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

Wing anti-ice shutoff valve

P/N: CA-8857-29
S/N: SN-305854

Scanned 8130

SYNTHETIC
NOT AN AIRWORTHINESS RECORD

FAA/United States

AUTHORIZED RELEASE CERTIFICATE

FAA Form 8130-3 · AIRWORTHINESS APPROVAL TAG

Block 3 · Form tracking number SYNTHETIC81309398

Block 5 · Work order / contract / invoice WO20269398

Block 4 · Organization name Wexford Component Services

Block 4 · Organization address Unit 6, Harbour Business Park, Wexford, Ireland

Block 6 · Item 1

Block 7 · Description Wing anti-ice shutoff valve

Block 8 · Part number CA885729

Block 9 · Quantity 1

Block 10 · Serial number SN305854

Block 11 · Status / work OVERHAULED

Block 12 · Remarks Disassembled; actuator diaphragm cracked and seat eroded. Replaced diaphragm and seat, overhauled per CMM 30-11-05, leak and flow tested to limits.

Block 13/14 · Certifying block RETURN_TO_SERVICE

Block 13a/14a · Approval basis PART_43_RETURN_TO_SERVICE

Block 13c/14c · Approval / certificate no. SYNTHETICCERT23902

Block 13d/14d · Name B. Terzić

Block 13e/14e · Date 2026-10-11T20:40:00Z