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91

Report Date: 13-Oct-2015 1/1

7500.4

7500.4

9259.722972243.6

13. LOCAL USE

0

c. NEXT PHASE/SCHEDULED INSP DUE AT PID

INSPECTION2 7498.17/14/2015 8:35:51 LAST GENERATION PHASE/SCHEDULED

HOURS COMPLETEDOPERATION SINCE OPERATION TO NEXT DATE COMPLETEDPMD DUEe.b. NEXT PHASE/SCHEDULED INSP (NO.)a. HOURS OF d. HOURS OF

SCHEDULED INSPECTION INFORMATION12.

TOTALOTHER

/ELECT

TODAYARM

032645CURRENT

XHOURSACFT CYCLESAUTOSTD

LANDINGS HSF/AIRCRAFTFLIGHT DATASYSTEM STATUS 11.10.

TOTAL

TODAY

0CURRENT

DATE STARTSHOURSNO. 2NO. 1 HR METER NO. 2NO. 1FRAMEFIRED AIR-

ENGINE HIT READINGS APU HISTORY 8. ROUNDS6. 7. 9. ENGINE STARTS

Summit Aviation

1. AIRCRAFT SERIAL NUMBER 2. MODEL 4. STATION 5. NAME OF CE/MECH3. UIC

9100268 CH-47D K6U666

EDITION OF DEC 66 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

AIRCRAFT STATUS INFORMATION RECORDDA FORM 2408-13 E, OCT 91

PART I - FAULT INFORMATION

9100268 1/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17500.4 O

02A

PHASE INSPECTION was due at 7500.4. Status changed to Red X at7500.4

PID

SYS DATE ACFT HRSNO

X WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 5 01:07:31

HOUR

COMGEN14-Jul-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 27493.1 O

19

AFCT REST FROM NIGHT/NVG/NVD FLT DUE TO PILOTS SIDERADAR ALTIMETER BEING INTERMITTANT AND ERATIC

PID

SYS DATE ACFT HRSNO

V WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 8 06:35:00

HOUR

WB49328308-Jul-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 2/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27208.9 X

00

Operate within the limitations prescribed in the enclosed AWR'sdated: (EAWIS)22Jan12, (EDM)4Nov08R3, (Alt. Maint.)27Aug04,(Ambient Temp)18Jul03, (CMWS)10Apr09, (PRC-117F)20Nov08R4,(ANVIS)10Mar12, (APU Barrier)03Mar05, (Bambi Bucket)01Jun09,(Bubble Window)28Nov03, (CCCS)29 Jun05, (CCHS)20May09, (HoverPower)1Feb07, (Single EDM)4Nov08, (EBC-406HM)13Feb09R1,(EPUSHA)16Oct07, (ERFSII Panel)18Jan08,(ERFSII Roller)12Dec01,(Flare Cable)26Nov03, (Flux Valve)22Jul05, (Magnus)16May12,(Garman GPSMAP)19Jul10, (GPS Product Improv.)12Jan10,(Hud)17Aug06, (IR Strobe)01Nov04, (M240 Gun Mount)08Aug08,(Miltop)12Feb10, (Mod Seal)30Sep05, (Oregon Aero)10Sep09, (P3Check Valve)25Jun09,(PPC Software)15Apr09, (Clam Shell)31Oct05,(Duel EDM)02May12, (MSPU)24Jun12, (Wireless Intercom)17May04.

PID

SYS DATE ACFT HRSNO

V WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 3 09:29:00

HOUR

JS84006611-Mar-2013

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 16956.3 A

04

AIRCRAFT RESTRICTED TO FLIGHT OPERATIONS AT A MAXIMUMOF 100% DUAL ENG. TORQUE I.A.W. SOF CH-47-00-03TB1-1520-240-20-116

PID

SYS DATE ACFT HRSNO

V WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 4 01:50:00

HOUR

PP21389616-Aug-2010

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 3/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17498.1 O

05B01J

INSP A400 - REPLACE HORIZONTAL HINGE PIN BOLT (PN114R2201-1). Due at: 7500.4 Hours. Upgrade to Red X Status on7500.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 2 08:32:05

HOUR

COMGEN14-Jul-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17498.1 O

02

INSP A868 - MSPU (MOD SIG PROCESS UNIT) 10HR/14 DAYDOWNLOAD. Due at: 7503.1 Hours. Upgrade to Red X Status on7504.2 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 3 08:32:05

HOUR

COMGEN14-Jul-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17498.1 X

00

PREVENTIVE MAINTENANCE DAILY

PMS 1 MOD 1 DUE AFTER NEXT MSNDAY

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 4 08:36:00

HOUR

COMGEN14-Jul-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 4/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17493.1 O

09B01A

INSP A092 - 30 DAY SLAB BATTERY INSPECTION ( M8565/11-1).Due at: 17-Jul-2015. Upgrade to Red X Status on 21-Jul-2015

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 1 10:12:00

HOUR

COMGEN09-Jul-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17493.1 O

05

INSP A121 - LUBRICATE FWD AFT SWASHPLATE BEARING. Dueat: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 2 05:16:25

HOUR

COMGEN08-Jul-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17493.1 O

00

INSP A177 - 90 DAY REVIEW/UPDATE OF 365-4 ENTRIES. Due at:21-Jul-2015. Upgrade to Red X Status on 31-Jul-2015

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 3 05:16:25

HOUR

COMGEN08-Jul-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 5/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17493.1 O

05A03A02A

INSP A190 - INSPECT FWD AFT SWASHPLATE ROTATING RING CH-47-07-SOF-1EDDY CURRENT INSPECTION. Due at: 7500.4 Hours. Upgrade toRed X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 2 04:02:48

HOUR

COMGEN02-Jul-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27493.1 O

02

COMPLY WITH REQUIREMENTS OF H-47-15-AMAM-06 ULLS-A (E)LCF CHANGE 67 BY 31 AUG 15

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 1 12:01:00

HOUR

JE56988329-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17493.1 O

06H04B

INSP A040 - VISUAL INSPECT OUTBOARD DRIVE SHAFT LUGSADAPTER. Due at: 7500.4 Hours. Upgrade to Red X Status on7503.0 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 3 11:46:13

HOUR

COMGEN23-Jun-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 6/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17493.1 O

04A08E

INSP A128 - #1 ENGINE DUAL CHIP DETECTOR FOR CONTINUITY.Due at: 7500.4 Hours. Upgrade to Red X Status on 7503.0 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 4 11:46:13

HOUR

COMGEN23-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17493.1 O

04A08E

INSP A129 - #2 ENGINE DUAL CHIP DETECTOR FOR CONTINUITY.Due at: 7500.4 Hours. Upgrade to Red X Status on 7503.0 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 5 11:46:13

HOUR

COMGEN23-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

00

INSP A088 - PERFORM LUBRICATION IAW LUBRICATION CHARTS.Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 10 12:49:31

HOUR

COMGEN19-Jun-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 7/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

04A

INSP A115 - PERFORM ENGINE WATER WASH IAW IETM. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 11 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

05

INSP A121 - SAMPLE LUB FWD AFT SWASHPLATE BEARING. Dueat: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 12 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

06D07

INSP A131 - COMBINING XMSN COOLER FAN VIBRATION TEST.Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 13 12:49:31

HOUR

COMGEN19-Jun-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 8/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

06C01J

INSP A133 - AFT XMSN COOLER FAN VIBRATION TEST. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 14 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

05A03A

INSP A142 - FWD AND AFT SWASHPLATE GREASE SAMPLE. Dueat: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 15 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

00

INSP A180 - PERFORM LUBRICATION REQUIREMENTS IAW LUBECHARTS. Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 16 12:49:31

HOUR

COMGEN19-Jun-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 9/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

05

INSP A182 - INSP FWD AFT SWASHPLATE BEARING IAW SOF CH-47-04-01. Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 17 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

05A03A02A

INSP A190 - INSPECT FWD AFT SWASHPLATE ROTATING RING CH-47-07-SOF-. Due at: 7500.4 Hours. Upgrade to Red X Status on7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 18 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

02C11

INSP A191 - 5000LB TIE DOWN ADAPTER RINGS INSP. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 19 12:49:31

HOUR

COMGEN19-Jun-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 10/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

02C

INSP A196 - #1 #2 ENGINE XMSN FAIRING (WP 0124 OPERATINGSPECIAL TIME INSP 100HR). Due at: 7500.4 Hours. Upgrade to RedX Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 20 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

05A03C

INSP A202 - TORQUE CHECK FWD PITCH LINK BOLTS. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 21 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

05B03B

INSP A204 - TORQUE CHECK AFT PITCH LINK BOLTS. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 22 12:49:31

HOUR

COMGEN19-Jun-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 11/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

04A06A

INSP A210 - PERFORM 50 HR ENGINE DECU DOWNLOAD. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 23 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

06D01

INSP A216 - INSPECT THE COMBINING XMSN COOLING FAN SHAFTPER TASK. Due at: 7500.4 Hours. Upgrade to Red X Status on7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 24 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

06D01

INSP A217 - CHECK COMBINING XMS COOLING FAN SHAFTOUTPUT GEAR SPLIN. Due at: 7500.4 Hours. Upgrade to Red XStatus on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 25 12:49:31

HOUR

COMGEN19-Jun-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 12/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

02C10B02

INSP A262 - INSPECTION OF AFT CONNECTING LINK (TASK 4-37).Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 26 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

00

INSP A264 - PERFORM LUBRICATION REQUIREMENTS IAW LUBECHARTS. Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 27 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

00

INSP A290 - VISUAL INSPECTION OF BEND AREAS APPENDIX D-15THRU D-26. Due at: 7500.4 Hours. Upgrade to Red X Status on7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 28 12:49:31

HOUR

COMGEN19-Jun-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 13/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

05B01L

INSP A365 - INSP HORIZONTAL HINGE PIN BEARING (AFT HEAD).Due at: 7500.4 Hours or 02-Jan-2016. Upgrade to Red X Status on7505.5 Hours or 02-Feb-2016

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 29 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

04A08

INSP A070 - #1 ENGINE OIL SAMPLE. Due at: 7500.4 Hours.Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 3 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

05A01Q

INSP A366 - INSP HORIZONTAL HINGE PIN BEARING (FWD HEAD).Due at: 7500.4 Hours or 02-Jan-2016. Upgrade to Red X Status on7505.5 Hours or 02-Feb-2016

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 30 12:49:31

HOUR

COMGEN19-Jun-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 14/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

00

INSP A370 - PERFORM LUBRICATION REQUIREMENT IAW LUBECHART. Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 31 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

06

INSP A817 - AFT XSMN OIL SAMPLE DUE. Due at: 7500.4 Hours.Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 32 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

06

INSP A818 - FWD XSMN OIL SAMPLE DUE. Due at: 7500.4 Hours.Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 33 12:49:31

HOUR

COMGEN19-Jun-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 15/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

06

INSP A819 - #2 ENG MECHANICAL XSMN OIL SAMPLE DUE. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 34 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

06

INSP A820 - ENG COMBINING XSMN OIL SAMPLE DUE. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 35 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

06

INSP A821 - #1 ENG MECHANICAL XSMN OIL SAMPLE DUE . Dueat: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 36 12:49:31

HOUR

COMGEN19-Jun-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 16/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

04A08

INSP A071 - #2 ENGINE OIL SAMPLE. Due at: 7500.4 Hours.Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 4 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

06C01

INSP A072 - AFT XMSN OIL SAMPLE DUE. Due at: 7500.4 Hours.Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 5 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

06B02

INSP A073 - FWD XMSN OIL SAMPLE DUE. Due at: 7500.4 Hours.Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 6 12:49:31

HOUR

COMGEN19-Jun-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 17/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

06E01

INSP A074 - #2 ENGINE MECHANICAL XMSN OIL SAMPLE DUE.Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 7 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

06D01

INSP A075 - ENGINE COMBINING XMSN OIL SAMPLE DUE. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 8 12:49:31

HOUR

COMGEN19-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17492.4 O

06E01

INSP A081 - #1 ENGINE MECHANICAL XMSN OIL SAMPLE DUE.Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 9 12:49:31

HOUR

COMGEN19-Jun-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 18/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

O 17485.5 O

00

INSP A380 - PERFORM PMS3 CYCLE INSPECTION (PHASE). Dueat: 7500.4 Hours. Upgrade to Red X Status on 7510.5 Hours

PID

SYS DATE ACFT HRSNO

- WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 3 11:06:11

HOUR

COMGEN10-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27493.1 K

19

HUD SDC SN: E01782 REMOVED FOR AIRCRAFT TURN-IN

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

E 1 04:17:00

HOUR

EW87627409-Jul-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27493.1 K

19

TSEC/KY-100 PROCESSOR SN: 7214 REMOVED FOR AIRCRAFTTURN-IN

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

E 2 04:24:00

HOUR

EW87627409-Jul-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 19/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27493.1 K

19

APR-39 PROCESSOR SN: 2792AA REMOVED FOR AIRCRAFT TURN-IN

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

E 3 04:27:00

HOUR

EW87627409-Jul-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27493.1 K

19

KY-58 MOUNT SN: E01698 REMOVED FOR AIRCRAFT TURN-IN

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

E 4 04:30:00

HOUR

EW87627409-Jul-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27493.1 K

19

ARC-220 RT-1749 HF RECEIVER TRANSMITTER SN: 2398AAREMOVED FOR AIRCRAFT TURN-IN

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

E 5 04:32:00

HOUR

EW87627409-Jul-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 20/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27493.1 K

19

KY-58 RCU A-AHP SN: 006100 REMOVED FOR AIRCRAFT TURN-IN

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

E 6 04:35:00

HOUR

EW87627409-Jul-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27493.1 K

19

KY-58 PROCESSOR/TSEC SN: 15504 REMOVED FOR AIRCRAFTTURN-IN

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

E 7 04:37:00

HOUR

EW87627409-Jul-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27493.1 G

19

PILOTS SIDE RADAR ALTIMETER IS INTERMITTANT AND ERATIC

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 7 06:31:00

HOUR

WB49328308-Jul-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 21/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27493.1 X

02

FWD UPPER STEP RELEASE KNOB IS BROKEN OFF. KNOBTHREADS ARE BROKEN OFF IN GUIDE PIN REQUIERING GUIDEPIN TO BE REPLACED.

PARTS ON ORDER / DOC #W81XFC51764201

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 1 02:50:00

HOUR

WB49328324-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27485.5 K

08A05

PILOTS CHRONOMETER BATTERY MOUNT TABS WORN OUT.

DOC # W81XFC51754202 P.O.C.EARL WICKS

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 1 12:33:00

HOUR

EW87627411-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 17477.4 V

07

AFT SWILIVING SERVO # 2 DBA SEEPING

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 3 12:04:00

HOUR

IM57668905-Jun-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 22/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27479.9 X

02

AFT RIGHT SIDE OF LOWER DOG HOUSE HAS TWO MISSINGRIVITS

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 5 04:07:00

HOUR

TW04222705-Jun-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27444 X

02

DOG HOUSE UPPER SCREENS(FWD AND AFT) CRUSHED

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 1 04:44:00

HOUR

MM54368501-May-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27441.4 X

02

C-BOX TOILET BOWL LOOSE AT #1 AND #2 SIDE AFT MOUNTBRACKETS

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 7 12:09:00

HOUR

RD53283530-Apr-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 23/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27441.4 X

02

CRACK IN L- BRACKET, #1 SIDE AFT PYLON

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 8 12:23:00

HOUR

RD53283530-Apr-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27438.5 X

02

C-BOX TOILET BOWL IS CHAFFING IN MULTIPLE PLACES

PART HAS BEEN REQUESTED FROMSUMMIT AVIATION

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 2 09:26:00

HOUR

WB49328323-Apr-2015

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT

G 27438.5 X

02

#6 TUNNEL COVER AND TOILET BOWL ARE CHAFFING CAUSING#6 TUNNEL COVER TO NEED REPAIR WHERE THE TWO MEET

PID

SYS DATE ACFT HRSNO

/ WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

A 3 09:28:00

HOUR

WB49328323-Apr-2015

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

PART I - FAULT INFORMATION

9100268 24/2413-Oct-2015CH-47D

2. MODEL1. AIRCRAFT SERIAL NUMBER

PART II - CORRECTING INFORMATION

4. PAGE3. DATE

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT PID

SYS DATE ACFT HRSNO

WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

HOUR

DELAY WUC

ACFT HRS MAL EFF

TIPID TI MAN-HOURS

PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT PID

SYS DATE ACFT HRSNO

WUC

FAULT/REMARKS:

ROUNDS ACT CODE

STATUS DATE TIMEPIDTIME

ACTION TAKEN:

HOUR

DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD

Report Date: 13-Oct-2015 Page 1 of 1

12. CAT 13. MMH8. STATUS 9. RELATED MAINTENANCE ACTIONS 10. ACTION TAKEN 11. PID

PREVENTIVE MAINTENANCE DAILY

7. FAULT

CH-47D 414-Jul-20154 6. FAULT NUMBER5. FAULT DATE

2. SERIAL NUMBER AMDS 3. SYSTEM CODE1. STATUS 4. TIME9100268

PERFORM INSPECTION PRIOR TO FLIGHT PER APPENDIX B,PARAGRAPH 2A(1) AND 2A(12) REQUIRED BY THE ENCLOSEDAWR DATED 05-NOV-09. (BLUE FORCE TRACKING)4PERFORM DAILY VISUAL INSPECTION REQUIRED BY THEENCLOSED AWR DATED 05-NOV-09. (BLUE FORCETRACKING)4DAILY VISUAL INSP OF # 1 & # 2 ECU INSTALLATIONS FORPROGRESSIVE AIRCRAFT STRUCTURAL DETERIORATION.4PERFORM VISUAL INSPECTION AS REQUIRED BY ENCLOSEDAWR, DTD 13 FEB 09.(ELT)4

DA FORM 2408-13-2, NOV 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-13-2 E, OCT 97 RELATED MAINTENANCE ACTIONS RECORDS

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 1 of 7513-Oct-2015

1/111TH GSABH-47-15-SOF-02, SOF TECHNICAL FWD, AFT,COMBINING AND ENG XSMS C/W @ 7486.1ACFT HRS.

16-Jun-2015 1

JACKSONVILLE, FL

RW500223

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 2 of 7513-Oct-2015

1108TH AVCRADCOMPLIED WITH THE REQUIREMENTS OF H-47-09-AMAM-03 HELON HANDHELD FIREEXTINGUSHER

07-Oct-2009 1

MERIDIAN MS 39304

JP830124

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 3 of 7513-Oct-2015

1108TH TASMGH-47-13-AMAM-04, LEGITIMATE CODE FILE(LCF) CHANGE 64 REQUIREMENTS COMPLIEDWITH

04-Nov-2013 1

GULFPORT, MS

JS191142

1108TH TASMGACE/OCM PERFORMED AT 7300.5 ACFT. HRS.BY TEAM MEMBERS UU & QQ AMCOM RASM-C

22-Nov-2013 1

GULFPORT, MS. 39505

KS372668

1108TH TASMGPMS 2 (200 HR) WAS COMPLETED @ 7304.2ACFT HRS. NEXT INSP DUE IS PMS4 (400 HR)@ 7504.2 ACFT HRS.

13-Jan-2014 1

GULFPORT, MS

JS191142

1108TH TASMGH-47-13-ASAM-06, REPLACE AFT UPPERBBOOST PIVOTING SERVOCYLINDER MOUNTFASTENERS COMPLIED WITH

07-Feb-2014 1

GULFPORT, MS

JS191142

1108TH TASMGCOMPLIED WITH H-47-14-AMAM-02 @ 7309.7ACFT HOURS (LCF CHANGE 65REQUIREMENTS)

07-Mar-2014 1

GULFPORT, MS

JS191142

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 4 of 7513-Oct-2015

1109TH AVCRADSOF CH-47-02-05/ TB 1-1520-240-20-146; ONETIME INSPECTION OF ALL TIE BARASSEMBLIES FOR SERVICEABILITY ANDCHANGE OF O/H AND RETIREMENT TIME C/W@ 5533.9 ACFT. HRS. (DO7847)

25-Mar-2002 1

GROTON, CT.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 5 of 7513-Oct-2015

1-111TH AVN GSABAIRCRAFT RELOCATED TO FT HOOD TX FORPREPARATION OF OPERATION NEW DAWN @7055.0 ACFT.HRS

01-Sep-2011 1

LONGHORN AAF NORTHFT HOOD TX.

DR536665

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 6 of 7513-Oct-2015

AASFACFT PICKED UP AT BOEING HELICOPTER,PHILA, PA. BY AASF, MERIDIAN, MS. ON 24NOV 92 AT 4354.6 ACFT. HRS. ENTERED BYB.A. GIBSON, T.I., AASF, MERIDIAN, MS.(BG8488)

24-Nov-1992 1

MERIDIAN, MS.

BT020392

AASFCH-47-93-ASAM-03; ONE TIME INSP. OF HYD.PUMP, NSN 1650-01-240-4341, C/W 15 MAR 93AT 4413.0 ACFT. HRS. AT AASF, MERIDIAN,MS. S/ B.A. GIBSON, T.I. (BG8488)

17-May-1993 1

MERIDIAN, MS.

BT020392

AASFCH-47-93-ASAM-02, INSP OF HI-LOCKFASTENERS AT FUSELAGE STATION 83 TO120 ENTERED AT AASF, MERIDIAN, MS. S/ B.A.GIBSON, T.I. (BG8488)

01-Jun-1993 1

MERIDIAN, MS.

BT020392

AASFSOF CH-47-93-03, RECORDS CHECK OFENGINE TRANSMISSIONS P/N 145D6300SERIES TO IDENTIFY UNSERVISEABLETRANSMISSIONS C/W. (BG8488)

19-Jul-1993 1

MERIDIAN, MS.

BT020392

AASFPHASE #1 COMPLETED AT 4539.9 ACFT. HRS.NEXT PHASE NO. 2 DUE AT 4739.9 ACFT. HRS.(BG8488)

30-Sep-1993 1

MERIDIAN, MS.

BT020392

AASFCH-47-94-ASAM-01, ON TIME AND RECURRINGINSP OF ROTARY WING HEAD BUSHINGS (TB1-1520-240-20-67) C/W AT 4561.1 ACFT. HRS.(BG8488)

28-Oct-1993 1

MERIDIAN, MS.

BT020392

AASFCH-47-94-ASAM-02, AMMENDMENT TO CH-47-94-ASAM-01 (BG8488)

04-Nov-1993 1

MERIDIAN, MS.

BT020392

AASFCH-47-94-ASAM-03, MAINTENANCEMANDATORY, ONE TIME AND RECURRINGINSP OF CERTAIN RIGID CONNECTING LINKS,P/N 145C3340-10 UNTIL REPLACEMENT (TB 1-1520-240-20-68) (BG8488)

26-Jan-1994 1

MERIDIAN, MS..

BT020392

AASFCH-47-94-ASAM-04, ONE TIME INSP OF PILOTSAND COPILOTS SEAT BELT BUCKLE C/W ATAASF, MEI. (BG8488)

17-Feb-1994 1

MERIDIAN, MS..

BT020392

AASFCH-47-94-ASAM-06, ONE TIME ANDRECURRING INSP OF HYD PUMPING UNIT, C/WAT AASF, MEI. (BG8488)

03-May-1994 2

MERIDIAN, MS..

BT020392

AASFCH-47-94-ASAM-05, ONE TIME INSP OF 5000 LBTIE DOWN RECEPTACLE ASSY C/W AT AASF,MEI. (BG8488)

03-May-1994 1

MERIDIAN, MS..

BT020392

AASFSOF CH-47-95-01, ONE TIME VISUAL INSP OFUPPER BOOST ACT S/N'S TO ENSUREPROPER SREWS ARE INSTALLED (TB 1-1520-243-20-2) C/W AT 4739.6 ACFT.HRS. (BG8488)

14-Dec-1994 1

MERIDIAN, MS..

BT020392

AASFCH-47-95-ASAM-01, ONE TIME ANDRECURRING DAILY INSPECTION OF THRUSTIDLER ASSY (TB 1-1520-243-20-1) C/W AT4739.6 HRS. (BG8488)

04-Jan-1995 1

MERIDIAN, MS..

BT020392

AASFOCM/ ACE PERFORMED AT 4740 ACFT HRS ATMERIDIAN, MS. BY "W", OCM SECTION, STLOUIS, MO. (AB0000)

09-Jan-1995 1

MERIDIAN, MS..

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 7 of 7513-Oct-2015

AASFCH-47-95-ASAM-02, ONE TIME TORQUE CHECKOF PTU MOTOR PUMP NUTS, TB 1-1520-243-20-4, C/W AT 4739.6 HRS. (BG8488)

08-Feb-1995 1

MERIDIAN, MS..

BT020392

AASFPHASE #2 COMPLETED AT 4739.6 ACFT. HRS.PHASE #3 DUE AT 4939.6 ACFT. HRS. (BG8488)

13-Feb-1995 1

MERIDIAN, MS..

BT020392

AASFCH-47-95-ASAM-04, ALL CH-47DHELICOPTERS, ONE TIME INSP FORSTRATOPOWER PUMPS NSN: 1650-01-249-4341 AND REPORTING FOR TURN AROUNDPROGRAM (TB 1-1520- 240-20-75) AT 4778.6ACFT. HRS. (BG8488)

31-Mar-1995 1

MERIDIAN, MS..

BT020392

AASFSOF CH-47-95-02, ONE TIME VISUAL INSP ANDTORQUE CHECK OF LOWER DRIVE LINK TOSWASHPLATE RETAINING HARDWARE AT4817 ACFT HRS. (BG8488)

12-May-1995 1

MERIDIAN, MS.

BT020392

AASFCH-47-95-ASAM-05, INSP. AND LUBRICATIONOF THE FLT CONTROL ROD END BEARINGS(ROLLING ELEMENT) TB 1- 1520-240-20-77 AT4852.7 ACFT. HRS. (BG8488)

02-Jun-1995 1

MERIDIAN, MS.

BT020392

AASFCH-47-95-ASAM-06, REVISION TO CH-47-95-ASAM-05 (TB 1-1520-240-20-77) AT 4933.0ACFT. HRS. (BG8488)

05-Sep-1995 1

MERIDIAN, MS.

BT020392

AASFCH-47-95-ASAM-07, ALL CH-47D ACFT,ONETIME RECORDS CHECK FOR MWO 1-1520-240-50-69, REINSTALLATION OF MWO 1-1520-240-50-69FOR ROTOR HEADS MODIFIED INEUROPE AND RECURRING VISUAL INSP. FORSLIPPED BUSHINGS AND OR CRACKED PITCHHOUSING LUGS FOR HEAD WITH MWO 1-1520-240-50-69 APPLIED (TB 1-1520-240- 20-79) AT4934.9 ACFT. HRS. (BG8488)

21-Sep-1995 1

MERIDIAN, MS.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 8 of 7513-Oct-2015

AASF - DVNAVIATION VIBRATION ANALYZER (AVA)SINGLE CAMARA BRACKET IS AUTHORIZEDFOR USE ON ALL CH-47D HELICOPTERS PERTHE LIMITATIONS AND RESTRICTIONS OFAWR TTS 54785 DATED 26 MAR 2008. THISAWR TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATERAWR, WHICHEVER OCCURS FIRST.

31-Oct-2011 5

Davenport, IA

SG507187

AASF - DVNAUTHORIZATION TO USE MILTOPE MSDLAPTOP COMPUTER TO CONDUCT ENGINETROUBLESHOOTING BY MONITORING ENGINEPARAMETERS FROM THE DEGITIALELECTRONIC CONTROL UNIT (DECU) ON T55-GA-714A ENGINES IAW AWR TTS 27259BDATED 09 NOV 09 R2. THIS AWRSUPERCEDES AWR TTS 27259A DATED 28AUG 09 AND TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER MILTOPE MSD AWR, WHICHEVEROCCURS FIRST.

31-Oct-2011 4

Davenport, IA

SG507187

AASF - DVNELECTRICALLY POWERED HYDRAULICACCUMULATOR PUMP INSTALLED. ACFT ISAUTHORIZED TO BE OPERATED WITHIN THELIMITATIONS AND RESTRICTIONS PER AWRTTS 49400 DATED 16 OCT 2007 R1. THIS AWRSUPERSEDES AWR TTS 39748 DATED 17 JAN2007 AND TERMINATES UPON ISSUANCE OF ALATER REVISION TO THIS AWR OR CHANGESIN CONFIGURATION TO THE SUBJECTEQUIPMENT.

31-Oct-2011 3

Davenport, IA

SG507187

AASF - DVNAN/AVS-6 SERIES NIGHT VISION GOGGLES(NVG'S) ARE AUTHORIZED FOR USE ON ALLCH-47D HELICOPTERS PER THE LIMITATIONSAND RESTRICTIONS OF AWR TN 93334 DATED10 MAR 2011. THIS AWR SUPERSEDES AWRDATED 26 JUN 2006 AND TERMINATES UPONCHANGES IN CONFIGURATION OF THESUBJECT EQUIPMENT, OR UPON ISSUANCEOF A LATER AWR FOR THE SUBJECTEQUIPMENT, WHICHEVER OCCURS FIRST.

31-Oct-2011 2

Davenport, IA

SG507187

AASF - DVN1GARMIN GPSMAP 696, 496, 396, 296, AND 295ARE AUTHORIZED FOR USE ON ALL CH-47DHELICOPTERS PER THE LIMITATIONS ANDRESTRICTIONS OF AWR TTS 48553A DATED 19JULY 2010 R1. THIS AWR SUPERSEDES AWR48553 DATED 5 OCT 2007 AND TERMINATESUPON CHANGES IN CONFIGURATION OF THESUBJECT EQUIPMENT OR UNTILSUPERSEDED OR REVOLKED, WHICHEVEROCCURS FIRST.

31-Oct-2011 1

Davenport, IA

SG507187

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 9 of 7513-Oct-2015

AASF - DVNAN/ASN-128D DGNS CONFIGURED WITHSOFTWARE SUITE B, C, AND D INSTALLED.ACFT IS AUTHORIZED TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 98912A DATED 12 MAR 2012.THIS AWR SUPERSEDES AWR TN 98912DATED 4 AUG 2011. THIS AWR IS TERMINATEDON 12 MAR 2013 OR UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER AWR FOR THE SUBJECT EQUIPMENT,WHICHEVER OCCURS FIRST.

03-Apr-2012 2

Davenport, IA

SG507187

AASF - DVNH-47-11-ASAM-03 ALL H-47 SERIES AIRCRAFT,CORRODED CONNECTING LINKS, C/W AT7104.2 ACFT HOURS

03-Apr-2012 1

Davenport, IA

SG507187

AASF - DVNH-47-11-AMAM-04 ALL CH-47D AND UH-60A/LSERIES AIRCRAFT, AN-ASN-128D DOPPLERAND AVIATION MISSION PLANNING SYETEM(AMPS) SOFTWARE UPGRADE, C/W AT 7104.2ACFT HOURS.

26-Apr-2012 1

Davenport, IA

SG507187

AASF - DVNDUAL ELECTRONIC DATA MANAGER (EDM)AND ENCRYPTED BLUE FORCE TRACKING(EBFT) SYSTEM WITH GPS MESSAGE ROUTER(GMR) AND KGV-72 ENCRYPTION DEVICEINSTALLED. AIRCRAFT IS TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 106093 DATED 02 MAY 12. THISAWR TERMINATES ON 31 OCT 2013, UPONTRANSFER OF THE HELICOPTER, CHANGESIN CONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER SUPERSEEDING AWR, WHICHEVEROCCURS FIRST.

16-May-2012 2

Davenport, IA

SG507187

AASF - DVNH-47-12-AMAM-02, ALL H-47 SERIESAIRCRAFT, TRANSMISSION OIL SAMPLEINTERVAL CHANGE. C/W AT 7110.9 ACFTHOURS.

29-May-2012 1

Davenport, IA

SG507187

AASF - DVNNCS MAGNUS MODEL RNM101 LAPTOP ISAUTHORIZED TO BE OPERATED ONBOARDCH-47D AND CH-47F HELICOPTERS DURINGAIRCRAFT FLIGHTS AND GROUNDMAINTENANCE OPERATIONS WITHIN THELIMITATIONS AND RESTRICTIONS PER AWR16 MAY 2012 R1. THIS AWR SUPERSEDESAWR 83544 DATED 21 JUNE 2010. THIS AWR ISTERMINATED UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, UPON ISSUANCE OF A LATERAWR, OR 15 JUNE 2014, WHICHEVER COMESFIRST.

21-Jun-2012 2

Davenport, IA

SG507187

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 10 of 7513-Oct-2015

AASF - DVNAIRCRAFT WIRELESS INTERCOM SYSTEM(AWIS)/ ENCRYPTED AIRCRAFT WIRELESSINTERCOM SYSTEM (EAWIS) INSTALLED.ACFT IS AUTHORIZED TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 107597 DATED 21 JUN 12. THISAWR TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ASUPERSEDING AWR, WHICHEVER OCCURSFIRST.

21-Jun-2012 1

Davenport, IA

SG507187

AASF - DVNMODERNIZED SIGNAL PROCESSING UNIT(MSPU) INSTALLED. ACFT IS AUTHORIZED TOBE OPERATED WITHIN THE LIMITATIONS ANDRESTRICTIONS PER AWR DATED 24 JUL 12R15. THIS AWR SUPERSEDES AWR TTS 41283REVISION 14 DATED 26 MAY 10. THIS AWR ISTERMINATED UPON CHANGE INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER AWR, WHICHEVER OCCURS FIRST.

16-Aug-2012 3

Davenport, IA

SG507187

AASF - DVNH-47-12-ASAM-01, ALL H-47 SERIESAIRCRAFT, YAW INTEGRATED LOWERCONTROL ACTUATOR INPUT CONTROLHARDWARE / HYDRAULIC PRESSURE TUBECLEARANCE C/W AT 7181.9 ACFT HOURS.

16-Aug-2012 1

Davenport, IA

SG507187

AASF - DVNH-47-12-AMAM-04, ALL H-47 SERIESAIRCRAFT, FULL AUTHORITY DIGITAL ENGINECONTROLS (FADEC) EMERGENCYPROCEDURE CHANGE C/W AT 7181.9 ACFTHOURS.

13-Sep-2012 1

Davenport, IA

SG507187

AASF - DVNNSPECTION OF #2 ENGINE SN: 06PGA009344TH STAGE POWER TURBINE ROTORLOCKING CUP FOR CORROSION AND CRACKSWAS COMPLETED AT 7104.2 ACFT HOURSIAW AWR DATED 9 MAR 2012 T55-GA-714AENGINE TBO EXTENSION (TTS 107314).POWER TURBINE LOCKING CUP WASREPLACED WITH PN: 2-141-222-08.

09-Oct-2012 2

Davenport, IA

SG507187

AASF - DVNINSPECTION OF #1 ENGINE SN: 07PGA010754TH STAGE POWER TURBINE ROTORLOCKING CUP FOR CORROSION AND CRACKSWAS COMPLETED AT 7104.2 ACFT HOURSIAW AWR DATED 9 MAR 2012 T55-GA-714AENGINE TBO EXTENSION (TTS 107314).POWER TURBINE LOCKING CUP WASREPLACED WITH PN: 2-141-222-08.

09-Oct-2012 1

Davenport, IA

SG507187

AASF - DVNAIRCRAFT WIRELESS INTERCOM SYSTEM(AWIS)/ENCRYPTED AIRCRAFT WIRELESSINTERCOM SYSTEM (EAWIS) INSTALLED.AIRCRAFT IS AUTHORIZED TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 107597B DATED 07 AUG 12 R1.THIS AWR TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ASUPERSEDING AWR, WHICHEVER COMESFIRST.

11-Dec-2012 1

Davenport, IA

SG507187

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 11 of 7513-Oct-2015

AASF - DVNAIRCRAFT WIRELESS INTERCOM SYSTEM(AWIS) ENCRYPTED AIRCRAFT WIRELESSINTERCOM SYSTEM (EAWIS) INSTALLED.AIRCRAFT IS AUTHORIZED TO BE OPERATEDWITHIN TH LIMITATIONS AND RESTRICTIONSPER AWR TN 107597C DATED 22 JAN 13 R2.THIS AWR TERMINATES UPONCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ASUPERSEDING AWR, WHICHEVER OCCURSFIRST.

01-Feb-2013 1

Davenport, IA

SG507187

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 12 of 7513-Oct-2015

AASF # 1, FLARNGH-47-15-AMAM-01) ENGINE CHIP DETECTOR,COMPLIED WITH @ 7392 A/C HRS. (ML399295)

29-Jan-2015 1

JACKSONVILLE, FL

ML399285

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 13 of 7513-Oct-2015

AASF # 3 / B CO 1/111THAVN

CH-47-06-ASAM-01: INSPECTION OF ALL 4UBA'S FOR SWAPPED END CAPS (RETURNPORT). (AB2458)

09-Jan-2006 1

MERIDIAN, MS

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 14 of 7513-Oct-2015

AASF # 3 / B CO.1/111TH AVN

CH-47-06-SOF-02: INSPECT APU FOR PN160150-10A C/W @6330.2 ACFT HRS.

14-Feb-2006 1

MERIDIAN, MS

BT020392

AASF # 3 / B CO.1/111TH AVN

CH-47-06-ASAM-02 (CH-47 SERIES AIRCRAFT,M24/M240H CAM FOLLOWER (AB2458)

27-Feb-2006 1

MERIDIAN, MS

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 15 of 7513-Oct-2015

AASF # 3 B CO. 1/111THAVN

CH-47-06-SOF-01: INSPECT ALL M24 DOORMOUNTED GUN MOUNTS. C/W @ 6330.2 ACFTHRS. (AB2458)

17-Jan-2006 1

MERIDIAN, MS

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 16 of 7513-Oct-2015

AASF #1AIRCRAFT TRANSFERRED IAW TM55-1500-238-25 AT 7193.8 ACFT HRS. FROM B CO. 2-211THAVN. GSAB (WP7TBO) TO B CO. 3-238TH GSAB(WTQVBO) ON 22 FEB 2013.

22-Feb-2013 1

NORTH CANTON, OH44720

JS840066

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 17 of 7513-Oct-2015

AASF #1 1/111TH AVNGSAB

H-47-15-AMAM-02) IDENTIFICATION OFAVIATION SURVIVABILITY EQUIPMENTCOMPLIED WITH @ 7404.4 ACFT HRS

17-Feb-2015 1

JACKSONVILLE, FL

RW500223

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 18 of 7513-Oct-2015

AASF #1 FLARNGAASF #1 FLARNG TRANSFERRED AIRCRAFT9100268 TO SUMMIT AVIATION FORINDUCTION INTO CH-47F MODEL PROGRAM @7493.1 ACFT. HRS

15-Jul-2015 1

JACKSONVILLE, FL32221

DR536665

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 19 of 7513-Oct-2015

AASF #3COMPLIED WITH REQUIREMENTS OF H-47-08-AMAM-03(DOPPLER GPS NAVIGATION SET

27-Mar-2008 1

MERIDIAN MS 39304

PP213896

AASF #3H-47-11-AMAM-03 UNIT LEVEL LOGISTICSSYSTEM - AVAITION (ENHANCED) (ULLS-A(E))INTEGRATED MATERIEL MANAGEMENTCENTER (IMMC) LEGITIMATE CODE FILE (LCF)CHANGE 62 REQUIREMENTS C/W AT 7104.2ACFT HOURS.

21-Oct-2011 1

Davenport, IA

SG507187

AASF #3H-47-12-SOF-01 ALL H-47 SERIES AIRCRAFT,DIGITAL ELECTRONIC CONTROL UNIT (DECU)RECALL, C/W AT 7104.2 ACFT HOURS.

23-Nov-2011 1

DAVENPORT, IA

SG507187

AASF #3PMS 3 (400 HR) WAS COMPLETED OUTSIDEOF THE WINDOW AND CONDUCTED @ 7104.2ACFT HRS. NEXT INSP DUE IS PMS2 (200 HR)@ 7304.2 ACFT HRS.

02-May-2012 1

Davenport, IA

RG546546

AASF #3MEC #F152009 ONE TIME AUTHORIZATIONFOR THE MO-TASMG TO REPLACE RH STRAP@ STA. 482, W/L 40, B/L 43R.

30-Aug-2012 1

Davenport, IA

RG546546

AASF #3H-47-13-ASAM-03, ALL CH-47 SERIESAIRCRAFT, INFRARED SUPPRESSOR SYSTEMC/W @ 7196.3 AIRCRAFT HOURS.

18-Dec-2012 2

Davenport, IA

RG546546

AASF #3H-47-13-ASAM-02, ALL H-47 AIRCRAFT, MID-CABIN HATCH CARGO HOOK. INITIALREPORTING COMPLETED @ 7196.3 AIRCRAFTHOURS. UNIT HAS DECIDED NOT TOPROCURE THE REPLACEMENT RESCUEHOOK AND HARDWARE.

18-Dec-2012 1

Davenport, IA

RG546546

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 20 of 7513-Oct-2015

AASF #3AIRWORTHINESS RELEASE FOR FLIGHTOPERATIONS ON US ARMY CH-47DHELICOPTERS WITH T55-GA-714A ENGINESDTD 2 APR 03

15-Mar-2007 1

MERIDIAN MS

AA821847

AASF #3COMPLIED WITH ASAM: [email protected] ACFT. HOURS (CORRODEDCONNECTING LINKS)

26-Nov-2012 1

Davenport, IA

RG546546

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 21 of 7513-Oct-2015

AASF #3 / B CO.1/111ATH AVN

CH-47-06-SOF-SOF-03: TEMPORARY FLIGHTRESTRICTION DUE TO AFT BLADE FIBERDISTORTION. C/W 6330.2 ACFT HRS. (AB2458)

08-Mar-2006 1

MERIDIAN, MS

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 22 of 7513-Oct-2015

AASF #3 / B,CO. 1/111THAVN

CH-47-06-ASAM-03 (AFT LONGITUDINALCYCLIC TRIM (LCT) ACTUATOR) CW @6337.3ACFT HRS ON 12 MAY 2006

11-May-2006 1

MERIDIAN, MS

AB302458

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 23 of 7513-Oct-2015

AASF 3PHASE 1-4 COMPLETED BY RESET TEAMOLR/LSI FT LEWIS WA. AT 6330.2 ACFT HRS,NEXT PHASE DUE AT 6530.2 ACFT HRS

15-Jun-2006 1

MERIDIAN MS

JD415449

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 24 of 7513-Oct-2015

AASF DAVENPORT#1 AND #2 AIRFRAME FWD ENGINE MOUNTNDI INSPECTION COMPLETED. #1 AND #2ENGINE MOUNT DRAG LINK INSPECTIONCOMPLETED. THESE INSPECTIONS WERECONDUCTED @ 7104.2 ACFT HOURS.

23-Jan-2012 1

Davenport, IA

RG546546

AASF DAVENPORTMEC # F139922A, AUTHORIZATION FOR MO-TASMG TO REPAIR INBOARD ENGINE MOUNTLUG ON THE #1 ENGINE SIDE OF THEAIRFRAME. THE FORWARD/INBOARD LUG (BLUG) HAS A GOUGED AREA ON THE INBOARDSPOT FACE. THE DAMAGED LUG AND SLEEVEWILL BE REPAIRED IAW THIS MEC AND DMWR1-1520-240 DATED 25 JAN 2005.

22-Feb-2012 1

Davenport, IA

RG546546

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 25 of 7513-Oct-2015

AASF MERIDIANCH-47-02-ASAM-01/TB 1-1520-240-20-142; ONETIME INSPECTION OF TUNNEL COVERSTRUTS C/W @ 5502.8 ACFT HOURS. (CM6742)

09-Oct-2001 1

MERIDIAN, MS

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 26 of 7513-Oct-2015

AASF MERIDIAN,MSCH-47-05-ASAM-03 COMPLIED WITH @ 6213ACFT. HRS. ON 20050722 (TE7467)

23-Jul-2005 2

MERIDIAN,MS

BT020392

AASF MERIDIAN,MSCH-47-05-ASAM-02 COMPLIED WITH @ 6213ACFT. HRS. ON 20050721 (TE7467)

23-Jul-2005 1

MERIDIAN,MS

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 27 of 7513-Oct-2015

AASF#1AIRCRAFT TRANSFERED IAW TM 1-1500-328-23 FROM MISSISSIPPI NATIONAL GUARD TOFLORIDA NATIONAL ON 12 JUN 14 @ 7328.2A/C HOURS

13-Jun-2014 1

JACKSONVILLE, FL

MC437003

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 28 of 7513-Oct-2015

AASF#1MEC# F199630 COMPLETED @ 7444 A/CHOURS. DURING A POST FLIGHT INSP. ANOUT OF ROUND CONDITION WAS FOUND ATTHE #2 UPPER IDLER ARM LUG (STA 200)THAT ACCEPTS BUSHING NAS 75-5-008 ONSTRINGER (PN 114S2503-163). THE LARGESTMEASUREMENT ACROSS THE ELONGATION IS.440 WHICH IS OUT OF TOERANCE.

08-May-2015 1

JACKSONVILLE, FL

MC437003

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 29 of 7513-Oct-2015

AASF#1 FLARNGH-47-15-AMAM-03) PILOT CYCLIC WIREHARNESS FOR CHRONOLOGICAL ORDERONLY

26-May-2015 1

JACKSONVILLE, FL

JE569883

AASF#1 FLARNGH-47-15-AMAM-05) STEP CABLEREPLACEMENT FOR CHRONOLOGICALORDER ONLY

15-Jun-2015 2

JACKSONVILLE, FL

JE569883

AASF#1 FLARNGH-47-15-AMAM-04) COCKPIT VOICE DATARECORDER UPGRADE FOR CHRONOLOGICALORDER ONLY

15-Jun-2015 1

JACKSONVILLE, FL

JE569883

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 30 of 7513-Oct-2015

AASF#1 FLARNGH-47-14-AMAM-03) ULLSA(E) ALC LCFCHANGE 66 COMPLIED WITH

27-Aug-2014 1

JACKSONVILLE, FL

JE569883

AASF#1 FLARNGH-47-15-SOF-01) DRIVE SHAFT TUNNELCOVER HINGE ASSEMBLY COMPLIED WITH @7438.5 ACFT HRS.

09-Apr-2015 1

JACKSONVILLE, FL

JE569883

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 31 of 7513-Oct-2015

AASF#1 1/111TH AVNPMS2 (200 HR) COMPLETED AT 7300.5 ACFTHRS PER END ITEM ADMIN SCREEN.MULTIPLE PHASE COMPLETED 13-1 ENTRIES(22 AUG 13, 17 OCT 13, 17 JAN 14, 22 JAN 14,AND 23 JAN 14) MULTIPLE COMPLETED ACFTTIMES NOTED FOR PHASE COMPLETION.NEXT PHASE DUE @ 7500.5 ACFT HRS. A-460 -18 INSPECTION ( INSPECT FUEL TANKASSEMBLIES ) COMPLETED DURING PHASEINSPECTION. NEXT A-460 DUE @ 8500.5 ACFTHRS.

27-Jun-2014 1

JACKSONVILLE, FL

RW500223

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 32 of 7513-Oct-2015

AASF#1 OHIOCOMPLIED WITH GEN-13-AMAM-02, UPDATEDOF THE ULLS-A LCF @7197.8 AIRCRAFTHOURS.

20-Mar-2013 1

NORTH CANTON, OH44720

JS840066

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 33 of 7513-Oct-2015

AASF#3CH-47-06-SOF-05 FWD ROTOR BLADE S/NCHECK COMPLIED WITH @ 6374.0 ACFT HRS

23-Aug-2006 1

MERIDIAN,MS

PP213896

AASF#3CH-47-070ASAM-01 ARC-220/KY-100 START-UPPROCEDURES C/W @ 6405.0 ACFT HRS.

17-Jan-2007 1

MERIDIAN,MS

PP213896

AASF#3CH-47-07-SOF-02 SUSPECT ROTOR BLADESS/N CHECK COMPLIED WITH @ 6404.8 ACFTHRS

24-Jan-2007 1

MERIDIAN,MS

PP213896

AASF#3CH-47-07-ASAM-02,RIGID CONNECTINGLINKS,COMPLIED WITH @ 6404.8 ACFT HRS.

05-Mar-2007 1

MERIDIAN,MS

PP213896

AASF#3CH-47-07-SOF-03 SUSPECT ROTOR BLADESCOMPLIED WITH @ 6440.1 ACFT HRS.

28-Sep-2007 1

MERIDIAN,MS

PP213896

AASF#3AWR FOR CH-47D HELICOPTERS TOCONDUCT FLIGHT OPERATIONS WITH THEOREGON AERO,INC,PILOT/CO-PILOT SEATCUSHION PART#34MCHOF INSTALLED(DATED7 DEC 07)

06-Jan-2008 1

MERIDIAN MS 39304

PP213896

AASF#3EMC COMPLETED FOR AWR TO AUTHORIZEUSE OF GARMAN GPSMAP 496,396,296,&295ON ALL CH-47D HELICOPTERS(AWR 48553)

01-Feb-2008 1

MERIDIAN MS 39304

PP213896

AASF#3EMC COMPLETED FOR AWR FOR OPERATIONOF CH-47D HELICOPTERS WITH ERFS 2 FUELCONTROL PANEL (P/N HM022-367-11)INSTALLED (TTS 42779A)

01-Mar-2008 1

MERIDIAN MS 39304

PP213896

AASF#3200 HR. CYCLE SERVICE COMPLETED @6528.1 ACFT HRS.NEXT SERVICE DUE 400HR.PMS @6728.1 ACFT HRS.

23-May-2008 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-09-SOF-02 ENG DRIVE SHAFT AND ADAPTERSTIME CHECK

17-Dec-2008 1

MERIDIAN MS 39304

PP213896

AASF#3AWR FOR INSTALLATION OF EBC-406HMEMERGENCY LOCATOR TRANSMITTER DATED13 FEB 09

12-Mar-2009 1

MERIDIAN MS 39304

PP213896

AASF#3400 HR. CYCLE SERVICE COMPLETED @6728.1 ACFT. HRS. NEXT SERVICE DUE 200HR.PMS @ 6928.1 ACFT. HRS.

15-May-2009 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-09-AMAM-02,AFT SLIDER SHAFT ASSEMBLYRETIREMENT LIFE.

17-Jul-2009 1

MERIDIAN MS 39304

PP213896

AASF#3AWR FOR CH-47D HELICOPTERS TONCONDUCT FLIGHT OPERATIONS WITHOREGON AERO,PILOT/CO-PILOT SEATCUSHION PART#34MCHOF INSTALLED (TTS48786,REV B)

07-Aug-2009 1

MERIDIAN MS 39304

PP213896

AASF#3AWR FOR CH-47D/F HELICOPTERS TOCONDUCT FLIGHT OPERATIONS WITHOREGON AERO,PILOT/CO-PILOT SEATCUSHION PART NUMBER 34MCHOF AND/OR31046-1-A1 INSTALLED(TTS 71417A)

23-Sep-2009 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-09-AMAM-03(HALON HAND HELD FIREEXTENGUISHER)

07-Oct-2009 2

MERIDIAN MS 39304

PP213896

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 34 of 7513-Oct-2015

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-AMAM-02,(ULLS-AE CHG. 60B)

08-Dec-2009 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIANCE WITH REQUIREMENTS H-47-10-ASAM-02 (FORWARD PYLON HYDRAULIC LINECLAMPING)

04-Jan-2010 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-AMAM-03 NLT 29 MAR 10. FWD ROTOR HUBRETIREMENT.

16-Mar-2010 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-AMAM-04. SLIDER SHAFT RETIREMENT.

07-Apr-2010 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-ASAM-04. CHROMALLOY ROTOR HUB.

16-Jul-2010 1

MERIDIAN MS 39304

PP213896

AASF#3200 HR. SERVICE COMPELTED @ 6928.1 ACFT.HRS. ,NEXT SERVICE DUE 400 HR [email protected] ACFT. HRS.

23-Jul-2010 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-ASAM-07. 5000 LB. TIE-DOWN.

30-Sep-2010 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-11-ASAM-01. AN960-1016 ALUMINUM WASHERS.

15-Oct-2010 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-11-AMAM-01. LCF CHANGE 61.

11-Jan-2011 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH H-47-11-ASAM-03(CORRODED CONNECTING LINKS)

07-Apr-2011 1

MERIDIAN MS 39304

PP213896

AASF#3COMPLIED WITH REQUIREMENTS OF H-47-11-ASAM-04(BLADE LAG DAMPNER ROD ENDBEARING)

19-Apr-2011 1

MERIDIAN MS 39304

PP213896

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 35 of 7513-Oct-2015

AASF#3FUEL CELL SYSTEM INSP A-460 DUE @ 7363.4ACFT HRS. L/H MAIN FUEL CELL AND TANKCOMPLETE ASSEMBLY WAS CONTROLEXCHANGED FROM ANOTHER AIRFRAME @7196.3 ACFT HRS. INSP " TILL DUE " TIMEREMAINING ON TRANSFERRED FUEL CELLAND TANK WAS 167.1 HRS.

30-Jan-2013 1

Davenport, IA

RG546546

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 36 of 7513-Oct-2015

AASF#3/CO.G 185 AVNCH-47-05-SOF-02; INSP.ROTOR BLADES FORROOT END FIBER DISTORTION C/W @ 6212.6ACFT.HRS (TE7467)

27-Jul-2005 1

MERIDIAN MS

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 37 of 7513-Oct-2015

AASF/ CO. G 185THAVN.

CH-47-95-ASAM-08, ALL CH47D ACFT,INSPECTION 0F AFT VERTICAL SHAFT (TB1-1520-240-20-78) AT 4934.9 ACFT HRS. (RL8391)

26-Sep-1995 2

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-01 (TB1-1520-240-20-80) ALLCH-47D HELICOPTERS REPLACEMENT OF AFTLANDING GEAR DRAG LINK ASSY'SSUSCEPTIBLE TO STRESS CORROSIONCRACKING. (RL8391)

08-Nov-1995 1

MERIDIAN, MS

BT020392

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-03 (TB1-1520-240-20-82)MAINT. MANDATORY, ONE TIME VISUAL INSP.OF PRESSURE GUAGE FOR I. D. TAPE LOC. AT4937.7 ACFT HRS. (RL8391)

31-Jan-1996 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

# 1 ENGINE AIRFRAME FWD MOUNT NDI INSPCOMPLETED AT 4937.7 ACFT HRS. 28 NOV 95(BG8488)

23-Feb-1996 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

PHASE #3 COMPLETED 96-02-14 AT 4937.7ACFT HRS. PHASE #4 WILL BE DUE AT 5137.7ACFT HRS. (BG8488)

24-Feb-1996 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-04 (TB1-1520-240-20-83) ONETIME INSPECTION OF FWD & AFT ROTARYWING HEADS FOR HORIZONTAL HINGE PINBEARING OIL FLOW. (RL8391)

06-Jun-1996 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-06 MAINTENANCEMANDATORY, ALL CH-47DACFT, ONE TIMEVISUAL INSPECTION & RECORDS CHECK OFTHE UPPER BOOST ACTUATOR & PULL TESTOF SWASHPLATES C/W @ 5015.7 ACFT. HRS.R. LUKE, MEI. MS. (TB1-1520-240-20-85)(RL8391)

12-Jul-1996 8

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-05 (TB1-1520-240-84)MAINTENANCE MANDATORY, ALL CH-47DACFT, ONE TIME INSPECTION OF THEFORWARD CONTROL INSTALLATION FOR THEMFG. OF P/N 114R3650-3 BOLT ASSY, (TB1-1520-240-84) C/W @ 5015.7 ACFT. HRS. RLUKE, AASF MEI, MS. (RL8391)

12-Jul-1996 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-07 INSPECT THE BOND LINESON THE 114P8079-2 & -3 STRAP ASSY'S FORLOOSENESS AROUND THE EDGES (TB1-1520-240-20-86). (RL8391)

13-Jul-1996 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-08 (TB1-1520-240-20-88) ONETIME VISUAL INSPECTION FOR AND REMOVALOF CERTAIN S/N 145DS102-3 FWD XMSN MAINLUBE PUMPS. (RL8391)

23-Aug-1996 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

ACE/AACE PERFORMED AT 5110 A/C HRS BYDYN CORP FT HOOD, TX. OLR PROFILER 'N'(DS0000)

10-Sep-1996 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-96-ASAM-09 (TB1-1520-240-20-89)INSPECT & REPAIR AFT PYLON CLAM SHELLDOOR LOWER LATCH C/W @ 5130.5 ACFT.HRS. (RL8391)

16-Sep-1996 1

MERIDIAN, MS.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 38 of 7513-Oct-2015

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-01 (TB1-1520-240-20-90) ONETIME RECORDS CK., VISUAL INSPECTION FOR& REMOVAL OF CERTAIN S/N 145D3400-23, -25, -32 SYNC D/S C/W . (RL8391)

11-Oct-1996 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF MSG CH-47-97-01 (TB1-1520-240-20-91)ONE TIME VISUAL INSPECTION OF FORWARDTRANSMISSION MOUNTING (BARREL) NUTS.(RL8391)

14-Nov-1996 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-02 (TB1-1520-240-20-92)MAINTENANCE MANDATORY, VISUAL INSP.FOR WINCH/HOIST CONTROL GRIP SWITCHGUARD. COMPLETED 9 JAN 97 (DT2810)

12-Jan-1997 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

GEN-97-ASAM-03 (AN/ASN-149 GLOBALPOSITIONING SYS) NOT INSTALLED ON ACFTDOES NOT APPLY AS OF PRESENT TIME(BG8488)

14-Jan-1997 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-03 (TB1-1520-240-20-94), ONETIME & RECCURING INSP. OF CABIN FLOOR &RAMP 5000# TIE- DOWN FITTINGS. (RL8391)

07-Feb-1997 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-04 (TB1-1520-240-20-96) ONETIME VISUAL INSPECTION & REPLACEMENTOF CERTAIN P/N 4C3074 CRISSAIR CHECKVALVES. (RL8391)

19-Mar-1997 17

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-05 (TB1-1520-240-20-93) ONETIME INSPECTION & REPLACEMENT OF AN320-12 CASTELLATED NUTS. (RL8391)

19-Mar-1997 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-06 (AN/ASN-149 GLOBALPOSITIONING SYS) NOT INSTALLED ON ACFT,DOES NOT APPLY AS OF PRESENT TIME.(RL8391)

24-Apr-1997 2

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-08 (TB1-1520-240-20-97)MAINTENANCE MANDATORY, INSP. & LUBEOF FLT CONTROL ROD END BEARINGS.(RL8391)

24-Apr-1997 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-07 (TB1-1520-240-20-95) ONETIME AND RECURRING INSP OF PDP FEEDERWIRE/CBS. AND INSTALLATION OF CB.COVERS/SEALS. (RL8391)

06-May-1997 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-09 OPERATION OF T-62-T-2BAPU & APU FLT HRS. (RL8391)

05-Jun-1997 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-97-ASAM-10 (TB 1-1520-240-20-99) ONETIME INSPECTION OF ANVIS/HUD POWERSUPPLY C/W. (RL8391)

02-Oct-1997 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-98-ASAM-01, UNCOMMANDEDCONTROL INPUTS, C/W (RL8391)

22-Oct-1997 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-98-ASAM-02 (TB1-1520-240-20-100)EXTENSION OF (CH-47-96-ASAM-01)REPLACEMENT OF AFT LANDING GEAR DRAGLINK ASSY (-3 IF INSTALLED) TO 30 APR 99(RL8391)

27-Nov-1997 1

MERIDIAN, MS.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 39 of 7513-Oct-2015

AASF/ CO. G 185THAVN.

CH-47-98-01 (TB 1-1520-240-20-103) ONE TIMEINSP OF AFT UPPER BOOST ACTUATORS TOSTATIONARY SWASHPLATE RETAININGHARDWARE. (RL8391)

24-Mar-1998 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-98-ASAM-03 (TB1-2835-205-20-3)MANDATORY TORQUE CHECK ANDREPLACEMENT OF APU BOLTS COMPLIEDWITH AT 5242.7 ACFT. HRS. (TE7467)

03-May-1998 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-98-ASAM-04 (TB1-1520-240-20-102) ONETIME INSPECTION FOR AFT TRANSMISSIONSWITH SUSPECTED IMPROPERLY SHIMMEDINPUT PINION GEAR ASSY C/W. (DT2810)

19-May-1998 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47-98-02, FLIGHT RESTRICTIONS ANDMAINTENANCE INSPECTION PROCEDURESFOR ACFT WITH MWO 1-1520-240-50-67APPLIED(NONMETALLIC C-BOX SPLINEDADAPTERS) C/W. (JS5030)

20-Jul-1998 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-98-ASAM-05, REVISION TO CH-47-98-ASAM-02, RESCINDING ROLL ON LANDINGRESTRICTION FOR -3 DRAG LINK ASSYS.(DT2810)

24-Sep-1998 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

#2 ENGINE AIRFRAME MOUNT 600 HR.INSPECTION COMPLETED AT 5333.9 ACFT.HRS. (RL8391)

10-Dec-1998 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-99-ASAM-02 (TB1-1520-240-20-107)ACTIONS TO REDUCE SUSCEPTIBILITY TOFLIGHT CONTROL LOCKUP AND/ORUNCOMMANDED MANEUVERS COMPLIEDWITH. (DT2810)

24-Feb-1999 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

#2 EMER. POWER TIMER INDICATES 1 MIN. NOACTUAL EMER. POWER TIME ON INSTALLEDENGINE. TO BE CONSIDERED 0 TIME. 5333.9ACFT. HRS. (DT2810)

27-Feb-1999 2

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

#1 EMER. POWER TIMER INDICATES 1 MIN. NOACTUAL EMER. POWER TIME ON INSTALLEDENGINE. TO BE CONSIDERED 0 TIME. 5333.9ACFT. HRS. (DT2810)

27-Feb-1999 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-99-ASAM-01 (TB1-1520-240-20-106)MAINTENANCE MANDATORY, ALL CH-47ACFT. ONE TIME INSP OF LAG DAMPENERSCOMPLIED WITH. (DT2810)

02-Mar-1999 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-99-ASAM-04 (TB1-1520-240-20-109)MAINTENANCE MANDATORY; ALL H-47 ACFT;FWD AND AFT LCT YOKE BUSHING INSP. ANDACFT. MAINT. MANUAL CHANGES C/W.(DT2810)

16-Mar-1999 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-99-ASAM-03, MAINT. MANDATORY; ALLCH-47 ACFT ONE TIME AND RECURRING INSP.OF THE HOIST/CARGO HOOK CONTROLPANEL AND WATER INTRUSION IN COCKPITCOMPLIED WITH. (TB55-1520-240-20-108)(DT2810)

17-Mar-1999 1

MERIDIAN, MS.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 40 of 7513-Oct-2015

AASF/ CO. G 185THAVN.

PHASE #1 COMPLETED 19 MAR 99 AT 5333.9ACFT. HRS. PHASE #2 WILL BE DUE AT 5533.9ACFT. HRS. (RL8391)

19-Mar-1999 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

ACE/CPC PERFORMED AT 5342 ACFT. HRS. BYTEAM MEM- BER "N" AMCOM OLR/MWOBRANCH, KILLEEN, TX. S/DON E.SCHROEDER. (DS5651)

15-Apr-1999 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-99-ASAM-05 (TB1-1520-240-20-110)MAINTENANCE MANDATORY;ALL CH-47ACFT,EXTENSION FOR REPLACEMENT OFAFT LANDING GEAR DRAG LINK ASSY'S C/W.(DT2810)

30-Apr-1999 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF MESSAGE CH-47-99-01 (TB1-1520-240-20-111) ONE TIME INSP. OF SYNC SHAFTMOUNTING BRACKETS FOR PROPERCLEARANCE TO SYNC SHAFTS (DT2810)

07-Jul-1999 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47-99-02 EMERGENCY;IMMEDIATEGROUNDING OF ALL H-47 SERIES AIRCRAFT.(JS5030)

10-Aug-1999 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47-99-03, TB 55-1520-240-20-113,TECHNICAL, ALL H-47 SERIES AIRCRAFT,INSPECTION OF H-47 AIRCRAFT FORWARDAND AFT TRANSMISSIONS GEAR/BEARINGASSEMBLIES REQ'D. TO BE C/W N/L/T 7 SEP99 (JS5030)

25-Aug-1999 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47-99-04 (TB 1-1520-240-20-114),TECHNICAL , CH-47D, MH-47D, MH-47EAIRCRAFT, INSPECTION OF H-47 AIRCRAFTFOR FORWARD AND AFT TRANSMISSIONGEAR/BEARING ASSEMBLIES IDENTIFIED BYSERIAL NUMBER PREFIX "VB" (JS5030)

27-Aug-1999 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47-99-05;TB 1-1520-240-20-115:TECHNICAL,ALL H-47 SERIES AIRCRAFT,REPLACEMENT OF SUSPECT FOR WARD ANDAFT TRANSMISSION ASSEMBLIES WITH ONESTHAT HAVE BEEN INSPECTED AND CLEAREDFOR OPERATION (CM6742)

14-Sep-1999 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47-00-01/ TB 1-2835-205-20-4, ONETIME RECORDS INSP TO DETERMINE IF APUCOMPRESSOR WHEEL HAS BEEN NDI ANDADD # OF STARTS TO APU. APU S/N877548.048. (JS5030)

12-Oct-1999 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47 00-03/ TB 1-1520-240-20-116; ALL H-47 SERIES AIRCRAFT, INCREASE OFOPERATING LIMITATIONS FOR FORWARDAND AFT TRANSMISSION GEAR/ BEARINGASSEMBLIES IDENTIFIED BY SERIAL # PREFIX"VB" (JS5030)

06-Dec-1999 1

MERIDIAN, MS.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 41 of 7513-Oct-2015

AASF/ CO. G 185THAVN.

ACFT SUBJECTED TO HIGH WIND ORMICROBURST ON 10 MARCH 00, ACFT WASINSPECTED FOR HIGH WIND DAMAGE IAW TM55-1520-240-23-1 AND TASK 5-63.3. ACFTSUSTAINED DAMAGE TO THE AFT ROTORHEAD RED UPPER PITCH HOUSING STOPSAND THE FWD ROTOR HEAD UPPER YELLOWAND RED UPPER PITCH HOUSING STOPS. AFTAND FWD ROTOR HEADS WERE REMOVEDAND SENT TO OVERHAUL. P/C LINKS WEREREMOVED AND DESTROYED. ACFT WASINSPECTED IAW MEMORANDUM FROMAMCOM ENGINEERING DIVISION AND BOEINGHELICOPTERS. (JS5030)

31-Mar-2000 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-ASAM-00-01/TB 1-1520-240-20-119;INITIAL AND RECURRING INSPECTION OFFUEL PODS FOR CORROSION ANDELECTRICAL BONDING. (CM6742)

02-May-2000 2

MERIDIAN, MS

BT020392

AASF/ CO. G 185THAVN.

SOF CH 47-00-05/(TB 1-1520-240-20-120); ONETIME INSPECTION OF PITCH HOUSINGS, P/N145R2075-13/-14/-15/-16. (CM6742)

02-May-2000 1

MERIDIAN, MS

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47-00-06; AUTHORIZATION FOR ACFTWITH APU CONTAINMENT DEVICE TOOPERATE WITHOUT RESTRICTIONS IMPOSEDBY SOF CH-47-00-01 (JS5030)

11-May-2000 2

MERIDIAN,MS

BT020392

AASF/ CO. G 185THAVN.

CH-47-00-ASAM-02: 10 MAY 00,INITIAL ANDRECURRING INSPECTIONS ANDREPLACEMENT OF HORIZONTAL HINGE PINSHOULDER BOLTS P/N 114R2201-1. (CM6742)

11-May-2000 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-00-ASAM-03: 13 JUN 2000, IMMEDIATEAND PERIODIC HYDRAULIC FLUID SAMPLINGOF H-47 SERIES AIRCRAFT. ACFT HRS 5485.0(CM6742)

13-Jun-2000 1

MERIDIAN,MS

BT020392

AASF/ CO. G 185THAVN.

ACE/CPC PERFORMED AT 5485.0 ACFT. HRS.BY TEAM MEMBER "W" AMCOM OLR MWOBRANCH, KILLEEN, TX. (JP2527)

20-Jun-2000 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-00-ASAM-05; ONE TIME INSPECTION OFFORWARD AND AFT SLIDER SHAFT SEALSFOR PROPER CONSTRUCTION HINGE PINS.(JS5030)

27-Jul-2000 2

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-00-ASAM-04; ONE TIME INSPECTION OFROTOR HEAD HISTORICAL RECORDS FORCERTAIN S/N HORIZONTAL HINGE PINS.(JS5030)

27-Jul-2000 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47-00-07/ (TB 1-1520-240-20-129)INITIAL AND RECURRING INSPECTION OFCOMBINING TRANSMISSION COOLING FANDRIVE SHAFT AND DRIVE GEAR SPLINES.(CM6742)

26-Sep-2000 2

MERIDIAN, MS

BT020392

AASF/ CO. G 185THAVN.

CH-47-00-ASAM-07;(TB 1-1520-240-20-125) ONETIME INSPECTION AND REPLACEMENT OFUNTESTED AFT LCT ACTUATOR AND FIXEDLINK BOLT P/N 114R3650-7.ES. BEARINGASSEMBLIES REQ'D TO BO C/W N/L/T 7 SEP99REFIX "VB" (CM6742)

26-Sep-2000 1

MERIDIAN, MS

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 42 of 7513-Oct-2015

AASF/ CO. G 185THAVN.

CH-47-00-ASAM-06/ TB 1-1520-240-20-126; ONETIME INSPECTION OF H-47 SERIES AIRCRAFTFOR DEFECTIVE FADEC P3 DRAINCARTRIDGE. (CM6742)

27-Sep-2000 1

MERIDIAN, MS

BT020392

AASF/ CO. G 185THAVN.

CH-47-00-ASAM-08/ TB 1-1520-240-20-128;INSPECTION OF FWD YOKE SHAFT, P/N145C3051-1, FOR CORROSION. (JS5030)

29-Sep-2000 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-01/ TB 1-1520-240-20-127; ONETIME INSPECTION FOR MA-16 INERTIA REELSP/N 015-870145-3-16. (JS5030)

18-Oct-2000 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-02/ TB 1-1520-240-20-130; ONETIME INSPECTION FOR UNTESTED FSP P/N114R3650-6 & 114R3650-11 BOLTS. (JS5030)

31-Oct-2000 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-03/ TB 1-1520-240-131; INITIAL& RECURRING INSPECTION OF FWD & AFTROTOR HUB LIGHTENING HOLES. (JS5030)

28-Nov-2000 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-05/ TB 1-1520-240-20-132; ONETIME INSPECTION OF ROTOR HEADASSEMBLY DROOP STOP BOLTS FORPROPER LENGTH C/W AT 5065.0 ACFT.HRS.(JS5030)

19-Dec-2000 2

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-04/ TB 1-1520-240-20-133; ONETIME INSPECTION FOR UNTESTED FSP TIEBAR PIN ASSEMBLIES P/N 114R268-3 & -4 C/WAT 5485.0 ACFT.HRS. (JS5030)

19-Dec-2000 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47-01-01/ TB 1-1520-240-20-134; ONETIME INSPECTION OF AFT ROTOR HEADASEMBLIES AND ENGINE CROSS SHAFTADAPTER ASSEMBLIES FOR MH-47E CLOSEDLOOP ESCAPEMENTS C/W AT 5065.9 ACFTHRS. (JS5030)

02-Jan-2001 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-06/ TB 1-1520-240-20-133;ADDITIONAL CAGE CODE ADDED TOINSPECTION REQUIREMENTS OF CH-47-01-ASAM-04 C/W AT 5065.9 ACFT. HRS. (JS5030)

03-Jan-2001 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

#1 & #2 FWD AIRFRAME ENGINE MOUNTSEDDY CURRENT COMPLETED @ 5485.0 ACFT.HRS. (JS5030)

30-Jan-2001 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47-01-02/ TB 1-1520-240-20-136; ONETIME INSPECTION OF FIXED DROOP STOPSFOR PROPER INSTALLATION C/W AT 5485.0ACFT.HRS. (JS5030)

06-Feb-2001 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-07/ TB 1-1520-240-20-135; ONETIME INSPECTION FOR UNTESTED FSP P/N114R3650-13/-15 P/C/L BOLTS C/W @ 5485.0ACFT.HRS. (JS5030)

13-Feb-2001 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47-01-03/ TB 1-1520-240-20-137;UNGROUNDING REQUIREMENTS FORAIRCRAFT WITH IMPROPERLY INSTALLEDDROOP STOPS C/W @ 5485.0 ACFT.HRS.(JS5030)

22-Feb-2001 1

MERIDAN, MS.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 43 of 7513-Oct-2015

AASF/ CO. G 185THAVN.

EMC TEST COMPLETED FOR INSTALLATIONOF APU P/N 160150-10A IAW AWR DTD 9 FEB2000 @ 5485.7 ACFT. HRS. (JS5030)

19-Jul-2001 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-08/ TB 1-1520-240-20-138; ONETIME INSPECTION OF FLIGHT & UTILITYBOOST HYDRAULIC CONTROL MODULES FORSHUT-OFF DIAPHRAGM HARDWAREINSTALLATION C/W @ 5490.6 ACFT. HRS.(JS5030)

09-Aug-2001 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-01-ASAM-09/ TB 1-1520-240-20-139; ONETIME INSPECTION FOR UNTESTED FSP114R3650-9 AND BACB30ST10-40 BOLTS C/W@ 5501.0 ACFT. HRS. (JS5030)

07-Sep-2001 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-02-ASAM-02/ TB 1-1520-240-143;FORWARD YOKE SHAFT REPLACEMENT DATEEXTENSION C/W @ 5525.6 ACFT HRS. (JS5030)

02-Jan-2002 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47-02-01/ TB 1-1520-240-20-144; ONETIME INSPECTION OF LOWER SWASHPLATERETAINER SELF- LOCKING NUTS C/W @5525.6 ACFT. HRS. (JS5030)

27-Jan-2002 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47-02-02/ TB 1-1520-240-20-141;REWORK OF ALL ROTOR TACHOMETERS C/W@ 5525.6 ACFT. HRS. (JS5030)

28-Jan-2002 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47-02-03/ TB 1-1520-240-20-141;REWORK OF ALL ROTOR TACHOMETERS C/W@ 5525.6 AFT. HRS. (JS5030)

29-Jan-2002 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

SOF CH-47-02-04/ TB 1-1520-240-20-145; ONETIME INSPECTION OF FORWARD PIVOTINGACTUATOR TO SWASHPLATE ATTACHMENTHWARE FOR PROPER INSTALLATIO C/W @5525.6 ACFT. HRS. (JS5030)

07-Feb-2002 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

CH-47-03-ASAM-01;ONE TIME INSPECTION OFHISTORICAL RECORDS FOR CERTAIN S/NENGINE DRIVE SHAFTS AND ADJUSTMENT OFRETIREMENT LIFE C/W AT 5563.3 ACFT HRS.(JS5030)

02-Apr-2003 1

MERIDIAN, MS.

BT020392

AASF/ CO. G 185THAVN.

ACE\CPCE PERFORMED @ 5628 ACFT HRS. BYTEAM MEMBER"K" & "I" AMCOM PROJECTOLR, KILLEEN, TX. (JL7296)

17-Jun-2003 1

MERIDIAN, MS.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 44 of 7513-Oct-2015

AASF/ CO. G 185THAVN. MERIDIAN, MS

GEN-03-ASAM-01; ONE TIME INSPECTION OFSINCGARS BATTERY BOX FOR DAMAGE &BATTERY CONDITION. (JS5030)

16-Dec-2002 1

MERIDIAN, MS.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 45 of 7513-Oct-2015

AASF/ CO.G 185TH AVN.SOF CH-47-00-04/ TB1-1520-240-20-117; ONETIME INSPECTION OF ENGINE TRANSMISSIONHISTORICAL RECORDS FOR SUSPECT GEARSAND REPLACEMENT OF SUSPECTTRANSMISSIONS. (JS5030)

31-Jan-2000 1

MERIDIAN, MS.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 46 of 7513-Oct-2015

AASF/CO G. 185TH AVN.SOF CH-47-00-02; CORRECTION TO SOF CH-47-00-01, PARA 10D, 9A, 9B, & 12C. (JS5030)

10-Nov-1999 1

MERIDIAN, MS.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 47 of 7513-Oct-2015

AASF/CO. G 185 AVNREQUIREMENTS OF CH-47-05-ASAM-06 C/WT,EZELL TI. AASF MERIDIAN MS. 15 SEPT.2005(TE7467)

15-Sep-2005 1

MERIDIAN MS.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 48 of 7513-Oct-2015

AASF/CO. G 185TH AVN.ACE/CPC PERFORMED AT 5254 A/C HRS. BYTEAM MEMBER "K" AMCOM OLR/MWOBRANCH HUNTSVILLE, AL. DANNY MEYERS.(DM5698)

13-May-1998 1

MERIDIAN, MS.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 49 of 7513-Oct-2015

ACE TEAMACE COMPLETED AT 5534 ACFT HRS. BY ACEMEMBER "L" PID EH9090 OLR/MWO BRANCH(EH9090)

13-May-2002 1

GROTON, CT

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 50 of 7513-Oct-2015

AMCOM FT HOODPROJECT OLR

ACE/CPCE PERFORMED AT 6663 AIRCRAFTHOURS BY TEAM MEMBERS K & Q.

12-Nov-2008 1

MERIDIAN MS 39304

WS244328

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 51 of 7513-Oct-2015

AMCOM PROJECT OLRACE/CPCE PERFORMED AT 6030 ACFT HRSBY AMCOM PROJECT OLR FT LEWIS WA.DURING RESET

21-Feb-2006 1

FT LEWIS WA.

JD415449

AMCOM PROJECT OLRANNUAL ACE EVALUATION COMPLETED AT6452 ACFT HRS AT MERIDIAN, MS BY TEAMMEMBERS RR & W

06-Nov-2007 1

KILLEEN, TX

AS425855

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 52 of 7513-Oct-2015

B CO 1/111TH AVNCH-47-06-SOF-04 AFT ROTOR BLADE S/NCHECK COMPLIED WITH @6340.3 ACFT HRSJD415449

26-May-2006 1

MERIDIAN MS

JD415449

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 53 of 7513-Oct-2015

B CO. 1-111TH. AVN.AIRCRAFT TRANSFERED IAW TM 55-1500-328-25 AT 3078.1 ACFT. HRS. FROM B CO. 1-111TH.AVN GSAB (WYDGBO) TO B CO. 2-211TH.AVN. GSAB (WP7TBO) ON 23 OCT. 2011.

23-Oct-2011 1

FT HOOD TX.

JG816346

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 54 of 7513-Oct-2015

BOEING HELICOPTERSAIRCAFT S/N 61-02419, CH-47A, INDUCTEDAND CONVERTED TO CH-47D, S/N 91-0268 ON27 AUG 1992, TOTAL TIME AT MODIFICATION:4340.0 HRS. BOEING HELICOPTERS, PHILA,PA. S/ K.L.MRUK, CIV. (KM0000)

27-Aug-1992 1

PHILADELPHIA, PA.

BT020392

BOEING HELICOPTERSAIRCRAFT S/N 91-0268 TEST FLOWN ANDACCEPTED AT 4349.6 HRS. BOEINGHELICOPTERS, PHILA, PA. S/ K.L. MRUK, CIV.(KM0000)

14-Oct-1992 1

PHILADELPHIA, PA.

BT020392

BOEING HELICOPTERSCH-47-93-02; UNGROUNDING OF U.S. ARMYCH-47D, MH-47D AND MH-47E AIRCRAFT (TB1-1520-240-20-63) COMPLIED WITH. 6 NOV 1992,BOEING HELICOPTERS, PHILA, PA. S/ V.HOLMES. CIV. (KM0000)

06-Nov-1992 1

PHILADELPHIA, PA.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 55 of 7513-Oct-2015

CO D, 111TH AVN (QC)COMPLIED WITH H-47-11-AMAM-O4. ASN-128BSUITE "D" SOFTWARE UPDATE NOTINSTALLED @ 7055.0

24-Sep-2011 1

LONGHORN AAF, N FTHOOD TX.

CS583538

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 56 of 7513-Oct-2015

CO G 185TH HHSOF CH-47-04-01 DELETION OF 50 HOURRECURRNIG AOAP GREASE SAMPLE OF THEFWD AND AFT SWASHPLATE C/W @5719.2 A/CHRS M. WILKINSON, TI, FT BENNING, GA(MW7796)

12-Feb-2004 1

FT BENNING, GA

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 57 of 7513-Oct-2015

CO,G. 185TH AVNBLUE FORCE TRACKER MOD INSTALLEDJUNE 2004 (AB2458)

11-Jul-2004 1

BALAD, IRAQ

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 58 of 7513-Oct-2015

CO. G 185THCOMPLY WITH REQUIREMENTS OF CH-47-05-SOF-01 BEFORE6147.8 AIRCRAFT HOURS BUTNLT 19 JAN. 2005 (MW7796)

05-Jan-2005 1

BALAD IRAQ

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 59 of 7513-Oct-2015

CO. G 185TH ACNCH-47-04-ASAM-02 BEFORE ______ AIRCRAFTHRS BUT NLT 13 MAY 2004 COMPLIED WITH(MW7796)

13-May-2004 1

BALAD IRAQ

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 60 of 7513-Oct-2015

CO. G 185TH AVNCH-47-05-ASAM-01; AFT CRITICAL DYNAMICCOMPONENT. C/ @ 5968.7 AIRCRAFT HOURS20041015 (AB2458)

15-Oct-2004 1

BALAD, IRAQ

BT020392

CO. G 185TH AVNNDI COMPLETED TO COMPLY WITH CH-47-05-SOF-01 20050109 (MW7796)

09-Jan-2005 1

BALAD IRAQ

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 61 of 7513-Oct-2015

CO. G 185TH AVN. 1ST-244TH

COMPLY WITH REQUIREMENTS OF CH-47-04-ASAM-02 BEFORE_5743.5_ AIRCRAFT HOURS.BUT N/L/T 13 MAY 2004 SSG MICHAELWILKINSON T.I. BALAD IRAQ (MW7796)

30-Apr-2004 1

BALAD IQ.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 62 of 7513-Oct-2015

CO.G 185TH AVNCH-47-04-ASAM-01; AFT FUSELAGEBELLCRANK FASTENER FOR CORRECTINSTALLATION C/W @ 5709.2 ACFT. HRS(PP3896)

08-Feb-2004 1

MERIDIAN,MS

BT020392

CO.G 185TH AVNSOF CH-47-04-01 DELETION OF 50 HRSRECURRING AOAP GREASE SAMPLE OF THEFWD & AFT SWASHPLATE C/W (AB2458)

12-Feb-2004 2

FORT BENNING, GA.

BT020392

CO.G 185TH AVNAIRCRAFT DEPLOYED OVERSEAS TO BALADIRAQ MARCH 2004 SOEICAL INSPECTION ANDCLEANING ACFT PERSEVED AND SHINKWRAPPED (MW7796)

13-Apr-2004 1

FT. BENNING GA.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 63 of 7513-Oct-2015

CSC RASM-EAWR, 32395, DATED 17 AUG. 2006, FOR CH-47D HELICOPTERS WITH THE ADVANCEDHEADS UP DISPLAY(HUD) SYSTEM SIGNALDATA CONVERTER(SDC) PART NUMBER125110-007 INSTALLED.

23-Feb-2010 4

MERIDIAN MS 39304

JS501134

CSC RASM-EAWR, TTS 70944, DATED 25 JUNE 2009, FORTHE FLEET WIDE INSTALLATION OF THE P3CHECK VALVE AND OVERBOARD DRAIN LINEFROM THE DIGITAL ELECTRONIC CONTROLUNIT ON CH-47D HELICOPTERS.

23-Feb-2010 3

MERIDIAN MS 39304

JS501134

CSC RASM-EAWR, TN 67638, DATED 10 APR 2009, FOROPERATION OF CH-47D HELICOPTERSEQUIPPED WITH THE AN/AAR-57(V)5CMWS/ICMD INSTALLED. PLUS 5TH EOMSSENSOR.

23-Feb-2010 2

MERIDIAN MS 39304

JS501134

CSC RASM-EAWR TTS 69499A, DATED 5 NOV. 2009, FOROPERATION OF CH-47D HELICOPTERS WITHTHE BLUE FORCED TRACKING(BFT) SYSTEMAND AIR WARRIOR SINGLE EDM INSTALLED.

23-Feb-2010 1

MERIDIAN MS 39304

JS501134

CSC RASM-EOCM/ACE PERFORMED AT 6968.7 ACFT HRSBY TEAM MEMBER UU & QQ AMCOM RASM-E

04-Oct-2010 1

FT. CAMPBELL KY.42223

HM009565

CSC RASM-EAWR, 41283, DATED 26 MAY 2010, FOR CH-47DHELICOPTERS TO OPERATE MODERNIZEDSIGNAL PROCESSING UNIT (MSPU)EQUIPMENT.

19-Oct-2010 1

MERIDIAN MS 39304

JS501134

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 64 of 7513-Oct-2015

CT AVCRAD 1109THSOF CH-47-02-06/TB 1-1520-240-20-148; ONETIME INSPECTION OF COMBINING XMSNSHISTORICAL RECORDS FOR CERTAIN S/N'S &O/H DATES C/W @ 5533.9 ACFT. HRS. (DO7847)

19-Jun-2002 1

GROTON, CT.

BT020392

CT AVCRAD 1109THCH-47-02-ASAM-04/TB 1-1520-240-20-149;INSPECT FOR ALL UNTESTED CSI AFT YOKESUPPORT SHAFTS P/N 114C3044-2 C/W @5533.9 ACFT. HRS. (DO7847)

25-Jul-2002 1

GROTON, CT.

BT020392

CT AVCRAD 1109THCH-47-02-ASAM-03/TB-1-1520-240-20-148INSPECT FOR IMPROPERLY MANUFACTURED/ ASSEMBLED FUEL CONTROL RELAY BOXESC/W @ 5533.9 ACFT HRS. (DO7847)

10-Oct-2002 1

GROTON, CT.

BT020392

CT AVCRAD 1109THCH-47 SOF CH-47-03-01 INSP FWD AND AFTSWASHPLATE BEARINGS AND GREASESAMPLES C/W @ 5533.9 ACFT HRS. (DO7847)

18-Oct-2002 1

GROTON, CT.

BT020392

CT AVCRAD 1109THPHASE # 2 COMPLETED AT CT AVCRAD 30DEC 2002 @ 5533.9 ACFT HRS. (DO7847)

30-Dec-2002 1

GROTON, CT

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 65 of 7513-Oct-2015

DYNCORPACE/CPCE PERFORMED @ ACFT HRS BYTEAM MEMBER "K& W" AMCOM PROJECTOLR, KILLEEN TX. DERRY D PARKS (JP2527)

13-Nov-2002 1

KILLEEN TEXAS

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 66 of 7513-Oct-2015

DYNCORP OLRENGINE AFT MOUNT LINK INSTALLEDDIMENSIONS AFTER COMPLETION OF MWO1-1520-240-50-60. L/H 6.360 IN. R/H 6.430 INCHES.(LB2657)

26-Sep-1995 1

FT. HOOD, TX.

BT020392

DYNCORP OLRACE-CPCE PERFORMED AT 5526 ACFT HRSBY TEAM "K" MEMBERS & II, AMCOM OLRBRANCH, KILLEEN, TX. LARRY LEWIS (LL2629)

15-Nov-2001 1

AASF MERIDIAN, MS.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 67 of 7513-Oct-2015

FT HOOD AFMAAIRCRAFT 9100268 ACE COMPLETED AT 6812ACFT HRS AT GULFPORT, MS BY TEAMMEMBERS RR & W

09-Oct-2009 1

GULFPORT, MS

AS425855

FT HOOD AFMAACE COMPLETED AT 7182 AIRCRAFT HOURSA DAVENPORT, IA BY TEAM MEMBERS W & Q.

31-Jul-2012 1

Davenport, IA

WS244328

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 68 of 7513-Oct-2015

FT. HOOD PROJECTOLR

MWO 1-1520-240-50-95 APPENDIX A, HSI MODESELECT MODIFICATION COMPLETED ON THISDATE @ 6528.4 AIRCRAFT HOURS. HSI SERIALNUMBER 479 RE-IDENTIFIED WITH THEFOLLOWING PART NUMBERS; 1005390-65,1005390-67, AND 1005390-69.A.PARKERPROJECT OLR., INSPECTOR

20-May-2008 2

MERIDIAN MS 39304

AP787196

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 69 of 7513-Oct-2015

FT. HOOD, PROJECTOLR.

MWO 1-1520-240-50-95 APPENDIX A, HSI MODESELECT MODIFICATION COMPLETED ON THISDATE @ 6528.4 AIRCRAFT HOURS. HSI SERIALNUMBER 398 RE-IDENTIFIED WITH THEFOLLOWING PART NUMBERS; 1005390-65,1005390-67, AND 1005390-69.A.PARKERPROJECT OLR., INSPECTOR

20-May-2008 1

MERIDIAN MS 39304

AP787196

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 70 of 7513-Oct-2015

G.CO. 185HT AVNCOMPLIED WITH REQUIREMENTS OF TB 1-1500-200-20-31,AIRCRAFT DESERTOPERATIONS CLEANING

20-Mar-2005 1

KUWAIT

PP213896

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 71 of 7513-Oct-2015

L-151 AVIMPHASE #3 COMPLETED AT 5733.8 ACFT HRS,PHASE #4 DUE AT 5937,8 ACFT HRS (PP3896)

28-May-2004 1

BALAD IQ

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 72 of 7513-Oct-2015

L3 AEROTECHUTILITY HYD PRESS + RETURN FILTERSREPLACED 5937.8 ACFT HRS. 6737.8 ACFTHRS (SZ7574)

18-Sep-2004 3

BALAD IRAQ

BT020392

L3 AEROTECHTB 1-1520-240-20-155 C/W @ 5937.8ENHANCED DESERT MAINT. (SZ7574)

18-Sep-2004 2

BALAD,IRAQ

BT020392

L3 AEROTECHPHASE #4 COMPLETED AT 5937.8 ACFT HRS,PHASE #1 DUE AT 6137.8 ACFT HRS (SZ7514)

18-Sep-2004 1

BALAD,IRAQ

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 73 of 7513-Oct-2015

OCM SECTIONOCM/ ACE PERFORMED AT 4570.0 ACFT. HRS.AT MERIDIAN, MS. BY "A". (AB0000)

23-Nov-1993 1

ST. LOUIS, MO.

BT020392

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 74 of 7513-Oct-2015

OHIO AASF #1H-47-13-AMAM-02 ULLS-A(E) LCF CHANGE 63C/W 10 DEC 2012 (MISSING ENTRY)

10-Dec-2012 1

NORTH CANTON, OH44720

RL765610

OHIO AASF #1H-47-13-SOF-02, ALL H-47 SERIES AIRCRAFT,SYNCHRONIZATION SHAFT BOLTSINSPECTION C/W WITH AT 7287.7 ACFT HRS.

19-Jun-2013 1

NORTH CANTON, OH44720

RL765610

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

NUMBERLOCATIONPIDENTRYORGANIZATION

8.7.DATE

6.REMARKS

4. 5.

CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL

Report Date: Page 75 of 7513-Oct-2015

OLR/LSIMEC CONTROL # F6554 WORK PLATFORMDELAMINATION COMPLIED WITH @ 6330.2AIRCRAFT HRS. LETTER DATED 2006-02-06

16-Mar-2006 1

FT LEWIS WA.

MS068034

OLR/LSIMEC CONTROL # F47462 FLIGHT CONTROLSUPPORT ASSY INSTALATION OF OVERSIZEDBUSHING COMPLIED WITH @ 6330.2 ACFTHRS. LETTER DATED 2006-03-06

17-Mar-2006 1

FT LEWIS WA.

MS068034

OLR/LSICH-47-05-ASAM-04 XMSN SEAL RETAININGRING COMPLIED WITH @ 6330.2 AIRCRAFTHRS. ON 2006-03-10

19-Mar-2006 2

FT LEWIS WA.

MS068034

OLR/LSICH-47-05-ASAM-05 REPLACEMENT OF CHECKVALVES COMPLIED WITH @ 6330.2 ACFT HRS.ON 2006-03-10

19-Mar-2006 1

FT LEWIS WA.

MS068034

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91

DATE AC HRS SHAFT VERTICAL REASON FOR VIB CHECKLONGITUDINALLATERAL

IPS READINGS4.

9100268HELICOPTER, CARGOCH-47D3. AIRCRAFT SERIAL NUMBER2. NOMENCLATURE1. AIRCRAFT MODEL

Report Date: 13-Oct-2015 1/5

50HR26-Mar-2005 AFT FAN 0.1300.046190.6

50HR26-Mar-2005 SYNC 00.190.296190.6

50HR26-Mar-2005 C-BOX 00.070.116190.6

50HR26-Mar-2005 CROSS 00.50.436190.6

100 HR04-Sep-2005 AFT FAN 0.100.136235.9

100 HR04-Sep-2005 SYNC 00.150.16235.9

100 HR04-Sep-2005 C-BOX 00.0606235.9

100 HR04-Sep-2005 CROSS 00.870.746235.9

50HR01-Nov-2005 SYNC 00.190.266284.6

50HR01-Nov-2005 C-BOX 00.050.076284.6

50HR01-Nov-2005 CROSS 00.440.196284.6

50HR01-Nov-2005 AFT FAN 0.1300.066284.6

PHASE/ RESET03-May-2006 AFT FAN 0.1500.176330.2

PHASE/RESET03-May-2006 SYNC 00.290.316330.2

PHASE/RESET03-May-2006 C-BOX 00.050.046330.2

PHASE/RESET03-May-2006 CROSS 00.610.386330.2

50 HR25-Aug-2006 AFTFAN 0.200.176379.4

50 HR25-Aug-2006 SYNC 00.280.216379.4

50 HR25-Aug-2006 CBOX 00.040.046379.4

50 HR25-Aug-2006 CROSS 00.550.566379.4

714 MOD09-Mar-2007 CROSS 000.496410.9

714 MOD09-Mar-2007 SYNC 00.1706410.9

714 MOD09-May-2007 SYNC 000.376410.9

714 MOD09-May-2007 FAN SHAFT 000.056410.9

714 MOD09-May-2007 FAN SHAFT 00.0406410.9

714 MOD09-May-2007 CROSS 00.4106410.9

50 HR.16-Aug-2007 SYNC 000.356430.1

EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-15-2 E, OCT 91 AIRCRAFT VIBRATION RECORD

DATE AC HRS SHAFT VERTICAL REASON FOR VIB CHECKLONGITUDINALLATERAL

IPS READINGS4.

9100268HELICOPTER, CARGOCH-47D3. AIRCRAFT SERIAL NUMBER2. NOMENCLATURE1. AIRCRAFT MODEL

Report Date: 13-Oct-2015 2/5

50 HR.16-Aug-2007 FAN 000.036430.1

50 HR.16-Aug-2007 CROSS 000.596430.1

50 HR.16-Aug-2007 SYNC 00.2606430.1

50 HR.16-Aug-2007 FAN 00.0206430.1

50 HR.16-Aug-2007 CROSS 00.4506430.1

200 HR28-May-2008 AFT FAN 000.226528.4

200 HR28-May-2008 AFT FAN 0.2006528.4

200 HR28-May-2008 SYNC 000.236528.4

200 HR28-May-2008 FAN 000.056528.4

200 HR28-May-2008 CROSS 000.636528.4

200 HR28-May-2008 SYNC 00.306528.4

200 HR28-May-2008 FAN 00.0206528.4

200 HR28-May-2008 CROSS 00.5806528.4

50 HR04-Sep-2008 AFT FAN 000.016618

50 HR04-Sep-2008 AFT FAN 0.02006618

50 HR04-Sep-2008 SYNC 000.036618

50 HR04-Sep-2008 FAN 000.026618

50 HR04-Sep-2008 CROSS 000.046618

50 HR04-Sep-2008 SYNC 00.0506618

50 HR04-Sep-2008 FAN 0006618

50 HR04-Sep-2008 CROSS 00.1706618

50 HR16-Sep-2008 SYNC 000.316625.7

50 HR16-Sep-2008 FAN 000.076625.7

50 HR16-Sep-2008 CROSS 000.56657.7

50 HR16-Sep-2008 SYNC 00.2506625.7

50 HR16-Sep-2008 FAN 00.0406625.7

50 HR16-Sep-2008 CROSS 00.3506625.7

EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-15-2 E, OCT 91 AIRCRAFT VIBRATION RECORD

DATE AC HRS SHAFT VERTICAL REASON FOR VIB CHECKLONGITUDINALLATERAL

IPS READINGS4.

9100268HELICOPTER, CARGOCH-47D3. AIRCRAFT SERIAL NUMBER2. NOMENCLATURE1. AIRCRAFT MODEL

Report Date: 13-Oct-2015 3/5

50 HR05-Jan-2009 AFT FAN 000.26677.1

50 HR05-Jan-2009 AFT FAN 0.23006677.1

50 HR05-Jan-2009 SYNC 000.256677.1

50 HR05-Jan-2009 FAN 000.086677.1

50 HR05-Jan-2009 CROSS 000.726677.1

50 HR05-Jan-2009 SYNC 00.1706677.1

50 HR05-Jan-2009 FAN 00.0606677.1

50 HR05-Jan-2009 CROSS 00.4706677.1

50 HR20-May-2009 AFT FAN 0006728.1

50 HR20-May-2009 AFT FAN 0.03006728.1

50 HR20-May-2009 SYNC 000.156728.1

50 HR20-May-2009 FAN 000.016728.1

50 HR20-May-2009 CROSS 000.16728.1

50 HR20-May-2009 SYNC 00.0506728.1

50 HR20-May-2009 FAN 0006728.1

50 HR20-May-2009 CROSS 00.1906728.1

ENG CROSS SHAFT REMOVAL18-Nov-2009 AFT FAN 000.216812.1

ENG CROSS SHAFT REMOVAL18-Nov-2009 AFT FAN 0.22006812.1

ENG CROSS SHAFT REMOVAL18-Nov-2009 SYNC 000.216812.1

ENG CROSS SHAFT REMOVAL18-Nov-2009 FAN 000.036812.1

ENG CROSS SHAFT REMOVAL18-Nov-2009 CROSS 000.516812.1

ENG CROSS SHAFT REMOVAL18-Nov-2009 SYNC 00.4906812.1

ENG CROSS SHAFT REMOVAL18-Nov-2009 FAN 00.0306812.1

ENG CROSS SHAFT REMOVAL18-Nov-2009 CROSS 00.6506812.1

50 HR23-Jul-2010 AFT FAN 000.246927.4

50 HR23-Jul-2010 AFT FA N 0.12006927.4

50 HR23-Jul-2010 SYNC 000.196927.4

EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-15-2 E, OCT 91 AIRCRAFT VIBRATION RECORD

DATE AC HRS SHAFT VERTICAL REASON FOR VIB CHECKLONGITUDINALLATERAL

IPS READINGS4.

9100268HELICOPTER, CARGOCH-47D3. AIRCRAFT SERIAL NUMBER2. NOMENCLATURE1. AIRCRAFT MODEL

Report Date: 13-Oct-2015 4/5

50 HR23-Jul-2010 FAN 000.036927.4

50 HR23-Jul-2010 CROSS 000.426927.4

50 HR23-Jul-2010 SYNC 00.0906927.4

50 HR23-Jul-2010 FAN 00.0406927.4

50 HR23-Jul-2010 CROSS 00.6506927.4

50 HR19-Nov-2010 AFT FAN 000.266977.6

50 HR19-Nov-2010 AFT FAN 0.19006977.6

50 HR19-Nov-2010 C BOX FAN 000.046977.6

50 HR19-Nov-2010 C BOX FAN 00.0306977.6

50 HR19-Nov-2010 CROSS 000.486977.6

50 HR19-Nov-2010 CROSS 00.5606977.6

50 HR19-Nov-2010 SYNC 000.196977.6

50 HR19-Nov-2010 SYNC 00.1206977.6

POST PMS 303-May-2012 AFT FAN 0.2200.257104.2

POST PMS 303-May-2012 C BOX FAN 00.050.047104.2

POST PMS 303-May-2012 CROSS 00.480.767104.2

POST PMS 303-May-2012 SYNC 00.520.317104.2

50 HR14-Mar-2013 AFT FAN 0.2300.267208.9

50 HR14-Mar-2013 SYNC 00.360.297208.9

50 HR14-Mar-2013 C BOX FAN 00.050.037208.9

50 HR14-Mar-2013 CROSS 00.250.367208.9

50 HR10-May-2013 AFT FAN 0.2300.267256

50 HR10-May-2013 C BOX FAN 00.040.047256

50 HR10-May-2013 SYNC 00.360.327256

50 HR10-May-2013 CROSS 00.290.57256

50 HR28-Aug-2014 CROSSSHAF

00.540.627349.5

50 HR05-Feb-2015 AFT FAN 0.18200.1747398.2

EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-15-2 E, OCT 91 AIRCRAFT VIBRATION RECORD

DATE AC HRS SHAFT VERTICAL REASON FOR VIB CHECKLONGITUDINALLATERAL

IPS READINGS4.

9100268HELICOPTER, CARGOCH-47D3. AIRCRAFT SERIAL NUMBER2. NOMENCLATURE1. AIRCRAFT MODEL

Report Date: 13-Oct-2015 5/5

50HR05-Feb-2015 SYNC 00.180.0717398.2

50HR05-Feb-2015 FAN 00.060.0517398.2

50HR05-Feb-2015 CROSS 00.4680.6557398.2

50 HR08-May-2015 AFT FAN 0.19400.1877448.4

50 HR08-May-2015 SYNC SHAFT 00.1760.0737448.4

50 HR08-May-2015 C-BOX 00.0580.0427448.4

50 HR08-May-2015 CROSSSHAF

00.4330.5257448.4

6. Remarks

EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-15-2 E, OCT 91 AIRCRAFT VIBRATION RECORD

DA FORM 2408-16

1. NOMENCLATURE

COMPRESSOR ROTOR ASSY

2. NSN 3. PN NUMBER OR MODEL

2-101-600-57

4. SERIAL NUMBER

61365100796

5. WUC

04A01C

COUNT /

DATE

6. NOMECLATURE AND WUC

a

P

O

S

P/N

AND

NSN

b

COMPONENT

SE NO.

LOCATION

c

NO.

PREV

O/H

d

NOMEN

ISNT HRS

e

NOMEN

RMVL

HRS

f

TIME

SINCE

O/H

g

COMP

ISNT HRS

h

COMP

RMVL

HRS

i

O/H OR

REPLAC

LIFE

j

REPLAC-

MENT

DUE

(ACFT

HRS

k

Page 1 of 3

2840013917257

1 of 1

25-Jul-06

COMPRESSOR SHAFT

04A01C01

2-101-238-09 62517400676 0 0 0 0 0

2840014783617

1 of 1

25-Jul-06

1 COMPRESSOR DISK

04A01C09A

2-101-331-09 61365102130 0 0 0 0 0

2840014759273

1 of 1

25-Jul-06

2 COMPRESSOR DISK

04A01C09B

2-101-332-06 61365101966 0 0 0 0 0

2840014759263

1 of 1

25-Jul-06

3 COMPRESSOR DISK

04A01C09C

2-101-263-07 60350100343 0 0 0 0 0

2840014759272

1 of 1

25-Jul-06

4 COMPRESSOR DISK

04A01C09D

2-100-042-10 60350100577 0 0 0 0 0

2840014750886

1 of 1

25-Jul-06

5 COMPRESSOR DISK

04A01C09E

2-100-043-10 60350101829 0 0 0 0 0

2840014750897

1 of 1

25-Jul-06

6 COMPRESSOR DISK

04A01C09F

2-100-044-08 60350100347 0 0 0 0 0

2840014759270

1 of 1

25-Jul-06

7 COMPRESSOR DISK

04A01C09G

2-100-045-09 60350101205 0 0 0 0 0

2840011956896

1 of 1

25-Jul-06

SPACER 1ST COMPRESSOR

04A01C09H

2-103-024-04 60350100177 0 0 0 0 0

DA FORM 2408-16, OCT 91

EDITION OF MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORD

For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-16

1. NOMENCLATURE

COMPRESSOR ROTOR ASSY

2. NSN 3. PN NUMBER OR MODEL

2-101-600-57

4. SERIAL NUMBER

61365100796

5. WUC

04A01C

COUNT /

DATE

6. NOMECLATURE AND WUC

a

P

O

S

P/N

AND

NSN

b

COMPONENT

SE NO.

LOCATION

c

NO.

PREV

O/H

d

NOMEN

ISNT HRS

e

NOMEN

RMVL

HRS

f

TIME

SINCE

O/H

g

COMP

ISNT HRS

h

COMP

RMVL

HRS

i

O/H OR

REPLAC

LIFE

j

REPLAC-

MENT

DUE

(ACFT

HRS

k

Page 2 of 3

5365012145928

1 of 1

25-Jul-06

SPACER 2ND COMPRESSOR

04A01C09J

2-100-047-09 61686800459 0 0 0 0 0

5365014926958

1 of 3

25-Jul-06

SPACER 3,4,5 COMPRESSOR

04A01C09K

2-100-048-14 62512392078 0 0 0 0 0

5365014926958

2 of 3

25-Jul-06

SPACER 3,4,5 COMPRESSOR

04A01C09K

2-100-048-14 62512392091 0 0 0 0 0

5365014926958

3 of 3

25-Jul-06

SPACER 3,4,5 COMPRESSOR

04A01C09K

2-100-048-14 62512392164 0 0 0 0 0

2840014759238

1 of 1

25-Jul-06

SPACER 6TH COMPRESSOR

04A01C09L

2-100-052-33 60350100799 0 0 0 0 0

2840011286582

1 of 1

25-Jul-06

CENTRIFUGAL IMPELLER

04A01D

2-100-180-17 61365100796 0 0 0 0 0

DA FORM 2408-16, OCT 91

EDITION OF MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORD

For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-16

1. NOMENCLATURE

COMPRESSOR ROTOR ASSY

2. NSN 3. PN NUMBER OR MODEL

2-101-600-57

4. SERIAL NUMBER

61365100796

5. WUC

04A01C

COUNT /

DATE

6. NOMECLATURE AND WUC

a

P

O

S

P/N

AND

NSN

b

COMPONENT

SE NO.

LOCATION

c

NO.

PREV

O/H

d

NOMEN

ISNT HRS

e

NOMEN

RMVL

HRS

f

TIME

SINCE

O/H

g

COMP

ISNT HRS

h

COMP

RMVL

HRS

i

O/H OR

REPLAC

LIFE

j

REPLAC-

MENT

DUE

(ACFT

HRS

k

Page 3 of 3

REMARKS

DA FORM 2408-16, OCT 91

EDITION OF MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORD

For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-16

1. NOMENCLATURE

TURBINE ROTOR

2. NSN

2840014830254

3. PN NUMBER OR MODEL

2-141-140-45

4. SERIAL NUMBER

6P19326

5. WUC

04A03E

COUNT /

DATE

6. NOMECLATURE AND WUC

a

P

O

S

P/N

AND

NSN

b

COMPONENT

SE NO.

LOCATION

c

NO.

PREV

O/H

d

NOMEN

ISNT HRS

e

NOMEN

RMVL

HRS

f

TIME

SINCE

O/H

g

COMP

ISNT HRS

h

COMP

RMVL

HRS

i

O/H OR

REPLAC

LIFE

j

REPLAC-

MENT

DUE

(ACFT

HRS

k

Page 1 of 1

2825012050769

1 of 1

25-Jul-06

DISK ASSY 4TH TURBINE

04A03E02

2-141-170-22 61365100677 0 0 0 0 0

2840014748620

1 of 1

25-Jul-06

SHAFT ASSY, INTEGRAL

04A03F

2-141-350-10 51365108040 0 0 0 0 0

REMARKS

DA FORM 2408-16, OCT 91

EDITION OF MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORD

For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-16

1. NOMENCLATURE

ENGINE ASSY TURBINE

2. NSN

2840014585361

3. PN NUMBER OR MODEL

2-001-020-39

4. SERIAL NUMBER

6PGA00934

5. WUC

04A

COUNT /

DATE

6. NOMECLATURE AND WUC

a

P

O

S

P/N

AND

NSN

b

COMPONENT

SE NO.

LOCATION

c

NO.

PREV

O/H

d

NOMEN

ISNT HRS

e

NOMEN

RMVL

HRS

f

TIME

SINCE

O/H

g

COMP

ISNT HRS

h

COMP

RMVL

HRS

i

O/H OR

REPLAC

LIFE

j

REPLAC-

MENT

DUE

(ACFT

HRS

k

Page 1 of 2

1 of 1

25-Jul-06

COMPRESSOR ROTOR ASSY

04A01C

2-101-600-57 61365100796 0 0 0 0 COND

2840014589984

1 of 1

28-Jul-06

LINER ASSY, COMBUSTION

04A02A

2-131-110-76 62463718349 0 0 0 0 COND

2840014658934

1 of 1

25-Jul-06

SEALING PLATE, 1ST GP

04A02B12

2-121-075-36 51365108644 0 0 0 0 0

5365014679095

1 of 1

25-Jul-06

SPACER, TURBINE GAS

04A02B13

2-121-071-42 61365100977 0 0 0 0 0

2840014614685

1 of 1

25-Jul-06

NOZZLE ASSY 1ST TURBINE

04A02C

2-121-430-25 6P21460 0 0 0 0 COND

2840014795683

1 of 1

25-Jul-06

DISK ASSY, 1ST TURBINE

04A03A

2-121-090-79 61365100096 0 0 0 0 0

2840014785346

1 of 1

28-Jul-06

CYLINDER 1ST TURBINE

04A03B

2-121-470-49 61499500153 0 0 0 0 COND

2840014795681

1 of 1

25-Jul-06

DISK ASSY, 2ND TURBINE

04A03C

2-121-110-35 51365106131 0 0 0 0 0

2835014537890

1 of 1

25-Jul-06

NOZZLE ASSY 2ND TURBINE

04A03D

2-121-100-79 62490601369 0 0 0 0 COND

DA FORM 2408-16, OCT 91

EDITION OF MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORD

For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-16

1. NOMENCLATURE

ENGINE ASSY TURBINE

2. NSN

2840014585361

3. PN NUMBER OR MODEL

2-001-020-39

4. SERIAL NUMBER

6PGA00934

5. WUC

04A

COUNT /

DATE

6. NOMECLATURE AND WUC

a

P

O

S

P/N

AND

NSN

b

COMPONENT

SE NO.

LOCATION

c

NO.

PREV

O/H

d

NOMEN

ISNT HRS

e

NOMEN

RMVL

HRS

f

TIME

SINCE

O/H

g

COMP

ISNT HRS

h

COMP

RMVL

HRS

i

O/H OR

REPLAC

LIFE

j

REPLAC-

MENT

DUE

(ACFT

HRS

k

Page 2 of 2

2840014830254

1 of 1

25-Jul-06

TURBINE ROTOR

04A03E

2-141-140-45 6P19326 0 0 0 0 COND

2915013719305

1 of 1

25-Jul-06

FUEL CONTROL (HMU)

04A05A

110700-02D6 1159901370009 0 0 0 0 2800

REMARKS

DA FORM 2408-16, OCT 91

EDITION OF MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORD

For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-16

1. NOMENCLATURE

COMPRESSOR ROTOR ASSY

2. NSN 3. PN NUMBER OR MODEL

2-101-600-57

4. SERIAL NUMBER

61365106920

5. WUC

04A01C

COUNT /

DATE

6. NOMECLATURE AND WUC

a

P

O

S

P/N

AND

NSN

b

COMPONENT

SE NO.

LOCATION

c

NO.

PREV

O/H

d

NOMEN

ISNT HRS

e

NOMEN

RMVL

HRS

f

TIME

SINCE

O/H

g

COMP

ISNT HRS

h

COMP

RMVL

HRS

i

O/H OR

REPLAC

LIFE

j

REPLAC-

MENT

DUE

(ACFT

HRS

k

Page 1 of 3

2840013917257

1 of 1

19-Mar-07

COMPRESSOR SHAFT

04A01C01

2-101-238-09 62517401580 0 0 0 0 0

2840014783617

1 of 1

19-Mar-07

1 COMPRESSOR DISK

04A01C09A

2-101-331-09 51365107402 0 0 0 0 0

2840014759273

1 of 1

19-Mar-07

2 COMPRESSOR DISK

04A01C09B

2-101-332-06 61365105985 0 0 0 0 0

2840014759263

1 of 1

19-Mar-07

3 COMPRESSOR DISK

04A01C09C

2-101-263-07 60350101118 0 0 0 0 0

2840014759272

1 of 1

19-Mar-07

4 COMPRESSOR DISK

04A01C09D

2-100-042-10 60350107869 0 0 0 0 0

2840014750886

1 of 1

19-Mar-07

5 COMPRESSOR DISK

04A01C09E

2-100-043-10 60350107374 0 0 0 0 0

2840014750897

1 of 1

19-Mar-07

6 COMPRESSOR DISK

04A01C09F

2-100-044-08 60350107897 0 0 0 0 0

2840014759270

1 of 1

19-Mar-07

7 COMPRESSOR DISK

04A01C09G

2-100-045-09 60350107843 0 0 0 0 0

2840011956896

1 of 1

19-Mar-07

SPACER 1ST COMPRESSOR

04A01C09H

2-103-024-04 60350104587 0 0 0 0 0

DA FORM 2408-16, OCT 91

EDITION OF MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORD

For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-16

1. NOMENCLATURE

COMPRESSOR ROTOR ASSY

2. NSN 3. PN NUMBER OR MODEL

2-101-600-57

4. SERIAL NUMBER

61365106920

5. WUC

04A01C

COUNT /

DATE

6. NOMECLATURE AND WUC

a

P

O

S

P/N

AND

NSN

b

COMPONENT

SE NO.

LOCATION

c

NO.

PREV

O/H

d

NOMEN

ISNT HRS

e

NOMEN

RMVL

HRS

f

TIME

SINCE

O/H

g

COMP

ISNT HRS

h

COMP

RMVL

HRS

i

O/H OR

REPLAC

LIFE

j

REPLAC-

MENT

DUE

(ACFT

HRS

k

Page 2 of 3

5365012145928

1 of 1

19-Mar-07

SPACER 2ND COMPRESSOR

04A01C09J

2-100-047-09 61686801225 0 0 0 0 0

5365014926958

1 of 3

19-Mar-07

SPACER 3,4,5 COMPRESSOR

04A01C09K

2-100-048-14 62512392445 0 0 0 0 0

5365014926958

2 of 3

19-Mar-07

SPACER 3,4,5 COMPRESSOR

04A01C09K

2-100-048-14 62512392461 0 0 0 0 0

5365014926958

3 of 3

19-Mar-07

SPACER 3,4,5 COMPRESSOR

04A01C09K

2-100-048-14 62512392472 0 0 0 0 0

2840014759238

1 of 1

19-Mar-07

SPACER 6TH COMPRESSOR

04A01C09L

2-100-052-33 60350106310 0 0 0 0 0

2840011286582

1 of 1

19-Mar-07

CENTRIFUGAL IMPELLER

04A01D

2-100-180-17 61365106920 0 0 0 0 0

DA FORM 2408-16, OCT 91

EDITION OF MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORD

For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-16

1. NOMENCLATURE

COMPRESSOR ROTOR ASSY

2. NSN 3. PN NUMBER OR MODEL

2-101-600-57

4. SERIAL NUMBER

61365106920

5. WUC

04A01C

COUNT /

DATE

6. NOMECLATURE AND WUC

a

P

O

S

P/N

AND

NSN

b

COMPONENT

SE NO.

LOCATION

c

NO.

PREV

O/H

d

NOMEN

ISNT HRS

e

NOMEN

RMVL

HRS

f

TIME

SINCE

O/H

g

COMP

ISNT HRS

h

COMP

RMVL

HRS

i

O/H OR

REPLAC

LIFE

j

REPLAC-

MENT

DUE

(ACFT

HRS

k

Page 3 of 3

REMARKS

DA FORM 2408-16, OCT 91

EDITION OF MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORD

For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-16

1. NOMENCLATURE

TURBINE ROTOR

2. NSN

2840014830254

3. PN NUMBER OR MODEL

2-141-140-45

4. SERIAL NUMBER

7P04359

5. WUC

04A03E

COUNT /

DATE

6. NOMECLATURE AND WUC

a

P

O

S

P/N

AND

NSN

b

COMPONENT

SE NO.

LOCATION

c

NO.

PREV

O/H

d

NOMEN

ISNT HRS

e

NOMEN

RMVL

HRS

f

TIME

SINCE

O/H

g

COMP

ISNT HRS

h

COMP

RMVL

HRS

i

O/H OR

REPLAC

LIFE

j

REPLAC-

MENT

DUE

(ACFT

HRS

k

Page 1 of 1

2825012050769

1 of 1

19-Mar-07

DISK ASSY 4TH TURBINE

04A03E02

2-141-170-22 61365101819 0 0 0 0 0

2840014748620

1 of 1

19-Mar-07

SHAFT ASSY, INTEGRAL

04A03F

2-141-350-10 61365103258 0 0 0 0 0

REMARKS

DA FORM 2408-16, OCT 91

EDITION OF MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORD

For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-16

1. NOMENCLATURE

ENGINE ASSY TURBINE

2. NSN

2840014585361

3. PN NUMBER OR MODEL

2-001-020-39

4. SERIAL NUMBER

7PGA01075

5. WUC

04A

COUNT /

DATE

6. NOMECLATURE AND WUC

a

P

O

S

P/N

AND

NSN

b

COMPONENT

SE NO.

LOCATION

c

NO.

PREV

O/H

d

NOMEN

ISNT HRS

e

NOMEN

RMVL

HRS

f

TIME

SINCE

O/H

g

COMP

ISNT HRS

h

COMP

RMVL

HRS

i

O/H OR

REPLAC

LIFE

j

REPLAC-

MENT

DUE

(ACFT

HRS

k

Page 1 of 2

1 of 1

19-Mar-07

COMPRESSOR ROTOR ASSY

04A01C

2-101-600-57 61365106920 0 0 0 0 COND

2840014589984

1 of 1

19-Mar-07

LINER ASSY, COMBUSTION

04A02A

2-131-110-76 62463718443 0 0 0 0 COND

2840014658934

1 of 1

19-Mar-07

SEALING PLATE, 1ST GP

04A02B12

2-121-075-36 51365109842 0 0 0 0 0

5365014679095

1 of 1

19-Mar-07

SPACER, TURBINE GAS

04A02B13

2-121-071-42 61365106108 0 0 0 0 0

2840014614685

1 of 1

19-Mar-07

NOZZLE ASSY 1ST TURBINE

04A02C

2-121-430-25 7P05216 0 0 0 0 COND

2840014795683

1 of 1

19-Mar-07

DISK ASSY, 1ST TURBINE

04A03A

2-121-090-79 61365101737 0 0 0 0 0

2840014785346

1 of 1

19-Mar-07

CYLINDER 1ST TURBINE

04A03B

2-121-470-49 71499500029 0 0 0 0 COND

2840014795681

1 of 1

19-Mar-07

DISK ASSY, 2ND TURBINE

04A03C

2-121-110-35 61365102972 0 0 0 0 0

2835014537890

1 of 1

19-Mar-07

NOZZLE ASSY 2ND TURBINE

04A03D

2-121-100-79 60402300306 0 0 0 0 COND

DA FORM 2408-16, OCT 91

EDITION OF MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORD

For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG

DA FORM 2408-16

1. NOMENCLATURE

ENGINE ASSY TURBINE

2. NSN

2840014585361

3. PN NUMBER OR MODEL

2-001-020-39

4. SERIAL NUMBER

7PGA01075

5. WUC

04A

COUNT /

DATE

6. NOMECLATURE AND WUC

a

P

O

S

P/N

AND

NSN

b

COMPONENT

SE NO.

LOCATION

c

NO.

PREV

O/H

d

NOMEN

ISNT HRS

e

NOMEN

RMVL

HRS

f

TIME

SINCE

O/H

g

COMP

ISNT HRS

h

COMP

RMVL

HRS

i

O/H OR

REPLAC

LIFE

j

REPLAC-

MENT

DUE

(ACFT

HRS

k

Page 2 of 2

2840014830254

1 of 1

19-Mar-07

TURBINE ROTOR

04A03E

2-141-140-45 7P04359 0 0 0 0 COND

2915013719305

1 of 1

19-Mar-07

FUEL CONTROL (HMU)

04A05A

110700-02D6 1159901370154 0 0 0 0 2800

REMARKS

DA FORM 2408-16, OCT 91

EDITION OF MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORD

For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

2840014585361ENGINE ASSY, TURBIN 2-001-020-39 06PGA00934 04A4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 1 of 31

13-Oct-2015

10400 10400

2840014795683 204A03A

00DISK ASSY, 1ST TURBINE 0613651000962-121-090-79 RCRC

2400 2400

2915013719305 204A05A

00HYDROMECHANICAL ASS 1159901370009110700-02D6 00

7. SIGNIFICANT HISTORICAL DATA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

2840014585361ENGINE ASSY, TURBIN 2-001-020-39 07PGA01075 04A4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 2 of 31

13-Oct-2015

10400 10400

2840014795683 104A03A

00DISK ASSY, 1ST TURBINE 0613651017372-121-090-79 RCRC

2400 2400

2915013719305 104A05A

00HYDROMECHANICAL ASS 1159901370154110700-02D6 00

7. SIGNIFICANT HISTORICAL DATA

24-Jun-2012 1 WUC 04A P/N: 2-001-020-39 S/N: 07PGA01075 ENGINE TURBINE ASSYAT 805.3 ENGINE HOURS, ZERO OVERHAULS THE FOLLOWING BLADES WERE REPAIRED AND/ORREPLACED: REPAIRED 1 (EA) AND REPLACED 2 (EA) FIRST STAGE COMPRESSOR BLADES.

PP135423 AASF #3 DAVENPORT, IA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615013914398HEAD ASSY ROT WING 145R2003-10 A4-293 05A014. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 3 of 31

13-Oct-2015

2887 8888

1615011994145 FWD05A01A

03576HUB ROTARY WING FWD FM0096114R2050-35 RCRC

4800 11137

1615007406480 GREEN05A01H

03912TIE BAR ASSY 2005A234114R2155-1 RCRC

4800 11904

1615007406480 YELLOW05A01H

04679TIE BAR ASSY 2006A10662114R2155-1 RCRC

4800 11904

1615007406480 RED05A01H

04679TIE BAR ASSY 2006A4064114R2155-1 RCRC

999999 COND

3040014107183 YELLOW05A01I

26614457PITCH HOUSING AM1257145R2075-15 CCCC

999999 COND

3040014107183 RED05A01I

27964457PITCH HOUSING AM1459145R2075-15 CCCC

999999 COND

3040014107183 YELLOW05A01I

04567PITCH HOUSING NP4012145R2075-15 CCCC

2700 9582

311000838706405A01I02A

04457PITCH BEARING A4139114R2131-1 RCRC

2700 9582

311000838706405A01I02A

04457PITCH BEARING A4149114R2131-1 RCRC

2700 9582

311000838706405A01I02A

04457PITCH BEARING A4152114R2131-1 RCRC

2700 8701

3110009545730 FWD05A01I02B

03576PITCH BEARING N33307114R2130-2 RCRC

2700 8701

3110009545730 FWD05A01I02B

03576PITCH BEARING N33311114R2130-2 RCRC

2700 8701

3110009545730 FWD05A01I02B

03576PITCH BEARING N33323114R2130-2 RCRC

999999 COND

161501205392105A01I05

29474457PITCH SHAFT FWD ZR3256234R2088-1 CCCC

999999 COND

161501205392105A01I05

31014457PITCH SHAFT FWD ZR358234R2088-1 CCCC

999999 COND

161501205392105A01I05

21344457PITCH SHAFT FWD ZR409234R2088-1 CCCC

2400 9504

3110004556179 RED*05A01O01

04679BEARING, VERT PIN (UPPE A10909114RS214-6 RCRC

2400 9504

3110004556179 GREEN*05A01O01

04679BEARING, VERT PIN (UPPE A1760114RS214-6 RCRC

2400 9504

3110004556179 YELLOW*05A01O01

04679BEARING, VERT PIN (UPPE N32101114RS214-6 RCRC

2400 8304

3110004556188 GREEN**05A01O02

12004679BEARING, VERT PIN (LOW N29807114RS214-5 RCRC

2400 8304

3110004556188 RED**05A01O02

12004679BEARING, VERT PIN (LOW N29810114RS214-5 RCRC

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615013914398HEAD ASSY ROT WING 145R2003-10 A4-293 05A014. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 4 of 31

13-Oct-2015

2400 8304

3110004556188 YELLOW**05A01O02

12004679BEARING, VERT PIN (LOW N31209114RS214-5 RCRC

2400 8737

5315012957008 GRN*05A01P

03912PIN HORIZ. FWD, REPLAC FM1186114R2197-7 00

2400 8737

5315012957008 YELLOW*05A01P

03912PIN HORIZ. FWD, REPLAC FM1209114R2197-7 00

2400 8322

5315012957008 RED05A01P

38373497PIN HORIZONTAL HINGE, VM5425114R2197-7 03

2400 9504

3110013110024 YELLOW*05A01Q01

04679HORZ PIN BEARING A8971114RS225-1 RCRC

2400 8737

3110013110024 GREEN**05A01Q01

12003912HORZ PIN BEARING N16382114RS225-1 RCRC

2400 9504

3110013110024 RED*05A01Q01

04679HORZ PIN BEARING N38578114RS225-1 RCRC

2400 9504

3110013102258 GREEN*05A01Q02

04679FWD HORZ PIN BRG, TRAI A3908114RS226-1 RCRC

2400 9504

3110013102258 RED*05A01Q02

04679FWD HORZ PIN BRG, TRAI N2743114RS226-1 RCRC

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615013914398HEAD ASSY ROT WING 145R2003-10 A4-293 05A014. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 5 of 31

13-Oct-2015

2400 9504

3110013102258 YELLOW*05A01Q02

04679FWD HORZ PIN BRG, TRAI N2791114RS226-1 RCRC

7. SIGNIFICANT HISTORICAL DATA

05-Jan-2005 1 CCAD-OVERHAULED, TSN: 3576, TSO: 0, O/H : # 2, CONTROL NUMBER DLMD-23340. THE RETIREMENTINTERVALS OF THESE PARTS MAY BE EXTENDED 100% PROVIDED THEY ARE ROTATED 180 DEG. AT 1200HOURS. HUB WAS RECAPPED IAW AED T3332. * THESE HORIZONTAL PINS & BEARINGS MUST BEROTATED AT M/R HEAD TOTAL TIME: 4776 HOURS. S/N'S: A969, VM4773, VM5547, N29810, N31209, &N29807. * ROTATE BRNG S/N: N16382 AT M/R HEAD TOTAL TIME: 4176 HOURS. * ROTATE BRNGS S/N:X93997X & X95986X AT M/R HEAD TT: 4411 HOURS * ROTATE BRNG S/N: X95534X AT M/R HEAD TOTALTIME: 4381 HOURS. * ROTATE BRNGS S/N: ZN89961 AT M/R HEAD TOTAL TIME: 4592 HOURS. * ROTATEBRNG S/N: N19815 AT M/R HEAD TOTAL TIME: 4645 HOURS. ** THESE BEARINGS HAVE BEEN ROTATEDAND MUST BE REPLACED AT M/R HEAD TOTAL TIME: 4776 HOURS.

MS068034 CCAD C.C TX 78419

11-May-2005 1 *** FWD HORZ PIN, BRG, LEAD SN# N16382 ROTATED. 3912 HEAD HOURS. BEARING DUE REPLACEMENTAT 5112 HEAD HOURS. CD8204.

MS068034 OLR/LSI FT LEWIS WA.

12-Apr-2012 1 ROTOR HEAD ASSY FWD NSN:1615-01-391-4398 P/N:145R2003-10 S/N: A4-293*THESE HORIZONTAL PINS S/N'S: FM1186, FM1209 MUST BE ROTATED @ M/R HEADTOTAL TIME: 5112 HRS..-- **HORIZONTAL PIN S/N: VM5425 HAS BEEN ROTATED ANDMUST BE REPLACED @ M/R HEAD TOTAL TIME: 5879 HRS.-- **HORIZONTAL PIN BEARINGS/N: N16382 HAS BEEN ROTATED AND MUST BE REPLACED @ M/R HEAD TOTAL TIME:5112 HRS.-- **THESE VERTICAL PIN BEARING S/N'S: N31209, N29807, 29810, HAVE BEENROTATED AND MUST BE REPLACED @ 5879 HRS. M/R HEAD TOTAL TIME.-- *THESE VERTICALPIN BEARING S/N'S: A10909, A1760, N32101, MUST BE ROTATED @ 5879 HRS. M/R HEAD TOTAL TIME.--*THESE HORIZONTAL PIN BEARING S/N'S: A3908, N2743, N2791, A8971, N38578, MUST BE ROTATED TIME.@ 5879 HRS. M/R HEAD TOTAL TIME.

RG546546 AASF #3 DAVENPORT, IOWA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615011457109BLADE ASSY ROT WIN 114R1702-37 2007A10644 05A024. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 6 of 31

13-Oct-2015

7. SIGNIFICANT HISTORICAL DATA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615011457109BLADE ASSY ROT WIN 114R1702-37 2010A7897 05A024. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 7 of 31

13-Oct-2015

7. SIGNIFICANT HISTORICAL DATA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615011457109BLADE ASSY ROT WIN 114R1702-37 2010A7991 05A024. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 8 of 31

13-Oct-2015

7. SIGNIFICANT HISTORICAL DATA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615013950006SWASHPLATE ASSY F 145R3551-17 A84684 05A03A4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 9 of 31

13-Oct-2015

999999 COND

1615015486687 F05A03A01

9095673FWD STATIONARY RING 200818145R3351-3 CCCC

999999 COND

1615011146125 F05A03A02

23905673ROTATING RING ASSY BCW1249114R3464-9 CCCC

1200 8574

3110013560489 F05A03A04

05673SWASHPLATE BEARING BDH201111644114RS308-2 RCRC

7. SIGNIFICANT HISTORICAL DATA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615013914399HEAD ASSY ROT WING 145R2004-20 A5-869 05B014. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 10 of 31

13-Oct-2015

1995 9177

161501198755305B01A

03561HUB ROTARY WING AFT FM0372114R2050-36 RCRC

4800 11620

161500740648005B01E

3623561TIE BAR ASSY A20370114R2155-1 RCRC

4800 9568

161500740648005B01E

24143561TIE BAR ASSY A5357114R2155-1 RCRC

4800 8204

161500740648005B01E

37783561TIE BAR ASSY A9975114R2155-1 RCRC

8200 15382

304001407729805B01F

03561PITCH HOUSING, AFT GA3488145R2075-16 RCRC

8200 13021

304001407729805B01F

23613561PITCH HOUSING, AFT ILS245145R2075-16 RCRC

8200 14664

304001407729805B01F

7183561PITCH HOUSING, AFT TZ-982145R2075-16 RCRC

2700 9482

311000838706405B01G01

4003561PITCH BEARING N39738114R2131-1 RCRC

2700 9633

311000838706405B01G01

2493561PITCH BEARING N47577114R2131-1 RCRC

2700 9480

311000838706405B01G01

4023561PITCH BEARING N27741114R2131-1 RCRC

2700 9569

311000954573005B01G02

3133561PITCH BEARING N28336114R2130-2 RCRC

2700 9433

311000954573005B01G02

4493561PITCH BEARING N36058114R2130-2 RCRC

2700 9433

311000954573005B01G02

4493561PITCH BEARING N36137114R2130-2 RCRC

999999 COND

304001206392505B01H

4263561PITCH SHAFT, AFT FM00055234R2088-2 CCCC

999999 COND

304001206392505B01H

25453561PITCH SHAFT, AFT ZR1697234R2088-2 CCCC

999999 COND

304001206392505B01H

12533561PITCH SHAFT, AFT ZR1761234R2088-2 CCCC

2400 9382

NSN PENDING05B01J01

2003561AFT VERT PIN BRG, UPPE N18766*114RS214-2 RCRC

2400 9383

NSN PENDING05B01J01

1993561AFT VERT PIN BRG, UPPE N34202*114RS214-2 RCRC

2400 9381

NSN PENDING05B01J01

2013561AFT VERT PIN BRG, UPPE N40521*114RS214-2 RCRC

2400 9582

311000455618805B01J02

03561BEARING, VERT PIN (LOW ZN20830*114RS214-5 RCRC

2400 9582

311000455618805B01J02

03561BEARING, VERT PIN (LOW ZN49535*114RS214-5 RCRC

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615013914399HEAD ASSY ROT WING 145R2004-20 A5-869 05B014. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 11 of 31

13-Oct-2015

2400 9582

311000455618805B01J02

03561BEARING, VERT PIN (LOW ZN77042*114RS214-5 RCRC

2400 9582

531500871730205B01K

65043561PIN HORIZ. AFT, ROTATE/ TZ456*114R2196-2 03

1200 8382

531501295700805B01K

27003561PIN HORIZ. AFT, REPLACE AF780*114R2197-7 04

1200 8382

531501295700805B01K

43363561PIN HORIZ. AFT, REPLACE TZ1300*114R2197-7 03

2400 9582

311001311002405B01L01

03561HORZ PIN BEARING AZN283*114RS225-1 RCRC

2400 9582

311001311002405B01L01

03561HORZ PIN BEARING AZN427*114RS225-1 RCRC

2400 9582

311001311002405B01L01

03561HORZ PIN BEARING AZN462*114RS225-1 RCRC

2400 9582

311001310225805B01L02

03561HORZ PIN BEARING AZN152*114RS226-1 RCRC

2400 9582

311001310225805B01L02

03561HORZ PIN BEARING N42613*114RS226-1 RCRC

2400 9582

311001310225805B01L02

03561HORZ PIN BEARING ZN4910*114RS226-1 RCRC

7. SIGNIFICANT HISTORICAL DATA

08-Jun-2007 1 DATE: 08 JUN 07, CCAD - OVERHAULED/RECAPPED, TSN: 3561, TSO: 0, O/H: #4, C/N #3410004. THERETIREMENT INTERVALS OF THESE PARTS MAY BE EXTENDED 100% PROVIDED THEY ARE ROTATED 180DEG. AT 1200 HOURS.

* THESE HORIZONTAL PINS & BEARINGS S/N'S: TZ456, AF780, TZ1300, ZN49535, ZN20830, ZN77042,AZN462, AZN427, AZN283, ZN4910, AZN12, N42613 MUST BE ROTATED AT M/R HEAD TOTAL TIME: 4761HOURS.

* BEARING S/N: N18766 MUST BE ROTATED AT M/R HEAD TT: 4561 HOURS.* BEARING S/N: N40521 MUST BE ROTATED AT M/R HEAD TT: 4560 HOURS.* BEARING S/N: N34202 MUST BE ROTATED AT M/R HEAD TT: 4562 HOURS.

S/ E.G. LOPEZ, A/C DATA TECH., CCAD, CORPC, TX 78419-5260.

CCAD CORPC, TX 78419-5260

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615013950007SWASHPLATE ASSY A 145R3551-18 A841348 05B03A4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 12 of 31

13-Oct-2015

999999 COND

1615012023322 AFT05B03A01

8743307AFT STATIONARY RING A WVMUW0289NE145R3352-2 CCCC

1200 8082

3110013560489 AFT05B03A04

03307SWASHPLATE BEARING BDH1494114RS308-2 RCRC

999999 COND

1615011146125 AFT05B03A05

34813307ROTATING RING ASSY BCW624114R3464-9 CCCC

7. SIGNIFICANT HISTORICAL DATA

03-Mar-2010 1 28JAN2009-CCAD-TSN:3307,TSO:0.#O/H:4. RECAPPED IAW AED-T3317 AND AED-T3726. S/FC7929, CCAD,CORPC TX.

PP213896 AASF #3 MERIDIAN, MS

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615013176446FORWARD TRANSMIS 145D1300-9 A7-574 06B4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 13 of 31

13-Oct-2015

6218 10558

1615011125879 FWD06B01

00SHAFT ASSY, FWD N1436145D1301-3 RCRC

999999 COND

311001331770206B03

00BEARING, ROLLER CYLIN GG609145DS016-2 CCCC

999999 COND

311001114633006B03

00BEARING, ROLLER CYLIN VB172L145DS018-1 CCCC

999999 COND

311001114633106B03

00BEARING, ROLLER CYLIN GG1759145DS019-1 CCCC

999999 COND

311001114632406B03

00BEARING, BALL ANNULAR VB294L145DS020-1 CCCC

999999 COND

3110013470004 FWD06B03

00BEARING, BALL ANNULAR GG523145DS034-3 CCCC

999999 COND

311001114633706B03

00BEARING, ROLLER TAPER VB119K145DS100-1 CCCC

999999 COND

311001114633806B03

00BEARING, ROLLER TAPER VB181K145DS101-1 CCCC

999999 COND

311001353736906B04

00GEAR/BEARING, ASSY VB1726K145DS010-5 CCCC

999999 COND

311001353736906B04

00GEAR/BEARING, ASSY VB1729K145DS010-5 CCCC

999999 COND

311001353736906B04

00GEAR/BEARING, ASSY VB1739K145DS010-5 CCCC

999999 COND

311001353736906B04

00GEAR/BEARING, ASSY VB1745K145DS010-5 CCCC

999999 COND

311001353736906B04

00GEAR/BEARING, ASSY VB1764K145DS010-5 CCCC

999999 COND

311001353736906B04

00GEAR/BEARING, ASSY VB1782K145DS010-5 CCCC

999999 COND

311001232770806B04

00GEAR/BEARING, ASSY VB673L145DS011-8 CCCC

999999 COND

311001232770806B04

00GEAR/BEARING, ASSY VB691L145DS011-8 CCCC

999999 COND

311001232770806B04

00GEAR/BEARING, ASSY VB708L145DS011-8 CCCC

999999 COND

311001232770806B04

00GEAR/BEARING, ASSY VB741L145DS011-8 CCCC

999999 COND

302001114971606B05

00STATIONARY RING GEAR M2277145D0105-2 CCCC

999999 COND

302001228168506B06

00SUN GEAR M2368145D0103-3 CCCC

999999 COND

161501112299506B07

00CARRIER FIRST STAGE M2160145D0104-3 CCCC

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615013176446FORWARD TRANSMIS 145D1300-9 A7-574 06B4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 14 of 31

13-Oct-2015

999999 COND

304001228172806B08

00PINION GEAR, BEVEL (FW M1465145D1306-3 CCCC

999999 COND

304001228173106B09

00S.B. GEAR M1626145D1305-3 CCCC

7. SIGNIFICANT HISTORICAL DATA

06-Sep-1992 1 WUC: 06B PN: 145D1300-9 PSN: A7-574 XMSN ASSY, WING DRIVE FWD6-9-92: BOEING HELICOPTER PHILA., PA. CONTRACT #DAAJ09-89-C-A010. T.T. NEW 13B8 JUN 9-1992.

JD415449 BOEING HEICOPTER PHILA., PA

30-Aug-1999 1 WUC: 06B PN: 145D1300-9 PSN: A7-574 XMSN ASSY, WING DRIVE FWD30 AUG 99 SOF-CH-47-99-04/ TB1-1520-240-20-114. INSP OF H-47 ACFTFOR FWD & AFT XMSN GEAR/BEARING ASSY'Y IDENTIFIED BY S/N PREFIX VB

JD415449 (NO ORGANIZATION) (NO LOCATION)

04-Dec-2009 1 WUC 06B03,BEARING S/N VERIFY AT NEXT TEARDOWN

PP213896 AASF#3 MERIDIAN,MS

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615013154071AFT TRANSMISSION 145D2300-7 A9-576 06C4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 15 of 31

13-Oct-2015

999999 COND

414001287243206C01J

00FAN ASSY, AFT XMSN 0783145DS210-4 CCCC

999999 COND

311001331770206C02

00BEARING GG621145DS016-2 CCCC

999999 COND

311001331770306C02

00BEARING GG550145DS017-3 CCCC

999999 COND

311001442617406C02

00BEARING VB181L145DS018-1 CCCC

999999 COND

311001114633106C02

00BEARING GG1845145DS019-2 CCCC

999999 COND

311001114632406C02

00BEARING VB283L145DS020-1 CCCC

999999 COND

311001357650106C02

00BEARING GG524145DS034-3 CCCC

999999 COND

311001331770106C02

00BEARING WY436145DS200-1 CCCC

999999 COND

311001353736906C03

00GEAR/BEARING, ASSY VB1727K145DS010-5 CCCC

999999 COND

311001353736906C03

00GEAR/BEARING, ASSY VB1730K145DS010-5 CCCC

999999 COND

311001353736906C03

00GEAR/BEARING, ASSY VB1736K145DS010-5 CCCC

999999 COND

311001353736906C03

00GEAR/BEARING, ASSY VB1738K145DS010-5 CCCC

999999 COND

311001353736906C03

00GEAR/BEARING, ASSY VB1743K145DS010-5 CCCC

999999 COND

311001353736906C03

00GEAR/BEARING, ASSY VB1781K145DS010-5 CCCC

999999 COND

311001232770806C03

00GEAR/BEARING, ASSY VB674L145DS011-8 CCCC

999999 COND

311001232770806C03

00GEAR/BEARING, ASSY VB684L145DS011-8 CCCC

999999 COND

311001232770806C03

00GEAR/BEARING, ASSY VB702L145DS011-8 CCCC

999999 COND

311001232770806C03

00GEAR/BEARING, ASSY VB722L145DS011-8 CCCC

999999 COND

302001114971606C04

00STATIONARY RING GEAR M2260145D0105-2 CCCC

999999 COND

302001228168506C05

00SUN GEAR M2333145D0103-3 CCCC

999999 COND

161501112299506C06A

00CARRIER FIRST STAGE M2225145D0104-3 CCCC

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615013154071AFT TRANSMISSION 145D2300-7 A9-576 06C4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 16 of 31

13-Oct-2015

999999 COND

284001113023406C06B

00CARRIER, STAGE 2 M1352145D2302-2 CCCC

999999 COND

304001228172906C07

00PINION GEAR M1394145D2306-3 CCCC

999999 COND

304001228173206C08

00S.B. GEAR (AFT XMSN) M1588145D2305-3 CCCC

999999 COND

304001114976206C09

00ACCESSORY GEAR SHAFT M1287145D2311-2 CCCC

7. SIGNIFICANT HISTORICAL DATA

06-Jan-1992 1 WUC: 06C PN: 145D2300-7 PSN: A9-576 XMSN ASSEMBLY AFT6-1-92: BOEING HELICOPTERS PHILA., PA. CONTRACT # DAAJ09-89-C-A010. T.T. NEW 13B8.

JD415449 BOEING HELICOPTER PHILA., PA.

30-Aug-1999 1 WUC: 06C PN: 145D2300-7 PSN: A9-576 XMSN ASSEMBLY AFT30 AUG 99: SOF-CH-47-99-04/ TB1-1520-240-20-114. INSP OF H-47 ACFT FOR FWD & AFT XMSNGEAR/BEARING ASSY'Y IDENTIFIED BY S/N PREFIX VB

JD415449 (NO ORGANIZATION) (NO LOCATION)

13-Feb-2006 1 MAINTENANCE ENGINEERING CALL (MEC) #F45943 REPAIR OF CORROSION ON HOUSING UNDER OILCOOLER. TM9262 2HRS(AUTHORIZED BY REX A HAYDEN) 6 FEB 2006

JD415449 OLR/LSI FT LEWIS WA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615013159365COMBINING TRANSMIS 145D5300-11 A8-156 06D4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 17 of 31

13-Oct-2015

999999 COND

3110011146325 C-BOX06D02

25121903BEARING, BALL ANNULAR 287145DS500-1 CCCC

999999 COND

3110013254964 C-BOX06D02

01903BEARING, ROLLER CYLIN GG723145DS501-4 CCCC

999999 COND

3110013409928 C-BOX06D02

7771903BEARING, ROLLER CYLIN GG398145DS502-3 CCCC

999999 COND

3110013306550 C-BOX06D02

5751903BEARING, BALL ANNULAR GG352145DS503-4 CCCC

999999 COND

3110011146334 C-BOX06D02

14551903BEARING, ROLLER CYLIN 824145DS504-2 CCCC

999999 COND

3110011146334 C-BOX06D02

14551903BEARING, ROLLER CYLIN 910145DS504-2 CCCC

999999 COND

3110011146335 C-BOX06D02

14551903BEARING, ROLLER CYLIN VB101F145DS505-1 CCCC

999999 COND

3110011146335 C-BOX06D02

12191903BEARING, ROLLER CYLIN VB414K145DS505-1 CCCC

999999 COND

3110011146327 C-BOX06D02

7831903BEARING, BALL ANNULAR VB232D145DS506-1 CCCC

999999 COND

3110011146327 C-BOX06D02

10321903BEARING, BALL ANNULAR WY0059145DS506-2 CCCC

999999 COND

3040011149457 C-BOX06D03

01903GEARSHAFT, SPUR M1235145D5313-2 CCCC

999999 COND

3040012327777 C-BOX06D04

01903GEARSHAFT, BEVEL M1829145D5305-3 CCCC

999999 COND

3040012281730 C-BOX06D05

31181903GEARSHAFT, BEVEL M453145D5306-3 CCCC

999999 COND

3040012281730 C-BOX06D05

18431903GEARSHAFT, BEVEL M874145D5306-3 CCCC

999999 COND

4140013116901 C-BOX06D07

01903FAN ASSEMBLY TRANSMI 1615145DS518-6 CCCC

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615013159365COMBINING TRANSMIS 145D5300-11 A8-156 06D4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 18 of 31

13-Oct-2015

999999 COND

3040013104977 C-BOX06D08

251903FAN DRIVESHAFT A2926145D5319-5 CCCC

7. SIGNIFICANT HISTORICAL DATA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615013956839TMSN ASSY ENGINE M 145D6300-12 A11-524DRGI 06E4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 19 of 31

13-Oct-2015

999999 COND

3110012024072 206E03

01731BEARING, ROLLER, CYLIN GG371114DS664-5 CCCC

999999 COND

311001463298306E03

01731BEARING ROLLER, CYLIN GG704114DS665-5 CCCC

999999 COND

311001051581106E03

00BEARING, BALL, ANNULA 1994114DS668-3 CCCC

999999 COND

311001202668006E03

01731BEARING, BALL, ANNULA BCX850114DS669-5 CCCC

999999 COND

311001202407306E03

01731BEARING, ROLLER, CYLIN GG0967114DS670-3 CCCC

999999 COND

311001114633606E03

01731BEARING, ROLLER, TAPE GP0105145DS600-7 CCCC

999999 COND

3110011146329 #206E03

01731BEARING ROLLER CYLIND GG462145DS603-3 CCCC

999999 COND

304001114945206E04

00GEARSHAFT, BEVEL M1092DRGI145D6301-2 CCCC

999999 COND

161501219866506E05

01731CLUTCH ENG XMSN XBW1379114DS672-1 CCCC

999999 COND

304001113043806E05A

01731SHAFT, SHOULDERED M2862145D6305-3 CCCC

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615013956839TMSN ASSY ENGINE M 145D6300-12 A11-524DRGI 06E4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 20 of 31

13-Oct-2015

999999 COND

304001114945306E06

00GEARSHAFT, BEVEL M1130DRGI145D6302-2 CCCC

7. SIGNIFICANT HISTORICAL DATA

07-Mar-1988 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL07 MAR 88 BOEING CONTRACT #DAAJ09-85-C-A-005, T.T. NEW BORG &WARNER CLUTCH INST 114DS672-1, S/NXBW-528.INNER CAGE WAS INSP ANDFOUND ACCEPTABLE.

JD415449 BOEING NO LOCATION

15-Mar-1988 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL15 MAR 88 BOEING, XMSN WAS REWORKED AND INSP PER RR#443292.CLUTCH114DS672-1 S/N XBW-528 FOUND ACCEPTABLE.

JD415449 BOEING NO LOCATION

14-Mar-1998 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL14 MAR 98 VERIFY P/N AND S/N AND TIME AT NEXT TEARDOWN, SIGNED C.HERNANDEZ, REC CLERK CCAD.

JD415449 CCAD NO LOCATION

21-Apr-1998 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL21 APR 98 SERVICABLE, CCAD, TSN 1635, CONTROL 3070791. SIGNED E.BROWN REC CLERK, CCAD.

JD415449 CCAD NO LOCATION

28-Jul-2000 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL28 JUL 00 UNIT IS I/C/W C.A.R.E. 114D0111 REV. B "DRGI" HAS BEENETCHED ADJACENT TOUNITS S/N TO DENOTE UNITS COMPLIANCE. UNIT HASBEEN O/H & UPGRADED TO 145D6300-12 CONFIGURATION FROM A 145D6300-10 CONFIGURATION. CONTRACT #DAAH23-99-C-0220. UNIT IS FLIGHTREADY AND REQUIRES NO FURTHER MAINTENANCE. TSN 1731, TSO 0, O/H 1WH4916.

JD415449 NO ORGANIZATION NO LOCATION

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615012710663TMSN ASSY ENGINE M 145D6300-6 A11-468 06E4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 21 of 31

13-Oct-2015

999999 COND

311000051562606E03

01767BEARING, ROLLER, CYLIN VB428F114DS664-1 CCCC

999999 COND

311001149929206E03

01767BEARING, ROLLER, CYLIN VB635A114DS665-3 CCCC

999999 COND

311001051581106E03

01767BEARING, BALL, ANNULA 2354114DS668-3 CCCC

999999 COND

311000922073906E03

01767BEARING, BALL, ANNULA J1146114DS669-2 CCCC

999999 COND

NSN PENDING06E03

01767BEARING, ROLLER, CYLIN 718114DS670-2 CCCC

999999 COND

3110011146329 #106E03

01767BEARING ROLLER 761145DS603-2 CCCC

999999 COND

304001114945206E04

01767GEARSHAFT, BEVEL M967145D6301-2 CCCC

999999 COND

161501219866506E05

01767CLUTCH ENG XMSN XBW685114DS672-1 CCCC

999999 COND

304001113043806E05A

01767SHAFT, SHOULDERED M986145D6305-3 CCCC

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615012710663TMSN ASSY ENGINE M 145D6300-6 A11-468 06E4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 22 of 31

13-Oct-2015

999999 COND

304001114945306E06

01767GEARSHAFT, BEVEL M1018145D6302-2 CCCC

7. SIGNIFICANT HISTORICAL DATA

31-Jul-1987 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 87-07-31: BOEING/VERTOL CO. PHILA, PA. CONTRACT #DAAJ-09-85-C-A005 TT: NEW, BORG WARNER CLUTCH INSTALLED 114DS672-1, S/N XBW286.

QC000000 BOEING/VERTOL PHILA, PA

16-May-1989 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 89-05-16: BOEING HEL., PHILA,PA.XMSN WAS RETURNED FOR NEW CLUTCH 114DS672-1 S/N XBW685,REASSEMBLED,TESTED,AND INSP. XMSN WAS REIDENTIFIED FROM 145D6300-3 TO 145D6300-6. TT: 161,TSO: NEW NO OVERHAUL.CONTRACT# DAAJ-09-85-G-0005. S/ B8-896.

QC000000 BOEING HEL PHILA,PA

03-Apr-1991 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 91-04-03: SOF MSG CH-47-91-01 (TB 55-1520-240-55) ONE TIME INSP. OF XMSN CONTAINING SUSPECTED INOUT PINION AND GEARS. COMPLETED BY D CO. 502ND. AVN REGT APO NY 09028 S/ O.G. TI.

JD415449 CO. 502ND REGT APO NY 09028

01-Jan-2000 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 20000101: SOF CH-47-00-04/TB 1-1520-240-20-117: ONE TIME INSP OF ENG. XMSN. HISTORICAL RECORDS FOR SUSPECT GEARS & REPLACEMENT OF SUSPECT XMSN C/W AT 1714.0 COMP. HRS. TS3050 AASF MERIDIAN, MS.

JD415449 AASF MERIDIAN, MS

08-Mar-2000 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 20000308:TREATED FOR CORROSION IN MOUNT HOLES. MT HOLES FOR THE #2 POSITION WERE REAMED OVERSIZED TO REMOVE CORROSION. XMSN CAN ONLY BE USED AS A #1 ENG. XMSN. CM6742 AASF MERIDIAN, MS.

JD415449 AASF MERIDIAN, MS

04-Dec-2009 1 WUC 06E03,BEARING S/N VERIFY AT NEXT TEARDOWN

PP213896 AASF#3 MERIDIAN,MS

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1680013201191SHAFT ASSY, AFT VER 145D3300-6 A-1011 06H024. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 23 of 31

13-Oct-2015

7. SIGNIFICANT HISTORICAL DATA

04-Jan-2006 1 OVERHAULED TSN:60, TSO:0 CNTRL#:1184. RECAPPED IAW AED-T3225 FICHLA CAUYPOR A/C DATATECH,

MS068034 CCAD CORPC TX 78419

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615011130248SEC 1 DRIVE SHAFT A 145D3400-23 A4043 06H06A4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 24 of 31

13-Oct-2015

999999 COND

3110010965634 106H06A01

03606BEARING, SHAFT ASSY SY GG15931145DS301-3 CCCC

999999 COND

1615011400972 106H06A02

36063606DRIVE SHAFT ADAPTER A22803145D3407-10 CCCC

7. SIGNIFICANT HISTORICAL DATA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615011125897DRIVESHAFT ASSY, SE 145D3400-31 A4569 06H104. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 25 of 31

13-Oct-2015

999999 COND

3110010965634 #506H10A

7988695BEARING, SHAFT ASSY SY GG11012145DS301-3 CCCC

999999 COND

NSN PENDING #506H10B

63248695DRIVE SHAFT ADAPTER A4569145D3400-36 CCCC

7. SIGNIFICANT HISTORICAL DATA

21-Jan-2012 1 23-AUG-2011RECAPPED IAW DMWR 55-1615-322, CH-10, TSN 8695, CONT #575721 CCAD, CC TX 78419, JL9064

JM027933 AASF #3 DAVENPORT, IA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615011125897DRIVESHAFT ASSY, SE 145D3400-31 A5558 06H104. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 26 of 31

13-Oct-2015

999999 COND

3110010965634 206H10A

00BEARING, SHAFT ASSY SY AAAB5A145DS301-1 CCCC

999999 COND

NSN PENDING 206H10B

06061DRIVE SHAFT ADAPTER A4921145D3400-36 CCCC

7. SIGNIFICANT HISTORICAL DATA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615011125897DRIVESHAFT ASSY, SE 145D3400-31 A8662 06H104. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 27 of 31

13-Oct-2015

999999 COND

3110010965634 306H10A

5655925BEARING, SHAFT ASSY SY GG8237145DS301-3 CCCC

999999 COND

NSN PENDING 306H10B

935925DRIVE SHAFT ADAPTER A8662145D3400-36 CCCC

7. SIGNIFICANT HISTORICAL DATA

20-Jan-2012 1 17-AUG-11RECAPPED IAW DMWR 55-1615-322, CH-10TSN-5925, # O/H-RC, CONT #577602CCAD/WOMUAA,CC TX 78419PSA FR 4626

JM027933 AASF #3 DAVENPORT, IA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615011125897DRIVESHAFT ASSY, SE 145D3400-32 A-6317 06H104. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 28 of 31

13-Oct-2015

999999 COND

3110010965634 #606H10A

01747BEARING, SHAFT ASSY SY 268UNK145DS301-1 CCCC

999999 COND

1615011400972 #606H10B

22241747DRIVE SHAFT ADAPTER A-23359145D3407-10 CCCC

7. SIGNIFICANT HISTORICAL DATA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615011130292AFT SEC 1 D/S ASSY 145D3400-25 A8856 06H13A4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 29 of 31

13-Oct-2015

7. SIGNIFICANT HISTORICAL DATA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1615011193359AFT SEC 2 D/S ASSY 145D3400-26 A-10149 06H14A4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 30 of 31

13-Oct-2015

7. SIGNIFICANT HISTORICAL DATA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

ji kgfdcbaRMVL HRSRMVL HRS

COMPO/HNOMENWUCHRS)

O/HLOCATIONNSN

AND he SINCELIFE (ACFT

PREVSER NO. ORAND

NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.

1680011185607ACTUATOR ASSY DAS 145CS100-5 342 11D034. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

Report Date:

Page 31 of 31

13-Oct-2015

999999 COND

1680011185606 UPPER11D03A

785785ACT ELECTRO-MECH, UPP 342145CS100-6 CCCC

999999 COND

1680011185605 LOWER11D03B

785785ACT ELECTRO-MECH, LO 342145CS100-7 CCCC

7. SIGNIFICANT HISTORICAL DATA

EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91

Report Date: Page 1 of 213-Oct-2015

9100268160150-10APOWER UNIT, GAS TURBINEA00017

201

973

1361

4449

1361

1361

1

1

5=

TOTAL COMPONENT COUNTS

COMPONENT/MODULE1+

PREVIOUS COUNTS OF

4=

LINE 3 MINUS LINE 2

MODULE/RECORDER2-

READING AT INSTALLATION OF

MODULE/RECORDER3

READING AT REMOVAL OF

7. HISTORY RECORDER S/N

5=

TOTAL COMPONENT COUNTS

COMPONENT/MODULE1+

PREVIOUS COUNTS OF

4=

LINE 3 MINUS LINE 2

MODULE/RECORDER2-

READING AT INSTALLATION OF

MODULE/RECORDER3

READING AT REMOVAL OF

dcbaLINE

OPERATING HOURSTEMP/TEMP INDEXLCF - 2LCF - 1

HISTORICAL COUNTS ON COMPONENT/MODULE

7. HISTORY RECORDER S/N6.

5. NHA - Serial Number4. P/N3. NOMENCLATURE2. Serial Number1. MODEL

CH-47D

**Note - APU Information LCF1 = NUMBER OF OVERHAULS LCF2 = STARTS SINCE OVERHAUL TTI= STARTS SINCE NEW OPH = ONLY FOR APU's WITH HOUR METER INSTALLED - ENTER TIME ONMETER

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG

HISTORY RECORDER, COMPONENT, MODULE RECORDDA FORM 2408-16-1-E, OCT 91

OP HRSd.

T/T Ic.

LCF-2

b.a.

LCF-1(Hist rcdrhr

13.

REPLACE-MENT DU

MENT LIFE

REPLACE-

12.HISTORY COUNTS AT LAST DEPOT REPL

11.

O/H OR

10.

SERIAL NUMBER9.

PART NUMBERNOMENCLATURE

8.

Report Date:

Major Nomenclature Major Part NumberMajor Wuc Major Serial Number

13-Oct-2015 2/2

15B 160150-10A POWER UNIT, GAS TURBINE A00017

1249409491

0000V75HA9324503999WHEEL, TURBINE APU

2912

6000

1249409491

0000V30W132144503340COMPRESSOR ROTOR

2912

6000

14. SIGNIFICANT HISTORICAL DATA

REVERSE OF DA FORM 2408-16-1 E, OCT 91

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 1/1013-Oct-2015

91002681520010883669 CH-47D 00HELICOPTER, CARGO

156001117108402A17 RIGHT

36037104YT658234N0003-1VIBRATION ABSORBER CCCC COND COND

156001117108402A18 LEFT

04340YT433234N0003-1VIBRATION ABSORBER CCCC COND COND

291501563362804A06A 1

263696908ANV11062-170-700-01ECU CCCC COND COND

291501563362804A06A 2

0688209ANV12342-170-700-01ECU CCCC COND COND

168001120743004A07E

3836898670145ES010-3N1 QUADRANT CONTROL CCCC COND COND

304001410718305A01I YELLOW

26614457AM1257145R2075-15PITCH HOUSING CCCC COND COND

304001410718305A01I RED

27964457AM1459145R2075-15PITCH HOUSING CCCC COND COND

304001410718305A01I YELLOW

04567NP4012145R2075-15PITCH HOUSING CCCC COND COND

161501205392105A01I05

29474457ZR3256234R2088-1PITCH SHAFT FWD CCCC COND COND

161501205392105A01I05

31014457ZR358234R2088-1PITCH SHAFT FWD CCCC COND COND

161501205392105A01I05

21344457ZR409234R2088-1PITCH SHAFT FWD CCCC COND COND

161501145710905A02

60473322007A10644114R1702-37BLADE ASSY ROT WING FW CCCC COND COND

161501145710905A02 G

73873062010A7897114R1702-37BLADE ASSY ROT WING FW CCCC COND COND

161501145710905A02 F

73873012010A7991114R1702-37BLADE ASSY ROT WING FW CCCC COND COND

161501548668705A03A01 F

9095673200818145R3351-3FWD STATIONARY RING CCCC COND COND

161501114612505A03A02 F

23905673BCW1249114R3464-9ROTATING RING ASSY CCCC COND COND

156001326723105A03B FWD

07104NP-5902114R3434-9DRIVE ARM ASSY CCCC COND COND

304001206392505B01H

4263561FM00055234R2088-2PITCH SHAFT, AFT CCCC COND COND

304001206392505B01H

25453561ZR1697234R2088-2PITCH SHAFT, AFT CCCC COND COND

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 2/1013-Oct-2015

91002681520010883669 CH-47D 00HELICOPTER, CARGO

304001206392505B01H

12533561ZR1761234R2088-2PITCH SHAFT, AFT CCCC COND COND

161501145711005B02 A

57373012008A9465114R1702-38BLADE ASSY ROT WING AF CCCC COND COND

161501145711005B02 A

20107301A2-2830114R1702-38BLADE ASSY ROT WING AF CCCC COND COND

161501145711005B02

29737301A21617114R1702-38BLADE ASSY ROT WING AF CCCC COND COND

161501202332205B03A01 AFT

8743307WVMUW0289NE145R3352-2AFT STATIONARY RING ASS CCCC COND COND

161501114612505B03A05 AFT

34813307BCW624114R3464-9ROTATING RING ASSY CCCC COND COND

156001326723105B03E AFT

3004340TS678114R3434-9DRIVE ARM ASSY CCCC COND COND

161501317644606B

04340A7-574145D1300-9FORWARD TRANSMISSION CCCC COND COND

311001331770206B03

00GG609145DS016-2BEARING, ROLLER CYLINDR CCCC COND COND

311001114633006B03

00VB172L145DS018-1BEARING, ROLLER CYLINDR CCCC COND COND

311001114633106B03

00GG1759145DS019-1BEARING, ROLLER CYLINDR CCCC COND COND

311001114632406B03

00VB294L145DS020-1BEARING, BALL ANNULAR CCCC COND COND

311001347000406B03 FWD

00GG523145DS034-3BEARING, BALL ANNULAR CCCC COND COND

311001114633706B03

00VB119K145DS100-1BEARING, ROLLER TAPERE CCCC COND COND

311001114633806B03

00VB181K145DS101-1BEARING, ROLLER TAPERE CCCC COND COND

311001353736906B04

00VB1726K145DS010-5GEAR/BEARING, ASSY CCCC COND COND

311001353736906B04

00VB1729K145DS010-5GEAR/BEARING, ASSY CCCC COND COND

311001353736906B04

00VB1739K145DS010-5GEAR/BEARING, ASSY CCCC COND COND

311001353736906B04

00VB1745K145DS010-5GEAR/BEARING, ASSY CCCC COND COND

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 3/1013-Oct-2015

91002681520010883669 CH-47D 00HELICOPTER, CARGO

311001353736906B04

00VB1764K145DS010-5GEAR/BEARING, ASSY CCCC COND COND

311001353736906B04

00VB1782K145DS010-5GEAR/BEARING, ASSY CCCC COND COND

311001232770806B04

00VB673L145DS011-8GEAR/BEARING, ASSY CCCC COND COND

311001232770806B04

00VB691L145DS011-8GEAR/BEARING, ASSY CCCC COND COND

311001232770806B04

00VB708L145DS011-8GEAR/BEARING, ASSY CCCC COND COND

311001232770806B04

00VB741L145DS011-8GEAR/BEARING, ASSY CCCC COND COND

302001114971606B05

00M2277145D0105-2STATIONARY RING GEAR CCCC COND COND

302001228168506B06

00M2368145D0103-3SUN GEAR CCCC COND COND

161501112299506B07

00M2160145D0104-3CARRIER FIRST STAGE CCCC COND COND

304001228172806B08

00M1465145D1306-3PINION GEAR, BEVEL (FWD CCCC COND COND

304001228173106B09

00M1626145D1305-3S.B. GEAR CCCC COND COND

161501315407106C

04340A9-576145D2300-7AFT TRANSMISSION CCCC COND COND

414001287243206C01J

000783145DS210-4FAN ASSY, AFT XMSN CCCC COND COND

311001331770206C02

00GG621145DS016-2BEARING CCCC COND COND

311001331770306C02

00GG550145DS017-3BEARING CCCC COND COND

311001442617406C02

00VB181L145DS018-1BEARING CCCC COND COND

311001114633106C02

00GG1845145DS019-2BEARING CCCC COND COND

311001114632406C02

00VB283L145DS020-1BEARING CCCC COND COND

311001357650106C02

00GG524145DS034-3BEARING CCCC COND COND

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 4/1013-Oct-2015

91002681520010883669 CH-47D 00HELICOPTER, CARGO

311001331770106C02

00WY436145DS200-1BEARING CCCC COND COND

311001353736906C03

00VB1727K145DS010-5GEAR/BEARING, ASSY CCCC COND COND

311001353736906C03

00VB1730K145DS010-5GEAR/BEARING, ASSY CCCC COND COND

311001353736906C03

00VB1736K145DS010-5GEAR/BEARING, ASSY CCCC COND COND

311001353736906C03

00VB1738K145DS010-5GEAR/BEARING, ASSY CCCC COND COND

311001353736906C03

00VB1743K145DS010-5GEAR/BEARING, ASSY CCCC COND COND

311001353736906C03

00VB1781K145DS010-5GEAR/BEARING, ASSY CCCC COND COND

311001232770806C03

00VB674L145DS011-8GEAR/BEARING, ASSY CCCC COND COND

311001232770806C03

00VB684L145DS011-8GEAR/BEARING, ASSY CCCC COND COND

311001232770806C03

00VB702L145DS011-8GEAR/BEARING, ASSY CCCC COND COND

311001232770806C03

00VB722L145DS011-8GEAR/BEARING, ASSY CCCC COND COND

302001114971606C04

00M2260145D0105-2STATIONARY RING GEAR CCCC COND COND

302001228168506C05

00M2333145D0103-3SUN GEAR CCCC COND COND

161501112299506C06A

00M2225145D0104-3CARRIER FIRST STAGE CCCC COND COND

284001113023406C06B

00M1352145D2302-2CARRIER, STAGE 2 CCCC COND COND

304001228172906C07

00M1394145D2306-3PINION GEAR CCCC COND COND

304001228173206C08

00M1588145D2305-3S.B. GEAR (AFT XMSN) CCCC COND COND

304001114976206C09

00M1287145D2311-2ACCESSORY GEAR SHAFT CCCC COND COND

161501315936506D C-BOX

19036138A8-156145D5300-11COMBINING TRANSMISSION CCCC COND COND

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 5/1013-Oct-2015

91002681520010883669 CH-47D 00HELICOPTER, CARGO

311001114632506D02 C-BOX

25121903287145DS500-1BEARING, BALL ANNULAR CCCC COND COND

311001325496406D02 C-BOX

01903GG723145DS501-4BEARING, ROLLER CYLINDE CCCC COND COND

311001340992806D02 C-BOX

7771903GG398145DS502-3BEARING, ROLLER CYLINDE CCCC COND COND

311001330655006D02 C-BOX

5751903GG352145DS503-4BEARING, BALL ANNULAR CCCC COND COND

311001114633406D02 C-BOX

14551903824145DS504-2BEARING, ROLLER CYLINDE CCCC COND COND

311001114633406D02 C-BOX

14551903910145DS504-2BEARING, ROLLER CYLINDE CCCC COND COND

311001114633506D02 C-BOX

14551903VB101F145DS505-1BEARING, ROLLER CYLINDE CCCC COND COND

311001114633506D02 C-BOX

12191903VB414K145DS505-1BEARING, ROLLER CYLINDE CCCC COND COND

311001114632706D02 C-BOX

7831903VB232D145DS506-1BEARING, BALL ANNULAR CCCC COND COND

311001114632706D02 C-BOX

10321903WY0059145DS506-2BEARING, BALL ANNULAR CCCC COND COND

304001114945706D03 C-BOX

01903M1235145D5313-2GEARSHAFT, SPUR CCCC COND COND

304001232777706D04 C-BOX

01903M1829145D5305-3GEARSHAFT, BEVEL CCCC COND COND

304001228173006D05 C-BOX

31181903M453145D5306-3GEARSHAFT, BEVEL CCCC COND COND

304001228173006D05 C-BOX

18431903M874145D5306-3GEARSHAFT, BEVEL CCCC COND COND

414001311690106D07 C-BOX

019031615145DS518-6FAN ASSEMBLY TRANSMIS CCCC COND COND

304001310497706D08 C-BOX

251903A2926145D5319-5FAN DRIVESHAFT CCCC COND COND

161501395683906E # 2

27866330A11-524DRGI145D6300-12TMSN ASSY ENGINE MECH CCCC COND COND

161501271066306E #1

17675485A11-468145D6300-6TMSN ASSY ENGINE MECH CCCC COND COND

311000051562606E03

01767VB428F114DS664-1BEARING, ROLLER, CYLIND CCCC COND COND

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 6/1013-Oct-2015

91002681520010883669 CH-47D 00HELICOPTER, CARGO

311001202407206E03 2

01731GG371114DS664-5BEARING, ROLLER, CYLIND CCCC COND COND

311001149929206E03

01767VB635A114DS665-3BEARING, ROLLER, CYLIND CCCC COND COND

311001463298306E03

01731GG704114DS665-5BEARING ROLLER, CYLINDE CCCC COND COND

311001051581106E03

001994114DS668-3BEARING, BALL, ANNULAR CCCC COND COND

311001051581106E03

017672354114DS668-3BEARING, BALL, ANNULAR CCCC COND COND

311000922073906E03

01767J1146114DS669-2BEARING, BALL, ANNULAR CCCC COND COND

311001202668006E03

01731BCX850114DS669-5BEARING, BALL, ANNULAR CCCC COND COND

NSN PENDING06E03

01767718114DS670-2BEARING, ROLLER, CYLIND CCCC COND COND

311001202407306E03

01731GG0967114DS670-3BEARING, ROLLER, CYLIND CCCC COND COND

311001114633606E03

01731GP0105145DS600-7BEARING, ROLLER, TAPE CCCC COND COND

311001114632906E03 #1

01767761145DS603-2BEARING ROLLER CCCC COND COND

311001114632906E03 #2

01731GG462145DS603-3BEARING ROLLER CYLINDE CCCC COND COND

304001114945206E04

00M1092DRGI145D6301-2GEARSHAFT, BEVEL CCCC COND COND

304001114945206E04

01767M967145D6301-2GEARSHAFT, BEVEL CCCC COND COND

161501219866506E05

01731XBW1379114DS672-1CLUTCH ENG XMSN CCCC COND COND

161501219866506E05

01767XBW685114DS672-1CLUTCH ENG XMSN CCCC COND COND

304001113043806E05A

01731M2862145D6305-3SHAFT, SHOULDERED CCCC COND COND

304001113043806E05A

01767M986145D6305-3SHAFT, SHOULDERED CCCC COND COND

304001114945306E06

01767M1018145D6302-2GEARSHAFT, BEVEL CCCC COND COND

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 7/1013-Oct-2015

91002681520010883669 CH-47D 00HELICOPTER, CARGO

304001114945306E06

00M1130DRGI145D6302-2GEARSHAFT, BEVEL CCCC COND COND

311001096563406H06A01 1

03606GG15931145DS301-3BEARING, SHAFT ASSY SYN CCCC COND COND

161501140097206H06A02 1

36063606A22803145D3407-10DRIVE SHAFT ADAPTER CCCC COND COND

161501113024906H06B

05734A38464145D3407-6FWD XMSN D/S ADAPTER A CCCC COND COND

311001096563406H10A #6

01747268UNK145DS301-1BEARING, SHAFT ASSY SYN CCCC COND COND

311001096563406H10A 2

00AAAB5A145DS301-1BEARING, SHAFT ASSY SYN CCCC COND COND

311001096563406H10A #5

7988695GG11012145DS301-3BEARING, SHAFT ASSY SYN CCCC COND COND

311001096563406H10A 3

5655925GG8237145DS301-3BEARING, SHAFT ASSY SYN CCCC COND COND

NSN PENDING06H10B #5

63248695A4569145D3400-36DRIVE SHAFT ADAPTER CCCC COND COND

NSN PENDING06H10B 2

06061A4921145D3400-36DRIVE SHAFT ADAPTER CCCC COND COND

NSN PENDING06H10B 3

935925A8662145D3400-36DRIVE SHAFT ADAPTER CCCC COND COND

161501140097206H10B #6

22241747A-23359145D3407-10DRIVE SHAFT ADAPTER CCCC COND COND

161501140670306H12B FWD C-BOX

065282005A4515145D3407-7ADAPTER ASSY, SEC 7 AFT CCCC COND COND

161501119336006H13B

117073012005A3490145D3407-8COMB XMSN AFT ADAPTER CCCC COND COND

161501114084506H14B AFT XMSN

16506330A38420145D3407-9AFT XMSN ADAPTER ASSY CCCC COND COND

165001302007607A37

25687104UR951BAN145H6700-19CYLINDER ACT SWIVEL FW CCCC COND COND

165001304901607A38 FWD

9325861UR181BAN145H6600-19CYLINDER ASSY PIVOT FWD CCCC COND COND

165001303789807A39

193973012006AA106145H6700-18CYLINDER ACT SWIVEL AFT CCCC COND COND

165001303789707A40 A

07301UR2016AS145H6600-20CYLINDER ASSY PIVOT AFT CCCC COND COND

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 8/1013-Oct-2015

91002681520010883669 CH-47D 00HELICOPTER, CARGO

168001118560711D03

18897146342145CS100-5ACTUATOR ASSY DASH CCCC COND COND

168001118560611D03A UPPER

785785342145CS100-6ACT ELECTRO-MECH, UPPE CCCC COND COND

168001118560511D03B LOWER

785785342145CS100-7ACT ELECTRO-MECH, LOWE CCCC COND COND

299501496368615A04

0699328814504587ENGINE SEQUENCING UNIT CCCC COND COND

582101413423619D

115573012398AA822-0788-001HF RECEIVER/TRANSMITTE CCCC COND COND

599601415867319D01A

4967310579AA822-0787-001AMPLIFIER, RADIO FREQUE CCCC COND COND

582101413423419D02

49673101641AA822-0786-001CONTROL, HF RADIO SET CCCC COND COND

NSN PENDING19E04B

119573101537P320A002-03SDC - DOPPLER NAVIGATIO CCCC COND COND

584101245909119E05A

243174932817KK/NA3060585RECEIVER-TRANSMITTER R CCCC COND COND

584101245909319E05C

1170003AAA3060591INDICATOR,HEIGHT CCCC COND COND

581001376138019H

0681475740N616736-1TSEC/KY-100 PROCESSOR CCCC COND COND

581001376138119H02

068142520ON616779-1TSEC/Z-AVH RCU CCCC COND COND

589501395744776A03

27473442792AAA3214085COMPARATOR/PROCESSOR CCCC COND COND

SIGNIFICANT HISTORICAL EVENTS7.

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

kmason
Highlight
kmason
Highlight

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 9/1013-Oct-2015

91002681520010883669 CH-47D 00HELICOPTER, CARGO

27-Dec-1988 1 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNSOF CH-47-88-22: 23-DEC-88, ONE TIME INSP FOR CERTAIN S/N. 6/158TH J.CANTREL 27-DEC-88 .5 MAN HRS.

28-Dec-1988 2 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNSOF CH-47-88-23, 27-DEC-88, FWD AND AFT XMSN INSP. 6/158TH SSG REESE 28-DEC-88 8.0 MAN HRS.

15-May-1998 3 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNTB-1520-240-20-102 14-MAY-98; ONE TIME INSP FOR ACFT XMSN WITHSUSPECTED IMPROPERLY SHIMMED INPUT PINION GEAR ASSY. W376AA S.FRAZIER 15-MAY-98 .5 MAN HRS.

08-Oct-1999 8 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYN08-OCT-99 AFT XMSN REMOVED FROM CH-47D 8601678 AT 4522 ACFT HRS. FORRETURN TO CCAD FOR INSP AND REIDENTIFICATION IAW SOF CH-47-99-05 (TB 1-1520-240-20-115). TTSN 1192 HOURS. (BA0382, PC SPEC) USAATTC, FT. RUCKER, AL.

27-Aug-1999 11 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNTB-1520-240-20-114 26-AUG-99; INSP FOR FWD AND AFT XMSN GEAR/BEARINGASSEMBLIES IDENTIFIED BY S/N PREFIX "VB" W376AA BA0382 27-AUG-99 1.0MAN HRS.

03-Apr-2006 12 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNALL DATA FROM OLD DASH 16 HAS BEEN TRANSFERD TO NEW DASH 16 6-17-87BOEING VERTOL PHILA. PA. CT. #DAAJ09-85-C-A005 T.T. NEW

28-Oct-1999 13 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYN28 OCT 99 C/W SOF MSG. CH 47-99-03/04 TSN 1192 CLT# 003085 G. RODRIUGEZREC. CLK. CCAD CCTX. 78419-5260

05-Sep-1992 14 WUC: 06H10B PN: 145D3407-10 PSN: A-1656 SEC 2-6D/S ADPT ASSY AFT5/9/92 SHAFT MODIFIED BY CCAD, CCTEX IAW DMWR 55-1615-322 AND BO D 145-10081 TSN 3746 A.G. XXXXX

13-May-2009 20 FWD ROTOR BLADE S/N'S-A-1-888E,A-1-1754, AND A-1-2819,INSPECTED ,STATICBALANCED,AND REPAIRED AS NECESSARY AT 1108TH AVCRAD ,GULFPORT,MS.

13-May-2009 21 20090504-STRIPPED,DEHYDRATED,REPAIRED,SEALED,REPAINTED ANDBALANCED MAIN ROTOR BLADE S/N:A2-1617 @ 2400 TSN BLADE HOURS. BALANCED USING AVION BALANCER S/N;AV69005. SM=6536, SCG=186.54,W=350.39, CM=2892, CCG=8.255 (10 PLATES). ANTI STATIC MEGGAR TEST OK.ROOT SOCKET LINER REPLACED PERAMCOM SRA # AM-026-06R2. ENTERED BY G.ROBERTSON, GR822952, T.I. MO-AVCRAD,SPRINGFIELD,MO417-874-8400.

13-May-2009 22 20090504-STRIPPED,DEHYDRATED,REPAIRED, SEALED, REPAINTED ANDBALANCED MAIN ROTOR BLADES/N:A2-2830 @ 1437 TSN BLADE HOURS USING AVION BALANCER S/N: AV96005.SM=65375,SCG=184.59, W=354.15,CM=2933, CCG=8.282 (9 PLATES).ANTI STATIC MEGGAR TESTED OK. ROOTSOCKET LINER REPLACEDPER SRA # AM-026-06R2. C/W APPLICABLE SOF/ASAM'S ENTERED BYG.ROBERTSON, GR822952, TI MO-AVCRAD,SPRINGFIELD, MO 417-847-8400.

25-Aug-2009 23 BEARING RECIEVED WITH DRIVESHAFT ASSY S/N A-6317 WITH NO 2410 COPY 3,CONSULTING WITH MCSD SUPPORT, MCSD RECOMMANDATION ASSIGN S/NWITH A TSN OF 0, UNTIL NEXT TEARDOWN FOR BEARING S/N VERIFICATION.

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

h

CONDITION ITEMS

kjifdcba g.

RMVL HRS

RMVL HRSWUC HRS)COMPO/H

NOMEN

O/HLOCATIONNSN

eAND (ACFTLIFE

SINCEPREVSER NO.ANDNOMENCLATURE DUE

REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN

COMP REP.O/H ORNOMEN6.

3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE

Report Date: 10/1013-Oct-2015

91002681520010883669 CH-47D 00HELICOPTER, CARGO

16-Jul-2010 24 BLADE REPAIRED IAW SRA#AX196409 DATED 24 NOV 2009 AT 1108TH AVCRADGULFPORT,MS

11-Apr-2012 25 M/R BLADE S/N: A-1-888E P/N: 114R1702-37 NSN: 1615-01-145-7109 TSN: 398527 JAN 12 PMI 2 INSPECT, REPAIRED, DEHYDRATED, REPAINTED & BALANCEDUSINGAVION BALANCER S/N: AV96005. SM=65382, SCG=182.81, W=357.64, CM=2953,CCG=8.257,10 PLATES ADDED. REPAIRED VOID AT STA. 318 BOTTOM SIDE. REPAIRED VOIDAT STA. 268TOP SIDE. REPAIRED RIB CLOSURE. REPAIRED TIP SEAL. REPLACEDELECTRICAL LEADS.INSTALLED LIGHTNING STRIP DOUBLERS ON BOTH SIDES OF BLADE. IH904527,T.I. MO-TASMG SPRINGFIELD, MO. (417) 874-8400, "EXT" 5379.

11-Apr-2012 26 M/R BLADE S/N: A2-2830 P/N: 114R1702-38 NSN: 1615-01-145-7110 TSN: 181327 JAN 12 PMI 2 INSPECT, REPAIRED, DEHYRATED, REPAINTED & BALANCED,USING AVION BALANCER S/N: AV96005: SM=65364, SCG=184.61, W=354.06,CM=2919, CCG=8.243, 10 PLATES ADDED. REPLACED ROOT SOCKET LINERIAW SRA: AX210711. REPAIRED RIB CLOSURE. REPAIRED TIP SEAL. REPLACEDLIGHTNING JUMPER CABLES. IH904527, T.I. MO-TASMG SPRINGFIELD, MO.(417) 874-8400, "EXT" 5379.

11-Apr-2012 27 M/R BLADE S/N: A2-1617 P/N: 114R1702-38 NSN: 1615-01-145-7110 TSN: 277627 JAN 12. PMI 2 INSPECT , REPAIRED, DEHYDRATED, REPAINTED & BALANCEDUSING AVION BALANCER S/N: AV96005. SM=65359, SCG=186.73, W=350.02,CM=2875,CCG=8.215, 9 PLATES ADDED. REPAIRED VOIDS @ STA. 306, 317 AND 336BOTTOM OFBLADE. REPLACED BOTH LIGHTNING PROTECTION JUMPER WIRES. REPAIREDRIB CLOSURE.REPAIRED TIP CLOSURE. IH904527, T.I. MO-TASMG SPRINGFIELD, MO. (417) 874-8400, "EXT"5379.

11-Apr-2012 28 M/R BLADE S/N: 2008A9465 P/N: 114R1702-38 NSN: 1615-01-145-7110 TSN: 37627 JAN 12 PMI 2 INSPECT, REPAIRED , DEHYDRATED, REPAINTED & BALANCEDUSING AVION BALANCER S/N: AV96005. SM=65351, SCG=185.21, W=352.85,CM=2908,CCG=8.242, 9 PLATES ADDED. REPLACED RIB CLOSURE. REPLACED BOTHLIGHTNING STRIPDOUBLERS. IH904527, T.I. MO-TASMG SPRINGFIELD, MO. (417) 874-8400, "EXT"5379.

For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD

1520010883669 9100268CH-47DHELICOPTER, CARGO

kjigfdcbaRMVL HRS RMVL HRS

NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC

he (ACFTLIFESINCEPREVSER NO.ANDAND

INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE

NOMEN REP.O/H ORCOMP6.

4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE

Report Date:

TIME CHANGE COMPONENTS1/813-Oct-2015

00

284001458536104A 22400

06PGA00934 9089082-001-020-39ENGINE ASSY, TURBINE 002400

284001458536104A 12400

07PGA01075 9109102-001-020-39ENGINE ASSY, TURBINE 002400

284001479568304A03A 210400

061365100096 002-121-090-79DISK ASSY, 1ST TURBINE RCRC10400

284001479568304A03A 110400

061365101737 002-121-090-79DISK ASSY, 1ST TURBINE RCRC10400

291501371930504A05A 22400

1159901370009 00110700-02D6HYDROMECHANICAL ASSY 002400

291501371930504A05A 12400

1159901370154 00110700-02D6HYDROMECHANICAL ASSY 002400

161501391439805A018513

A4-293 48767301145R2003-10HEAD ASSY ROT WING FW 118822400

161501199414505A01A FWD5275

FM0096 03576114R2050-35HUB ROTARY WING FWD RCRC2887

161500740648005A01H GREEN7524

2005A234 03912114R2155-1TIE BAR ASSY RCRC4800

161500740648005A01H YELLOW8291

2006A10662 04679114R2155-1TIE BAR ASSY RCRC4800

161500740648005A01H RED8291

2006A4064 04679114R2155-1TIE BAR ASSY RCRC4800

311000838706405A01I02A5969

A4139 04457114R2131-1PITCH BEARING RCRC2700

311000838706405A01I02A5969

A4149 04457114R2131-1PITCH BEARING RCRC2700

311000838706405A01I02A5969

A4152 04457114R2131-1PITCH BEARING RCRC2700

311000954573005A01I02B FWD5088

N33307 03576114R2130-2PITCH BEARING RCRC2700

311000954573005A01I02B FWD5088

N33311 03576114R2130-2PITCH BEARING RCRC2700

311000954573005A01I02B FWD5088

N33323 03576114R2130-2PITCH BEARING RCRC2700

311000455617905A01O01 RED*5891

A10909 04679114RS214-6BEARING, VERT PIN (UPPE RCRC2400

311000455617905A01O01 GREEN*5891

A1760 04679114RS214-6BEARING, VERT PIN (UPPE RCRC2400

For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91

kmason
Highlight
kmason
Highlight
kmason
Highlight
kmason
Highlight
kmason
Highlight
kmason
Highlight

1520010883669 9100268CH-47DHELICOPTER, CARGO

kjigfdcbaRMVL HRS RMVL HRS

NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC

he (ACFTLIFESINCEPREVSER NO.ANDAND

INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE

NOMEN REP.O/H ORCOMP6.

4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE

Report Date:

TIME CHANGE COMPONENTS2/813-Oct-2015

00

311000455617905A01O01 YELLOW*5891

N32101 04679114RS214-6BEARING, VERT PIN (UPPE RCRC2400

311000455618805A01O02 GREEN**5891

N29807 12004679114RS214-5BEARING, VERT PIN (LOWE RCRC2400

311000455618805A01O02 RED**5891

N29810 12004679114RS214-5BEARING, VERT PIN (LOWE RCRC2400

311000455618805A01O02 YELLOW**5891

N31209 12004679114RS214-5BEARING, VERT PIN (LOWE RCRC2400

531501295700805A01P GRN*6312

FM1186 03912114R2197-7PIN HORIZ. FWD, REPLACE 002400

531501295700805A01P YELLOW*6312

FM1209 03912114R2197-7PIN HORIZ. FWD, REPLACE 002400

531501295700805A01P RED5897

VM5425 38373497114R2197-7PIN HORIZONTAL HINGE, N 032400

311001311002405A01Q01 YELLOW*7079

A8971 04679114RS225-1HORZ PIN BEARING RCRC2400

311001311002405A01Q01 GREEN**6312

N16382 12003912114RS225-1HORZ PIN BEARING RCRC2400

311001311002405A01Q01 RED*7079

N38578 04679114RS225-1HORZ PIN BEARING RCRC2400

311001310225805A01Q02 GREEN*7079

A3908 04679114RS226-1FWD HORZ PIN BRG, TRAIL RCRC2400

311001310225805A01Q02 RED*7079

N2743 04679114RS226-1FWD HORZ PIN BRG, TRAIL RCRC2400

311001310225805A01Q02 YELLOW*7079

N2791 04679114RS226-1FWD HORZ PIN BRG, TRAIL RCRC2400

161501395000605A03A F8382

A84684 56737374145R3551-17SWASHPLATE ASSY FWD 19271200

311001356048905A03A04 F6681

BDH201111644 05673114RS308-2SWASHPLATE BEARING RCRC1200

161500003114605A03L11671

UNK0268 04340114R3650-3BOLT SWVL ACT TO SWAS RCRC7523

161500003114605A03N FWD13661

0268 06330114R3650-3BOLT RCRC7523

530601301779305A03Q FWD TOP GREE11017

25149-16 07209114R3650-16BOLT, PITCH LINK UPPER RCRC4000

530601301779305A03Q FWD TOP RED11017

25587-16 07209114R3650-16BOLT, PITCH LINK UPPER RCRC4000

For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91

kmason
Highlight
kmason
Highlight

1520010883669 9100268CH-47DHELICOPTER, CARGO

kjigfdcbaRMVL HRS RMVL HRS

NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC

he (ACFTLIFESINCEPREVSER NO.ANDAND

INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE

NOMEN REP.O/H ORCOMP6.

4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE

Report Date:

TIME CHANGE COMPONENTS3/813-Oct-2015

00

530601301779305A03Q FWD TOP YELL11017

25623-16 07209114R3650-16BOLT, PITCH LINK UPPER RCRC4000

530601301779405A03R FWD BOT YELL11017

25911-17 07209114R3650-17BOLT PITCH LINK LOWER RCRC4000

530601301779405A03R FWD LOWER RE11017

26518-17 07209114R3650-17BOLT PITCH LINK LOWER RCRC4000

530601301779405A03R FWD BOT GREE11017

26582-17 07209114R3650-17BOLT PITCH LINK LOWER RCRC4000

161501391439905B019582

A5-869 36807301145R2004-20HEAD ASSY ROT WING AFT 11942400

161501198755305B01A5437

FM0372 03561114R2050-36HUB ROTARY WING AFT RCRC1995

161500740648005B01E8242

A20370 3623561114R2155-1TIE BAR ASSY RCRC4800

161500740648005B01E8242

A5357 24143561114R2155-1TIE BAR ASSY RCRC4800

161500740648005B01E8242

A9975 37783561114R2155-1TIE BAR ASSY RCRC4800

304001407729805B01F11642

GA3488 03561145R2075-16PITCH HOUSING, AFT RCRC8200

304001407729805B01F11642

ILS245 23613561145R2075-16PITCH HOUSING, AFT RCRC8200

304001407729805B01F11642

TZ-982 7183561145R2075-16PITCH HOUSING, AFT RCRC8200

311000838706405B01G016142

N27741 4023561114R2131-1PITCH BEARING RCRC2700

311000838706405B01G016142

N39738 4003561114R2131-1PITCH BEARING RCRC2700

311000838706405B01G016142

N47577 2493561114R2131-1PITCH BEARING RCRC2700

311000954573005B01G026142

N28336 3133561114R2130-2PITCH BEARING RCRC2700

311000954573005B01G026142

N36058 4493561114R2130-2PITCH BEARING RCRC2700

311000954573005B01G026142

N36137 4493561114R2130-2PITCH BEARING RCRC2700

NSN PENDING05B01J015842

N18766* 2003561114RS214-2AFT VERT PIN BRG, UPPER RCRC2400

For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91

kmason
Highlight

1520010883669 9100268CH-47DHELICOPTER, CARGO

kjigfdcbaRMVL HRS RMVL HRS

NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC

he (ACFTLIFESINCEPREVSER NO.ANDAND

INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE

NOMEN REP.O/H ORCOMP6.

4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE

Report Date:

TIME CHANGE COMPONENTS4/813-Oct-2015

00

NSN PENDING05B01J015842

N34202* 1993561114RS214-2AFT VERT PIN BRG, UPPER RCRC2400

NSN PENDING05B01J015842

N40521* 2013561114RS214-2AFT VERT PIN BRG, UPPER RCRC2400

311000455618805B01J025842

ZN20830* 03561114RS214-5BEARING, VERT PIN (LOWE RCRC2400

311000455618805B01J025842

ZN49535* 03561114RS214-5BEARING, VERT PIN (LOWE RCRC2400

311000455618805B01J025842

ZN77042* 03561114RS214-5BEARING, VERT PIN (LOWE RCRC2400

531500871730205B01K5961

TZ456* 65043561114R2196-2PIN HORIZ. AFT, ROTATE/S 032400

531501295700805B01K4761

AF780* 27003561114R2197-7PIN HORIZ. AFT, REPLACE 041200

531501295700805B01K4761

TZ1300* 43363561114R2197-7PIN HORIZ. AFT, REPLACE 031200

311001311002405B01L015961

AZN283* 03561114RS225-1HORZ PIN BEARING RCRC2400

311001311002405B01L015961

AZN427* 03561114RS225-1HORZ PIN BEARING RCRC2400

311001311002405B01L015961

AZN462* 03561114RS225-1HORZ PIN BEARING RCRC2400

311001310225805B01L025961

AZN152* 03561114RS226-1HORZ PIN BEARING RCRC2400

311001310225805B01L025961

N42613* 03561114RS226-1HORZ PIN BEARING RCRC2400

311001310225805B01L025961

ZN4910* 03561114RS226-1HORZ PIN BEARING RCRC2400

161501395000705B03A AFT8082

A841348 33076882145R3551-18SWASHPLATE ASSY AFT 041200

311001356048905B03A04 AFT4507

BDH1494 03307114RS308-2SWASHPLATE BEARING RCRC1200

161501115360905B03J AFT10330

01957-1 06330145R3650-1BOLT ASSEMBLY RCRC4000

530600008502505B03K14087

268-1 06330BACB30ST8-31BOLT, SWIV ACT/LWR ATT RCRC7757

161501115360905B03L AFT10330

017401 06330145R3650-1BOLT ASSEMBLY RCRC4000

For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91

kmason
Highlight
kmason
Highlight
kmason
Highlight
kmason
Highlight
kmason
Highlight
kmason
Highlight

1520010883669 9100268CH-47DHELICOPTER, CARGO

kjigfdcbaRMVL HRS RMVL HRS

NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC

he (ACFTLIFESINCEPREVSER NO.ANDAND

INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE

NOMEN REP.O/H ORCOMP6.

4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE

Report Date:

TIME CHANGE COMPONENTS5/813-Oct-2015

00

530600008502705B03M8340

UNK0268 04340BACB30ST8-35BOLT,PIVOT ACT/LWR ATT RCRC4000

530601301779305B03N AFT TOP GREE11209

24851-16 07209114R3650-16BOLT, PITCH LINK UPPER RCRC4000

530601301779305B03N AFT TOP YELLO11209

25783-16 07209114R3650-16BOLT, PITCH LINK UPPER RCRC4000

530601301779305B03N AFT TOP RED11209

25956-16 07209114R3650-16BOLT, PITCH LINK UPPER RCRC4000

530601301779405B03P AFT BOT YELLO11209

25838-17 07209114R3650-17BOLT, PITCH LINK LOWER RCRC4000

530601301779405B03P AFT BOT GREE11209

26225-17 07209114R3650-17BOLT, PITCH LINK LOWER RCRC4000

530601301779405B03P AFT BOT RED11209

26581-17 07209114R3650-17BOLT, PITCH LINK LOWER RCRC4000

530600008502505B03Q12097

UNK0268#2 04340BACB30ST8-31BOLT PVT ACT/LOW ACT A RCRC7757

161501112587906B01 FWD6218

N1436 00145D1301-3SHAFT ASSY, FWD RCRC6218

168001320119106H0211067

A-1011 6126882145D3300-6SHAFT ASSY, AFT VERTICA 004797

161501316266106H04 # 110899

A-1232 04899145D3504-2SHAFT ASSY, ENG. DRIVEN RCRC6000

161501316266106H04 #210340

A-1441 04340145D3504-2SHAFT ASSY, ENG. DRIVEN RCRC6000

161501319509206H04A # 111882

A6094 39457301145D3500-17ADAPTER ASSY ENG D/S IN RCRC4581

161501319509206H04A #2 INBD10315

A8011 05734145D3500-17ADAPTER ASSY ENG D/S IN RCRC4581

161501319509106H04B #2 ENG OUTB8921

A-6031 04340145D3500-16ADAPTER ASSY ENG D/S O RCRC4581

161501319509106H04B NO.111685

A6246 30057104145D3500-16ADAPTER ASSY ENG D/S O RCRC4581

161501113024806H06A 113756

A4043 36067301145D3400-23SEC 1 DRIVE SHAFT ASSY 0010061

161501112589706H10 #58470

A4569 86957104145D3400-31DRIVESHAFT ASSY, SEC 2- 0010061

161501112589706H10 211301

A5558 60617301145D3400-31DRIVESHAFT ASSY, SEC 2- 0010061

For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91

kmason
Highlight
kmason
Highlight
kmason
Highlight
kmason
Highlight
kmason
Highlight

1520010883669 9100268CH-47DHELICOPTER, CARGO

kjigfdcbaRMVL HRS RMVL HRS

NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC

he (ACFTLIFESINCEPREVSER NO.ANDAND

INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE

NOMEN REP.O/H ORCOMP6.

4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE

Report Date:

TIME CHANGE COMPONENTS6/813-Oct-2015

00

161501112589706H10 #39266

A8662 59255130145D3400-31DRIVESHAFT ASSY, SEC 2- 0010061

161501112589706H10 #615093

A-6317 17476779145D3400-32DRIVESHAFT ASSY, SEC 2- 0010061

161501112589506H12A 717362

A2793 47227301145D3400-24SEC 7 DRIVE SHAFT ASSY RCRC10061

161501113029206H13A #813254

A8856 32767104145D3400-25AFT SEC 1 D/S ASSY 009426

161501119335906H14A #913766

A-10149 04340145D3400-26AFT SEC 2 D/S ASSY 009426

312000110854211G01 AFT LCT BOT12955

S463 06007114CS123-1BEARING RCRC6948

27-Dec-1988 1 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNSOF CH-47-88-22: 23-DEC-88, ONE TIME INSP FOR CERTAIN S/N. 6/158TH J.CANTREL 27-DEC-88 .5 MAN HRS.

28-Dec-1988 2 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNSOF CH-47-88-23, 27-DEC-88, FWD AND AFT XMSN INSP. 6/158TH SSG REESE 28-DEC-88 8.0 MAN HRS.

15-May-1998 3 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNTB-1520-240-20-102 14-MAY-98; ONE TIME INSP FOR ACFT XMSN WITHSUSPECTED IMPROPERLY SHIMMED INPUT PINION GEAR ASSY. W376AA S.FRAZIER 15-MAY-98 .5 MAN HRS.

08-Oct-1999 8 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYN08-OCT-99 AFT XMSN REMOVED FROM CH-47D 8601678 AT 4522 ACFT HRS. FORRETURN TO CCAD FOR INSP AND REIDENTIFICATION IAW SOF CH-47-99-05 (TB 1-1520-240-20-115). TTSN 1192 HOURS. (BA0382, PC SPEC) USAATTC, FT. RUCKER, AL.

27-Aug-1999 11 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNTB-1520-240-20-114 26-AUG-99; INSP FOR FWD AND AFT XMSN GEAR/BEARINGASSEMBLIES IDENTIFIED BY S/N PREFIX "VB" W376AA BA0382 27-AUG-99 1.0MAN HRS.

SIGNIFICANT HISTORICAL EVENTS7.

For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91

1520010883669 9100268CH-47DHELICOPTER, CARGO

kjigfdcbaRMVL HRS RMVL HRS

NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC

he (ACFTLIFESINCEPREVSER NO.ANDAND

INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE

NOMEN REP.O/H ORCOMP6.

4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE

Report Date:

TIME CHANGE COMPONENTS7/813-Oct-2015

00

03-Apr-2006 12 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNALL DATA FROM OLD DASH 16 HAS BEEN TRANSFERD TO NEW DASH 16 6-17-87BOEING VERTOL PHILA. PA. CT. #DAAJ09-85-C-A005 T.T. NEW

28-Oct-1999 13 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYN28 OCT 99 C/W SOF MSG. CH 47-99-03/04 TSN 1192 CLT# 003085 G. RODRIUGEZREC. CLK. CCAD CCTX. 78419-5260

05-Sep-1992 14 WUC: 06H10B PN: 145D3407-10 PSN: A-1656 SEC 2-6D/S ADPT ASSY AFT5/9/92 SHAFT MODIFIED BY CCAD, CCTEX IAW DMWR 55-1615-322 AND BO D 145-10081 TSN 3746 A.G. XXXXX

13-May-2009 20 FWD ROTOR BLADE S/N'S-A-1-888E,A-1-1754, AND A-1-2819,INSPECTED ,STATICBALANCED,AND REPAIRED AS NECESSARY AT 1108TH AVCRAD ,GULFPORT,MS.

13-May-2009 21 20090504-STRIPPED,DEHYDRATED,REPAIRED,SEALED,REPAINTED ANDBALANCED MAIN ROTOR BLADE S/N:A2-1617 @ 2400 TSN BLADE HOURS. BALANCED USING AVION BALANCER S/N;AV69005. SM=6536, SCG=186.54,W=350.39, CM=2892, CCG=8.255 (10 PLATES). ANTI STATIC MEGGAR TEST OK.ROOT SOCKET LINER REPLACED PERAMCOM SRA # AM-026-06R2. ENTERED BY G.ROBERTSON, GR822952, T.I. MO-AVCRAD,SPRINGFIELD,MO417-874-8400.

13-May-2009 22 20090504-STRIPPED,DEHYDRATED,REPAIRED, SEALED, REPAINTED ANDBALANCED MAIN ROTOR BLADES/N:A2-2830 @ 1437 TSN BLADE HOURS USING AVION BALANCER S/N: AV96005.SM=65375,SCG=184.59, W=354.15,CM=2933, CCG=8.282 (9 PLATES).ANTI STATIC MEGGAR TESTED OK. ROOTSOCKET LINER REPLACEDPER SRA # AM-026-06R2. C/W APPLICABLE SOF/ASAM'S ENTERED BYG.ROBERTSON, GR822952, TI MO-AVCRAD,SPRINGFIELD, MO 417-847-8400.

25-Aug-2009 23 BEARING RECIEVED WITH DRIVESHAFT ASSY S/N A-6317 WITH NO 2410 COPY 3,CONSULTING WITH MCSD SUPPORT, MCSD RECOMMANDATION ASSIGN S/NWITH A TSN OF 0, UNTIL NEXT TEARDOWN FOR BEARING S/N VERIFICATION.

16-Jul-2010 24 BLADE REPAIRED IAW SRA#AX196409 DATED 24 NOV 2009 AT 1108TH AVCRADGULFPORT,MS

11-Apr-2012 25 M/R BLADE S/N: A-1-888E P/N: 114R1702-37 NSN: 1615-01-145-7109 TSN: 398527 JAN 12 PMI 2 INSPECT, REPAIRED, DEHYDRATED, REPAINTED & BALANCEDUSINGAVION BALANCER S/N: AV96005. SM=65382, SCG=182.81, W=357.64, CM=2953,CCG=8.257,10 PLATES ADDED. REPAIRED VOID AT STA. 318 BOTTOM SIDE. REPAIRED VOIDAT STA. 268TOP SIDE. REPAIRED RIB CLOSURE. REPAIRED TIP SEAL. REPLACEDELECTRICAL LEADS.INSTALLED LIGHTNING STRIP DOUBLERS ON BOTH SIDES OF BLADE. IH904527,T.I. MO-TASMG SPRINGFIELD, MO. (417) 874-8400, "EXT" 5379.

11-Apr-2012 26 M/R BLADE S/N: A2-2830 P/N: 114R1702-38 NSN: 1615-01-145-7110 TSN: 181327 JAN 12 PMI 2 INSPECT, REPAIRED, DEHYRATED, REPAINTED & BALANCED,USING AVION BALANCER S/N: AV96005: SM=65364, SCG=184.61, W=354.06,CM=2919, CCG=8.243, 10 PLATES ADDED. REPLACED ROOT SOCKET LINERIAW SRA: AX210711. REPAIRED RIB CLOSURE. REPAIRED TIP SEAL. REPLACEDLIGHTNING JUMPER CABLES. IH904527, T.I. MO-TASMG SPRINGFIELD, MO.(417) 874-8400, "EXT" 5379.

For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91

1520010883669 9100268CH-47DHELICOPTER, CARGO

kjigfdcbaRMVL HRS RMVL HRS

NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC

he (ACFTLIFESINCEPREVSER NO.ANDAND

INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE

NOMEN REP.O/H ORCOMP6.

4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE

Report Date:

TIME CHANGE COMPONENTS8/813-Oct-2015

00

11-Apr-2012 27 M/R BLADE S/N: A2-1617 P/N: 114R1702-38 NSN: 1615-01-145-7110 TSN: 277627 JAN 12. PMI 2 INSPECT , REPAIRED, DEHYDRATED, REPAINTED & BALANCEDUSING AVION BALANCER S/N: AV96005. SM=65359, SCG=186.73, W=350.02,CM=2875,CCG=8.215, 9 PLATES ADDED. REPAIRED VOIDS @ STA. 306, 317 AND 336BOTTOM OFBLADE. REPLACED BOTH LIGHTNING PROTECTION JUMPER WIRES. REPAIREDRIB CLOSURE.REPAIRED TIP CLOSURE. IH904527, T.I. MO-TASMG SPRINGFIELD, MO. (417) 874-8400, "EXT"5379.

11-Apr-2012 28 M/R BLADE S/N: 2008A9465 P/N: 114R1702-38 NSN: 1615-01-145-7110 TSN: 37627 JAN 12 PMI 2 INSPECT, REPAIRED , DEHYDRATED, REPAINTED & BALANCEDUSING AVION BALANCER S/N: AV96005. SM=65351, SCG=185.21, W=352.85,CM=2908,CCG=8.242, 9 PLATES ADDED. REPLACED RIB CLOSURE. REPLACED BOTHLIGHTNING STRIPDOUBLERS. IH904527, T.I. MO-TASMG SPRINGFIELD, MO. (417) 874-8400, "EXT"5379.

For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE

AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91

1/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

b. LOCATION/REMARKSCHECK NO.

6. LOCATION OR REMARKS

a. ITEM NUMBER

Nomenclature

AN/APX-100Receiver/Transmitter

1 Not Installed13

C-12645/ALE-47(V) DigitalControl Display UNIT

1 Not Installed20

KIT-1C IFF Computer1 Not Installed43

Tackle Block, 114E0658-231 2 ea Required48

Hook and Cable Assembly,114E6042-15

1 1 ea required49

Z-AHP VOICE SECURITYCONTROL

5 SEE BELOW4

ON616650 TSEC/KY-100REMOTE CONTROL UNIT

4 NOT INSTALLED8

ON616650 TSEC/KY-100REMOTE CONTROL UNIT

5 NOT INSTALLED8

ON616650 TSEC/KY-100REMOTE CONTROL UNIT

6 NOT INSTALLED8

ON616650 TSEC/KY-100REMOTE CONTROL UNIT

7 NOT INSTALLED8

REVERSE OF DA FORM 2408-17 E, NOV 91

AN/APX-100RECEIVER/TRANSMITTER (IF

INSTALLED)7 NOT INSTALLED13

2/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

ON616650 TSEC/KY-100REMOTE CONTROL UNIT

8 NOT INSTALLED8

CP-1252C/ASN-128B COMPUTERDISPLAY UNIT

4 NOT INSTALLED11

CP-1252C/ASN-128B COMPUTERDISPLAY UNIT

7 NOT INSTALLED11

CP-1252C/ASN-128B COMPUTERDISPLAY UNIT

8 NOT INSTALLED11

AN/APX-100RECEIVER/TRANSMITTER (IF

INSTALLED)1 NOT INSTALLED13

AN/APX-100RECEIVER/TRANSMITTER (IF

INSTALLED)2 NOT INSTALLED13

AN/APX-100RECEIVER/TRANSMITTER (IF

INSTALLED)3 NOT INSTALLED13

AN/APX-100RECEIVER/TRANSMITTER (IF

INSTALLED)4 NOT INSTALLED13

AN/APX-100RECEIVER/TRANSMITTER (IF

INSTALLED)5 13

AN/APX-100RECEIVER/TRANSMITTER (IF

INSTALLED)6 NOT INSTALLED13

REVERSE OF DA FORM 2408-17 E, NOV 91

IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)

6 REMOVED FOR ACFT XNSFER17

3/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

AN/APX-100RECEIVER/TRANSMITTER (IF

INSTALLED)7 NOT INSTALLED13

AN/APX-100RECEIVER/TRANSMITTER (IF

INSTALLED)8 NOT INSTALLED13

ID-1917()/APN-209(V) REMOTEINDICATOR

4 NOT INSTALLED15

C-11308/APR-39A(V) RADARCONTROL UNIT

4 NOT INSTALLED16

C-11308/APR-39A(V) RADARCONTROL UNIT

5 NOT INSTALLED16

C-11308/APR-39A(V) RADARCONTROL UNIT

6 REMOVED FOR ACFT XNSFER16

C-11308/APR-39A(V) RADARCONTROL UNIT

7 NOT INSTALLED16

C-11308/APR-39A(V) RADARCONTROL UNIT

8 NOT INSTALLED16

IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)

3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)17

IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)

4 NOT INSTALLED17

IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)

5 NOT INSTALLED17

REVERSE OF DA FORM 2408-17 E, NOV 91

4/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)

6 REMOVED FOR ACFT XNSFER17

IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)

7 NOT INSTALLED17

IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)

8 NOT INSTALLED17

C-10131/ALQ-156COUNTERMEASURES

CONTROL UNIT1 NOT INSTALLED18

C-10131/ALQ-156COUNTERMEASURES

CONTROL UNIT2 NOT INSTALLED18

C-10131/ALQ-156COUNTERMEASURES

CONTROL UNIT3 NOT INSTALLED18

C-10131/ALQ-156COUNTERMEASURES

CONTROL UNIT4 NOT INSTALLED18

C-10131/ALQ-156COUNTERMEASURES

CONTROL UNIT5 18

C-10131/ALQ-156COUNTERMEASURES

CONTROL UNIT6 NOT INSTALLED18

C-10131/ALQ-156COUNTERMEASURES

CONTROL UNIT7 NOT INSTALLED18

C-10131/ALQ-156COUNTERMEASURES

CONTROL UNIT8 NOT INSTALLED18

REVERSE OF DA FORM 2408-17 E, NOV 91

C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I

3 NOT INSTALLED20

5/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

9272533 M130 DISPENSERCONTROL PANEL(IF

INSTALLED)1 NOT INSTALLED19

9272533 M130 DISPENSERCONTROL PANEL(IF

INSTALLED)2 NOT INSTALLED19

9272533 M130 DISPENSERCONTROL PANEL(IF

INSTALLED)3 NOT INSTALLED19

9272533 M130 DISPENSERCONTROL PANEL(IF

INSTALLED)4 NOT INSTALLED19

9272533 M130 DISPENSERCONTROL PANEL(IF

INSTALLED)5 NOT INSTALLED19

9272533 M130 DISPENSERCONTROL PANEL(IF

INSTALLED)6 NOT INSTALLED19

9272533 M130 DISPENSERCONTROL PANEL(IF

INSTALLED)7 NOT INSTALLED19

9272533 M130 DISPENSERCONTROL PANEL(IF

INSTALLED)8 NOT INSTALLED19

C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I

1 NOT INSTALLED20

C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I

2 NOT INSTALLED20

REVERSE OF DA FORM 2408-17 E, NOV 91

SIDE ARMOR PANEL, 1560-CH47-267-103

5 IN STORAGE22

6/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I

3 NOT INSTALLED20

C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I

4 NOT INSTALLED20

C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I

5 NOT INSTALLED20

C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I

6 NOT INSTALLED20

C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I

7 NOT INSTALLED20

C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I

8 NOT INSTALLED20

C-12293/AVS-7 CONVERTERCONTROL UNIT

4 NOT INSTALLED21

SIDE ARMOR PANEL, 1560-CH47-267-103

1 NOT INSTALLED IN STORAGE22

SIDE ARMOR PANEL, 1560-CH47-267-103

2 NOT INSTALLED IN STORAGE22

SIDE ARMOR PANEL, 1560-CH47-267-103

3 IN STORAGE22

SIDE ARMOR PANEL, 1560-CH47-267-103

4 NOT INSTALLED22

REVERSE OF DA FORM 2408-17 E, NOV 91

7/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015SIDE ARMOR PANEL, 1560-CH47-267-103

5 IN STORAGE22

SIDE ARMOR PANEL, 1560-CH47-267-103

6 NOT INSTALLED22

SIDE ARMOR PANEL, 1560-CH47-267-103

7 NOT INSTALLED22

SIDE ARMOR PANEL, 1560-CH47-267-103

8 IN STORAGE22

SIDE ARMOR PANEL, 1560-CH47-267-104

1 NOT INSTALLED IN STORAGE23

SIDE ARMOR PANEL, 1560-CH47-267-104

2 NOT INSTALLED IN STORAGE23

SIDE ARMOR PANEL, 1560-CH47-267-104

3 IN STORAGE23

SIDE ARMOR PANEL, 1560-CH47-267-104

4 NOT INSTALLED23

SIDE ARMOR PANEL, 1560-CH47-267-104

5 IN STORAGE23

SIDE ARMOR PANEL, 1560-CH47-267-104

6 NOT INSTALLED23

SIDE ARMOR PANEL, 1560-CH47-267-104

7 NOT INSTALLED23

REVERSE OF DA FORM 2408-17 E, NOV 91

SHOULDER ARMOR PANEL,1560-CH47-277-104

2 NOT INSTALLED IN STORAGE25

8/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

SIDE ARMOR PANEL, 1560-CH47-267-104

8 IN STORAGE23

SHOULDER ARMOR PANEL,1560-CH47-277-103

1 NOT INSTALLED IN STORAGE24

SHOULDER ARMOR PANEL,1560-CH47-277-103

2 NOT INSTALLED IN STORAGE24

SHOULDER ARMOR PANEL,1560-CH47-277-103

3 IN STORAGE24

SHOULDER ARMOR PANEL,1560-CH47-277-103

4 NOT INSTALLED24

SHOULDER ARMOR PANEL,1560-CH47-277-103

5 IN STORAGE24

SHOULDER ARMOR PANEL,1560-CH47-277-103

6 NOT INSTALLED24

SHOULDER ARMOR PANEL,1560-CH47-277-103

7 NOT INSTALLED24

SHOULDER ARMOR PANEL,1560-CH47-277-103

8 IN STORAGE24

SHOULDER ARMOR PANEL,1560-CH47-277-104

1 NOT INSTALLED IN STORAGE25

REVERSE OF DA FORM 2408-17 E, NOV 91

BOTTOM ARMOR PANEL, 1560-CH47-301-1

5 IN STORAGE26

9/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

SHOULDER ARMOR PANEL,1560-CH47-277-104

2 NOT INSTALLED IN STORAGE25

SHOULDER ARMOR PANEL,1560-CH47-277-104

3 IN STORAGE25

SHOULDER ARMOR PANEL,1560-CH47-277-104

4 NOT INSTALLED25

SHOULDER ARMOR PANEL,1560-CH47-277-104

5 IN STORAGE25

SHOULDER ARMOR PANEL,1560-CH47-277-104

6 NOT INSTALLED25

SHOULDER ARMOR PANEL,1560-CH47-277-104

7 NOT INSTALLED25

SHOULDER ARMOR PANEL,1560-CH47-277-104

8 IN STORAGE25

BOTTOM ARMOR PANEL, 1560-CH47-301-1

1 NOT INSTALLED IN STORAGE26

BOTTOM ARMOR PANEL, 1560-CH47-301-1

2 NOT INSTALLED IN STORAGE26

BOTTOM ARMOR PANEL, 1560-CH47-301-1

3 IN STORAGE26

BOTTOM ARMOR PANEL, 1560-CH47-301-1

4 NOT INSTALLED26

REVERSE OF DA FORM 2408-17 E, NOV 91

10/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015BOTTOM ARMOR PANEL, 1560-CH47-301-1

5 IN STORAGE26

BOTTOM ARMOR PANEL, 1560-CH47-301-1

6 NOT INSTALLED26

BOTTOM ARMOR PANEL, 1560-CH47-301-1

7 NOT INSTALLED26

BOTTOM ARMOR PANEL, 1560-CH47-301-1

8 IN STORAGE26

BOTTOM ARMOR PANEL, 1560-CH47-302-1

1 NOT INSTALLED IN STORAGE27

BOTTOM ARMOR PANEL, 1560-CH47-302-1

2 NOT INSTALLED IN STORAGE27

BOTTOM ARMOR PANEL, 1560-CH47-302-1

3 IN STORAGE27

BOTTOM ARMOR PANEL, 1560-CH47-302-1

4 27

BOTTOM ARMOR PANEL, 1560-CH47-302-1

5 IN STORAGE27

BOTTOM ARMOR PANEL, 1560-CH47-302-1

6 NOT INSTALLED27

BOTTOM ARMOR PANEL, 1560-CH47-302-1

7 NOT INSTALLED27

REVERSE OF DA FORM 2408-17 E, NOV 91

SU-180/AVS-7 DISPLAY UNIT6 1 INSTALLED29

11/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

BOTTOM ARMOR PANEL, 1560-CH47-302-1

8 IN STORAGE27

BACK ARMOR PANEL, 1560-CH47-303-1

1 NOT INSTALLED IN STORAGE28

BACK ARMOR PANEL, 1560-CH47-303-1

2 NOT INSTALLED IN STORAGE28

BACK ARMOR PANEL, 1560-CH47-303-1

3 IN STORAGE28

BACK ARMOR PANEL, 1560-CH47-303-1

4 NOT INSTALLED28

BACK ARMOR PANEL, 1560-CH47-303-1

5 IN STORAGE28

BACK ARMOR PANEL, 1560-CH47-303-1

6 NOT INSTALLED28

BACK ARMOR PANEL, 1560-CH47-303-1

7 NOT INSTALLED28

BACK ARMOR PANEL, 1560-CH47-303-1

8 IN STORAGE28

SU-180/AVS-7 DISPLAY UNIT5 STORED IN ALSE29

REVERSE OF DA FORM 2408-17 E, NOV 91

RT-1749/URCRECEIVER/TRANSMITTER

5 NOT INSTALLED36

12/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015SU-180/AVS-7 DISPLAY UNIT6 1 INSTALLED29

SU-180/AVS-7 DISPLAY UNIT8 NOT INSTALLED29

TSEC/KY-58 VOICE SECURITYPROCESSOR

3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)35

TSEC/KY-58 VOICE SECURITYPROCESSOR

4 NOT INSTALLED35

TSEC/KY-58 VOICE SECURITYPROCESSOR

5 NOT TRANSFERED35

TSEC/KY-58 VOICE SECURITYPROCESSOR

6 NOT INSTALLED35

TSEC/KY-58 VOICE SECURITYPROCESSOR

7 NOT INSTALLED35

TSEC/KY-58 VOICE SECURITYPROCESSOR

8 NOT INSTALLED35

TSEC/KY-58 VOICE SECURITYPROCESSOR

5 NOT INSTALLED35

RT-1749/URCRECEIVER/TRANSMITTER

3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)36

RT-1749/URCRECEIVER/TRANSMITTER

4 NOT INSTALLED36

REVERSE OF DA FORM 2408-17 E, NOV 91

13/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015RT-1749/URCRECEIVER/TRANSMITTER

5 NOT INSTALLED36

RT-1749/URCRECEIVER/TRANSMITTER

6 NOT INSTALLED36

ON616604 TSEC/KY-100PROCESSOR

3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)38

ON616604 TSEC/KY-100PROCESSOR

4 NOT INSTALLED38

ON616604 TSEC/KY-100PROCESSOR

5 NOT TRANSFERED38

ON616604 TSEC/KY-100PROCESSOR

6 NOT INSTALLED38

ON616604 TSEC/KY-100PROCESSOR

7 NOT INSTALLED38

ON616604 TSEC/KY-100PROCESSOR

8 NOT INSTALLED38

CV-3338A/ASN-128B SIGNALDATA CONVERTER

1 CV3338B/ASN-128D SIGNAL DATA CONVERTER INSTALLED41

CV-3338A/ASN-128B SIGNALDATA CONVERTER

2CV-3338B/ASN-128D SIGNAL DATA CONVERTER

INSTALLED41

CV-3338A/ASN-128B SIGNALDATA CONVERTER

3CV-3338A/ASN-128D SIGNAL DATA CONVERTER

INSTALLED41

REVERSE OF DA FORM 2408-17 E, NOV 91

KIT-1C IFF COMPUTER (IFINSTALLED)

4 NOT INSTALLED43

14/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

CV-3338A/ASN-128B SIGNALDATA CONVERTER

4 NOT INSTALLED41

CV-3338A/ASN-128B SIGNALDATA CONVERTER

5 NOT INSTALLED41

CV-3338A/ASN-128B SIGNALDATA CONVERTER

6 NOT INSTALLED41

CV-3338A/ASN-128B SIGNALDATA CONVERTER

7 NOT INSTALLED41

CV-3338A/ASN-128B SIGNALDATA CONVERTER

8 NOT INSTALLED41

RT-1836/APX-118(V)RECEIVER/TRANSMITTER (IF

INSTALL)4 NOT INSTALLED42

RT-1836/APX-118(V)RECEIVER/TRANSMITTER (IF

INSTALL)5 NOT INSTALLED42

KIT-1C IFF COMPUTER (IFINSTALLED)

1 NOT INSTALLED43

KIT-1C IFF COMPUTER (IFINSTALLED)

2 NOT INSTALLED43

KIT-1C IFF COMPUTER (IFINSTALLED)

3 NOT INSTALLED43

REVERSE OF DA FORM 2408-17 E, NOV 91

RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF

INSTALLED)1 NOT INSTALLED45

15/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

KIT-1C IFF COMPUTER (IFINSTALLED)

4 NOT INSTALLED43

KIT-1C IFF COMPUTER (IFINSTALLED)

5 NOT INSTALLED43

KIT-1C IFF COMPUTER (IFINSTALLED)

6 NOT INSTALLED43

KIT-1C IFF COMPUTER (IFINSTALLED)

7 NOT INSTALLED43

KIT-1C IFF COMPUTER (IFINSTALLED)

8 NOT INSTALLED43

CP-1597A/APR-39A(V) DIGITALPROCESSOR (IF INSTALLED)

3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)44

CP-1597A/APR-39A(V) DIGITALPROCESSOR (IF INSTALLED)

4 NOT INSTALLED44

CP-1597A/APR-39A(V) DIGITALPROCESSOR (IF INSTALLED)

5 NOT TRANSFERED44

CP-1597A/APR-39A(V) DIGITALPROCESSOR (IF INSTALLED)

6 NOT INSTALLED44

CP-1597A/APR-39A(V) DIGITALPROCESSOR (IF INSTALLED)

7 NOT INSTALLED44

CP-1597A/APR-39A(V) DIGITALPROCESSOR (IF INSTALLED)

8 NOT INSTALLED44

REVERSE OF DA FORM 2408-17 E, NOV 91

16/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015RT-1220B/ALQ-156

RECEIVER/TRANSMITTER (IFINSTALLED)

1 NOT INSTALLED45

RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF

INSTALLED)2 NOT INSTALLED45

RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF

INSTALLED)3 NOT INSTALLED45

RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF

INSTALLED)4 NOT INSTALLED45

RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF

INSTALLED)5 NOT INSTALLED45

RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF

INSTALLED)6 NOT INSTALLED45

RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF

INSTALLED)7 NOT INSTALLED45

RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF

INSTALLED)8 NOT INSTALLED45

C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF

INSTALL1 NOT INSTALLED46

C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF

INSTALL2 NOT INSTALLED46

C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF

INSTALL3 NOT INSTALLED46

REVERSE OF DA FORM 2408-17 E, NOV 91

TACKLE BLOCK, 114E0658-236 ACFT RECIEVED WITH TWO EA48

17/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF

INSTALL4 NOT INSTALLED46

C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF

INSTALL5 NOT INSTALLED46

C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF

INSTALL6 NOT INSTALLED46

C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF

INSTALL7 NOT INSTALLED46

C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF

INSTALL8 NOT INSTALLED46

TACKLE BLOCK, 114E0658-231 2 INSTALLED48

TACKLE BLOCK, 114E0658-232 2 INSTALLED48

TACKLE BLOCK, 114E0658-233 2 EA INSTALLED48

TACKLE BLOCK, 114E0658-234 2 INSTALLED48

TACKLE BLOCK, 114E0658-235 2EA48

REVERSE OF DA FORM 2408-17 E, NOV 91

RT-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

6 NOT INSTALLED53

18/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015TACKLE BLOCK, 114E0658-236 ACFT RECIEVED WITH TWO EA48

HOOK AND CABLE ASSEMBLY,114E6042-15

1 1 INSTALLED49

HOOK AND CABLE ASSEMBLY,114E6042-15

2 1 INSTALLED49

HOOK AND CABLE ASSEMBLY,114E6042-15

3 1 EA INSTALLED49

HOOK AND CABLE ASSEMBLY,114E6042-15

5 1 EA49

HOOK AND CABLE ASSEMBLY,114E6042-15

6 ACFT RECEIVED WITH ONE EACH49

HOOK AND CABLE ASSEMBLY,114E6042-15

7 1 INSTALLED49

HOOK AND CABLE ASSEMBLY,114E6042-15

8 ONE INSTALLED49

RT-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)53

RT-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

4 NOT INSTALLED53

RT-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

5 NOT INSTALLED53

REVERSE OF DA FORM 2408-17 E, NOV 91

19/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015RT-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

6 NOT INSTALLED53

RT-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

7 NOT INSTALLED53

RT-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

8 NOT INSTALLED53

AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)

3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)54

AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)

4 NOT INSTALLED54

AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)

5 NOT INSTALLED54

AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)

6 NOT INSTALLED54

AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)

7 NOT INSTALLED54

AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)

8 NOT INSTALLED54

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)55

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

4 NOT INSTALLED55

REVERSE OF DA FORM 2408-17 E, NOV 91

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

7 NOT INSTALLED56

20/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

5 NOT INSTALLED55

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

6 NOT INSTALLED55

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

7 NOT INSTALLED55

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

8 NOT INSTALLED55

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

1 NOT INSTALLED56

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

2 NOT INSTALLED56

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

3 NOT INSTALLED56

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

4 NOT INSTALLED56

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

5 NOT INSTALLED56

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

6 NOT INSTALLED56

REVERSE OF DA FORM 2408-17 E, NOV 91

ALQ-156 RCVR-TRANSMITTERRT-1220

7 DELETED63

21/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

7 NOT INSTALLED56

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

8 NOT INSTALLED56

CP-1252C/ASN-128D COMPUTERDISPLAY UNIT

1 NOT INSTALLED58

CP-1252C/ASN-128D COMPUTERDISPLAY UNIT

2 NOT INSTALLED58

CP-1252C/ASN-128D COMPUTERDISPLAY UNIT

3 NOT INSTALLED58

CP-1252C/ASN-128D COMPUTERDISPLAY UNIT

4 NOT INSTALLED58

CP-1252C/ASN-128D COMPUTERDISPLAY UNIT

5 NOT INSTALLED58

CP-1252C/ASN-128D COMPUTERDISPLAY UNIT

6 NOT INSTALLED58

SINCGARS RADIO RT-1476/ARC-201

7 DELETED61

SINCGARS RADIO RT-1476/ARC-201

8 NOT INSTALLED61

EMERGENCY LOCATORTRANSMITTER (ELT)

7 DELETED62

REVERSE OF DA FORM 2408-17 E, NOV 91

22/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015ALQ-156 RCVR-TRANSMITTERRT-1220

7 DELETED63

ALQ-156 RCVR-TRANSMITTERRT-1220

8 NOT INSTALLED63

KY-58 REMOTE CONTROL UNIT7 DELETED64

KY-58 REMOTE CONTROL UNIT8 NOT INSTALLED64

CONVERTER CONTROL UNIT C-12293/AVS-7

7 DELETED65

CONVERTER CONTROL UNIT C-12293/AVS-7

8 NOT INSTALLED65

COMPUTER KIT 1C/TSEC7 DELETED66

COMPUTER KIT 1C/TSEC8 NOT INSTALLED66

SIGNAL DATA CONVERTER AVS-7/CV-4229

7 DELETED67

SIGNAL DATA CONVERTER AVS-7/CV-4229

8 NOT INSTALLED67

AIR DATA TRANSDUCER (HUD)7 DELETED68

REVERSE OF DA FORM 2408-17 E, NOV 91

APR-39A(V) RADAR WARNINGINDICATOR IP-1150A

8 NOT INSTALLED73

23/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

AIR DATA TRANSDUCER (HUD)8 NOT INSTALLED68

INCLINOMETER (HUD)7 DELETED69

INCLINOMETER (HUD)8 NOT INSTALLED69

ALQ-156 CONTROL C-101317 DELETED70

ALQ-156 CONTROL C-101318 NOT INSTALLED70

APR-39A(V) CONTROL C-113087 DELETED71

APR-39A(V) CONTROL C-113088 NOT INSTALLED71

APR-39A(V) RECEIVER R-22187 DELETED72

APR-39A(V) RECEIVER R-22188 NOT INSTALLED72

APR-39A(V) RADAR WARNINGINDICATOR IP-1150A

7 NOT INSTALLED73

REVERSE OF DA FORM 2408-17 E, NOV 91

CP-1597A/APR-39A (V) DIGITALPROCESSOR (IF INSTALLED)

8 NOT INSTALLED79

24/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

APR-39A(V) RADAR WARNINGINDICATOR IP-1150A

8 NOT INSTALLED73

APR-39A (V) PROCESSOR CP-1597

7 NOT INSTALLED74

APR-39A (V) PROCESSOR CP-1597

8 NOT INSTALLED74

APR-39A (V) ANTENNA AS-35498 NOT INSTALLED75

APR-39A(V) ANTENNA AS-35488 NOT INSTALLED76

INDICATOR CONTROL (CMDS)AN/ALE-47

6 DUPLICATE ENTRY77

INDICATOR CONTROL (CMDS)AN/ALE-47

7 NOT INSTALLED77

INDICATOR CONTROL (CMDS)AN/ALE-47

8 NOT INSTALLED77

AN/ARC-220 RT-1749/URC7 NOT INSTALLED78

CP-1597A/APR-39A (V) DIGITALPROCESSOR (IF INSTALLED)

6 DUPLICATE ENTRY79

CP-1597A/APR-39A (V) DIGITALPROCESSOR (IF INSTALLED)

7 NOT INSTALLED79

REVERSE OF DA FORM 2408-17 E, NOV 91

25/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015CP-1597A/APR-39A (V) DIGITALPROCESSOR (IF INSTALLED)

8 NOT INSTALLED79

RT-1220B/ ALQ-156RECEIVER/TRANSMITTER (IF

INSTALLED)6 DUPLICATE ENTRY80

RT-1220B/ ALQ-156RECEIVER/TRANSMITTER (IF

INSTALLED)7 NOT INSTALLED80

RT-1220B/ ALQ-156RECEIVER/TRANSMITTER (IF

INSTALLED)8 NOT INSTALLED80

R-2218/ APR-39A (V) RADARRECEIVER (IF INSTALLED)

7 NOT INSTALLED81

R-2218/ APR-39A (V) RADARRECEIVER (IF INSTALLED)

8 NOT INSTALLED81

AS-3549A/ APR-39 L/H SPIRALANTENNA (IF INSTALLED)

6 DUPLICATE ENTRY82

AS-3549A/ APR-39 L/H SPIRALANTENNA (IF INSTALLED)

7 NOT INSTALLED82

AS-3549A/ APR-39 L/H SPIRALANTENNA (IF INSTALLED)

8 NOT INSTALLED82

AS-3548A/ APR-39 R/H SPIRALANTENNA (IF INSTALLED)

6 DUPLICATE ENTRY83

AS-3548A/ APR-39 R/H SPIRALANTENNA (IF INSTALLED)

7 NOT INSTALLED83

REVERSE OF DA FORM 2408-17 E, NOV 91

RT-1354B/ARC-186 RECEIVERTRANSMITTER

8 DUPLICATE ENTRY88

26/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

AS-3548A/ APR-39 R/H SPIRALANTENNA (IF INSTALLED)

8 NOT INSTALLED83

SU-202/ AAR-57 (V) ELECTOPTIC MSL SENSOR (IF

INSTALLED)7 NOT INSTALLED84

SU-202/ AAR-57 (V) ELECTOPTIC MSL SENSOR (IF

INSTALLED)8 NOT INSTALLED84

NCS MAGNUS TABLETCOMPUTER LOGBOOK

6 DUPLICATE ENTRY85

NCS MAGNUS TABLETCOMPUTER LOGBOOK

7 NOT INSTALLED85

NCS MAGNUS TABLETCOMPUTER LOGBOOK

8 NOT INSTALLED85

Z-AHP VOICE SECURITYCONTROL (KY-58)

6 DUPLICATE ENTRY86

Z-AHP VOICE SECURITYCONTROL (KY-58)

7 NOT INSTALLED86

Z-AHP VOICE SECURITYCONTROL (KY-58)

8 DUPLICATE ENTRY86

RT-1518C/ARC-164 RECEIVERTRANSMITTER

8 DUPLICATE ENTRY87

REVERSE OF DA FORM 2408-17 E, NOV 91

27/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

RT-1354B/ARC-186 RECEIVERTRANSMITTER

8 DUPLICATE ENTRY88

C-12436/URC,HF CONTROLDISPLAY UNIT

8 DUPLICATE ENTRY89

ANTENNA AS-2595/APN-1948 DUPLICATE ENTRY90

ANTENNA AS-1922/ARC8 DUPLICATE ENTRY91

ANTENNA AS-2890/APR-398 DUPLICATE ENTRY92

DOPPLER NAVIGATION SYSTEMCV-3338/ASN-128

8 DUPLICATE ENTRY93

CP-1252C/ASN-128D COMPUTERDISPLAY UNIT

8 DUPLICATE ENTRY94

RT 1193A/ASN-128D8 DUPLICATE ENTRY95

C-7392A/ARN-89 ADF CONTROL8 DUPLICATE ENTRY96

CV-3338A/ASN-128D SIGNALDATA CONVERTER

8 DUPLICATE ENTRY97

REVERSE OF DA FORM 2408-17 E, NOV 91

28/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

b. LOCATION/REMARKSCHECK NO.

6. LOCATION OR REMARKS

a. ITEM NUMBER

Nomenclature

Emergency Exit Lights1 3 ea required3

CD-45(V)/ALE-47(V) Programmer1 Not Installed15

DOOR AND EXIT LOCKS (SET)6 NOT INSTALLED2

TROOP SEAT (1 MAN)1 1 IN STORAGE9

TROOP SEAT (1 MAN)2 1 IN STORAGE9

TROOP SEAT (1 MAN)3 1 EA IN STORAGE9

BELT TROOP SAFETY1 1 IN STORAGE10

BELT TROOP SAFETY2 1 IN STORAGE10

BELT TROOP SAFETY3 1 EA IN STORAGE10

CD-45(V)/ALE-47(V)PROGRAMMER (IF INSTALLED)

1 NOT INSTALLED15

REVERSE OF DA FORM 2408-17 E, NOV 91

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

5 NOT INSTALLED18

29/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

CD-45(V)/ALE-47(V)PROGRAMMER (IF INSTALLED)

2 NOT INSTALLED15

CD-45(V)/ALE-47(V)PROGRAMMER (IF INSTALLED)

3 NOT INSTALLED15

114ES290-1REMOTE FIRINGSWITCH, 14 FT (IF INSTALLED)

6 ONE EXTRA IN PLACE OF ITEM 1716

PIF01249-1REMOTE FIRINGSWITCH, 22 FT (IF INSTALLED)

6 NOT INSTALLED17

PIF01249-1REMOTE FIRINGSWITCH, 22 FT (IF INSTALLED)

7 17

PIF01249-1REMOTE FIRINGSWITCH, 22 FT (IF INSTALLED)

8 NOT INSTALLED17

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

1 NOT INSTALLED18

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

2 NOT INSTALLED18

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

3 NOT INSTALLED18

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

4 NOT INSTALLED18

REVERSE OF DA FORM 2408-17 E, NOV 91

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

8 NOT INSTALLED19

30/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

5 NOT INSTALLED18

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

6 NOT INSTALLED18

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

7 NOT INSTALLED18

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

8 NOT INSTALLED18

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

1 NOT INSTALLED19

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

2 NOT INSTALLED19

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

3 NOT INSTALLED19

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

4 NOT INSTALLED19

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

5 NOT INSTALLED19

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

6 NOT INSTALLED19

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

7 NOT INSTALLED19

REVERSE OF DA FORM 2408-17 E, NOV 91

31/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

8 NOT INSTALLED19

196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF

INSTALLED)1 NOT INSTALLED20

196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF

INSTALLED)2 NOT INSTALLED20

196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF

INSTALLED)3 NOT INSTALLED20

196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF

INSTALLED)4 NOT INSTALLED20

196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF

INSTALLED)5 NOT INSTALLED20

196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF

INSTALLED)6 NOT INSTALLED20

196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF

INSTALLED)7 NOT INSTALLED20

196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF

INSTALLED)8 NOT INSTALLED20

AS-3149/ALQ-156COUNTERMEASURES ANTENNA

1 NOT INSTALLED21

AS-3149/ALQ-156COUNTERMEASURES ANTENNA

2 NOT INSTALLED21

REVERSE OF DA FORM 2408-17 E, NOV 91

AS-2890/APR-39 BLADEANTENNA

6 NOT INSTALLED22

32/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

AS-3149/ALQ-156COUNTERMEASURES ANTENNA

3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)21

AS-3149/ALQ-156COUNTERMEASURES ANTENNA

4 NOT INSTALLED21

AS-3149/ALQ-156COUNTERMEASURES ANTENNA

5 NOT INSTALLED21

AS-3149/ALQ-156COUNTERMEASURES ANTENNA

6 NOT INSTALLED21

AS-3149/ALQ-156COUNTERMEASURES ANTENNA

7 NOT INSTALLED21

AS-3149/ALQ-156COUNTERMEASURES ANTENNA

8 NOT INSTALLED21

AS-3149/ALQ-156COUNTERMEASURES ANTENNA

3 NOT INSTALLED21

AS-2890/APR-39 BLADEANTENNA

3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)22

AS-2890/APR-39 BLADEANTENNA

4 NOT INSTALLED22

AS-2890/APR-39 BLADEANTENNA

5 NOT INSTALLED22

REVERSE OF DA FORM 2408-17 E, NOV 91

COVER, APU INLET, 14560003-11 NOT INSTALLED36

33/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

AS-2890/APR-39 BLADEANTENNA

6 NOT INSTALLED22

AS-2890/APR-39 BLADEANTENNA

7 NOT INSTALLED22

AS-2890/APR-39 BLADEANTENNA

8 NOT INSTALLED22

COVER APU EXHAUST,145G0005-1

1 NOT INSTALLED35

COVER APU EXHAUST,145G0005-1

2 NOT INSTALLED35

COVER APU EXHAUST,145G0005-1

3 NOT INSTALLED35

COVER APU EXHAUST,145G0005-1

4 NOT INSTALLED35

COVER APU EXHAUST,145G0005-1

5 NOT INSTALLED35

COVER APU EXHAUST,145G0005-1

6 NOT INSTALLED35

COVER APU EXHAUST,145G0005-1

7 NOT INSTALLED35

COVER APU EXHAUST,145G0005-1

8 DUPLICATE ENTRY35

REVERSE OF DA FORM 2408-17 E, NOV 91

RAMP EXTENSION, 1560CH-47-398-1

4 NOT INSTALLED38

34/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015COVER, APU INLET, 14560003-11 NOT INSTALLED36

COVER, APU INLET, 14560003-12 NOT INSTALLED36

COVER, APU INLET, 14560003-13 NOT INSTALLED36

COVER, APU INLET, 14560003-14 NOT INSTALLED36

COVER, APU INLET, 14560003-15 NOT INSTALLED36

COVER, APU INLET, 14560003-16 NOT INSTALLED36

COVER, APU INLET, 14560003-17 NOT INSTALLED36

COVER, APU INLET, 14560003-18 DUPLICATE ENTRY36

RAMP EXTENSION, 1560CH-47-398-1

1 NOT INSTALLED38

RAMP EXTENSION, 1560CH-47-398-1

2 NOT INSTALLED38

RAMP EXTENSION, 1560CH-47-398-1

3 NOT INSTALLED38

REVERSE OF DA FORM 2408-17 E, NOV 91

35/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

RAMP EXTENSION, 1560CH-47-398-1

4 NOT INSTALLED38

RAMP EXTENSION, 1560CH-47-398-1

5 NOT INSTALLED38

RAMP EXTENSION, 1560CH-47-398-1

6 NOT INSTALLED38

RAMP EXTENSION, 1560CH-47-398-1

7 NOT INSTALLED38

RAMP EXTENSION, 1560CH-47-398-1

8 NOT INSTALLED38

SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-

171 NOT INSTALLED42

SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-

172 NOT INSTALLED42

SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-

173 NOT INSTALLED42

SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-

174 NOT INSTALLED42

SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-

175 NOT INSTALLED42

SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-

176 NOT INSTALLED42

REVERSE OF DA FORM 2408-17 E, NOV 91

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

114G1049-141 NOT INSTALLED44

36/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-

177 NOT INSTALLED42

SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-

178 NOT INSTALLED42

PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13

1 NOT INSTALLED43

PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13

2 NOT INSTALLED43

PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13

3 NOT INSTALLED43

PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13

4 NOT INSTALLED43

PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13

5 NOT INSTALLED43

PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13

6 NOT INSTALLED43

PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13

7 NOT INSTALLED43

PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13

8 NOT INSTALLED43

REVERSE OF DA FORM 2408-17 E, NOV 91

HOOK AND CABLE ASSEMBLY,114E6042-15

7 NOT INSTALLED49

37/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

114G1049-141 NOT INSTALLED44

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

114G1049-142 NOT INSTALLED44

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

114G1049-143 NOT INSTALLED44

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

114G1049-144 NOT INSTALLED44

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

114G1049-145 NOT INSTALLED44

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

114G1049-146 NOT INSTALLED44

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

114G1049-147 NOT INSTALLED44

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

114G1049-148 NOT INSTALLED44

HOOK AND CABLE ASSEMBLY,114E6042-15

4 NOT INSTALLED49

HOOK AND CABLE ASSEMBLY,114E6042-15

5 NOT INSTALLED49

HOOK AND CABLE ASSEMBLY,114E6042-15

6 NOT INSTALLED49

REVERSE OF DA FORM 2408-17 E, NOV 91

38/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015HOOK AND CABLE ASSEMBLY,114E6042-15

7 NOT INSTALLED49

HOOK AND CABLE ASSEMBLY,114E6042-15

8 NOT INSTALLED49

RESCUE BLOCK, 114E6050-394 NOT INSTALLED50

RESCUE BLOCK, 114E6050-395 NOT INSTALLED50

RESCUE BLOCK, 114E6050-396 NOT INSTALLED50

RESCUE BLOCK, 114E6050-397 NOT INSTALLED50

RESCUE BLOCK, 114E6050-398 NOT INSTALLED50

HOIST OPERATORS HARNESS4 NOT INSTALLED51

HOIST OPERATORS HARNESS5 NOT INSTALLED51

HOIST OPERATORS HARNESS6 NOT INSTALLED51

HOIST OPERATORS HARNESS7 NOT INSTALLED51

REVERSE OF DA FORM 2408-17 E, NOV 91

AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)

8 NOT INSTALLED54

39/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

HOIST OPERATORS HARNESS8 NOT INSTALLED51

R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

4 NOT INSTALLED53

R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

5 NOT INSTALLED53

R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

6 NOT INSTALLED53

R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

7 NOT INSTALLED53

R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

8 NOT INSTALLED53

AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)

4 NOT INSTALLED54

AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)

5 NOT INSTALLED54

AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)

6 NOT INSTALLED54

AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)

7 NOT INSTALLED54

REVERSE OF DA FORM 2408-17 E, NOV 91

TRANCIEVER(BFT)4 NOT INSTALLED57

40/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)

8 NOT INSTALLED54

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

4 NOT INSTALLED55

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

5 NOT INSTALLED55

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

6 NOT INSTALLED55

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

7 NOT INSTALLED55

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

8 NOT INSTALLED55

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTAL

4 NOT INSTALLED56

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTAL

5 NOT INSTALLED56

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTAL

6 NOT INSTALLED56

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTAL

7 NOT INSTALLED56

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTAL

8 NOT INSTALLED56

REVERSE OF DA FORM 2408-17 E, NOV 91

ROUTER(GPS GENERATION 3)5 NOT INSTALLED59

41/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015TRANCIEVER(BFT)4 NOT INSTALLED57

TRANCIEVER(BFT)5 NOT INSTALLED57

TRANCIEVER(BFT)6 NOT INSTALLED57

TRANCIEVER(BFT)7 NOT INSTALLED57

TRANCIEVER(BFT)8 NOT INSTALLED57

LNA (BFT GENERATION 3)4 NOT INSTALLED58

LNA (BFT GENERATION 3)5 NOT INSTALLED58

LNA (BFT GENERATION 3)6 NOT INSTALLED58

LNA (BFT GENERATION 3)7 NOT INSTALLED58

LNA (BFT GENERATION 3)8 NOT INSTALLED58

ROUTER(GPS GENERATION 3)4 NOT INSTALLED59

REVERSE OF DA FORM 2408-17 E, NOV 91

42/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

ROUTER(GPS GENERATION 3)5 NOT INSTALLED59

ROUTER(GPS GENERATION 3)6 NOT INSTALLED59

ROUTER(GPS GENERATION 3)7 NOT INSTALLED59

ROUTER(GPS GENERATION 3)8 NOT INSTALLED59

DAGER(BFT GENERATION 3)4 NOT INSTALLED60

DAGER(BFT GENERATION 3)5 NOT INSTALLED60

DAGER(BFT GENERATION 3)6 NOT INSTALLED60

DAGER(BFT GENERATION 3)7 NOT INSTALLED60

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

4 NOT INSTALLED61

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

5 NOT INSTALLED61

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

6 NOT INSTALLED61

REVERSE OF DA FORM 2408-17 E, NOV 91

SLAB BATTERY PN D856511-16 DUPLICATE ENTRY66

43/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

7 NOT INSTALLED61

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

8 NOT INSTALLED61

WINCH/ HOIST OPERATORINTERCOM CORD

4 DUAL ENTRY63

WINCH/ HOIST OPERATORINTERCOM CORD

5 NOT INSTALLED63

WINCH/ HOIST OPERATORINTERCOM CORD

6 DUPLICATE ENTRY63

WINCH/ HOIST OPERATORINTERCOM CORD

7 NOT INSTALLED63

COVER ENGINE INLET WITHOUTSCREENS

4 DUAL ENTRY65

COVER ENGINE INLET WITHOUTSCREENS

5 NOT INSTALLED65

COVER ENGINE INLET WITHOUTSCREENS

6 DUPLICATE ENTRY65

COVER ENGINE INLET WITHOUTSCREENS

7 NOT INSTALLED65

REVERSE OF DA FORM 2408-17 E, NOV 91

44/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

IM5766891 SSG 10-Jun-2015SLAB BATTERY PN D856511-16 DUPLICATE ENTRY66

GUNNER CABLE ASSY.8 NOT INSTALLED67

CMWS SEQUENCER R/H (#2) SN_________________

8 NOT INSTALLED72

TRANSMITTER, INFRARED T-1678/ALQ-212(V) (ATIRCM)

8 NOT INSTALLED74

LASER, DIRECTIONAL ASSY, SU-241/ALQ-212(V) (ATIRCM)

8 NOT INSTALLED75

CONTROL TRANSMITTER,COUNTERMEASURE C-

12794/ALQ-212(V) ATIRCM8 NOT INSTALLED76

OPTICAL ASSY, LASER(ATIRCM)

8 NOT INSTALLED77

GPS ANTENNA8 NOT INSTALLED78

COVER, AIR INLET8 NOT INSTALLED79

REVERSE OF DA FORM 2408-17 E, NOV 91

45/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

b. LOCATION/REMARKSCHECK NO.

6. LOCATION OR REMARKS

a. ITEM NUMBER

Nomenclature

9311431 M-130 ELECTRONICMODULE (IF INSTALLED)

1 NOT INSTALLED2

9311431 M-130 ELECTRONICMODULE (IF INSTALLED)

2 NOT INSTALLED2

9311431 M-130 ELECTRONICMODULE (IF INSTALLED)

3 NOT INSTALLED2

9311431 M-130 ELECTRONICMODULE (IF INSTALLED)

4 NOT INSTALLED2

9311431 M-130 ELECTRONICMODULE (IF INSTALLED)

5 NOT INSTALLED2

9311431 M-130 ELECTRONICMODULE (IF INSTALLED)

6 NOT INSTALLED2

REVERSE OF DA FORM 2408-17 E, NOV 91

9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)

5 NOT INSTALLED3

46/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

9311431 M-130 ELECTRONICMODULE (IF INSTALLED)

7 NOT INSTALLED2

9311431 M-130 ELECTRONICMODULE (IF INSTALLED)

8 NOT INSTALLED2

9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)

1 NOT INSTALLED3

9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)

2 NOT INSTALLED3

9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)

3 NOT INSTALLED3

9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)

4 NOT INSTALLED3

REVERSE OF DA FORM 2408-17 E, NOV 91

47/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-20149311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)

5 NOT INSTALLED3

9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)

6 NOT INSTALLED3

9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)

7 NOT INSTALLED3

9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)

8 NOT INSTALLED3

9311451 M-130 PAYLOADMODULE (IF INSTALLED)

1 NOT INSTALLED4

9311451 M-130 PAYLOADMODULE (IF INSTALLED)

2 NOT INSTALLED4

9311451 M-130 PAYLOADMODULE (IF INSTALLED)

3 NOT INSTALLED4

REVERSE OF DA FORM 2408-17 E, NOV 91

186220-001 AN/ALE-47DISPENSER ASSY (IF

INSTALLED)2 5

48/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

9311451 M-130 PAYLOADMODULE (IF INSTALLED)

4 NOT INSTALLED4

9311451 M-130 PAYLOADMODULE (IF INSTALLED)

5 NOT INSTALLED4

9311451 M-130 PAYLOADMODULE (IF INSTALLED)

6 NOT INSTALLED4

9311451 M-130 PAYLOADMODULE (IF INSTALLED)

7 NOT INSTALLED4

9311451 M-130 PAYLOADMODULE (IF INSTALLED)

8 NOT INSTALLED4

186220-001 AN/ALE-47DISPENSER ASSY (IF

INSTALLED)1 NOT INSTALLED5

REVERSE OF DA FORM 2408-17 E, NOV 91

49/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014186220-001 AN/ALE-47DISPENSER ASSY (IF

INSTALLED)2 5

186220-001 AN/ALE-47DISPENSER ASSY (IF

INSTALLED)3 NOT INSTALLED5

186220-001 AN/ALE-47DISPENSER ASSY (IF

INSTALLED)4 NOT INSTALLED5

186220-001 AN/ALE-47DISPENSER ASSY (IF

INSTALLED)5 IN STORAGE5

186220-001 AN/ALE-47DISPENSER ASSY (IF

INSTALLED)6 NOT INSTALLED5

186220-001 AN/ALE-47DISPENSER ASSY (IF

INSTALLED)7 NOT INSTALLED5

186220-001 AN/ALE-47DISPENSER ASSY (IF

INSTALLED)8 5

REVERSE OF DA FORM 2408-17 E, NOV 91

185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED

7 NOT INSTALLED6

50/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED

1 NOT INSTALLED6

185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED

2 NOT INSTALLED6

185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED

3 NOT INTALLED6

185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED

4 NOT INSTALLED6

185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED

5 NOT INSTALLED6

185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED

6 NOT INSTALLED6

REVERSE OF DA FORM 2408-17 E, NOV 91

51/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED

7 NOT INSTALLED6

185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED

8 NOT INSTALLED6

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

1 NOT INSTALLED7

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

2 NOT INSTALLED7

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

3 NOT INSTALLED7

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

4 NOT INSTALLED7

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

5 NOT INSTALLED7

REVERSE OF DA FORM 2408-17 E, NOV 91

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

4 NOT INSTALLED10

52/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

6 NOT INSTALLED7

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

7 NOT INSTALLED7

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

8 NOT INSTALLED7

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

1 10

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

2 NOT INSTALLED10

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

3 NOT INSTALLED10

REVERSE OF DA FORM 2408-17 E, NOV 91

53/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

4 NOT INSTALLED10

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

5 NOT INSTALLED10

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

6 NOT INSTALLED10

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

7 NOT INSTALLED10

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST

8 NOT INSTALLED10

196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)

1 NOT INSTALLED11

196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)

2 NOT INSTALLED11

REVERSE OF DA FORM 2408-17 E, NOV 91

CRANK ASSY. EMERGENCYRAMP & RESCUE

5 DUAL ENTRY13

54/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)

3 NOT INSTALLED11

196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)

4 NOT INSTALLED11

196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)

5 NOT INSTALLED11

196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)

6 NOT INSTALLED11

196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)

7 NOT INSTALLED11

196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)

8 NOT INSTALLED11

REVERSE OF DA FORM 2408-17 E, NOV 91

55/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014CRANK ASSY. EMERGENCYRAMP & RESCUE

5 DUAL ENTRY13

CRANK ASSY. EMERGENCYRAMP & RESCUE

6 NOT INSTALLED13

PROBE POLE, CARGO LOADING5 DUAL ENTRY14

PROBE POLE, CARGO LOADING6 DUPLICATE ENTRY14

CD-45(V)/ALE-47(V)PROGRAMMER (IF INSTALLED)

5 NOT INSTALLED15

CD-45(V)/ALE-47(V)PROGRAMMER (IF INSTALLED)

6 NOT INSTALLED15

114ES290-1REMOTE FIRINGSWITCH, 14 FT (IF INSTALLE

5 DUAL ENTRY16

REVERSE OF DA FORM 2408-17 E, NOV 91

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

6 DUPLICATE ENTRY18

56/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

114ES290-1REMOTE FIRINGSWITCH, 14 FT (IF INSTALLE

6 DUPLICATE ENTRY16

PIF01249-1REMOTE FIRINGSWITCH, 22 FT (IF INSTALLE

5 DUAL ENTRY17

PIF01249-1REMOTE FIRINGSWITCH, 22 FT (IF INSTALLE

6 DUPLICATE ENTRY17

PIF01249-1REMOTE FIRINGSWITCH, 22 FT (IF INSTALLE

7 NOT INSTALLED17

PIF01249-1REMOTE FIRINGSWITCH, 22 FT (IF INSTALLE

8 NOT INSTALLED17

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

5 NOT INSTALLED18

REVERSE OF DA FORM 2408-17 E, NOV 91

57/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

6 DUPLICATE ENTRY18

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

7 NOT INSTALLED18

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

8 DULPICATE ENTRY18

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF IN

5 NOT INSTALLED19

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF IN

6 DUPLICATE ENTRY19

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF IN

7 NOT INSTALLED19

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF IN

8 DULPICATE ENTRY19

REVERSE OF DA FORM 2408-17 E, NOV 91

AS-3149/ALQ-156COUNTERMEASURES ANTENNA

7 NOT INSTALLED21

58/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF

INSTALLE5 NOT INSTALLED20

196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF

INSTALLE6 DUPLICATE ENTRY20

196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF

INSTALLE7 NOT INSTALLED20

196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF

INSTALLE8 DULPICATE ENTRY20

AS-3149/ALQ-156COUNTERMEASURES ANTENNA

5 NOT INSTALLED21

AS-3149/ALQ-156COUNTERMEASURES ANTENNA

6 DUPLICATE ENTRY21

REVERSE OF DA FORM 2408-17 E, NOV 91

59/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014AS-3149/ALQ-156COUNTERMEASURES ANTENNA

7 NOT INSTALLED21

AS-3149/ALQ-156COUNTERMEASURES ANTENNA

8 DULPICATE ENTRY21

AS-2890/APR-39 BLADEANTENNA

5 NOT INSTALLED22

AS-2890/APR-39 BLADEANTENNA

6 DUPLICATE ENTRY22

AS-2890/APR-39 BLADEANTENNA

7 NOT INSTALLED22

AS-2890/APR-39 BLADEANTENNA

8 DULPICATE ENTRY22

COVER, OIL COOLER INLET,145G0001-1

5 DUAL ENTRY23

REVERSE OF DA FORM 2408-17 E, NOV 91

COVER ENGINE AIR OUTLET,114G1323-2

8 DULPICATE ENTRY24

60/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

COVER, OIL COOLER INLET,145G0001-1

6 DUPLICATE ENTRY23

COVER, OIL COOLER INLET,145G0001-1

7 NOT INSTALLED23

COVER, OIL COOLER INLET,145G0001-1

8 DULPICATE ENTRY23

COVER ENGINE AIR OUTLET,114G1323-2

5 DUAL ENTRY24

COVER ENGINE AIR OUTLET,114G1323-2

6 DUPLICATE ENTRY24

COVER ENGINE AIR OUTLET,114G1323-2

7 NOT INSTALLED24

REVERSE OF DA FORM 2408-17 E, NOV 91

61/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014COVER ENGINE AIR OUTLET,114G1323-2

8 DULPICATE ENTRY24

COVER ENGINE INLET WITHSCREEN, 219G1001-1

5 DUAL ENTRY25

COVER ENGINE INLET WITHSCREEN, 219G1001-1

6 DUPLICATE ENTRY25

COVER ENGINE INLET WITHSCREEN, 219G1001-1

7 NOT INSTALLED25

COVER ENGINE INLET WITHSCREEN, 219G1001-1

8 DULPICATE ENTRY25

COVER ENGINE INLET WITHWITHOUT SCREENS

5 DUAL ENTRY26

COVER ENGINE INLET WITHWITHOUT SCREENS

6 DUPLICATE ENTRY26

REVERSE OF DA FORM 2408-17 E, NOV 91

COVER PITOT TUBE, 114E5040-33

5 DUAL ENTRY28

62/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

COVER ENGINE INLET WITHWITHOUT SCREENS

7 NOT INSTALLED26

COVER ENGINE INLET WITHWITHOUT SCREENS

8 DULPICATE ENTRY26

COVER, OIL COOLER EXHAUST,145G0002-5

5 DUAL ENTRY27

COVER, OIL COOLER EXHAUST,145G0002-5

6 DUPLICATE ENTRY27

COVER, OIL COOLER EXHAUST,145G0002-5

7 NOT INSTALLED27

COVER, OIL COOLER EXHAUST,145G0002-5

8 DULPICATE ENTRY27

REVERSE OF DA FORM 2408-17 E, NOV 91

63/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014COVER PITOT TUBE, 114E5040-33

5 DUAL ENTRY28

COVER PITOT TUBE, 114E5040-33

6 DUPLICATE ENTRY28

COVER PITOT TUBE, 114E5040-33

7 NOT INSTALLED28

COVER PITOT TUBE, 114E5040-33

8 DULPICATE ENTRY28

COVER, OIL COOLER EXHAUST,145G0002-6

5 DUAL ENTRY29

COVER, OIL COOLER EXHAUST,145G0002-6

6 DUPLICATE ENTRY29

COVER, OIL COOLER EXHAUST,145G0002-6

7 NOT INSTALLED29

REVERSE OF DA FORM 2408-17 E, NOV 91

COVER HYDRAULIC COOLEXHAUST, 145G0004-1

7 NOT INSTALLED31

64/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

COVER, OIL COOLER EXHAUST,145G0002-6

8 DULPICATE ENTRY29

COVER, COCKPIT ENCLOSURE,145G0006-1

5 DUAL ENTRY30

COVER, COCKPIT ENCLOSURE,145G0006-1

6 DUPLICATE ENTRY30

COVER, COCKPIT ENCLOSURE,145G0006-1

8 DULPICATE ENTRY30

COVER HYDRAULIC COOLEXHAUST, 145G0004-1

5 DUAL ENTRY31

COVER HYDRAULIC COOLEXHAUST, 145G0004-1

6 DUPLICATE ENTRY31

REVERSE OF DA FORM 2408-17 E, NOV 91

65/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014COVER HYDRAULIC COOLEXHAUST, 145G0004-1

7 NOT INSTALLED31

COVER HYDRAULIC COOLEXHAUST, 145G0004-1

8 DULPICATE ENTRY31

COVER ROTOR HUB FWD &AFT, 114G1023-25

5 DUAL ENTRY32

COVER ROTOR HUB FWD &AFT, 114G1023-25

6 DUPLICATE ENTRY32

COVER ROTOR HUB FWD &AFT, 114G1023-25

7 NOT INSTALLED32

COVER ROTOR HUB FWD &AFT, 114G1023-25

8 DULPICATE ENTRY32

COVER HEATER, 114G1024-15 DUAL ENTRY33

REVERSE OF DA FORM 2408-17 E, NOV 91

COVER HEATER EXHAUST,114G1025-1

8 DULPICATE ENTRY34

66/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

COVER HEATER, 114G1024-16 DUPLICATE ENTRY33

COVER HEATER, 114G1024-17 NOT INSTALLED33

COVER HEATER, 114G1024-18 DULPICATE ENTRY33

COVER HEATER EXHAUST,114G1025-1

5 DUAL ENTRY34

COVER HEATER EXHAUST,114G1025-1

6 DUPLICATE ENTRY34

COVER HEATER EXHAUST,114G1025-1

7 NOT INSTALLED34

REVERSE OF DA FORM 2408-17 E, NOV 91

67/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014COVER HEATER EXHAUST,114G1025-1

8 DULPICATE ENTRY34

COVER APU EXHAUST,145G0005-1

5 NOT INSTALLED35

COVER APU EXHAUST,145G0005-1

6 DUPLICATE ENTRY35

COVER APU EXHAUST,145G0005-1

7 NOT INSTALLED35

COVER APU EXHAUST,145G0005-1

8 DULPICATE ENTRY35

COVER, AW INLET, 14560003-15 DUAL ENTRY36

COVER, AW INLET, 14560003-16 DUPLICATE ENTRY36

REVERSE OF DA FORM 2408-17 E, NOV 91

RAMP EXTENSION, 1560CH-47-398-1

8 DULPICATE ENTRY38

68/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

COVER, AW INLET, 14560003-17 36

COVER, AW INLET, 14560003-18 DULPICATE ENTRY36

RAMP EXTENSION, 1560CH-47-4000-1

8 DULPICATE ENTRY37

RAMP EXTENSION, 1560CH-47-398-1

5 NOT INSTALLED38

RAMP EXTENSION, 1560CH-47-398-1

6 DUPLICATE ENTRY38

RAMP EXTENSION, 1560CH-47-398-1

7 NOT INSTALLED38

REVERSE OF DA FORM 2408-17 E, NOV 91

69/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014RAMP EXTENSION, 1560CH-47-398-1

8 DULPICATE ENTRY38

BLADE ANCHOR5 NOT INSTALLED39

BLADE ANCHOR6 DUPLICATE ENTRY39

BLADE ANCHOR7 NOT INSTALLED39

BLADE ANCHOR8 DULPICATE ENTRY39

TIEDOWN CHAINS TYPE MB-15 NOT INSTALLED40

TIEDOWN CHAINS TYPE MB-16 DUPLICATE ENTRY40

REVERSE OF DA FORM 2408-17 E, NOV 91

SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-

175 NOT INSTALLED42

70/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

TIEDOWN CHAINS TYPE MB-17 NOT INSTALLED40

TIEDOWN CHAINS TYPE MB-18 DULPICATE ENTRY40

TIEDOWN STRAPS TYPECGU1/B

5 NOT INSTALLED41

TIEDOWN STRAPS TYPECGU1/B

6 DUPLICATE ENTRY41

TIEDOWN STRAPS TYPECGU1/B

7 NOT INSTALLED41

TIEDOWN STRAPS TYPECGU1/B

8 DULPICATE ENTRY41

REVERSE OF DA FORM 2408-17 E, NOV 91

71/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014SPACER SET RIGGING

(ACTUATOR BLOCK), 114E5900-17

5 NOT INSTALLED42

SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-

176 DUPLICATE ENTRY42

SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-

177 NOT INSTALLED42

SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-

178 DULPICATE ENTRY42

PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13

5 NOT INSTALLED43

PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13

6 DUPLICATE ENTRY43

PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13

7 NOT INSTALLED43

REVERSE OF DA FORM 2408-17 E, NOV 91

WINCH/HOIST OPERATORINTERCOM CORD

5 NOT INSTALLED46

72/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13

8 DULPICATE ENTRY43

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

114G1049-5 NOT INSTALLED44

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

114G1049-6 DUPLICATE ENTRY44

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

114G1049-7 NOT INSTALLED44

ATTACHMENT FITTINGS,TRANSPORT WITH BOLT

114G1049-8 DULPICATE ENTRY44

INTERCOM CORD, 50 FT8 DULPICATE ENTRY45

REVERSE OF DA FORM 2408-17 E, NOV 91

73/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014WINCH/HOIST OPERATORINTERCOM CORD

5 NOT INSTALLED46

WINCH/HOIST OPERATORINTERCOM CORD

6 DUPLICATE ENTRY46

WINCH/HOIST OPERATORINTERCOM CORD

7 NOT INSTALLED46

WINCH/HOIST OPERATORINTERCOM CORD

8 DULPICATE ENTRY46

AIR DAT TRANSDUCER5 NOT INSTALLED47

AIR DAT TRANSDUCER6 DUPLICATE ENTRY47

AIR DAT TRANSDUCER7 NOT INSTALLED47

REVERSE OF DA FORM 2408-17 E, NOV 91

CONVERTER CONTROL7 NOT INSTALLED49

74/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

AIR DAT TRANSDUCER8 DULPICATE ENTRY47

INCLINOMETER (HUD)5 NOT INSTALLED48

INCLINOMETER (HUD)7 NOT INSTALLED48

INCLINOMETER (HUD)8 DULPICATE ENTRY48

CONVERTER CONTROL5 NOT INSTALLED49

CONVERTER CONTROL6 DUPLICATE ENTRY49

REVERSE OF DA FORM 2408-17 E, NOV 91

75/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION C - RAMP AREACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014CONVERTER CONTROL7 NOT INSTALLED49

CONVERTER CONTROL8 DULPICATE ENTRY49

INTERCOM CORD, 50 FT (FE)8 DULPICATE ENTRY50

RAMP EXTENSION 1560CH-47-4000-1

8 DULPICATE ENTRY52

REVERSE OF DA FORM 2408-17 E, NOV 91

76/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

b. LOCATION/REMARKSCHECK NO.

6. LOCATION OR REMARKS

a. ITEM NUMBER

Nomenclature

R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)1

R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

4 NOT INSTALLED1

R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

5 NOT INSTALLED1

R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

6 NOT INSTALLED1

R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

7 NOT INSTALLED1

R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)

8 NOT INSTALLED1

REVERSE OF DA FORM 2408-17 E, NOV 91

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

4 NOT INSTALLED3

77/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

AS-3549A/APR-39 L/H SPIRALANTENNA (IF INSTALLED)

3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)2

AS-3549A/APR-39 L/H SPIRALANTENNA (IF INSTALLED)

4 NOT INSTALLED2

AS-3549A/APR-39 L/H SPIRALANTENNA (IF INSTALLED)

6 NOT INSTALLED2

AS-3549A/APR-39 L/H SPIRALANTENNA (IF INSTALLED)

7 NOT INSTALLED2

AS-3549A/APR-39 L/H SPIRALANTENNA (IF INSTALLED)

8 NOT INSTALLED2

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)3

REVERSE OF DA FORM 2408-17 E, NOV 91

78/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

4 NOT INSTALLED3

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

6 NOT INSTALLED3

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

7 NOT INSTALLED3

AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

8 NOT INSTALLED3

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

1 NOT INSTALLED4

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

2 NOT INSTALLED4

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)4

REVERSE OF DA FORM 2408-17 E, NOV 91

186220-001 AN/ALE-47DISPENSER ASSY (IF

INSTALLED)7 NOT INSTALLED5

79/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

4 NOT INSTALLED4

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

5 NOT INSTALLED4

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

6 NOT INSTALLED4

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

7 NOT INSTALLED4

SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE

8 NOT INSTALLED4

186220-001 AN/ALE-47DISPENSER ASSY (IF

INSTALLED)5 NOT INSTALLED5

REVERSE OF DA FORM 2408-17 E, NOV 91

80/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014186220-001 AN/ALE-47DISPENSER ASSY (IF

INSTALLED)7 NOT INSTALLED5

186220-001 AN/ALE-47DISPENSER ASSY (IF

INSTALLED)8 NOT INSTALLED5

185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALL

5 NOT INSTALLED6

185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALL

7 NOT INSTALLED6

185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALL

8 NOT INSTALLED6

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

5 NOT INSTALLED7

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

7 NOT INSTALLED7

REVERSE OF DA FORM 2408-17 E, NOV 91

135947-0001 AN/ALE-47(V)SAFETY FLAG (IF INSTALLED

8 NOT INSTALLED9

81/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)

8 NOT INSTALLED7

SA-2671/ALE-47(V) SAFETYSWITCH (IF INSTALLED)

5 NOT INSTALLED8

SA-2671/ALE-47(V) SAFETYSWITCH (IF INSTALLED)

7 NOT INSTALLED8

SA-2671/ALE-47(V) SAFETYSWITCH (IF INSTALLED)

8 NOT INSTALLED8

135947-0001 AN/ALE-47(V)SAFETY FLAG (IF INSTALLED

5 NOT INSTALLED9

135947-0001 AN/ALE-47(V)SAFETY FLAG (IF INSTALLED

7 NOT INSTALLED9

REVERSE OF DA FORM 2408-17 E, NOV 91

82/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014135947-0001 AN/ALE-47(V)SAFETY FLAG (IF INSTALLED

8 NOT INSTALLED9

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF IN

5 NOT INSTALLED10

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF IN

7 NOT INSTALLED10

D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF IN

8 NOT INSTALLED10

196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)

5 NOT INSTALLED11

196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)

7 NOT INSTALLED11

196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)

8 NOT INSTALLED11

REVERSE OF DA FORM 2408-17 E, NOV 91

WINCH CONTROL GRIP ANDCORD ASSEMBLY

8 NOT INSTALLED15

83/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

C-6533()/ARC ICS PANELS5 NOT INSTALLED12

C-6533()/ARC ICS PANELS7 NOT INSTALLED12

C-6533()/ARC ICS PANELS8 NOT INSTALLED12

PROBE POLE, CARGO HOOK UP5 NOT INSTALLED14

PROBE POLE, CARGO HOOK UP8 NOT INSTALLED14

WINCH CONTROL GRIP ANDCORD ASSEMBLY

5 NOT INSTALLED15

REVERSE OF DA FORM 2408-17 E, NOV 91

84/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014WINCH CONTROL GRIP ANDCORD ASSEMBLY

8 NOT INSTALLED15

CRANK ASSY. EMERGENCYRAMP & RESCUE

5 NOT INSTALLED16

CRANK ASSY. EMERGENCYRAMP & RESCUE

8 NOT INSTALLED16

ANTENNA AS-3831 APN209(RAD ALT)

5 NOT INSTALLED17

145G0006-1 COVER, COCKPITENCLOSURE

5 NOT INSTALLED18

145G0006-1 COVER, COCKPITENCLOSURE

7 NOT INSTALLED18

145G0006-1 COVER, COCKPITENCLOSURE

8 DUPLICATE ENTRY18

REVERSE OF DA FORM 2408-17 E, NOV 91

COVER PITOT TUBE (114E5040-33)

5 NOT INSTALLED21

85/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

114G1025-1 COVER HEATEREXHAUST

5 NOT INSTALLED19

114G1025-1 COVER HEATEREXHAUST

7 NOT INSTALLED19

114G1025-1 COVER HEATEREXHAUST

8 DUPLICATE ENTRY19

COVER HEATER 114G1024-15 NOT INSTALLED20

COVER HEATER 114G1024-17 NOT INSTALLED20

COVER HEATER 114G1024-18 DUPLICATE ENTRY20

REVERSE OF DA FORM 2408-17 E, NOV 91

86/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014COVER PITOT TUBE (114E5040-33)

5 NOT INSTALLED21

COVER PITOT TUBE (114E5040-33)

7 NOT INSTALLED21

COVER PITOT TUBE (114E5040-33)

8 DUPLICATE ENTRY21

145G0001-1 FWD. PYLONINTAKE COVER

5 NOT INSTALLED22

145G0001-1 FWD. PYLONINTAKE COVER

8 DUPLICATE ENTRY22

114G1323-1 COVER ENGINEOUTLET

5 NOT INSTALLED23

114G1323-1 COVER ENGINEOUTLET

8 DUPLICATE ENTRY23

REVERSE OF DA FORM 2408-17 E, NOV 91

145G0002-5 COVER FWD.PYLON EXHAUST

5 NOT INSTALLED27

87/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

219G1001-1 COVER ENGINEINLET

5 NOT INSTALLED24

219G1001-1 COVER ENGINEINLET

8 DUPLICATE ENTRY24

PROTECTIVE RING ASSY.ENGINE INLET-114G1206

5 NOT INSTALLED25

PROTECTIVE RING ASSY.ENGINE INLET-114G1206

8 DUPLICATE ENTRY25

145G0004-1 COVER AFT. PYLONEXHAUST

5 NOT INSTALLED26

145G0004-1 COVER AFT. PYLONEXHAUST

8 DUPLICATE ENTRY26

REVERSE OF DA FORM 2408-17 E, NOV 91

88/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014145G0002-5 COVER FWD.PYLON EXHAUST

5 NOT INSTALLED27

145G0002-5 COVER FWD.PYLON EXHAUST

8 DUPLICATE ENTRY27

145G0002-6 COVER FWD.PYLON

5 NOT INSTALLED28

145G0002-6 COVER FWD.PYLON

8 DUPLICATE ENTRY28

145G0003-1 COVER AFT. PYLON5 NOT INSTALLED29

145G0003-1 COVER AFT. PYLON8 DUPLICATE ENTRY29

145G0005-1 COVER APUEXHAUST

5 NOT INSTALLED30

REVERSE OF DA FORM 2408-17 E, NOV 91

TIEDOWN STRAPS TYPECGU1/B

7 NOT INSTALLED34

89/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

145G0005-1 COVER APUEXHAUST

8 DUPLICATE ENTRY30

BLADE ANCHOR 114E5060-18 DUPLICATE ENTRY31

114G1023-25 ROTOR HUBCOVERS

7 NOT INSTALLED32

114G1023-25 ROTOR HUBCOVERS

8 DUPLICATE ENTRY32

TIEDOWN CHAINS TYPE MB-17 NOT INSTALLED33

TIEDOWN CHAINS TYPE MB-18 DUPLICATE ENTRY33

REVERSE OF DA FORM 2408-17 E, NOV 91

90/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014TIEDOWN STRAPS TYPECGU1/B

7 NOT INSTALLED34

TIEDOWN STRAPS TYPECGU1/B

8 DUPLICATE ENTRY34

SUPPORT CARGO RAMPEXTENSION 1560CH47-398-1

7 NOT INSTALLED35

SUPPORT CARGO RAMPEXTENSION 1560CH47-398-1

8 DUPLICATE ENTRY35

RAMP EXTENSION 1560CH47-400-1/114S6003-21

7 NOT INSTALLED36

RAMP EXTENSION 1560CH47-400-1/114S6003-21

8 DUPLICATE ENTRY36

GUNNER FOOTSWITCHES7 NOT INSTALLED37

REVERSE OF DA FORM 2408-17 E, NOV 91

DROOP STOP SHROUDASSEMBLY STORAGE BAG

145E5001-108 DUPLICATE ENTRY47

91/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

GUNNER FOOTSWITCHES8 DUPLICATE ENTRY37

GUNNER CABLE ASSY.7 NOT INSTALLED38

GUNNER CABLE ASSY.8 DUPLICATE ENTRY38

S-65-8282-307 NOT INSTALLED39

S-65-8282-308 DUPLICATE ENTRY39

DROOP STOP SHROUDS8 DUPLICATE ENTRY46

REVERSE OF DA FORM 2408-17 E, NOV 91

92/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014DROOP STOP SHROUD

ASSEMBLY STORAGE BAG145E5001-10

8 DUPLICATE ENTRY47

DROOP STOP SHIELD 114R2215-11

8 DUPLICATE ENTRY48

DROOP STOP BASE 114R2215-48 DUPLICATE ENTRY49

L-BAND(EIS) ANTENNA(BFTGENERATION 3)

7 NOT INSTALLED57

GPS ANTENNA(BFTGENERATION 3)

7 NOT INSTALLED58

(BFT) ANT GPS S/N:____________

7 NOT INSTALLED59

(BFT) LOW NOISE AMP S/N:____________

7 NOT INSTALLED60

REVERSE OF DA FORM 2408-17 E, NOV 91

(CMWS) SMART DISPENSER LHS/N: __________

7 NOT INSTALLED66

93/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

(BFT) DC/DC CONVERTER S/N:________

7 NOT INSTALLED61

(BFT) PALLET S/N:____________

7 NOT INSTALLED62

(BFT) ROUTER S/N: ________7 NOT INSTALLED63

(BFT) DAGGER S/N: __________7 Remarks64

(CMWS) SMART DISPENSER LHS/N: __________

7 NOT INSTALLED65

(CMWS) SMART DISPENSER LHS/N: __________

8 NOT INSTALLED65

REVERSE OF DA FORM 2408-17 E, NOV 91

94/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014(CMWS) SMART DISPENSER LHS/N: __________

7 NOT INSTALLED66

(CMWS) SMART DISPENSER LHS/N: __________

8 NOT INSTALLED66

(CMWS) SMART DISPENSER RHS/N: __________

7 NOT INSTALLED67

(CMWS) SMART DISPENSER RHS/N: __________

8 NOT INSTALLED67

(CMWS) SMART DISPENSER RHS/N: __________

7 NOT INSTALLED68

(CMWS) SMART DISPENSER RHS/N: __________

8 NOT INSTALLED68

(CMWS) PAYLOAD MODULE LHS/N: __________

7 NOT INSTALLED69

REVERSE OF DA FORM 2408-17 E, NOV 91

(CMWS) PAYLOAD MODULE RHS/N: __________

8 NOT INSTALLED72

95/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

(CMWS) PAYLOAD MODULE LHS/N: __________

8 NOT INSTALLED69

(CMWS) PAYLOAD MODULE LHS/N: __________

7 NOT INSTALLED70

(CMWS) PAYLOAD MODULE LHS/N: __________

8 NOT INSTALLED70

(CMWS) PAYLOAD MODULE RHS/N: __________

7 NOT INSTALLED71

(CMWS) PAYLOAD MODULE RHS/N: __________

8 NOT INSTALLED71

(CMWS) PAYLOAD MODULE RHS/N: __________

7 NOT INSTALLED72

REVERSE OF DA FORM 2408-17 E, NOV 91

96/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014(CMWS) PAYLOAD MODULE RHS/N: __________

8 NOT INSTALLED72

(CMWS) EOMS LH S/N:__________

7 73

(CMWS) EOMS LH S/N:__________

8 NOT INSTALLED73

(CMWS) EOMS RH S/N:__________

7 NOT INSTALLED74

(CMWS) EOMS RH S/N:__________

8 NOT INSTALLED74

(CMWS) SEQUENCERS LH S/N:__________

7 NOT INSTALLED75

(CMWS) SEQUENCERS LH S/N:__________

8 NOT INSTALLED75

REVERSE OF DA FORM 2408-17 E, NOV 91

AS-3549A/APR-39 R/H SPIRALANTENNA

8 NOT INSTALLED78

97/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

(CMWS) SEQUENCERS RH S/N:__________

7 NOT INSTALLED76

(CMWS) SEQUENCERS RH S/N:__________

8 NOT INSTALLED76

AS-3549A/APR-39 L/H SPIRALANTENNA

7 NOT INSTALLED77

AS-3549A/APR-39 L/H SPIRALANTENNA

8 NOT INSTALLED77

AS-3549A/APR-39 R/H SPIRALANTENNA

6 NOT INSTALLED78

AS-3549A/APR-39 R/H SPIRALANTENNA

7 NOT INSTALLED78

REVERSE OF DA FORM 2408-17 E, NOV 91

98/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014AS-3549A/APR-39 R/H SPIRALANTENNA

8 NOT INSTALLED78

TRANSMITTER REMOTECOMPASS WITH COMPNS CN-

405()/A7 NOT INSTALLED79

TRANSMITTER REMOTECOMPASS WITH COMPNS CN-

405()/A8 NOT INSTALLED79

TRANSMITTER REMOTECOMPASS WITH COMPNS CN-

405()/A8 NOT INSTALLED80

SU-202/AAR-57(V) EOMS (AFTPYLON)

7 NOT INSTALLED81

SU-202/AAR-57(V) EOMS (AFTPYLON)

8 NOT INSTALLED81

REVERSE OF DA FORM 2408-17 E, NOV 91

99/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

UNIT UNIQUE INVENTORY ITEMSCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

b. LOCATION/REMARKSCHECK NO.

6. LOCATION OR REMARKS

a. ITEM NUMBER

Nomenclature

ERFS TANK 1680-01-425-12167 NOT INSTALLED1

ERFS TANK 1680-01-425-12168 NOT INSTALLED1

ERFS FUEL SAMPLING PUMPKIT 1680-01-474-3324

8 NOT INSTALLED2

CAVITY DRAIN HOSE 4720-01-424-5554

8 NOT INSTALLED3

GROUNDING CABLE 6150-01-398-4389

8 NOT INSTALLED4

HARNESS TANK POWER 645-01-380-2981

8 NOT INSTALLED5

REVERSE OF DA FORM 2408-17 E, NOV 91

EFRS TANK COVER P/N IT765-HMO22-T17-11

8 NOT INSTALLED12

100/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

UNIT UNIQUE INVENTORY ITEMSCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

FUEL HOSE SINGLE POINTPRESSURE REFUELING 4720-01

-425-12158 NOT INSTALLED6

VENT HOSE ASSY 4720-01-471-6739

8 NOT INSTALLED7

FUEL HOSE, TANK-TO -ACFTRANGE EXT 4720-01-424-5558

8 NOT INSTALLED8

FUEL PROBE ELECTRICALCABLE 6150-01-475-7634

8 NOT INSTALLED9

CH-47 ERFS II FUEL CONTROLPANEL P/N HM022-123-51

8 NOT INSTALLED10

CH-47 ERFS II ROLLER ASSYKIT P/N WOH93JCH-47-T-F-K

8 NOT INSTALLED11

REVERSE OF DA FORM 2408-17 E, NOV 91

101/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

UNIT UNIQUE INVENTORY ITEMSCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014EFRS TANK COVER P/N IT765-HMO22-T17-11

8 NOT INSTALLED12

MODULAR SURVIVAL SYSTEMS(AMSS) 8-MAN 1680-01-361-

48548 NOT INSTALLED13

KY-58 INTERFACE ADAPTER(AVN CLOSET SHELF # )

8 NOT INSTALLED16

RAD WARN ANT/DETECT [AFT][LH] AS-3548A/APR-39A(V)

8 NOT INSTALLED20

RAD WARN ANT/DETECT [AFT][RH] AS-3549A/APR-39A(V)

8 NOT INSTALLED21

CMWS EOMS SENSOR [AFT][LH] SU-202/AAR-57(V)

8 NOT INSTALLED22

CMWS EOMS SENSOR [AFT][RH] SU-202/AAR-57(V)

8 NOT INSTALLED23

REVERSE OF DA FORM 2408-17 E, NOV 91

C-10131/ALQ-156COUNTERMEASURES

CONTROL UNIT8 NOT INSTALLED48

102/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

UNIT UNIQUE INVENTORY ITEMSCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

C-11308/APR-39A (V) RADARCONTROL UNIT

8 NOT INSTALLED40

IP-1150A/APR-39 (V) RADARINDICATOR (DIGITAL)

8 NOT INSTALLED41

C-10131/ALQ-156 COUNTERMEASURES CONTROL UNIT

8 NOT INSTALLED43

TSEC/KY-100 REMOTECONTROL UNIT ON616650

8 NOT INSTALLED45

C-11308/APR-39A(V) RADARCONTROL UNIT

8 NOT INSTALLED46

IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)

8 NOT INSTALLED47

REVERSE OF DA FORM 2408-17 E, NOV 91

103/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

UNIT UNIQUE INVENTORY ITEMSCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014C-10131/ALQ-156

COUNTERMEASURESCONTROL UNIT

8 NOT INSTALLED48

M-130 DISPENSER CONTROLPANEL (IF INSTALLED)

8 NOT INSTALLED49

TSEC/KY-58 VOICE SECURITYPROCESSOR

8 50

TSEC/KY-100 PROCESSORON616604

8 NOT INSTALLED51

CP-1597A/APR-39A(V) DIGITALPROCESSOR (IF INSTALLED

8 NOT INSTALLED52

RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF

INSTALLED8 NOT INSTALLED53

R-2218/APR-39A(V) RADARRECEIVER (NOSE) (IF

INSTALLED)8 NOT INSTALLED54

REVERSE OF DA FORM 2408-17 E, NOV 91

M-130 PAYLOAD MODULE (IFINSTALLED) 9311451

8 NOT INSTALLED61

104/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

UNIT UNIQUE INVENTORY ITEMSCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

AS-3549A/APR-39 L/H SPIRALANTENNA (IF INSTALLED)

8 NOT INSTALLED55

AS-3548A/ARP-39 R/H SPIRALANTENNA (IF INSTALLED)

8 NOT INSTALLED56

AS-3149/ALQ-156COUNTERMEASURES ANTENNA

8 NOT INSTALLED57

AS-2890/APR-39 BLADEANTENNA

8 NOT INSTALLED58

M-130 ELECTRONIC MODULE (IFINSTALLED) 9311431

8 NOT INSTALLED59

M-130 DISPENSER ASSEMBLY(IF INSTALLED) 9311434

8 NOT INSTALLED60

REVERSE OF DA FORM 2408-17 E, NOV 91

105/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

UNIT UNIQUE INVENTORY ITEMSCH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014M-130 PAYLOAD MODULE (IFINSTALLED) 9311451

8 NOT INSTALLED61

AN/ALE-47 DISPENSERASSEMBLY (IF INSTALLED)

186220-0018 NOT INSTALLED62

R-2218/APR-39A(V) RADARRECEIVER AFT PYLON (IF

INSTALLED)8 NOT INSTALLED63

AS-3549A/APR-39 L/H SPIRALANTENNA (IF INSTALLED)

8 NOT INSTALLED64

AS3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)

8 NOT INSTALLED65

LADDER @ STA 471 UNITEQUIPMENT, AASF, HELENA,

MT8 NOT INSTALLED66

COCKPIT COVER (BRUCEAIRCRAFT COVERS) W/BAG

8 NOT INSTALLED67

REVERSE OF DA FORM 2408-17 E, NOV 91

106/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER

SECTION ACH-47D9100268 CH-47D

NAME OR PIDNUMBER DATE

db c

DATE NUMBER RANKRANK NAME OR PID

CHECK CHECK

ba ad

5. VERIFICATION

c

JS1911421 02-Jun-2014

SG5071871 MSG 04-May-2012

JS1911422 02-Jun-2014

NO9826542 SSG 04-May-2012

JS1911423 02-Jun-2014

NO9826543 SSG 14-Feb-2013

JS1911424 02-Jun-2014

NO9826544 SSG 20-Feb-2013

RS8268264 26-Jun-2013

JS1911425 02-Jun-2014

RS8268265 13-Jun-2013

JS1911426 10-Jun-2014

RL7656106 02-Jul-2013

JS1911427 02-Jun-2014

JS1911428 10-Jun-2014

b. LOCATION/REMARKSCHECK NO.

6. LOCATION OR REMARKS

a. ITEM NUMBER

Nomenclature

APU EXHAUST COVER8 NOT INSTALLED14

APU INLET COVER8 NOT INSTALLED15

BLADE LOCKING PIN8 DID NOT COME WITH ACFT20

TRANSPORT ATTACHMENTFITTING [W/ BOLT]

8 DID NOT COME WITH ACFT21

REVERSE OF DA FORM 2408-17 E, NOV 91

SECTION A - COCKPIT AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 1/3513-Oct-2015

1FIRE EXTINGUISHER, CF3BR,10501725

U UUUUUUUU UU 11111111

1

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1FIRE EXTINGUISHER, CF3BR, 10501725

U UUUUUUUU UU1

1

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

3C6533/ARC ICS PANEL

U UUUUUUUU UU3

2

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

3C-6533()/ARC ICS PANELS

U UUUUUUUU UU 33333333

2

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1476()/ARC-201 RECEIVER/TRANSMITTER

U UUUUUUUU UU 11111111

3

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1476( )/ARC-201 Receiver/Transmitter

U UUUUUUUU UU1

3

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Z-AHP VOICE SECURITY CONTROL

U UUUUUUUU UU 11111111

4

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1518C/ARC-164 RECEIVER/TRANSMITTER

U UUUUUUUU UU 11111111

5

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1518C/ARC-164 Receiver/Transmitter

U UUUUUUUU UU1

5

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1354B/ARC-186 Receiver/Transmitter

U UUUUUUUU UU1

6

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1354B/ARC-186 RECEIVER/TRANSMITTER

U UUUUUUUU UU 11111111

6

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-12436/URC, HF CONTROL DISPLAY UNIT

U UUUUUUUU UU 11111111

7

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-12436/URC, HF Control Display Unit

U UUUUUUUU UU1

7

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1ON616650 TSEC/KY-100 REMOTE CONTROL UNIT

U UUUUUUUU UU 00000111

8

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-7392A/ARN-89 ADF CONTROL

U UUUUUUUU UU 11113222

9

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION A - COCKPIT AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 2/3513-Oct-2015

1C-7392A/ARN-89 ADF CONTROL

U UUUUUUUU UU1

9

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-10048C/ARN-123(V) VOR Control

U UUUUUUUU UU1

10

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-10048C/ARN-123(V) VOR CONTROL

U UUUUUUUU UU 111133323232

10

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CP-1252C/ASN-128B COMPUTER DISPLAY UNIT

U UUUUUUUU UU 00111111

11

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CP-1252C/ASN-128B Computer Display Unit

U UUUUUUUU UU1

11

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-12664/APX-118 Remote Control Unit

U UUUUUUUU UU1

12

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-12664/APX-118 REMOTE CONTORL UNIT (IF INSTALLED)

U UUUUUUUU UU 11111111

12

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AN/APX-100 RECEIVER/TRANSMITTER (IF INSTALLED)

U UUUUUUUU UU 00001111

13

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AN/APX-100 Receiver/Transmitter

U UUUUUUUU UU0

13

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1115( )/APN-209(V) Receiver/Transmitter

U UUUUUUUU UU1

14

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1115()/APN-209(V) RECEVIER TRANSMITTER

U UUUUUUUU UU 11111111

14

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1ID-1917()/APN-209(V) REMOTE INDICATOR

U UUUUUUUU UU 11110000

15

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1ID-1917( )/APN-209(V) Remote Indicator

U UUUUUUUU UU1

15

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-11308/APR-39A(V) RADAR CONTROL UNIT

U UUUUUUUU UU 00003333

16

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1IP-1150A/APR-39(V) RADAR INDICATOR (DIGITAL)

U UUUUUUUU UU 00001111

17

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION A - COCKPIT AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 3/3513-Oct-2015

1C-10131/ALQ-156 COUNTERMEASURES CONTROL UNIT

U UUUUUUUU UU 00000000

18

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

19272533 M130 DISPENSER CONTROL PANEL(IF INSTALLED)

U UUUUUUUU UU 00000000

19

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-12645/ALE-47(V) DIGITAL CONTROL DISPLAY UNIT (IF I

U UUUUUUUU UU 00000000

20

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-12645/ALE-47(V) Digital Control Display UNIT

U UUUUUUUU UU0

20

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-12293/AVS-7 Converter Control Unit

U UUUUUUUU UU1

21

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-12293/AVS-7 CONVERTER CONTROL UNIT

U UUUUUUUU UU 11110000

21

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1SIDE ARMOR PANEL, 1560-CH47-267-103

U UUUUUUUU UU 00000011

22

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Side Armor Panel 1560-CH47-267-103

U UUUUUUUU UU1

22

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Side Armor Panel 1560-CH47-267-104

U UUUUUUUU UU1

23

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1SIDE ARMOR PANEL, 1560-CH47-267-104

U UUUUUUUU UU 00001111

23

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1SHOULDER ARMOR PANEL, 1560-CH47-277-103

U UUUUUUUU UU 00002222

24

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Shoulder Armor Panel 1560-CH47-277-103

U UUUUUUUU UU1

24

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Shoulder Armor Panel 1560-CH47-277-104

U UUUUUUUU UU1

25

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1SHOULDER ARMOR PANEL, 1560-CH47-277-104

U UUUUUUUU UU 00002222

25

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2BOTTOM ARMOR PANEL, 1560-CH47-301-1

U UUUUUUUU UU 00002222

26

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION A - COCKPIT AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 4/3513-Oct-2015

2Bottom Armor Panel 1560-CH-47-301-1

U UUUUUUUU UU2

26

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2Bottom Armor Panel 1560-CH47-302-1

U UUUUUUUU UU2

27

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2BOTTOM ARMOR PANEL, 1560-CH47-302-1

U UUUUUUUU UU 00001111

27

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2BACK ARMOR PANEL, 1560-CH47-303-1

U UUUUUUUU UU 00002222

28

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2Back Armor Panel 1560-CH47-303-1

U UUUUUUUU UU2

28

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2SU-180/AVS-7 Display Unit

U UUUUUUUU UU2

29

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2SU-180/AVS-7 DISPLAY UNIT

U UUUUUUUU UU 02101111

29

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1FIRST AID KIT, AERONAUTIC

U UUUUUUUU UU 11111111

30

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1First Aid Kit, Aeronautic

U UUUUUUUU UU1

30

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Troop Commanders Seat, 114ES011-3

U UUUUUUUU UU1

31

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1TROOP COMMANDER SEAT, 114ES011-3

U UUUUUUUU UU 11111111

31

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1TROOP COMMANDER SEAT CUSHION, 114E4088-10

U UUUUUUUU UU 11112222

32

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Troop Commanders Seat Cushion 114E4088-10

U UUUUUUUU UU1

32

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Troop Commanders Seat Belt 9841781-3

U UUUUUUUU UU1

33

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1TROOP COMMANDER SEAT BELT, 9841781-3

U UUUUUUUU UU 11111111

33

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION A - COCKPIT AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 5/3513-Oct-2015

1AM-7189A/ARC IFM AMPLIFIER

U UUUUUUUU UU 11111111

34

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AM-7189A/ARC IFM Amplifier

U UUUUUUUU UU1

34

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1TSEC/KY-58 VOICE SECURITY PROCESSOR

U UUUUUUUU UU 00001000

35

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1749/URC RECEIVER/TRANSMITTER

U UUUUUUUU UU 11000000

36

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1749/URC Receiver/Transmitter

U UUUUUUUU UU1

36

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AM-7531/URC Power Amplifier Coupler

U UUUUUUUU UU1

37

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AM-7531/URC POWER AMPLIFIER COUPLER

U UUUUUUUU UU 11112222

37

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1ON616604 TSEC/KY-100 PROCESSOR

U UUUUUUUU UU 00000000

38

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1R-1496A/ARN-89 ADF RECEIVER

U UUUUUUUU UU 11116666

39

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1496A/ARN-89 ADF Receiver

U UUUUUUUU UU1

39

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AN/ARN-123 VOR/ILS Receiver

U UUUUUUUU UU1

40

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AN/ARN-123 VOR/ILS RECEIVER

U UUUUUUUU UU 11118888

40

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CV-3338A/ASN-128B SIGNAL DATA CONVERTER

U UUUUUUUU UU 000032323232

41

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CV-3338A/ASN-128D Signal Data Converter

U UUUUUUUU UU1

41

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1836/APX-118(V) Receiver/Transmitter

U UUUUUUUU UU1

42

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION A - COCKPIT AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 6/3513-Oct-2015

1RT-1836/APX-118(V) RECEIVER/TRANSMITTER (IF INSTALL)

U UUUUUUUU UU 11110000

42

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1KIT-1C IFF COMPUTER (IF INSTALLED)

U UUUUUUUU UU 00000000

43

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1KIT-1C IFF Computer

U UUUUUUUU UU0

43

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CP-1597A/APR-39A(V) DIGITAL PROCESSOR (IF INSTALLED)

U UUUUUUUU UU 00000000

44

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1220B/ALQ-156 RECEIVER/TRANSMITTER (IF INSTALLED)

U UUUUUUUU UU 00001111

45

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-12510/AAR-57(V) ELECTRONIC CONTROL UNIT(IF INSTALL

U UUUUUUUU UU 00001111

46

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-12510/AAR-57(V) Electronic Control Unit

U UUUUUUUU UU1

46

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CV-4229(V)7/AVS-7 Signal Data Converter

U UUUUUUUU UU1

47

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CV-4229(V)7/AVS-7 SIGNAL DATA CONVERTER

U UUUUUUUU UU 11111111

47

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1TACKLE BLOCK, 114E0658-23

U UUUUUUUU UU 11221222

48

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Tackle Block, 114E0658-23

U UUUUUUUU UU2

48

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2Hook and Cable Assembly, 114E6042-15

U UUUUUUUU UU1

49

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2HOOK AND CABLE ASSEMBLY, 114E6042-15

U UUUUUUUU UU 11112111

49

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RESCUE BLOCK, 114E6050-39

U UUUUUUUU UU 11111111

50

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Rescue Block, 114E6050-39

U UUUUUUUU UU1

50

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION A - COCKPIT AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 7/3513-Oct-2015

1Hoist Operators Harness

U UUUUUUUU UU1

51

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1HOIST OPERATORS HARNESS

U UUUUUUUU UU 11111111

51

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1GUARD ASSEMBLY

U UUUUUUUU UU 11111111

52

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Guard Assembly

U UUUUUUUU UU1

52

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-2218/APR-39A(V) RADAR RECEIVER (IF INSTALLED)

U UUUUUUUU UU 00000011

53

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-3549A/APR-39 L/H SPIRAL ANTENNA (IF ISNTALLED)

U UUUUUUUU UU 00000011

54

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-3548A/APR-39 R/H SPIRAL ANTENNA (IF INSTALLED)

U UUUUUUUU UU 00000011

55

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2SU-202/AAR-57(V) ELECT OPTIC MSL SENSOR (IF INSTALLE

U UUUUUUUU UU 00000000

56

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COMPUTER LOGBOOK

U UUUUUUUU UU 11111111

57

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CP-1252C/ASN-128D COMPUTER DISPLAY UNIT

U UUUUUUUU UU 11000000

58

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CV-3338A/ASN-128D SIGNAL DATA CONVERTER

U UUUUUUUU UU 11111111

59

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT 1193A/ASN-128

U UUUUUUUU UU 11111111

60

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1SINCGARS RADIO RT-1476/ARC-201

U UUUUUUUU UU 0000

61

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1EMERGENCY LOCATOR TRANSMITTER (ELT)

U UUUUUUUU UU 1000

62

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1ALQ-156 RCVR-TRANSMITTER RT-1220

U UUUUUUUU UU 0000

63

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION A - COCKPIT AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 8/3513-Oct-2015

1KY-58 REMOTE CONTROL UNIT

U UUUUUUUU UU 0000

64

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CONVERTER CONTROL UNIT C-12293/AVS-7

U UUUUUUUU UU 0000

65

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COMPUTER KIT 1C/TSEC

U UUUUUUUU UU 0000

66

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1SIGNAL DATA CONVERTER AVS-7/CV-4229

U UUUUUUUU UU 0000

67

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AIR DATA TRANSDUCER (HUD)

U UUUUUUUU UU 0000

68

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1INCLINOMETER (HUD)

U UUUUUUUU UU 0000

69

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1ALQ-156 CONTROL C-10131

U UUUUUUUU UU 0000

70

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1APR-39A(V) CONTROL C-11308

U UUUUUUUU UU 0000

71

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1APR-39A(V) RECEIVER R-2218

U UUUUUUUU UU 0000

72

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1APR-39A(V) RADAR WARNING INDICATOR IP-1150A

U UUUUUUUU UU 0111

73

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1APR-39A (V) PROCESSOR CP-1597

U UUUUUUUU UU 0111

74

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1APR-39A (V) ANTENNA AS-3549

U UUUUUUUU UU 0111

75

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1APR-39A(V) ANTENNA AS-3548

U UUUUUUUU UU 0111

76

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1INDICATOR CONTROL (CMDS) AN/ALE-47

U UUUUUUUU UU 0001

77

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AN/ARC-220 RT-1749/URC

U UUUUUUUU UU 1000

78

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION A - COCKPIT AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 9/3513-Oct-2015

1CP-1597A/APR-39A (V) DIGITAL PROCESSOR (IF INSTALLED)

U UUUUUUUU UU 0001

79

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1220B/ ALQ-156 RECEIVER/TRANSMITTER (IF INSTALLED)

U UUUUUUUU UU 0001

80

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1R-2218/ APR-39A (V) RADAR RECEIVER (IF INSTALLED)

U UUUUUUUU UU 0001

81

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-3549A/ APR-39 L/H SPIRAL ANTENNA (IF INSTALLED)

U UUUUUUUU UU 0001

82

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-3548A/ APR-39 R/H SPIRAL ANTENNA (IF INSTALLED)

U UUUUUUUU UU 0001

83

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2SU-202/ AAR-57 (V) ELECT OPTIC MSL SENSOR (IF INSTALLED)

U UUUUUUUU UU 0000

84

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1NCS MAGNUS TABLET COMPUTER LOGBOOK

U UUUUUUUU UU 0001

85

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Z-AHP VOICE SECURITY CONTROL (KY-58)

U UUUUUUUU UU 0001

86

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1518C/ARC-164 RECEIVER TRANSMITTER

U UUUUUUUU UU 01

87

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1354B/ARC-186 RECEIVER TRANSMITTER

U UUUUUUUU UU 01

88

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-12436/URC,HF CONTROL DISPLAY UNIT

U UUUUUUUU UU 01

89

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2ANTENNA AS-2595/APN-194

U UUUUUUUU UU 02

90

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1ANTENNA AS-1922/ARC

U UUUUUUUU UU 01

91

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1ANTENNA AS-2890/APR-39

U UUUUUUUU UU 01

92

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1DOPPLER NAVIGATION SYSTEM CV-3338/ASN-128

U UUUUUUUU UU 01

93

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION A - COCKPIT AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 10/3513-Oct-2015

1CP-1252C/ASN-128D COMPUTER DISPLAY UNIT

U UUUUUUUU UU 01

94

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT 1193A/ASN-128D

U UUUUUUUU UU 01

95

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT 1193A/ASN-128D

U UUUUUUUU UU1

95

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-7392A/ARN-89 ADF CONTROL

U UUUUUUUU UU 01

96

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CV-3338A/ASN-128D SIGNAL DATA CONVERTER

U UUUUUUUU UU 01

97

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION B - CABIN AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 11/3513-Oct-2015

1FIRE EXTINGUISHER, CF3BR, 10501725

U UUUUUUUU UU 11111111

1

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1FIRE EXTINGUISHER, CF3BR,10501725

U UUUUUUUU UU1

1

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Door and Exit Locks (Set)

U UUUUUUUU UU1

2

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1DOOR AND EXIT LOCKS (SET)

U UUUUUUUU UU 11011111

2

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2EMERGENCY EXIT LIGHTS

U UUUUUUUU UU 22222222

3

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2Emergency Exit Lights

U UUUUUUUU UU3

3

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Anchor Line Assembly, 114E5139-6

U UUUUUUUU UU1

4

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1ANCHOR LINE ASSY, 114E5139-6

U UUUUUUUU UU 11111111

4

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2FOOT SWITCHES WITH CABLE, GUNNER

U UUUUUUUU UU 22222222

5

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2Foot Switches with Cable, Gunners

U UUUUUUUU UU2

5

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2C6533( )/ARC ICS Panels

U UUUUUUUU UU2

6

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2C-6533()/ARC ICS PANELS

U UUUUUUUU UU 22222222

6

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

6FIRST AID KIT, AERONAUTIC

U UUUUUUUU UU 66666666

7

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

6First Aid Kit, Aeronautic

U UUUUUUUU UU6

7

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

10Troop Seat, 3 Man

U UUUUUUUU UU10

8

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION B - CABIN AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 12/3513-Oct-2015

10TROOP SEAT (3 MAN)

U UUUUUUUU UU 1010101010101010

8

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

3TROOP SEAT (1 MAN)

U UUUUUUUU UU 33333222

9

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

3Troop Seat, 1 Man

U UUUUUUUU UU3

9

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

33Belt, Troop Safety

U UUUUUUUU UU33

10

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

33BELT TROOP SAFETY

U UUUUUUUU UU 3333333333323232

10

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AXE, EMERGENCY ESCAPE

U UUUUUUUU UU 11111111

11

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Axe, Emergency Escape

U UUUUUUUU UU1

11

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Winch Control Grip and Cable

U UUUUUUUU UU1

12

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1WINCH CONTROL GRIP AND CORD ASSEMBLY

U UUUUUUUU UU 11111111

12

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CRANK ASSY. EMERGENCY RAMP & RESCUE

U UUUUUUUU UU 11111111

13

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Crank Assembly, Emergency, Ramp and Rescue Hatch

U UUUUUUUU UU1

13

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Probe Pole, Cargo Loading

U UUUUUUUU UU1

14

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1PROBE POLE, CARGO LOADING

U UUUUUUUU UU 11111111

14

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CD-45(V)/ALE-47(V) PROGRAMMER (IF INSTALLED)

U UUUUUUUU UU 11111000

15

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CD-45(V)/ALE-47(V) Programmer

U UUUUUUUU UU0

15

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION B - CABIN AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 13/3513-Oct-2015

3114ES290-1 Remote Firing Switch, 14 FT

U UUUUUUUU UU3

16

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

3114ES290-1REMOTE FIRING SWITCH, 14 FT (IF INSTALLED)

U UUUUUUUU UU 33433333

16

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1PIF01249-1REMOTE FIRING SWITCH, 22 FT (IF INSTALLED)

U UUUUUUUU UU 00011111

17

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1PIF01249-1 Remote Firing Switch. 22 FT

U UUUUUUUU UU1

17

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2SA-2669/ALE-47(V) SEQUENCERS (IF INSTALLED)

U UUUUUUUU UU 00000000

18

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

4D-61/ALQ-212(V) AN/AAR-57(V) DISPENSER ASSY (IF INST

U UUUUUUUU UU 00000000

19

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

4196405-001 AN/AAR-57(V) PAYLOAD MODULE(IF INSTALLED)

U UUUUUUUU UU 00000000

20

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2AS-3149/ALQ-156 COUNTERMEASURES ANTENNA

U UUUUUUUU UU 00000000

21

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-2890/APR-39 BLADE ANTENNA

U UUUUUUUU UU 00000011

22

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER, OIL COOLER INLET, 145G0001-1

U UUUUUUUU UU 11111111

23

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Cover, Oil Cooler Inlet, 145G0001-1

U UUUUUUUU UU1

23

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2Cover, Engine Air Outlet, 145G1323-2

U UUUUUUUU UU2

24

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2COVER ENGINE AIR OUTLET, 114G1323-2

U UUUUUUUU UU 22222222

24

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2COVER ENGINE INLET WITH SCREEN, 219G1001-1

U UUUUUUUU UU 22222222

25

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2Cover, Engine Inlet With Screens 219G1001-1

U UUUUUUUU UU2

25

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION B - CABIN AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 14/3513-Oct-2015

2Cover, Engine Inlet Without Screens

U UUUUUUUU UU2

26

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2COVER ENGINE INLET WITH WITHOUT SCREENS

U UUUUUUUU UU 22222222

26

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER, OIL COOLER EXHAUST, 145G0002-5

U UUUUUUUU UU 11111111

27

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Cover, Oil Cooler Exhaust, 145G0002-5

U UUUUUUUU UU1

27

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2Cover, Pitot Tube, 114E5040-33

U UUUUUUUU UU2

28

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2COVER PITOT TUBE, 114E5040-33

U UUUUUUUU UU 22222222

28

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER, OIL COOLER EXHAUST, 145G0002-6

U UUUUUUUU UU 11111111

29

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Cover, Oil Cooler Exhaust, 145G0002-6

U UUUUUUUU UU1

29

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Cover, Cockpit Enclosure 145G0006-1

U UUUUUUUU UU1

30

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER, COCKPIT ENCLOSURE, 145G0006-1

U UUUUUUUU UU 11111111

30

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER HYDRAULIC COOL EXHAUST, 145G0004-1

U UUUUUUUU UU 11111111

31

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Cover, Hydraulic Cooler, Exhaust 145G0004-1

U UUUUUUUU UU1

31

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2Cover, Rotor Hub, Forward and Aft 114G1023-25

U UUUUUUUU UU2

32

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2COVER ROTOR HUB FWD & AFT, 114G1023-25

U UUUUUUUU UU 22222222

32

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER HEATER, 114G1024-1

U UUUUUUUU UU 11111111

33

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION B - CABIN AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 15/3513-Oct-2015

1Cover, Heater Inlet 114G1024-1

U UUUUUUUU UU1

33

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Cover, Heater Exhaust 114G1025-1

U UUUUUUUU UU1

34

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER HEATER EXHAUST, 114G1025-1

U UUUUUUUU UU 11111111

34

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER APU EXHAUST, 145G0005-1

U UUUUUUUU UU 00000000

35

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Cover, APU Exhaust 145G0005-1

U UUUUUUUU UU1

35

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Cover, APU Inlet 145G0003-1

U UUUUUUUU UU1

36

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER, APU INLET, 14560003-1

U UUUUUUUU UU 00000000

36

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2RAMP EXTENSION, 1560CH-47-4000-1

U UUUUUUUU UU 22222222

37

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2Ramp Extension 1560CH-47-4000-1

U UUUUUUUU UU2

37

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Ramp Extension 1560CH-47-398-1

U UUUUUUUU UU1

38

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RAMP EXTENSION, 1560CH-47-398-1

U UUUUUUUU UU 00000000

38

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

6BLADE ANCHOR

U UUUUUUUU UU 66666666

39

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

6Blade Anchor

U UUUUUUUU UU6

39

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

8Tiedown Chains MB1

U UUUUUUUU UU8

40

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

8TIEDOWN CHAINS TYPE MB-1

U UUUUUUUU UU 88888888

40

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION B - CABIN AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 16/3513-Oct-2015

32TIEDOWN STRAPS TYPE CGU1/B

U UUUUUUUU UU 3232323232323232

41

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

32Tiedown Straps CGU1/B

U UUUUUUUU UU32

41

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

4Spacer Set, Rigging (Actuator Blocks) 114E5900-17

U UUUUUUUU UU4

42

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

4SPACER SET RIGGING (ACTUATOR BLOCK), 114E5900-17

U UUUUUUUU UU 00000000

42

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

6PIN, GROUND SAFETY BLADE BLOCKING, 114E5897-13

U UUUUUUUU UU 00000000

43

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

6Pin, Ground Safety, Blade Locking 114E5897-13

U UUUUUUUU UU6

43

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2Attachment Fittings, Transport With Bolt (114G1049-14)

U UUUUUUUU UU2

44

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2ATTACHMENT FITTINGS, TRANSPORT WITH BOLT 114G1049-14

U UUUUUUUU UU 00000000

44

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1INTERCOM CORD, 50 FT

U UUUUUUUU UU 11111111

45

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Intercom Cord, 50 FT

U UUUUUUUU UU1

45

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Winch/Hoist Operator Intercom Cord

U UUUUUUUU UU1

46

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1WINCH/HOIST OPERATOR INTERCOM CORD

U UUUUUUUU UU 11111111

46

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CV-4229(V)7/AVS-7 SIGNAL DATA CONVERTER

U UUUUUUUU UU 11111

47

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1TACKLE BLOCK, 114E0658-23

U UUUUUUUU UU 11111

48

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2HOOK AND CABLE ASSEMBLY, 114E6042-15

U UUUUUUUU UU 00000

49

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION B - CABIN AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 17/3513-Oct-2015

1RESCUE BLOCK, 114E6050-39

U UUUUUUUU UU 00000

50

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1HOIST OPERATORS HARNESS

U UUUUUUUU UU 00000

51

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1GUARD ASSEMBLY

U UUUUUUUU UU 11111

52

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1R-2218/APR-39A(V) RADAR RECEIVER (IF INSTALLED)

U UUUUUUUU UU 00000

53

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-3549A/APR-39 L/H SPIRAL ANTENNA (IF ISNTALLED)

U UUUUUUUU UU 00000

54

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-3548A/APR-39 R/H SPIRAL ANTENNA (IF INSTALLED)

U UUUUUUUU UU 00000

55

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2SU-202/AAR-57(V) ELECT OPTIC MSL SENSOR (IF INSTAL

U UUUUUUUU UU 00000

56

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1TRANCIEVER(BFT)

U UUUUUUUU UU 10000

57

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1LNA (BFT GENERATION 3)

U UUUUUUUU UU 10000

58

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1ROUTER(GPS GENERATION 3)

U UUUUUUUU UU 10000

59

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1DAGER(BFT GENERATION 3)

U UUUUUUUU UU 10000

60

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2ATTACHMENT FITTINGS, TRANSPORT WITH BOLT

U UUUUUUUU UU 00000

61

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1INTERCOM CORD, 50 FT

U UUUUUUUU UU 11111

62

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1WINCH/ HOIST OPERATOR INTERCOM CORD

U UUUUUUUU UU 10000

63

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

0COVER ENGINE INLET RING TYPE 114G1206-1

U UUUUUUUU UU 00000

64

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION B - CABIN AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 18/3513-Oct-2015

2COVER ENGINE INLET WITHOUT SCREENS

U UUUUUUUU UU 20000

65

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1SLAB BATTERY PN D856511-1

U UUUUUUUU UU 11111

66

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2GUNNER CABLE ASSY.

U UUUUUUUU UU 02

67

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1DROOP STOP SHROUD ASSEMBLY STORAGE BAG 145E5001-10

U UUUUUUUU UU 11

68

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1GPS ANTENNA 22433-40 GPS-128B

U UUUUUUUU UU 11

69

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1SINCGARS ANTENNAS AS 3939/ARC (TOP)

U UUUUUUUU UU 11

70

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

0BLANK

U UUUUUUUU UU 00

71

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RH SEAT SYSTEM CRASHWORTHY CREW MEMBER SEAT

U UUUUUUUU UU1

71

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1LH SEAT SYSTEM CRASHWORTHY CREW MEMBER SEAT

U UUUUUUUU UU1

72

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CMWS SEQUENCER R/H (#2) SN _________________

U UUUUUUUU UU 01

72

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1IVHMS IVHMU P/N 30279-0202 (OR 30279-0402)

U UUUUUUUU UU 11

73

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2TRANSMITTER, INFRARED T-1678/ALQ-212(V) (ATIRCM)

U UUUUUUUU UU 02

74

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2LASER, DIRECTIONAL ASSY, SU-241/ALQ-212(V) (ATIRCM)

U UUUUUUUU UU 02

75

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2CONTROL TRANSMITTER, COUNTERMEASURE C-12794/ALQ-212(V)ATIRCM

U UUUUUUUU UU 02

76

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2OPTICAL ASSY, LASER (ATIRCM)

U UUUUUUUU UU 02

77

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION B - CABIN AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 19/3513-Oct-2015

1GPS ANTENNA

U UUUUUUUU UU 01

78

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1GPS ANTENNA

U UUUUUUUU UU1

78

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER, AIR INLET

U UUUUUUUU UU 01

79

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

0SU-202/ AAR-57 (V) ELECT OPTIC MSL SENSOR (IF INSTALLED) 5TH EOMS

U UUUUUUUU UU 00

84

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION C - RAMP AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 20/3513-Oct-2015

1FIRE EXTINGUISHER, CF3BR, 10501725

U UUUUUUUU UU 11111111

1

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1FIRE EXTINGUISHER, CF3BR, 10501725

U UUUUUUUU UU1

1

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

19311431 M-130 ELECTRONIC MODULE (IF INSTALLED)

U UUUUUUUU UU 00000000

2

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

19311434 M-130 DISPENSER ASSEMBLY (IF INSTALLED)

U UUUUUUUU UU 00000000

3

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

19311451 M-130 PAYLOAD MODULE (IF INSTALLED)

U UUUUUUUU UU 00000000

4

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

4186220-001 AN/ALE-47 DISPENSER ASSY (IF INSTALLED)

U UUUUUUUU UU 00000000

5

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2185470-0001/0002 AN/ALE-47 PAYLOAD MOD (IF INSTALLED

U UUUUUUUU UU 00000000

6

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2SA-2669/ALE-47(V) SEQUENCERS (IF INSTALLED)

U UUUUUUUU UU 00000000

7

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1SA-2671/ALE-47(V) SAFETY SWITCH (IF INSTALLED)

U UUUUUUUU UU 11111111

8

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1135947-0001 AN/ALE-47(V) SAFETY FLAG (IF INSTALLED)

U UUUUUUUU UU 11111111

9

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

4D-61/ALQ-212(V) AN/AAR-57(V) DISPENSER ASSY (IF INST

U UUUUUUUU UU 00000000

10

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

4196405-001 AN/AAR-57(V) PAYLOAD MOD (IF INSTALLED)

U UUUUUUUU UU 00000000

11

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-6533()/ARC ICS PANELS

U UUUUUUUU UU 11111111

12

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-6533( )/ARC ICS Panels

U UUUUUUUU UU1

12

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CRANK ASSY. EMERGENCY RAMP & RESCUE

U UUUUUUUU UU 1100

13

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION C - RAMP AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 21/3513-Oct-2015

1PROBE POLE, CARGO LOADING

U UUUUUUUU UU 1100

14

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CD-45(V)/ALE-47(V) PROGRAMMER (IF INSTALLED)

U UUUUUUUU UU 1100

15

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

3114ES290-1REMOTE FIRING SWITCH, 14 FT (IF INSTALLE

U UUUUUUUU UU 3300

16

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1PIF01249-1REMOTE FIRING SWITCH, 22 FT (IF INSTALLE

U UUUUUUUU UU 0000

17

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2SA-2669/ALE-47(V) SEQUENCERS (IF INSTALLED)

U UUUUUUUU UU 0000

18

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

4D-61/ALQ-212(V) AN/AAR-57(V) DISPENSER ASSY (IF IN

U UUUUUUUU UU 0000

19

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

4196405-001 AN/AAR-57(V) PAYLOAD MODULE(IF INSTALLE

U UUUUUUUU UU 0000

20

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2AS-3149/ALQ-156 COUNTERMEASURES ANTENNA

U UUUUUUUU UU 0000

21

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-2890/APR-39 BLADE ANTENNA

U UUUUUUUU UU 0000

22

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER, OIL COOLER INLET, 145G0001-1

U UUUUUUUU UU 0000

23

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2COVER ENGINE AIR OUTLET, 114G1323-2

U UUUUUUUU UU 0000

24

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2COVER ENGINE INLET WITH SCREEN, 219G1001-1

U UUUUUUUU UU 0000

25

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2COVER ENGINE INLET WITH WITHOUT SCREENS

U UUUUUUUU UU 0000

26

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER, OIL COOLER EXHAUST, 145G0002-5

U UUUUUUUU UU 0000

27

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2COVER PITOT TUBE, 114E5040-33

U UUUUUUUU UU 0000

28

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION C - RAMP AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 22/3513-Oct-2015

1COVER, OIL COOLER EXHAUST, 145G0002-6

U UUUUUUUU UU 0000

29

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER, COCKPIT ENCLOSURE, 145G0006-1

U UUUUUUUU UU 0000

30

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER HYDRAULIC COOL EXHAUST, 145G0004-1

U UUUUUUUU UU 0000

31

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2COVER ROTOR HUB FWD & AFT, 114G1023-25

U UUUUUUUU UU 0000

32

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER HEATER, 114G1024-1

U UUUUUUUU UU 0000

33

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER HEATER EXHAUST, 114G1025-1

U UUUUUUUU UU 0000

34

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER APU EXHAUST, 145G0005-1

U UUUUUUUU UU 0000

35

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER, AW INLET, 14560003-1

U UUUUUUUU UU 0000

36

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2RAMP EXTENSION, 1560CH-47-4000-1

U UUUUUUUU UU 0222

37

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RAMP EXTENSION, 1560CH-47-398-1

U UUUUUUUU UU 0000

38

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

6BLADE ANCHOR

U UUUUUUUU UU 0000

39

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

8TIEDOWN CHAINS TYPE MB-1

U UUUUUUUU UU 0000

40

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

32TIEDOWN STRAPS TYPE CGU1/B

U UUUUUUUU UU 0000

41

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

4SPACER SET RIGGING (ACTUATOR BLOCK), 114E5900-17

U UUUUUUUU UU 0000

42

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

6PIN, GROUND SAFETY BLADE BLOCKING, 114E5897-13

U UUUUUUUU UU 0000

43

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION C - RAMP AREACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 23/3513-Oct-2015

2ATTACHMENT FITTINGS, TRANSPORT WITH BOLT 114G1049-

U UUUUUUUU UU 0000

44

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1INTERCOM CORD, 50 FT

U UUUUUUUU UU 0111

45

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1WINCH/HOIST OPERATOR INTERCOM CORD

U UUUUUUUU UU 0000

46

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AIR DAT TRANSDUCER

U UUUUUUUU UU 0000

47

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1INCLINOMETER (HUD)

U UUUUUUUU UU 0000

48

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2CONVERTER CONTROL

U UUUUUUUU UU 0000

49

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1INTERCOM CORD, 50 FT (FE)

U UUUUUUUU UU 0111

50

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2FIRE EXTINGUISH SYSTEM BOTTLES 114PS203-3

U UUUUUUUU UU 22

51

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

3RAMP EXTENSION 1560CH-47-4000-1

U UUUUUUUU UU 03

52

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION D - ENGINE AND AFT PYLONCH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 24/3513-Oct-2015

1R-2218/APR-39A(V) RADAR RECEIVER (IF INSTALLED)

U UUUUUUUU UU 00000011

1

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-3549A/APR-39 L/H SPIRAL ANTENNA (IF INSTALLED)

U UUUUUUUU UU 00010011

2

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-3548A/APR-39 R/H SPIRAL ANTENNA (IF INSTALLED)

U UUUUUUUU UU 00010011

3

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2SU-202/AAR-57(V) ELECT OPTIC MSL SENSOR (IF INSTALLE

U UUUUUUUU UU 00000000

4

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

4186220-001 AN/ALE-47 DISPENSER ASSY (IF INSTALLED)

U UUUUUUUU UU 000

5

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2185470-0001/0002 AN/ALE-47 PAYLOAD MOD (IF INSTALL

U UUUUUUUU UU 000

6

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2SA-2669/ALE-47(V) SEQUENCERS (IF INSTALLED)

U UUUUUUUU UU 000

7

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1SA-2671/ALE-47(V) SAFETY SWITCH (IF INSTALLED)

U UUUUUUUU UU 000

8

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1135947-0001 AN/ALE-47(V) SAFETY FLAG (IF INSTALLED

U UUUUUUUU UU 000

9

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

4D-61/ALQ-212(V) AN/AAR-57(V) DISPENSER ASSY (IF IN

U UUUUUUUU UU 000

10

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

4196405-001 AN/AAR-57(V) PAYLOAD MOD (IF INSTALLED)

U UUUUUUUU UU 000

11

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-6533()/ARC ICS PANELS

U UUUUUUUU UU 000

12

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

8TIEDOWN FITTINGS 10,000LB

U UUUUUUUU UU 88

13

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1PROBE POLE, CARGO HOOK UP

U UUUUUUUU UU 010

14

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2WINCH CONTROL GRIP AND CORD ASSEMBLY

U UUUUUUUU UU 020

15

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION D - ENGINE AND AFT PYLONCH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 25/3513-Oct-2015

1CRANK ASSY. EMERGENCY RAMP & RESCUE

U UUUUUUUU UU 010

16

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2ANTENNA AS-3831 APN209 (RAD ALT)

U UUUUUUUU UU 220

17

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1145G0006-1 COVER, COCKPIT ENCLOSURE

U UUUUUUUU UU 000

18

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1114G1025-1 COVER HEATER EXHAUST

U UUUUUUUU UU 000

19

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COVER HEATER 114G1024-1

U UUUUUUUU UU 000

20

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2COVER PITOT TUBE (114E5040-33)

U UUUUUUUU UU 000

21

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1145G0001-1 FWD. PYLON INTAKE COVER

U UUUUUUUU UU 010

22

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2114G1323-1 COVER ENGINE OUTLET

U UUUUUUUU UU 020

23

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2219G1001-1 COVER ENGINE INLET

U UUUUUUUU UU 020

24

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2PROTECTIVE RING ASSY. ENGINE INLET-114G1206

U UUUUUUUU UU 020

25

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1145G0004-1 COVER AFT. PYLON EXHAUST

U UUUUUUUU UU 010

26

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1145G0002-5 COVER FWD. PYLON EXHAUST

U UUUUUUUU UU 010

27

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1145G0002-6 COVER FWD. PYLON

U UUUUUUUU UU 010

28

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1145G0003-1 COVER AFT. PYLON

U UUUUUUUU UU 010

29

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1145G0005-1 COVER APU EXHAUST

U UUUUUUUU UU 010

30

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION D - ENGINE AND AFT PYLONCH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 26/3513-Oct-2015

6BLADE ANCHOR 114E5060-1

U UUUUUUUU UU 06

31

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2114G1023-25 ROTOR HUB COVERS

U UUUUUUUU UU 00

32

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

8TIEDOWN CHAINS TYPE MB-1

U UUUUUUUU UU 00

33

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

32TIEDOWN STRAPS TYPE CGU1/B

U UUUUUUUU UU 00

34

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1SUPPORT CARGO RAMP EXTENSION 1560CH47-398-1

U UUUUUUUU UU 00

35

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

3RAMP EXTENSION 1560CH47-400-1/114S6003-21

U UUUUUUUU UU 00

36

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2GUNNER FOOTSWITCHES

U UUUUUUUU UU 00

37

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2GUNNER CABLE ASSY.

U UUUUUUUU UU 00

38

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2S-65-8282-30

U UUUUUUUU UU 00

39

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1ANTENNA, ADF LOOP

U UUUUUUUU UU 11

40

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1ANTENNA, SENSE AS-1869/ARN

U UUUUUUUU UU 11

41

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1UHF-AM ANTENNA AT-256( )ARC

U UUUUUUUU UU 11

42

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1ANTENNA AS-1922( )/ARC

U UUUUUUUU UU 11

43

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2IGNITION KEYS

U UUUUUUUU UU 22

44

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1BRACKET & PADLOCK

U UUUUUUUU UU 11

45

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION D - ENGINE AND AFT PYLONCH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 27/3513-Oct-2015

3DROOP STOP SHROUDS

U UUUUUUUU UU 03

46

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1DROOP STOP SHROUD ASSEMBLY STORAGE BAG 145E5001-10

U UUUUUUUU UU 01

47

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

3DROOP STOP SHIELD 114R2215-11

U UUUUUUUU UU 03

48

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

3DROOP STOP BASE 114R2215-4

U UUUUUUUU UU 03

49

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1ANTENNA ADF AS-2108/ARN-89(LOOP)

U UUUUUUUU UU 11

50

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1VHF-UHF ANTENNA AT-1108()/ARC

U UUUUUUUU UU 11

51

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1GPS ANTENNA 22433-40 GPS-128B

U UUUUUUUU UU 11

52

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2ECM ANTENNA ALQ-156 AS-3149

U UUUUUUUU UU 22

53

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1SINCGARS ANTENNAS AS 3939/ARC (TOP)

U UUUUUUUU UU 11

54

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1SINCGARS ANTENNAS AS 3939/ARC (BOTTOM)

U UUUUUUUU UU 11

55

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AN/ALE-47 COUNTERMEASURES PROCESSOR(PROGRAMMER)

U UUUUUUUU UU 11

56

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1L-BAND(EIS) ANTENNA(BFT GENERATION 3)

U UUUUUUUU UU 10

57

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1GPS ANTENNA(BFT GENERATION 3)

U UUUUUUUU UU 10

58

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(BFT) ANT GPS S/N: ____________

U UUUUUUUU UU 10

59

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(BFT) LOW NOISE AMP S/N: ____________

U UUUUUUUU UU 10

60

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION D - ENGINE AND AFT PYLONCH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 28/3513-Oct-2015

1(BFT) DC/DC CONVERTER S/N: ________

U UUUUUUUU UU 10

61

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(BFT) PALLET S/N: ____________

U UUUUUUUU UU 10

62

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(BFT) ROUTER S/N: ________

U UUUUUUUU UU 10

63

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(BFT) DAGGER S/N: __________

U UUUUUUUU UU 10

64

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(CMWS) SMART DISPENSER LH S/N: __________

U UUUUUUUU UU 00

65

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(CMWS) SMART DISPENSER LH S/N: __________

U UUUUUUUU UU 00

66

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(CMWS) SMART DISPENSER RH S/N: __________

U UUUUUUUU UU 00

67

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(CMWS) SMART DISPENSER RH S/N: __________

U UUUUUUUU UU 00

68

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(CMWS) PAYLOAD MODULE LH S/N: __________

U UUUUUUUU UU 00

69

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(CMWS) PAYLOAD MODULE LH S/N: __________

U UUUUUUUU UU 00

70

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(CMWS) PAYLOAD MODULE RH S/N: __________

U UUUUUUUU UU 00

71

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(CMWS) PAYLOAD MODULE RH S/N: __________

U UUUUUUUU UU 00

72

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(CMWS) EOMS LH S/N: __________

U UUUUUUUU UU 00

73

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(CMWS) EOMS RH S/N: __________

U UUUUUUUU UU 00

74

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1(CMWS) SEQUENCERS LH S/N: __________

U UUUUUUUU UU 00

75

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION D - ENGINE AND AFT PYLONCH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 29/3513-Oct-2015

1(CMWS) SEQUENCERS RH S/N: __________

U UUUUUUUU UU 00

76

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-3549A/APR-39 L/H SPIRAL ANTENNA

U UUUUUUUU UU 00

77

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-3549A/APR-39 R/H SPIRAL ANTENNA

U UUUUUUUU UU 00

78

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1TRANSMITTER REMOTE COMPASS WITH COMPNS CN-405()/A

U UUUUUUUU UU 01

79

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1TRANSMITTER REMOTE COMPASS WITH COMPNS CN-405()/A

U UUUUUUUU UU 01

80

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2SU-202/AAR-57(V) EOMS (AFT PYLON)

U UUUUUUUU UU 00

81

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

UNIT UNIQUE INVENTORY ITEMSCH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 30/3513-Oct-2015

1ERFS TANK 1680-01-425-1216

U UUUUUUUU UU 01111111

1

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1ERFS FUEL SAMPLING PUMP KIT 1680-01-474-3324

U UUUUUUUU UU 01111111

2

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CAVITY DRAIN HOSE 4720-01-424-5554

U UUUUUUUU UU 01111111

3

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1GROUNDING CABLE 6150-01-398-4389

U UUUUUUUU UU 01111111

4

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1HARNESS TANK POWER 645-01-380-2981

U UUUUUUUU UU 01111111

5

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1FUEL HOSE SINGLE POINT PRESSURE REFUELING 4720-01-425-1215

U UUUUUUUU UU 0111

6

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1VENT HOSE ASSY 4720-01-471-6739

U UUUUUUUU UU 0111

7

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1FUEL HOSE, TANK-TO -ACFT RANGE EXT 4720-01-424-5558

U UUUUUUUU UU 0111

8

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1FUEL PROBE ELECTRICAL CABLE 6150-01-475-7634

U UUUUUUUU UU 0111

9

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CH-47 ERFS II FUEL CONTROL PANEL P/N HM022-123-51

U UUUUUUUU UU 0111

10

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CH-47 ERFS II ROLLER ASSY KIT P/N WOH93JCH-47-T-F-K

U UUUUUUUU UU 0111

11

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1EFRS TANK COVER P/N IT765-HMO22-T17-11

U UUUUUUUU UU 0111

12

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2MODULAR SURVIVAL SYSTEMS (AMSS) 8-MAN 1680-01-361-4854

U UUUUUUUU UU 0222

13

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1KY-58 ZAHP VOICE SECURITY CONTROL

U UUUUUUUU UU 1111

14

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1KIT-1C IFF COMPUTER OR APX 118 (AVN CLOSET)

U UUUUUUUU UU 1111

15

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

UNIT UNIQUE INVENTORY ITEMSCH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 31/3513-Oct-2015

1KY-58 INTERFACE ADAPTER (AVN CLOSET SHELF # )

U UUUUUUUU UU 0111

16

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CMWS FLARE DISPR ASSY [RH] [FWD] D-61(V) ALQ-212(V)

U UUUUUUUU UU 1111

17

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CMWS FLARE MOUNT [RH] [AFT]

U UUUUUUUU UU 1111

18

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CMWS FLARE DISPR ASSY [RH] [AFT] D-61(V) ALQ-212(V)

U UUUUUUUU UU 1111

19

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RAD WARN ANT/DETECT [AFT] [LH] AS-3548A/APR-39A(V)

U UUUUUUUU UU 0111

20

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RAD WARN ANT/DETECT [AFT] [RH] AS-3549A/APR-39A(V)

U UUUUUUUU UU 0111

21

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CMWS EOMS SENSOR [AFT] [LH] SU-202/AAR-57(V)

U UUUUUUUU UU 0111

22

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CMWS EOMS SENSOR [AFT] [RH] SU-202/AAR-57(V)

U UUUUUUUU UU 0111

23

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-11308/APR-39A (V) RADAR CONTROL UNIT

U UUUUUUUU UU 0111

40

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1IP-1150A/APR-39 (V) RADAR INDICATOR (DIGITAL)

U UUUUUUUU UU 0111

41

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1Z-AHP VOICE SECURITY CONTROL

U UUUUUUUU UU 1111

42

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-10131/ALQ-156 COUNTER MEASURES CONTROL UNIT

U UUUUUUUU UU 0111

43

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1BLUE FORCE TRACKING-AVN

U UUUUUUUU UU 1111

44

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1TSEC/KY-100 REMOTE CONTROL UNIT ON616650

U UUUUUUUU UU 0111

45

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-11308/APR-39A(V) RADAR CONTROL UNIT

U UUUUUUUU UU 0111

46

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

UNIT UNIQUE INVENTORY ITEMSCH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 32/3513-Oct-2015

1IP-1150A/APR-39(V) RADAR INDICATOR (DIGITAL)

U UUUUUUUU UU 0111

47

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1C-10131/ALQ-156 COUNTERMEASURES CONTROL UNIT

U UUUUUUUU UU 0111

48

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1M-130 DISPENSER CONTROL PANEL (IF INSTALLED)

U UUUUUUUU UU 0111

49

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1TSEC/KY-58 VOICE SECURITY PROCESSOR

U UUUUUUUU UU 0111

50

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1TSEC/KY-100 PROCESSOR ON616604

U UUUUUUUU UU 0111

51

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1CP-1597A/APR-39A(V) DIGITAL PROCESSOR (IF INSTALLED

U UUUUUUUU UU 0111

52

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1RT-1220B/ALQ-156 RECEIVER/TRANSMITTER (IF INSTALLED

U UUUUUUUU UU 0111

53

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1R-2218/APR-39A(V) RADAR RECEIVER (NOSE) (IF INSTALLED)

U UUUUUUUU UU 0111

54

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-3549A/APR-39 L/H SPIRAL ANTENNA (IF INSTALLED)

U UUUUUUUU UU 0111

55

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-3548A/ARP-39 R/H SPIRAL ANTENNA (IF INSTALLED)

U UUUUUUUU UU 0111

56

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2AS-3149/ALQ-156 COUNTERMEASURES ANTENNA

U UUUUUUUU UU 0222

57

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-2890/APR-39 BLADE ANTENNA

U UUUUUUUU UU 0111

58

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1M-130 ELECTRONIC MODULE (IF INSTALLED) 9311431

U UUUUUUUU UU 0111

59

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1M-130 DISPENSER ASSEMBLY (IF INSTALLED) 9311434

U UUUUUUUU UU 0111

60

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1M-130 PAYLOAD MODULE (IF INSTALLED) 9311451

U UUUUUUUU UU 0111

61

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

UNIT UNIQUE INVENTORY ITEMSCH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 33/3513-Oct-2015

4AN/ALE-47 DISPENSER ASSEMBLY (IF INSTALLED) 186220-001

U UUUUUUUU UU 0444

62

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1R-2218/APR-39A(V) RADAR RECEIVER AFT PYLON (IF INSTALLED)

U UUUUUUUU UU 0111

63

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS-3549A/APR-39 L/H SPIRAL ANTENNA (IF INSTALLED)

U UUUUUUUU UU 0111

64

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1AS3548A/APR-39 R/H SPIRAL ANTENNA (IF INSTALLED)

U UUUUUUUU UU 0111

65

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1LADDER @ STA 471 UNIT EQUIPMENT, AASF, HELENA, MT

U UUUUUUUU UU 0111

66

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COCKPIT COVER (BRUCE AIRCRAFT COVERS) W/BAG

U UUUUUUUU UU 0111

67

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION ACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 34/3513-Oct-2015

1DOOR & EXIT LOCKS SET

U UUUUUUUU UU 11111111

1

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1OIL COOLER INLET COVER

U UUUUUUUU UU 11111111

2

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2ENG AIR OUTLET COVER

U UUUUUUUU UU 22222222

3

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2ENG INLET COVER [W/ SCREENS]

U UUUUUUUU UU 22222222

4

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2ENG INLET COVER [W/O SCREENS]

U UUUUUUUU UU 22222222

5

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1OIL COOLER EXHAUST COVER

U UUUUUUUU UU 11111111

6

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2PITOT TUBE COVER

U UUUUUUUU UU 22222222

7

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1OIL COOLER EXHAUST COVER

U UUUUUUUU UU 11111111

8

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1COCKPIT ENCLOSURE COVER

U UUUUUUUU UU 11111111

9

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1HYD COOLER EXHAUST COVER

U UUUUUUUU UU 11111111

10

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2ROTOR HUB COVER

U UUUUUUUU UU 22222222

11

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1HEATER INLET COVER

U UUUUUUUU UU 11111111

12

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1HEATER EXHAUST COVER

U UUUUUUUU UU 11111111

13

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1APU EXHAUST COVER

U UUUUUUUU UU 01111111

14

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

1APU INLET COVER

U UUUUUUUU UU 01111111

15

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

SECTION ACH-47D

4. EQUIPMENT CHECKLIST

9100268 CH-47D

3. AREA NAME 2. MODEL 1. SERIAL NUMBER

Report Date: 35/3513-Oct-2015

6BLADE ANCHOR

U UUUUUUUU UU 66666666

16

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

8TIE DOWN CHAIN [MB1]

U UUUUUUUU UU 88888888

17

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

32TIE DOWN STRAP [CGU1/B]

U UUUUUUUU UU 3232323232323232

18

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

4RIGGING (ACTUATOR BLOCKS) SPACER SET

U UUUUUUUU UU 44444444

19

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

6BLADE LOCKING PIN

U UUUUUUUU UU 06666666

20

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2TRANSPORT ATTACHMENT FITTING [W/ BOLT]

U UUUUUUUU UU 02222222

21

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

2ENG INLET COVER [W/ EAPS]

U UUUUUUUU UU 22222222

22

12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER

QTY REQ:NOMENCLATURE:ITEM NO.

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE

AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91

Report Date: 13-Oct-2015 1/4

9100268HELICOPTER, CARGO CH-47D

7. FREQUENCY 4.

5. ITEMS TO BE INSPECTED

2. MODEL 3. SERIAL NUMBER 1. NOMENCLATURE

8. NEXTNO DUE 6. REFERENCE 9. COMPLETED AT

INSP

A002 Jul 28 201514TM 1-1520-240-PMS1PREVENTIVE MAINTENANCEDAILY

Jul 14 2015D

A014 Jul 28 201514TM 1-1520-240-23 P14 DAY ENGINE RUN REQUIRED Jul 14 2015D

A040 7500.425TM 1-1520-240-23 PVISUAL INSPECT OUTBOARDDRIVE SHAFT LUGS ADAPTER

7475.4H

A070 7500.450TB 43-0211#1 ENGINE OIL SAMPLE 7450.4H

A071 7500.450TB 43-0211#2 ENGINE OIL SAMPLE 7450.4H

A072 7500.4400H-47-12-AMAM-02AFT XMSN OIL SAMPLE DUE 7100.4H

A073 7500.4400H-47-12-AMAM-02FWD XMSN OIL SAMPLE DUE 7100.4H

A074 7500.4400H-47-12-AMAM-02#2 ENGINE MECHANICAL XMSNOIL SAMPLE DUE

7100.4H

A075 7500.4400H-47-12-AMAM-02ENGINE COMBINING XMSN OILSAMPLE DUE

7100.4H

A081 7500.4400H-47-12-AMAM-02#1 ENGINE MECHANICAL XMSNOIL SAMPLE DUE

7100.4H

A088 7500.450TM 1-1520-240-23 PPERFORM LUBRICATION IAWLUBRICATION CHARTS

7450.4H

A092 Jul 17 201530TM 11-6140-203-23&P30 DAY SLAB BATTERYINSPECTION (M8565/11-1)

Jun 17 2015D

A103 Jul 30 201530TM 1-1500-344-23AIRCRAFT WASH DUE Jun 30 2015D

A115 7500.450TM 1-1520-240-23 PPERFORM ENGINE WATERWASH IAW IETM

7450.4H

A121 7500.450TM 1-1520-240-23 PLUBRICATE FWD AFTSWASHPLATE BEARING

7450.4H

A128 7500.425TM 1-1520-240-23 P#1 ENGINE DUAL CHIPDETECTOR FOR CONTINUITY

7475.4H

A129 7500.425TM 1-1520-240-23 P#2 ENGINE DUAL CHIPDETECTOR FOR CONTINUITY

7475.4H

A131 7500.450TM 1-1520-240-23 PCOMBINING XMSN COOLER FANVIBRATION TEST

7450.4H

A133 7500.450TM 1-1520-240-23 PAFT XMSN COOLER FANVIBRATION TEST

7450.4H

A142 7500.450TM 55-1520-240-23-1TASK 1-92.1

FWD AND AFT SWASHPLATEGREASE SAMPLE

7450.4H

A155 Oct 4 201590TM 1-1520-240-PMS4CORROSION CONTROLINSPECTION, ABBREVIATED,MILD

Jul 6 2015D

A177 Jul 21 201590AR 95-190 DAY REVIEW/UPDATE OF 365-4 ENTRIES

Apr 22 2015D

A180 7500.4100TM 1-1520-240-23 PPERFORM LUBRICATIONREQUIREMENTS IAW LUBECHARTS

7400.4H

A182 7500.4100TM 1-1520-240-23 PINSP FWD AFT SWASHPLATEBEARING IAW SOF CH-47-04-01

7400.4H

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-18, NOV 91, MAY BE USED

DA FORM 2408-18 E, OCT 97 EQUIPMENT INSPECTION LIST

A = APU OPERATING HOURS P = APU STARTS F = HOT SECTION FACTORSFREQUENCY LEGEND: H = ACFT HRS D = DAYS M = MONTHS Y = YEARS R = ROUNDS C = CYCLES S = ENG1 STARTS Z = ENG2 STARTS

Report Date: 13-Oct-2015 2/4

9100268HELICOPTER, CARGO CH-47D

7. FREQUENCY 4.

5. ITEMS TO BE INSPECTED

2. MODEL 3. SERIAL NUMBER 1. NOMENCLATURE

8. NEXTNO DUE 6. REFERENCE 9. COMPLETED AT

INSP

A190 7500.4200TM 1-1520-240-23 PINSPECT FWD AFTSWASHPLATE ROTATING RINGCH-47-07-SOF-

7300.4H

A191 7500.4200H47-10-ASAM-075000LB TIE DOWN ADAPTERRINGS INSP

7300.4H

A196 7500.4100TM 1-1520-240-23 P#1 #2 ENGINE XMSN FAIRING 7400.4H

A202 7500.4100TM 1-1520-240-23 PTORQUE CHECK FWD PITCHLINK BOLTS

7400.4H

A204 7500.4100TM 1-1520-240-23 PTORQUE CHECK AFT PITCH LINKBOLTS

7400.4H

A210 7500.450TM 1-1520-240-23 PPERFORM 50 HR ENGINE DECUDOWNLOAD

7450.4H

A216 7500.4100TM 1-1520-240-23 PINSPECT THE COMBINING XMSNCOOLING FAN SHAFT PER TASK

7400.4H

A217 7500.4100TM 1-1520-240-23 PCHECK COMBINING XMSCOOLING FAN SHAFT OUTPUTGEAR SPLIN

7400.4H

A262 7500.4200TM 1-1520-240-23 PINSPECTION OF AFTCONNECTING LINK (TASK 4-37)

7300.4H

A264 7500.4200TM 1-1520-240-23 PPERFORM LUBRICATIONREQUIREMENTS IAW LUBECHARTS

7300.4H

A280 7700.44001-1520-240-PMS2PERFORM PMS2 CYCLEINSPECTION

7300.4H

A290 7500.4400AWR TN 69499DVISUAL INSPECTION OF BENDAREAS APPENDIX D-15 THRU D-26

7100.4H

A365 7500.4200TM 1-1520-240-23 PINSP HORIZONTAL HINGE PINBEARING (AFT HEAD)

7300.4H

A365 Jan 2 201624TM 1-1520-240-23 PINSP HORIZONTAL HINGE PINBEARING (AFT HEAD)

Jan 2 2014M

A366 7500.4200TM 1-1520-240-23 PINSP HORIZONTAL HINGE PINBEARING (FWD HEAD)

7300.4H

A366 Jan 2 201624TM 1-1520-240-23 PINSP HORIZONTAL HINGE PINBEARING (FWD HEAD)

Jan 2 2014M

A370 7500.4400TM 1-1520-240-23 PPERFORM LUBRICATIONREQUIREMENT IAW LUBECHART

7100.4H

A380 7500.44001-1520-240-PMS3PERFORM PMS3 CYCLEINSPECTION

7100.4H

A400 7500.41200TM 1-1520-240-23PREPLACE HORIZONTAL HINGEPIN BOLT (PN 114R2201-1)

6300.4H

A440 81811200TM 1-1520-240-23 PAFT HEAD VERTICAL PINBEARING INSP AND ROTATION

6981H

A442 83041200TM 1-1520-240-23 PFWD HEAD VERTICAL PINBEARING INSP AND ROTATION

7104H

A443 75371200TM 1-1520-240-23 PFWD HEAD HORIZONTAL PINBEARING INSP AND ROTATION

6337H

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-18, NOV 91, MAY BE USED

DA FORM 2408-18 E, OCT 97 EQUIPMENT INSPECTION LIST

A = APU OPERATING HOURS P = APU STARTS F = HOT SECTION FACTORSFREQUENCY LEGEND: H = ACFT HRS D = DAYS M = MONTHS Y = YEARS R = ROUNDS C = CYCLES S = ENG1 STARTS Z = ENG2 STARTS

Report Date: 13-Oct-2015 3/4

9100268HELICOPTER, CARGO CH-47D

7. FREQUENCY 4.

5. ITEMS TO BE INSPECTED

2. MODEL 3. SERIAL NUMBER 1. NOMENCLATURE

8. NEXTNO DUE 6. REFERENCE 9. COMPLETED AT

INSP

A444 83821200TM 1-1520-240-23 PAFT HEAD HORIZONTAL PINBEARING INSP AND ROTATION

7182H

A447 83221200TM 1-1520-240-23 PREPLACE FWD HEADHORIZONTAL PIN (IF NOTSHOTPEENED)

7122H

A448 83821200TM 1-1520-240-23 PREPLACE AFT HEADHORIZONTAL PIN (IF NOTSHOTPEENED)

7182H

A460 8500.41200TM 1-1520-240-23 PINSPECT FUEL TANKASSEMBLIES

7300.4H

A478 8500.41200TM 1-1520-240-23 PINSPECT FUEL BOOST PUMPPOWER WIRE HARNESS

7300.4H

A496 Dec 18 2015180TM 1-1500-204-23-1CF3BR FIRE EXTINGUISHERWEIGHT TEST & INSPECTION

Jun 21 2015D

A500 Oct 4 2015180TM 1-1520-240-PMS4CORROSION CONTROLINSPECTION, IN-DEPTH, MILD

Apr 7 2015D

A505 Feb 15 2016360TM 1-1680-377-13&PAMSS SURVIVAL KITINSPECTION

Feb 20 2015D

A530 Jun 10 201612TM 1-1520-240-23 PAIRCRAFT EQUIPMENTINVENTORY (DA FORM 2408-17)

Jun 10 2015M

A531 Jan 5 201612TM 55-1520-240-23-1TASK 1-92.1

ENGINE FIRE EXTINGUISHERBOTTLES FOR WEIGHT

Jan 5 2015M

A532 Mar 9 201612TM 1-1500-204-23-4COMPASS SWING Mar 9 2015M

A534 Apr 8 201612TM 1-1500-204-23-1FIRST AID KIT INSPECTION Apr 8 2015M

A553 Apr 22 201612AR 95-1AIRCRAFT WEIGHINGINVENTORY (365-1)

Apr 22 2015M

A558 Mar 9 201612TM 1-1500-204-23-4HSI/RMI FOR CORRECTREADINGS

Mar 9 2015M

A580 Aug 24 201624TM 11-6140-203-23PRETURN SLAB TO AVIM FORCAPACITY CHECK

Aug 24 2014M

A649 Apr 22 201836AR 95-1AIRCRAFT WEIGHING CLASS 1 Apr 22 2015M

A660 Aug 24 201536TM 11-6140-203-23PREPLACEMENT OF BATTERY(SLAB M8565/11-1)

Aug 24 2012M

A690 Jul 1 2018114TB 9-1300-385ENGINE FIRE EXTINGUISHER (#1AFT) MH-92

Jan 1 2009M

A699 Jul 1 2018114TB 9-1300-385ENGINE FIRE EXTINGUISHER (#2AFT) MH-92

Jan 1 2009M

A700 Jul 1 2018114TB 9-1300-385ENGINE FIRE EXTINGUISHER (#1FWD), MH-92

Jan 1 2009M

A710 Jul 1 2018114TB 9-1300-385ENGINE FIRE EXTINGUISHER (#2FWD) MH-92

Jan 1 2009M

E003 Aug 16 201590TM 1-1520-240-23-1TSEC/KY100 Z-AVH (KY100)BATTERY REPLACEMENT

May 18 2015D

E095 Sep 7 201590TM 11-5841-294-12APR-39 RADAR/LASERWARNING PMCS (5841-01-236-8951)

Jun 9 2015D

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-18, NOV 91, MAY BE USED

DA FORM 2408-18 E, OCT 97 EQUIPMENT INSPECTION LIST

A = APU OPERATING HOURS P = APU STARTS F = HOT SECTION FACTORSFREQUENCY LEGEND: H = ACFT HRS D = DAYS M = MONTHS Y = YEARS R = ROUNDS C = CYCLES S = ENG1 STARTS Z = ENG2 STARTS

Report Date: 13-Oct-2015 4/4

9100268HELICOPTER, CARGO CH-47D

7. FREQUENCY 4.

5. ITEMS TO BE INSPECTED

2. MODEL 3. SERIAL NUMBER 1. NOMENCLATURE

8. NEXTNO DUE 6. REFERENCE 9. COMPLETED AT

INSP

E095 7507.425TM 11-5841-294-12APR-39 RADAR/LASERWARNING PMCS (5841-01-236-8951)

7482.4H

E125 Aug 30 201590TM 11-5810-262-23KY-58 PMCS/OPNL CHECK Jun 1 2015D

E155 Dec 6 2015180TM 11-5810-262-23KY-58 BATTERY REPLACEMENT Jun 9 2015D

E221 7532.7100AWR EBC-406HM ELT/INST&MAINT MAN.

PERFORM EBC-406HM ELT SELFTEST AS REQUIRED BY AWRDATED 13 FEB 09

7432.7H

E222 Apr 8 201612AWR & INST& MM FOREBC-406HM

PERFORM ANNUAL G-SWITCHTEST FOR EBC-406HM ELT IAWAWR

Apr 8 2015M

E223 Apr 22 201960INSTRUCT&MM EBC-406HM ELT

EBC-406HM ELT BATTERYREPLACEMENT DUE

Apr 22 2014M

E240 Nov 24 2015180TM 11-5895-1733-13PER MAINT OFFICE

AN/APX 118TRANSPONDER/MODE 4FUNCTION CHECK

May 28 2015D

E240 May 28 201724TM 11-5895-1733-13PER MAINT OFFICE

AN/APX 118TRANSPONDER/MODE 4FUNCTION CHECK

May 28 2015M

E241 Dec 6 2015180TM 11-5841-294-12AN/APX 118 BATTERYREPLACEMENT DUE

Jun 9 2015D

E280 Dec 6 2015180TM 55-1520-240-23-7DIGITAL CLOCK BATTERYREPLACEMENT DUE.

Jun 9 2015D

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-18, NOV 91, MAY BE USED

DA FORM 2408-18 E, OCT 97 EQUIPMENT INSPECTION LIST

A = APU OPERATING HOURS P = APU STARTS F = HOT SECTION FACTORSFREQUENCY LEGEND: H = ACFT HRS D = DAYS M = MONTHS Y = YEARS R = ROUNDS C = CYCLES S = ENG1 STARTS Z = ENG2 STARTS

25-Jun-20063RD

99999

1520010883669HELICOPTER, C91002680513651080402-141-350-10

5. NSN 8. ACCEPT. DATE2. SN 7. STAGE6. CAGE NO.4. NOMENCLATURE3. ACFT1. PART NO

Report Date: Page 1 of 113-Oct-2015

WHEEL WITH BLADES

(1) b (2)(1)BEFORE GRIND

b (2)

WHEEL WITH BLADESDATE AFTER GRIND

aBEFORE GRINDTIMEDATEAFTER GRINDTIME

WHEEL WHEEL c

WHEEL DIAMETRICAL MEASUREMENTS

a

c

9.

17 16.210625-Jul-2006

ABNORMAL TEMPERATURE AND/OR OVERSPEED DATA10.

TEMPERATUREENGINE TimeWHEELREMARKSTIMEDATE TIME Over Limit(Degrees C) SPEED

a b f gc d e

REMOVEDSN

INSTALLATION DATAINSTALLED

DATEc

11.

MODELENGINE

ENG TIME

ACTIVITY

d REASON FOR

(2)W/T

bENG TIME

a (1) (2)

DATE

(1)

REMOVAL

(1) e f(2)

T55-GA-714AHONEYWELL 06PGA00934 25-Jul-2006

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF MAY 67 IS OBSOLETE

AIRCRAFT ENGINE TURBINE WHEEL HISTORICAL RECORDDA FORM 2408-19-E, NOV 91

25-Jul-20061ST

99999

1520010883669HELICOPTER, C91002680613651000962-121-090-79

5. NSN 8. ACCEPT. DATE2. SN 7. STAGE6. CAGE NO.4. NOMENCLATURE3. ACFT1. PART NO

Report Date: Page 1 of 113-Oct-2015

WHEEL WITH BLADES

(1) b (2)(1)BEFORE GRIND

b (2)

WHEEL WITH BLADESDATE AFTER GRIND

aBEFORE GRINDTIMEDATEAFTER GRINDTIME

WHEEL WHEEL c

WHEEL DIAMETRICAL MEASUREMENTS

a

c

9.

15 14.506225-Jul-2006

ABNORMAL TEMPERATURE AND/OR OVERSPEED DATA10.

TEMPERATUREENGINE TimeWHEELREMARKSTIMEDATE TIME Over Limit(Degrees C) SPEED

a b f gc d e

REMOVEDSN

INSTALLATION DATAINSTALLED

DATEc

11.

MODELENGINE

ENG TIME

ACTIVITY

d REASON FOR

(2)W/T

bENG TIME

a (1) (2)

DATE

(1)

REMOVAL

(1) e f(2)

T55-GA-714AHONEYWELL 06PGA00934 25-Jul-2006

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF MAY 67 IS OBSOLETE

AIRCRAFT ENGINE TURBINE WHEEL HISTORICAL RECORDDA FORM 2408-19-E, NOV 91

25-Jul-20064TH

99999

1520010883669HELICOPTER, C91002680613651006772-141-170-22

5. NSN 8. ACCEPT. DATE2. SN 7. STAGE6. CAGE NO.4. NOMENCLATURE3. ACFT1. PART NO

Report Date: Page 1 of 113-Oct-2015

WHEEL WITH BLADES

(1) b (2)(1)BEFORE GRIND

b (2)

WHEEL WITH BLADESDATE AFTER GRIND

aBEFORE GRINDTIMEDATEAFTER GRINDTIME

WHEEL WHEEL c

WHEEL DIAMETRICAL MEASUREMENTS

a

c

9.

19 18.524225-Jul-2006

ABNORMAL TEMPERATURE AND/OR OVERSPEED DATA10.

TEMPERATUREENGINE TimeWHEELREMARKSTIMEDATE TIME Over Limit(Degrees C) SPEED

a b f gc d e

REMOVEDSN

INSTALLATION DATAINSTALLED

DATEc

11.

MODELENGINE

ENG TIME

ACTIVITY

d REASON FOR

(2)W/T

bENG TIME

a (1) (2)

DATE

(1)

REMOVAL

(1) e f(2)

T55-GA-714AHONEYWELL 06PGA00934 25-Jul-2006

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF MAY 67 IS OBSOLETE

AIRCRAFT ENGINE TURBINE WHEEL HISTORICAL RECORDDA FORM 2408-19-E, NOV 91

19-Mar-20071ST

99999

1520010883669HELICOPTER, C91002680613651017372-121-090-79

5. NSN 8. ACCEPT. DATE2. SN 7. STAGE6. CAGE NO.4. NOMENCLATURE3. ACFT1. PART NO

Report Date: Page 1 of 113-Oct-2015

WHEEL WITH BLADES

(1) b (2)(1)BEFORE GRIND

b (2)

WHEEL WITH BLADESDATE AFTER GRIND

aBEFORE GRINDTIMEDATEAFTER GRINDTIME

WHEEL WHEEL c

WHEEL DIAMETRICAL MEASUREMENTS

a

c

9.

15 14.504618-Mar-2007

ABNORMAL TEMPERATURE AND/OR OVERSPEED DATA10.

TEMPERATUREENGINE TimeWHEELREMARKSTIMEDATE TIME Over Limit(Degrees C) SPEED

a b f gc d e

REMOVEDSN

INSTALLATION DATAINSTALLED

DATEc

11.

MODELENGINE

ENG TIME

ACTIVITY

d REASON FOR

(2)W/T

bENG TIME

a (1) (2)

DATE

(1)

REMOVAL

(1) e f(2)

T55-GA-714AHONEYWELL 19-Mar-2007

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF MAY 67 IS OBSOLETE

AIRCRAFT ENGINE TURBINE WHEEL HISTORICAL RECORDDA FORM 2408-19-E, NOV 91

19-Mar-20074TH

99999

1520010883669HELICOPTER, C91002680613651018192-141-170-22

5. NSN 8. ACCEPT. DATE2. SN 7. STAGE6. CAGE NO.4. NOMENCLATURE3. ACFT1. PART NO

Report Date: Page 1 of 113-Oct-2015

WHEEL WITH BLADES

(1) b (2)(1)BEFORE GRIND

b (2)

WHEEL WITH BLADESDATE AFTER GRIND

aBEFORE GRINDTIMEDATEAFTER GRINDTIME

WHEEL WHEEL c

WHEEL DIAMETRICAL MEASUREMENTS

a

c

9.

19 18.523819-Mar-2007

ABNORMAL TEMPERATURE AND/OR OVERSPEED DATA10.

TEMPERATUREENGINE TimeWHEELREMARKSTIMEDATE TIME Over Limit(Degrees C) SPEED

a b f gc d e

REMOVEDSN

INSTALLATION DATAINSTALLED

DATEc

11.

MODELENGINE

ENG TIME

ACTIVITY

d REASON FOR

(2)W/T

bENG TIME

a (1) (2)

DATE

(1)

REMOVAL

(1) e f(2)

T55-GA-714AHONEYWELL 07PGA01075 19-Mar-2007

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF MAY 67 IS OBSOLETE

AIRCRAFT ENGINE TURBINE WHEEL HISTORICAL RECORDDA FORM 2408-19-E, NOV 91

19-Mar-20073RD

99999

1520010883669HELICOPTER, C91002680613651032582-141-350-10

5. NSN 8. ACCEPT. DATE2. SN 7. STAGE6. CAGE NO.4. NOMENCLATURE3. ACFT1. PART NO

Report Date: Page 1 of 113-Oct-2015

WHEEL WITH BLADES

(1) b (2)(1)BEFORE GRIND

b (2)

WHEEL WITH BLADESDATE AFTER GRIND

aBEFORE GRINDTIMEDATEAFTER GRINDTIME

WHEEL WHEEL c

WHEEL DIAMETRICAL MEASUREMENTS

a

c

9.

17 16.210319-Mar-2007

ABNORMAL TEMPERATURE AND/OR OVERSPEED DATA10.

TEMPERATUREENGINE TimeWHEELREMARKSTIMEDATE TIME Over Limit(Degrees C) SPEED

a b f gc d e

REMOVEDSN

INSTALLATION DATAINSTALLED

DATEc

11.

MODELENGINE

ENG TIME

ACTIVITY

d REASON FOR

(2)W/T

bENG TIME

a (1) (2)

DATE

(1)

REMOVAL

(1) e f(2)

T55-GA-714AHONYWELL 07PGA01075 19-Mar-2007

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF MAY 67 IS OBSOLETE

AIRCRAFT ENGINE TURBINE WHEEL HISTORICAL RECORDDA FORM 2408-19-E, NOV 91

T-55-GA-714AENGINE ASSY, TURBINE 07PGA01075

Report Date:

ACT/REQALTTSONUMBER °C ACT/REQACT/REQPRESS N1 %ENGSERIAL OAT ENG/TOTTORQUE

10.9.6. AIRCRAFT 7. 8. 13. REMARKS4. DATE 5. BASETORQ

12.11.

3. ENGINE SERIAL NUMBER2. ENGINE MODEL 1. NOMENCLATURE

Page 1 of 113-Oct-2015

/ / /

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

T53/55 TURBINE ENGINE ANALYSIS CHECK RECORDDA FORM 2408-19-1 E, NOV 91

T-55-GA-714AENGINE ASSY, TURBINE 06PGA00934

Report Date:

ACT/REQALTTSONUMBER °C ACT/REQACT/REQPRESS N1 %ENGSERIAL OAT ENG/TOTTORQUE

10.9.6. AIRCRAFT 7. 8. 13. REMARKS4. DATE 5. BASETORQ

12.11.

3. ENGINE SERIAL NUMBER2. ENGINE MODEL 1. NOMENCLATURE

Page 1 of 113-Oct-2015

/ / /

For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

T53/55 TURBINE ENGINE ANALYSIS CHECK RECORDDA FORM 2408-19-1 E, NOV 91

Report Date:

ENGINE POWER ASSURANCE TEST RECORD1/113-Oct-2015

06PGA00934

MARGIN VALUE FLOWMAX / ACT ALT °C MAX / ACT MIN / ACT

6. PRESS 9. N1 %

3. AIRCRAFT SERIAL NUMBER

7. OAT 8. PTIT 10. TORQUE4. DATE 5. ENGINE TSO

12. REMARKS / TEMP11. FUEL

2. ENGINE SERIAL NUMBER1. ENGINE MODEL

760/806 / TEMP MARGIN VALUE 46/PAT TRIGGER VALUE 20FOR FIELDING OF NEWECU

19102100102103.616200044024-Nov-2009 /

764/806 / DESSERT MODCOMPLETION

21009190102103.324300047608-Jun-2010 /

770/806 / PAC WITHIN LIMITS18009191102103.2282000027-Jul-2010 /

778.8/806 / TRIGGER VALUE: 20180092.592.1102.4103.226206975319-May-2012 /

750/806 / TEMP MARGIN: 56TRIGGER VALUE: 18

18009896100.2103.714200090812-Jan-2014 /

760/806 / A/C MOD TO 714 ENGINES17009693101103262500010-May-2007 /

760/806 / TEMP MARGIN VALUE 46/PAT TRIGGER VALUE 19FOR FIELDING OF NEWECU

1800102.5102101103.714200044324-Nov-2009 /

764/806 / DESSERT MWOCOMPLETION

22009190101103.224300047608-Jun-2010 /

775/806 / PAC WITHIN LIMITS17009191101.5103.2282000027-Jul-2010 /

757.8/806 / TRIGGER VALUE: 19170092.391.8100.4103.224257375519-May-2012 /

750/806 / TEMP MARGIN: 56TRIGGER VALUE: 14

17009696100103.714200090812-Jan-2014 /

DA FORM 2408-19-X E

0

50

7398.2

9100268 0 908

e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER

CH-47D 06PGA00934 Days

b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER

HELICOPTER, CARGO ENGINE ASSY, TURBINE Hrs

a. NOMENCLATUREa. NOMENCLATUREFREQUENCY

COMPONENT

3.2.SAMPLEEND ITEM

1.

Report Date: Page 1 of 913-Oct-2015

a bSUBMITTED c a b

SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM

RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.

COMPONENT

DR53666514-May-2015NORMALROUTINE507454.77448.408-May-2015

DR53666506-Feb-2015NORMALROUTINE48.77398.27398.205-Feb-2015

DR53666528-Aug-2014NORMALROUTINE17.47349.57349.528-Aug-2014

DR53666510-Jul-2014NORMALBASELINE227.97332.17332.109-Jul-2014

JS19114217-Jan-2014NORMALROUTINE199959730313-Jan-2014

RL76561016-May-2013NORMALROUTINE154909725810-May-2013

RL76561026-Mar-2013NORMALROUTINE103858720707-Mar-2013

SG50718702-Jul-2012NORMALROUTINE49804715327-Jun-2012

SG50718708-May-2012NORMALBASELINE753710403-May-2012

PP21389609-Aug-2011NORMALROUTINE498702814-Jul-2011

PP21389604-Jan-2011NORMALROUTINE448697819-Nov-2010

PP21389613-Aug-2010NORMALROUTINE397692727-Jul-2010

PP21389617-Feb-2010NORMALROUTINE348687829-Jan-2010

PP21389629-Jan-2010NORMALROUTINE297682704-Jan-2010

MS06803409-Sep-2009NORMALROUTINE249677920-Aug-2009

PP21389607-Apr-2009NORMALROUTINE198672820-Mar-2009

PP21389614-Jan-2009NORMALROUTINE147667722-Dec-2008

PP21389623-Sep-2008NORMALROUTINE96662611-Sep-2008

PP21389605-Aug-2008NORMALROUTINE50658018-Jul-2008

PP21389618-Jun-2008NORMALBASELINE653029-May-2008

PP21389618-Jun-2008NORMALROUTINE68648005-Dec-2007

SC08323430-Aug-2007NORMALROUTINE18643016-Aug-2007

PP21389626-Jun-2007NORMALINITIAL641215-Apr-2007

SN5, "A"

9. REMARKS:

For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED

OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97

0

50

7398.2

9100268 0 910

e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER

CH-47D 07PGA01075 Days

b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER

HELICOPTER, CARGO ENGINE ASSY, TURBINE Hrs

a. NOMENCLATUREa. NOMENCLATUREFREQUENCY

COMPONENT

3.2.SAMPLEEND ITEM

1.

Report Date: Page 2 of 913-Oct-2015

a bSUBMITTED c a b

SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM

RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.

COMPONENT

DR53666514-May-2015NORMALROUTINE507454.77448.408-May-2015

DR53666506-Feb-2015NORMALROUTINE48.77398.27398.205-Feb-2015

DR53666528-Aug-2014NORMALROUTINE17.47349.57349.528-Aug-2014

DR53666510-Jul-2014NORMALBASELINE227.97332.17332.109-Jul-2014

JS19114217-Jan-2014NORMALROUTINE199962730313-Jan-2014

RL76561016-May-2013NORMALROUTINE154910725810-May-2013

RL76561026-Mar-2013NORMALROUTINE103859720707-Mar-2013

SG50718702-Jul-2012NORMALROUTINE49805715327-Jun-2012

SG50718708-May-2012NORMALBASELINE7557104.203-May-2012

50 HOUR546707617-Oct-2011

PP21389609-Aug-2011NORMALROUTINE498702814-Jul-2011

PP21389604-Jan-2011NORMALROUTINE448697819-Nov-2010

PP21389613-Aug-2010NORMALROUTINE397692727-Jul-2010

PP21389617-Feb-2010NORMALROUTINE348687829-Jan-2010

PP21389629-Jan-2010NORMALROUTINE297682704-Jan-2010

MS06803409-Sep-2009NORMALROUTINE249677920-Aug-2009

PP21389607-Apr-2009NORMALROUTINE198672820-Mar-2009

PP21389614-Jan-2009NORMALROUTINE147667722-Dec-2008

PP21389623-Sep-2008NORMALROUTINE96662611-Sep-2008

PP21389605-Aug-2008NORMALROUTINE50658018-Jul-2008

PP21389618-Jun-2008NORMALBASELINE653029-May-2008

PP21389618-Jun-2008NORMALROUTINE68648005-Dec-2007

SC08323430-Aug-2007NORMALROUTINE18643016-Aug-2007

PP21389626-Jun-2007NORMALINITIAL641215-Apr-2007

SN6, "A"

9. REMARKS:

For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED

OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97

0

400

7398.2

9100268 CC 4340

e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER

CH-47D A7-574 Days

b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER

HELICOPTER, CARGO FORWARD TRANSMISSION Hrs

a. NOMENCLATUREa. NOMENCLATUREFREQUENCY

COMPONENT

3.2.SAMPLEEND ITEM

1.

Report Date: Page 3 of 913-Oct-2015

a bSUBMITTED c a b

SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM

RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.

COMPONENT

DR53666514-May-2015NORMALROUTINE503114.77448.408-May-2015

DR53666506-Feb-2015NORMALROUTINE48.73058.27398.205-Feb-2015

DR53666528-Aug-2014NORMALROUTINE17.43009.57349.528-Aug-2014

DR53666510-Jul-2014NORMALBASELINE227.92992.17332.109-Jul-2014

JS19114217-Jan-2014NORMALBASELINE1992963730313-Jan-2014

SG50718708-May-2012NORMALBASELINE2764710403-May-2012

SG50718703-May-2012NO RESULTS50 HOUR5462736707617-Oct-2011

PP13542309-Aug-2011NORMALROUTINE4982688702814-Jul-2011

PP21389604-Jan-2011NORMALROUTINE4482638697819-Nov-2010

PP21389613-Aug-2010NORMALROUTINE3972587692727-Jul-2010

PP21389617-Feb-2010NORMALROUTINE3482538687829-Jan-2010

PP21389629-Jan-2010NORMALROUTINE2972487682704-Jan-2010

MS06803409-Sep-2009NORMALROUTINE2492439677920-Aug-2009

PP21389607-Apr-2009NORMALROUTINE1982388672820-Mar-2009

PP21389610-Feb-2009NORMALSPECIAL1712361670128-Jan-2009

PP21389614-Jan-2009ABNORMALROUTINE1472337667722-Dec-2008

PP21389623-Sep-2008NORMALROUTINE962286662611-Sep-2008

PP21389605-Aug-2008NORMALROUTINE502240658018-Jul-2008

PP21389618-Jun-2008NORMALBASELINE2190653029-May-2008

PP21389603-Jan-2008ABNORMALLAB REQUES64942154649411-Dec-2007

PP21389603-Jan-2008ABNORMALROUTINE64802140648005-Dec-2007

SC08323430-Aug-2007NORMALROUTINE64302090643016-Aug-2007

PP21389626-Sep-2006NORMALLAB REQUES63842044638412-Sep-2006

PP21389620-Sep-2006ABNORMALROUTINE63742034637925-Aug-2006

JD41544905-May-2006NORMALROUTINE63551990633005-May-2006

JD41544908-Feb-2006NORMALROUTINE63551990633001-Feb-2006

AL1, MG1, SN7, "A"

9. REMARKS:

For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED

OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97

0

400

7398.2

9100268 CC 4340

e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER

CH-47D A9-576 Days

b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER

HELICOPTER, CARGO AFT TRANSMISSION Hrs

a. NOMENCLATUREa. NOMENCLATUREFREQUENCY

COMPONENT

3.2.SAMPLEEND ITEM

1.

Report Date: Page 4 of 913-Oct-2015

a bSUBMITTED c a b

SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM

RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.

COMPONENT

DR53666514-May-2015NORMALROUTINE503114.77448.408-May-2015

DR53666506-Feb-2015NORMALROUTINE48.73058.27398.205-Feb-2015

DR53666528-Aug-2014NORMALROUTINE17.43009.57349.528-Aug-2014

DR53666510-Jul-2014NORMALBASELINE227.92992.17332.109-Jul-2014

JS19114217-Jan-2014NORMALBASELINE1992963730313-Jan-2014

SG50718708-May-2012NORMALBASELINE2764710403-May-2012

SG50718703-May-2012NO RESULTS50 HOUR5462736707617-Oct-2011

PP21389609-Aug-2011NORMALROUTINE4982688702814-Jul-2011

PP21389604-Jan-2011NORMALROUTINE4482638697819-Nov-2010

PP21389613-Aug-2010NORMALROUTINE3972587692727-Jul-2010

PP21389617-Feb-2010NORMALROUTINE3482538687829-Jan-2010

PP21389629-Jan-2010NORMALROUTINE2972487682704-Jan-2010

MS06803409-Sep-2009NORMALROUTINE2492439677920-Aug-2009

PP21389607-Apr-2009NORMALROUTINE1982388672820-Mar-2009

PP21389614-Jan-2009NORMALSPECIAL1472337667722-Dec-2008

MS06803426-Nov-2008ABNORMALLAB REQUES1352325666521-Nov-2008

PP21389603-Dec-2008ABNORMALLAB REQUES1012291663103-Nov-2008

PP21389623-Sep-2008ABNORMALROUTINE962286662611-Sep-2008

PP21389605-Aug-2008NORMALROUTINE502240658018-Jul-2008

PP21389618-Jun-2008NORMALBASELINE2190653029-May-2008

PP21389603-Jan-2008ABNORMALLAB REQUES64942154649411-Dec-2007

PP21389603-Jan-2008ABNORMALROUTINE64802140648005-Dec-2007

SC08323430-Aug-2007NORMALROUTINE64302090643016-Aug-2007

JD41544911-Sep-2006NORMALROUTINE63742034637925-Aug-2006

JD41544905-May-2006NORMALROUTINE63551990633005-May-2006

JD41544908-Feb-2006NORMALROUTINE63551990633001-Feb-2006

AL1, SN6, MO1, "A"

9. REMARKS:

For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED

OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97

0

400

7398.2

9100268 CC 6138

e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER

CH-47D A8-156 Days

b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER

HELICOPTER, CARGO COMBINING TRANSMISSION Hrs

a. NOMENCLATUREa. NOMENCLATUREFREQUENCY

COMPONENT

3.2.SAMPLEEND ITEM

1.

Report Date: Page 5 of 913-Oct-2015

a bSUBMITTED c a b

SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM

RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.

COMPONENT

DR53666514-May-2015NORMALROUTINE503219.77448.408-May-2015

DR53666506-Feb-2015NORMALROUTINE48.73163.27398.205-Feb-2015

DR53666528-Aug-2014NORMALROUTINE17.43114.57349.528-Aug-2014

DR53666510-Jul-2014NORMALBASELINE227.93097.17332.109-Jul-2014

JS19114217-Jan-2014NORMALBASELINE1993068730313-Jan-2014

SG50718708-May-2012NORMALBASELINE2869710403-May-2012

PP21389609-Aug-2011NORMALROUTINE4982793702814-Jul-2011

PP21389607-Dec-2010NORMALLAB REQUES4512746698101-Dec-2010

PP21389630-Nov-2010ABNORMALROUTINE4482743697819-Nov-2010

PP21389613-Aug-2010NORMALROUTINE3972692692727-Jul-2010

PP21389617-Feb-2010NORMALROUTINE3482643687829-Jan-2010

PP21389629-Jan-2010NORMALROUTINE2972592682704-Jan-2010

JP83012418-Sep-2009NORMALSPECIAL2542549678418-Sep-2009

MS06803409-Sep-2009NORMALROUTINE2492544677920-Aug-2009

PP21389608-Jul-2009NORMALLAB REQUES2162511674619-Jun-2009

PP21389619-Jun-2009ABNORMALLAB REQUES2012496673128-May-2009

PP21389607-Apr-2009ABNORMALROUTINE1982493672820-Mar-2009

PP21389614-Jan-2009NORMALROUTINE1472442667722-Dec-2008

PP21389623-Sep-2008NORMALROUTINE962391662611-Sep-2008

PP21389605-Aug-2008NORMALROUTINE502345658018-Jul-2008

PP21389618-Jun-2008NORMALBASELINE2295653029-May-2008

PP21389603-Jan-2008ABNORMALLAB REQUES64942259649411-Dec-2007

PP21389603-Jan-2008ABNORMALROUTINE64802245648005-Dec-2007

SC08323430-Aug-2007NORMALROUTINE64302195643016-Aug-2007

JD41544911-Sep-2006NORMALROUTINE63742139637925-Aug-2006

SN6, MO1, "A"

9. REMARKS:

For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED

OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97

0

400

7398.2

9100268 CC 6330

e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER

CH-47D A11-524DRGI Days

b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER

HELICOPTER, CARGO TMSN ASSY ENGINE MECH Hrs

a. NOMENCLATUREa. NOMENCLATUREFREQUENCY

COMPONENT

3.2.SAMPLEEND ITEM

1.

Report Date: Page 6 of 913-Oct-2015

a bSUBMITTED c a b

SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM

RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.

COMPONENT

DR53666514-May-2015NORMALROUTINE503910.77448.408-May-2015

DR53666506-Feb-2015NORMALROUTINE48.73854.27398.205-Feb-2015

DR53666528-Aug-2014NORMALROUTINE17.43805.57349.528-Aug-2014

DR53666510-Jul-2014NORMALBASELINE227.93788.17332.109-Jul-2014

JS19114217-Jan-2014NORMALBASELINE1993759730313-Jan-2014

SG50718708-May-2012NORMALBASELINE3560710403-May-2012

PP21389609-Aug-2011NORMALROUTINE4983484702814-Jul-2011

PP21389604-Jan-2011NORMALROUTINE4483434697819-Nov-2010

PP21389613-Aug-2010NORMALROUTINE3973383692727-Jul-2010

PP21389617-Feb-2010NORMALROUTINE3483334687829-Jan-2010

PP21389629-Jan-2010NORMALROUTINE2973283682704-Jan-2010

MS06803409-Sep-2009NORMALROUTINE2493235677920-Aug-2009

PP21389607-Apr-2009NORMALROUTINE1983184672820-Mar-2009

PP21389614-Jan-2009NORMALROUTINE1473133667722-Dec-2008

PP21389623-Sep-2008NORMALROUTINE963082662611-Sep-2008

PP21389605-Aug-2008NORMALROUTINE503036658018-Jul-2008

PP21389618-Jun-2008NORMALBASELINE2986653029-May-2008

PP21389603-Jan-2008NORMALLAB REQUES64942950649411-Dec-2007

PP21389603-Jan-2008ABNORMALROUTINE64802936648005-Dec-2007

SC08323430-Aug-2007NORMALROUTINE64302886643016-Aug-2007

PP21389626-Sep-2006NORMALLAB REQUES63842840638412-Sep-2006

PP21389620-Sep-2006ABNORMALROUTINE63742830637925-Aug-2006

JD41544905-May-2006NORMALROUTINE63552302633005-May-2006

JD41544908-Feb-2006NORMALROUTINE63552302633001-Feb-2006

SN6, MO1, "A"

9. REMARKS:

For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED

OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97

0

400

7398.2

9100268 CC 5485

e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER

CH-47D A11-468 Days

b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER

HELICOPTER, CARGO TMSN ASSY ENGINE MECH Hrs

a. NOMENCLATUREa. NOMENCLATUREFREQUENCY

COMPONENT

3.2.SAMPLEEND ITEM

1.

Report Date: Page 7 of 913-Oct-2015

a bSUBMITTED c a b

SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM

RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.

COMPONENT

DR53666514-May-2015NORMALROUTINE503736.77448.408-May-2015

DR53666506-Feb-2015NORMALROUTINE48.73680.27398.205-Feb-2015

DR53666528-Aug-2014NORMALROUTINE17.43631.57349.528-Aug-2014

DR53666510-Jul-2014NORMALBASELINE227.93614.17332.109-Jul-2014

JS19114217-Jan-2014NORMALBASELINE1993585730313-Jan-2014

SG50718708-May-2012NORMALBASELINE3386710403-May-2012

PP21389609-Aug-2011NORMALROUTINE4983310702814-Jul-2011

PP21389604-Jan-2011NORMALROUTINE4483260697819-Nov-2010

PP21389613-Aug-2010NORMALROUTINE3973209692727-Jul-2010

PP21389617-Feb-2010NORMALROUTINE3483160687829-Jan-2010

PP21389629-Jan-2010NORMALROUTINE2973109682704-Jan-2010

MS06803409-Sep-2009NORMALROUTINE2493061677920-Aug-2009

PP21389619-Jun-2009NORMALLAB REQUES2013013673128-May-2009

PP21389607-Apr-2009ABNORMALROUTINE1983010672820-Mar-2009

PP21389614-Jan-2009NORMALROUTINE1472959667722-Dec-2008

PP21389623-Sep-2008NORMALROUTINE962908662611-Sep-2008

PP21389622-Aug-2008NORMALSPECIAL682880659812-Aug-2008

PP21389605-Aug-2008NORMALROUTINE502862658018-Jul-2008

PP21389618-Jun-2008NORMALBASELINE2812653029-May-2008

PP21389618-Jun-2008NORMALROUTINE9952762648005-Dec-2007

SC08323430-Aug-2007NORMALROUTINE9452712643016-Aug-2007

JD41544911-Sep-2006NORMALROUTINE8942661637925-Aug-2006

JD41544905-May-2006NORMALROUTINE8452612633005-May-2006

JD41544908-Feb-2006NORMALROUTINE8452612633001-Feb-2006

SI2, SN5, "A"

9. REMARKS:

For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED

OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97

0

400

0

9100268 CC 6784

e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER

CH-47D 9100268 #1 FLT Days

b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER

HELICOPTER, CARGO HYDRAULIC SYSTEM #1 FLIGHT Hrs

a. NOMENCLATUREa. NOMENCLATUREFREQUENCY

COMPONENT

3.2.SAMPLEEND ITEM

1.

Report Date: Page 8 of 913-Oct-2015

a bSUBMITTED c a b

SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM

RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.

COMPONENT

PP21389613-Aug-2010NORMALPOST PHASE6927143692727-Jul-2010

9. REMARKS:

For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED

OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97

0

400

0

9100268 CC 6784

e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER

CH-47D 9100268 #2 FLT Days

b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER

HELICOPTER, CARGO HYDRAULIC SYSTEM #2 FLIGHT Hrs

a. NOMENCLATUREa. NOMENCLATUREFREQUENCY

COMPONENT

3.2.SAMPLEEND ITEM

1.

Report Date: Page 9 of 913-Oct-2015

a bSUBMITTED c a b

SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM

RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.

COMPONENT

PP21389613-Aug-2010NORMALPOST PHASE6927143692727-Jul-2010

9. REMARKS:

For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED

OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97

e

10.

ig

fd

cbaRMVL HRSRMVL HRS

COMPNOMENWUCREADING

LOCATIONNSNAND

h

LIFE METERSER NO. ORAND

NOMENCLATURE PN INST HRSDUEREPLACE

INST HRSCOMPONENTNOMEN REPLACECOMP

Report Date:

METER TRACKED COMPONENT RECORD

6. ACFT MODEL 7. ACFT SERIAL NUMBER 8. ACFT HRS INSTALLED 9. METER READINGS AT INSTALL

00

4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

13-Oct-2015 Page 1 of 2

DA FORM 2408-33-R-E, JUL 04

e

10.

ig

fd

cbaRMVL HRSRMVL HRS

COMPNOMENWUCREADING

LOCATIONNSNAND

h

LIFE METERSER NO. ORAND

NOMENCLATURE PN INST HRSDUEREPLACE

INST HRSCOMPONENTNOMEN REPLACECOMP

Report Date:

METER TRACKED COMPONENT RECORD

6. ACFT MODEL 7. ACFT SERIAL NUMBER 8. ACFT HRS INSTALLED 9. METER READINGS AT INSTALL

00

4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE

13-Oct-2015 Page 2 of 2

11. SIGNIFICANT HISTORICAL DATA

REVERSE OF DA FORM 2408-33-R-E, JUL 04

LIN

E

17

12

19

39

5

3=

18

53

95 0

00

0

3rd

CO

MP

a

1-

2.

E

NG

S/N

CH

-47

D

3. N

OM

EN

CL

AT

UR

E

07

PG

A0

10

75

1. M

OD

EL

2

EN

GIN

E A

SS

Y, T

UR

BIN

E

PA

RT

1 -

71

4A

EN

GIN

E /

CO

MP

ON

EN

T R

EP

OR

T A

PP

RO

VE

D B

Y H

Q D

A G

4

f

2-0

01

-02

0-3

9

g

GP

SP

AC

ER

4. P

/N

0

19

22

03 0

EN

G O

P H

RS

AC

FT

h

1st

GP

5A

. D

EC

U S

/N

5. S

/N

90

8

3rd

TU

RB

17

1

ed

21

93

95

0

18

53

95

19

22

03

90

8 0

4th

TU

RB

bc

1st

TU

RB

2n

d T

UR

B

EN

GIN

E =

To

tal C

ou

nts

RE

AD

ING

AT

RE

MO

VA

L O

F

7.

NO

. O

F O

VE

RH

AU

LS

RE

AD

ING

AT

Co

un

ts s

ince

inst

all

LIN

E 2

MIN

US

LIN

E 1

= T

ota

l

INS

TA

LL

AT

ION

CYC/HRS

NSTALL

REMOVAL

CYC/HRS

REMOVAL

f

NSTALL

ji kgdcbaCYC/HRS

COMPO/H

NOMEN

WUC

Hours/Cycles)

O/H

LOCATIONNSNAND

heSINCE

LIFE

(EnginePREV

SER NO.AND

NOMENCLATURE PN

TIME CYC/HRS

DUEREPLACE

NO.

COMPONENTNOMEN

REP.O/H ORCOMP

6.

00

5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE

HELICOPTER, CARGO 1520010883669 CH-47D 9100268

Report Date: 1/413-Oct-2015

Cycles204A03A2-121-090-79061304A03A

0RCDISK ASSY, 1ST TURBINE 2-121-090-79 061365100096 RC 0 10400 10400

Cycles104A03A2-121-090-79061304A03A

0RCDISK ASSY, 1ST TURBINE 2-121-090-79 061365101737 RC 0 10400 10400

Eng Hrs204A05A110700-02D6115904A05A

00HYDROMECHANICAL ASSY 110700-02D6 1159901370009 0 0 2400 2400

Eng Hrs104A05A110700-02D6115904A05A

00HYDROMECHANICAL ASSY 110700-02D6 1159901370154 0 0 2400 2400

SIGNIFICANT HISTORICAL DATA7.

24-Jun-2012 1 WUC 04A P/N: 2-001-020-39 S/N: 07PGA01075 ENGINE TURBINE ASSYAT 805.3 ENGINE HOURS, ZERO OVERHAULS THE FOLLOWING BLADES WERE REPAIRED AND/ORREPLACED: REPAIRED 1 (EA) AND REPLACED 2 (EA) FIRST STAGE COMPRESSOR BLADES.

PP135423 AASF #3 DAVENPORT, IA

05-Jan-2005 1 CCAD-OVERHAULED, TSN: 3576, TSO: 0, O/H : # 2, CONTROL NUMBER DLMD-23340. THE RETIREMENTINTERVALS OF THESE PARTS MAY BE EXTENDED 100% PROVIDED THEY ARE ROTATED 180 DEG. AT 1200HOURS. HUB WAS RECAPPED IAW AED T3332. * THESE HORIZONTAL PINS & BEARINGS MUST BEROTATED AT M/R HEAD TOTAL TIME: 4776 HOURS. S/N'S: A969, VM4773, VM5547, N29810, N31209, &N29807. * ROTATE BRNG S/N: N16382 AT M/R HEAD TOTAL TIME: 4176 HOURS. * ROTATE BRNGS S/N:X93997X & X95986X AT M/R HEAD TT: 4411 HOURS * ROTATE BRNG S/N: X95534X AT M/R HEAD TOTALTIME: 4381 HOURS. * ROTATE BRNGS S/N: ZN89961 AT M/R HEAD TOTAL TIME: 4592 HOURS. * ROTATEBRNG S/N: N19815 AT M/R HEAD TOTAL TIME: 4645 HOURS. ** THESE BEARINGS HAVE BEEN ROTATEDAND MUST BE REPLACED AT M/R HEAD TOTAL TIME: 4776 HOURS.

MS068034 CCAD C.C TX 78419

PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4

CYC/HRS

NSTALL

REMOVAL

CYC/HRS

REMOVAL

f

NSTALL

ji kgdcbaCYC/HRS

COMPO/H

NOMEN

WUC

Hours/Cycles)

O/H

LOCATIONNSNAND

heSINCE

LIFE

(EnginePREV

SER NO.AND

NOMENCLATURE PN

TIME CYC/HRS

DUEREPLACE

NO.

COMPONENTNOMEN

REP.O/H ORCOMP

6.

00

5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE

HELICOPTER, CARGO 1520010883669 CH-47D 9100268

Report Date: 2/413-Oct-2015

11-May-2005 1 *** FWD HORZ PIN, BRG, LEAD SN# N16382 ROTATED. 3912 HEAD HOURS. BEARING DUE REPLACEMENTAT 5112 HEAD HOURS. CD8204.

MS068034 OLR/LSI FT LEWIS WA.

12-Apr-2012 1 ROTOR HEAD ASSY FWD NSN:1615-01-391-4398 P/N:145R2003-10 S/N: A4-293*THESE HORIZONTAL PINS S/N'S: FM1186, FM1209 MUST BE ROTATED @ M/R HEADTOTAL TIME: 5112 HRS..-- **HORIZONTAL PIN S/N: VM5425 HAS BEEN ROTATED ANDMUST BE REPLACED @ M/R HEAD TOTAL TIME: 5879 HRS.-- **HORIZONTAL PIN BEARINGS/N: N16382 HAS BEEN ROTATED AND MUST BE REPLACED @ M/R HEAD TOTAL TIME:5112 HRS.-- **THESE VERTICAL PIN BEARING S/N'S: N31209, N29807, 29810, HAVE BEENROTATED AND MUST BE REPLACED @ 5879 HRS. M/R HEAD TOTAL TIME.-- *THESE VERTICALPIN BEARING S/N'S: A10909, A1760, N32101, MUST BE ROTATED @ 5879 HRS. M/R HEAD TOTAL TIME.--*THESE HORIZONTAL PIN BEARING S/N'S: A3908, N2743, N2791, A8971, N38578, MUST BE ROTATED TIME.@ 5879 HRS. M/R HEAD TOTAL TIME.

RG546546 AASF #3 DAVENPORT, IOWA

08-Jun-2007 1 DATE: 08 JUN 07, CCAD - OVERHAULED/RECAPPED, TSN: 3561, TSO: 0, O/H: #4, C/N #3410004. THERETIREMENT INTERVALS OF THESE PARTS MAY BE EXTENDED 100% PROVIDED THEY ARE ROTATED 180DEG. AT 1200 HOURS.

* THESE HORIZONTAL PINS & BEARINGS S/N'S: TZ456, AF780, TZ1300, ZN49535, ZN20830, ZN77042,AZN462, AZN427, AZN283, ZN4910, AZN12, N42613 MUST BE ROTATED AT M/R HEAD TOTAL TIME: 4761HOURS.

* BEARING S/N: N18766 MUST BE ROTATED AT M/R HEAD TT: 4561 HOURS.* BEARING S/N: N40521 MUST BE ROTATED AT M/R HEAD TT: 4560 HOURS.* BEARING S/N: N34202 MUST BE ROTATED AT M/R HEAD TT: 4562 HOURS.

S/ E.G. LOPEZ, A/C DATA TECH., CCAD, CORPC, TX 78419-5260.

CCAD CORPC, TX 78419-5260

03-Mar-2010 1 28JAN2009-CCAD-TSN:3307,TSO:0.#O/H:4. RECAPPED IAW AED-T3317 AND AED-T3726. S/FC7929, CCAD,CORPC TX.

PP213896 AASF #3 MERIDIAN, MS

06-Sep-1992 1 WUC: 06B PN: 145D1300-9 PSN: A7-574 XMSN ASSY, WING DRIVE FWD6-9-92: BOEING HELICOPTER PHILA., PA. CONTRACT #DAAJ09-89-C-A010. T.T. NEW 13B8 JUN 9-1992.

JD415449 BOEING HEICOPTER PHILA., PA

30-Aug-1999 1 WUC: 06B PN: 145D1300-9 PSN: A7-574 XMSN ASSY, WING DRIVE FWD30 AUG 99 SOF-CH-47-99-04/ TB1-1520-240-20-114. INSP OF H-47 ACFTFOR FWD & AFT XMSN GEAR/BEARING ASSY'Y IDENTIFIED BY S/N PREFIX VB

JD415449 (NO ORGANIZATION) (NO LOCATION)

04-Dec-2009 1 WUC 06B03,BEARING S/N VERIFY AT NEXT TEARDOWN

PP213896 AASF#3 MERIDIAN,MS

06-Jan-1992 1 WUC: 06C PN: 145D2300-7 PSN: A9-576 XMSN ASSEMBLY AFT6-1-92: BOEING HELICOPTERS PHILA., PA. CONTRACT # DAAJ09-89-C-A010. T.T. NEW 13B8.

JD415449 BOEING HELICOPTER PHILA., PA.

30-Aug-1999 1 WUC: 06C PN: 145D2300-7 PSN: A9-576 XMSN ASSEMBLY AFT30 AUG 99: SOF-CH-47-99-04/ TB1-1520-240-20-114. INSP OF H-47 ACFT FOR FWD & AFT XMSNGEAR/BEARING ASSY'Y IDENTIFIED BY S/N PREFIX VB

JD415449 (NO ORGANIZATION) (NO LOCATION)

PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4

CYC/HRS

NSTALL

REMOVAL

CYC/HRS

REMOVAL

f

NSTALL

ji kgdcbaCYC/HRS

COMPO/H

NOMEN

WUC

Hours/Cycles)

O/H

LOCATIONNSNAND

heSINCE

LIFE

(EnginePREV

SER NO.AND

NOMENCLATURE PN

TIME CYC/HRS

DUEREPLACE

NO.

COMPONENTNOMEN

REP.O/H ORCOMP

6.

00

5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE

HELICOPTER, CARGO 1520010883669 CH-47D 9100268

Report Date: 3/413-Oct-2015

13-Feb-2006 1 MAINTENANCE ENGINEERING CALL (MEC) #F45943 REPAIR OF CORROSION ON HOUSING UNDER OILCOOLER. TM9262 2HRS(AUTHORIZED BY REX A HAYDEN) 6 FEB 2006

JD415449 OLR/LSI FT LEWIS WA

07-Mar-1988 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL07 MAR 88 BOEING CONTRACT #DAAJ09-85-C-A-005, T.T. NEW BORG &WARNER CLUTCH INST 114DS672-1, S/NXBW-528.INNER CAGE WAS INSP ANDFOUND ACCEPTABLE.

JD415449 BOEING NO LOCATION

15-Mar-1988 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL15 MAR 88 BOEING, XMSN WAS REWORKED AND INSP PER RR#443292.CLUTCH114DS672-1 S/N XBW-528 FOUND ACCEPTABLE.

JD415449 BOEING NO LOCATION

14-Mar-1998 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL14 MAR 98 VERIFY P/N AND S/N AND TIME AT NEXT TEARDOWN, SIGNED C.HERNANDEZ, REC CLERK CCAD.

JD415449 CCAD NO LOCATION

21-Apr-1998 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL21 APR 98 SERVICABLE, CCAD, TSN 1635, CONTROL 3070791. SIGNED E.BROWN REC CLERK, CCAD.

JD415449 CCAD NO LOCATION

28-Jul-2000 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL28 JUL 00 UNIT IS I/C/W C.A.R.E. 114D0111 REV. B "DRGI" HAS BEENETCHED ADJACENT TOUNITS S/N TO DENOTE UNITS COMPLIANCE. UNIT HASBEEN O/H & UPGRADED TO 145D6300-12 CONFIGURATION FROM A 145D6300-10 CONFIGURATION. CONTRACT #DAAH23-99-C-0220. UNIT IS FLIGHTREADY AND REQUIRES NO FURTHER MAINTENANCE. TSN 1731, TSO 0, O/H 1WH4916.

JD415449 NO ORGANIZATION NO LOCATION

31-Jul-1987 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 87-07-31: BOEING/VERTOL CO. PHILA, PA. CONTRACT #DAAJ-09-85-C-A005 TT: NEW, BORG WARNER CLUTCH INSTALLED 114DS672-1, S/N XBW286.

QC000000 BOEING/VERTOL PHILA, PA

16-May-1989 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 89-05-16: BOEING HEL., PHILA,PA.XMSN WAS RETURNED FOR NEW CLUTCH 114DS672-1 S/N XBW685,REASSEMBLED,TESTED,AND INSP. XMSN WAS REIDENTIFIED FROM 145D6300-3 TO 145D6300-6. TT: 161,TSO: NEW NO OVERHAUL.CONTRACT# DAAJ-09-85-G-0005. S/ B8-896.

QC000000 BOEING HEL PHILA,PA

03-Apr-1991 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 91-04-03: SOF MSG CH-47-91-01 (TB 55-1520-240-55) ONE TIME INSP. OF XMSN CONTAINING SUSPECTED INOUT PINION AND GEARS. COMPLETED BY D CO. 502ND. AVN REGT APO NY 09028 S/ O.G. TI.

JD415449 CO. 502ND REGT APO NY 09028

01-Jan-2000 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 20000101: SOF CH-47-00-04/TB 1-1520-240-20-117: ONE TIME INSP OF ENG. XMSN. HISTORICAL RECORDS FOR SUSPECT GEARS & REPLACEMENT OF SUSPECT XMSN C/W AT 1714.0 COMP. HRS. TS3050 AASF MERIDIAN, MS.

JD415449 AASF MERIDIAN, MS

PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4

CYC/HRS

NSTALL

REMOVAL

CYC/HRS

REMOVAL

f

NSTALL

ji kgdcbaCYC/HRS

COMPO/H

NOMEN

WUC

Hours/Cycles)

O/H

LOCATIONNSNAND

heSINCE

LIFE

(EnginePREV

SER NO.AND

NOMENCLATURE PN

TIME CYC/HRS

DUEREPLACE

NO.

COMPONENTNOMEN

REP.O/H ORCOMP

6.

00

5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE

HELICOPTER, CARGO 1520010883669 CH-47D 9100268

Report Date: 4/413-Oct-2015

08-Mar-2000 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 20000308:TREATED FOR CORROSION IN MOUNT HOLES. MT HOLES FOR THE #2 POSITION WERE REAMED OVERSIZED TO REMOVE CORROSION. XMSN CAN ONLY BE USED AS A #1 ENG. XMSN. CM6742 AASF MERIDIAN, MS.

JD415449 AASF MERIDIAN, MS

04-Dec-2009 1 WUC 06E03,BEARING S/N VERIFY AT NEXT TEARDOWN

PP213896 AASF#3 MERIDIAN,MS

04-Jan-2006 1 OVERHAULED TSN:60, TSO:0 CNTRL#:1184. RECAPPED IAW AED-T3225 FICHLA CAUYPOR A/C DATATECH,

MS068034 CCAD CORPC TX 78419

21-Jan-2012 1 23-AUG-2011RECAPPED IAW DMWR 55-1615-322, CH-10, TSN 8695, CONT #575721 CCAD, CC TX 78419, JL9064

JM027933 AASF #3 DAVENPORT, IA

20-Jan-2012 1 17-AUG-11RECAPPED IAW DMWR 55-1615-322, CH-10TSN-5925, # O/H-RC, CONT #577602CCAD/WOMUAA,CC TX 78419PSA FR 4626

JM027933 AASF #3 DAVENPORT, IA

PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4

Swung: By: CC04204906-Jul-2012

PILOT'S COMPASS CORRECTION CARD

HSICompass:

315

269

225

183

137

091

046

001

W 270

DD Form 1613

Fly To Steer Fly To Steer

345

330

315

300

285

255

225

240

195

210

S 180

165

150

135

120

045

075

105

E 090

060

030

015

N 000

310

273

227

183

137

092

046

000

W 270

DD Form 1613

Fly To Steer Fly To Steer

345

330

315

300

285

255

225

240

195

210

S 180

165

150

135

120

045

075

105

E 090

060

030

015

N 000

COMPASS

DATE

COMPENSATED AND SWUNG BY

For Compensation procedure, refer to Specification AN-C 106.

STANDBY MAG

06-Jul-2012

CC042049

PILOT'S COMPASS CORRECTION CARD

AIRCRAFT

9100268

DD Form 1613 E, JUL 67 REPLACES AFTO FORM 76, MAY 56 WHICH IS OBSOLETE

Swung: By: WS06012108-Jun-2011

PILOT'S COMPASS CORRECTION CARD

STANDBY MAGCompass:

315

272

225

180

135

089

045

000

W 270

DD Form 1613

Fly To Steer Fly To Steer

345

330

315

300

285

255

225

240

195

210

S 180

165

150

135

120

045

075

105

E 090

060

030

015

N 000

315

271

225

180

135

088

045

000

W 270

DD Form 1613

Fly To Steer Fly To Steer

345

330

315

300

285

255

225

240

195

210

S 180

165

150

135

120

045

075

105

E 090

060

030

015

N 000

COMPASS

DATE

COMPENSATED AND SWUNG BY

For Compensation procedure, refer to Specification AN-C 106.

HSI

28-May-2009

CC332854

PILOT'S COMPASS CORRECTION CARD

AIRCRAFT

9100268

DD Form 1613 E, JUL 67 REPLACES AFTO FORM 76, MAY 56 WHICH IS OBSOLETE

Swung: By: CC33285409-Jun-2010

PILOT'S COMPASS CORRECTION CARD

HSICompass:

315

271

225

180

135

088

045

000

W 270

DD Form 1613

Fly To Steer Fly To Steer

345

330

315

300

285

255

225

240

195

210

S 180

165

150

135

120

045

075

105

E 090

060

030

015

N 000

315

270

225

180

135

090

045

000

W 270

DD Form 1613

Fly To Steer Fly To Steer

345

330

315

300

285

255

225

240

195

210

S 180

165

150

135

120

045

075

105

E 090

060

030

015

N 000

COMPASS

DATE

COMPENSATED AND SWUNG BY

For Compensation procedure, refer to Specification AN-C 106.

STANDBY MAG

28-May-2009

CC332854

PILOT'S COMPASS CORRECTION CARD

AIRCRAFT

9100268

DD Form 1613 E, JUL 67 REPLACES AFTO FORM 76, MAY 56 WHICH IS OBSOLETE

Swung: By: CC33285409-Jun-2010

PILOT'S COMPASS CORRECTION CARD

STANDBY MAGCompass:

315

270

225

180

135

090

045

000

W 270

DD Form 1613

Fly To Steer Fly To Steer

345

330

315

300

285

255

225

240

195

210

S 180

165

150

135

120

045

075

105

E 090

060

030

015

N 000

270

180

090

360

W 270

DD Form 1613

Fly To Steer Fly To Steer

345

330

315

300

285

255

225

240

195

210

S 180

165

150

135

120

045

075

105

E 090

060

030

015

N 000

COMPASS

DATE

COMPENSATED AND SWUNG BY

For Compensation procedure, refer to Specification AN-C 106.

HSI

09-Mar-2015

BA963479

PILOT'S COMPASS CORRECTION CARD

AIRCRAFT

9100268

DD Form 1613 E, JUL 67 REPLACES AFTO FORM 76, MAY 56 WHICH IS OBSOLETE

Swung: By: BA96347909-Mar-2015

PILOT'S COMPASS CORRECTION CARD

STANDBY MAGCompass:

270

180

090

360

W 270

DD Form 1613

Fly To Steer Fly To Steer

345

330

315

300

285

255

225

240

195

210

S 180

165

150

135

120

045

075

105

E 090

060

030

015

N 000

315

270

225

180

135

090

045

000

W 270

DD Form 1613

Fly To Steer Fly To Steer

345

330

315

300

285

255

225

240

195

210

S 180

165

150

135

120

045

075

105

E 090

060

030

015

N 000

COMPASS

DATE

COMPENSATED AND SWUNG BY

For Compensation procedure, refer to Specification AN-C 106.

HSI

07-Mar-2014

EM066942

PILOT'S COMPASS CORRECTION CARD

AIRCRAFT

9100268

DD Form 1613 E, JUL 67 REPLACES AFTO FORM 76, MAY 56 WHICH IS OBSOLETE

Swung: By: EM06694207-Mar-2014

PILOT'S COMPASS CORRECTION CARD

STANDBY MAGCompass:

315

270

225

180

135

090

045

000

W 270

DD Form 1613

Fly To Steer Fly To Steer

345

330

315

300

285

255

225

240

195

210

S 180

165

150

135

120

045

075

105

E 090

060

030

015

N 000

315

270

225

180

135

090

045

000

W 270

DD Form 1613

Fly To Steer Fly To Steer

345

330

315

300

285

255

225

240

195

210

S 180

165

150

135

120

045

075

105

E 090

060

030

015

N 000

COMPASS

DATE

COMPENSATED AND SWUNG BY

For Compensation procedure, refer to Specification AN-C 106.

HSI

08-Jun-2011

WS060129

PILOT'S COMPASS CORRECTION CARD

AIRCRAFT

9100268

DD Form 1613 E, JUL 67 REPLACES AFTO FORM 76, MAY 56 WHICH IS OBSOLETE

No. of PagePage No.Engine Serial NumberEngine NumberA/C Serial NumberEngine Model

1/1 1

13-Oct-2015

Date

Engine Installed At ______________________________ A/C Hours: __________________________________________ Engine Hours

TGTLimit

TorqueAir Speed

ºCºC

ºC

ºCLimit

ATFETF

TGTMargin

Ind. TGT(1)

Table TGT(2)

PAFATA/C HoursDateTGT

MarginInd. TGT

(1)Table TGT

(2)PAFAT

A/C HoursDate