Eagle P139-HD, Installation Manual

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GA1-2TP Rev C Page 7 of 7
Aircraft Tested:
Model _______________, Registration ___________, Serial Number ______
Location of Test _______________________, Date _____________
Equipment Under Test:
List: MODEL, PART NUMBER, SERIAL NUMBER
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
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Test performed by ________________________________________________
Name Credentials
Test witnessed by ________________________________________________
Name Credentials
I hereby certify that I have witnessed the above documented test and that the
results documented above reflect my observations.
_______________________ _______________________
Signature Date