Faa Form 8110-26 - Supplemental Type Inspection Report (Stir) Page 3

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SUPPLEMENTAL TYPE INSPECTION REPORT
Administrative Data
A. Period of Inspect from:
to:
B. Where conducted?
C. Number of conformity inspections conducted and recorded on FAA Form 8100-1 and recorded in
project file.
D. Were design changes needed to correct deficiencies revealed by FAA Inspection?
Yes
No
If yes, identify changes on page 4 (TIA comments), or on attachment.
E. Have all products/articles subjected to inspections and/or tests been properly
Yes
No
recorded by part numbers(s), serial number(s), or registration number(s), as
appropriate, on page 1 or in attachment?
F. Does the applicant have on file inspection records showing conformity to the type
Yes
No
design and acceptable quality of the product?
G. Check appropriate block(s) for any FAA forms that have been submitted by the applicant prior to, or at the time of
application.
FAA Form 8110-12
Date:
FAA Form 8130-6
Date:
FAA Form 337
Date:
FAA Form 8130-9 (317)
Date:
Yes
No
H. Is supplemental type approval recommended?
Remarks:
If "Yes", items should be explained under appropriate TIA comments.
FAA Form 8110-26 (04-16)
Page 3

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