Received 8130 Certificate
This is the received 8130-3 form, included in the component shipment. We must verify the paper document matches what the issuer submitted.
The component
- P/N
- SG-6315-79
- S/N
- SN-773244
Scanned 8130
SYNTHETIC
NOT AN AIRWORTHINESS RECORD
NOT AN AIRWORTHINESS RECORD
FAA/United States
AUTHORIZED RELEASE CERTIFICATE
FAA Form 8130-3 · AIRWORTHINESS APPROVAL TAG
Block 3 · Form tracking number
SYNTHETIC81309815
Block 5 · Work order / contract / invoice
WO20269815
Block 4 · Organization name
Clearwater Turbine Works
Block 4 · Organization address
8800 Bayline Parkway, Tampa, FL 33619
Block 6 · Item
1
Block 7 · Description
Engine-driven hydraulic pump, auxiliary case drain
Block 8 · Part number
SG631579
Block 9 · Quantity
1
Block 10 · Serial number
SN773244
Block 11 · Status / work
REPAIRED
Block 12 · Remarks
Case drain port fitting found cracked, shaft spline galled. Fitting replaced, spline blended within limits, pump tested per CMM 29-20-15.
Block 13/14 · Certifying block
RETURN_TO_SERVICE
Block 13a/14a · Approval basis
PART_43_RETURN_TO_SERVICE
Block 13c/14c · Approval / certificate no.
SYNTHETICCERT22016
Block 13d/14d · Name
G. Ferreira
Block 13e/14e · Date
2026-10-11T20:41:00Z