DA FORM 2408-5-SG, AUG 2004 DA FORM 2408-5 EDITION of OCT 91, IS OBSOLETE Page 1 of _1

EQUIPMENT MODIFICATION RECORD For use if this form, see DA PAM 750-8 and DA PAM 738-751; the proponent agency is DCS G-4 1. END ITEM NSN 2. NOMENCLATURE 3. MODEL 4. ADMIN NUMBER 1520010350266 HCPTR UTILITY UH-60A UH-60A 5. UIC 6. END ITEM/AIRCRAFT SERIAL NUMBER 7. REGISTRATION NUMBER W6DQUH 8624494 8. MATERIAL CHANGE 10. DATE OF APPLICATION 11. ORGANIZATION 13. MAN HOURS REQ 14. SOFTWARE 9. MWO NUMBER NUMBER (YYYYMMDD) APPLYING MWO 12. NAME OR PID FOR APPLICATION VERSION MODIFICATION OF IMPR55OVED-1520 M-A237IN- R50O-TOR19870101-TAIL ROTOR PITCH CONTWROLTQGC0 ROD BOLTS (UH-C60ONTA HELIROL,C OPTERS)QUALIT8.0Y SGT 31 C2 MODIFICATION OF MAIN55 R-O1520TOR- 237BLA-DE50 -DE-19870325ICE DISRUPTOR HARNESS WANDTQGC0 TAIL ROTOR SLIPC ONTRINGR OL,HA RNESSQUALI T(UH4.0Y SG-60T A HELICOPTERS) 36 C1 INCORPORATION OF STA55BI-L1520ATOR-237 SLEW-50--UP 19870810SWITCH (UH-60A HELICOPTER)WTQGC0 CONTROL, QUALIT16.0Y SGT 46 C2 INCORPORATION OF WIRE55- 1520STRIKE-237 PR-O50TECTION- 19880104 SYSTEM (WSPS) (UH-60WATQGC0 HELICOPTER) CONTROL, QUALIT67.0Y SGT 24 C4 MODIFICATION OF WIRE55 STRIKE-1520 -P237RO-TECTION50- 19890616 SYSTEM (WSPS) (UH/EH-W60TQGC0A HELICOPTER) CONTROL, QUALIT2.0Y SGT 47 C1 MODIFICATION OF BEARING55-1520 RET-A237INER-50 SPRING- 19891108 CLIP, TAIL ROTOR SERVWO TQGC0(UH/EH-60A HELICCOPTERS)ONTROL, QUALIT2.0Y SGT 52 INCORPORATION OF STA55BI-L1520ATOR-237 AMPLIFIER-50- 19891109 IMPROVEMENTS (INCLUDESWTQGC0 MODIFICATION OFCONT STABILIZROL, AQTIONUALI TTEST64.0Y SG SET)T (UH-60A HELICOPTERS) 42 MODIFICATION OF DOWEL55- 1520PIN RETENTION-237-50- 19900621MAIN GEARBOX WTQGC0 CONTROL, QUALIT22.0Y SGT 43 INCORPORATION OF ENGINE55-1520 QU-237ADR-A50NT- SE19900621CONDARY STOP TO NO. 1W ATQGC0ND NO. 2 ENGINE PCOONTWERROL, CONT QURAOLLIT 12.0LEVERSY SGT (UH-60A HELICOPTERS) 39 C1 MODIFICATION OF FLIGHT55- C1520ONT-R237OL- 50MIXER- 19900625 ASSEMBLY (UH-60A/EH-60WATQGC0 HELICOPTERS) CONTROL, QUALIT24.0Y SGT 49 C1 MODIFICATION OF THE H1-O1520VER- INFERRED237-50-6 SUPPRESSION19920609 SYSTEM (UH-W60TQGC0A HELICOPTERS) NCAONTTIONRAOL,L S TQOCKUALI NUMBERT54.0Y SGT (NSN) 1520-01-035-0266 3 C1 INCORPORATION OF STA1BI-1520LATOR-237 A-CT50U-A5TOR19920621 GROUNDING STRAP FORW UHTQGC0-60A/EH-60A HELICONTCOPTERSROL, QUALIT3.0Y SGT 4 IMPROVED ENGINE COWLING1-1520 RELE-237A-50SE- 6HANDLE19920827 ASSEMBLY WTQGC0 CONTROL, QUALIT2.0Y SGT 4 MODIFICATION OF DIRECTION55-1520A-L237 CONT-50R- OL19930805 CABLE SYSTEM (UH-60A &W EHTQGC0-60A HELICOPTERS)CONT NARTIONOL, QAUL ASLITOCKT120.0Y S GNUMBERT (NSN) 1520-01-035-0266 & 1520-01-082-0686 34 INCORPORATION OF IMP1-R1520OVED-237 TIED-50O-WN5 19930805FITTINGS WTQGC0 CONTROL, QUALIT5.0Y SGT 3 INCORPORATE ELECTRO1-M-1520AGNETIC-237- 50ENVI-5 RONMENT19930805 (EME) PROTECTIONW TQGC0PROVISIONS ON DELIVEREDCONTROL, UH QU-A60LIAT832.0/LY SAGNDT EH-60A HELICOPTERS 9 INCOROPORATION OF EXH55-A1520UST- 237EXTENDER-50- 19930805 DOUBLERS WTQGC0 CONTROL, QUALIT6.0Y SGT 51 MODIFICATION OF MAIN55 R-1520OTOR-237 HEA-50D -ANTI19930805-FLAP BRACKETS (UH-60AW ATQGC0ND EH-60A HELICOPTERS)CONTROL, QUALIT30.0Y SGT 44 C4 DA FORM 2408-5-SG, AUG 2004 DA FORM 2408-5 EDITION OF OCT 91, IS OBSOLETE Page ____1 of _____1

28 Oct 2020 1457 UTC FOUO page 1 of 4 EQUIPMENT MODIFICATION RECORD For use if this form, see DA PAM 750-8 and DA PAM 738-751; the proponent agency is DCS G-4 1. END ITEM NSN 2. NOMENCLATURE 3. MODEL 4. ADMIN NUMBER 1520010350266 HCPTR UTILITY UH-60A UH-60A 5. UIC 6. END ITEM/AIRCRAFT SERIAL NUMBER 7. REGISTRATION NUMBER W6DQUH 8624494 8. MATERIAL CHANGE 10. DATE OF APPLICATION 11. ORGANIZATION 13. MAN HOURS REQ 14. SOFTWARE 9. MWO NUMBER NUMBER (YYYYMMDD) APPLYING MWO 12. NAME OR PID FOR APPLICATION VERSION INSTALLATION OF IMPRO1-VED1520 TIED-237O-WN50-6 RING19930805 EYEBOLT (UH-60A/L ANDW EHTQGC0-60A) CONTROL, QUALIT6.0Y SGT 1 INCORPORATION OF ENGINE55-1520 DRIVE-237 SH-50A-FT 19930805BALANCING PROCEDURE (UHWTQGC0-60A/EH-60A HELICCONTOPTERS)ROL, QUALIT8.0Y SGT 58 INSTALLATION OF DUAL1 A-1520N/AR-C237-186,-50 A-6N/A19931213RC-201(V) FM RADIO SYSTEMWTQGC0 AND HARDWIRINGCONT OF RTOL,SEC Q KUYA-58LIT 400.0INY S UHGT-60A/L HELICOPTERS 8 C1 INCORPORATION OF IMP1-R1520OVED-237 FIRE-50 E-X6TINGUISHER19950811 CIRCUIT AND HELLFIREWTQGC0 CONNECTOR (UHCONT-60R OL,A/L QANDUALI EHT128.0Y- 60SGAT) 6 MODIFICATION OF THE ENGINE1-1520- 237TRIM-50 B-A7LANCE19950811 HARDWARE (EH/UH-60WATQGC0 AND UH-60L HELICCONTOPTERS)ROL, QUALIT24.0Y SGT 3 C2 INSTALLATION OF REDUCED1-1520 DI-A237METER-50- 7BALLISTIC19971216 TOLERANT FUEL LINESWTQGC0 (UH-60A/L AND EHCONT-60AR HELIOL, QCOPTERS)UALIT38.0Y SGT 4 C1 INSTALLATION OF HEADS1- 1520UP DISP-237LA-50Y (HUD)-6 19971216 AN/AVS-7 FO WTQGC0 CONTROL, QUALIT184.0Y SGT 2 INSTALLATION OF PILOT/1-C1520OPIL-O237T SE-50AT-S7 MA19990519-16 (IMPROVE WTQGC0 CONTROL, QUALIT3.0Y SGT 9 MODIFICATION OF THE 1UH/EH-1520-60237 HELI-50-C7OPTER20000628 AUXILIARY WTQGC0 CONTROL, QUALIT150.0Y SGT 8 INSTALLATION OF AN/A1SN-1520-128B-237 DOPPLER/GPS-50-7 20000628 NAVIGATION SYSTEM WINTQGC0 UH-60A/L HELICOPTERCONTROL, QUALIT178.0Y SGT 5 INSTALLATION OF THE A1VI-1520ATOR'S-237 NIGHT-50-5 VISION20000628 IMAGING SYSTEM (ANVIS)WTQGC0 LIGHTING UPDACTEONT EH/UHROL, -Q60UA/LLIT52.0Y SGT 6 C4 INSTALLATION OF THE HF1- 1520COMMUNIC-237-50A-7TION20040125 SYSTEM AN/ARC WTQGC0 CONTROL, QUALIT1.0Y SGT 6 INSTALLATION OF DUAL1 A-1520N/AR-C237-186/-50A-6RC-20120040125 (V) FM RADIO SYSTEMSW ATQGC0ND HARDWIRING COFONT TSECROL, K YQ-U58A LI(UHT1.0Y- S60GAT HELICOPTERS) NATIONAL STOCK NUMBER (NSN) 1520-01-035-0266 9 INSTALLATION OF STABI1L-A1520TOR- INSPECTION237-50-7 20040125 PORTS (UH-60A HELICOPTER)WTQGC0 CONTROL, QUALIT1.0Y SGT 2 INSTALLATION OF IMPRO55VED-4030 CA-237RTRIDGE-50- A20040125CTUATED DEVICE WTQGC0 CONTROL, QUALIT1.0Y SGT 1 INSTALLATION OF ELECTRIC1-1520ALL-Y237 HE-A50TED-7 GL20040125ASS CENTER WINDSHIELDW (UHTQGC0-60A HELICOPTER)CONTROL, QUALIT1.0Y SGT 0 CRASHWORTHY ARMORED55-1680 CREW-237 SE-A50TS/IMP- 20040125ROVED SEATING RESTRAINTWTQGC0 SYSTEM CONTROL, QUALIT3.5Y SGT 1 C2 INSTALLATION OF THE A1N/-1520ARN-237-123-50 VOR/ILS-8 20040125 RECEIVER IN WTQGC0 CONTROL, QUALIT80.0Y SGT 3 DA FORM 2408-5-SG, AUG 2004 DA FORM 2408-5 EDITION OF OCT 91, IS OBSOLETE Page ____2 of _____2

28 Oct 2020 1457 UTC FOUO page 2 of 4 EQUIPMENT MODIFICATION RECORD For use if this form, see DA PAM 750-8 and DA PAM 738-751; the proponent agency is DCS G-4 1. END ITEM NSN 2. NOMENCLATURE 3. MODEL 4. ADMIN NUMBER 1520010350266 HCPTR UTILITY UH-60A UH-60A 5. UIC 6. END ITEM/AIRCRAFT SERIAL NUMBER 7. REGISTRATION NUMBER W6DQUH 8624494 8. MATERIAL CHANGE 10. DATE OF APPLICATION 11. ORGANIZATION 13. MAN HOURS REQ 14. SOFTWARE 9. MWO NUMBER NUMBER (YYYYMMDD) APPLYING MWO 12. NAME OR PID FOR APPLICATION VERSION INSTALLTION OF SEALED1 -LE1520AD--A237CID- 50BA-T7TER20040125Y (SLAB) SYS WTQGC0 CONTROL, QUALIT1.0Y SGT 7 INSTALLATION OF UPPER1 -INFR1520A-237RED- 50(IR)- ANTI20050329-COLLISION LIGHT LENS WINSTQGC0TALLED ON US ARMYCONT UHROL,-60 AQ/L/QUALI TA2.0YND SG HHT -60L HELICOPTERS ACL MODIFICATION INSTRUCTIONS1-1520- 237FOR- 50THE-8 INS20050811TALLATION OF WTQGC0 CONTROL, QUALIT30.0Y SGT 7 ENGINE INLET BARRIER FI1-L1520TER -237-50-9 20050811 WTQGC0 CONTROL, QUALIT363.0Y SGT 0 INSTALLATION OF BLUE 1FO-1520RCE -TR237ACKER-50- 20050811 WTQGC0 CONTROL, QUALIT199.0Y SGT BFT MODIFICATION INSTRUCTIONS1-1520- 237FOR- 50THE-8 INS20050811TALLATION OF WTQGC0 CONTROL, QUALIT95.0Y SGT 5 INSTALLATION OF COMMON1-1520 MISSILE-237-50 W- ARNING20050811 SYSTEM (CMWS) ANDW IMPTQGC0ROVED COUNTERMECONTARSURESOL, QUALIT898.0Y SGT CMWS INSTALL COMMON MISSILE04-029 WARNING SYSTEM20050811 (CMWS) AND IMPROVEDWTQGC0 COUNTERMEAUSRESCONT DISPENSERROL, QUA (ICMD)LIT898.0Y SG SYST MOD.

MODIFICATION INSTRUCTIONS1-1520- 237FOR- 50THE-8 INS20050811TALLATION OF WTQGC0 CONTROL, QUALIT136.0Y SGT 6 INSTALLATION OF ELECT1R-ONIC1520- D237AT-A50 M-ANA20050811GEMENT (EDM) SYSTEM FORWTQGC0 BLUE FORCE TRACKINGCONTROL, QUALIT37.0Y SGT EDM INSTALLATION OF BALLISTIC1-1520 PR-O237TECTION-50- SYSTEM20051108 WTQGC0 CONTROL, QUALIT10.0Y SGT BPS MODIFICATION INSTRUCTIONS1-1520- 237FOR- 50THE-9 INS20080502TALLATION OF WTQGC0 JONES, ALFONZO 90.0 2 L-BAND ANTENNA S65-18282-1520-301-237 UPGR-50-8ADE20080506 AND LNA RELOCATION IAW TQGC0APPENDIX "B" OF AGUYEUBJECTTTE, MWO. PAUL 20.0 5BFT60-001 INSTALLATION OF TOW 1AB-PPENDIXA1520LLAST-701 P BL-A20TE- 1FOR20130315 UH-60A/L HELICOPTERS WTQGC0 GRELL, BRIAN 1.0

INSTALLATION OF RESCUE1001031 HOIST CABLE DEFLEC20130315TOR WTQGC0 GRELL, BRIAN 8.0

APU ACCUMULATOR HA1ND-1520 PUMP-701 A-30ND-1 HANDLE20130315 RELOCATION FOR UHW-60TQGC0A/L HELICOPTERSGRELL, BRIAN 1.0

INSTALLATION OF 200 G1A-L1520LON- 701INTERN-50-A1L A20130315UXILIARY FUEL TANK UH-60WATQGC0/L PN HM020-528GRELL,-11 9NSN BRI 1680AN -011.0-556-0568) (EIC: N/A)

INSTALLATION OF AUTO01 RELIGHT-1520-237 & -TR30A-NSIENT20130521 DROOP IMPROVEMENTW TQGC0FOR T700-GE-701DGRELL, ENGINES BRI AONN UH142.0-60A/HH-60A AIRCRAFT 3 DA FORM 2408-5-SG, AUG 2004 DA FORM 2408-5 EDITION OF OCT 91, IS OBSOLETE Page ____3 of _____3

28 Oct 2020 1457 UTC FOUO page 3 of 4 EQUIPMENT MODIFICATION RECORD For use if this form, see DA PAM 750-8 and DA PAM 738-751; the proponent agency is DCS G-4 1. END ITEM NSN 2. NOMENCLATURE 3. MODEL 4. ADMIN NUMBER 1520010350266 HCPTR UTILITY UH-60A UH-60A 5. UIC 6. END ITEM/AIRCRAFT SERIAL NUMBER 7. REGISTRATION NUMBER W6DQUH 8624494 8. MATERIAL CHANGE 10. DATE OF APPLICATION 11. ORGANIZATION 13. MAN HOURS REQ 14. SOFTWARE 9. MWO NUMBER NUMBER (YYYYMMDD) APPLYING MWO 12. NAME OR PID FOR APPLICATION VERSION INSTALLATION OF INTEGR1-A1520TED- VEHICLE237-50-1 HE20130521ALTH MANAGEMENT SYSTEMWTQGC0 (IVHMS) HEALTH USGRELL,AGE BRIMAANNA GEMENT912.0 SYSTEM (HUMS) FOR UH-60 A/L HELICOPTERS 00 (IVHMS2) MODIFICATION INSTRUCTIONS1-1520- 237FOR- 20THE-3 INS20130521TALLATION OF T700-GE-701DWTQGC0 ENGINES AND SUPPOGRELL,R TBRI COMPONENAN 50.0TS ON UH-60A AND HH-60A AIRCRAFT (2008) MODIFICATION INSTRUCTIONS1-1520- 237FOR- 20THE-4 INS20130521TALLATION OF WTQGC0 GRELL, BRIAN 22.0

MODIFICATION OF THE 1UH/EH/HH-1520-237--6050 -HELI7 C20141216OPTER AUXILIARY FUEL MWANTQGC0AGEMENT SYSTEMHENKLEIN, EXTERNA LJOHN STORES 1.0 SUPPORT SYSTEM (INDICATOR KIT NSN 1615-01-451-8200) AND EXTENDED RANGE FUEL SYSTEM (PROBE KIT NSN 1615-01-451-8207) 8 C1 MWO 1-1520-237-50-105,1-1520 INST-A137LLA-TION50-1 OF20150116 THE AN/APX-123 MODE W5 CTQGC0OMMON TRANSPONDERHENKLEIN, (CXP) JOHN ON 1.0THE UH-60A/L AIRCRAFT 05 MODIFICATION INSTRUCTIONSMWO FOR THE INS20150804TALLATION OF THE ENCRYPTEDWTQGC0 AIRCRAFT WIRELESSBRASWELL, INTER SIDNEYCOMM0.1 SYSTEM (EAWIS) ON THE UH-60A/L AIRCRAFT 1-1520-237-50-1 MODIFICATION INSTRUCTIONS102-1520- 237FOR- 20THE-2 SINGLE20150804 INSTALLAT WTQGC0 BRASWELL, SIDNEY0.1

AMMO CAN BRACKET. 9-1005-262-23-1 20180906 WTQGC0 Conversion, Ulls 1.0

DA FORM 2408-5-SG, AUG 2004 DA FORM 2408-5 EDITION OF OCT 91, IS OBSOLETE Page ____4 of _____4

28 Oct 2020 1457 UTC FOUO page 4 of 4 Page 1 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER ELASTOMERIC BEARING B32425279 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 1 of 85 Page 2 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER MAIN TRANSMISSION MODULE A265-01572 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DMWR 1-1615-371 RECAPITALIZATION REQUIREMENTS FOR WTQGC0 E, G 03 Jun 10 1.0 UH60 MAIN TRANSMISSION MODULE 23 Jul 08 R D COMPLIED WITH. CCAD. H-60-10-AMAM-02 REDESIGNED PLANETARY GEAR CARRIER WTQGC0 RODRIGUE 03 Jun 10 1.0 RETIREMENT LIFE Z, ARIEL 05 Oct 09 F SGT H-60-14-AMAM-09 MAIN TRANSMISSION FILTER BOWL AND WTQGC0 DUBOIS, 04 Apr 14 1.0 CHIP DETECTOR ATTACHMENT HARDWARE WILLIAM 14 Mar 14 F SFC H-60-17-ASAM-14 MAINTENANCE MANDATORY, PLANETARY WTQGC0 BRASWELL 28 Sep 17 0.1 CARRIER RETIREMENT LIFE REDUCTION, , SIDNEY 25 Sep 17 F H-60-17-ASAM-14 H-60-17-ASAM-14 PLANETARY CARRIER RETIREMENT LIFE WTQGC0 BRASWELL 28 Sep 17 0.1 REDUCTION , SIDNEY 26 Sep 17 F

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 2 of 85 Page 3 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER SERVO, PRIMARY MAIN ROTOR B303-03188 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

UH-60-98-ASAM-04 ALL H-60 AIRCRAFT, LOOSE HUCK BOLTS WTQGC0 CONTROL, 17 Nov 03 1.0 ON OVERHAULED PRIMARY SERVOS, YAW QUALITY 10 Mar 98 O BOOST SERVOS, COLLECTIVE BOOST SGT SERVOS AND TAIL ROTOR SERVOS UH-60-00-ASAM-03 ALL H-60 AIRCRAFT, INSPECTION AND WTQGC0 CONTROL, 17 Nov 03 1.0 REMOVAL OF SUSPECT PRIMARY SERVO QUALITY 29 Dec 99 O ASSEMBLIES SGT

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 3 of 85 Page 4 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER PUMP MODULE ASSY, HYDRAULIC K1622ABR 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DMWR 1-4320-271 RECAPPED WTQGC0 M, U 06 Feb 16 54.0

29 Jul 05 R D

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

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DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 5 of 85 Page 6 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER SHAFT ASSY, T/R DRV SEC 2 WG10897-00039 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

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DMWR 1-1620-247 RECAP REQUIREMENTS 14 May 19

R D

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 7 of 85 Page 8 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER FWD BELLCRANK SPT ASSY B367-02718 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

UH-60-97-ASAM-10 ALL EH-60A, UH-60A AIRCRAFT, WTQGC0 CONTROL, 16 Oct 03 1.0 ESTABLISHMENT OF FATIGUE LIFE FOR THE QUALITY 12 Feb 97 F MAIN SUPPORT BRIDGE MANUFACTURED SGT BY AIR INDUSTRIES, P/N 70400-08116-048 UH-60-99-ASAM-08 ALL H-60 AIRCRAFT, REVISED RETIREMENT WTQGC0 CONTROL, 16 Oct 03 1.0 (CAGE 8L513), S/N 01201AI THRU 01686AI LIFE OF BELLCRANK SUPPORT ASSEMBLY, P/ QUALITY 09 Jun 99 O N 70400-08162-042/043/045, SGT UH-60-96-ASAM-05 MAALLNU UH/EH/MHFACTURED- 60BYA A AIRIR INDUSTRIESCRAFT, INCRE (CAASEGE WTQGC0 CONTROL, 16 Oct 03 1.0 IN FATIGUE LIFE8L513) OF THE FORWARD QUALITY 09 Jul 96 O SUPPORT ASSEMBLY, P/N 70400-08116-48 SGT UH-60-03-ASAM-01 ALL H-60 SERIES AIRCRAFT, BELLCRANK WTQGC0 CONTROL, 16 Oct 03 1.0 SUPPORT ASSEMBLY RETIREMENT LIFE QUALITY 09 Dec 02 O SGT H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.5 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 8 of 85 Page 9 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER CONTROL HORN ASSY A24110169 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.5 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 9 of 85 Page 10 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER ELASTOMERIC BEARING B32434501 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 10 of 85 Page 11 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER TIE ROD (M/R SPINDLE) C50409241 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 11 of 85 Page 12 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER MAIN ROTOR BLADE ASSY A00707667 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-15-ASAM-04 COMPLY WITH H-60-15-ASAM-04, MAIN WTQGC0 CONTROL, 06 May 15 1.0 ROTOR BLADE DEBONDING BY 3 JUL 15 QUALITY SGT H-60-16-ASAM-05 ALL UH/HH-60A/L SERIES ACFT, MAIN WTQGC0 BRASWELL 20 May 16 0.1 ROTOR BLADE DEBONDING , SIDNEY 17 May 16 F

H-60-15-ASAM-07 MAIN ROTOR BLADE DEBONDING AND TIP WTQGC0 HENKLEIN, 18 Oct 16 1.0 RIB CRACKING JOHN 11 Aug 15 F

H-60-17-ASAM-03 MAIN ROTOR BLADE DEBONDING. WTQGC0 HENKLEIN, 05 Jan 17 1.0 JOHN 28 Dec 16 F

H-60-17-ASAM-03 MAIN ROTOR BLADE DEBONDING WTQGC0 HENKLEIN, 05 Jan 17 1.0 JOHN 27 Dec 16 F

H-60-17-ASAM-05 MAINTENANCE MANDATORY, MAIN ROTOR WTQGC0 HENKLEIN, 22 Feb 17 1.0 BLADE QUALITY ESCAPEMENT, H-60-17- JOHN 22 Feb 17 F ASAM-05 H-60-18-ASAM-01 MAIN ROTOR BLADE (MRB) PEEL TEST WTQGC0 YORK, 03 Nov 17 0.1 MICHAEL 30 Oct 17 F SGT H-60-18-ASAM-06 LEGACY MAIN ROTOR BLADE INSPECTION WTQGC0 Conversio 20 Jun 18 1.0 n, Ulls 14 Jun 18 F

DMWR 1-1615-281 C1 RECAP REQUIREMENTS FOR THE UH-60 14 May 19 MAIN ROTOR BLADE P/N: 70150-09100-043 15 Sep 05 R D NSN: 1615-01-106-1903 DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 12 of 85 Page 13 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER MAIN ROTOR BLADE ASSY A00707667 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-20-ASAM-04 Complied with H-60-20-ASAM-04, Main W89JAA DUBOIS, 22 Apr 20 0.4 Rotor Blade Tap Test Inspection WILLIAM 20 Apr 20 M F SFC

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 13 of 85 Page 14 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER ELASTOMERIC BEARING B32427801 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 14 of 85 Page 15 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER INPUT MODULE A26408633 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 15 of 85 Page 16 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER SERVO, PRIMARY MAIN ROTOR B303-12581 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 16 of 85 Page 17 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER ACCESSORY MODULE GED955130 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-20-ASAM-03 Comply with H-60-20-ASAM-03, T700 AND W89JAA MCLAIN, 24 Jan 20 0.6 YT706 Series Engine Accessory Module GEORGE 23 Jan 20 M F Inspection by 05 FEB 20 CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 17 of 85 Page 18 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER GEARSHAFT, BEVEL F320-00284 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.4 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 18 of 85 Page 19 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER TAIL ROTOR BLADE ASSY A009-06029 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

ASAMA UH-60-02-ASAM-01/ TB 1-1520-237-20RECURRING-239 INSPECTION OF TAIL ROTOR WTQGC0 YORK, 21 Mar 11 1.0 FAIRING ASSY MICHAEL 25 Jan 05 D SGT ASAM UH-60-02-01 RECURRING INSPECTION OF TAIL ROTOR WTQGC0 YORK, 27 Mar 15 1.0 FAIRING ASSY MICHAEL 23 Apr 08 D SGT 1-1615-287 C1 TB1-1520-237-20-158 RECAP REQUIREMENTS FOR THE UH-60 WTQGC0 YORK, 27 Mar 15 1.0 TAIL ROTOR BLADE P/N:70101-31000-043 MICHAEL 14 Sep 05 R D NSN:1615011138188 SGT H-60-17-SOF-04 TAIL ROTOR TORQUE TUBE. WTQGC0 YORK, 13 Jun 17 1.0 MICHAEL 19 May 17 F SGT AWR 1692 DE-ICE CANNON PLUGS REPLACED IAW WTQGC0 YORK, 13 Jun 17 1.0 AWR 1692 MICHAEL 10 Jul 15 R F SGT H-60-17-SOF-05 UPDATED TAIL ROTOR (TR) TORQUE TUBE WTQGC0 YORK, 13 Jul 17 1.0 INSPECTION MICHAEL 06 Jul 17 F SGT DMWR 1-1615-287 RECAP REQUIREMENTS FOR THE UH-60 14 May 19 TAIL ROTOR BLADE 05 Mar 19 R D P/N:70101-31000-043 NSN: 1615-01-113-8188 AX229515 BLADE SANDED AND PAINTED 14 May 19

02 Oct 15 R D

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 19 of 85 Page 20 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER STATIONARY SWASHPLATE 151521215 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.4 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 20 of 85 Page 21 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER SWASHPLATE ASSY A10701241 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

UH-60-99-ASAM-01 ALL H-60 AIRCRAFT, RESTORATION OF FULL WTQGC0 R, S 10 Apr 03 1.0 SERVICE LIFE ON THE SWASHPLATE LINK 02 Nov 98 O ASSEMBLY, P/N 70400-08110-054/-061, MANUFACTURED BY TEK (CAGE CODE UH-60-98-ASAM-03 ALL H-60 AIRCRAFT WITH THE SWASHPLATE WTQGC0 R, S 10 Apr 03 1.0 65780) LINK ASSEMBLY, P/N 70400-08110-054, 30 Oct 97 O MANUFACTURED BY TEK (CAGE CODE UH-60-97-01 REMOVAL OF CER65780)TAIN REWORKED MAIN WTQGC0 R, S 10 Apr 03 1.0 ROTOR SWASHPLATE ASSEMBLIES, ALL 30 Nov 96 O UH-60A, UH-60L, EM-60A, AND MH-60K UH-60-98-ASAM-05 ALL H-60 AIRCRHELIAFT CWITHOPTERS THE SWASHPLATE WTQGC0 R, S 10 Apr 03 1.0 LINK ASSEMBLY, P/N 30 Apr 98 O 70400-08110-054/-061, MANUFACTURED BY TEK (CAGE CODE 65780) UH-60-97-ASAM-18 ALL UH-60A, UH-60L, EH-60A, AND MH-60K WTQGC0 R, S 10 Apr 03 1.0 HELICOPTERS, REMOVAL OF SPECIFIC 04 Sep 97 O SUSPECT REWORKED MAIN ROTOR UH-60-06-ASAM-03 ALL H-60SW SERIESASHPL AAITERCR ASSEMBLIESAFT, SWASHPLATE WTQGC0 R, L 15 Jun 06 0.5 DUPLEX BEARING 08 Jun 06 O

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 21 of 85 Page 22 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER TAIL ROTOR GEARBOX ASSY A006-03088 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

UH-60-95-01 IS A THREE PART INSPECTION PROCEDURE WTQGC0 CONTROL, 21 Oct 03 1.0 FOR ALL H-60 BLACK HAWK HELICOPTERS QUALITY 05 Dec 94 O EXCEPT MH-60K; FIRST, A ONE-TIME SGT RECORDS INSPECTION OF ALL TAIL ROTOR UH-60-97-ASAM-12 TAIL ROTOR INBOARD RETENTION PLATE WTQGC0 CONTROL, 21 Oct 03 1.0 GEARBOXES (MESSAGE PARA 8); SECOND, QUALITY AN ULTRASONIC INSPECTION OF 10 Apr 97 F SGT DESIGNATED TAIL GEARBOX OUTPUT UH-60-96-02 ALL H-60 BLASHCKA FHTAS,WK P/N HELI 70358COPTERS, ONE- WTQGC0 CONTROL, 21 Oct 03 1.0 TIME INSPECTION FOR SUSPECT TAIL QUALITY 25 Nov 95 O ROTOR INBOARD RETENTION PLATES SGT H-60-19-AMAM-09 RETIREMENT LIFE CHANGE TO TAIL ROTOR W89JAA MCLAIN, 26 Jul 19 1.0 OUTPUT BEVEL GEAR GEORGE 19 Jul 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 22 of 85 Page 23 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER LATERAL SWASHPLATE LINK 0609-363 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

UH-60-97-ASAM-16 ALL H-60 AIRCRAFT WITH SWASHPLATE WTQGC0 CONTROL, 26 Feb 02 1.0 LINKAGE, CLEVIS CONNECTOR, P/N QUALITY 04 Aug 97 O 70400-08151-050, MANUFACTURED BY SGT AIRBORNE APPAREL, CAGE CODE 2A622 H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.5 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 23 of 85 Page 24 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER T700-GE-701D ENGINE ASSY GEE767424C 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-08-ASAM-14 / H-64-08-ASAM-05 SUSPECT ENGINE HARNESSES WTQGC0 S, B 04 Mar 13 1.0

22 Sep 08 O

TB 1-2840-248-30-1 T700 SERIES ENGINE RESET PROGRAM WTQGC0 S, B 04 Mar 13 62.0

18 May 07 F

H-60-08-AMAM-03 ALL H-60 AND ALL AH-64 SERIES AIRCRAFT, WTQGC0 LIESEN, 19 Mar 13 1.0 MIL-PRF-23699 HIGH TEMPERATURE CHARLES 20 Dec 07 O STABILITY (HTS) OIL CIV H-60-12-ASAM-11 AVIATION SAFETY ACTION MESSAGE, WTQGC0 MARSON, 26 Mar 13 0.2 MAINTENANCE MANDATORY, ALL H-60A PHILLIP 05 Mar 13 F SERIES AIRCRAFT, HYDRO MECHANICAL CIV UNIT H-60-09-ASAM-01 COMPLIED WITH H-60-09-ASAM-01 WTQGC0 MANTEI, 03 Apr 13 0.1 INSPECT ALL H-60A/K/L AND AH-64 SERIES DUSTIN 13 Jan 09 O AIRCRAFT, T701C GAS GENERATOR (GG) CIV H-60-14-ASAM-08 HYDROR-MECHOTOR AANICSSEMBLIES.AL UNIT QUICK WTQGC0 DUBOIS, 11 Sep 14 1.0 DISCONNECT PINS, WILLIAM 30 Jul 14 F H-60-14-ASAM-08 SFC MWO 1-2840-248-50-8 MODIFICATION OF T701 ENGINE TO 701D 23 Apr 19 ENGINE 15 Jan 19 R D

TB 1-2840-248-20-2 ONE TIME INSPECTION AND CONVERSION 23 Apr 19 OF FORMS 30 Aug 93 R D

H-60-20-ASAM-02 T700 SERIES ENGINE COLD SECTION W89JAA MCLAIN, 13 Dec 19 1.3 GEORGE 11 Dec 19 I F CW2 DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 24 of 85 Page 25 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER T700-GE-701D ENGINE ASSY GEE767424C 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-20-ASAM-03 Comply with H-60-20-ASAM-03, T700 AND W89JAA MCLAIN, 24 Jan 20 0.6 YT706 Series Engine Accessory Module GEORGE 23 Jan 20 M F Inspection by 05 FEB 20 CW2 H-60-20-AMAM-03 COMPLY WITH H-60-20-AMAM-03, T700 W89JAA MCLAIN, 05 Mar 20 0.3 HYDRO-MECHANICAL CONTROL UNIT AND GEORGE 15 Feb 20 I F ANTI-ICING START AND BLEED VALVE CW2 H-60-20-SOF-03 T700LINK SeriesAGE QUICK Engine DIS PowerCONNECT Turbine PINS, Module BY WTQGC0 DUBOIS, 13 Aug 20 2.0 Nozzle Seal12M RAeR20-inspection WILLIAM 13 Jul 20 M F SFC

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 25 of 85 Page 26 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER MAIN ROTOR SHAFT EXTENDER C286-00066 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.4 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 26 of 85 Page 27 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER POWER TURBINE MODULE GEL003813C 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-20-SOF-02 Comply with H-60-20-SOF-02, T700 Series W89JAA DUBOIS, 05 Jun 20 0.3 Engine Stage 3 Nozzle Seal Inspection Prior WILLIAM 04 Jun 20 M F to next flight but not to exceed 06 JUN 20 SFC H-60-20-SOF-03 T700 Series Engine Power Turbine Module WTQGC0 DUBOIS, 13 Aug 20 0.2 Nozzle Seal Re-inspection WILLIAM 13 Jul 20 M F SFC H-60-20-SOF-02 T700 SERIES ENGINE STAGE 3 NOZZLE SEAL 23 Oct 20 INSPECTION 04 Jun 20 M F

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 27 of 85 Page 28 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER PUMP MODULE ASSY, HYDRAULIC K10140ABR 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 28 of 85 Page 29 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER MTCHD ROTOR/STATOR ASSY MRSGJ273 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-18-ASAM-04 REMOVAL OF TURBINE ROTOR ASSEMBLIES WTQGC0 Conversio 05 Jan 18 1.0 n, Ulls 05 Jan 18 F

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 29 of 85 Page 30 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER ACCESSORY MODULE A258-03153 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 30 of 85 Page 31 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER T/R PITCH CHANGE SHAFT D23301923 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-14-SOF-02 H-60-14-SOF-02, ONE TIME VISUAL WTQGC0 DUBOIS, 28 Jan 14 1.0 INSPECTION OF THE PITCH CHANGE SHAFT WILLIAM 23 Jan 14 F ASSEMBLY (SERVO COUPLING ASSEMBLY). SFC H-60-17-ASAM-02 TAIL ROTOR SERVO PILOT INPUT ARM WTQGC0 HENKLEIN, 01 Dec 16 2.0 ASSEMBLY JOHN 21 Nov 16 F

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.4 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 31 of 85 Page 32 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER MAIN ROTOR BLADE ASSY A00705870 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-12-SOF-05 CHANGE TO DEPOT REPAIRED LEGACY WTQGC0 A, M 16 Feb 17 1.0 MAIN ROTOR BLADES COMPLIANCE DATE 09 Apr 12 O

DMWR 1-1615-281 RECAPITALIZATION REQUIREMENTS FOR WTQGC0 A, M 16 Feb 17 130.0 H-60 MAIN ROTOR BLADE P/N: 20 Feb 02 R D 70150-09100-043, NSN: 1615-01-106-1903 H-60-15-ASAM-07 MAIN ROTOR BLADE DEBONDING AND TIP WTQGC0 HENKLEIN, 17 Mar 17 0.0 RIB CRACKING JOHN 11 Aug 15 F

H-60-15-ASAM-04 COMPLY WITH H-60-15-ASAM-04, MAIN WTQGC0 HENKLEIN, 17 Mar 17 1.0 ROTOR BLADE DEBONDING BY 3 JUL 15 JOHN

H-60-17-ASAM-05 MAINTENANCE MANDATORY, MAIN ROTOR WTQGC0 HENKLEIN, 17 Mar 17 1.0 BLADE QUALITY ESCAPEMENT, H-60-17- JOHN 22 Feb 17 F ASAM-05 H-60-16-ASAM-05 ALL UH/HH-60A/L SERIES ACFT, MAIN WTQGC0 HENKLEIN, 17 Mar 17 1.0 ROTOR BLADE DEBONDING JOHN 17 May 16 F

H-60-17-ASAM-03 MAIN ROTOR BLADE DEBONDING. WTQGC0 HENKLEIN, 17 Mar 17 1.0 JOHN 28 Dec 16 F

H-60-17-ASAM-03 MAIN ROTOR BLADE DEBONDING WTQGC0 HENKLEIN, 17 Mar 17 1.0 JOHN 27 Dec 16 F

H-60-18-ASAM-01 MAIN ROTOR BLADE (MRB) PEEL TEST WTQGC0 YORK, 03 Nov 17 0.1 MICHAEL 30 Oct 17 F SGT DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 32 of 85 Page 33 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER MAIN ROTOR BLADE ASSY A00705870 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-18-ASAM-06 LEGACY MAIN ROTOR BLADE INSPECTION WTQGC0 Conversio 20 Jun 18 1.0 n, Ulls 14 Jun 18 F

DMWR 1-1615-281 C1 RECAP REQUIREMENTS FOR THE UH-60 14 May 19 MAIN ROTOR BLADE P/N: 70150-09100-043 15 Sep 05 R D NSN: 1615-01-106-1903 H-60-20-ASAM-04 Complied with H-60-20-ASAM-04, Main W89JAA DUBOIS, 22 Apr 20 0.4 Rotor Blade Tap Test Inspection WILLIAM 20 Apr 20 M F SFC

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 33 of 85 Page 34 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER M/R BLADE CUFF A237-1435 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 34 of 85 Page 35 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER ACCUMULATOR 3990A 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DMWR 1-1650-376 RECAPPED WTQGC0 Conversio 03 Mar 14 25.0 n, Ulls 01 Mar 04 R D

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 35 of 85 Page 36 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER FORWARD BELLCRANK 66936-00392 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-19-AMAM-08 maintenance mandatory, removal of W89JAA MCLAIN, 28 Jun 19 0.1 specified flight control components GEORGE 25 Jun 19 I F CW2 H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.4 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 36 of 85 Page 37 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER MAIN ROTOR BLADE ASSY A007-07166 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-18-ASAM-01 MAIN ROTOR BLADE (MRB) PEEL TEST, 24 Jul 19 H-60-18-ASAM-01 30 Oct 17 F

UH-60-15-ASAM-04 MAIN ROTOR BLADE DEBONDING 24 Jul 19

04 May 15 F

H-60-17-ASAM-05 MAINTENANCE MANDATORY, MAIN ROTOR 24 Jul 19 BLADE QUALITY ESCAPEMENT, H-60-17- 22 Feb 17 F ASAM-05 DMWR 1-1615-281 C1 RECAP REQUIREMENTS FOR THE UH-60 W89JAA ARNOLD, 24 Jul 19 0.1 MAIN ROTOR BLADE P/N 70150-09100-043 DAVID 15 Sep 05 R F NSN: 1615-01-106-1903 SSG H-60-15-ASAM-07 MAIN ROTOR BLADE DEBONDING AND TIP 24 Jul 19 RIB CRACKING 11 Aug 15 F

H-60-12-SO-05 CHANGE TO DEPOT REPAIRED LEAGACY 24 Jul 19 MAIN ROTOR BLADES COMPLIANCE DATE, 09 Apr 12 O H-60-12-SO-05. H-60-16-ASAM-05 ALL UH/HH-60A/L SERIES ACFT, MAIN 24 Jul 19 ROTOR BLADE DEBONDING 17 May 16 F

H-60-17-ASAM-03 MAIN ROTOR BLADE DEBONDING. 24 Jul 19

28 Dec 16 F

H-60-20-ASAM-04 Complied with H-60-20-ASAM-04, Main W89JAA DUBOIS, 22 Apr 20 0.4 Rotor Blade Tap Test Inspection WILLIAM 20 Apr 20 M F SFC DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 37 of 85 Page 38 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER ELASTOMERIC BEARING C32407991A 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 38 of 85 Page 39 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER M/R SPINDLE NUT F47901260 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.5 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 39 of 85 Page 40 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER CONTROL HORN ASSY A24119613 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.5 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 40 of 85 Page 41 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER SWASHPLATE GUIDE A425-04209 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 41 of 85 Page 42 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER LEFT TIE ROD ASSY 344-00824 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

UH-60-98-ASAM-07 ALL H-60 SERIES AIRCRAFT, LEFT TIE ROD P/ WTQGC0 CONTROL, 16 Oct 03 0.5 N 70400-08115-043, NSN QUALITY 14 Sep 98 O 1560-01-083-2954, MANUFACTURED BY SGT ARGENCORD (CAGE CODE 3R021) H-60-19-AMAM-08 maintenance mandatory, removal of W89JAA MCLAIN, 28 Jun 19 0.1 specified flight control components GEORGE 25 Jun 19 I F CW2 H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.5 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 42 of 85 Page 43 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER MAIN ROTOR SPINDLE ASSY D001-10893 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-12-AMAM MAIN ROTOR SPINDLE SUB-COMPONENT WTQGC0 YORK, 05 Jun 18 1.0 TRACKING REQUIREMENTS MICHAEL 05 Sep 12 F SGT H-60-13-ASAM-03 MAIN ROTOR SPINDLE ANTI-FLAP ASSEBLY WTQGC0 YORK, 05 Jun 18 1.0 MICHAEL 26 Feb 13 D SGT DMWR 1-1615-377 RECAP REQUIREMENTS 14 May 19

R D

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.4 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 43 of 85 Page 44 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER M/R SPINDLE NUT C47912611 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.4 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 44 of 85 Page 45 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER CONTROL HORN ASSY A24115518 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.5 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 45 of 85 Page 46 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER HUB, M/R ROTOR ASSY C30800296 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 46 of 85 Page 47 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER TIE ROD (M/R SPINDLE) C50402864 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 47 of 85 Page 48 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER SAS ACTUATOR C112-01893 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 48 of 85 Page 49 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER POWER TURBINE MODULE GE-L-001384C 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-20-SOF-02 Comply with H-60-20-SOF-02, T700 Series W89JAA DUBOIS, 05 Jun 20 0.3 Engine Stage 3 Nozzle Seal Inspection Prior WILLIAM 04 Jun 20 M F to next flight but not to exceed 06 JUN 20 SFC H-60-20-SOF-03 T700 Series Engine Power Turbine Module WTQGC0 DUBOIS, 14 Jul 20 0.2 Nozzle Seal Re-inspection WILLIAM 13 Jul 20 M F SFC H-60-20-SOF-02 T700 SERIES ENGINE STAGE 3 NOZZLE SEAL 23 Oct 20 INSPECTION 04 Jun 20 M F

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 49 of 85 Page 50 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER MTCHD ROTOR/STATOR ASSY MRSGF424 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

55-2840-248-50-32 MODIFICATION OF GG ROTOR ASSEMBLY WV75C0 CONTROL, 22 Jul 06 1.0 T700/701 REWORK T700 ENGINES QUALITY 31 Jul 89 R D CIV 1-2840-248-20-2 ONE TIME INSPECTION AND CONVERSION WV75C0 CONTROL, 22 Jul 06 1.0 OF FORMS AND RECORDS FOR T700- QUALITY 30 Jun 94 O GE-700, -701 AND -701C SERIES GAS CIV UH-60-99-ASAM-03 ALL UHTURBINE-60A AND ENGINES EH-60A SERIES WV75C0 CONTROL, 22 Jul 06 1.0 HELICOPTERS, ONE TIME INSPECTION OF QUALITY 05 Nov 98 O ALL T700-GE-700 ENGINE RECORDS CIV H-60-18-ASAM-04 AVIATION SAFETY ACTION MESSAGE WV75C0 MCCLANA 02 Jan 18 1.0 (ASAM), MAINTENANCE HAN, 02 Jan 18 F MANDATORY, REMOVAL OF TURBINE KADE ROTOR ASSEMBLIES, H-60-18-ASAM-04 / H-64-18-ASAM-02

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 50 of 85 Page 51 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER TIE ROD (M/R SPINDLE) B50400065 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 51 of 85 Page 52 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER I/B RETENTION PLATE T/R FM0799 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 52 of 85 Page 53 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER TIE ROD (M/R SPINDLE) C50406730 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 53 of 85 Page 54 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER LATERAL SERVO BELLCRANK F337-01454 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

UH-60-01-03 H-60 SERIES AIRCRAFT, REMOVAL OF WTQGC0 CONTROL, 16 Oct 03 1.0 LATERAL SERVO BELLCRANK ASSEMBLY QUALITY 05 Jan 01 O MANUFACTURED BY THE PURDY MACHINE SGT COMPANY, CAGE CODE 15152 UH-60-97-ASAM-06 ALL H-60 AIRCRAFT WITH THE LATERAL WTQGC0 CONTROL, 16 Oct 03 1.0 BELLCRANK ASSEMBLY, P/N QUALITY 07 Jan 97 O 70400-08150-045, MANUFACTURED BY SGT H-60-19-AMAM-08 PURDYmaintenance MACHINE mandatory, COMPANY removal (CAGE C ofODE W89JAA MCLAIN, 28 Jun 19 0.1 specified flight15152) control components GEORGE 25 Jun 19 I F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 54 of 85 Page 55 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER MAIN ROTOR SPINDLE ASSY A001-07072 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-13-ASAM-03 MAIN ROTOR SPINDLE ANTI-FLAP ASSEBLY WTQGC0 YORK, 27 Feb 13 1.0 MICHAEL 26 Feb 13 D SGT MAIN ROTOR SPINDLE ASSY H-60-12-AMAM-16 MAIN ROTOR SPINDLE WTQGC0 YORK, 18 Jul 18 0.5 SUB-COMPONENT TRACKING MICHAEL 05 Sep 12 O REQUIREMENTS SGT DMWR 1-1615-377 RECAP REQUIREMENTS 14 May 19

R D

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.5 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 55 of 85 Page 56 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER M/R SPINDLE NUT F47903065 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.4 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 56 of 85 Page 57 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER BIFILAR, M/R ROTOR ASSY AIM-00098 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 57 of 85 Page 58 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER INTERMEDIATE GEARBOX A005-00122 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 58 of 85 Page 59 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER ACCESSORY MODULE GE-D-004360C 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-20-ASAM-03 Comply with H-60-20-ASAM-03, T700 AND W89JAA MCLAIN, 24 Jan 20 0.8 YT706 Series Engine Accessory Module GEORGE 23 Jan 20 M F Inspection by 05 FEB 20 CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 59 of 85 Page 60 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER M/R BLADE CUFF A23701959 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 60 of 85 Page 61 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER MAIN ROTOR SPINDLE ASSY A00100366 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-13-ASAM-03 MAIN ROTOR SPINDLE ANTI-FLAP ASSEBLY WTQGC0 YORK, 30 Apr 18 1.0 MICHAEL 26 Feb 13 D SGT H-60-12-AMAM MAIN ROTOR SPINDLE SUB-COMPONENT WTQGC0 YORK, 14 Aug 18 1.0 TRACKING REQUIREMENTS MICHAEL 05 Sep 12 F SGT DMWR 1-1615-377 RECAP REQUIREMENTS 14 May 19

R D

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.4 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 61 of 85 Page 62 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER FAN AXIAL 9L970049 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 62 of 85 Page 63 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER COLD SECTION MODULE GEC767424 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-20-ASAM-02 T700 SERIES ENGINE COLD SECTION W89JAA MCLAIN, 13 Dec 19 1.3 GEORGE 11 Dec 19 I F CW2 H-60-20-ASAM-02 T700 SERIES ENGINE COLD SECTION 23 Oct 20 MODULE 09 Dec 19 M F

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 63 of 85 Page 64 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER CONTROL HORN ASSY G24100830 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.4 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 64 of 85 Page 65 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER AUXILIARY POWER UNIT SPE041054 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 65 of 85 Page 66 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER MAIN ROTOR BLADE ASSY A00714119 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-10-SOF-01 ALL H-60A/K/L SERIES AIRCRAFT, DEPOT WTQGC0 S, P 06 Aug 11 3.0 REPAIRED LEGACY MAIN ROTOR BLADES. 15 Apr 10 K

1-1520-237-20-16 INCREASE IN FATIGUE LIFE FOR THE M/R WTQGC0 S, P 06 Aug 11 1.0 CUFF ASSY, PN 70150-09109-041 AND 28 Feb 98 D 70150-09109-043 UH-60-02-ASAM-12 REVISION TO UH-60-02-ASAM-11 WTQGC0 S, P 06 Aug 11 1.0

11 Aug 02 O

DMWR 1-1615-281 C1 RECAP REQUIREMENTS FOR THE UH-60 WTQGC0 S, P 06 Aug 11 151.0 MAIN ROTOR BLADE P/N: 70150-09100-043 15 Sep 05 R D NSN: 1615-01-106-1903 UH-60-SOF-03-02 INSPECT MAIN ROTOR BLADE CUFF WTQGC0 S, P 06 Aug 11 1.0 ASSEMBLY 07 Jan 03 D

H-60-15-ASAM-07 MAIN ROTOR BLADE DEBONDING AND TIP WTQGC0 HENKLEIN, 18 Oct 16 1.0 RIB CRACKING JOHN 11 Aug 15 F

H-60-17-ASAM-03 MAIN ROTOR BLADE DEBONDING. WTQGC0 HENKLEIN, 05 Jan 17 1.0 JOHN 28 Dec 16 F DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 66 of 85 Page 67 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER MAIN ROTOR BLADE ASSY A00714119 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-17-ASAM-03 MAIN ROTOR BLADE DEBONDING WTQGC0 HENKLEIN, 05 Jan 17 1.0 JOHN 27 Dec 16 F

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 67 of 85 Page 68 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER M/R BLADE CUFF A-23706363 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 68 of 85 Page 69 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER SERVO, PRIMARY MAIN ROTOR B30303034B 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 69 of 85 Page 70 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER INPUT MODULE A264-00579 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

UH-60-00-02 ALL H-60 SERIES AIRCRAFT, REMOVAL OF WTQGC0 CONTROL, 16 Oct 03 1.0 INPUT MODULE GEAR BOX ASSEMBLIES QUALITY 02 Aug 00 D WITH POTENTIALLY CRACKED BEVEL GEARS SGT

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 70 of 85 Page 71 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER TAIL ROTOR BLADE ASSY A009-03153 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

UH-60A-95-ASAM-03 RESHIMMING OF T/R PIVOT BEARING AND WTQGC0 YORK, 14 Jan 11 1.0 INSPECTION FOR SPECIFIED SERIAL MICHAEL 26 Oct 94 F NUMBERS. SGT 1-1615-287, C1/TB 1 1520-237-20-239 RECAP OF UH-60 TAIL ROTOR BLADE ASSY WTQGC0 YORK, 14 Jan 11 1.0 P/N: 70101-31000-043 MICHAEL 15 Sep 05 R D SGT 1-1615-287 C1 TB1-1520-237-20-158 RECAP REQUIREMENTS FOR THE UH-60 WTQGC0 YORK, 14 Jan 11 151.0 TAIL ROTOR BLADE P/N:70101-31000-043 MICHAEL 14 Sep 05 R D NSN:1615011138188 SGT ASAM UH-60-02-01 RECURRING INSPECTION OF TAIL ROTOR WTQGC0 YORK, 19 Jun 12 1.0 FAIRING ASSY MICHAEL 23 Apr 08 D SGT AWR 1692 DE-ICE CANNON PLUGS REPLACED IAW WTQGC0 YORK, 12 May 17 1.0 AWR 1692 MICHAEL 10 Jul 15 R F SGT H-60-17-SOF-04 TAIL ROTOR TORQUE TUBE. WTQGC0 YORK, 19 May 17 1.0 MICHAEL 19 May 17 F SGT H-60-17-SOF-05 UPDATED TAIL ROTOR (TR) TORQUE TUBE WTQGC0 YORK, 07 Jul 17 1.0 INSPECTION MICHAEL 06 Jul 17 F SGT DMWR 1-1615-287 RECAP REQUIREMENTS FOR THE UH-60 14 May 19 TAIL ROTOR BLADE 05 Mar 19 R D P/N:70101-31000-043 AX229515 BLANSN:DE S A1615NDED-01 A-ND113 -P8188AINTED 14 May 19

02 Oct 15 R D DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 71 of 85 Page 72 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER M/R SPINDLE NUT C47905741 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.4 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 72 of 85 Page 73 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER ANTI-ICE VALVE COMH6983 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 73 of 85 Page 74 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER T700-GE-701D ENGINE ASSY GEE761743C 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

1-2840-248-50-7 MODIFICATION OF T701C ENGINE TO WV75C0 SHULER, 22 Jul 06 1.0 T701D ENGINE KEVIN SSG 25 May 05 R D

1-2840-248-20-1 HMU TO GEARBOX FUEL LINE T701C S/N WV75C0 SHULER, 22 Jul 06 1.0 INSP. KEVIN SSG 19 Mar 93 O

1-2840-248-20-22 ALL UH-60A & EH-60A SERIES HELI ONE WV75C0 SHULER, 22 Jul 06 1.0 TIME INSP OF ALL T700GE700 ENGINE KEVIN SSG 15 Dec 98 D RECORDS. APPLIED BY; CCAD (C/W0 1-2840-248-50-4 CONVEPID:CP9992RTING T700 -DGETD20051122-701 ENGINES TO WV75C0 SHULER, 22 Jul 06 1.0 700-GE-701C ENGINES KEVIN SSG 15 Dec 02 R D

55-2840-248-50-27 MODIFICATION OF POWER TAKE OFF BEVEL WV75C0 SHULER, 22 Jul 06 20.0 GEAR SHAFT REPLACE AND REWORK KEVIN SSG 31 Dec 86 R D

55-2840-248-50-28 INSTALLATION OF SELF SEAL ADAPTER WV75C0 SHULER, 22 Jul 06 1.0 ASSEMBLY KEVIN SSG 19 Jan 88 R D

UH-60-99-ASAM-12 O-RING REPLACEMENT ON HMU P/N WV75C0 SHULER, 22 Jul 06 1.0 4046T52G01/G04/G06/G09/G11 KEVIN SSG 10 Jan 00 D

55-2840-248-50-32 MODIFICATION OF GG ROTOR ASSY WV75C0 SHULER, 22 Jul 06 33.0 T700-700/701 REWORK AND REPLACE 33.0 KEVIN SSG 31 Jul 89 R D MANHOURS 55-2840-248-50-29 INSTALL POWER TAKE OFF P/N 504T27G02 WV75C0 SHULER, 22 Jul 06 1.5 KEVIN SSG 31 Jul 89 R D DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 74 of 85 Page 75 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER T700-GE-701D ENGINE ASSY GEE761743C 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

1-2840-248-50-8 MODIFICATION OF T701 ENGINE TO T701D WV75C0 SHULER, 22 Jul 06 1.0 ENGINE KEVIN SSG 25 Jun 05 R F

UH-60-07-ASAM-09 UH-60-07-ASAM -09 HAS BEEN COMPLIED WV75C0 SHULER, 24 Jul 07 1.0 KEVIN SSG 25 Jul 07 O

H-60-08-AMAM-03 ALL H-60 AND ALL AH-64 SERIES AIRCRAFT, WV75C0 BOWER, 27 Dec 07 1.0 MIL-PRF-23699 HIGH TEMPERATURE RUSSELL 20 Dec 07 O STABILITY (HTS) OIL SGT H-60-08-AMAM-03 COMPLIED WITH H-60-08-AMAM-03 27 WV75C0 BOWER, 27 Dec 07 1.0 DEC 2007 ( HTS HIGH TEMPT STABILITY RUSSELL 20 Dec 07 R F OIL) SGT H-60-08-ASAM-14 REQUIRE INSPECTION FOR AND WV75C0 SHULER, 01 Oct 08 1.0 REPLACEMENT OF ALL SUSPECT ENGINE KEVIN SSG 22 Sep 08 D HARNESSES. H-60-14-ASAM-08 COMPLIED WITH H-60-14-ASAM-08 WV75C0 BOISVERT, 08 Sep 14 0.0 (HYDRO-MECHANICAL UNIT QUICK DONALD 22 Jul 14 F DISCONNECT PINS) SSG H-60-19-ASAM-03 COMPLIED WITH H-60-19-ASAM-03, WV75C0 MCCLANA 06 Mar 19 0.5 PARKER AIR TURBINE STARTER REMOVAL. HAN, 06 Mar 19 F KADE H-60-19-AMAM-04 / H-64-19-AMAM-06 COMPLY WITH H-60-19-AMAM-04, W89JAA CHADWIC 15 May 19 0.1 INSPECTION OF T700 SERIES ENGINES K, JUSTIN 09 Apr 19 M F IGNITION EXCITES, BY 23 APR 19 CW2 H-60-20-ASAM-02 T700 SERIES ENGINE COLD SECTION W89JAA MCLAIN, 13 Dec 19 1.3 GEORGE 11 Dec 19 I F CW2 DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 75 of 85 Page 76 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER T700-GE-701D ENGINE ASSY GEE761743C 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-20-ASAM-03 Comply with H-60-20-ASAM-03, T700 AND W89JAA MCLAIN, 24 Jan 20 0.8 YT706 Series Engine Accessory Module GEORGE 23 Jan 20 M F Inspection by 05 FEB 20 CW2 H-60-20-AMAM-03 COMPLY WITH H-60-20-AMAM-03, T700 W89JAA MCLAIN, 05 Mar 20 0.3 HYDRO-MECHANICAL CONTROL UNIT AND GEORGE 15 Feb 20 I F ANTI-ICING START AND BLEED VALVE CW2 H-60-20-SOF-03 T700LINK SeriesAGE QUICK Engine DIS PowerCONNECT Turbine PINS, Module BY WTQGC0 DUBOIS, 14 Jul 20 0.2 Nozzle Seal12M RAeR20-inspection WILLIAM 13 Jul 20 M F SFC

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 76 of 85 Page 77 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER COLD SECTION MODULE GE-C-001996 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

F188304 MEC F188304 AUTHORIZED THE 1109TH WV75C0 FLORES, 19 Sep 14 2.5 TASMG TO REPLACCE THE INLET GUIDE JUAN SGT 19 Sep 14 R F VANE LEVER PN: 6071T25G01 IAW DMWR 1-280-248-1,PAGE 3-594, PARAGRAPH H-60-19-AMAM-05 / H-64-19-AMAM-07 T700 SERIES ENGINE LUBE MANIFOLD W89JAA CHADWIC 15 May 19 0.1 3-163 AND GROMMET K, JUSTIN PG 3-1907,PARAGRAPH 3-736 FIG 3-50 16 Apr 19 M F CW2 ITEMS 22,23,24 AND 25 H-60-20-ASAM-02 T700 SERIES ENGINE COLD SECTION W89JAA MCLAIN, 13 Dec 19 2.0 GEORGE 11 Dec 19 I F CW2 H-60-20-ASAM-02 T700 SERIES ENGINE COLD SECTION 23 Oct 20 MODULE 09 Dec 19 M F

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 77 of 85 Page 78 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER SAS ACTUATOR C112-00524 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

UH-60-01-06 ALL H-60 SERIES AIRCRAFT, INSPECTION OF WTQGC0 CONTROL, 04 Oct 03 1.0 ALL SAS ACTUATORS QUALITY 23 Mar 01 F SGT

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 78 of 85 Page 79 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER SERVO ASSY, TAIL ROTOR B300-02791 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DMWR 1-1650-384 RECAPPED WTQGC0 CONTROL, 05 Apr 13 4.6 QUALITY 28 Jan 08 R D SGT DMWR 1-1650-384 RECAPPED. WTQGC0 CONTROL, 05 Apr 13 4.6 QUALITY 15 Jul 05 R D SGT H-60-16-AMAM-07 TAIL ROTOR SERVO SAFETY CABLE WTQGC0 HENKLEIN, 18 Oct 16 1.0 JOHN 16 May 16 F

H-60-17-ASAM-02 TAIL ROTOR SERVO PILOT INPUT ARM WTQGC0 HENKLEIN, 01 Dec 16 2.0 ASSEMBLY. JOHN 29 Nov 16 F

H-60-17-ASAM-02 H-60-17-ASAM-02 TAIL ROTOR SERVO WTQGC0 HENKLEIN, 01 Dec 16 2.0 PILOT ARM INPUT ASSY JOHN 21 Nov 16 F

H-60-18-ASAM-08 TR SERVO ASSEMBLY SWAGED COLLARS WTQGC0 Conversio 15 Jul 18 1.0 n, Ulls 15 Jul 18 F

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 79 of 85 Page 80 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER MAIN ROTOR SPINDLE ASSY A00106297 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DMWR 1-1615-377 RECAP REQUIREMENTS WTQGC0 YORK, 21 May 11 27.5 MICHAEL 30 Jun 99 R D SGT H-60-12-AMAM-16 COMPLY WITH REQUIREMENTS OF WTQGC0 YORK, 26 Jun 18 1.0 H-60-12-AMAM-16 NLT 5 OCT 12. MICHAEL SGT H-60-13-ASAM-03 MAIN ROTOR SPINDLE ANTI-FLAP ASSEBLY WTQGC0 YORK, 26 Jun 18 1.0 MICHAEL 26 Feb 13 D SGT DMWR 1-1615-377 RECAP REQUIREMENTS 14 May 19

R D

H-60-19-ASAM-06 COMPONENT TIME CHANGE / RETIREMENT W89JAA MCLAIN, 03 Oct 19 0.5 CHAGE UPDATE GEORGE 09 Sep 19 M F CW2

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 80 of 85 Page 81 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER PLANETARY CARRIER ASSY A240-01123 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 81 of 85 Page 82 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER SAS ACTUATOR C112-00507 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

UH-60-01-06 ALL H-60 SERIES AIRCRAFT, INSPECTION OF WTQGC0 CONTROL, 04 Oct 03 1.0 ALL SAS ACTUATORS QUALITY 23 Mar 01 F SGT

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 82 of 85 Page 83 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER FUEL CONTROL (HMU) WYG92221 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

UH-60-12-ASAM-11 INSPECTION OF PART NUMBERS ON WTQGC0 BENNETT, 10 Sep 12 0.5 HYDRO-MECHANICAL UNITS MICHAEL 05 Sep 12 O SPC

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 83 of 85 Page 84 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER O/B RETENTION PLATE (T/R) K25700265 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 84 of 85 Page 85 of 85 1. NOMENCLATURE 2. COMPONENT SERIAL NUMBER 3. AIRCRAFT SERIAL NUMBER FUEL CONTROL (HMU) 17788749 8624494 4. MWO NUMBER 5. 6. ORGANIZATION 7. NAME 8. 9. MAN- AND MWO TITLE APPLYING OR DATE DATE MWO PID HRS

H-60-13-ASAM-10 H-60-13-ASAM-10, ALL H-60A/B/K/L, UH/ WV75C0 BOISVERT, 05 Aug 14 1.0 HH-60M, AND AH-64 SERIES AIRCRAFT, DONALD 19 Aug 13 M WOODWARD HYDRO-MECHANICAL UNIT SSG (HMU) P3 TUBE H-60-17-ASAM-15 H-6-17-ASAM-15, REMOVAL OF HYDRO- WV75C0 MCCLANA 29 Sep 17 0.5 MECHANICAL UNIT (HMU), PN 5074T79G07 HAN, 27 Sep 17 D KADE

DA FORM 2408-5-1-SG, OCT 91 EQUIPMENT MODIFICATION RECORD (COMPONENT) For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1457 UTC FOUO page 85 of 85 Page ______1 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, HH-60L/UH-60A/L AIRCRAFT DESERT OPERATIONS SPECIAL WTQGC0 GA 25 Aug 06 INSPECTION AND CLEANING REQUIREMENT Quality R SGT T700 SERIES ENGINE STAGE 3 NOZZLE SEAL INSPECTION, PRIOR TO NEXT FLIGHT, BUT NOT TO EXCEED 06 JUNE 2020. 23 Oct 20 COMPLY WITH H-60-20-ASAM-10, HONTEK COMPONENT TIME SINCE NEW LIFE ADJUSTMENT, AT THE NEXT LOGBOOK 22 Oct 20 RECONCILIATION, NOT TO EXCEED 15 OCT 20. COMPLY WITH H-60-20-AMAM-10, EXTERNAL/INTERNAL HOIST AND PENDANT CONTROL DA FORM 2410 TRACKING. 22 Oct 20 UPDATED ENGINE INLET BARRIER FILTER INSPECTION PROCEDURES 22 Oct 20 H-60-17-ASAM-03 MAIN ROTOR BLADE DEBONDING 18 Oct 18

CABIN TUB AND FLIGHT CONTROL RODS INSP COMPLETED @ Daniels, 4386.5 ACFT HRS. Original Location: DS2/OLR HAAF,GA 31409 WTQGC0 GA 25 Apr 08 1 Dennis L ACFT FIT CONTROL RIGGED IAW TM 1-1520-237-23-6 BASED Control, AS FOLLOWS: FWD SHORTENED 3/4 TURN, AFT LENGTHENED WTQGC0 GA 26 Sep 01 1 Quality R SGT UH3/4- TURN,60-99- ALASTA MSHO-10R TENEDINITIAL 1/8AND TURN RECURRING (JP9115) INSP. Original OF #2 Control, CLocation:ROSSOVER D'C BREO 2-A25KA AWVNAY REVAGLTVE W TAOA INCF HIL 96854UDE CHANGE IN THE WTQGC0 GA 14 Aug 99 1 Quality R SGT PMS-1 MANUAL AND ENTRY ON 2408-14 FOR FUTURE H-60-15-AMAM-09 MR BLADE PUBLICATION CHANGES. C/W Stallings, REPLACEMENT OF COMPONENT C/W ON THIS DATE (SD8465) AT 5536.2 ACFT. HRS. Original Location: 1108TH TASMG WTQGC0 GA 07 May 15 1 Kerry D Original Location: D CO 2/25 AVN REG WAAF HI 96854 GULFPORT, MS 39505 MEC# F73865 AUTHROIZATION IS GRANTED FOR AMCOM Jones, PROJECT OLR, HUNTER AAF, SAVANNAH, GA TO REPAIR WTQGC0 GA 09 May 08 1 Alfonzo L UHDAM-60AGE-04 -TAOS AR/HM- 05DR CAOMPLETEDG BEAM FIT 28TING SEP C OMPLETED04 @ 2998.4 A TA CFT4386.5 Control, WTQGC0 GA 28 Sep 04 1 HRSACFT (HB7567) HRS Original Original Location: Location: DS2/OLR WPNV98 HAA OF,TIS GA ANGB MA Quality R SGT H-60-1-AMAM-06 (MEDEVAC CAROUSEL REFURBISHMENT0 C/ Rodriguez, W N/A. Original Location: A CO 1/111TH SAN JUAN, PUERTO WTQGC0 GA 14 Feb 11 1 Ariel D SGT RIDCAO FORM 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 1 of 49 Page ______2 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, UH-60-97-ASAM-11 ALL H-60 ACFT INCREASE IN FATIGUE LIF WTQGC0 GA 04 Mar 97 1 FOR CERTAIN M/R BLADE CUFFS (KA0000) Original Location: D Quality R SGT CO 4/25 AVN REG WAAF HI SOF UH-60A-87-09 CYCLIC STAB SLEW C/W 10 AUG 87 (NO Control, PID) Original Location: 129TH AVN HAAF GA 31409 WTQGC0 GA 19 Aug 87 1 Quality R SGT UH-60-92-ASAM-02 ENGINE OUT PUT SHAFT VIB CHECK AND Control, TQ CHECK COMPLETED AT 1539.7 ACFT HRS (NO PID) Original WTQGC0 GA 26 May 92 1 Quality R SGT Location: 617TH SOAD APO MIAMI 34006 UH-60-07-ASAM-03 YAW & COLLECTIVE BOOST SERVOS ROLL Rodriguez, PIN INSP C/W @ 3957.4 ACFT HRS. Original Location: D CO WTQGC0 GA 24 Dec 06 1 Ariel D SGT 1/111TH GSAB CAMP BUEHRING APO AE 09330 H-60-11-AMAM-13 (EXTERNAL RESCUE HOIST MOUNT Rodriguez, FITTING) N/A. AR452727 Original Location: A CO 1/111TH SAN WTQGC0 GA 16 Jun 11 1 Ariel D SGT UHJUA-N,60 -PUE91-RATSOA MRI-C05O ONE-TIME RECORDS CHECK OF SPINDLES Control, (NO PID) Original Location: 617TH SOAD APO MIAMI 34006 WTQGC0 GA 15 Feb 91 1 Quality R SGT UH-60-00-ASAM-06-UPGRADE OF UH-60-00-ASAM-05 C/W Control, ON THIS DATE (CV6215) Original Location: DCO 2/25 AVN REGT WTQGC0 GA 29 Jun 00 1 Quality R SGT WAAF HI COMPLIED WITH H-60-17-ASAM-14, PLANETARY CARRIER RL Braswell, REDUCTION, THIS DATE AT 5965.4 ACFT HOURS, NA THIS ACFT. WTQGC0 GA 26 Sep 17 1 Sidney G UHOriginal-60-00 Location:-ASAM- 02AA ASF#1LL H WINDER,-60 ACFT GINSPECTA 30680 ALL CYCLIC STICK Q, ` WIRING BUNDLES FOR CHAFFING AND BINDING C/W 13 DEC WTQGC0 GA 13 Dec 99 1 1999 (DL0021) Original Location: D CO 2/25 AVN WAAF, HI UH-60-00-ASAM-05 INSP OF FIRE EXTINGUISHING SYSTEM C/ Control, 96854 W AT 2752.9 ACFT HRS (SD8465) Original Location: D CO 2/25 WTQGC0 GA 24 May 00 1 Quality R SGT AVN REGT WAAF, HI 96854 UH-60-94-ASAM-01 NIGHT VISION GOGGLE COMPATIBILITY Control, REWORK OF MASTER WARNING PANEL COMPLIED WITH WTQGC0 GA 02 Dec 93 1 Quality R SGT H(JC0000)-60-11- OriginalASAM-09 Location: (INTERN DA LC OAUX 4/25 FUEL AVN TR REGANSFER WAA SYSTEMSF HI Rodriguez, WTQGC0 GA 05 Apr 11 1 IAFTS) C/W Original Location: ACO 1/111TH SAN JUAN, PUERTO Ariel D SGT HRI-C60O-12-ASAM-10 COMPLIED WITH(ENG ANTI ICE VALVE) Hust, Original Location: AASF#2 CLAY NGC, GA 30060 WTQGC0 GA 05 Sep 12 1 Anthony SGT DA FORM 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 2 of 49 Page ______3 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Ruizsencion, H-60-11-ASAM-09 INTERNAL AUXILIARY FUEL TRANSFER WTQGC0 GA 31 Mar 11 1 SYSTEMS Original Location: ACO 1/111 TH AVN BN SAN JUAN, Ismael SPC PUERTO RICO PMI-2 COMPLETED 3581.6 ACFT HRS. NEXT PHASE PMI-1 DUE Control, AT 3931.6 ACFT HRS. (PW1251) Original Location: L-3 VERTEX WTQGC0 GA 19 Mar 06 1 Quality R SGT CAMP BUEHRING,KUWAIT APO 09330 MAIN ROTOR RIG COMPLETED ON THIS DATE; LAT PRIMARY Dubois, SERVO CONTROL ROD WAS ADJUSTED 1 FLAT CLOCKWISE; NO WTQGC0 GA 20 May 14 1 William D SFC OTHER ADJUSTMENTS REQUIRED Original Location: AASF #! UH-60-00-SOF-01 INSP OF M/R SPINDLE LUGS FOR CRACKS Control, WINDER, GA 30680 (BM3726) Original Location: DCO 2/25 AVN REGT WAAF HI WTQGC0 GA 12 Jul 00 1 Quality R SGT COMPLIED WITH H-60-18-SOF-02, TAIL ROTOR INSPECTIONS @ Wood, David 6103.9 ACFT HRS. (NO SUSPECTED BLADES INSTALLED) Original WTQGC0 GA 26 Apr 18 1 B HLocation:-60-10- ADETSAM 2 -C15O IMPC 169RO AVEDVN HEXATERNAF AL STORES SUPPORT Ruizsencion, SYSTEM FUEL SYSTEM ELBOW Original Location: AASAF, ACO WTQGC0 GA 09 Sep 10 1 Ismael SPC UH1/111-60 THA-86 AVN-06 PUESTARB/TOAU RITOMCO ATIC FLIGHT CONTROL SYSTEM Control, CONTROL PANEL RETROFIT C/W Original Location: SIKORSKY WTQGC0 GA 22 Apr 86 1 Quality R SGT (NO LOCATION) COMPLIED WITH H-60-11-AMAM-17 (T/R SHIMS) Original Hust, Location: AASF#2 DOBBINS ARB, GA 30069 WTQGC0 GA 11 Jul 12 1 Anthony SGT H-60-08-ASAM-04 (PILOT'S LOWER SEAT RAIL CHAFING Rodriguez, ELECTRICAL HARNESS) C/W. AR2727 Original Location: AASF, WTQGC0 GA 06 Dec 07 1 Ariel D SGT PRARNG SAN JUAN, PR SOF UH-60A-87-03 ONE-TIME AND RECURRING INSP OF FIRST Control, THREE T/R DRIVE SHAFT SPLINE COUPLINGS (NO PID) Original WTQGC0 GA 15 Mar 87 1 Quality R SGT Location: 129TH AVN HAAF GA 31409 ACE PERFORMED AT 2253 ACFT HRS AT WHEELER ARMY Control, AIRFIELD HI BY P (DI0000) Original Location: PROJECT OLR WTQGC0 GA 17 Sep 97 1 Quality R SGT UHWA-A60F -HI96 96854-ASAM-09 ALL H-60 ACFT INSP OF STAB ACTUATOR Control, WTQGC0 GA 07 Oct 96 1 CLEVISES (JC0000) Original Location: D CO 4/25 AVN REG WAAF Quality R SGT MHIAIN XMSN SN: A265-01572 IMPENDING BYPASS BUTTON Henklein, POPPED AT 5881.2AIRCRAFT HOURS OR 3595 COMPONENT WTQGC0 GA 26 May 17 1 John F HOURS.DA FORM MAIN TR2408ANSMISSION-15-SG, SERVICEOCT 91ABILITY CHECK HISTORICAL RECORD FOR AIRCRAFT CEDITIONOMPLETED OF NO JAN DEBRIES 64 IS FOUND OBSOLETE ON ANY SCREEN OR CHIP For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG DETECTOR, REPLACED FILTERS AND IMPENDING BYPASS ASSY, AIRCRAFT RETURNED TO SERVICE. Original Location: AASF #2 28 Oct 2020 1333 UTC FOUO page 3 of 49 CLAY NGC, GA 30060 Page ______4 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Daniels, MEC# F74227 AUTHORIZATION IS GRANTED FOR AMCOM WTQGC0 GA 22 Apr 08 1 PROJECT OLR, HAAF, GA. TO REPLACE FWD CARGO HOOK Dennis L FITTING, P/N 70219-02511-045, ON UH-60A 86-24494 IAW H-60-09-SOF-02 AN/ALQ-144 INFRA-RED COUNTERMEASURES Delgado, DMWR 1-1520-240 AND SIKORSKY PROCEDURE SYS. (IRCMS)C/W AD179358 Original Location: AASF PUERTO WTQGC0 GA 10 Nov 08 1 Alfredo SSG SE-7021902511 @ 4386.5 ACFT HRS. . Original Location: DS2/ RICO OLRH-60 H-18AA-AF,GSAAM. 31409-01, MAIN ROTOR BLADE (MRB) PEEL TEST, York, Michael COMPLIED WITH THIS DATE @ 5985.4 ACFT HOURS Original WTQGC0 GA 01 Nov 17 1 K SGT Location: AASF#1 WINDER, GA 30680 UH-60-06-ASAM-01 COMPLEATED @ 3419.5 ACFT. HRS. TAIL Control, SHOCK STRUT ASSY. P/N 70250-13101-044 INST. (JM5225) WTQGC0 GA 20 Dec 05 1 Quality R SGT Original Location: D.CO. 3/126TH AVN CAMP BUEHRING T/R BIAS READINGS AFTER REPLACEMENT OF TRB A007-04240, Daniels, KUWAIT APO 09330 YELLOW BEFORE 4.753 AFTER 5.078 DIFF .325, BLUE BEFORE WTQGC0 GA 30 Apr 08 1 Dennis L UH4.006-60 A-97FTER-AS 4.346AM-09 DIFF ALL .340, H60 RED ACFT BEFORE ONE-TIME 4.722 INSP AFTER OF 5.057M/R Control, SHDIFFAFT .335, EX TENSIONBLACK BEFORE (JH0000) 4.046 Original AFTER Location: 4.382 DIFF D C.336O 4/25 @ 4386.5 AVN WTQGC0 GA 23 Jan 97 1 Quality R SGT ACFT HRS. Original Location: DS2/OLR HAAF,GA. 31409 CREGOMPLIED WAAF HIWITH H-60-08-ASAM-08, ALL H-60L/M SERIES Daniels, AIRCRAFT, SELF-RETANING FLIGHT CONTROL BOLTS @ 4386.5 WTQGC0 GA 15 Apr 08 1 Dennis L ACFT HRS. Original Location: DS2/OLR HAAF,GA 31409 EMC FOR ELT COMPLEATED 14 MAY 04 (HB7567) Original Control, Location: WPNV98 OTIS ANGB MA WTQGC0 GA 14 May 04 1 Quality R SGT M/R TRACK AND BALANCE COMPLETED ON THIS DATE FOR Dubois, COMPLETION OF PMI Original Location: AASF #1 WINDER, GA WTQGC0 GA 05 Jun 14 1 William D SFC 30680 UH-60-06-ASAM-02 INSP M/R P/C ROD JAMNUTS FOR Control, CORROSION AND REPL CADMIUM PLATED JAMNUTS WITH WTQGC0 GA 11 Apr 06 1 Quality R SGT SILVER JAM NUTS NLT 01 OCT 07 C/W AT ACFT HRS (DS5075) UH-60-97-ASAM-10 ESTABLISHMENT OF FATIGUE LIFE OF Control, Original Location: CO D 3/126TH AVN CAMP BEHRING KUWAIT CERTAIN SUPPORT BRIDGE ASSY (KA0000) Original Location: D WTQGC0 GA 13 Jan 97 1 Quality R SGT ACOIR CR4/25AFT A VNOPER REGATED WA IAAFW HI AWR 1649 R9, DATED 30 AUG 16, Henklein, WTQGC0 GA 10 Mar 17 1 AUTOMATED ROUTE RECONNAISSANCE KIT (ARRK) ON John F HUH-60-60-12A/L/M-ASA MHELI-01C OPTERSTAIL RO TONOR THISOUTPUT DATE BEVE OriginalLGEA RLocation: NDI NO T Roberts, C/W@AASF #2 5012.6 CLAY ANGC,CFT HRSGA 30060 Original Location: D.CO.1-111TH AVN. WTQGC0 GA 17 Oct 11 1 Darryl E GSDAB FORMFT HOOD 2408 TX -15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 4 of 49 Page ______5 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, INST OF DAGGER MWO TO BFT COMPLETED AT UDARI AAF WTQGC0 GA 09 Jan 05 1 CAMP BEUHRING KUWAIT BY DUANE CONWAY WESTAR CORP Quality R SGT (DS5075) Original Location: CO D 3/126TH AVN APO AE 09330 UH-60-98-ASAM-04 ALL H-60 INSP OF PRIMARY,YAW Control, BOOST,COLLECTIVE BOOST,AND T/R SERVOS FOR LOOSE HUCK WTQGC0 GA 11 Mar 98 1 Quality R SGT BOLTS (CB2230) Original Location: D CO 2-25 AVN REG WAAF UH-60A-86-07 REQUIREMENT FOR UNGROUNDING COMPLIED Control, HI 96854 WITH (NO PID) Original Location: SIKORSKY (NO LOCATION) WTQGC0 GA 02 May 86 1 Quality R SGT MAIN XMSN FILTER BYPASS BUTTON POPPED @ 5908.2 ACFT Braswell, HRS (4TH OCCURENCE IN 190 HRS). REPLACED 1ST STAGE WTQGC0 GA 21 Jun 17 1 Sidney G FILTER, XMSN OIL PUMPS (2 EA), OIL PRESSURE REGULATORS (2 T/R RIG COMPLETED 3581.6 ACFT HRS RED 4.735-5.069 BLACK Control, EA),AND DRAINED AND FLUSHED MAIN XMSN. 1ST 4.025-4.359 YELLOW 4.780-5.116 BLUE 4.054-4.392 (PW1231) WTQGC0 GA 07 Mar 06 1 Quality R SGT OCCURENCE DATED 24 MAR 17 @5719.2 ACFT HRS. SIGN OFF Original Location: L-3 VERTEX CAMP BUEHRING,KUWAIT APO THISUH-60 WRITE-00-A-SUPAM A-FTER07 INSPECT 200 ACFT WIRE HRS H AWITHRNESS NO C ONNECTINGADDITIONAL # 1 Control, 09330 WTQGC0 GA 14 Sep 00 1 IMPENDINGAND #2 JUNCTION BYPASS B BUOXES.TTONS COMPLETED Original Location: AT 2752.6 A ASF#1CFT HRS. Quality R SGT WINDER,HN/-60A THIS-10- A GAMACFT. A30680M (DC9958)-02 ALL H Original-60 SERIES Location: ACFT. REDESIGNEDD CO 2/25 AVN Stallings, PRELAGNET WTARAYF, GEHIAR CARRIER RETIREMENT LIFE. C/W AT 4740.5 WTQGC0 GA 23 Jan 10 1 Kerry D ACFT. HRS. Original Location: 1108TH AVCRAD GULFPORT, MS. UH-60-04-ASAM-04 COMPLETED 19 AUG 04 @ 2998.4 ACFT Control, 39505 HRS (HB7567) Original Location: WPNV98 OTIS ANGB MA WTQGC0 GA 19 Aug 04 1 Quality R SGT H-60-12-ASAM-07 COMPLIED WITH (WIRE CHAFE) Original Burkes, Steve Location: AASF#2 DOBBINS ARB, GA 30069 WTQGC0 GA 17 Jul 12 1 G CIV ONE-TIME INSP OF S/N ON YAW AND COLL SERVOS I/A/W SOF Control, UH-60A-86-12 COMPLETED ON 31 JUL 86 (NO PID) Original WTQGC0 GA 31 Jul 86 1 Quality R SGT Location: F CO 160TH FT CAMPBELL COMPLIED WITH REQUIREMENTS OF H-60-14-SOF-04 ON THIS Dubois, DATE (CL OMITTED PAGES) Original Location: AASF #1 WINDER, WTQGC0 GA 03 Sep 14 1 William D SFC AGN/A 30680APR-39 RETROFITTED TO AN/APRV(1) COMPLETED BY UNIT Control, WTQGC0 GA 21 Nov 91 1 PERSONNEL (NO PID) Original Location: 617TH SOAD APO Quality R SGT HMI-60AMI-10 34006-ASAM-04 (STAB AUGMENTATION SYST(SAS) CW Rodriguez, Original Location: AASF SAN JUAN, PUERTO RICO WTQGC0 GA 19 Nov 10 1 Ariel D SGT DA FORM 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 5 of 49 Page ______6 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, UH-60-94-ASAM-05 ONE-TIME REMOVAL/INSP OF TAIL GEAR WTQGC0 GA 16 Feb 94 1 BOXES WITH TAIL G/B OUTPUT SHAFT P/N 70358-06620-101 Quality R SGT (VE0000) Original Location: D CO 4/25 AVN REG WAAF HI H-60-08-ASAM-05 (TAIL ROTOR QUADRANT SPRING CAPSULE Rodriguez, ASSEMBLY) C/W. AR2727 Original Location: AASF PRARNG SAN WTQGC0 GA 13 Dec 07 1 Ariel D SGT JUAN PR SOF UH-60-89-08 ONE-TIME INSP OF FUEL BOOST PUMP HOSE Control, (NO PID) Original Location: 617TH SOAD APO MIAMI 34006 WTQGC0 GA 22 Aug 89 1 Quality R SGT H-60-09-SOF-01,HYDRO-MECHANICAL UNIT(HMU) C/W Delgado, AD179358 Original Location: AASF PUERTO RICO WTQGC0 GA 21 Oct 08 1 Alfredo SSG PMI 1 COMPLETED ON THIS DATE @ 6205.3 ACFT HOURS. NEXT York, Michael PMI 2 DUE @ 6685.3 ACFT HOURS. Original Location: AASF#1 WTQGC0 GA 04 Oct 18 1 K SGT HWINDER,-60-05- AGSAA WINDER,M-10 ONE G ATIME 30680 INSP OF HIGH SPEED SHAFT FOR Control, CERTAIN S/N# C/W 23 AUG 05 AT 3259 ACFT HRS (DS5075) WTQGC0 GA 23 Aug 05 1 Quality R SGT UHOriginal-60-97 Location:-ASAM- 12CO A DLL 3/126TH H-60 RES ATVIORATIONATION O TISOF ASERVICENGB M ALIFE Control, OF02542 T/R INBOARD RETENTION PLATE P/N 70358-06612-042 N/A WTQGC0 GA 21 Oct 97 1 Quality R SGT THIS AIRCRAFT LATE ENTRY (LB0000) Original Location: UNC LSI MEC# F160381 AUTHORIZATION IS GRANTED FOR 1108 Grell, Brian K WAAF HI 96854 TASMG, GULFPORT, MS TO INSTALL MWO 1-1520-237-50-100 WTQGC0 GA 21 May 13 1 SOF(IVHMS) UH- 60ATA 5189.9-88-12 A DOESCFT HRS. NOT INS APPTALLYL TAOTION THIS C AOMPLETE.CFT (NO PID) Control, Original Location: 1/228TH1108 TASMG APO GULFPO MIAMI R34006T, MS 39505 WTQGC0 GA 10 Nov 88 1 Quality R SGT ACE COMPLETED AT 3243 ACFT HRS BY ACE MEMBER L Control, AMCOM OLR/MWO BRANCH (EH9090) Original Location: DS2 WTQGC0 GA 05 Aug 05 1 Quality R SGT CONCORD, NH H-60-16-ASAM-02, DEFECTIVE FUEL HOSES, COMPLIED WITH Dubois, ON THIS DATE Original Location: AASF #1 WINDER, GA 30680 WTQGC0 GA 08 Jan 16 1 William D SFC UH-60-06-SOF-02 DISABLING OF COCKPIT AIRBAG SYSTEM Control, WTQGC0 GA 23 Jun 06 1 COMPLIED WITH @ 3720.9 ACFT HRS (MF9258) Original Quality R SGT HLocation:-60-11- ADS CAOM -3/126TH02 (T/R SERCAMPVO BUEHRING,CYLINDER A KUSSYW HAAITRDWARE) C/ Rodriguez, W Original Location: AASF SAN JUAN, PUERTO RICO WTQGC0 GA 28 Oct 10 1 Ariel D SGT DA FORM 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 6 of 49 Page ______7 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Henklein, John MAIN XMSN SN: A265-01572 IMPENDING BYPASS BUTTON WTQGC0 GA 13 Feb 17 1 POPPED AT 5822.3 AIRCRAFT HOURS OR 3536 COMPONENT F HOURS. MAIN TRANSMISSION SERVICEABILITY CHECK COMPLIED WITH REQUIREMENTS OF H-60-14-AMAM-14 ON Cobb, COMPLETED NO DEBRIES FOUND ON ANY SCREEN OR CHIP THIS DATE; N/A Original Location: AASF # 1 WINDER, GA 30680 WTQGC0 GA 09 Apr 14 1 Talmadge L DETECTOR, AIRCRAFT RETURNED TO SERVICE. Original SFC Location:ACFT TEST A AFLSFO WN#2 C RELELAY ANGC,SE FOR GA C30060OMPLETION OF PHASE ACFT Control, WAS PHASED AT 466.7 EXTENSIVE WIRING PROBLEMSAROUND WTQGC0 GA 04 Jan 89 1 Quality R SGT CONSOLE AREA (NO PID) Original Location: 1/228TH APO UH-60-06-ASAM-04 INSP OF COCKPIT AIRBAG SYSTEM (CABS) Control, MIAMI 34006 ELECTRONIC CRASH SENSOR UNIT (ECSU) DRAIN PLUGS C/W WTQGC0 GA 21 Jun 06 1 Quality R SGT AT 3720.9 ACFT HRS (DS5075) Original Location: CO D 3/126TH COMPLIED WITH REQUIREMENTS OF H-60-14-AMAM-16 ON Dubois, AVN BN CAMP BEUHRING KUWAIT APO 09330 THIS DATE (AHRU 2410) Original Location: AASF #1 WINDER, WTQGC0 GA 04 Sep 14 1 William D SFC HGA-60 30680-12-AMAM-12 COMPLIED WITH (RESCINDED COMMON Hust, COMP RMVL DATED) Original Location: AASF#2 DOBBINS ARB, WTQGC0 GA 10 Jul 12 1 Anthony SGT HGA-60 30069-17-ASAM-04, AIRCRAFT STRUCTURAL PARTS COMPLIED Henklein, WITH, THIS IS NOT A SUSPECT ACFT Original Location: AASF #2 WTQGC0 GA 05 Jan 17 1 John F CLAY NGC, GA 30060 UH-60-96-ASAM-08 ALL H-60 ACFT INCREASE IN FATIGUE LIFE Control, OF AEREX MANUFACTURED T/R RETENTION PLATE P/N WTQGC0 GA 26 Aug 96 1 Quality R SGT H70358-60-11-06612-AMA-042M-20 S/N (UH C1324-60A/L-001 SERIES TO C1324 AIRCR-A150FT, (JC0000)AN/ Rivera, AOriginalSN-128D Location: DOPPLER D C AOND 4/25 AVI AAVNTION REG MISSION WAAF HI PLANNING WTQGC0 GA 24 Sep 11 1 Michael K SYSTEM (AMPS) SOFTWARE UPGRADE @ 4996.5 ACFT HRS C/ SSG H-60-15-ASAM-04 M/R BLADE DEBONDING. C/W AT 5536.2 Stallings, W Original Location: 1-111TH GSAB FT HOOD TX 76544 ACFT. HRS. Original Location: 1108TH TASMG GULFPORT, MS WTQGC0 GA 06 May 15 1 Kerry D 39505 H-60-13-SOF-01, ALL EH/HH/UH-60A/L SERIES AIRCRAFT, Grell, Brian K ATTITUDE HEADING REFERENCE SET. N/A THIS ACFT (FOGS WTQGC0 GA 01 Jun 13 1 EMCNOT INSCHECKTALLED) FOR ACMWST 5199.6 COMPLETED ACF THRS. @ Original 3817.0 Location: ACFT HRS 1108 ON Control, WTQGC0 GA 14 May 06 1 UHTASMG-60A GULFPO 8624557.RT, SYSTEM MS 39505 IS COMPATABLE WITH UH-60A MDS Quality R SGT HASSIGNED-60-10-A MTOA MATF-16 KU (CWOMMONAIT. APO MISSILE AE 09330. WA (MF9258)RNING SYSTEM Original Rodriguez, GLocation:UARDED D DISPENSE CO 3/126TH SWI ATVNCH) A C/W.TF KU AWR2727AIT Original Location: WTQGC0 GA 16 Jul 10 1 Ariel D SGT ADAASF FORMSAN JUAN 2408 PUER-T15O RI-SG,CO OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 7 of 49 Page ______8 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Daniels, MEC#F73621 AUTHORIZATION IS GRANTED FOR AMCOM WTQGC0 GA 03 Apr 08 1 PROJECT OLR, HUNTER AAF, GA. TO REPLACE THE PISTONS, P/ Dennis L N 274047-21, ASSOCIATED SEALS, AND RUBBER BOOTS, P/N ACED COMPLETED AT 4890 A/C HOURS BY TEAM MEMBER D, C 274069-21, ON ROTARY WING HEAD SERVO ASSY (PRIMARY AA&O. AFMA,RASAM-E,AMCOM Original Location: CSC SAN WTQGC0 GA 30 Mar 11 1 SERVO) P/N 274000-1031, S/N B303-03188 ON UH-60A JUAN, PUERTO RICO 86H--6024494-10-A IMAWA MDMWR-12, A LL1- 1650H-60- 381SERIES @ 4386.5AIRCRA AFT,CFT IMP HRS.RO VEDOriginal Rodriguez, WTQGC0 GA 25 May 10 1 Location:DRAG BEA DS2/OLRM. C/W Original HAAF,G ALocation:. 31409 AASF SAN JUAN, PUERTO Ariel D SGT RICO UH-60-98-ASAM-07 ALL H-60 INSP OF L/H TIE ROD FOR Control, CERTAIN P/N AND CAGE CODE (SD8465) Original Location: D WTQGC0 GA 21 Sep 98 1 Quality R SGT CO 2/25 AVN REG WAAF HI 96854 H-60-09-ASAM-11,CARGO DOOR WINDOW EMERGENCY Delgado, JETTISON HANDLE ASSEMBLY.C/W,AD179358 Original Location: WTQGC0 GA 26 Jun 09 1 Alfredo SSG HAA-60SF- PR13-AARNGSAM PUE-03,R MTOA INRI CROOTOR SPINDLE ANTI-FLAP Grell, Brian K ASSEMBLIES, COMPLIED WITH AT 5189.9 ACFT HRS. Original WTQGC0 GA 09 Apr 13 1 SLocation:TORMSC 1108OPE MWOTASMG INS GULFPOTALLEDR T,ON MS A CFT39505 PER AVSCOM Control, APPROVAL (NO PID) Original Location: 617TH SOAD APO WTQGC0 GA 30 Nov 89 1 Quality R SGT MIAMI 34006 UH-60-SOF-04 C/W @ 3162 ACFT HRS (HB7567) Original Control, Location: WPNV98 OTIS ANGB MA WTQGC0 GA 15 Mar 05 1 Quality R SGT UH-60-95-ASAM-05 CHANGE IN RETIREMENT LIFE FOR SERVO Control, BEAM RAILS WITH P/N 70209-22103-050/052/054/056 WTQGC0 GA 25 Jan 95 1 Quality R SGT (RP7304) Original Location: D CO 4/25 AVN REG WAAF HI UH-60-97-ASAM-07 ALL H60 ACFT ONE-TIME INSP OF T/R Control, SERVO ASSY (JC0000) Original Location: D CO 4/25 AVN REG WTQGC0 GA 14 Jan 97 1 Quality R SGT WAAF HI (AWR 1270) AIRWORTHINESS RELEASE FOR INSTALLATION AND Rodriguez, OPERATION OF ENGINE INLET BARRIER FILTER (IBF) ON WTQGC0 GA 25 May 05 1 Ariel D SGT SOFUH- 60UHA-/L/Q60-91 A-ND01 HHONE-60L-TIME HELI INSPCOPTERS OF TA ILD ARTEDOTOR 25 PIMTACHY 2005. BEAM Control, WTQGC0 GA 02 Jan 91 1 REAR2727TAINING Original WASHER Location: AND APIATSF,CH PRBEARNGM RE STAININGN JUAN NUT PR Quality R SGT AREVISIONCFT XFERED TO 90FR-OM02 (NO MA APID)RNG Original TO FLA RNGLocation: FOR 617THOIF 2006 SO-A2007D Battell, Kevin OriginalAPO MIA Location:MI 34006 D CO 1/111TH GSAB APO AE 09330 WTQGC0 GA 28 Oct 06 1 S DA FORM 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 8 of 49 Page ______9 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Braswell, COMPLIED WITH H-60-16-AMAM-03 THIS DATE; PLS REMOVAL WTQGC0 GA 24 Nov 15 1 Original Location: AASF#1 WINDER, GA 30680 Sidney G UH-60-01-SOF-01 INSP OF M/L/G DRAGBEAMS FOR CRACKS Control, COMPLETED 05 DEC 2000 (MP9732) Original Location: D CO, 2 WTQGC0 GA 05 Dec 00 1 Quality R SGT \25 AVN REGT WAAF, HI 96854 H-60-15-AMAM-02 INTEGRADED VEHICLE HEALTH Stallings, MONITORING SYSTEM (IVHMS) WIRING MANAGEMENT. C/W WTQGC0 GA 20 May 15 1 Kerry D AT 5536.2 ACFT. HRS. Original Location: 1108TH TASMG COMPLIED WITH REQUIREMENTS OF H-60-15-AMAM-14 ON Dubois, GULFPORT, MS 39505 THIS DATE (AMCOM CHANGE 67) Original Location: AASF #1 WTQGC0 GA 08 Jul 15 1 William D SFC WINDER, GA 30680 UH-60-01-SOF-07INSPECT MAIN ROTOR FLT CONTROLS SELF Control, LOCKING BOLTS. COMPLETED AT 2755.4 ACFT HRS (MM7313) WTQGC0 GA 08 Jun 01 1 Quality R SGT COriginalOMPLIED Location: WITH REQUIREMEN C CO 2/25 AVNTS REOFG HT -W60A-A24F -HIAMAM-15 ON Dubois, THIS DATE (CEFS RIGHT HAND FUEL CELL COVER PLATE) WTQGC0 GA 29 Apr 14 1 William D SFC COriginalOMPLIED Location: WITH REQUIREMEN AASF #1 WINDER,TS OF G GENA 30680-13-AMAM-04 ON Cobb, THIS DATE ( AN/APN-209 RADAR ALTIMETER SET COMPONENT WTQGC0 GA 27 Sep 13 1 Talmadge L TRACKING ) Original Location: AASF # 1 WINDER, GA 30680 SFC SOF UH-60A-88-08 REVISION TO SOF-UH-60A-88-06 (NO PID) Control, Original Location: 617 SOAP APO MIAMI 34006 WTQGC0 GA 02 Aug 88 1 Quality R SGT H-60-11-ASAM-08 (LOS/IFF ANTENNAS AND IVHMS ACEL Rodriguez, CONNECTORS SAFETY WIRE) C/W Original Location: A CO WTQGC0 GA 10 Mar 11 1 Ariel D SGT 1/111TH SAN JUAN, PUERTO RICO UH-60-07-ASAM-08 & 09 COMPLIED WITH (N/A), ENTERED Battell, Kevin FOR CHRONOLOGICAL ORDER Original Location: D CO 1-111 WTQGC0 GA 14 Aug 07 1 S GSAB UDAIRI AIRFIELD, KUWAIT PAINT REMOVED BY PMB AND PAINTED IAW TM Grell, Brian K 55-1500-345-23, CONTRACT #F34601-97-D-0423 AT 4743.0 WTQGC0 GA 29 Mar 10 1 UHACFT-60 HRS.-01- SOFOriginal-06 INSPECT Location: S A1108S ACT AVUCRATAORD, FORW7TN INSAATA LLATION Control, WTQGC0 GA 25 Mar 01 1 OFGULFPO SAFERTT,Y CMSABLE 39505 AND POSSIBLE DAMAGE COMPLETED AT Quality R SGT SOF2754.4 UH (BM3726)-60A-88- 03Original LIFE E XLocation:TENSION D OF CO M 2/25THAIN MON AVN SH WAAFTA F,C/ HI Control, W (NO PID) Original Location: 617 SOAP APO MIAMI 34006 WTQGC0 GA 23 May 88 1 Quality R SGT DA FORM 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 9 of 49 Page ______10 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, UH-60-00-ASAM-04 ONE TIME INSP OF TAIL STRUT FOR WTQGC0 GA 08 Mar 00 1 MISSING BEARING RETENTION PINS. C/W AT 2689.9 A/C HRS Quality R SGT (MP9732) Original Location: D CO 2/25 AVN REGT WAAF, HI UH-60-99-ASAM-02 ALL H-60 ACFT WITH PROVISIONS TO Control, 96854 PROVISIONS TO INSTALL EXTERNAL HOIST MANUFACTURED BY WTQGC0 GA 03 Nov 98 1 Quality R SGT BREEZE EASTERN N/A THIS ACFT (DL0021) Original Location: D UH-60-95-ASAM-08 ALL H-60 WITH T700-GE-700 AND 701 Control, CO 2/25 AVN REG WAAF HI 96854 ENG'S INSP OF ALL P/N'S ON G/G ROTOR ASSY (RP7304) WTQGC0 GA 05 Oct 95 1 Quality R SGT Original Location: D CO 4/25 AVN REG WAAF HI COMPLIED WITH H-60-17-AMAM-07, ON THIS DATE. EXTERNAL Berg, Douglas MOUNTED RESCUE HOIST (EMRH) ARM ADAPTOR CORROSION WTQGC0 GA 24 Mar 17 1 M CONTROL. NOT APPLICABLE AIRCRAFT NOT MODIFIED. Original ACFT TEST FLOWN AND RELEASED FOR PHASE ACFT WAS Control, Location: D CO 1-171ST GSAB CLAY NGC, GA 30060 PHASED AT 966.4 ACFT HRS (NO PID) Original Location: 617TH WTQGC0 GA 18 May 90 1 Quality R SGT HSO-60AD-17 APO-AM MIAMAMI-01, 34006 UNIT LEVEL LOGISTICS SYSTEM-AVIATION Henklein, (ENHANCED) LEGITIMATE CODE FILE (LCF) CHANGE 68 WTQGC0 GA 30 Nov 16 1 John F UHREQUIREMEN-60-99-ASATS,M -C09OMPLIED ONE-TIME WITH INSP. ON OF THIS ALL D HATE-60 Original Control, EXLocation:PANDA ABLEASF PINS #2 C P/NLAY 70103 NGC, -G08107A 30060-101/102/103 FOR WTQGC0 GA 13 Aug 99 1 Quality R SGT UNSERVICEABLE OUTER SEGMENTS C/W ON THIS DATE UH-60-94-ASAM-08 REVISION TO UH-60-94-ASAM-07 Control, COMPONENT S/N (VE0000) Original Location: D CO 4/25 AVN REG WAAF H I WTQGC0 GA 07 Mar 94 1 Quality R SGT AP0380,AP0384,AP0371,AP0391,AP0373,AP0379,AP0363. (SD8465)COMPLIED Original WITH REQUIREMEN Location: D CTOS 2/25OF H A-VN60- 15REG-SOF WA-02AF ONHI THIS Braswell, WTQGC0 GA 24 Sep 15 1 96854DATE( FRIES RELEASE CABLE; NOT INSTALLED) Original Location: Sidney G AASF#1 WINDER, GA 30680 LATE ENTRY - H-60-16-AMAM-07 TAIL ROTOR SERVO SAFETY Henklein, CABLE COMPLIED WITH ON 22 JUL 16 @ 5741.2 ACFT HOURS. WTQGC0 GA 17 Oct 16 1 John F SSG INSPECTION PERFORMED BY AASF #1, GA PERSONEL. Original UH-60-92-ASAM-01 ONE-TIME RECORDS CHECK FOR SUSPECT Control, Location: AASF #2 CLAY NGC, GA 30060 DAMAGED SPINDLES ASSY (NO PID) Original Location: 617TH WTQGC0 GA 10 Jan 92 1 Quality R SGT ASOIRACRD AAFTPO FERRIED MIAMI 34006OCONUS AND ARRIVED IN THEATER TO Control, WTQGC0 GA 03 Nov 05 1 SUPPORT CONTINGINCY OPERATIONS FOR OPERATION IRAQI Quality R SGT SOFFREEDOM UH-60 A-T89 3349.4-11 ONE ACFT-TIME HRS INSP-USE OF 3 NOILOV C 2006OOLER AS (NO COUNT PID)R Y Control, OriginalARRIVAL Location: DATE FOR 617TH RESET S PURPOSESOAD APO MI (DS5075)AMI 34006 Original WTQGC0 GA 15 Nov 89 1 Quality R SGT Location:DA FORM CO D 3/126TH2408-15 A-VISG,ATION OC BNT C 91AMP BEUHRING KUWAIT APO 09330 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 10 of 49 Page ______11 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Dubois, COMPLIED WITH REQUIREMENTS OF H-60-12-AMAM-15 THIS WTQGC0 GA 02 Oct 12 1 DATE (TRIM ACTUATOR) Original Location: AASF#1 WINDER, GA William D SFC 30680 SOF UH-60-89-13 INSP OF TIEDOWN FITTINGS AND Control, ATTACHING HARDWARE C/W (NO PID) Original Location: 617TH WTQGC0 GA 13 Feb 90 1 Quality R SGT SOAD APO MIAMI 34006 T/R BIAS READINGS AFTER 9-11 T/R TORQUE CHECK, YELLOW Rodriguez, BEFORE 4.70 AFTER 5.00, DIFF .32, BLUE BEFORE 4.05 AFTER WTQGC0 GA 23 Jun 08 1 Ariel D SGT 4.38 DIFF .33, RED BEFORE 4.68 AFTER 5.00 DIFF .32, BLACK UH-60-05-ASAM-06 ONE TIME INSP OF TROOP SEAT Control, BEFORE 4.00 AFTER 4.33 DIFF .33. CABLE TENSION LEFT-158 RESTRAINTS C/W AT 3240 ACFT HRS (DS5075) Original WTQGC0 GA 27 Jun 05 1 Quality R SGT AND RIGHT 160, @ 4401.9 ACFT HRS. Original Location: AASF, Location: CO D 3/126TH AVIATION OTIS ANGB MA 02542 SEMCAN JCHECKSUAN PR CPUEOMPLIEDRTO RI CWITHO FOR THE FOLLOWING MWO'S Conversion, IAW AWR'S ASSIGNED AS FOLLOWS ON ALL UH-60A TYPE WTQGC0 GA 15 Nov 05 1 Ulls (ISASSIGNEDAQ 106) THISISAQ UNITFOR UHAIR- 60WARRIOR HELIC OPTERSISAQ114 WITH , CMWS MA INAWR Rodriguez, MODULE1295 , ENG A SSEMBLIESINLET BARRIER (PN 70351FILTERS-08100 AWR -1165R075 & BLUE FORCE WTQGC0 GA 26 Nov 02 1 Ariel D SGT TRACKER AWR 8-13-04, IR LIGHT AWR 1223, 8-POINT ICS AWR T70351AIL R-O08100TOR RIGGING-076) EQUIPPED COMPLETED WITH @ THE 3942.6 IMPR AOCFTVED HRS PLANETARY Control, 1175R1, AWIS AWR 1267R1 (DS5075) Original Location: DCO D PMICARRIER #1 ASSY, PN 70251-08175-046. AR2727 Original Location: WTQGC0 GA 12 Dec 06 1 Quality R SGT 3/126TH AVIATION APO AE 09330 REDAASF, 5.129 PRA RNG- 4.777=.358 SAN JUAN, PR ACE COMPLETED AT 5488.6 A/C HRS. BY ACE TEAM MEMBERS Conversion, BLUE 45.480 - 4.169=.311 B/G. AFMA, RASME, AMCOM. Original Location: L-3 WINDER, WTQGC0 GA 02 Dec 14 1 Ulls YELLOW 5.044 - 4.678=.366 GA 30680 BUHLA-CK60- 4.56007-AS -A4.225=.335M-05 ARC- 220Original-KY-100 Location: START L3UP VE PROCEDURESTEX UDAIRI Rodriguez, WTQGC0 GA 22 Jan 07 1 AINSPAF, KUC/WW A@IT 3994.3 APO 09330 ACFT HRS. Original Location: D CO 1/111TH Ariel D SGT GSAB CAMP BUEHRING APO AE 09330 UH-60-97-ASAM-02 ALL H-60 ACFT ONE-TIME INSP OF T/R Control, DRIVE FLEXIBLE COUPLING CONNECTIONS (WP6422) Original WTQGC0 GA 24 Oct 96 1 Quality R SGT Location: D CO 4/25 AVN REG WAAF HI COMPLIED WITH REQUIREMENTS OF H-60-15-SOF-01 ON THIS Dubois, DATE (OIL COOLER TBO) Original Location: AASF #1 WINDER, WTQGC0 GA 28 Oct 14 1 William D SFC SOFGA 30680 UH-60A-88-10 DOES NOT APPLY TO THIS ACFT (NO PID) Control, WTQGC0 GA 08 Nov 88 1 Original Location: 1/228TH APO MIAMI 34006 Quality R SGT H-60-10-ASAM-06 ALL H-60A SERIES ACFT. AUTO-IGNITION Stallings, AND TRANSIENT DROOP IMPROVEMENT (TDI) MODIFICATION. WTQGC0 GA 10 Feb 10 1 Kerry D C/WDA AFORMT 4740.5 A2408CFT. HRS.,-15-SG, N/A THISOC TACFT. 91 Original Location: HISTORICAL RECORD FOR AIRCRAFT 1108THEDITION AVCR OFA DJAN GULFPO 64 ISR OBSOLETET, MS. 39505 For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 11 of 49 Page ______12 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, UH-60-01-SOF-05 ONE TIME AND RECURRING INSP OF M/R WTQGC0 GA 05 Mar 01 1 SPINDLE AND LUGS COMPLETED @ 2754.4 ACFT HRS (MH1423) Quality R SGT Original Location: D CO 2-25 AVN REGT WAAF HI ACFT TRANSFER FROM CAMP BUEHRING, KUWAIT TO AASF, Rodriguez, SAN JUAN, PR. COMPLETED @ 4345.9 ACFT HRS. AR2727 WTQGC0 GA 07 Dec 07 1 Ariel D SGT Original Location: AASF, PRARNG SAN JUAN, PR COMPLIED WITH REQUIREMENTS OF H-60-14-AMAM-19 ON Dubois, THIS DATE (CHANGE 66) Original Location: AASF #1 WINDER, WTQGC0 GA 23 Sep 14 1 William D SFC GA 30680 UH-60-99-ASAM-08 MODIFICATION OF TBO TIME FOR FWD Control, BELLCRANK SUPPORT WITH CERTAIN P/N AND CAGE CODE C/ WTQGC0 GA 09 Jun 99 1 Quality R SGT W ON THIS DATE (SD8465) Original Location: D CO 2/25 AVN UH-60-96-ASAM-05 ALL UH/EH-60A ACFT INCREASE IN Control, REG WAAF HI FATIGUE LIFE OF THE FWD SUPPORT ASSY P/N WTQGC0 GA 11 Jul 96 1 Quality R SGT INSPECT70400-08116 THE -C048ONT (ES9381)ROL ROD Original JAMNU Location:TS IAW UH D C-60O -4/2502- AVN Control, AREGSA MW-A02A FTB HI 1-1520-237-20-246 WITHIN THE NEXT FLT HOURS WTQGC0 GA 22 Feb 02 1 Quality R SGT HBUT-60 N-09LT- 22AS AFEBM- 082002 (ENGINE COMPLETED COWLING AT2854.3 WEIGHTACFT RESTRICTION) HRS Rodriguez, C/W.(MD2892) AR2727 Original Original Location: Location: D C AOA 2SF-25 SA ANVN JU REANG TPUE WARTAOF RICO WTQGC0 GA 05 May 09 1 Ariel D SGT HAWAII 96854 SOF UH-60-89-12 ONE-TIME INSP OF OIL COOLER AXIAL FAN Control, (NO PID) Original Location: 617TH SOAD APO MIAMI 34006 WTQGC0 GA 29 Nov 89 1 Quality R SGT COMPLIED WITH H-60-18-ASAM-02, RESCUE HOIST PENDANT, York, Michael THIS DATE @5995.9 ACFT HRS. (NA) Original Location: AASF#1 WTQGC0 GA 14 Nov 17 1 K SGT WINDER, GA 30680 H-60-09-ASAM-04 RESCUE HOIST MARK 44 MOD O Delgado, CARTRIDGE ACTIVATION DEVICE C/W AD179358 Original WTQGC0 GA 06 Mar 09 1 Alfredo SSG Location: AASF PRANG PUERTO RICO COMPLIED WITH UH-60-08-AMAM-08, FLIGHT CONTROL Bass, Charles RIGGING UPDATE, @ 4390.3 ACFT HRS Original Location: DS2/ WTQGC0 GA 20 May 08 1 J COLROMPLIED HAAF, WITHGA REQUIREMENTS H-60-15-ASAM-01 ON THIS Dubois, WTQGC0 GA 17 Nov 14 1 DATE (LED CAUTION ADVISORY PANEL) Original Location: AASF William D SFC H#1-60 WINDER,-11-AM AGMA -3068015 (INTEGRATED VEHICLE HEALTH Wilson, MANAGEMENT SYSTEM IVHMS ACCELEROMETERS, C/W @ WTQGC0 GA 14 Sep 11 1 Robert L SSG 4990.6DA FORM ACFT HRS. 2408 Original-15- SG,Location: OC 1/111THT 91 GSAB PUERTO HISTORICAL RECORD FOR AIRCRAFT RIEDITIONCO OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 12 of 49 Page ______13 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, UH-60-05-ASAM-01 FUEL SYSTEM INTEGRITY CHECKS AND WTQGC0 GA 06 Jan 05 1 NEW ADDENDUM 1. SUPERCEDEDS UH-60-ASAM-05-01 Quality R SGT (DS5075) Original Location: AASF#1 OTIS ANGB MA 02542 COMPLIED WITH REQUIREMENTS OF H-60-13-ASAM-01 ON Dubois, THIS DATE (ANTI COLLISION LIGHT POWER SOURCE) Original WTQGC0 GA 29 Nov 12 1 William D SFC Location: AASF #1 WINDER, GA 30680 H60-18-ASAM-07, REVISED RESCUE HOIST PENDANT Conversion, INSPECTION, COMPLIED WITH ON THIS DATE. Original WTQGC0 GA 22 Jun 18 1 Ulls Location: AASF1 WINDER, GA 30680 H-60-12-SOF-02 TAIL ROTOR INTERMEDIATE GEARBOX C/W @ Gill, James R 5012.6 HRS. Original Location: A CO. 1-111TH. AVN. FT. HOOD, WTQGC0 GA 13 Oct 11 1 SSG TX. INSP OF T/R DRIVE SHAFT FLANGE COUPLING COMPLETED 09 Control, JAN 87 AT 52.0 HRS (NO PID) Original Location: 129TH AVN WTQGC0 GA 09 Jan 87 1 Quality R SGT AHCFTAAF FGLTA C31409ONTROLS RIGGED IAW TM 1-1520-237-6 PRIMARY Control, SERVO ROD BIASED AS FOLLOWS: FWD SHORTNED 1/6 TURN, WTQGC0 GA 02 Jul 04 1 Quality R SGT PMIAFT -LENETHEND2 COMPLETED 1/3 ON TURN, THIS L DATA TELEGETHNED AT 5741.2 1/3ACFT TURN. HOURS, SEE Dubois, NERIGGINGXT PMI WORKSHEET-1 DUE AT 6101.2 ENCL AOSEDCFT HOURS. IN BACK Original OF HIST Location: RECORDS WTQGC0 GA 05 Aug 16 1 William D SFC ALOGBOOKASF #2 WINDER, (DS5075) G AOriginal Location: WPNV98 OTIS ANGB MA ACFT HAS COMPLETED DEMODIFICATION PROGRAM AND Control, TRANSFER INSPECTION 05 AUG 93 AT 1753.1 ACFT HRS I/A/W WTQGC0 GA 05 Aug 93 1 Quality R SGT UHPROJECT-60-01 DIRECTIVE-SOF-02 SOF OB REVISIONARJ3-351- OF00H UH DTD-60 FEB90-01-SOF (NO-01: PID) ML G Control, DROriginalAG BE Location:AM INSP COFCA JDA CKCORPC POINT TX AREA COMPLETED & 2752.9 WTQGC0 GA 06 Dec 00 1 Quality R SGT (BM3726) Original Location: D CO 2/25TH AVN WAAF, HI COMPLIED WITH REQUIREMENTS OF H-60-14-ASAM-10 ON Dubois, THIS DATE (UPGRADED PLANETARY CARRIER ASSY) Original WTQGC0 GA 12 Sep 14 1 William D SFC Location: AASF #1 WINDER, GA 30680 COMPLIED WITH REQUIREMENTS OF H-60-13-ASAM-10 Cobb, WOODWARD HMU P3 TUBE AT 5243.9 ACFT HOURS Original WTQGC0 GA 19 Aug 13 1 Talmadge L SFC UHLocation:-60-94 A-AASSF#1AM- 02WINDER RETURN GA FOR WINDER, EXCH AGNGEA 30680 OF CERTAIN ARA Control, WTQGC0 GA 18 Jan 94 1 MANUFACTURED BUCKLE/CROTCH STRAP ASSY (JC0000) Quality R SGT UHOriginal-60-96 Location:-ASAM- 10D CAOLL 4/25 H-60 A VNACFT REG INSP WA OFAF M/RHI SPINDLE Control, ASSY AND SPINDLE ELASTOMERIC BEARINGS (JC0000) Original WTQGC0 GA 23 Sep 96 1 Quality R SGT Location:DA FORM D CO 4/252408 A-VN15 -REGSG, W OCAAF THI 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 13 of 49 Page ______14 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, SOF UH-60A-88-01 INSP OF T/R BLADE S/N C/W 24 FEB 88 (NO WTQGC0 GA 24 Feb 88 1 PID) Original Location: 617 SOAP APO MIAMI 34006 Quality R SGT UH-60-02-01 INSP OIL COOLER FAN SHAFT ASSY FWD MNT Control, FLANGE IAW UH-60-02-01 (TB 1-1520-237-20-240) PRIOR TO WTQGC0 GA 16 Nov 01 1 Quality R SGT NEXT FLIGHT, BUT NLT 30 NOV 2001 COMPLETED AT 2795.6 ACE COMPLETED AT 6006.4 A/C HRS. BY ACE TEAM MEMBERS Grina, James ACFT HRS. (JL2557) Original Location: D CO 2-25 AVN REG G/MM. AFMA, RASME, AMCOM. Original Location: L-3 WINDER, WTQGC0 GA 05 Dec 17 1 F CIV GWAA A30680F HI 96854 (A) AFT CONTROL SERVO INPUT ROD HAS BEEN LENGTHENED Control, 1/2 TURN. (B) LATERAL CONTROL SERVO INPUT ROD HAS NO WTQGC0 GA 02 Aug 01 1 Quality R SGT CHANGE. (C) FORWARD CONTROL SERVO INPUT ROD HAS ACFT WAS TEST FLOWN AND RELEASED FOR COMPLETION OF Control, BEEN SHORTENED 1/2 TURN. NOTE:WHEN AIRCRAFT RIGGING PMS-2 WITH ACFT TIME AT 1452.7 HRS (NO PID) Original WTQGC0 GA 31 Jan 92 1 Quality R SGT IS BIASED, RIGGING PIN HOLES ARE TEMPORARILY LOST AT THE HLocation:-60-SOF 617TH-02 RESCUE SOAD HOIST APO MI OPERAMIA 34006TIONAL RESTRICTIONS Conversion, ABOVE 3 POINTS. (MP9732) Original Location: D CO 2/25 AVN WTQGC0 GA 18 Aug 16 1 RECOMPLIEDGT WAAF, WITH HI 96854 AT 5752.6 FLT HRS. Original Location: C CO Ulls MEC#1/185TH F69375 WINDER, AUTH GRAOIZ 30680ATION IS GRANTED FOR AMCOM Bass, Charles PROJECT OLR, HUNTER AAF, SAVANNAH, GA TO REPLACE HIGH WTQGC0 GA 07 May 08 1 J SPEED SHAFT AND BEARING SUBASSY, P/N 21351, I/A/W H-60-13-ASAM-05, BREEZE EASTERN VARIABLE SPEED Grell, Brian K DMWR 1-4320-271 AS REQUIRED Original Location: DS2/OLR ELECTRIC RESCUE HOIST, COMPLIED WITH AT 5189.9 ACFT HRS. WTQGC0 GA 08 Apr 13 1 HAAF, GA UHOriginal-60-05 Location:-ASAM- 021108 C/W TA (BSMGLUE GULFPO FORCE TRRT,A MSCKING 39505 KITS) Control, (DS5075) Original Location: AASF#1 OTIS ANGB MA 02542 WTQGC0 GA 04 Mar 05 1 Quality R SGT ACE PERFORMED AT 1991 ACFT HRS AT WAAF HI BY P & S Control, (RP7304) Original Location: D CO 4/25 AVN REG WAAF HI WTQGC0 GA 12 Jun 95 1 Quality R SGT SOF UH-60-89-05 ONE-TIME INSP OF WIRE STRIKE SYSTEM C/ Control, W 16 JUN 89 (NO PID) Original Location: 617TH SOAD APO WTQGC0 GA 19 Jun 89 1 Quality R SGT CMIOMPLIEDAMI 34006 WITH REQUIREMENTS OF H-60-14-AMAM-08 ON Dubois, WTQGC0 GA 07 Mar 14 1 THIS DATE; NOT APPLICABLE Original Location: AASF #1 William D SFC HWINDER,-60-10- AGMA A30680M-03 COPILOT AIRBAG SYSTEM Delgado, DEDACTIVATION.CW.AD179358 Original Location: AASF WTQGC0 GA 12 Nov 09 1 Alfredo SSG PRDAARNG FORM PUERT 2408O RICO-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 14 of 49 Page ______15 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, UH-60-95-ASAM-01 REMOVAL OF FRONT HOIST MARKING ON WTQGC0 GA 11 Oct 94 1 ESSS HARDPOINT (VE0000) Original Location: D CO 4/25 AVN Quality R SGT REG WAAF HI PROVISIONS FOR INTERNAL RESCUE HOIST INSTALLED IAW TM Grell, Brian K 1-1520-BLACKHAWK (EM0013) AT 5189.9 ACFT HRS. Original WTQGC0 GA 15 Mar 13 1 Location: 1108 TASMG, GULFPORT GULFPORT, MS 39505 UH-60-97-ASAM-04 ALL H60 ACFT CHANGE TO RETIREMENT Control, LIFE OF CERTAIN M/R BLADE CUFFS (JC0000) Original Location: WTQGC0 GA 02 Jan 97 1 Quality R SGT D CO 4/25 AVN REG WAAF HI UH-60A-84-02 INSPECTION OF ENGINE OUTPUT SHAFT P/N Control, 70361-08004-042/043 C/W (NO PID) Original Location: WTQGC0 GA 06 Feb 86 1 Quality R SGT SIKORSKY (NO LOCATION) SOF UH-60A-87-04 INSP OF LIFTING RING EYE BOLTS (NO PID) Control, Original Location: 129TH AVN HAFF GA 31409 WTQGC0 GA 26 Mar 87 1 Quality R SGT (AWR1303) AIRWORTHINESS RELEASE FOR UH-60A/L Rodriguez, HELICOPTERS TO OPERATE WITH THE DAVID CLARK WTQGC0 GA 26 Jun 06 1 Ariel D SGT FINPASSENGERAL CONVERSION INTERCOM FROM SYSTEM MAN (ICS)UAL FORMSINSTALLED, TO ULLS DATED-A 26 Control, CJUNEOMPLETED 06. AR2727 ON THISOriginal DATE. Location: (SD8465) AA OriginalSF, PRA RNGLocation: SAN DJU CAON, WTQGC0 GA 01 Jun 99 1 Quality R SGT 2/25PR AVN REG WAAF HI ACFT OPERATED WITHIN LIMITATIONS PRESCRIBED IN THE Control, ENCLOSED A/W/R DATED 03 JUL 91 (NO PID) Original Location: WTQGC0 GA 27 Apr 92 1 Quality R SGT SOF617TH UH S-O60A-D89 A-PO06 ONEMIAMI-TIME 34006 INSP OF R/H AND L/H RELAY Control, PANELS C/W (NO PID) Original Location: 617TH SOAD APO WTQGC0 GA 20 Jul 89 1 Quality R SGT MIAMI 34006 H-60-12-SOF-04, BREEZE EASTERN EXTERNAL RESCUE HOIST Burkes, Steve OPERATIONS COMPLIED WITH. Original Location: AASF#2 WTQGC0 GA 22 Feb 12 1 G CIV DOBBINS ARB, GA 30069 H-60-10-AMAM-05 (ULLS-A LCF CHANGE 60B) C/W. AR2727 Rodriguez, Original Location: AASF SAN JUAN PUERTO RICO WTQGC0 GA 20 Feb 10 1 Ariel D SGT SOF UH-60A-87-11 ONE-TIME INSP OF CARGO DOOR ROLLER Control, WTQGC0 GA 24 Nov 87 1 ASSY (NO PID) Original Location: 617 SOAP APO MIAMI 34006 Quality R SGT UH-60-00-ASAM-03 INSP ALL PRIMARY SERVOS FOR CERTAIN Control, P/N (DL0021) Original Location: D CO 2/25 AVN WAAF, HI WTQGC0 GA 04 Jan 00 1 Quality R SGT 96854DA FORM 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 15 of 49 Page ______16 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Braswell, COMPLIED WITH H-60-16-ASAM-05, M/R BLADE DEBONDING, WTQGC0 GA 20 May 16 1 ON THIS DATE (NO AFFECTED BLADES INSTALLED) Original Sidney G Location: AASF#1 WINDER, GA 30680 COMPLIED WITH H-60-14-AMAM-12 (SPINDLE NUT LIFE Dubois, EXTENTION) ON THIS DATE Original Location: AASF #1 WTQGC0 GA 23 Apr 14 1 William D SFC WINDER, GA 30680 SOF UH-60-89-03 ONE-TIME INSP OF M/R SPINDLES C/W 04 Control, APR 89 (NO PID) Original Location: 617TH SOAD APO MIAMI WTQGC0 GA 05 Apr 89 1 Quality R SGT 34006 UH-60-97-ASAM-01 ALL H-60 ACFT INSP OF M/R HUB ASSY Control, (WP6422) Original Location: D CO 4/25 AVN REG WAAF HI WTQGC0 GA 09 Oct 96 1 Quality R SGT COMPLIED WITH H-60-15-AMAM-18 THIS DATE, CAROUSEL Braswell, NOT INSTALLED Original Location: AASF#1 WINDER, GA 30680 WTQGC0 GA 30 Sep 15 1 Sidney G TRIM TABS WERE ADJUSTED THIS DATE AS FOLLOWS BLADE Cobb, S/N A007-14648 (1) .296 MIL (2) .293 MIL (3) .298 MIL WTQGC0 GA 11 Dec 13 1 Talmadge L C(4)OMPLIED .294 MIL WITH (5) .296 THE (6) REQUIREMEN .294 MIL BLTAS DEOF S/NH-60 A-00714--SOF07667-01 THIS Conversion,SFC D(1)A TE,.261 HOIST MIL N (2)OT .250 INS TMILALLED (3) Original.261 MIL Location: (4) .258 MILAASF (5) #1 .248 WTQGC0 GA 01 Nov 13 1 Ulls WINDER,(6) .257 MIL GA 30680 BLADE S/N A007-14119 (1) .292 MIL (2) .287 H-60-10-ASAM-08 (APU & APU FIREWALL) C/W. AR2727 Rodriguez, MIL (3) .286 MIL (4) .287 MIL (5) .286 (6) .284 MIL BLADE S/N WTQGC0 GA 16 Jun 10 1 AOriginal007-07166 Location: (1) .327 AA SFMIL S A N (2) JU .326AN PUEMILR T(3)O RI.325CO MIL (4) .321 Ariel D SGT MILUH- 60(5)- 05.325-A S(6)AM .324-11 MIL ONE Original TIME INSP Location: OF M AAINASF L A#1NDING WINDER, GEA R Control, GDRAA 30680G BEAM FOR WIRE HARNESS CHAFING COMPLIED WITH AT WTQGC0 GA 23 Sep 05 1 Quality R SGT 3581.6 ACFT HRS (MF9258) Original Location: WPNVAO APO AE COMPLIED WITH REQUIREMENTS FOR H-60-16-ASAM-06 Conversion, 09330 IMPROVED T/R QUADRANT ON THIS DATE. Original Location: C WTQGC0 GA 24 Aug 16 1 Ulls CO 1/185TH WINDER, GA 30680 UH-60-91-ASAM-09 INSP OF MAIN ROTOR SPINDLES FOR Control, WEAR AND SEPERATION (NO PID) Original Location: 617TH WTQGC0 GA 03 May 91 1 Quality R SGT UHSOA-60D A-94PO-A MISAAMMI-04 34006 ALL H-60 ACFT REISSUE OF ONE-TIME Control, WTQGC0 GA 01 Feb 94 1 INSPECTION TO REMOVE SUSPECT T/R PITCH BEAM (VE0000) Quality R SGT HOriginal-60-10 -Location:ASAM-03 D FIRE CO 4/25BOTTLE AVN DISCH REG AWRAGEAF LINES HI AND Delgado, NOZZLE.CW AD179358 Original Location: AASF PRARNG WTQGC0 GA 13 Nov 09 1 Alfredo SSG PUEDAR TFORMO RICO 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 16 of 49 Page ______17 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Delgado, H-60-08-ASAM-13, FIRE EXTINGUISHING TUBE UNION RING C/ WTQGC0 GA 25 Sep 08 1 W.AD179358 Original Location: AASF PUERTO RICO Alfredo SSG UH-60-98-ASAM-05 ALL H-60 INSP OF INSP OF AFT Control, SWASHPLATE LINK FOR CERTAIN P/N AND MANUFACTURER WTQGC0 GA 30 Apr 98 1 Quality R SGT SUPERCEDES UH-60-98-ASAM-03 (SD8465) Original Location: D UH-60-04-ASAM-03 FUEL SYS INTEGRITY CHECKS C/W AT Control, CO 2-25 AVN REG WAAF HI 96854 2911.7 ACFT HRS (TE5564) Original Location: CCAD CORPUS WTQGC0 GA 15 Apr 04 1 Quality R SGT CHRISTI TX 78419 H-60-09-SOF-03 POSSIBLE RETIREMENT LIFE OVER-FLT.C/W Delgado, AD179358 Original Location: AASF PUERTO RICO WTQGC0 GA 20 Nov 08 1 Alfredo SSG H-60-08-ASAM-11,FLIGHT CONTROL INSPECTION C/W. Delgado, AD179358 Original Location: AASF PUERTO RICO WTQGC0 GA 26 Aug 08 1 Alfredo SSG COMPLIED WITH H-60-17-ASAM-10, INTERIM MEDEVAC B, M MISSION SUPPORT SYSTEM (IMMSS) HINGE PINS 19 JUN 17 WTQGC0 GA 19 Jun 17 1 COriginalOMPLIED Location: WITH H A-A60SF- 15#2,-A GMAA AMRNG-06 ONCLA THISY NGC, DA GTEA (30060ASE Dubois, INVENTORY) Original Location: AASF #1 WINDER, GA 30680 WTQGC0 GA 12 Feb 15 1 William D SFC AWR 1516 OPERATION OF UH60A ACFT WITH THE EBC-406HM Delgado, EMERGENCY LOCATOR TRANSMITTER (ELT) INST.TEMPORARY WTQGC0 GA 09 Mar 09 1 Alfredo SSG ***INSLTAATELLETION ENTRY*** OF HEQUIPMENT-60-11-AM ACMOMPLETED.NO-19 ULLS-A LCF PERM CHAANGENENT 62 Burkes, Steve C/WCHA NGES21 SEP T O2011. CONFIGUR OriginalA TION.Location:AD 179358 AASF#2 Original DOBBINS Location: ARB, G A WTQGC0 GA 21 Sep 11 1 G CIV 30069AASF PRANG PUERTO RICO H-60-08-ASAM-10 (ELECTRICAL WIRE CHAFE ISSUES) C/W. Rodriguez, AR2727 Original Location: AASF SAN JUAN PUERTO RICO WTQGC0 GA 04 Aug 08 1 Ariel D SGT SOF UH-60-01-12(TB 1-1520-237-20-236) INSPECTION OF M/R Control, BLADE EXPANDABLE PINS COMPLETED AT 2755.4 ACFT HRS WTQGC0 GA 29 Aug 01 1 Quality R SGT H(MD2892)-60-09-A OriginalMAM-06 Location: CARGOM D HOOKCO 2- 25CA ARVNTRIDGE REG TA WCTAUAAFTED Delgado, WTQGC0 GA 21 Oct 09 1 DEVICEHAWAII (C96854AD) LIFE REDUCTION. CW .AD179358 Original Alfredo SSG UHLocation:-60-96 A-SOFASF- PR04A ARNGCFT APUENDR RETOC RIORDSCO OF AFT BELLCRANK Control, SUPPORT ASSEMBLY (ES9381) Original Location: D CO 4/25 AVN WTQGC0 GA 13 Dec 95 1 Quality R SGT REGDA W FORMAAF HI 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 17 of 49 Page ______18 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, ACE PERFORMED AT 2755 ACFT HRS AT WAAF BY E&DD WTQGC0 GA 15 Aug 01 1 (MM6284) Original Location: PROJ OLR FT LEWIS WA WAAF HI Quality R SGT ACFT LOGBOOK FLEW OUT OF ACFT AND WAS LOST NEW FOR Control, MS WERE RECONSTRUCTED AND REVIEW FROM ALL WTQGC0 GA 13 Mar 92 1 Quality R SGT AVAILABLE INFORMATION (NO PID) Original Location: 617TH ACE COMPLETED AT 5172.8 A/C HRS. BY ACE TEAM MEMBERS Conversion, SOAD APO MIAMI 34006 B/G. AFMD, RASM-E, AMCOM. Original Location: L-3 WINDER, WTQGC0 GA 11 Dec 12 1 Ulls GA 30680 UH-60-97-SOF-01 REMOVAL OF CERTIAN M/R SWASHPLATE Control, ASSY (JC0000) Original Location: D CO 4/25 AVN REG WAAF HI WTQGC0 GA 03 Dec 96 1 Quality R SGT UH-60-95-SOF-01 ONE-TIME ULTRASONIC INSP OF OUTPUT Control, SHAFT P/N -101 (VE0000) Original Location: D CO 4/25 AVN WTQGC0 GA 07 Dec 97 1 Quality R SGT HREG-60 W-11AA-SOFF HI-01 (DISCREPANT SELF LOCKING DOUBLE Rodriguez, HEXAGON NUTS) C/W. Original Location: ACO 1/111TH AVN BN WTQGC0 GA 12 Jul 11 1 Ariel D SGT HSA-60N -JU12A-N,AS PUEAM-R09TO C RIOMPLIEDCO WITH (EASTERN BREEZE Burkes, Steve EXTERNAL HOIST ELECT CONN) Original Location: AASF#2 CLAY WTQGC0 GA 23 Aug 12 1 G CIV NGC, GA 30060 COMPLIED WITH REQUIREMENTS OF H-60-14-SOF-03 ON THIS Dubois, DATE (DISCREPANT NUTS) Original Location: AASF #1 WINDER, WTQGC0 GA 24 Jun 14 1 William D SFC HGA-60 30680-17-AMAM-11, ENHANCED SCHEDULED MAINTENANCE-2 Henklein, (ESM-2) PROGRAM IMPLEMENTATION, COMPLIED WITH ON WTQGC0 GA 17 Aug 17 1 John F THIS DATE Original Location: AASF #2 CLAY NGC, GA 30060 H-60-08-ASAM-03 (CHANGES TO CURRENT FUEL INTEGRITY Rodriguez, CHECKS) C/W. AR2727 Original Location: AASF, PRARNG SAN WTQGC0 GA 10 Dec 07 1 Ariel D SGT JUAN PR UH-60-00-ASAM-01 INCREASE INSPECTION INTERVAL FROM Control, 100 TO 200 FLIGHT HOURS ON ALL M/R HUB P/N WTQGC0 GA 15 Nov 99 1 Quality R SGT UH70103-60--0811205-AS-A041/045M-04 INSP (DL0021) OF TA ILOriginal LANDING Location: GEAR DFORK CO 2/25 ASSY'S Control, WTQGC0 GA 15 Apr 05 1 C/WAVN 2408 WAA-F,18 HI M 96854ADE FOR ALL -042 ASSY'S (DS5075) Original Quality R SGT UHLocation:-60-99 A-AASSF#1AM- 07OTIS ALL A NGBH-60 M AACFT INSP M/R HUB P/N'S Control, 70103-08112-041, -045 (DL0021) Original Location: D CO WTQGC0 GA 15 Mar 99 1 Quality R SGT 2D-25THA FORM AVN W A2408AF, HI- 1596854-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 18 of 49 Page ______19 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, UH-60-95-ASAM-06 INSP OF MAIN MOD SUPPORT/MOUNT WTQGC0 GA 06 Jul 95 1 BEAMS AND FRAME FOR CRACKS AND INPLEMENTATION OF Quality R SGT RECURRING 100 HR INSP (RP7304) Original Location: D CO 4/25 COMPLIED WITH REQUIREMENTS OF H-60-15-ASAM-03 (SEAT Dubois, AVN REG WAAF HI ATTENUATORS) ON THIS DATE Original Location: AASF #1 WTQGC0 GA 15 Jun 15 1 William D SFC WINDER, GA 30680 COMPLIED WITH H-60-08-AMAM-04, COCKPIT DOOR Daniels, JETTISONABLE WINDOWS @ 4386.5 ACFT HRS. Original WTQGC0 GA 02 May 08 1 Dennis L Location: DS2/OLR HAAF,GA. 31409 INTERIOR / EXTERIOR PAINT REMOVERED BY PMB AND Conversion, PAINTED I/AIW TM 55-1500-345-23 1108TH MS. MITITARY WTQGC0 GA 15 May 15 1 Ulls DEPT. AT 5536.2 ACFT HRS. COMPLIED WITH REQUIREMENTS OF H-60-13-AMAM-02 ON Dubois, P- MIL-P-23377K THIS DATE; NOT INSTALLED (AHRS) Original Location: AASF #1 WTQGC0 GA 14 Dec 12 1 William D SFC C-MIL-DTL-64159B Original Location: 1108TH TASNG WINDER, GA 30680 GULFPOCOMPLIEDRT, WIITHMS 39505 REQUIREMENTS OF H-60-14-ASAM-03 THIS Cobb, DATE Original Location: AASF # 1 WINDER, GA 30680 WTQGC0 GA 07 Jan 14 1 Talmadge L ACFT MAIN ROTOR HEAD RIGGED I/A/W SA DWG 70400-00003 Control,SFC REV E SYSTEMS CONTROLS HAVE BEEN BIASED IN ACCORD A WTQGC0 GA 13 Jan 86 1 Quality R SGT AFT CONTROL SERVO INPUT HAS BEEN LENGTHENED 1/2 UH-60-95-ASAM-07 INSP OF AKK TRP/GNR STS UPPER Control, TURN B. LATERAL CONTROL SERVO INPUT ROD NO CHANGE ATTENUATION WIRES RLRS AND CREW STS FOR PROPER ICS WTQGC0 GA 02 Aug 95 1 Quality R SGT REQUIRED C. FORWARD CONTROL SERVO INPUT ROD HAS HARNESS RING (RP7304) Original Location: D CO 4/25 AVN REG BEENMAIN SHOXMSNRTENED FILTER 1/2 BU TURN.TTON POPPED(NO PID) A OriginalT 5536.2 Location: ACFT HRS, Conversion, WAAF HI WTQGC0 GA 16 Jun 15 1 SIFIRSTKORS OKCYCUR (NOA NCE.LOCA OriginalTION) Location: AASF#1 WINDER GA Ulls WINDER, GA 30680 H-60-13-ASAM-04, PLASTIC MEDIA BLAST AND OXIDE FLAKE Grell, Brian K RESIDUE COMPLIED WITH AT 5189.9 ACFT HRS Original WTQGC0 GA 21 Mar 13 1 Location: 1108 TASMG GULFPORT, MS 39505 SOF UH-60A-86-18 N/A THIS ACFT HAS H-BAR INSTALLED (NO Control, PID) Original Location: 129TH AVN HAAF GA 31409 WTQGC0 GA 12 Jan 87 1 Quality R SGT H-60-13-ASAM-02, HONTEK COATED MAIN ROTOR BLADES, N/ Grell, Brian K WTQGC0 GA 14 Feb 13 1 A THIS MDS @ 5189.9 ACFT HRS Original Location: 1108 TAILSMG RO TGULFPOOR COMPLETERT, MS 39505RIG COMPLETED FOR REPLACEMENT Henklein, OF TAIL ROTOR QUADRENT ASSY IAW H-60-16-ASAM-06. BIAS WTQGC0 GA 09 Mar 17 1 John F SETDA A SFORM FOLLOWS: 2408 BLA-DE15 FIN-SG,AL DEGOC TRE 91ADINGS RED 3.1 BLK 3.1 HISTORICAL RECORD FOR AIRCRAFT YELEDITION 3.0 BLU OF3.1. JAN BIAS; 64 RED IS 4.80OBSOLETE - 5.12 = .320 BLK 4.01 - 4.35 For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG = .340 YEL 4.74 - 5.07 = .330 BLUE 4.06 - 4.37 = .310. CABLE TENSION SET RH 155 LH 156 @ 25 DEG Original Location: AASF 28 Oct 2020 1333 UTC FOUO page 19 of 49 #2 CLAY NGC, GA 30060 Page ______20 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID York, Michael MEC#F333643 AUTHORIZATION IS GRANTED FOR CCO WTQGC0 GA 07 Dec 17 1 1-185TH AHB WINDER, GA TO REPAIR CRACK AT THE R/H K SGT TAILCONE ACCESS PANEL AREA IAW DMWR 1-1520-237-1 UH-60-95-SOF-02 CHANGE IN RETIREMENT LIFE FOR CERTAIN Control, WORK PACKET 016900 Original Location: AASF#1 WINDER, GA M/R BLADE CUFFS (RP7304) Original Location: D CO 4/25 AVN WTQGC0 GA 22 Feb 95 1 Quality R SGT 30680 REG WAAF HI UH-60-96-ASAM-01 REPLACEMENT OF IMPROVED FLIGHT Control, CONTROL TO SWASHPLATE LINKAGE HARDWARE (JH3545) WTQGC0 GA 02 Nov 95 1 Quality R SGT Original Location: D CO 4/25 AVN REG WAAF HI U-60-08-SOF-01 (MAIN ROTRO BLADE EXPANDABLE PIN Rosado, INSPECTION CHG) C/W DR507293 Original Location: CO A 1/11 WTQGC0 GA 29 Jan 08 1 David A MSG CSAB ISLA GRANDE PR UH-60-97-ASAM-03 ALL H-60 ACFT WITH T-700 ENG ONE- Control, TIME INSP OF ENG HIST REC (WP6422) Original Location: D CO WTQGC0 GA 08 Nov 96 1 Quality R SGT PMS4/25- A2VN PH AREGSE CWOMPLETEDAAF HI AT 2752.9 ACFT HRS NEXT PHASE Control, DUE AT 3252.9 ACFT HRS (BM3726) Original Location: D CO WTQGC0 GA 15 Nov 00 1 Quality R SGT H2--2560 -A12VN-SOF REG-01T W TAAILF R HIOTOR INTERMEDIATE GEARBOX C/W Roberts, @5012.6 ACFT HRS Original Location: D.CO.1-111TH AVN GSAB WTQGC0 GA 08 Oct 11 1 Darryl E FT HOOD TX MEC #F183210 AUTHORIZES 1108TH TASMG CONTACT TEAM Dubois, TO LOCALLY FABRICATE PN 70212-02137-114 TORQUE TUBE WTQGC0 GA 02 May 14 1 William D SFC UHSTR-A60PS-95 IN- AUPPERSAM- 03CA ABINLL UHASSEMB-60 ACFTLY Original SHALL REQUIRELocation: AASF #! Control, RESHIMMINGWINDER, GA 30680 OF TAIL ROTOR PIVOT BEARING (VE0000) Original WTQGC0 GA 23 Sep 97 1 Quality R SGT Location: D CO 4/25 AVN REG WAAF HI H-60-16-AMAM-04, T-CLIP INSTALLATION, COMPLIED WITH Dubois, ON THIS DATE Original Location: AASF #1 WINDER, GA 30680 WTQGC0 GA 12 Jan 16 1 William D SFC ACE PERFORMED AT 2752.9 AC HRS AT WAAF, HI 96854 BY E & Control, DD (MP9732) Original Location: PROJECT OLR FT LEWIS WA WTQGC0 GA 26 Jul 00 1 Quality R SGT MWAINAF, TR HIA 96854NSMISSION FILTER BY-PASS BUTTON POPED AT Cobb, WTQGC0 GA 31 Jul 13 1 5229.7 ACFT HOURS Original Location: AASF #1 WINDER, GA Talmadge L C30680OMPLIED WITH REQUIREMENTS OF H-60-15-AMAM-05 ON Conversion,SFC THIS DATE(AHRS EMERGENCY PROCEDURES) Original Location: WTQGC0 GA 11 Dec 14 1 Ulls ADAASF#1 FORM WINDER,G 2408A WINDER,-15-SG, G AOC 30680T 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 20 of 49 Page ______21 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Delgado, H-60-09-ASAM-05 UPDATE TO LIFE LIMIT CHANGE FOR T/R WTQGC0 GA 04 Mar 09 1 QUADRANT SPRING CAPSULE C/W AD179358 Original Location: Alfredo SSG AASF PRNG PUERTO RICO SOF UH-60-01-09 INSP M/R EXPANDABLE BLADE PINS IAW TB Control, 1-1520-237-20-233. C/W @ 2754.4 ACFT HRS (MP9732) WTQGC0 GA 20 Jun 01 1 Quality R SGT Original Location: D CO 2/25 AVN REGT WAAF, HI 96854 COMPLIED WITH REQUIREMENTS H-60-16-AMAM-01 ON THIS Braswell, DATE (EIBF FRAMES) Original Location: AASF#1 WINDER, GA WTQGC0 GA 28 Oct 15 1 Sidney G 30680 T/R RIG COMPLETED 3166.3 ACFT HRS BLUE DIM A: 3 15/16- 4 Control, 1/4 RED DIM A : 4 5/8- 4 31/32 BLACK DIM A : 4.0- 4 11/32 WTQGC0 GA 01 Apr 05 1 Quality R SGT YELLOW DIM A : 4 23/32- 5 1/32 (DS5075) UH-60-97-ASAM-06 ALL H60 ACFT ONE-TIME INSP OF LATERAL Control, Original Location: AASF#1 OTIS ANGB MA BELLCRANK (JC0000) Original Location: D CO 4/25 AVN REG WTQGC0 GA 09 Jan 97 1 Quality R SGT PERMENWAAF HIANTLY TRANSFERED TO C CO 1/185TH AHB (WTQGC0) Dubois, Original Location: C CO 1/185TH AHB WINDER, GA 30680 WTQGC0 GA 01 Oct 12 1 William D SFC UH-60-99-ASAM-11 INSPECTION AND MODIFICATION OF ACFT Control, ENGINE TBO'S AND HISTORICAL RECORDS C/W ON THIS DATE. WTQGC0 GA 19 Aug 99 1 Quality R SGT (SD8465) Original Location: D CO 2/25 AVN REG WAAF HI H-60-16-AMAM-09, ULLS-A(E) CONPONENT PN/SN Henklein, 96854 DUPLICATIONS COMPLIED WITH ON THIS DATE Original WTQGC0 GA 19 Oct 16 1 John F ALocation:CE PERFORMED AASF #2 B CYL TEAYA NGC,M MEMBER GA 30060 " O " @ 4610 AIRFRAME Chunn, HOURS. Original Location: CSC PUERTO RICO WTQGC0 GA 08 Jul 09 1 Deborah J DAC COMPLIED WITH H-60-18-ASAM-07, REVISED RESCUE HOIST Wood, David PENDANT INSPECTION @ 6139.1 ACFT HRS (HOIST NOT WTQGC0 GA 12 Jun 18 1 B INSTALLED) Original Location: DET 2 CO C 169 AVN HAAF UH-60-99-ASAM-01 RESTORATION OF SERVICE LIFE ON Control, SWASHPLATE LINK ASSY P/N 70400-08110-054/061 WTQGC0 GA 02 Nov 98 1 Quality R SGT AMIARCRNUAFFTACTURED TRANSFERED BY TEK F CROMLETEDOM CCAD ATTO A ACFT CO HRS 3/126 (MC2039) AVN 20 Control, WTQGC0 GA 20 Apr 04 1 AOriginalPR 04 (HB7567) Location: OriginalD CO 2/25 Location: AVN REG WPNV98 WAAF OHITIS 96854 ANGB MA Quality R SGT AWR EMC CHECK FOR HAVE QUICK II WAS PREVIOUSLY Control, COMPLIED WITH BUT NOT ANNOTATED PRIOR TO JAN 98 LATE WTQGC0 GA 14 May 98 1 Quality R SGT ENTDAR YFORM (CB2230) 2408 Original-15 Location:-SG, OC D TCO 91 2-25 AVN REG WAAF HISTORICAL RECORD FOR AIRCRAFT HIEDITION 96854 OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 21 of 49 Page ______22 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, UH-60-96-SOF-01 CHANGE IN RETIREMENT LIFE OF FWD WTQGC0 GA 06 Nov 95 1 BELLCRANK (JH3545) Original Location: D CO 4/25 AVN REG Quality R SGT WAAF HI JACE PERFORMED AT 2438 AC HRS AT WHEELER AAF HI BY EE & Control, Q (KS0000) Original Location: PROJECT OLR FT. LEWIS, WA WTQGC0 GA 17 Dec 98 1 Quality R SGT GEN-16-AMAM-04 TRANSPONDER BATTERY REPLACEMENT Conversion, COMPLIED WITH ON THIS DATE. Original Location: AASF1 WTQGC0 GA 20 Dec 17 1 Ulls WINDER, GA 30680 SOF UH-60-89-11 ONE-TIME INSP OF G/G ROTORS (NO PID) Control, Original Location: 617TH SOAD APO MIAMI 34006 WTQGC0 GA 19 Nov 89 1 Quality R SGT H-60-12-ASAM-02 COMPLIED WITH. (DRAG BEAM) Original Hust, Location: AASF#2 DOBBINS ARB, GA 30069 WTQGC0 GA 06 Dec 11 1 Anthony SGT PMI 1 COMPLETED ON THIS DATE AT 5391.2 ACFT HRS BY Dubois, 1108TH TASMG CONTACT TEAM Original Location: AASF #1 WTQGC0 GA 23 May 14 1 William D SFC HWINDER,-60-11- AGSAA 30680M-13 (ENG AIR INLET ANTI-ICING/MODULATING Rodriguez, VALVE) C/W. Original Location: ACO 1/111TH AVN BN SAN WTQGC0 GA 08 Jul 11 1 Ariel D SGT JUAN, PUERTO RICO UH-60-98-ASAM-03 ALL H-60 INSP OF AFT SWASHPLATE LINK Control, MANUFACTURED BY TEK FOR CERTAIN P/N (KA0000) Original WTQGC0 GA 03 Nov 97 1 Quality R SGT HLocation:-60-10- ADS CAOM -4/2507 (S ATVNABI LREGATOR W AHINGEAF HI 96854FITTINGS) C/W. Original Rodriguez, Location: AASF SAN JUAN PR PUERTO RICO WTQGC0 GA 29 Apr 10 1 Ariel D SGT UH-60-92-ASAM-06 INSPECTION OF PEDAL ADJUSTER FOR Control, IMPROPER HARDWARE C/W AT 1624.8 ACFT HRS (NO PID) WTQGC0 GA 29 Sep 92 1 Quality R SGT Original Location: 617TH SOAD APO MIAMI 34006 H-60-12-SOF-03 TAIL ROTOR INTERMEDIATE GEARBOX C/ Gill, James R [email protected] HRS. Original Location: A CO. 1-111TH. AVN. FT. WTQGC0 GA 15 Oct 11 1 SSG HHOOD,-60-17 TX.-SOF-01, RESCUE HOIST EMERGENCY PROCEDURES Henklein, WTQGC0 GA 20 Dec 16 1 CHANGES, COMPLIED WITH ON THIS DATE Original Location: John F HAA-60SF- #2AS ACMLA-Y10 NGC,-06 ( AGUAT O30060 IGNITION AND TDI MODIFICATION) Rodriguez, C/W. NOT REQUIRED. Original Location: AASF SAN JUAN PR WTQGC0 GA 16 Feb 10 1 Ariel D SGT PUEDAR TFORMO RICO 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 22 of 49 Page ______23 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, EMC CHECK COMPLETED FOR THE AIRCRAFT WIRELESS WTQGC0 GA 29 Nov 05 1 INTERCOM SYSTEM ON UH-60A 86-24557 (AWR 1267R1) DTD Quality R SGT 26 MAY 05. EMC CHECK BLANKETS ALL UH-60A ASSIGNED TO SOF UH-60A-88-02 ONE-TIME INSP OF T/R G/B OUTPUT SHAFT Control, THIS UNIT WPNVA0 (DS5075) Original Location: A CO 3/126TH C/W (NO PID) Original Location: 617 SOAP APO MIAMI 34006 WTQGC0 GA 11 May 88 1 Quality R SGT AVN APO AE 09330 H-60-12-ASAM-11, ALL H-60A HYDRO-MECHANICAL UNIT Henklein, (HMU) COMPLIED WITH ON THIS DATE Original Location: CO D WTQGC0 GA 08 Sep 12 1 John F 1/171ST GSAB CLAY NGC, GA 30060 SOF UH-60A-87-06 INSP OF OIL COOLER FAN COMPLETED 14 Control, MAY 87 (NO PID) Original Location: 129TH AVN HAAF GA WTQGC0 GA 14 May 87 1 Quality R SGT 31409 B.F.T. HARDWARE INSTALLATION, UH-60-06-ASAM-05 Control, COMPLIED WITH @ 3751.9 ACFT. HRS. (JM5225) Original WTQGC0 GA 23 Jul 06 1 Quality R SGT PMILocation: 2 COMPLETED D CO.3/126 BY A L3V. (CAARIMPFJA BUEHRINGN, KUWAIT) KU @W 4301.3AIT ACFT Battell, Kevin HRS. PMI 1 DUE @ 4661.3 ACFT HRS. Original Location: D CO WTQGC0 GA 20 Aug 07 1 S ER1-111THROR Original GSAB U Location:DAIRI AIRFIELD, D CO 2 -KU25W AAVNIT REGT WAAF HI Control, WTQGC0 GA 15 Nov 01 1 Quality R SGT UH-60-93-ASAM-03 REVISION TO ASAM 92-05 COMPLIED Control, WITH ALL BLADE PINS HAVE BEEN REPLACED (NO PID) Original WTQGC0 GA 18 Nov 92 1 Quality R SGT UHLocation:-60-01 617TH-SOF-11 SO INSPAD A OFPO CE MIRATMIAIN 34006 P/N M/R HUBS FOR Control, CRACKS COMPLETED AT 2755.4 ACFT HRS. (TM0732) Original WTQGC0 GA 23 Aug 01 1 Quality R SGT Location: D CO 2-25 AVN REGT WAAF HI H-60-09-ASAM-09, FIRE EXTINGUISHER WIRING (BREAKAWAY Rodriguez, THREADS) (REVISION TO H-60-09-ASAM-07) C/W AR2727. WTQGC0 GA 22 May 09 1 Ariel D SGT Original Location: AASF SAN JUAN PUERTO RICO H-60-12-AMAM-03 COMPLIED WITH (TRANSPONDER AND Burkes, Steve CMWS INSTALLATION) Original Location: AASF#2 DOBBINS WTQGC0 GA 23 May 12 1 G CIV CAOMPLIEDRB, GA 30069 WITH REQUIREMENTS OF H-60-14-ASAM-02 ON Dubois, WTQGC0 GA 21 Nov 13 1 THIS DATE (IVHMS INPUT MODULE ACCELEROMETER INSP) William D SFC UHOriginal-60-97 Location:-ASAM- 14AA ASFLL #1 H -WINDER,60 ACFT WITHGA 30680 BELL CRANK Control, SUPPORT P/N 70400-08158-101 MFQ BY AMERICAN GEN WTQGC0 GA 12 Aug 97 1 Quality R SGT (LB0000)DA FORM Original 2408 Location:-15-SG, UNC OCLSI WTA 91AF HI 96854 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 23 of 49 Page ______24 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, SOF UH-60-04-02 COCKPIT AIR BAGS COMPLETED 12 JUN 04 @ WTQGC0 GA 12 Jun 04 1 2963.2 ACFT HRS (HB7567) Original Location: WPNV98 OTIS Quality R SGT ANGB MA SOF UH-60A-87-10 ONE-TIME INSP OF INPUT FLANGE (NO Control, PID) Original Location: 129TH AVN HAAF GA 31409 WTQGC0 GA 19 Oct 87 1 Quality R SGT UH-60-96-SOF-02 ONE-TIME VISUAL INSP OF T/R INBD RET Control, PLATE (FA0881) Original Location: D CO 4/25 AVN REG WAAF HI WTQGC0 GA 15 Dec 95 1 Quality R SGT SOF UH-60A-88-09 ONE-TIME INSP OF CREW SEATS FOR Control, LOOSE CLEVIS SCREWS (NO PID) Original Location: 617 SOAP WTQGC0 GA 11 Aug 88 1 Quality R SGT APO MIAMI 34006 AWR 1054R18 DATED (6SEP17) HELICOPTER EQUIPPED WITH Kingsland, SEI INDUSTRIES BAMBI WATER BUCKETS APPLIED. Original WTQGC0 GA 13 Sep 17 1 Joshua J UHLocation:-60-94 A-AASSF#2AM- 09CL AMYA NGC,NTEN GAANCE 30060 MANDATORY ALL H-60 Control, ACFT REMOVAL OF CERTAIN PRIMARY SERVO ASSY C/W AT WTQGC0 GA 05 Apr 94 1 Quality R SGT A1810.0CE COMPLETED (VE0000) Original AT 5803.1 Location: A/C HRS. D C BOY 4/25ACE TEAVNAM REG MEMBERS WAAF Grina, James G/L.HI AFMA, RASME, AMCOM. Original Location: L-3 CLAY NGC, WTQGC0 GA 21 Nov 16 1 F CIV GA 30060 H-60-10-AMAM-11 ALL H-60 SERIES ACFT. OIL SAMPLING Stallings, SCHEDULE CHANGES. C/W AT 4740.5 ACFT. HRS. Original WTQGC0 GA 02 Feb 10 1 Kerry D M/RLocation: RIG C1108THOMPLETED AVCR AAT D5093.3 GULFPO ACFTRT, HRS, MS. 39505FWD CTRL ROD Burke, Daniel SHORTENED 1/2 TURN, AFT CTRL ROD LENGTHENED 1/2 TURN, WTQGC0 GA 08 Jun 12 1 L SFC LAT NO ADJUSTMENT. Original Location: AASF#2 DOBBINS H-60-13-ASAM-06, ALL HH/UH-60A/L/M AND MH-60L SERIES Stallings, ARB, GA 30069 ACFT. PHASE MAINTENANCE INSPECTION (PMI) CHECKLIST WTQGC0 GA 09 May 13 1 Kerry D CHANGES. C/W AT 5189.9 ACFT. HRS. Original Location: 1108TH COMPLIED WITH REQUIREMENTS OF H-60-14-SOF-02 ON THIS Dubois, TASMG GULFPORT, MS. 39505 DATE; PASSED (T/R PITCH CHANGE SHAFT COTTER PIN) Original WTQGC0 GA 28 Jan 14 1 William D SFC UHLocation:-60-07 A-AASSFA M#1-04 WINDER, E/H/UH G-60A 30680A/L SERIES AIRCRAFT Rodriguez, WTQGC0 GA 28 Dec 06 1 AUTOROTATIONAL RPM CHARTS INSP C/W @ 3962.3 ACFT HRS. Ariel D SGT HOriginal-60-08 -Location:ASAM-12, DP ACORKER 1/111TH ATS INSPECTION GSAB CAMP C/W. BUEHRING AD179358 APO Delgado, OriginalAE 09330 Location: AASF PUERTO RICO WTQGC0 GA 19 Sep 08 1 Alfredo SSG DA FORM 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 24 of 49 Page ______25 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Dubois, RECIEVED MEC # F158515 FOR A CRACK FOUND AT FS 309 BL WTQGC0 GA 20 Dec 12 1 34.5 AND WL 260 (RIGHT) AUTHORIZING 25 FLIGHT HOURS William D SFC BEFORE REPAIR IS REQUIRED TO BE COMPLETED BY 1108TH SOF UH-60A-89-01 ONE-TIME INSP OF T-700-GE-700 ENG Control, AVCRAD; HARD COPY OF THE MEC WERE PLACED IN ASSEMBLIES FOR G/G TURBINE ROTOR AND STATOR DAMAGE WTQGC0 GA 11 Feb 89 1 Quality R SGT HISTORICAL FILES AND LOGBOOK Original Location: AASF #1 (NO PID) Original Location: 617TH SOAD APO MIAMI 34006 WINDER,UH-60-99 G-AAS 30680AM-06 ALL H-60 ACFT INSP FOR CERTAIN S/N Control, SPINDLE HORNS FOR LOWER TBO C/W ON THIS DATE (SD8465) WTQGC0 GA 14 Dec 98 1 Quality R SGT Original Location: D C0 2/25 AVN REG WAAF HI 96854 UH-60-94-ASAM-07 MANTENANCE MANDATORY ALL H-60 Control, ACFT CHANGE TO OVERHAUL AND RETIREMENT TABLE WTQGC0 GA 04 Mar 94 1 Quality R SGT (VE0000) Original Location: D CO 4/25 AVN REG WAAF HI UH-60-04-ASAM-01 GLARE SHIELD LIGHT CIRCUIT BREAKER Control, REPLACED AT 2897.4 ACFT HRS. (EC7788) Original Location: WTQGC0 GA 04 Mar 04 1 Quality R SGT HCORPUS-60-09- CHRISTIAMAM- 04ARMY CO- PIDEPLOOT TSE CACTA INTERFERENCED CORPUS CHRISTI WITH TX THE Delgado, A78419RMY AIRBORNE COMMAND AND CONTROL SYSTEM (A2C2S) WTQGC0 GA 16 Sep 09 1 Alfredo SSG UHOriginal-60-07 Location:-ASAM- 07AA CEFSSF PR SATRNGATIC PUEBONDINGRTO RIC JUMPERSO Unatoa, COMPLIED WITH @ 4161.5 ACFT HOURS Original Location: D WTQGC0 GA 12 May 07 1 Edmond A CO. 1/111 GSAB CAMP BUEHRING, KUWAIT MWO 55-1520-237-50-1 FUEL EXTENSION C/W (NO PID) Control, Original Location: SIKORSKY (NO LOCATION) WTQGC0 GA 08 Jul 86 1 Quality R SGT H-60-10-ASAM-16 (RESCUE HOIST SAFETY INSPECTION) C/W. Rodriguez, Original Location: A CO 1/111TH SAN JUAN, PUERTO RICO WTQGC0 GA 22 Sep 10 1 Ariel D SGT H-60-11-ASAM-14 (ENGINE COWLING REPAIR RESTRICTIONS) Rodriguez, C/W. Original Location: A CO 1/111TH SAN JUAN, PUERTO RICO WTQGC0 GA 21 Aug 11 1 Ariel D SGT COMPLIED WITH REQUIREMENTS OF H-60-14-AMAM-03 THIS Conversion, DATE, LINK NOT INSTALLED Original Location: AASF#1 WINDER, WTQGC0 GA 02 Jan 14 1 Ulls UHGA -3068060-91-ASAM-08 ONE-TIME INSP OF FIRE EXT SYSTEM Control, WTQGC0 GA 06 Jun 91 1 DISCHARGE TUBES AND SQUIB WIRING ROUTING (NO PID) Quality R SGT UHOriginal-60-93 Location:-ASAM- 07617TH REVISION SOAD TAOPO COR MIRAOSIONMI 34006 LIMITS FOR T/R Control, G/B SERVO MOUNTING BORE HOLES (NO PID) Original WTQGC0 GA 07 Jan 93 1 Quality R SGT Location:DA FORM 617TH 2408 SOAD- 15APO-SG, MIA OCMI 34006T 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 25 of 49 Page ______26 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Battell, Kevin S T/R RIGGING BIAS CHK COMPLETED BY L3 (ARIFJAN) 2 4301.3 WTQGC0 GA 18 Aug 07 1 ACFT HRS Original Location: D CO 1-111 GSAB UDAIRI AIRFIELD, KUWAIT COMPLIED WITH REQUIREMENTS OF H-60-13-AMAM-10 ON Dubois, THIS DATE (CHANGE 64) Original Location: AASF #1 WINDER, WTQGC0 GA 23 Jul 13 1 William D SFC GA 30680 H60-18-AMAM-01, DUAL AN/ARC-231 GROUND WIRE Conversion, INSTALLATION, COMPLIED WITH ON THIS DATE. Original WTQGC0 GA 15 Dec 17 1 Ulls Location: AASF1 WINDER, GA 30680 OCM/ACE PERFORMED AT 1479 ACFT HRS AT FT KOBBE Control, PANAMA BY ACE TEAM MEMBER V AVSCOM OCMSEC ST LOUIS WTQGC0 GA 05 Mar 92 1 Quality R SGT MO (NO PID) Original Location: 617TH SOAD APO MIAMI 34006 ONE-TIME INSP OF UPPER PRESSURE PLATE AND SPINDLE TO Control, HUB ATTACHMENT BOLTS COMPLETED 998.4 ACFT HRS (NO WTQGC0 GA 03 Aug 90 1 Quality R SGT CPID)OMPLIED Original WITH Location: H-60 -617TH17-AS ASMOA-15,D A REMPO MIOVAAMIL OF 34006 HMU, PN Braswell, 5074T79G07, THIS DATE @5966.4 ACFT HRS, NOT APPLICABLE. WTQGC0 GA 28 Sep 17 1 Sidney G HOriginal-60-17 -Location:AMAM-13, AA CSF#1YCLIC WINDER, BOOT HR GAD W,30680 COMPLIED WITH Braswell, THIS DATE, @5978 ACFT HOURS Original Location: AASF#1 WTQGC0 GA 17 Oct 17 1 Sidney G WINDER, GA 30680 ACE COMPLETED AT 5258.8 A/C HRS. BY ACE TEAM MEMBERS Conversion, B/G. AFMA, RASME, AMCOM. Original Location: L-3 WINDER, WTQGC0 GA 05 Nov 13 1 Ulls TGAAIL 30680 ROTOR RIGGING COMPLETED @ 5093.3 ACFT HRS Burke, Daniel PMI #2 WTQGC0 GA 13 Jun 12 1 L SFC RED 5.069 - 4.710=0.359 M/R RIG COMPLETED AT 4388.0 ACFT HRS, FWD CTRL ROD Bass, Charles BLUE 4.501 -4.135 =0.366 SHORTENED 1 TURN, AFT CTRL ROD LENGTHENED 1 TURN, WTQGC0 GA 13 May 08 1 J YELLOW 4.850 -4.514= 0.336 LAT SHORTENED 1 TURN. Original Location: DS2/OLR HAAF, GA BUHLA-CK60- 4.31094-AS -A3.972=0.338.M-03 ONE-TIME CABLE INSP TENSION OF M/R SET SPINDLE AS FOL ALNDOWS: Control, WTQGC0 GA 28 Jan 94 1 L/HREP L178,ACEMENT R/H 180 OF @30 CER TDEGREESAIN M/R CELSIUS.THRUST BE COMPLETEDARING (JC0000) BY Quality R SGT HJK580698.Original-60-17 -Location:A OriginalMAM-12, D Location: CAOIRWO 4/25R ATHINESSAAVNSF#2 REG DOBBINS RELEWAAAFSE HI A(ARB,WR) G AUP 30069DATE, Henklein, WTQGC0 GA 22 Aug 17 1 COMPLIED WITH ON THIS DATE. LISTED AWRS NO APPLICABLE John F UHTHIS-60 A-IR92CR-AASFT.AM Original-05 INSPECTION Location: AAND/ORASF #2 REPCLALYA NGC,CEMENT GA OF Control, M/R30060 BLADE PINS COMPLETED AT 1610 ACFT HRS (NO PID) WTQGC0 GA 08 Sep 92 1 Quality R SGT OriginalDA FORM Location: 2408 617TH-15 S-OSG,AD AOCPO TMI A91MI 34006 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 26 of 49 Page ______27 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID York, Michael H-60-18-ASAM-03, LEGACY FUEL HOSE, COMPLIED WITH THIS WTQGC0 GA 12 Dec 17 1 DATE @6016.8 ACFT HOURS Original Location: AASF#1 K SGT WINDER, GA 30680 UH-60-97-ASAM-18 REMOVAL OF SPECIFIC REWORKED M/R Control, SWASHPLATE ASSY (LB0000) Original Location: UNC LSI WAAF WTQGC0 GA 11 Sep 97 1 Quality R SGT HI 96854 UH-60A-83-12 INSPECTION OF T/R ASSY FOR BENT SERVO Control, VALVE STEM C/W (NO PID) Original Location: SIKORSKY (NO WTQGC0 GA 31 Jan 86 1 Quality R SGT LOCATION) H-60-10-ASAM-11 (COMMON COMPONENT RETIREMENT Rodriguez, CHANGE TIMES UPDATE) C/W. Original Location: AASF SAN WTQGC0 GA 13 Aug 10 1 Ariel D SGT JUAN, ACO 1/111TH PUERTO RICO WAIVERS THAT ARE APPLICABLE LISTEDFOR REFERENCE Control, PURPOSES AS DIRECTED BY NAVPRO LTR 4855 SER QAV/84-272 WTQGC0 GA 05 Nov 84 1 Quality R SGT UH(NO-60 PID)-93 Original-ASAM- 05Location: ONE-TIME (NO INSPORG AOFNIZ T/RATION) D/S VIS(NOCOUS Control, DLOCAMPERATION) BEARINGS C/W AT 1744.7 ACFT HRS (NO PID) Original WTQGC0 GA 05 Jan 93 1 Quality R SGT ALocation:IRCRAFT 617TH RELOC SAOTEDAD TAOPO FT MI HOODAMI 34006 TX FOR PREPARATION OF Roberts, OPERATION NEW DAWN @ 4990.6 ACFT.HRS Original Location: WTQGC0 GA 01 Sep 11 1 Darryl E 1-111TH AVN GSAB FT HOOD TX. 76544 H-60-10-ASAM-12 (T700 ENGINE COMPONENT RC TIME) C/W Rodriguez, Original Location: AASF SAN JUAN, PUERTO RICO WTQGC0 GA 31 Aug 10 1 Ariel D SGT UH-60-93-ASAM-04 REVISION TO ASAM 92-06 COMPLIED Control, WITH (NO PID) Original Location: 617TH SOAD APO MIAMI WTQGC0 GA 01 Dec 92 1 Quality R SGT 34006 INSPECT THE ENGINE PCL QUADRANT IAW UH-60-02-ASAM-03 Control, TB 1-1520-237-20-245 BEFORE COMPLETION OF NEXT PMS-2 WTQGC0 GA 20 Feb 02 1 Quality R SGT BUT NLT 15 FEB 05 COMPLETED AT ACFT HRS (MD2892) ASN-128B/C DOPPLER GLOBAL POSITIONG SYSTEM GPS Delgado, Original Location: D CO 2-25 AVN REGT WAAF HAWAII 96854 NAVIGATION SET. Original Location: AASF PRARNG PUERTO WTQGC0 GA 17 Nov 09 1 Alfredo SSG ARICFTCO COMPLETED UH-60A-A RECAPITILIZATION/TRANSFER Control, WTQGC0 GA 17 Jan 04 1 PROGRAM IAW AMCOM SOW DATED 28 AUG 2002 AT 2897.4 Quality R SGT HAI-R60CR-12AFT-A HOURS.MAM-01 A CLLOMPLIED TRANSFER WITH. CRITERI (TAILA RMETOTOR IA WBEVEL GEAR Hust, NDI)TM-1 Original-1500-328 Location:-23 WHICH AASF#2 INC LDOBBINSUDED AN A ARB,LL PHGAA 30069SE INSP. IAW WTQGC0 GA 29 Mar 12 1 Anthony SGT TM1DA- 1520FORM-237PMSII. 2408 (GH1660)-15-SG, OriginalOCT 91 Location: CORPUS CHRISTI ARMY DEPOT CCAD CORPUS CHRISTI TX 78419 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 27 of 49 Page ______28 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Rodriguez, H-60-11-AMAM-03 (OIL COOLER FAN AXIAL BEARING) C/W WTQGC0 GA 01 Nov 10 1 Original Location: AASF SAN JUAN, PUERTO RICO Ariel D SGT EMC CHECKS COMPLETED ON UH-60A TYPE FOR THIS UNIT Control, HOST AIRCRAFT WAS 86-24494 FOR AWR 1175 DTD 6 MAY05. WTQGC0 GA 28 Nov 05 1 Quality R SGT A COPY OF THIS EMC CHECK WILL BE PLACED IN THE QUALITY NSPECT EXPANDABLE PINS IAW UH-60-02-05 TB Control, CONTROL HISTORICAL FILES (AWR 1175 8 POINT ICS SYSTEM) 1-1520-237-20-243 WITHIN THE NEXT 10 FLT HRS BUT NLT 19 WTQGC0 GA 05 Feb 02 1 Quality R SGT FEB(DS5075) 2002 OriginalCOMPLETED Location: AT 2853.5 CO A A3/126THCFT HRS A (MD2892)VN APO A OriginalE 09330 PMS-2 COMPLETED AT 2253.2 ACFT HRS NEXT PMS-2 DUE AT Control, Location: D CO 2-25 AVN REGT WAAF HAWAII 96854 2753.2 ACFT HRS (LB0000) Original Location: UNC LSI WAAF HI WTQGC0 GA 17 Oct 97 1 Quality R SGT 96854 UH-60-91-ASAM-10 ONE-TIME INSP OF MAIN LANDING GEAR Control, BRAKE WEAR PAD AND INSULATORS (NO PID) Original WTQGC0 GA 28 Jun 91 1 Quality R SGT PMILocation:-1 COMPLETED 617TH SO ADT 4740.5APO MI AACFT.MI 34006 HRS. NEXT PMI IS #2 DUE Stallings, AT 5100.5 ACFT. HRS. Original Location: 1108TH AVCRAD WTQGC0 GA 05 Mar 10 1 Kerry D HGULFPO-60-08R-AT,M MS.AM 39505-03 (MIL-PRF-23699 HIGH TEMPERATURE Rodriguez, STABILITY (HTS) OIL) C/W. AR2727 Original Location: AASF, WTQGC0 GA 03 Jan 08 1 Ariel D SGT PRARNG SAN JUAN, PR UH-60-99-ASAM-03 INSPECTION OF T-700-GE-700 ENGINE Control, RECORDS (SD8465) Original Location: D CO 2/25 AVN REGT WTQGC0 GA 11 Nov 98 1 Quality R SGT AWHEELERCE INSPECTION ARMY A PERFORMEDIRFIELD HI 96854 BY TEAM MEMBERS AA AND FF Brichacek, AT 4386.5 AIRCRAFT HOURS AT HAAF SAVANNAH, GA Original WTQGC0 GA 19 Mar 08 1 Joseph J Location: DS2/OLR HAAF/SAVANNAH, GA H-60-13-AMAM-05, ALL H-60 SERIES AIRCRAFT, MAIN Grell, Brian K LANDING GEAR WHEEL BRAKE ASSEMBLY COMPLIED WITH AT WTQGC0 GA 06 Feb 13 1 5189.9 ACFT HRS. Original Location: 1108 TASMG GULFPORT, COMPLIED WITH H-60-15-AMAM-11, TRANSPONDER MODE S Conversion, MS 39505 REVIEW, THIS DATE; OCTAL CODE IS 53406430 Original WTQGC0 GA 19 Jun 15 1 Ulls SOFLocation: UH-60 AASF#1-88-05 WINDER, INITIATION GA 30680OF AP MOAT (NO PID) Original Control, WTQGC0 GA 18 Jul 88 1 Location: 617 SOAP APO MIAMI 34006 Quality R SGT H-60-13-AMAM-04, AMCOM LCF CHANGE 63 REQUIREMENTS Grell, Brian K COMPLIED WITH AT 5189.9 ACFT HRS. Original Location: 1108 WTQGC0 GA 19 Feb 13 1 TDASMGA FORM GULFPO 2408RT, MS-15 39505-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 28 of 49 Page ______29 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Dubois, M/R RIG COMPLETED ON THIS DATE; FWD= +1 FLAT, AFT= -1 WTQGC0 GA 20 Jul 16 1 FLAT, LAT=0 Original Location: AASF #1 WINDER, GA 30680 William D SFC TB 1-1520-701-50-1 INSTALLATION OF 200 GAL. INTERNAL Stallings, Kerry AUXILIARY TANK. C/W AT 4740.5 ACFT. HRS. Original Location: WTQGC0 GA 25 Feb 10 1 D 1108TH AVCRAD GULFPORT, MS. 39505 ACE PERFORMED AT 2081 ACFT HRS AT WAAF HI BY P & S Control, (ES9381) Original Location: D CO 4/25 AVN REG WAAF HI WTQGC0 GA 11 Jun 96 1 Quality R SGT UH-60-96-ASAM-11 INCREASE IN FATIQUE LIFE OF CERTAIN S/ Control, N M/R BLADE CUFFS (TH91002) Original Location: D CO 4/25 WTQGC0 GA 24 Sep 96 1 Quality R SGT AVN REG WAAF HI H-60-12-AMAM-09 HYDRAULIC LINE CHAFE DUE TO MISSING Henklein, CLAMPS COMPLIED WITH ON THIS DATE Original Location: CO WTQGC0 GA 15 Jul 12 1 John F SOFD 1/171ST UH-60 GS-90A-B01 C ONEAMP- CTIMELAY ANGC,ND RECURRINGGA 30069 INSP OF MAIN Control, ROTOR BLADE EXPANDABLE PIN (NO PID) Original Location: WTQGC0 GA 24 Apr 90 1 Quality R SGT C617THOMPLIED SOA WITHD APO H MI-60A-MI17 -34006ASAM-12, IMMSS RETROFIT KIT, 1 Conversion, AUG 17 Original Location: AASF #2, GA ARNG CLAY NGC, GA WTQGC0 GA 01 Aug 17 1 Ulls 30060 SOF UH-60-89-09 CORRECTION OF R/C SCHEDULE FOR RC Control, COMPONENTS (NO PID) Original Location: 617TH SOAD APO WTQGC0 GA 21 Aug 89 1 Quality R SGT HMI-60AMI-13 34006-AMAM-06, ALL HH/UH-60A/L/M SERIES AIRCRAFT, Grell, Brian K CRASHWORTHY EXTERNAL FUEL SYSTEM (CEFS) COMPLIED WTQGC0 GA 13 Feb 13 1 WITH AT 5189.9 ACFT HRS. Original Location: 1108 TASMG UH-60-06-SOF-01 SUPERSEDES ALL PREVIOUS MESSAGES (M/ Control, GULFPORT, MS 39505 R) HUB ASSY. 11 O'CLOCK BOLT HOLT REWORK. COMPLIED WTQGC0 GA 05 Jan 06 1 Quality R SGT WITH @ 3475.8 ACFT. HRS. (JM5225) Original Location: D.CO. UH-60-99-ASAM-04 N/A THIS ACFT (BM3726) Original Control, 3/126TH AVN CAMP BUEHRING,KUWAIT APO 09330 Location: D CO 2/25TH AVN REGT WAAF HI WTQGC0 GA 02 Dec 98 1 Quality R SGT LATE ENTRY - H-60-15-ASAM-07 MAIN ROTOR BLADE Henklein, WTQGC0 GA 18 Oct 16 1 DEBONDING AND TIP RIB CRACKING COMPLIED WITH ON 31 John F EMEJUL 16RGENCY @ 5741.2 LOC AACFTTOR HOURS. TRANSMI INSPECTIONTTER WAS INS PERFORMEDTALLED (NO B Y Control, PID)AASF Original #1, GA PERSONEL.Location: 617TH Original SO ALocation:D APO MI AAAMISF #234006 CLAY NGC, WTQGC0 GA 31 Jan 89 1 Quality R SGT GA 30060 DA FORM 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 29 of 49 Page ______30 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Rodriguez, (AWR 1145) AIRWORTHINESS RELEASE FOR UH-60A/L WTQGC0 GA 15 Nov 07 1 HELICOPTERS EQUIPPED WITH THE BLUE FORCE TRACKING Ariel D SGT SYSTEM, DATED 31 JAN 06. AR2727 Original Location: COMPLIED WITH REQUIREMENTS OF H-60-18-ASAM-06 AT Reynolds, AASF,PRARNG SAN JUAN PR 6139.1 ACFT HRS Original Location: CCO 1/185TH HAAF, GA WTQGC0 GA 11 Jun 18 1 Christopher M H-60-11-ASAM-06 (CYCLIC STICK STOP BOLTS) CW Original Rodriguez, Location: AASF SAN JUAN, PUERTO RICO WTQGC0 GA 04 Jan 11 1 Ariel D SGT H-60-11-AMAM-11 (AIRWORTHINESS RELEASE STATUS Rodriguez, UPDATE) C/W Original Location: A CO 1/111TH SAN JUAN, WTQGC0 GA 18 Apr 11 1 Ariel D SGT PUERTO RICO ACE COMPLETED AT 4759 A/C HRS BY ACE TEAM MEMBER " O Chunn, ". CSC.RASAME,AMCOM. Original Location: CSC PUERTO RICO WTQGC0 GA 28 Apr 10 1 Deborah J DAC H-60-11.ASAM-04 (TCN-500 TACAN REC BEARING ERROR) C/W Rodriguez, N/A Original Location: A CO 1/111TH SAN JUAN, PUERTO RICO WTQGC0 GA 02 Dec 10 1 Ariel D SGT AIRCRAFT INITIATED INTO THE ENHANCED MAINTENANCE Control, PROGRAM AT 3214.7 ACFT HRS NEXT SCHEDULED PMI WTQGC0 GA 05 May 05 1 Quality R SGT INSPECTION IS PMI# 1 AT 3247.4 ACFT HRS (DS5075) Original UH-60-96-ASAM-07 ALL UH/EH-60A ACFT REPLACEMENT OF Control, Location: AASF#1 OTIS ANGB MA 02542 M/R SPINDLE ASSY WITH RETAINING ROD P/N WTQGC0 GA 20 Aug 96 1 Quality R SGT UH70102-60--0810294-AS-A102/103M-10 REVISION S/N 33129 TO- 3UH TO-60 33129-94-A-242SAM (ES9381)-03 Control, (VE0000)Original Location: Original Location:D CO 4/25 D ACVNO 4/25 REG AWVNAA REGF HI WAAF HI WTQGC0 GA 20 Apr 94 1 Quality R SGT SOF UH-60A-88-06 OVERHAUL LIFE OF TRANS OIL COOLER Control, BLOWER C/W AT THIS STATION (NO PID) Original Location: 617 WTQGC0 GA 13 Jul 88 1 Quality R SGT SOAP APO MIAMI 34006 UH-60-97-ASAM-19 ONE-TIME INSP OF ANVIS/HUD POWER Control, SUPPLY (LB0000) Original Location: UNC LSI WAAF HI 96854 WTQGC0 GA 08 Oct 97 1 Quality R SGT SOF UH-60-90-02 ONE-TIME INSP OF TAIL ROTOR PITCH BEAM Control, WTQGC0 GA 21 Aug 90 1 RETAINING WASHER AND PITCH BEAM RETAINING NUT (NO Quality R SGT UHPID)-60 Original-01-SOF Location:-03 INSP 617TH OF LA STEROAADL ASERPOV MIO ABELMIL CR34006ANK Control, COMPLETED & 2752.9 (BM3726) Original Location: D CO WTQGC0 GA 08 Jan 01 1 Quality R SGT 2/25THDA FORM AVN W A2408AF, HI-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 30 of 49 Page ______31 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, UH-60-04-ASAM-02 INSPECT TAIL ROTOR DRIVESHAFT FLANGE WTQGC0 GA 11 Apr 04 1 NUTS (GC2172) Original Location: CCAD CORPUS CHRISTI TX Quality R SGT 78419 UH-60-91-ASAM-06 ONE-TIME INSP OF WIRING ON CARGO Control, HOOK ASSY (NO PID) Original Location: 617TH SOAD APO WTQGC0 GA 15 Mar 91 1 Quality R SGT MIAMI 34006 COMPLIED WITH REQUIREMENTS OF H-60-15-AMAM-10 ON Braswell, THIS DATE (AV-DEC GASKET INSPECTION; NOT INSTALLED) WTQGC0 GA 03 Jun 15 1 Sidney G Original Location: AASF#1 WINDER, GA 30680 OCM/ACE PERFORMED AT 1813 ACFT HRS BY TEAM MEMBER P Control, ATCOM OCM/ACE ST LOUIS MO (VE0000) Original Location: D WTQGC0 GA 30 Jun 94 1 Quality R SGT CO 4/25 AVN REG WAAF HI H-60-11-ASAM-10 (DA FORM 2408-19-3 ENG COMPONENT Rodriguez, OPERATING HRS) C/W. Original Location: ACO 1/111TH SAN WTQGC0 GA 19 Apr 11 1 Ariel D SGT TRIMJUAN, T PUEAB ARDJUSTMENTO RICO TS WERE MADE ON THE FOLLOWING Cobb, MAIN ROTOR BALDES. YELLOW M/R BALDE SER# A007-06669 WTQGC0 GA 02 Aug 13 1 Talmadge L UH-4 MILS-60-93 POSITIONS-ASAM-01 (1)INSPECTION .338 = .334 OF (2) A LL.328 TR =ANS. .324 A ND(3) .322 GEA R Control,SFC B=O .318X CHIP (4) .319DETEC = T.315ORS (5) C/W .315 AT = 1624.8 .307. REDACFT M/R HRS B (NOLADE PID) SER # WTQGC0 GA 29 Oct 92 1 Quality R SGT OriginalA007-01119 Location: - 4 MILS 617TH (1) .305SOA D= A.301PO (2)MI A.302MI 34006= .298 (3) .298 ACE COMPLETED AT 5632.3 A/C HRS. BY ACE TEAM MEMBERS Conversion, = .294 (4) .298 = .294 (5) .298 = .294 (6) .298 = .294. BLUE M/R WTQGC0 GA 01 Dec 15 1 BB/G.LADE AFM SERA, #R ASME,007-07667 AMCOM. + 4 OriginalMILS (1) Location:.282 = .286 L- 3(2) WINDER, 273 Ulls =UHG A.277 -3068060 -(3)99 -.284ASA M= -.28805 A (4)LL .284H60 A=CFT .288 INSP. (5) .275 FOR = SPINDLE .279 (6) .279SLEEVE Control, =BE .283ARING Original (SD8465)S Location: Original AASF Location: # 1 WINDER, D CO G2/25A 30680 AVN REG WTQGC0 GA 07 Dec 98 1 Quality R SGT WAAF HI 96854 H-60-08-AMAM-06 COMMON MISSILE WARNING SYSTEM Rodriguez, (CMWS) Original Location: AASF, ISLA GRANDE PUERTO RICO WTQGC0 GA 05 Feb 08 1 Ariel D SGT OCM/ACE PERFORMED AT 967 ACFT HRS AT FT KOBBE Control, PANAMA BY ACE TEAM MEMBER AVSCOM OCM SEC ST LOUIS WTQGC0 GA 27 Feb 89 1 Quality R SGT TBMO 11 (NO-1500 PID)-361 Original-24 ASE, Location: COMMO 617TH & NA SVO EQUIPMENTAD APO MIA INSP.MI 34006 Daniels, WTQGC0 GA 01 May 08 1 CLEANING AND TESTING REQUIREMENTS C/W @ 4386. 5 ACFT Dennis L SOFHRS. UH Original-60A- 87Location:-08 ONE DS2/OLR-TIME INSP HA AOFF,G MIDSECTIONA. 31409 Control, BELLCRANKS COMPLETED 09 JUL 87 (NO PID) Original Location: WTQGC0 GA 09 Jul 87 1 Quality R SGT 129THDA FORM AVN HA A2408F GA -3140915-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 31 of 49 Page ______32 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Battell, Kevin S HIRSS BULKHEAD REPAIRED IAW MEC LE-BAL016-170 BY L3 WTQGC0 GA 09 Aug 07 1 ARIFJAN. Original Location: D CO 1-111 GSAB UDAIRI AIRFIELD, KUWAIT H-60-11-AMAM-04 (LCF CHANGE 61) CW. Original Location: Rodriguez, AASF SAN JUAN, PUERTO RICO WTQGC0 GA 11 Jan 11 1 Ariel D SGT H-60-10-SOF-02 (SPINDLE LUG & RETIREMENT LIFE CHANGES) Rodriguez, C/W. AR2727 Original Location: AASF SAN JUAN PUERTO RICO WTQGC0 GA 22 Jun 10 1 Ariel D SGT COMPLIED WITH REQUIREMENTS OF H-60-13-AMAM-11 ON Dubois, THIS DATE (12 POINT XMSN FILTER BOLTS) Original Location: WTQGC0 GA 02 Jul 13 1 William D SFC AASF #1 WINDER, GA 30680 UH-60-96-ASAM-02 ONE-TIME INSP/REPL OF CERTAIN P/N Control, NUT BOLTS OF M/R HEAD (JH3545) Original Location: D CO WTQGC0 GA 14 Apr 96 1 Quality R SGT INSPECT4/25 AVN A REGPU FUEL WAA LINESF HI FOR PROPER GROMMET AT APU Control, SHROUD ASSY IAW UH-60-02-04/TB 1-1520-237-20-242 PRIOR WTQGC0 GA 24 Jan 02 1 Quality R SGT UHTO -NE60X-97T A-APU/ENGINESAM-05 ALL ST HA-R60T BUT ACFT N LONET 07- TIMEFEB 2002 INSP C OFOMPLETED Control, VISAT 1001.0COUSE HRSDAMPER (GC2724) BEARING Original ASSY Location: (JC0000) D OriginalCO 2/25TH Location: AVN WTQGC0 GA 26 Dec 96 1 Quality R SGT DW ACAOF, 4/25 HI 96854 AVN REG WAAF HI AIRWORTHINESS RELEASE (AWR) FOR OPERATION OF UH-60A/ Rodriguez, L HELICOPTER WITH THE M-240H MACHINE GUN INSTALLED WTQGC0 GA 10 Oct 07 1 Ariel D SGT SOF(AWR1120) UH-60 AD-A87TED-12 10 ONE OCT-TIME 2007. INSP AR2727 OF T-700 Original PWR Location:TURBINE Control, MODAASF, CPROMPLETEDARNG SA N04 J UDECAN 87PR (NO PID) Original Location: 617 WTQGC0 GA 04 Dec 87 1 Quality R SGT SOAP APO MIAMI 34006 TB 1-1520-237-30-01 UH-60A/L AIRCRAFT DESERT Daniels, OPERATIONS SPECIAL INSP. AND CLEANING REQUIREMENTS C/ WTQGC0 GA 01 May 08 2 Dennis L W @ 4386.5 ACFT HRS. Original Location: DS2/OLR HAAF,GA. UH-60-07-ASAM-10 COMPLIED WITH @ 4301.3 ACFT HRS Battell, Kevin 31409 Original Location: D CO 1-111 GSAB UDAIRI AIRFIELD, KUWAIT WTQGC0 GA 14 Aug 07 2 S WAIVER W0037 AUTHORIZATION FOR DELIVERY OF Control, WTQGC0 GA 05 Nov 84 2 UNQULIFIED ANTENNA COUPLERS AND LOW PASS FILTERS Quality R SGT T/RAND RIG INS CTOMPLETEDALLATION OFON A THISRC-186 DA TE;RA DIOMEA SESUREMENTS ACFT T570S: AND Dubois, REDSUBSEQUENT-.295, BLUE (NO-.349, PID) YEL OriginalLOW-.371, Location: BLACK (NO-.280 O R GAANGLES:NIZATION) WTQGC0 GA 20 May 14 2 William D SFC (NO LOCATION) REDDA- 3.00FORM DEG, B2408LACK-153.00-SG, DEG, OCYELLTO W91-3.10 DEG, BLUE 3.10 HISTORICAL RECORD FOR AIRCRAFT DEG;EDITION T/R COFABLE JAN TENSION 64 IS OBSOLETE MEASUREMENTS; L/H 180LBS, R/H For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG 182LBS @ 30DEG CELCIUS Original Location: AASF #1 WINDER, GA 30680 28 Oct 2020 1333 UTC FOUO page 32 of 49 Page ______33 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Bass, Charles J T/R RIG COMPLETED AT 4388 ACFTHRS. T/R BIAS SET AT BLUE WTQGC0 GA 13 May 08 2 BEFORE 4.05 AFTER 4.4 DIFF 0.35, BLACK BEFORE 4.05 AFTER 4.4 DIFF 0.35, RED BEFORE 4.7 AFTER 5.05 DIFF 0.35, YELLOW MEC# F73866 AUTHROIZATION IS GRANTED FOR AMCOM Jones, Alfonzo BEFORE 4.8 AFTER 5.1 DIFF 0.30. T/R CABLE TENSION SET TO: PROJECT OLR, HUNTER AAF, SAVANNAH, GA TO REPAIR WTQGC0 GA 09 May 08 2 L LEFT CABLE 150, RIGHT CABLE 150, TEMP 20 C Original DAMAGE TO L/H DRAG BEAM FITTING COMPLETED AT 4386.5 Location:H-60-08- ADS2/OLRSAM-01 H(TARAOOP/GUNNERSF, GA SEAT UPPER ENERGY Rodriguez, ACFT HRS Original Location: DS2/OLR HAAF, GA ATTENUATING WIRES) C/W. AR2727 Original Location: AASF, WTQGC0 GA 06 Dec 07 2 Ariel D SGT PRARNG SAN JUAN, PR AIRCRAFT OPERATED IAW AWR 1656, UH/HH-60A/L Henklein, HELICOPTERS EQUIPPED WITH THE PHOENIX MODIFIED DRIP WTQGC0 GA 20 Dec 16 2 John F PAN, DATED 8 JAN 2015 Original Location: AASF #2 CLAY NGC, T/R CABLE TENSION COMPLETED ON THIS DATE: L/H 176 LBS , Dubois, GA 30060 R/H 180 LBS @ 35 DEGREES CELCIUS Original Location: AASF #1 WTQGC0 GA 20 Jul 16 2 William D SFC UHWINDER,-60-93 G-AAS 30680AM-02 ENGINE CLEANING PER ASAM 92-05 N/A Control, THIS ACFT (NO PID) Original Location: 617TH SOAD APO MIAMI WTQGC0 GA 29 Oct 92 2 Quality R SGT UH34006-60-94-ASAM-06 ONE-TIME INSP OF STANDARDAZATION Control, OF PILOTS AND CO-PILOTS RESTRAINT RELEASE SYSTEM WTQGC0 GA 16 Feb 94 2 Quality R SGT (VE0000) Original Location: D CO 4/25 AVN REG WAAF HI UH-60-01-SOF-04 REVISION TO UH-60-98-01 AUX FUEL Control, MANAGEMENT SYSTEM COMPLETED @ 2752.9 ACFT HRS WTQGC0 GA 08 Jan 01 2 Quality R SGT UH(BM3726)-60-97 -OriginalASAM-08 Location: ALL H60 D A CCFTO 2/25TH ONE-TIME AVN INSP WAA OFF, HI FWD Control, CONTROL ROD (JC0000) Original Location: D CO 4/25 AVN REG WTQGC0 GA 14 Jan 97 2 Quality R SGT WAAF HI H-60-16-AMAM-10, ULLS-A(E) PHASE LEGITIMATE CODE FILE Henklein, (LFC) UPDATE, COMPLIED WITH ON THIS DATE Original WTQGC0 GA 19 Oct 16 2 John F Location: AASF #2 CLAY NGC, GA 30060 COMPLIED WITH REQUIREMENTS OF H-60-ASAM-06 .(UPPER Hust, FUEL BREAKAWAY AND FIRE EXT TRAN VALVE) Original WTQGC0 GA 22 Feb 12 2 Anthony SGT INSPECTLocation: FAAAIRINGSF#2 ADOBBINSSSY, P/N A 70104RB, GA-11104 30069-044, IAW UH-60-02- Control, WTQGC0 GA 15 Nov 01 2 ASAM-01 (TB 1-1520-237-20-239) WITHIN THE NEXT 10 FLIGHT Quality R SGT INSPHRS BUTOF CREW NO LA SETERAT TH I/AA/WN 29 SOF N OUHVEMBER-60A-86 2001-21 CCOMPLETEDOMPLETED 09AT Control, J2793.1AN 87 AACFTT 52.0 HRS HRS (MD2892) (NO PID) Original Original Location: Location: D 129TH CO 2- 25AVN AVN WTQGC0 GA 09 Jan 87 2 Quality R SGT REGT WAAF HAWAII 96854 HDAAAF FORMGA 31409 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 33 of 49 Page ______34 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, SOF UH-60A-88-11 DOES NOT APPLY TO THIS ACFT (NO PID) WTQGC0 GA 08 Nov 88 2 Original Location: 1/228TH APO MIAMI 34006 Quality R SGT COMPLIED WITH H-60-18-ASAM-05, CENTER CONSOLE WIRE Wood, David CHAFFING @ 6139.1 ACFT HRS (ARN-147 WITH HARD MOUNT WTQGC0 GA 12 Jun 18 2 B BASE INSTALLED) Original Location: DET 2 CO C 169 AVN HAAF NEXT PMS DUE AT 2253.1 ACFT HRS (NO PID) Original Location: Control, CCAD CORPC TX WTQGC0 GA 05 Aug 93 2 Quality R SGT UH-60-01-SOF-08 REVISION TO UH-60-01-SOF-07. INSPECT Control, MAIN ROTOR FLT CONTROLS SELF LOCKING BOLTS WTQGC0 GA 08 Jun 01 2 Quality R SGT COMPLETED AT 2755.4 ACFT HRS (MM7313) Original Location: MEO A5795A, AUTHORIZATION FOR 1108 TASMG TO INSTALL Grell, Brian K C CO 2/25 AVN REGT WAAF HI INTERNAL RESCUE HOIST CABLE GUARD DEFLECTOR, WTQGC0 GA 15 Mar 13 2 AINSWRTA 1914LLED D5189.9TD 28OCT13 ACFT HRS (IPA OriginalD) APPLIED Location: ON THIS 1108 DA TTEASMG AT Dubois, 5258.8GULFPO HRSRT, MSOriginal 39505 Location: AASF #1 WINDER, GA 30680 WTQGC0 GA 21 Nov 13 2 William D SFC MWO 55-1520-H60-50-5 RADAR ALTIMETER DIMMING Control, CAPABILITIES APN-209 C/W (NO PID) Original Location: WTQGC0 GA 08 Jul 86 2 Quality R SGT SIKORSKY (NO LOCATION) PMI #1 COMPLETED @ 3942.9 ACFT HRS NEXT PMI#1 DUE @ Galvin, 4662.9 ACFT HRS Original Location: L3 VERTEX UDAIRI AAF, WTQGC0 GA 12 Dec 06 2 Michael HAPO-60 -A09E 09330-AMAM-07 (HALON HAND-HELD FIRE EXTINGUISHERS) Rodriguez, C/W. Original Location: AASF- SAN JUAN PUERTO RICO WTQGC0 GA 16 Jul 10 2 Ariel D SGT NEXT AIRCRAFT PMSII INSPECTION DUE AT 3397.4 ACFT Control, HOURS. (GH1660) Original Location: CORPUS CHRISTI ARMY WTQGC0 GA 17 Jan 04 2 Quality R SGT DEPOT CCAD CORPUS CHRISTI TX 78419 H-60-17-AMAM-01, ULLS-A(E) CARTRIDGE ACTUATED DEVICES Henklein, (CADS) MODULE, COMPLIED WITH ON THIS DATE Original WTQGC0 GA 17 Oct 16 2 John F SSG M/RLocation: RIG CHECKAASF #2 (B LCALDESAY NGC, ON) GREQUIREDA 30060 FOR MAIN MODULE Grell, Brian K WTQGC0 GA 09 May 13 2 REINSTALLATION. LOW COLL ANGLE: -.375, HIGH COLL ANGLE: C15.33,OMPLIED 15.5 DEGREEWITH REQUIREMEN HIGH COLL TMINS OF R HA-NGE:60-14 15.7,-AS AFWDM-09 C YONCLIC Dubois, THISANGLE DA ATEVG: (ENGINE 33.70, A OUTPUTFT CYCLIC SH AANGLEFT) Original AVG: 19.40, Location: LEFT A CAYSFCLIC #1 WTQGC0 GA 12 Sep 14 2 William D SFC WINDER,ADNGLEA FORM AV GG:A 15.30,30680 2408 RT- C15YCLIC-SG, A NGLEOCT A V91G: 14.00. COMPLETED AT 5189.9 ACFT HRS. Original Location: 1108 TASMG GULFPORT, HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG MS 39505

28 Oct 2020 1333 UTC FOUO page 34 of 49 Page ______35 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Braswell, COMPLIED WITH H-60-16-AMAM-03, IB RET PLATE TQ CHECK, WTQGC0 GA 24 Nov 15 2 THIS DATE Original Location: AASF#1 WINDER, GA 30680 Sidney G UH-60-95-ASAM-02 BEFORE NEXT FLT ALL ACFT -10 CHECKLIST Control, WILL BE UPDATED TO ENSURE BOOST PUMPS ON AT ALL TIMES WTQGC0 GA 11 Oct 94 2 Quality R SGT (VE0000) Original Location: D CO 4/25 AVN REG WAAF HI UH-60-08-AMAM-07, AN/ASN-128D DOPPLER GPS Bass, Charles NAVIGATION SET (DGNS) C/W @ 4390.3 ACFT HRS Original WTQGC0 GA 20 May 08 2 J Location: DS2/OLR HAAF, GA UH-60-99-ASAM-12 INSPECTION INTERVAL CHANGE FOR Control, HAMILTON STANDARD.HYDROMECHANICAL UNITS P/N'S WTQGC0 GA 19 Aug 99 2 Quality R SGT 4046T52G01/G04/GO6/GO9/G11 USED ON T700-GE-700 C/W JACE/ACE PERFORMED AT 2897.4 ACFT. HRS AT CCAD CORPS Control, ACFT HRS (SD8465) Original Location: D CO 2/25 AVN REG CHRISTI, TX 78419 (GC2172) Original Location: CCAD CORPUS WTQGC0 GA 11 Apr 04 2 Quality R SGT WAAF HI 96854 RECHRISTIASTABLISHED TX 78419 HIT LOG BASELINE ON THID DATE Original Cobb, Location: AASF # 1 WINDER, GA 30680 WTQGC0 GA 11 Dec 13 2 Talmadge L COMPLIED WITH H-60-17-ASAM-08, ON THIS DATE. INFRARED Berg,SFC Douglas FORMATION LIGHT WIRING HARNESS. NOT APPLICABLE FOR WTQGC0 GA 24 Mar 17 2 M H60M. Original Location: D CO 1-171ST GSAB CLAY NGC, GA UH-60-05-ASAM-03 C/W @ 3198.9 ACFT HRS (HB7567) Original Control, 30060 Location: WPNV98 OTIS ANGB MA WTQGC0 GA 15 Apr 05 2 Quality R SGT LATE ENTRY - H-60-16-AMAM-04 T-CLIP INSTALLATION Henklein, COMPLIED WITH ON 31 JUL 16 @ 5741.2 ACFT HOURS. WTQGC0 GA 18 Oct 16 2 John F INSPECTION PERFORMED BY AASF #1, GA PERSONEL. Original MEC#F73623 AUTHORIZATION IS GRANTED FOR AMCOM Daniels, Location: AASF #2 CLAY NGC, GA 30060 PROJECT OLR, HUNTER AAF, GA TO REPLACE THE PISTONS, P/N WTQGC0 GA 03 Apr 08 2 Dennis L 274047-21, AND ASSOCIATED SEALS ON ROTARY WING HEAD COMPLIED WITH REQUIREMENTS OF H-60-14-ASAM-06 ON Dubois, SERVO ASSY (PRIMARY SERVO) P/N 2740000-1031, S/N THIS DATE (FLIGHT CONTROL MIXER ASSEMBLY) Original WTQGC0 GA 23 Apr 14 2 William D SFC B303-12548 ON UH-60A 8624494 IAW DMWR 1-1650-381 @ TBLocation: 1-1520 A-701ASF- #120 -WINDER,1 INSTAL LGAATION 30680 OF TOW BALLAST PLATE Stallings, 4386.5 ACFT HRS. Original Location: DS2/OLR HAAF,GA. 31409 WTQGC0 GA 25 Feb 10 2 FOR UH-60A/L HELICOPTERS. C/W AT 4740.5 ACFT. HRS. Kerry D UHOriginal-60-97 Location:-ASAM- 151108TH ALL H A-60VCR AACFTD GULFPO WITH BERAT,RING MS. 39505 ROD END Control, P/N 70101-08202-101 MFD BY ISLAND ENGINEERING (LB0000) WTQGC0 GA 12 Aug 97 2 Quality R SGT OriginalDA FORM Location: 2408 UNC-15 LSI- SG,WAA FOC HI 96854T 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 35 of 49 Page ______36 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, UH-60-98-ASAM-02 ALL H-60 ACFT WITH PUSHRODS P/N WTQGC0 GA 08 Oct 97 2 70400-08155-050 AND 051 (LB0000) Original Location: UNC LSI Quality R SGT WAAF HI 96854 UH-60A-84-08 ONE-TIME INSP OF AERO QUIP CARGO HOOK Control, PRESSURE CARTRIDGE ASSY P/N FE7590-65 C/W (NO PID) WTQGC0 GA 06 Feb 86 2 Quality R SGT Original Location: SIKORSKY (NO LOCATION) UH-60-94-ASAM-11 INFORMATIONAL M/R BLADE DE-ICE Control, HEATER MEASUREMENT TEST METHOD (VE0000) Original WTQGC0 GA 20 Apr 94 2 Quality R SGT Location: D CO 4/25 AVN REG WAAF HI MEC# F74228 AUTHORIZATION IS GRANTED FOR AMCOM Daniels, PROJECT OLR, HAAF SAVANNAH, GA. TO REPLACE AFT CARGO WTQGC0 GA 22 Apr 08 2 Dennis L HOOK FITTING, P/N 70219-02511-044, ON UH-60A 86-24494 FOR CHRONOLOGICAL ORDER, H-60-11-AMAM-16, GE YT706- Wilson, IAW DMWR 1-1520-240 AND SIKORSKY PROCEDURE GE-700 OIL SLINGER NUT, C/W Original Location: 1/111TH WTQGC0 GA 14 Sep 11 2 Robert L SSG SE-7021902511 @ 4386.5 ACFT HRS. MEC# F74228. Original GSAB PUERTO RICO Location:UH-60-95 DS2/OLR-ASAM-04 H ATQAF,G REDUCTIONA. 31409 OF SELF RETAINING PIVOT Control, BOLTS ON ALL H-60 ACFT (VE0000) Original Location: D CO WTQGC0 GA 23 Sep 97 2 Quality R SGT UH4/25-60 AVN-93 -REGASA WMA-06AF ONE HI -TIME INSP TO REMOVE SUSPECT T/R Control, PITCH BEAMS C/W AT 1744.7 ACFT HRS (NO PID) Original WTQGC0 GA 05 Jan 93 2 Quality R SGT Location: 617TH SOAD APO MIAMI 34006 COMPLIED WITH REQUIREMENTS OF H-60-13-AMAM-03 ON Dubois, THIS DATE (TGT BIAS) Original Location: AASF #1 WINDER, GA WTQGC0 GA 29 Nov 12 2 William D SFC EMC30680 FOR CEP'S COMPLEATED 14 MAY 04 (HB7567) Original Control, Location: WPNV98 OTIS ANGB MA WTQGC0 GA 14 May 04 2 Quality R SGT H-60-13-AMAM-07, ALL H-60 SERIES AIRCRAFT, LOAD Grell, Brian K DEMAND SPINDLE (LDS) CABLE CLEARANCE, COMPLIED WITH WTQGC0 GA 21 May 13 2 AT 5189.9 ACFT HRS. Original Location: 1108 TASMG GULFPORT, MEC # F162386, AUTHORIZATION FOR 1108 TASMG TO REPAIR Grell, Brian K MS 39505 CORROSION ON BOTTOM OF NOSE BALLAST WEIGHT, WTQGC0 GA 21 Mar 13 2 SOFREPA UHIRED-60 AAT- 5189.988-07 REVISION ACFT HRS. T OOriginal SOF-UH Location:-60A-88 1108-05 (NO TASMG PID) Control, WTQGC0 GA 18 Jul 88 2 OriginalGULFPO RLocation:T, MS 39505 617 SOAP APO MIAMI 34006 Quality R SGT H-60-08-AMAM-05 (AIRCRAFT, GOODRICH INTERNAL RESCUE Rosado, HOIST) N/A C/W DR507293 Original Location: CO A 1/111 CSAB WTQGC0 GA 29 Jan 08 2 David A MSG ISDLA GRFORMANDE PR 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 36 of 49 Page ______37 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Daniels, POST RESET M/R RIG COMPLETED @ 4386.5 ACFT HRS, FWD WTQGC0 GA 25 Apr 08 2 CTRL ROD SHORTEN 1/4 TURN, AFT CTRL ROD LENGHTEN 1/4 Dennis L TURN, LATERAL CTRL ROD SHORTEN 1/4 TURN. Original UH-60-96-SOF-03 M/R BLADE CUFF (FA0881) Original Location: Control, Location: DS2/OLR HAAF,GA. 31409 D CO 4/25 AVN REG WAAF HI WTQGC0 GA 15 Dec 95 2 Quality R SGT EMC CHECKS COMPLIED WITH FOR THE FOLLOWING MSO'S Control, IAW AWR'S ASSIGNED AS FOLLOWS ON ALL UH-60A TYPE WTQGC0 GA 15 Nov 05 2 Quality R SGT ASSIGNED THIS UNIT AIR WARRIOR ISAQ114, CMWS AWR UH-60A-84-09 INSP OF ENGINE OUTPUT SHAFT P/N Control, 1295, ENG INLET BARRIER FILTERS AWR 1165R BLUE FORCE 70361-08004-043 C/W (NO PID) Original Location: SIKORSKY WTQGC0 GA 06 Feb 86 3 Quality R SGT TRACKER AWR 8-13-04, IR LIGHT AWR 1223, 8-POINT ICS AWR (NO LOCATION) 1175R1,MWO 55 A-1520WIS A-H60WR -1267R150-6 INS (DS5075)TALLATION Original OF C ONTLocation:ROLL ACOBLE D Control, WTQGC0 GA 08 Jul 86 3 3/126THSEARCHLIGHT AVIATION P/C/W APO (NO A EPID) 09330 Original Location: SIKORSKY Quality R SGT SOF(NO UHLOC-60ATION)A-88-04 REVISION TO SOF-UH-60A-88-03 (NO PID) Control, Original Location: 617 SOAP APO MIAMI 34006 WTQGC0 GA 18 Jul 88 3 Quality R SGT H-60-13-AMAM-01, ALL HH/MH/UH-60A/L/M SERIES Grell, Brian K AIRCRAFT, FLIGHT CONTROL RIGGING, COMPLETED AT 5189.9 WTQGC0 GA 09 May 13 3 ACFT HRS. RED BLADE ANGLE: 2.9, BLK BLADE ANGLE: 3.0, YEL MEC # F160687B, AUTHORIZATION FOR 1108 TASMG TO Grell, Brian K BLADE ANGLE: 2.9, BLU BLADE ANGLE: 3.0. BLU T/R P/C DIM A: REPAIR R/H OUTBOARD AFT STA 308 FITTING TAB CRACK, WTQGC0 GA 15 Mar 13 3 4.0625, DIM B: 4.375, DIFF: .3125. Original Location: 1108 REPAIRED AT 5189.9 ACFT HRS Original Location: 1108 TASMG TCAOMPLIEDSMG GULFPO WITHR T,REQUIREMEN MS 39505 TS OF H-60-14-ASAM-08 ON Dubois, THISGULFPO DATERT, (HMU MS 39505 QD'S) Original Location: AASF #1 WINDER, GA WTQGC0 GA 12 Sep 14 3 William D SFC 30680 AWR 1823 DATED 14 MAY 12, AIRWORTHINESS RELEASE FOR Grell, Brian K UH/HH-60A/L HELICOPTERS WITH INTEGRATED VEHICLE WTQGC0 GA 21 May 13 3 HEALTH USAGE MANAGEMENT SYSTEM SOFTWARE WITH H-60-08-ASAM-02 (POWER AVAILABLE CONTROL CABLE) C/W. Rodriguez, BLOCK 5.0 INSTALLED. Original Location: 1108 TASMG AR2727 Original Location: AASF, PRARNG SAN JUAN, PR WTQGC0 GA 06 Dec 07 3 Ariel D SGT GULFPORT, MS 39505 TB 1-1520-701-30-1 APU ACCUMULATER HAND PUMP AND Stallings, WTQGC0 GA 25 Feb 10 3 HANDLE RELOCATION FOR UH-60A/L HELICOPTERS. C/W AT Kerry D H4740.5-60-10 A-CFT.AMA HRS.M-12 Original (IMPRO Location:VED DRA 1108THG BEAM) A C/WVCRA ADR2727 Rodriguez, OriginalGULFPO RLocation:T, MS. 39505 AASF SAN JUAN PUERTO RICO WTQGC0 GA 16 Jul 10 3 Ariel D SGT DA FORM 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 37 of 49 Page ______38 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, WAIVER W0043 AUTHORIZATION FOR DELIVERY OF AIRCRAFT WTQGC0 GA 05 Nov 84 3 WITH ARC-186 RADIO SETS PRIOR TO APPROVAL OF Quality R SGT ELECTROMAGNETIC COMPATIBILITY TESTING (NO PID) Original UH-60-97-ASAM-16 ALL H-60 ACFT WITH SWASHPLATE Control, Location: (NO ORGANIZATION) (NO LOCATION) LINKAGE CLEVIS CONNECTOR P/N 70400-08151-050 MFD BY WTQGC0 GA 12 Aug 97 3 Quality R SGT AIRBORNE APPERAL. (LB0000) Original Location: UNC LSI WAAF H-60-17-AMAM-01, ULLS-A(E) CARTRIDGE ACTUATED DEVICES Henklein, HI 96854 (CADS) MODULE, COMPLIED WITH ON THIS DATE Original WTQGC0 GA 19 Oct 16 3 John F Location: AASF #2 CLAY NGC, GA 30060 AIRCRAFT STRIPPED AND REPAINTED IAW TM55-1500-345-23 Control, DATED 12JUN 1986. EXTERIOR PAINTED EXTERIOR GREEN WTQGC0 GA 17 Jan 04 3 Quality R SGT (CARC) MIL-L-46168, CREW COMPARTMENT LUSTER LESS UH-60-98-ASAM-01 ALL H-60 WITH M/R SHAFT EXTENDER Control, BLACK, (CARC) MIL-L-46168, TROOP/CARGO AREA LUSTERLESS ASSY P/N 70351-08186-043 LATE ENTRY (LB0000) Original WTQGC0 GA 08 Oct 97 3 Quality R SGT GRAY (CARC) MIL-L-46168. (GH1660) Original Location: CORPUS Location: UNC LSI WAAF HI 96854 CHRISTITB 1-1500 ARMY-200 -DEP20-31OT A CICRCRADA CFTORPUS DESE RCHRISTIT OPER ATXTIONS 78419 Daniels, CLEANING REQUIREMENTS C/W @ 4386.5 ACFT HRS. Original WTQGC0 GA 01 May 08 3 Dennis L GENLocation:-03-A DS2/OLRSAM-01 SINGLEHAAF,G CHA. 31409ANNEL GROUND AND AIRBORNE Control, RADIO (SINGARS) ARC-201 BATTERY BOX (GC2172) Original WTQGC0 GA 11 Apr 04 3 Quality R SGT Location: CCAD CORPUS CHRISTI TX 78419 COMPLIED WITH H-60-17-AMAM-08, ON THIS DATE. Berg, Douglas MAINTENANCE MANDATORY, MAIN ROTOR BLADE TIB RIB WTQGC0 GA 24 Mar 17 3 M LINSPECTION.ATE ENTRY - PUBLICH-60-16ATION-AMA UPM-D07ATE. TA ILOriginal ROTOR Location: SERVO S DA FECOTY Henklein, C1-A171STBLE C OMPLIEDGSAB CLA WITHY NGC, ON G A22 30060 JUL 16 @ 5741.2 ACFT HOURS. WTQGC0 GA 18 Oct 16 3 John F INSPECTION PERFORMED BY AASF #1, GA PERSONEL. Original ISAQ 107 UH-60A/L AND H-60L HELICOPTERS EQUIPPED WITH Daniels, Location: AASF #2 CLAY NGC, GA 30060 IMPROVED ENGINE DRIVESHAFTS @ 4386.5 ACFT HRS. Original WTQGC0 GA 22 Apr 08 3 Dennis L Location: DS2/OLR HAAF,GA 31409 MEC#F73625 AUTHORIZATION IS GRANTED FOR AMCOM Daniels, PROJECT OLR, HUNTER AAF, GA TO REPLACE THE RUBBER WTQGC0 GA 03 Apr 08 3 Dennis L ABOCFTOT PS,A P/NINTED 274069 WITH- 21,CA RACND MIL PIS-CT-ON46168 SEA GREENLS ON RI/OAT/WAR TMY WING Control, WTQGC0 GA 05 Aug 93 3 55HE-A1500D SER-345VO- 23ASSY DTD (PRIM 12 JUNARY 86 SER (NOVO) PID) P/N Original 274000 -Location:1031, S/N Quality R SGT B303-12581 ON UH-60A 8624494 IAW DMWTR 1-1650-381 @ POSTCCAD RESETCORPC T/R TX CABLE TENSION CK. COMPLETED @ 4386.5 Daniels, 4386.5 ACFT HRS. Original Location: DS2/OLR HAAF,GA.31409 ACFT HRS, LEFT CABLE 161 LBS, RIGHT CABLE 159 LBS @ 22 WTQGC0 GA 25 Apr 08 3 Dennis L DEGREESDA FORM C. Original 2408 Location:-15-SG, DS2/OLR OCT 91HAAF,GA 31409 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 38 of 49 Page ______39 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, GEN-02-ASAM-07 USE OF DISCREPANT LOTS OF SYN-TECH WTQGC0 GA 05 Aug 93 4 GREASE PN 3913-G1 SUBJECT GREASE NOT INSTALLED (NO Quality R SGT PID) Original Location: CCAD CORPC TX H-60-08-AMAM-02 (TAIL ROTOR OUTBOARD RETENTION PLATE Rodriguez, SHIMS) C/W. AR2727 Original Location: AASF, PRARNG SAN WTQGC0 GA 06 Dec 07 4 Ariel D SGT JUAN, PR H-60-09-AMAM-07 (HALON HAND-HELD FIRE EXTINGUISHERS) Rodriguez, C/W. Original Location: AASF- SAN JUAN PUERTO RICO WTQGC0 GA 16 Jul 10 4 Ariel D SGT MWO 55-1520-H60-50-7 NVG COCKPIT LIGHTING P/C/W (NO Control, PID) Original Location: SIKORSKY (NO LOCATION) WTQGC0 GA 08 Jul 86 4 Quality R SGT AWR FOR FM AN/ARN-147 VOR/ILS RECEIVERS P/N Control, 622-6376-020 IN THE STANDARD CONF. AND FM IMMUNE AN/ WTQGC0 GA 11 Apr 04 4 Quality R SGT MEC#F73375ARN-147 VOR/ILS AUTHORIZ RECEIVERSATION P/N IS GR622A-NTED6376- FOR020 WITHAMCOM THE Daniels, PVIMROJECT-123 AOLR,DAPTER HUNTER TRAY A MOUNTAF, SAVA INNN AAN/H,A GRNA -T123O INS CONF.TALL WTQGC0 GA 03 Apr 08 4 Dennis L (GC2172) Original Location: CCAD CORPUS CHRISTI TX 78419 AWRCCESS 1590 PA NELDATED AT 20PS A185PR IN12, T AAIRWOIL PYLRONTHINESS P/N 70000 RELE-A06100SE FOR-042, Grell, Brian K UHS/N- 60A330A/L- 00777,HELICOPTERS ON UH WITH-60A 8624494 AN/ARN I-A147W TMVOR/ILS 1-1500 RECEIVER/-240-23 WTQGC0 GA 21 May 13 4 ELECTSERIESR @ONIC 4386.5 MOUNTING ACFT HRS. BA OriginalSE INST ALocation:LLED. Original DS2/OLR Location: ISAQ 120 ALL H-60 SERIES HELICOPTERS EQUIPPED WITH Daniels, 1108HAAF,G TAASMG 31409 GULFPORT, MS 39505 IMPROVED DRAG BEAMS @ 4386.5 ACFT HRS. Original WTQGC0 GA 22 Apr 08 4 Dennis L UHLocation:-60A-85 DS2/OLR-02 SOFE HTAYA OFF,G AFLIGHT 31409 MAINTENANCE Control, MANDATORY MESSAGE TO CHANGE THE AUTOROTATION WTQGC0 GA 06 Feb 86 4 Quality R SGT LIMITS C/W (NO PID) Original Location: SIKORSKY (NO TM 1-1520-237-PMI 1 & 2 COMPLETED IAW 1-1520-237-30-1 Daniels, LOCATION) RESET @ 4386.5 ACFT HRS. NEXT PMI #1 DUE @ 4746.5 ACFT WTQGC0 GA 01 May 08 4 Dennis L HRS. Original Location: DS2/OLR HAAF,GA. 31409 AIRCRAFT COMPETED CORROSION ENHANCEMENT PROGRAM Control, IAW AED2298. (GH1660) Original Location: CORPUS CHRISTI WTQGC0 GA 17 Jan 04 4 Quality R SGT WARMYAIVER DEP W0044OT CC USEAD COFORPUS ALTERN CHRISTIATE SOU TXR 78419CE HYD LOGIC (NO Control, WTQGC0 GA 05 Nov 84 4 PID) Original Location: (NO ORGANIZATION) (NO LOCATION) Quality R SGT POST RESET T/R BIAS COMPLETED @ 4386.5 ACFT HRS, BLUE Daniels, BEFORE 4.044 AFTER 4.377 DIFF .333, BLACK BEFORE 4.037 WTQGC0 GA 25 Apr 08 4 Dennis L ADFTERA FORM 4.383 DIFF 2408 .346,- 15RED-SG, BEFORE OC 4.730T 91 AFTER 5.073 HISTORICAL RECORD FOR AIRCRAFT DIFFEDITION .343, YEL OFLO JANW BEFORE 64 IS OBSOLETE 4.604 AFTER 4.974 DIFF .370. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG Original Location: DS2/OLR HAAF,GA 31409

28 Oct 2020 1333 UTC FOUO page 39 of 49 Page ______40 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, MWO 55-1520-H60-50-8 INSTALLATION OF DIGITAL CLOCK P/ WTQGC0 GA 08 Jul 86 5 C/W (NO PID) Original Location: SIKORSKY (NO LOCATION) Quality R SGT NOT USED Original Location: DS2/OLR HAAF,GA.31409 Daniels, WTQGC0 GA 03 Apr 08 5 Dennis L UH-60-93-ASAM-08 USING CORRECT T/R RIGGING Control, PROCEDURES ON ALL H-60 ACFT (NO PID) Original Location: WTQGC0 GA 05 Aug 93 5 Quality R SGT CCAD CORPC TX ISAQ 127 ALL H-60 SERIES HELICOPTERS EQUIPPED WITH MAIN Daniels, ROTOR SOLID BLADE PINS P/N 70103-08108-041 @ 4386.5 WTQGC0 GA 22 Apr 08 5 Dennis L ACFT HRS. Original Location: DS2/OLR HAAF,GA 31409 AIRCRAFT COMPLETED TB1-1520-237-20-167, INSPECTION Control, AND REPAIR OF STATION 635.4 FRAME ASSEMBLY FOR TAIL WTQGC0 GA 17 Jan 04 5 Quality R SGT CWHEELOMPLIED STRUT WITH INS UHTA-L60LA-TION08-A SCLEAMA-R06,ANCE. M/R (GH1660)SLIDING PYOriginalLON Daniels, FLocation:AIRING @ CORPUS 4386.5 CHRISTIACFT HRS. ARMY Original DEP OLocation:T CCAD CDS2/OLRORPUS WTQGC0 GA 01 May 08 5 Dennis L CHRISTI TX 78419 WHAAAIVERF,GA W0056. 31409 USE OF ALTERNATE SOURCE WINDSHIELD Control, ANTI-ICE CONTROLLERS (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 5 Quality R SGT ORGANIZATION) (NO LOCATION) MWO 55-1520-H60-50-10 HF VOLUME CONTROL SECURE Control, VOICE C/W (NO PID) Original Location: SIKORSKY (NO WTQGC0 GA 08 Jul 86 6 Quality R SGT INTERIMLOCATION) STATEMENT OF AIRWORTHINESS QUALIFICATION Control, (ISAQ) FOR UH AND EH-60A AIRCRAFT WITH TRANSMISSION WTQGC0 GA 17 Jan 04 6 Quality R SGT MODULES P/N 70351-08100-075 &-076 EQUIPPED WITH UH-60-93-ASAM-09 ONE-TIME INSP TO DETERMINE Control, IMPROVED PLANETARY CARRIERS P/N 70351-08175-046 (ISAQ COMPLIANCE WITH SYSTEM MWO'S (NO PID) Original WTQGC0 GA 05 Aug 93 6 Quality R SGT 106). (GH1660) Original Location: CORPUS CHRISTI ARMY Location: CCAD CORPC TX DEPWAIVEROT C W0058CAD CORPUS USE OF CHRISTI IMPRO VEDTX 78419 PRIME AND APU BOOST Control, PUMPS (NO PID) Original Location: (NO ORGANIZATION) (NO WTQGC0 GA 05 Nov 84 6 Quality R SGT TB1LOC-A1520TION)-237-20-245 / UH-60-02-ASAM-03 C/W AT CCAD Control, WTQGC0 GA 17 Jan 04 7 INSPECTION OF ENGINE CONTROL QUADRANT POWER Quality R SGT UHCONT-60R-OL93- LEVERASAM -(PCL)10 ONE WIRING,-TIME A(GH1660)ND RECURRING Original INSP/ Location: Control, CLECORPUSANING CHRISTI OF ESS A VRMYALVES DEP ANDOT CPNEUMCAD CORPUSATIC LINES CHRISTI (NO TXPID) WTQGC0 GA 05 Aug 93 7 Quality R SGT 78419 OriginalDA FORM Location: 2408 CCA-D15 C-ORPCSG, OCTX T 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 40 of 49 Page ______41 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, WAIVER W0060R1 ACCEPTANCE OF ACFT,M/R SPINDLE,M/R WTQGC0 GA 05 Nov 84 7 BLADE CUFF,M/R HUB, M/R CONTROL HORN, AND M/R SHAFT Quality R SGT (NO PID) Original Location: (NO ORGANIZATION) (NO MWO 55-1520-H60-50-14 INSTALLATION OF TOW PLATES STEP Control, LOCATION) C/W (NO PID) Original Location: SIKORSKY (NO LOCATION) WTQGC0 GA 08 Jul 86 7 Quality R SGT UH-60-93-SOF-01 ONE-TIME INSP OF T700-GE-70C ENGINE Control, FUEL LINE (NO PID) Original Location: CCAD CORPC TX WTQGC0 GA 05 Aug 93 8 Quality R SGT MWO 55-1520-H60-50-17 INSTALLATION OF COVERT Control, LIGHTING P/C/W (NO PID) Original Location: CCAD (NO WTQGC0 GA 08 Jul 86 8 Quality R SGT LOCATION) TB1-1520-237-20-246 / UH-60-02-ASAM-02 C/W AT CCAD Control, INITIAL AND RECURRING INSPECTION OF THE CONTROL ROD WTQGC0 GA 17 Jan 04 8 Quality R SGT WJAAMIVER NUT. W0060 (GH1660) USE OriginalOF IMPR Location:OVED M/R CORPUS CONTR CHRISTIOL HORN ARMY (NO Control, PID)DEPO OriginalT CCAD Location:CORPUS CHRISTI(NO ORG TXANIZ 78419ATION) (NO LOCATION) WTQGC0 GA 05 Nov 84 8 Quality R SGT MWO 55-1520-H60-50-20 INSTALLATION OF H BAR C/W (NO Control, PID) Original Location: CCAD (NO LOCATION) WTQGC0 GA 08 Jul 86 9 Quality R SGT WAIVER W0064 ELECTRICALLY HEATED WINDSHIELD CENTER Control, (NO PID) Original Location: (NO ORGANIZATION) (NO WTQGC0 GA 05 Nov 84 9 Quality R SGT UHLOC-60ATION)-93-ASAM-16 ONE-TIME INSP OF HYD PUMP MODULE Control, KNURLED BLEED/RELIEF KNOB SECURING PIN (NO PID) Original WTQGC0 GA 05 Aug 93 9 Quality R SGT Location: CCAD CORPC TX TB1-1520-237-20-257 / UH-60-02-ASAM-09 C/W AT CCAD Control, INSTALLATION OF TAIL ROTOR QUADRANT HARDWARE. WTQGC0 GA 17 Jan 04 9 Quality R SGT (GH1660) Original Location: CORPUS CHRISTI ARMY DEPOT WAIVER W0066 ANVIS COMPATABLE LIGHTING SYSTEM Control, CCAD CORPUS CHRISTI TX 78419 COMPONENTS (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 10 Quality R SGT MWOORGA NIZ55-A1520TION)-H60 (NO-50 L-OC37A INSTION)TALLATION OF DIGITAL RMI C/W Control, WTQGC0 GA 08 Jul 86 10 (NO PID) Original Location: CCAD (NO LOCATION) Quality R SGT MWO 55-4030-237-50-1 INSP OF IMPROVED CARTRIDGE Control, ACTUATED DEVICE ON CARGO HOOK ASSY C/W AT 2897.4 WTQGC0 GA 17 Jan 04 10 Quality R SGT ADCFTA FORMHRS (GH1660) 2408 Original-15-SG, Location: OCT C 91ORPUS CHRISTI ARMY HISTORICAL RECORD FOR AIRCRAFT DEPEDITIONOT CCA DOF C ORPUSJAN 64 CHRISTI IS OBSOLETE TX 78419 For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 41 of 49 Page ______42 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, MWO 55-1520-H60-50-38 INSTALLATION OF LTN-211 OMEGA WTQGC0 GA 08 Jul 86 11 C/W (NO PID) Original Location: CCAD (NO LOCATION) Quality R SGT UH-60-02-SOF-04 / -1 INSP OF APU FUEL LINE GROMMET Control, COMPOLIED WITH. (GH1660) Original Location: CORPUS WTQGC0 GA 17 Jan 04 11 Quality R SGT CHRISTI ARMY DEPOT CCAD CORPUS CHRISTI TX 78419 WAIVER W0070 ANVIS COMPATABLE LIGHTING SYSTEM Control, COMPONENTS CAUTION ADVISORY PANEL (NO PID) Original WTQGC0 GA 05 Nov 84 11 Quality R SGT Location: (NO ORGANIZATION) (NO LOCATION) UH-60-01-SOF-08 /TB1-1520-237-20-232 INSP. OF M/R FLIGHT Control, CONTROL SELF LOCKING BOLTS. REV TO UH-60-01-SOF-07. WTQGC0 GA 17 Jan 04 12 Quality R SGT (GH1660) Original Location: CORPUS CHRISTI ARMY DEPOT MWO 55-1520-H60-50-30 EL LIGHTING P/C/W (NO PID) Control, CCAD CORPUS CHRISTI TX 78419 Original Location: CCAD (NO LOCATION) WTQGC0 GA 08 Jul 86 12 Quality R SGT UH-60A-84-01 NOT APPLICABLE TO THIS ACFT (NO PID) Control, Original Location: (NO ORGANIZATION) (NO LOCATION) WTQGC0 GA 05 Nov 84 12 Quality R SGT UH-60A-84-03 APPLIES TO UH60A ACFT S/N 77-22714 Control, THROUGH 82-23671 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 13 Quality R SGT ORGANIZATION) (NO LOCATION) MWO 55-1520-H60-50-40 INSTALATION OM MOD Control, ACCUMULATOR PUMP HANDLE C/W (NO PID) Original WTQGC0 GA 08 Jul 86 13 Quality R SGT UHLocation:-60-01 C-SOFCAD- 01(NO /TB1 LOC-1520ATION)-237-20-225 INSP. OF MAIN Control, LANDING GEAR DRAG BEAM ASSY AND DECREASE TORQUE WTQGC0 GA 17 Jan 04 13 Quality R SGT ON THE JACKPAD NUT. (GH1660) Original Location: CORPUS UH-60-04-SOF-01 /ONE TIME INSPECTION OF FORWARD Control, CHRISTI ARMY DEPOT CCAD CORPUS CHRISTI TX 78419 BELLCRANK SUPPORT INSTALLATION HARDWARE. (GH1660) WTQGC0 GA 17 Jan 04 14 Quality R SGT Original Location: CORPUS CHRISTI ARMY DEPOT CCAD MWO 55-1520-H60-50-41 INSTALLATION OF O-7 AUX FUEL Control, CORPUS CHRISTI TX 78419 SYSTEM C/W (NO PID) Original Location: CCAD (NO LOCATION) WTQGC0 GA 08 Jul 86 14 Quality R SGT UH-60A-84-04 APPLIES TO UH60A ACFT S/N 77-22714 Control, WTQGC0 GA 05 Nov 84 14 THROUGH 83-23895 (NO PID) Original Location: (NO Quality R SGT AON/URGARNIZC-101/110ATION) (NO INS TLAOCLLEDATION) (NO PID) Original Location: CCAD Control, (NO LOCATION) WTQGC0 GA 08 Jul 86 15 Quality R SGT DA FORM 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 42 of 49 Page ______43 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, UH-60-02-ASAM-08/TB1-1520-237020-256 INSPECTION OF WTQGC0 GA 17 Jan 04 15 AN/ARC-220 WIRING FOR CHAFFING (GH1660) Original Quality R SGT Location: CORPUS CHRISTI ARMY DEPOT CCAD CORPUS UH-60A-84-05 MAINTENANCE MANDATORY RECORDING AND Control, CHRISTI TX 78419 REPORTING NONE (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 15 Quality R SGT ORGANIZATION) (NO LOCATION) UH-60-02-ASAM-11/TB1-1520-237-20-256 INSPECTION OF Control, AN/ARC-220 WIRING FOR CHAFFING. REVISION TO UH-60-02- WTQGC0 GA 17 Jan 04 16 Quality R SGT ASAM-08 (GH1660) Original Location: CORPUS CHRISTI ARMY UH-60A-84-06 APPLIES TO UH-60A ACFT S/N 77-22714 Control, DEPOT CCAD CORPUS CHRISTI TX 78419 THROUGH 83-23875 Original Location: (NO ORGANIZATION) WTQGC0 GA 05 Nov 84 16 Quality R SGT (NO LOCATION) MWO 55-1520-H60-50/52 VHF/AM-FM#2 ARC-186V ANTENNA Control, C/W (NO PID) Original Location: CCAD (NO LOCATION) WTQGC0 GA 08 Jul 86 16 Quality R SGT MWO 55-1520-H60-50/54 DOPPLER OVERWATER C/W (NO PID) Control, Original Location: CCAD (NO LOCATION) WTQGC0 GA 08 Jul 86 17 Quality R SGT UH-60A-84-10 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 83-23882 ONE-TIME INSP OR WHENEVER PYLON IS WTQGC0 GA 05 Nov 84 17 Quality R SGT FOLDED (NO PID) Original Location: (NO ORGANIZATION) (NO UH-60-02-ASAM-04/TB1-1520-237-20-244 INSPECTION OF Control, LOCATION) TROOPSEAT AND GUNNER SEAT RESTRAINT SYSTEM (GH1660) WTQGC0 GA 17 Jan 04 17 Quality R SGT UHOriginal-60-99 Location:-ASAM- 10/TB1CORPUS-1520 CHRISTI-237 -A20RMY-213 DEP INPSECTIONOT CCAD OF Control, THECORPUS NUMBER CHRISTI 2 C RTXOSSFEED 78419 BREAKWAY VALVE, P/N WTQGC0 GA 17 Jan 04 18 Quality R SGT 70307-03006-103. (GH1660) Original Location: CORPUS CHRISTI UH-60A-84-11 APPLIES TO UH-60A ACFT S/N 77-22714 Control, ARMY DEPOT CCAD CORPUS CHRISTI TX 78419 THROUGH 83-23937 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 18 Quality R SGT ORGANIZATION) (NO LOCATION) ACFT PROCESSED AT CCAD AND SPECIAL MISSION EQUIPMENT Control, INSTALLED AT 26.1 ACFT HRS (NO PID) Original Location: CCAD WTQGC0 GA 08 Jul 86 18 Quality R SGT UH(NO-60 LOCA-A84TION)-12 APPLIES TO UH-60A ACFT S/N 77-22714 Control, WTQGC0 GA 05 Nov 84 19 THROUGH 83-23875 (NO PID) Original Location: (NO Quality R SGT UHORG-60ANIZA-84ATION)-13 APPLIES (NO LOC TOA UHTION)-60A ACFT S/N 77-22714 Control, THROUGH 83-23895 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 20 Quality R SGT ODRAGA FORMNIZATION) 2408 (NO -L15OC-ASG,TION) OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 43 of 49 Page ______44 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, UH-60A-84-14 APPLIES TO UH-60A ACFT S/N 84-23970 (NO WTQGC0 GA 05 Nov 84 21 PID) Original Location: (NO ORGANIZATION) (NO LOCATION) Quality R SGT UH-60A-84-15 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 83-23895 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 22 Quality R SGT ORGANIZATION) (NO LOCATION) UH-60A-84-16 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 84-23978 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 23 Quality R SGT ORGANIZATION) (NO LOCATION) UH-60A-84-17 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 84-23978 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 24 Quality R SGT ORGANIZATION) (NO LOCATION) UH-60A-85-01 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 84-23978 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 25 Quality R SGT UHORG-60ANIZA-85ATION)-03 APPLIES (NO LOC TOA UHTION)-60A ACFT S/N 77-22714 Control, THROUGH 84-23978 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 26 Quality R SGT UHORG-60ANIZA-85ATION)-04 APPLIES (NO LOC TOA UHTION)-60A ACFT S/N 77-22714 Control, THROUGH 84-23978 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 27 Quality R SGT ORGANIZATION) (NO LOCATION) UH-60A-85-06 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 84-24016 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 28 Quality R SGT UHORG-60ANIZA-85ATION)-07 N/ (NOA THIS LOC AACFTTION) (NO PID) Original Location: (NO Control, ORGANIZATION) (NO LOCATION) WTQGC0 GA 05 Nov 84 29 Quality R SGT UH-60A-85-08 N/A THIS ACFT (NO PID) Original Location: (NO Control, ORGANIZATION) (NO LOCATION) WTQGC0 GA 05 Nov 84 30 Quality R SGT UH-60A-85-09 N/A THIS ACFT (NO PID) Original Location: (NO Control, ORGANIZATION) (NO LOCATION) WTQGC0 GA 05 Nov 84 31 Quality R SGT UH-60A-85-10 APPLIES TO UH-60A ACFT S/N 77-22714 Control, WTQGC0 GA 05 Nov 84 32 THROUGH 85-24405 (NO PID) Original Location: (NO Quality R SGT UHORG-60ANIZA-85ATION)-11 APPLIES (NO LOC TOA UHTION)-60A ACFT S/N 77-22714 Control, THROUGH 85-24405 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 33 Quality R SGT ODRAGA FORMNIZATION) 2408 (NO -L15OC-ASG,TION) OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 44 of 49 Page ______45 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, UH-60A-85-12 APPLIES TO UH-60A ACFT S/N 77-22714 WTQGC0 GA 05 Nov 84 34 THROUGH 85-24405 (NO PID) Original Location: (NO Quality R SGT ORGANIZATION) (NO LOCATION) UH-60A-85-13 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 85-24405 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 35 Quality R SGT ORGANIZATION) (NO LOCATION) UH-60A-85-14 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 85-24405 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 36 Quality R SGT ORGANIZATION) (NO LOCATION) UH-60A-85-15 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 85-24405 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 37 Quality R SGT ORGANIZATION) (NO LOCATION) UH-60A-85-16 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 85-24405 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 38 Quality R SGT UHORG-60ANIZA-85ATION)-17 APPLIES (NO LOC TOA UHTION)-60A ACFT S/N 77-22714 Control, THROUGH 85-24405 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 39 Quality R SGT UHORG-60ANIZA-85ATION)-18 APPLIES (NO LOC TOA UHTION)-60A ACFT S/N 77-22714 Control, THROUGH 85-24403, 85-24405, 85-24406 (NO PID) Original WTQGC0 GA 05 Nov 84 40 Quality R SGT Location: (NO ORGANIZATION) (NO LOCATION) UH-60A-85-19 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 85-24405 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 41 Quality R SGT UHORG-60ANIZA-85ATION)-21 N/ (NOA THIS LOC AACFTTION) (NO PID) Original Location: (NO Control, ORGANIZATION) (NO LOCATION) WTQGC0 GA 05 Nov 84 42 Quality R SGT UH-60A-85-23 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 85-24429 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 43 Quality R SGT ORGANIZATION) (NO LOCATION) UH-60A-85-24 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 85-24429 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 44 Quality R SGT UHORG-60ANIZA-85ATION)-25 APPLIES (NO LOC TOA UHTION)-60A ACFT S/N 77-22714 Control, WTQGC0 GA 05 Nov 84 45 THROUGH 85-24430 (NO PID) Original Location: (NO Quality R SGT UHORG-60ANIZA-85ATION)-26 APPLIES (NO LOC TOA UHTION)-60A ACFT S/N 77-22714 Control, THROUGH 85-24430 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 46 Quality R SGT ODRAGA FORMNIZATION) 2408 (NO -L15OC-ASG,TION) OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 45 of 49 Page ______46 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Control, UH-60A-85-27 N/A THIS ACFT (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 47 ORGANIZATION) (NO LOCATION) Quality R SGT UH-60A-86-01 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 85-24429 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 48 Quality R SGT ORGANIZATION) (NO LOCATION) UH-60A-86-02 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 86-24490 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 49 Quality R SGT ORGANIZATION) (NO LOCATION) UH-60A-86-03 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 86-24490 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 50 Quality R SGT ORGANIZATION) (NO LOCATION) UH-60A-86-04 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 85-24429 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 51 Quality R SGT UHORG-60ANIZA-86ATION)-08 APPLIES (NO LOC TOA UHTION)-60A ACFT S/N 77-22714 Control, THROUGH 86-24487 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 52 Quality R SGT UHORG-60ANIZA-86ATION)-10 APPLIES (NO LOC TOA UHTION)-60A ACFT S/N 77-22714 Control, THROUGH 84-24016 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 53 Quality R SGT ORGANIZATION) (NO LOCATION) UH-60A-86-11 APPLIES TO UH-60A ACFT S/N 77-22714 Control, THROUGH 86-23498 (NO PID) Original Location: (NO WTQGC0 GA 05 Nov 84 54 Quality R SGT AOWRRGA 2120,NIZA TION)Getac (NOVl 10 L OCAviationATION) Maintenance Support Device Braswell, (AV-MSD) on UH-60A/L/M and HH-60L/M Aircraft, applied this WTQGC0 GA 01 Nov 18 55 Sidney G date AWR 1127, Conduct Heli-Basket Operations with Electric Long Braswell, Line (ELL) on UH-60A/L Helicopters, applied this date. WTQGC0 GA 31 Jul 17 56 Sidney G ACE COMPLETED AT 6221.2 A/C HRS. BY ACE TEAM MEMBERS Grina, James G/L. AFMA, RASME, AMCOM. WTQGC0 GA 03 Dec 18 57 F CIV MAIN ROTOR DE-ICE/CHIP DETECTOR HARNESS CHAFING AND Conversion, W89JAA GA 02 Jan 19 58 RE-ROUTING. Ulls AWR 980, RESCUE HOIST EQUIPMENT, APPLIED THIS DATE Braswell, WTQGC0 GA 03 Jan 19 59 Sidney G DA FORM 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 46 of 49 Page ______47 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Braswell, AWR 1279, COCKPIT AND CABIN DOORS/WINDOWS REMOVED WTQGC0 GA 03 Jan 19 60 DURING FLIGHT, APPLIED THIS DATE Sidney G AWR 1308, GOODRICH INTERNAL HOIST INSTALLED, APPLIED Braswell, THIS DATE WTQGC0 GA 03 Jan 19 61 Sidney G AWR 1324, CMWS/ICMD OPERATION, APPLIED THIS DATE Braswell, WTQGC0 GA 03 Jan 19 62 Sidney G AWR 1444, OPERATION WITH SINGLE AHRS, APPLIED THIS DATE Braswell, WTQGC0 GA 03 Jan 19 63 Sidney G AWR 1513, OPERATION USING IPAC, APPLIED THIS DATE Braswell, WTQGC0 GA 03 Jan 19 64 Sidney G AWR 1532, IAFTS 200 GALLON INTERNAL TANK OPERATION, Braswell, APPLIED THIS DATE WTQGC0 GA 03 Jan 19 65 Sidney G AWR 1682, H60A WITH 701D ARL/TDI, APPLIED THIS DATE Braswell, WTQGC0 GA 03 Jan 19 66 Sidney G AWR 1692, NEW DESIGN DEICE CONNECTOR, APPLIED THIS Braswell, DATE WTQGC0 GA 03 Jan 19 67 Sidney G AWR 1693, RESA STAB ACTUATOR, APPLIED THIS DATE Braswell, WTQGC0 GA 03 Jan 19 68 Sidney G AWR 1694, DUAL STABILATOR CONTROLLER, APPLIED THIS Braswell, DATE WTQGC0 GA 03 Jan 19 69 Sidney G AWR 1750, ANVIS-6 OPERATION, APPLIED THIS DATE Braswell, WTQGC0 GA 03 Jan 19 70 Sidney G AWR 1753, OPERATION OF 128D GPS, APPLIED THIS DATE Braswell, WTQGC0 GA 03 Jan 19 71 Sidney G AWR 1833, APX-123 TRANSPONDER, APPLIED THIS DATE Braswell, WTQGC0 GA 03 Jan 19 72 Sidney G DA FORM 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 47 of 49 Page ______48 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Braswell, AWR 1858, OPERATION WITH EAWIS, APPLIED THIS DATE WTQGC0 GA 03 Jan 19 73 Sidney G

AWR 1965, PORTABLE ELECTRONIC DEVICES, APPLIED THIS Braswell, DATE WTQGC0 GA 03 Jan 19 74 Sidney G AWR 2059, OPERATION WITH SHOUT NANO ON BOARD, Braswell, APPLIED THIS DATE WTQGC0 GA 03 Jan 19 75 Sidney G AWR 2064, OPERATION WITH COBRA MICROPHONE Braswell, INSTALLED, APPLIED THIS DATE WTQGC0 GA 03 Jan 19 76 Sidney G H-60-19-AMAM-07, DIAGONAL SEAT STRUT ASSEBLY Henklein, INSPECTION W89HAA GA 05 Jun 19 77 John F SFC GEN-19-AMAM-09, AN/AAR-57 CMWS AND OT-225 ATIRCM Mclain, DA FORM 2410 TRACKING REQUIREMENTS W89JAA GA 19 Sep 19 78 George A H-60-19-AMAM-09 RETIREMENT CHANGE TO TAIL ROTOR ACW2rnold, David OUTPUT BEVEL GEAR, APPLIED THIS DATE WTQGC0 GA 26 Jul 19 79 A SSG COMPLIED WITH MESSAGE GEN-19-AMAM-09 Mclain, WTQGC0 GA 19 Sep 19 80 George A MANDATORY, COMPONENT TIME CHANGE/ RETIREMENT Mclain,CW2 CHANGE, UPDATE W89JAA GA 03 Oct 19 81 George A CW2 ACE COMPLETED AT 6396.9 A/C HRS. BY ACE TEAM MEMBERS Grina, James G/L. AFMA, RASME, AMCOM. WTQGC0 GA 07 Jan 20 82 F CIV Comply with H-60-20-AMAM-04, Attitude Heading Reference Mclain, System (AHRS) Pin Filter Adapter (PFA) Removal by 03 APR 20 W89JAA GA 20 Mar 20 83 George A CW2 Comply with H-60-20-ASAM-04, Legacy Main Rotor Blade Dubois, W89JAA GA 22 Apr 20 84 TapTest Inspection, no later than 27 APR 20 William D SFC Comply with H-60-20-ASAM-05, Fire Extinguishing System Dubois, Forward Distribution Tube, by 11 MAY 20 W89JAA GA 28 Apr 20 85 William D SFC DA FORM 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 48 of 49 Page ______49 of ______49 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. 5. 6. 7. ENTRY 8. REMARKS ORGANIZATION LOCATION DATE NUMBER PID Corey, Michael Non-conforming Tail Rotor Pushrod Clevis Rod End W89JAA GA 04 Sep 20 86 T SFC

Comply with H-60-20-AMAM-09, attitude heading reference Dubois, unit (AHRU) Replacement WTQGC0 GA 17 Sep 20 87 William D SFC TRANSFER STATEMENT: AIRCRAFT TRANSFERRED TO THE BEST Leone, Ryan P PROGRAM ON 21-OCT-2020 FOR ARMY/BEST PROGRAM BY WYDEC0 GA 21 Oct 20 88 CW2 C/1-106 ASLT AT 6534.8 ACFT HRS. DATA PLATE REMAINED FUEL HOSE BORESCOPE INSPECTION Bridges, INSTALLED. K08DD2 Huntsville,AL 22 Oct 20 89 Robert E CIV H-60-17-ASAM-11, FUEL HOSE BORESCOPE INSPECTION, NOT Bridges, COMPLIED WITH. W6DQUH Huntsville,AL 22 Oct 20 90 Robert E CIV

DA FORM 2408-15-SG, OCT 91 HISTORICAL RECORD FOR AIRCRAFT EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 49 of 49 Page 1 of 9 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. IPS READINGS DATE AC HRS SHAFT LATERAL LONGITUDINAL VERTICAL REASON FOR VIBRATION CHECK a. b. c. d. e. f. g.

31 Jan 04 2897.0 OIL COOLER 0.000 0.300 0.040 D/S BALANCE DUE

31 Jan 04 2897.0 T/R GEARBO 0.000 0.000 0.030 D/S BALANCE DUE

31 Jan 04 2897.0 #2 ENG D/S 0.000 0.000 0.230 D/S BALANCE DUE

31 Jan 04 2897.0 #1 ENG D/S 0.000 0.000 0.390 D/S BALANCE DUE

02 Mar 04 2900.7 T/R GEARBO 0.000 0.000 0.090 BAL AFTER RETORQUES

04 Mar 04 2900.7 T/R GEARBO 0.000 0.000 0.070 BAL FOR T/R P/BEAM REPLAC

26 Mar 04 2908.3 #1 ENG D/S 0.000 0.000 0.270 REPLACE #1 ENG ASSY

06 Apr 04 2910.1 #1 ENG D/S 0.000 0.000 0.030 AFTER REPL OF 8 ENG BOLTS

06 Apr 04 2910.1 #2 ENG D/S 0.000 0.000 0.270 AFTER REPL OF 8 ENG BOLTS

06 Apr 04 2910.1 T/R GEARBO 0.000 0.000 0.100 AFTER REPL OF 8 ENG BOLTS

06 Jan 05 3103.0 #1 ENG 0.000 0.000 0.260 100 HOUR

06 Jan 05 3103.0 #2 ENG 0.000 0.000 0.300 100 HOUR 5. REMARKS PMI2 (ENG REPLACEMENT); 20900 RPM; ENTERED IN ERROR. WRONG AIRCRAFT.;

DA FORM 2408-15-2-SG, OCT 97 AIRCRAFT VIBRATION RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 1 of 9 Page 2 of 9 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. IPS READINGS DATE AC HRS SHAFT LATERAL LONGITUDINAL VERTICAL REASON FOR VIBRATION CHECK a. b. c. d. e. f. g.

06 Jan 05 3103.0 OIL COOLER 0.000 0.260 0.100 100 HOUR

13 Apr 05 3198.9 #1 ENG D/S 0.000 0.000 0.270 100 HR INSP

13 Apr 05 3198.9 TAIL ROTOR 0.000 0.000 0.000 100 HR INSP

13 Apr 05 3198.9 #2 ENG D/S 0.000 0.000 0.300 100 HR INSP

13 Apr 05 3198.9 OIL COOLER 0.000 0.130 0.050 100 HR INSP

24 Mar 06 3585.9 #2 ENG D/S 0.000 0.000 0.460 D/S BALANCE DUE

24 Mar 06 3585.9 OIL COOLER 0.110 0.000 0.040 D/S BALANCE DUE

24 Mar 06 3585.9 #1 ENG D/S 0.000 0.000 0.200 D/S BALANCE DUE

10 Dec 06 3942.9 #2 ENG 0.000 0.000 0.210 POST PHASE VIB CHECK

10 Dec 06 3942.9 #1 ENG D/S 0.000 0.000 0.390 POST PHASE VIB CHECK

10 Dec 06 3942.9 OIL COOLER 0.000 0.420 0.090 POST PHASE VIB CHECK

25 Feb 07 4061.2 #1 ENG 0.020 0.000 0.000 120 HR INSP 5. REMARKS PMI2 (ENG REPLACEMENT); 20900 RPM; ENTERED IN ERROR. WRONG AIRCRAFT.;

DA FORM 2408-15-2-SG, OCT 97 AIRCRAFT VIBRATION RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 2 of 9 Page 3 of 9 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. IPS READINGS DATE AC HRS SHAFT LATERAL LONGITUDINAL VERTICAL REASON FOR VIBRATION CHECK a. b. c. d. e. f. g.

25 Feb 07 4061.2 #2 ENG 0.000 0.000 0.030 120 HR INSP

25 Feb 07 4061.2 TAIL ROTOR 0.000 0.000 0.140 120 HR INSP

15 Apr 07 4123.6 TAIL ROTOR 0.000 0.130 0.000 TAIL ROTOR PADDLE REPLACEMENT

14 Jun 07 4206.0 TAIL ROTOR 0.000 0.190 0.000 TAIL ROTOR BLADE REPLACEMENT

19 Aug 07 4301.3 TAIL ROTOR 0.160 0.000 0.000 POST PHASE

19 Aug 07 4301.3 OIL COOLER 0.000 0.050 0.000 POST PHASE

19 Aug 07 4301.3 #1 ENG 0.440 0.000 0.000 POST PHASE

19 Aug 07 4301.3 #2 ENG 0.440 0.000 0.000 POST PHASE

08 May 08 4386.5 #2 ENG 0.000 0.000 0.430 RESET

08 May 08 4386.5 #1 ENG 0.000 0.000 0.420 RESET

08 May 08 4386.5 OIL COOLER 0.000 0.480 0.000 RESET

08 May 08 4386.5 TAIL ROTOR 0.000 0.000 0.110 RESET 5. REMARKS PMI2 (ENG REPLACEMENT); 20900 RPM; ENTERED IN ERROR. WRONG AIRCRAFT.;

DA FORM 2408-15-2-SG, OCT 97 AIRCRAFT VIBRATION RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 3 of 9 Page 4 of 9 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. IPS READINGS DATE AC HRS SHAFT LATERAL LONGITUDINAL VERTICAL REASON FOR VIBRATION CHECK a. b. c. d. e. f. g.

14 May 08 4388.0 TAIL ROTOR 0.000 0.000 0.010 COMPLETION OF T/R RIG

11 Apr 10 4744.0 OIL COOLER 0.100 0.000 0.000 POST PMI-1

11 Apr 10 4744.0 TAIL ROTOR 0.000 0.000 0.060 POST PMI-1

11 Apr 10 4744.0 #2 ENG 0.000 0.000 0.360 POST PMI-1

11 Apr 10 4744.0 #1 ENG 0.000 0.000 0.190 POST PMI-1

16 Aug 12 5093.3 TAIL ROTOR 0.000 0.000 0.020 POST PHASE

16 Aug 12 5093.3 OIL COOLER 0.000 0.000 0.340 POST PHASE

16 Aug 12 5093.3 #2 ENG 0.000 0.000 0.490 POST PHASE

16 Aug 12 5093.3 #1 ENG 0.000 0.000 0.200 POST PHASE

21 May 13 5189.9 #1 ENG 0.000 0.000 0.240 IVHUMS INSTALLATION VERIFICATION

21 May 13 5189.9 TAIL ROTOR 0.000 0.000 0.070 IVHUMS INSTALLATION VERIFICATION

21 May 13 5189.9 #2 ENG 0.000 0.000 0.290 IVHUMS INSTALLATION VERIFICATION 5. REMARKS PMI2 (ENG REPLACEMENT); 20900 RPM; ENTERED IN ERROR. WRONG AIRCRAFT.;

DA FORM 2408-15-2-SG, OCT 97 AIRCRAFT VIBRATION RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 4 of 9 Page 5 of 9 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. IPS READINGS DATE AC HRS SHAFT LATERAL LONGITUDINAL VERTICAL REASON FOR VIBRATION CHECK a. b. c. d. e. f. g.

21 May 13 5189.9 OIL COOLER 0.000 0.080 0.060 IVHUMS INSTALLATION VERIFICATION

10 Jul 13 5213.9 #1 ENG 0.000 0.000 0.190 120 HR INSP

10 Jul 13 5213.9 OIL COOLER 0.000 0.090 0.050 120 HR INSP

10 Jul 13 5213.9 #2 ENG 0.000 0.000 0.360 120 HR INSP

10 Jul 13 5213.9 TAIL ROTOR 0.000 0.000 0.080 120 HR INSP

05 Dec 13 5266.3 #2ENG 0.340 0.000 0.000 REPLACEMNT OF # 1 ENGINE

05 Dec 13 5266.3 #1 ENG 0.020 0.000 0.000 REPLACEMNT OF # 1 ENGINE

05 Dec 13 5266.3 TAIL ROTOR 0.000 0.000 0.010 REPLACEMNT OF # 1 ENGINE

05 Dec 13 5266.3 OIL COOLER 0.000 0.140 0.040 REPLACEMNT OF # 1 ENGINE

12 Dec 13 5266.3 #1 ENG 0.020 0.000 0.000 REPLACEMNT OF # 1 ENGINE

05 Mar 14 5332.0 TAIL ROTOR 0.000 0.000 0.110 120 HR INSP

05 Mar 14 5332.0 #1 ENG 0.000 0.000 0.130 120 HR INSP 5. REMARKS PMI2 (ENG REPLACEMENT); 20900 RPM; ENTERED IN ERROR. WRONG AIRCRAFT.;

DA FORM 2408-15-2-SG, OCT 97 AIRCRAFT VIBRATION RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 5 of 9 Page 6 of 9 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. IPS READINGS DATE AC HRS SHAFT LATERAL LONGITUDINAL VERTICAL REASON FOR VIBRATION CHECK a. b. c. d. e. f. g.

05 Mar 14 5332.0 #2 ENG 0.000 0.000 0.360 120 HR INSP

05 Mar 14 5332.0 OIL COOLER 0.030 0.000 0.100 120 HR INSP

05 Jun 14 5384.3 OIL COOLER 0.000 0.040 0.000 POST PMI

05 Jun 14 5384.3 TAIL ROTOR 0.000 0.000 0.040 POST PMI

05 Jun 14 5384.3 #1 HSS 0.000 0.000 0.260 POST PMI

05 Jun 14 5384.3 #2 HSS 0.000 0.000 0.340 POST PMI

03 Feb 15 5502.4 T/R 0.030 0.000 0.000 120 HR INSP

03 Feb 15 5502.4 # 2 ENG 0.280 0.000 0.000 120 HR INSP

03 Feb 15 5502.4 OIL COOLER 0.000 0.050 0.050 120 HR INSP

03 Feb 15 5502.4 #1 ENG 0.320 0.000 0.000 120 HR INSP

05 Aug 16 5741.2 TAIL ROTOR 0.000 0.000 0.130 POST PMI-2

12 Aug 16 5751.3 #1 ENG 0.000 0.000 0.280 120 HR INSP 5. REMARKS PMI2 (ENG REPLACEMENT); 20900 RPM; ENTERED IN ERROR. WRONG AIRCRAFT.;

DA FORM 2408-15-2-SG, OCT 97 AIRCRAFT VIBRATION RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 6 of 9 Page 7 of 9 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. IPS READINGS DATE AC HRS SHAFT LATERAL LONGITUDINAL VERTICAL REASON FOR VIBRATION CHECK a. b. c. d. e. f. g.

12 Aug 16 5751.3 OIL COOLER 0.000 0.540 0.200 120 HR INSP

12 Aug 16 5751.3 #2 ENG 0.000 0.000 0.480 120 HR INSP

30 Aug 16 5760.3 #1 ENG 0.000 0.000 0.310 ENTERED IN ERROR

30 Aug 16 5760.3 OIL COOLER 0.000 0.210 0.140 ENTERED IN ERROR

30 Aug 16 5760.3 T/R 0.070 0.000 0.000 ENTERED IN ERROR

30 Aug 16 5760.3 #2 ENG 0.000 0.000 0.220 ENTERED IN ERROR

04 Oct 16 5786.9 T/R 0.000 0.000 0.030 REPAIR TO ERROSION STRIP

09 Feb 17 5817.8 OIL COOLER 0.000 0.520 0.140 SEC II DRIVE SHAFT REINSTALLATION

15 Mar 17 5837.8 T/R 0.000 0.000 0.020 T/R QUADRENT REPLACEMENT

18 Apr 17 5861.2 #1 ENG HSS 0.000 0.000 0.140 120 HR INSP

18 Apr 17 5861.2 OIL COOLER 0.000 0.030 0.080 120 HR INSP

18 Apr 17 5861.2 #2 ENG HSS 0.000 0.000 0.110 120 HR INSP 5. REMARKS PMI2 (ENG REPLACEMENT); 20900 RPM; ENTERED IN ERROR. WRONG AIRCRAFT.;

DA FORM 2408-15-2-SG, OCT 97 AIRCRAFT VIBRATION RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 7 of 9 Page 8 of 9 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. IPS READINGS DATE AC HRS SHAFT LATERAL LONGITUDINAL VERTICAL REASON FOR VIBRATION CHECK a. b. c. d. e. f. g.

18 Apr 17 5861.2 TAIL ROTOR 0.020 0.000 0.000 120 HR INSP

17 Oct 17 5978.2 T/R 0.000 0.000 0.050 120 HR INSP

17 Oct 17 5978.2 OIL COOLER 0.000 0.000 0.210 120 HR INSP

17 Oct 17 5978.2 #2 ENG 0.000 0.000 0.120 120 HR INSP

17 Oct 17 5978.2 #1 ENG 0.000 0.000 0.140 120 HR INSP

21 Dec 17 6019.8 TAIL ROTOR 0.000 0.000 0.080 REPLACEMENT OF BOTH T/R PADDLES

19 Apr 18 6100.0 T/R 0.000 0.000 0.070 120 HR

19 Apr 18 6100.0 #2 ENG HSS 0.000 0.000 0.160 120 HR

19 Apr 18 6100.0 OIL COOLER 0.000 0.170 0.030 120 HR

19 Apr 18 6100.0 #1 ENG HSS 0.000 0.000 0.220 120 HR

13 Oct 18 6206.9 T/R 0.070 0.000 0.000 POST PHASE

13 Oct 18 6206.9 OIL COOLER 0.000 0.180 0.050 POST PHASE 5. REMARKS PMI2 (ENG REPLACEMENT); 20900 RPM; ENTERED IN ERROR. WRONG AIRCRAFT.;

DA FORM 2408-15-2-SG, OCT 97 AIRCRAFT VIBRATION RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 8 of 9 Page 9 of 9 1. AIRCRAFT MODEL 2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER UH-60A HCPTR UTILITY UH-60A 8624494 4. IPS READINGS DATE AC HRS SHAFT LATERAL LONGITUDINAL VERTICAL REASON FOR VIBRATION CHECK a. b. c. d. e. f. g.

13 Oct 18 6206.9 #1 ENG 0.200 0.000 0.000 POST PHASE

13 Oct 18 6206.9 #2 ENG 0.190 0.000 0.000 POST PHASE

14 Feb 19 6258.9 #1 Engine 0.050 0.000 0.000 Replacement of #1 Engine.

04 Aug 19 6328.8 ENG 2 0.150 0.000 0.000 120 hr

04 Aug 19 6328.8 OIL COOLER 0.000 0.080 0.040 120 hr

04 Aug 19 6328.8 ENG 1 0.030 0.000 0.000 120 hr

04 Aug 19 6328.8 TR 0.380 0.000 0.000 120 hr

5. REMARKS PMI2 (ENG REPLACEMENT); 20900 RPM; ENTERED IN ERROR. WRONG AIRCRAFT.;

DA FORM 2408-15-2-SG, OCT 97 AIRCRAFT VIBRATION RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1333 UTC FOUO page 9 of 9 Condition Items Page ______1 of ______7 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC HCPTR UTILITY UH-60A 1520010350266 UH-60A 8624494 00 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. A279-00777 TAIL CONE FITTING 70219-05001-042 CC 3807.0 CC 0.0 Cond Cond Aircraft 02C12D 1560010957135 Hours

A330-00777 TAIL PYLON FITTING 70209-06051-043 CC 3807.0 CC 0.0 Cond Cond Aircraft 02C15J 1560010819244 Hours

IA00116 FWD FIXED GEAR SHOCK 70250-12051-045 CC 6203.0 CC 3306.0 Cond Cond Aircraft 03A01 1620012311831 Hours

BEM0462 FWD FIXED GEAR SHOCK 70250-12051-045 CC 6384.8 CC 139.0 Cond Cond Aircraft 03A01 1620012311831 Hours

BMC685 SHOCK ABSORBER (TAIL) 70250-13101-044 CC 4741.0 CC 0.0 Cond Cond Aircraft 03B01 1620014210890 Hours

A106-02573 DAMPER ASSY, M/R 70106-08100-046 CC 5741.0 CC 4268.0 Cond Cond Aircraft 05A01Z 1650012853024 1 Hours A10610867 DAMPER ASSY, M/R 70106-08100-046 CC 5741.0 CC 1439.0 Cond Cond Aircraft 05A01Z 1650012853024 1 Hours WG106-02846 DAMPER ASSY, M/R 70106-08100-046 CC 5741.0 CC 4518.0 Cond Cond Aircraft 05A01Z 1650012853024 Hours 1 A10607027 DAMPER ASSY, M/R 70106-08100-046 CC 5811.0 CC 1732.0 Cond Cond Aircraft 05A01Z 1650012853024 BLACK Hours B94103939 BLADE PIN, SOLID 70103-08108-041 CC 4387.0 CC 0.0 Cond Cond Aircraft 05A02H 5315015374652 BLK LAG Hours DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 1 of 29 Condition Items Page ______2 of ______7 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC HCPTR UTILITY UH-60A 1520010350266 UH-60A 8624494 00 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. B94103884 BLADE PIN, SOLID 70103-08108-041 CC 4387.0 CC 0.0 Cond Cond Aircraft 05A02H 5315015374652 BLK LEADING Hours B94103788 BLADE PIN, SOLID 70103-08108-041 CC 4387.0 CC 0.0 Cond Cond Aircraft 05A02H 5315015374652 Hours BLU LAG B94103881 BLADE PIN, SOLID 70103-08108-041 CC 4387.0 CC 0.0 Cond Cond Aircraft 05A02H 5315015374652 BLU LEADING Hours B94103773 BLADE PIN, SOLID 70103-08108-041 CC 4387.0 CC 0.0 Cond Cond Aircraft 05A02H 5315015374652 RED LAG Hours B94103769 BLADE PIN, SOLID 70103-08108-041 CC 4727.0 CC 340.0 Cond Cond Aircraft 05A02H 5315015374652 RED LEAD Hours B94103797 BLADE PIN, SOLID 70103-08108-041 CC 4387.0 CC 0.0 Cond Cond Aircraft 05A02H 5315015374652 YELL LAG Hours B94103983 BLADE PIN, SOLID 70103-08108-041 CC 4387.0 CC 0.0 Cond Cond Aircraft 05A02H 5315015374652 YELL LEAD Hours A10701241 SWASHPLATE ASSY 70104-08000-050 CC 5093.0 CC 4620.0 Cond Cond Aircraft 05A03A 1615011997646 Hours

A009-03153 TAIL ROTOR BLADE ASSY 70101-31000-043 CC 6205.0 CC 4864.0 Cond Cond Aircraft 05B02 1615011138188 inboard Hours A009-06029 TAIL ROTOR BLADE ASSY 70101-31000-043 CC 6205.0 CC 2882.0 Cond Cond Aircraft 05B02 1615011138188 outboard Hours DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 2 of 29 Condition Items Page ______3 of ______7 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC HCPTR UTILITY UH-60A 1520010350266 UH-60A 8624494 00 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. A265-01572 MAIN TRANSMISSION MODULE 70351-08100-076 CC 4846.0 CC 2560.0 Cond Cond Aircraft 06A 1615015033115 Hours

A258-03153 ACCESSORY MODULE 70351-08080-045 CC 2897.0 CC 2747.0 Cond Cond Aircraft 06A11 1615013838992 Hours L/H A258-02938 ACCESSORY MODULE 70351-08080-045 CC 2897.0 CC 2242.0 Cond Cond Aircraft 06A11 1615013838992 R/H Hours A26408633 INPUT MODULE 70351-08001-050 CC 4784.0 CC 0.0 Cond Cond Aircraft 06E 1615015278175 Hours

A264-00579 INPUT MODULE 70351-08001-049 CC 2897.0 CC 3083.0 Cond Cond Aircraft 06E 1615013533825 R/H Hours A005-00122 INTERMEDIATE GEARBOX 70357-06300-042 CC 2897.0 CC 2162.0 Cond Cond Aircraft 06F 1680010745152 Hours

A006-03088 TAIL ROTOR GEARBOX ASSY 70358-06600-046 CC 3582.0 CC 0.0 Cond Cond Aircraft 06G01 1615013765089 Hours

C845-03226 DRIVESHAFT ASSY ENGINE 70361-08014-041 CC 5093.0 CC 636.0 Cond Cond Aircraft 06H04 1615015247805 Hours 1 C845-08117 DRIVESHAFT ASSY ENGINE 70361-08014-041 CC 6258.9 CC 626.2 Cond Cond Aircraft 06H04 1615015247805 1 Hours A271-01004 SHAFT ASSY, T/R DRV SEC 1 70361-03001-045 CC 4387.0 CC 3559.0 Cond Cond Aircraft 06H06 1615010812775 #1 Hours DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 3 of 29 Condition Items Page ______4 of ______7 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC HCPTR UTILITY UH-60A 1520010350266 UH-60A 8624494 00 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. WG10897-00039 SHAFT ASSY, T/R DRV SEC 2 70361-03009-047 CC 4301.0 CC 0.0 Cond Cond Aircraft 06H08 1615011589517 Hours

A272-03753 SHAFT ASSY, T/R SEC 3,4,5 70361-05001-051 CC 2897.0 CC 8472.0 Cond Cond Aircraft 06H09 1615011589522 Hours

A272-06000 SHAFT ASSY, T/R SEC 3,4,5 70361-05001-051 CC 2897.0 CC 1971.0 Cond Cond Aircraft 06H09 1615011589522 Hours

A272-04053 SHAFT ASSY, T/R SEC 3,4,5 70361-05001-051 CC 2897.0 CC 2181.0 Cond Cond Aircraft 06H09 1615011589522 Hours

A273-00896 SHAFT ASSY, T/R DRV SEC 6 70361-05002-045 CC 2897.0 CC 2399.0 Cond Cond Aircraft 06H11 1615010832953 Hours

A274-01460 SHAFT ASSY, T/R DRV SEC 7 70361-06002-047 CC 2897.0 CC 1464.0 Cond Cond Aircraft 06H12 1615011585788 Hours

252244-C PUMP MODULE ASSY, HYDRAULIC 70652-02300-050 CC 2897.0 CC 0.0 Cond Cond Aircraft 07A01 4320012077228 Hours

K1622ABR PUMP MODULE ASSY, HYDRAULIC 70652-02300-050 CC 5741.0 CC 1173.0 Cond Cond Aircraft 07A01 4320012077228 Hours 1 K10140ABR PUMP MODULE ASSY, HYDRAULIC 53023-06 CC 5190.0 CC 0.0 Cond Cond Aircraft 07A01 4320012077228 2 Hours 22789 VALVE, SOLENIOD 3213850-3-1 CC 6216.0 CC 0.0 Cond Cond Aircraft 07B05A 4810011022473 Hours DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 4 of 29 Condition Items Page ______5 of ______7 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC HCPTR UTILITY UH-60A 1520010350266 UH-60A 8624494 00 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. 11957 VALVE, SOLENIOD 3213850-3-1 CC 4387.0 CC 0.0 Cond Cond Aircraft 07B05A 4810011022473 #2 Hours 3990A ACCUMULATOR 3197170-5 CC 5381.0 CC 1377.0 Cond Cond Aircraft 07B11 1650012224316 Hours

5486 PANEL INDICATOR (PDU) 70450-01043-124 CC 5896.0 CC 1387.0 Cond Cond Aircraft 08B20 1680013420496 Hours

5499 PANEL INDICATOR (PDU) 70450-01043-124 CC 5896.0 CC 0.0 Cond Cond Aircraft 08B20 1680013420496 Hours

433633 GENERATOR 28B302-8-DM CC 5869.0 CC 1370.0 Cond Cond Aircraft 09A01 6115011149696 2 Hours 112-A0752 GENERATOR 28B302-8-DM CC 2897.0 CC 0.0 Cond Cond Aircraft 09A01 6115011149696 L/H Hours TMD0484374748 MIXER ASSEMBLY 70400-02300-048 CC 5381.0 CC 0.0 Cond Cond Aircraft 11C21 1680013102259 Hours

B30303034B SERVO, PRIMARY MAIN ROTOR 70410-02820-054 CC 6205.0 CC 2595.0 Cond Cond Aircraft 11D01 1650011431226 Hours aft B303-12581 SERVO, PRIMARY MAIN ROTOR 274000-1031 CC 4387.0 CC 686.0 Cond Cond Aircraft 11D01 1650011431226 FWD Hours B303-03188 SERVO, PRIMARY MAIN ROTOR 70410-02820-054 CC 4387.0 CC 2858.0 Cond Cond Aircraft 11D01 1650011431226 LAT Hours DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 5 of 29 Condition Items Page ______6 of ______7 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC HCPTR UTILITY UH-60A 1520010350266 UH-60A 8624494 00 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. 34600427 AFT WALKING BEAM 70400-08104-048 CC 4846.0 CC 4846.0 Cond Cond Aircraft 11D11 1680011589653 Hours

44941824003 SERVO BEAM FITTING 70209-22103-050 CC 6205.0 CC 6205.0 Cond Cond Aircraft 11D17 1560011362117 Hours

44941824002 SERVO BEAM FITTING 70209-22103-050 CC 6205.0 CC 6205.0 Cond Cond Aircraft 11D17 1560011362117 Hours

44941824001 SERVO BEAM FITTING 70209-22103-050 CC 6205.0 CC 6205.0 Cond Cond Aircraft 11D17 1560011362117 Hours

44941824004 SERVO BEAM FITTING 70209-22103-050 CC 6205.0 CC 6205.0 Cond Cond Aircraft 11D17 1560011362117 Hours

1462 STABILATOR ACTUATOR DL2155M31MOD1 CC 6342.0 CC 712.9 Cond Cond Aircraft 11D25 1680015717578 LOWER Hours 1485 STABILATOR ACTUATOR DL2155M31MOD1 CC 6342.0 CC 712.9 Cond Cond Aircraft 11D25 1680015717578 UPPER Hours 3963 STABILATOR AMPLIFIER (DUAL) 1011445-1-002 CC 5381.0 CC 0.0 Cond Cond Aircraft 11D26 5996015473452 Hours

01537 CTG AIRCRAFT FIRE EXT 1512AS105 CC 6208.4 CC 0.0 Cond Cond Aircraft 12C01A 1377011852622 Hours

00015 CTG AIRCRAFT FIRE EXT 1512AS105 CC 6208.4 CC 0.0 Cond Cond Aircraft 12C01A 1377011852622 Hours DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 6 of 29 Condition Items Page ______7 of ______7 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC HCPTR UTILITY UH-60A 1520010350266 UH-60A 8624494 00 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. 1271 CTG AIRCRAFT FIRE EXT 1512AS105 CC 6208.4 CC 0.0 Cond Cond Aircraft 12C01A 1377011852622 Hours

00014 CTG AIRCRAFT FIRE EXT 1512AS105 CC 6208.4 CC 0.0 Cond Cond Aircraft 12C01A 1377011852622 Hours

2846 ENGINE SEQUENCING UNIT 4504587 CC 5550.0 CC 0.0 Cond Cond Aircraft 15A04 2995014963686 Hours

13DD RECEIVER-TRANSMITTER, RADAR ALT A3060585 CC 6499.0 CC 1201.0 Cond Cond Aircraft 19E05A 5841012459091 Hours

594AA INDICATOR, HEIGHT A3060591 CC 6221.2 CC 0.0 Cond Cond Aircraft 19E05C 5841012459093 Hours

10992 ATTITUDE HEADING REFERENCE UNIT 765100-20 CC 5443.0 CC 0.0 Cond Cond Aircraft 19E06A 6605015035284 Hours

5120460 AUTOMAT FLT CONT COMPUTER 825050-1-001 CC 6483.3 CC 265.0 Cond Cond Aircraft 52A 6610014905168 Hours

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 7 of 29 Time Change Components Page ______1 of ______3 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC HCPTR UTILITY UH-60A 1520010350266 UH-60A 8624494 00 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. C30800296 HUB, M/R ROTOR ASSY 70103-08112-047 RC 5381.0 RC 0.0 5100.0 10481.0 Aircraft 05A01A 1615014504834 1 Hours 862449405122019 NUT ASSY, MAIN ROTOR 70103-08005-104 RC 6384.8 RC 6384.8 9000.0 9000.0 Aircraft 05A01G 1615012401569 Hours

D001-10893 MAIN ROTOR SPINDLE ASSY 70102-08200-069 RC 6499.0 RC 1144.0 6200.0 11554.8 Aircraft 05A01I 1615014426926 black Hours A00106297 MAIN ROTOR SPINDLE ASSY 70102-08200-069 RC 6205.0 RC 2344.0 6200.0 10061.0 Aircraft 05A01I 1615014426926 blue Hours A00100366 MAIN ROTOR SPINDLE ASSY 70102-08200-069 RC 6205.0 RC 3272.0 6200.0 9133.0 Aircraft 05A01I 1615014426926 red Hours A001-07072 MAIN ROTOR SPINDLE ASSY 70102-08200-069 RC 6205.0 RC 952.0 6200.0 11453.0 Aircraft 05A01I 1615014426926 yellow Hours C286-00066 MAIN ROTOR SHAFT EXTENDER 70351-08186-043 RC 4387.0 RC 4110.0 16000.0 16277.0 Aircraft 05A01L 1615010745151 Hours

AIM-00098 BIFILAR, M/R ROTOR ASSY 70107-08400-046 RC 4846.0 RC 4846.0 13000.0 13000.0 Aircraft 05A01T 1615011277388 Hours

A00705870 MAIN ROTOR BLADE ASSY 70150-09100-043 RC 5838.0 RC 4583.0 9600.0 10855.0 Aircraft 05A02 1615011061903 Hours

A007-07166 MAIN ROTOR BLADE ASSY 70150-09100-043 RC 6309.4 RC 3922.0 9600.0 11987.4 Aircraft 05A02 1615011061903 Hours DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 8 of 29 Time Change Components Page ______2 of ______3 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC HCPTR UTILITY UH-60A 1520010350266 UH-60A 8624494 00 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. A00714119 MAIN ROTOR BLADE ASSY 70150-09100-043 RC 5093.0 RC 734.0 9600.0 13959.0 Aircraft 05A02 1615011061903 Hours

A00707667 MAIN ROTOR BLADE ASSY 70150-09100-043 RC 5093.0 RC 3025.0 9600.0 11668.0 Aircraft 05A02 1615011061903 Hours BLUE K25700265 O/B RETENTION PLATE (T/R) 70102-11101-042 RC 6019.0 RC 0.0 12000.0 18019.0 Aircraft 06G01B 1615010836812 Hours

9L970049 FAN AXIAL 70361-03005-107 1 4387.0 0.0 1150.0 2520.0 6907.0 Aircraft 06H23 4140013293428 Hours

C112-00524 SAS ACTUATOR 70410-02500-049 RC 4301.0 RC 1403.0 13000.0 15898.0 Aircraft 07A24 1560011291256 Hours

C112-01893 SAS ACTUATOR 70410-02500-049 RC 6485.0 RC 3119.0 13000.0 16366.0 Aircraft 07A24 1560011291256 Pitch Hours C112-00507 SAS ACTUATOR 70410-02500-049 RC 2897.0 RC 0.0 13000.0 15897.0 Aircraft 07A24 1560011291256 ROLL Hours D23301923 T/R PITCH CHANGE SHAFT 70400-06100-042 2 5093.0 0.0 686.0 2880.0 7973.0 Aircraft 11C23 1615011417532 Hours

B300-02791 SERVO ASSY, TAIL ROTOR 70410-06520-046 RC 5536.0 RC 4012.0 15000.0 16524.0 Aircraft 11C25 1650013056954 Hours

34501043 AFT BELLCRANK 70400-08102-045 RC 4784.0 RC 4784.0 13000.0 13000.0 Aircraft 11D04 1680011589685 Hours DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 9 of 29 Time Change Components Page ______3 of ______3 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC HCPTR UTILITY UH-60A 1520010350266 UH-60A 8624494 00 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. A391-02167 AFT TIE ROD SUPT FITTING 70400-08112-045 RC 2897.0 RC 0.0 17000.0 19897.0 Aircraft 11D05 1560011644161 Hours

MM01712 AFT TIE ROD ASSY 70400-08111-042 RC 6205.0 RC 0.0 2200.0 8405.0 Aircraft 11D06 1680011644160 Hours

39001280 AFT BELLCRANK SPT ASSY 70400-08117-049 RC 2897.0 RC 619.0 4400.0 6678.0 Aircraft 11D07 1560012868870 Hours

0609-363 LATERAL SWASHPLATE LINK 70400-08151-061 RC 2897.0 RC 1203.0 19000.0 20694.0 Aircraft 11D08 3040012872438 Hours

F337-01454 LATERAL SERVO BELLCRANK 70400-08166-041 RC 2897.0 RC 0.0 11000.0 13897.0 Aircraft 11D09 1680012212863 Hours

344-00824 LEFT TIE ROD ASSY 70400-08115-046 RC 2897.0 RC 0.0 14000.0 16897.0 Aircraft 11D13 1560012892697 Hours

288-01459 RIGHT TIE ROD ASSY 70400-08114-051 RC 6396.9 RC 0.0 3500.0 9896.9 Aircraft 11D14 1560012969486 Hours

66936-00392 FORWARD BELLCRANK 70400-08101-046 RC 2897.0 RC 0.0 19000.0 21897.0 Aircraft 11D15 1680011589652 Hours

B367-02718 FWD BELLCRANK SPT ASSY 70400-08162-042 RC 2897.0 RC 0.0 5400.0 8297.0 Aircraft 11D16 1560012212619 Hours

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 10 of 29 Page ______1 of ______1 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC FWD FIXED GEAR SHOCK 1620012311831 70250-12051-045 IA00116 03A01 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. 44941823301 PISTON, MAIN L/GEAR STR 70250-12067-102 RC 3306.0 RC 3306.0 9000.0 9000.0 Aircraft 03A01A 1650011250907 Hours

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 11 of 29 Page ______1 of ______1 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC FWD FIXED GEAR SHOCK 1620012311831 70250-12051-045 BEM0462 03A01 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. BEM0462 PISTON, MAIN L/GEAR STR 70250-12067-102 RC 0.0 RC 0.0 9000.0 15245.8 Aircraft 03A01A 1650011250907 Hours

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 12 of 29 Page ______1 of ______1 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC MAIN ROTOR SPINDLE ASSY 1615014426926 70102-08200-069 D001-10893 05A01I 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. C32407991A ELASTOMERIC BEARING SB7001-048 CC 1144.0 CC 2620.0 Cond Cond Aircraft 05A01I02 1615011614373 black Hours B32521589 THRUST BEARING SB7002-048 CC 1144.0 CC 1931.0 Cond Cond Aircraft 05A01I02C 3110011589607 Hours black F47903065 M/R SPINDLE NUT 70102-08105-102 RC 1144.0 RC 1144.0 12000.0 17061.0 Aircraft 05A01I04 5310011269444 black Hours C50409241 TIE ROD (M/R SPINDLE) 38023-10372-101 RC 1144.0 RC 1144.0 6400.0 11461.0 Aircraft 05A01I06 5306014606020 black Hours G24100830 CONTROL HORN ASSY 70102-08111-047 RC 1144.0 RC 1144.0 8700.0 13761.0 Aircraft 05A01I07 1615012149140 black Hours

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 13 of 29 Page ______1 of ______1 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC MAIN ROTOR SPINDLE ASSY 1615014426926 70102-08200-069 A00106297 05A01I 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. B32427801 ELASTOMERIC BEARING SB7001-048 CC 1362.0 CC 171.0 Cond Cond Aircraft 05A01I02 1615011614373 blue Hours B32540677 THRUST BEARING SB7002-048 CC 1760.0 CC 569.0 Cond Cond Aircraft 05A01I02C 3110011589607 Hours blue C47912611 M/R SPINDLE NUT 70102-08105-102 RC 1183.0 RC 1019.0 12000.0 16025.0 Aircraft 05A01I04 5310011269444 BLUE Hours C50402864 TIE ROD (M/R SPINDLE) 38023-10372-101 RC 1183.0 RC 1183.0 6400.0 10261.0 Aircraft 05A01I06 5306014606020 BLUE Hours A24115518 CONTROL HORN ASSY 70102-08111-047 RC 1183.0 RC 1199.0 8700.0 12545.0 Aircraft 05A01I07 1615012149140 BLUE Hours

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 14 of 29 Page ______1 of ______1 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC MAIN ROTOR SPINDLE ASSY 1615014426926 70102-08200-069 A00100366 05A01I 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. B32434501 ELASTOMERIC BEARING SB7001-048 CC 3272.0 CC 0.0 Cond Cond Aircraft 05A01I02 1615011614373 red Hours B32544417 THRUST BEARING SB7002-048 CC 3272.0 CC 0.0 Cond Cond Aircraft 05A01I02C 3110011589607 Hours red C47905741 M/R SPINDLE NUT 70102-08105-102 RC 3272.0 RC 2773.0 12000.0 15431.8 Aircraft 05A01I04 5310011269444 red Hours B50400065 TIE ROD (M/R SPINDLE) 38023-10372-101 RC 3272.0 RC 3272.0 6400.0 9332.8 Aircraft 05A01I06 5306014606020 red Hours A24110169 CONTROL HORN ASSY 70102-08111-047 RC 3272.0 RC 3272.0 8700.0 11632.8 Aircraft 05A01I07 1615012149140 red Hours

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 15 of 29 Page ______1 of ______1 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC MAIN ROTOR SPINDLE ASSY 1615014426926 70102-08200-069 A001-07072 05A01I 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. B32425279 ELASTOMERIC BEARING SB7001-048 CC 235.0 CC 235.0 Cond Cond Aircraft 05A01I02 1615011614373 yellow Hours B32537080 THRUST BEARING SB7002-048 CC 236.0 CC 235.0 Cond Cond Aircraft 05A01I02C 3110011589607 Hours yellolw F47901260 M/R SPINDLE NUT 70102-08105-102 RC 0.0 RC 0.0 12000.0 17252.8 Aircraft 05A01I04 5310011269444 yellow Hours C50406730 TIE ROD (M/R SPINDLE) 38023-10372-101 RC 0.0 RC 0.0 6400.0 11652.8 Aircraft 05A01I06 5306014606020 yellow Hours A24119613 CONTROL HORN ASSY 70102-08111-047 RC 272.0 RC 37.0 8700.0 14187.8 Aircraft 05A01I07 1615012149140 yellow Hours

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 16 of 29 Page ______1 of ______1 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC MAIN ROTOR BLADE ASSY 1615011061903 70150-09100-043 A00705870 05A02 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. A84915753 M/R BLADE TIP CAP 70150-09207-041 CC 4957.1 CC 2652.0 Cond Cond Aircraft 05A02E 1560014479774 Hours

A23715550 M/R BLADE CUFF 70150-09109-041 RC 4583.0 RC 2589.0 5000.0 8249.0 Aircraft 05A02I 1615010992341 Hours

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 17 of 29 Page ______1 of ______1 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC MAIN ROTOR BLADE ASSY 1615011061903 70150-09100-043 A007-07166 05A02 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. A-84912067 M/R BLADE TIP CAP 70150-09207-041 CC 3216.0 CC 1747.0 Cond Cond Aircraft 05A02E 1560014479774 YELLOW Hours A-23706363 M/R BLADE CUFF 70150-09109-041 RC 3216.0 RC 3677.0 5000.0 6926.4 Aircraft 05A02I 1615010992341 Hours YELLOW

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 18 of 29 Page ______1 of ______2 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC MAIN ROTOR BLADE ASSY 1615011061903 70150-09100-043 A00714119 05A02 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. A84913129 M/R BLADE TIP CAP 70150-09207-041 CC 734.0 CC 564.0 Cond Cond Aircraft 05A02E 1560014479774 Hours

A23701959 M/R BLADE CUFF 70150-09109-041 RC 734.0 RC 2673.0 5000.0 7420.0 Aircraft 05A02I 1615010992341 Hours

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 19 of 29 Page ______2 of ______2 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC MAIN ROTOR BLADE ASSY 1615011061903 70150-09100-043 A00714119 05A02 7. SIGNIFICANT HISTORICAL DATA

CAGE: 78286 PN: 70150-09100-043 NSN: 1615011061903 SN: A00714119 Nomen: MAIN ROTOR BLADE ASSY Date: 2011-08-06 Remark: RECAPPED I/A/W D.M.W.R. 1-1615-281 C1, T/S/N: 734, C/N: 36510001 FINAL TRIM TAB SETTINGS: STA 1. 316/ STAT 2. 317 / STA 3. 315/STA 4. 315/ STA 5. 315/ STA 6. 312. FINAL BLADE WEIGHT: 212 LBS. SPAR S/N: B302-07542 CCAD/ W0MUAA CORPUS CHRISTI, TX 78419-5260 /S/SGP4219. Original Location: CCAD CORPUS CHRISTI TX Entered By: Hust, Anthony SGT UIC: WTQGC0 Location: GA

CAGE: 78286 PN: 70150-09100-043 NSN: 1615011061903 SN: A00714119 Nomen: MAIN ROTOR BLADE ASSY Date: 2013-11-13 Remark: WUC: 05A02 PN: 70150-09100-043 PSN: A007-14119 MAIN ROTOR BLADE ASSEMBLY STATIC BALANCE CURRENT VALUES, SM=35416 INLB, SCG=167.71 IN W=211.18LB CM=1191 INLB CCG=5.642 IN Original Location: AASF # 1 WINDER, GA Entered By: Cobb, Talmadge L SFC UIC: WTQGC0 Location: GA

CAGE: 78286 PN: 70150-09100-043 NSN: 1615011061903 SN: A00714119 Nomen: MAIN ROTOR BLADE ASSY Date: 2014-05-20 Remark: WUC: 05A02 PN: 70150-09100-043 PSN: A007-14119 MAIN ROTOR BLADE ASSEMBLY STATIC BALANCE CURRENT VALUES, SM=35415 INLB, SCG=167.80 IN W=211.06LB CM=1192 INLB CCG=5.649 IN Original Location: AASF # 1 WINDER, GA Entered By: Adcock, Wayne W SFC UIC: WTQGC0 Location: GA

REVERSE OF DA FORM 2408-16-SG, OCT 1991 APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 20 of 29 Page ______1 of ______2 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC MAIN ROTOR BLADE ASSY 1615011061903 70150-09100-043 A00707667 05A02 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. A849-05719 M/R BLADE TIP CAP 70150-09207-041 CC 4293.5 CC 1986.0 Cond Cond Aircraft 05A02E 1560014479774 Hours

A237-1435 M/R BLADE CUFF 70150-09109-041 RC 2778.0 RC 2633.0 5000.0 7213.0 Aircraft 05A02I 1615010992341 Hours

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 21 of 29 Page ______2 of ______2 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC MAIN ROTOR BLADE ASSY 1615011061903 70150-09100-043 A00707667 05A02 7. SIGNIFICANT HISTORICAL DATA

CAGE: 78286 PN: 70150-09100-043 NSN: 1615011061903 SN: A00707667 Nomen: MAIN ROTOR BLADE ASSY Date: 2013-11-07 Remark: WUC: 05A02 PN: 70150-09100-043 PSN: A007-07667 MAIN ROTOR BLADE ASSEMBLY STATIC BALANCE CURRENT VALUES, SM=35417 INLB, SCG=167.82 IN W=211.04LB CM=1200 INLB CCG=5.687 IN Original Location: AASF # 1 WINDER, GA Entered By: Cobb, Talmadge L SFC UIC: WTQGC0 Location: GA

CAGE: 78286 PN: 70150-09100-043 NSN: 1615011061903 SN: A00707667 Nomen: MAIN ROTOR BLADE ASSY Date: 2014-05-20 Remark: WUC: 05A02 PN: 70150-09100-043 PSN: A007- 07667 MAIN ROTOR BLADE ASSEMBLY STATIC BALANCE CURRENT VALUES, SM=35414 INLB, SCG=167.83 IN W=211.02LB CM=1201 INLB CCG=5.689 IN Original Location: AASF # 1 WINDER, GA Entered By: Adcock, Wayne W SFC UIC: WTQGC0 Location: GA

REVERSE OF DA FORM 2408-16-SG, OCT 1991 APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 22 of 29 Page ______1 of ______1 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC SWASHPLATE ASSY 1615011997646 70104-08000-050 A10701241 05A03A 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. 151521215 STATIONARY SWASHPLATE 70104-08010-044 RC 4620.0 RC 4620.0 19000.0 19473.0 Aircraft 05A03A01 1615010871602 Hours

151521174 ROTATING SWASHPLATE 70104-08001-045 RC 3929.0 RC 1505.0 11000.0 13897.0 Aircraft 05A03A02 1615013575089 Hours

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 23 of 29 Page ______1 of ______2 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC MAIN TRANSMISSION MODULE 1615015033115 70351-08100-076 A265-01572 06A 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. A425-04209 SWASHPLATE GUIDE 70351-08227-041 CC 2560.0 CC 832.0 Cond Cond Aircraft 06A08 1615010785711 Hours

F211-00259 HOUSING ASSY MGB 70351-08110-045 RC 2560.0 RC 0.0 3000.0 7846.0 Aircraft 06A13 1615011101491 Hours

E253-04270 MAIN ROTOR SHAFT 70351-08131-048 RC 2560.0 RC 0.0 6874.0 11719.8 Aircraft 06A18 3040014158388 Hours

A240-01123 PLANETARY CARRIER ASSY 70351-08175-046 RC 2560.0 RC 966.0 12000.0 15879.8 Aircraft 06A19 1615014977257 Hours

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 24 of 29 Page ______2 of ______2 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC MAIN TRANSMISSION MODULE 1615015033115 70351-08100-076 A265-01572 06A 7. SIGNIFICANT HISTORICAL DATA

CAGE: 78286 PN: 70351-08100-076 NSN: 1615015033115 SN: A265-01572 Nomen: MAIN TRANSMISSION MODULE Date: 2010-11-03 Remark: LATE ENTRY: 3 JUNE 2010 - OVERHAULED/RECAPPED IAW DMWR 1-1615-371, C1. MODIFIED FROM 70351-08100-074 TO 70351-08100-076. TSN: 2560, TSO: 0, EEG 5641 CCAD, CORPUS CHRISTI, TX. Original Location: 1108 TASMG GULFPORT, MS 39505 Entered By: Grell, Brian K UIC: WTQGC0 Location: GA

CAGE: 78286 PN: 70351-08100-076 NSN: 1615015033115 SN: A265-01572 Nomen: MAIN TRANSMISSION MODULE Date: 2017-06-21 Remark: MAIN XMSN FILTER BYPASS BUTTON POPPED @ 5908 ACFT HRS 3622 XMSN HOURS (4TH OCCURENCE IN 190 HRS). INSPECTED MAIN XMSN CHIP DETECTOR AND SCREEN, 2 EA INPUT MOD CHIP DETECTORS AND SCREENS, AND 2 EA ACC MOD CHIP DETECTORS. REPLACED 1ST STAGE FILTER, XMSN OIL PUMPS (2 EA), OIL PRESSURE REGULATORS (2 EA),AND DRAINED AND FLUSHED MAIN XMSN. RETURNED TO SERVICE, Original Location: AASF #2 CLAY NGC, GA 30060 Entered By: Henklein, John F UIC: WTQGC0 Location: GA

CAGE: 78286 PN: 70351-08100-076 NSN: 1615015033115 SN: A265-01572 Nomen: MAIN TRANSMISSION MODULE Date: 2017-09-01 Remark: MAIN XMSN IMPENDING BY PASS BUTTON POPPED AT 5949 ACFT HOURS OR 3663 XMSN HOURS. SUSPECT CAUSED BY MAIN MOD OIL CHANGE AFTER LAST OCCURRENCE. INSPECTED MAIN XMSN CHIP DETECTOR AND SCREEN, 2 EA INPUT MOD CHIP DETECTORS AND SCREENS, AND ACC MOD CHIP DETECTORS. NORMAL WEAR AND TEAR NOTICED ON MAIN XMSN CHIP DETECTOR. (FINE DUST). RESET BUTTON AND REPLACED BOTH FILTERS, RETURNED TO SERVICE. Original Location: AASF #2 CLAY NGC, GA Entered By: Henklein, John F UIC: WTQGC0 Location: GA

CAGE: 78286 PN: 70351-08131-048 NSN: 3040014158388 SN: E253-04270 Nomen: MAIN ROTOR SHAFT Date: 2020-09-15 Remark: MAOT reduction I/A/W AWR 1682 Required for installation of T700-GE-701D installation on ACFT 8624494 Entered By: Dubois, William D SFC UIC: WTQGC0 Location: GA

REVERSE OF DA FORM 2408-16-SG, OCT 1991 APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 25 of 29 Page ______1 of ______2 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC TAIL ROTOR GEARBOX ASSY 1615013765089 70358-06600-046 A006-03088 06G01 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. FM0799 I/B RETENTION PLATE T/R 70358-06612-042 RC 238.0 RC 0.0 12000.0 15819.8 Aircraft 06G01C 1615010745153 Hours

F320-00284 GEARSHAFT, BEVEL 70358-06620-102 RC 0.0 RC 0.0 5800.0 9382.0 Aircraft 06G01D 3040012921617 Hours

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 26 of 29 Page ______2 of ______2 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC TAIL ROTOR GEARBOX ASSY 1615013765089 70358-06600-046 A006-03088 06G01 7. SIGNIFICANT HISTORICAL DATA

CAGE: 78286 PN: 70358-06600-046 NSN: 1615013765089 SN: A006-03088 Nomen: TAIL ROTOR GEARBOX ASSY Date: 2006-09-08 Remark: WUC: 06G01 PN: 70358-06600-046 PSN: A006-03088 TAIL ROTOR GEARBOX ASSEMBLY T/R RIG CHECK BIASED AS FOLLOWS YELLOW INITIAL 4.77 FINAL 5.1 BLUE INITIAL 4.05 FINAL 4.38 RED INITIAL 4.8 FINAL 5.12 BLACK INITIAL 4.08 FINAL 4.4 DS5075 CO D 3/126TH AVN CAMP BEURHING KUWAIT APO AE 09330 Original Location: CO D 3/126TH AVN CP BEURHING KUWAIT APO 09330 Entered By: Control, Quality R SGT UIC: WTQGC0 Location: GA

CAGE: 78286 PN: 70358-06600-046 NSN: 1615013765089 SN: A006-03088 Nomen: TAIL ROTOR GEARBOX ASSY Date: 2017-01-10 Remark: WUC: 06G01 PN: 70358-06600-046 PSN: A006-03088 TAIL ROTOR GEARBOX ASSEMBLY TAIL ROTOR GEAR BOX OUTPUT HOUSING HAD 0.022 IN GOUGE AT THE 12 O'CLOCK POSITION CAUSE BY INCORRECT (TOO LONG) TAIL ROTOR GEAR BOX FASTENER. DAMAGE FOUND WITHIN REPAIRABLE LIMITS IAW WP 0696 00. DAMAGE BLENDED TO 1/2 IN RADIUS AND TREATED IAW WP 0696 00 AND TM 1-1500-344-23-2. Original Location: AASF #2 CLAY NGC, GA 30060 Entered By: Henklein, John F UIC: WTQGC0 Location: GA

CAGE: 78286 PN: 70358-06620-102 NSN: 3040012921617 SN: F320-00284 Nomen: GEARSHAFT, BEVEL Date: 2019-07-26 Remark: H-60-19-AMAM-09 RETIREMENT LIFE CHANGE TO TAIL ROTOR OUTPUT BEVEL GEAR Entered By: Arnold, David A SSG UIC: WTQGC0 Location: GA

REVERSE OF DA FORM 2408-16-SG, OCT 1991 APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 27 of 29 Page ______1 of ______0 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC FAN AXIAL 4140013293428 70361-03005-107 9L970049 06H23 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k.

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 28 of 29 Page ______1 of ______1 1. NOMENCLATURE 2. NSN 3. PART NUMBER OR MODEL 4. SERIAL NUMBER 5. WUC T/R PITCH CHANGE SHAFT 1615011417532 70400-06100-042 D23301923 11C23 6. NOMENCLATURE P/N COMPONENT NO. NOMEN TIME COMP O/H OR REPLACE- AND AND SER NO. PREV INST HRS SINCE INST HRS REPLAC MENT DUE (ACFT HRS) WUC NSN LOCATION O/H e. O/H h. LIFE NOMEN COMP RMVL HRS RMVL HRS a. b. c. d. f. g. i. j. k. B84007106 BRNG T/R PITCH CHG SHFT SB1162-102 CC 686.0 CC 0.0 Cond Cond Aircraft 11C23A 3110011138288 Hours

DA FORM 2408-16-SG, OCT 1991 AIRCRAFT COMPONENT HISTORICAL RECORD EDITION OF MAY 1967 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG APD LC v2.00

28 Oct 2020 1333 UTC FOUO page 29 of 29 PAGE ______1 OF ______4 1. MODEL 2. ENG S/N 3. NOMENCLATURE 4. P/N 5. S/N T700-GE-701D GEE761743C T700-GE-701D ENGINE ASSY 5130T00G01 8624494 6. HISTORICAL COUNTS ON COMPONENT/MODULE 7. HISTORY RECORDER S/N LMDH8489 LINE LCF-1 LCF-2 TIME/TEMP INDEX OPERATING HOURS a. b. c. d. READING AT REMOVAL OF 3 MODULE/RECORDER 0 0 0 0 READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 1 0 1 4 3 1 5 7 4 2 7 1 1 5 1 8 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS 7. HISTORY RECORDER S/N

READING AT REMOVAL OF 3 MODULE/RECORDER READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS DA FORM 2408-16-1-SG, OCT 91 HISTORY RECORDER, COMPONENT, MODULE RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1335 UTC FOUO page 1 of 29 PAGE ______2 OF ______4 8. 9. 10. 11. 12. 13. O/H OR HISTORY COUNTS AT LAST DEPOT REPL REPLACE- NONMENCLATURE PART NUMBER SERIAL NUMBER REPLACE- LCF-1 LCF-2 T/T 1 OP HRS MENT DUE MENT LIFE a. b. c. d. (Hist rcdr hr)

COLD SECTION MODULE 6071T25G01 GE-C-001996 Cond 1014.0 3157.0 4271.0 1518.0 Cond 1212.0 4330.0 16365.0 2218.0 COMBUSTION LINER 6080T13G08 GGM94G5E Cond 1518.0 Cond 0 MTCHD ROTOR/STATOR ASSY 3048T90G01 MRSGF424 Cond 1014.0 3157.0 4271.0 1518.0 Cond 0.0 0.0 0.0 0 NOZZLE,TURBINE,AIRCRAFT GAS TURBINE6071T04G29 EN MDK29665 Cond 1518.0 Cond 0 POWER TURBINE MODULE 6071T26G02 GE-L-001384C Cond 1014.0 3157.0 4271.0 1518.0 Cond 1564.0 6602.0 10397.0 2719.0 ACCESSORY MODULE 6071T27G01 GE-D-004360C Cond 1518.0 Cond 2447.0 PARTICLE SEPARATOR BLOWER 6034T62P13 SUSJ2369 Cond 1518.0 Cond 3538.0 FUEL CONTROL (HMU) 4046T52G37 17788749 Cond 2364.0 Cond 0 O/S DRAIN VALVE ASSY 3046T17G02 APM513HK Cond 1518.0 Cond 2036.0 EDECU 4155T12P08 16USG2430 Cond 2881.0 Cond 0 HISTORY RECORDER 4046T26G05 LMDH8489 Cond 1014.0 3157.0 4271.0 1518.0 Cond 0.0 0.0 0.0 0

DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 2 of 29 PAGE ______3 OF ______4 8. 9. 10. 11. 12. 13. O/H OR HISTORY COUNTS AT LAST DEPOT REPL REPLACE- NONMENCLATURE PART NUMBER SERIAL NUMBER REPLACE- LCF-1 LCF-2 T/T 1 OP HRS MENT DUE MENT LIFE a. b. c. d. (Hist rcdr hr)

COOLER, OIL 4046T25G01 UDC01109 Cond 1518.0 Cond 2994.0 ANTI-ICE VALVE 4046T28G14 COMH6983 Cond 2491.0 Cond 1899.0

DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 3 of 29 PAGE ______4 OF ______4

14. SIGNIFICANT HISTORICAL DATA

CAGE: 99207 PN: 3048T90G01 NSN: 2840015153538 SN: MRSGF424 Nomen: MTCHD ROTOR/STATOR ASSY Date: 2009-01-15 Remark: H060-09- ASAM-01 N/A THIS ENG. PART Original Location: AASF,SCARNG EASTOVER Entered By: Shuler, Kevin E SSG UIC: WV75C0 Location: NJ,WV

CAGE: 99207 PN: 5130T00G01 NSN: 2840015031701 SN: GEE761743C Nomen: T700-GE-701D ENGINE ASSY Date: 2014-09-08 Remark: OCM PROGRAM MAINTENANCE COMPLETED INCLUDING BLADE BLEND AND POLISH, HOT SECTION FLUSH, C SUMP PACKINGS, AND ALL PHASE INSP REQUIREMENTS. INLET GUIDE VANE LEVER REPLACED IAW MEC F188304. ENGINE TESTED IN FEDS AND RETURNED TO SERVICEABLE CONDITION @2683 ENG OP HRS TSN Original Location: 1109 TASMG GROTON CT Entered By: Boisvert, Donald P SSG UIC: WV75C0 Location: NJ,WV

REVERSE OF DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 4 of 29 PAGE ______1 OF ______3 1. MODEL 2. ENG S/N 3. NOMENCLATURE 4. P/N 5. S/N T700-GE-701D GE-C-001996 COLD SECTION MODULE 6071T25G01 GEE761743C 6. HISTORICAL COUNTS ON COMPONENT/MODULE 7. HISTORY RECORDER S/N LMDH8489 LINE LCF-1 LCF-2 TIME/TEMP INDEX OPERATING HOURS a. b. c. d. READING AT REMOVAL OF 3 MODULE/RECORDER 0 0 0 0 READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 1 2 1 1 4 3 2 9 1 6 3 6 5 2 2 1 6 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS 7. HISTORY RECORDER S/N

READING AT REMOVAL OF 3 MODULE/RECORDER READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS DA FORM 2408-16-1-SG, OCT 91 HISTORY RECORDER, COMPONENT, MODULE RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1335 UTC FOUO page 5 of 29 PAGE ______2 OF ______3 8. 9. 10. 11. 12. 13. O/H OR HISTORY COUNTS AT LAST DEPOT REPL REPLACE- NONMENCLATURE PART NUMBER SERIAL NUMBER REPLACE- LCF-1 LCF-2 T/T 1 OP HRS MENT DUE MENT LIFE a. b. c. d. (Hist rcdr hr)

POWER TAKEOFF DRIVE 5056T66G02 SAPG5484 Cond 1212.0 4330.0 16365.0 2218.0 Cond 917.0 2652.0 5950.0 1469.0 COMPRESSOR ROTOR ASSY 6064T05G03 GLH56075 Cond 1212.0 4330.0 16365.0 2218.0 Cond 1212.0 4330.0 16365.0 2218.0 GAS GEN TURBINE SHAFT 6068T44P02 GATHHC72 8000.0 1212.0 4330.0 16365.0 2218.0 8002.0 0.0 0.0 0.0 0 INNER BALANCE PISTON SE 5056T91P01 NCE3366Y Cond 1212.0 4330.0 16365.0 2218.0 Cond 0.0 0.0 0.0 0 COMPRESSOR DISCHARGE SE 6061T53P01 HAAL2018 Cond 1212.0 4330.0 16365.0 2218.0 Cond 0.0 0.0 0.0 0 COMPRESSOR REAR SHAFT 6080T48P01 FIAAPW12 8500.0 1212.0 4330.0 16365.0 2218.0 8502.0 0.0 0.0 0.0 0 NO 3 LABYRINTH SEAL 5044T07P01 VAEA8970 Cond 1212.0 4330.0 16365.0 2218.0 Cond 0.0 0.0 0.0 0 VORTEX SPOILER 5035T57P02 TRU10345 Cond 1212.0 4330.0 16365.0 2218.0 Cond 837.0 3282.0 3517.0 1540.0 TIE ROD COMPRESSOR 5043T04P02 GATHH3K4 10000.0 1212.0 4330.0 16365.0 2218.0 10002.0 0.0 0.0 0.0 0 RING, SPACER COMPRESSOR 5066T79P01 PAMFE808 10000.0 1212.0 4330.0 16365.0 2218.0 10002.0 0.0 0.0 0.0 0 COMPRESSOR IMPELLER 6055T59P03 GLHTJF2J 5000.0 1212.0 4330.0 16365.0 2218.0 5002.0 0.0 0.0 0.0 0

DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 6 of 29 PAGE ______3 OF ______3 8. 9. 10. 11. 12. 13. O/H OR HISTORY COUNTS AT LAST DEPOT REPL REPLACE- NONMENCLATURE PART NUMBER SERIAL NUMBER REPLACE- LCF-1 LCF-2 T/T 1 OP HRS MENT DUE MENT LIFE a. b. c. d. (Hist rcdr hr)

OUTPUT SHAFT ASSY 3065T21G01 GGTA0697 Cond 1212.0 4330.0 16365.0 2218.0 Cond 0.0 0.0 0.0 0 STAGE 1 BLISK 6043T56G02 GLHTJE4J 7000.0 1212.0 4330.0 16365.0 2218.0 7002.0 0.0 0.0 0.0 0 STAGE 2 BLISK 6032T27P08 GLHTJE1P 7000.0 1212.0 4330.0 16365.0 2218.0 7002.0 0.0 0.0 0.0 0 STAGE 3 & 4 BLISK 6038T08P04 GLHTJCJK 7000.0 1212.0 4330.0 16365.0 2218.0 7002.0 0.0 0.0 0.0 0 STAGE 5 BLISK 6038T09P04 GLHTJDM3 7000.0 1212.0 4330.0 16365.0 2218.0 7002.0 0.0 0.0 0.0 0 NO 3 BALL BEARING 6038T48P02 MDA5N733 Cond 1212.0 4330.0 16365.0 2218.0 Cond 1572.0 4661.0 7463.0 2939.0 NO 4 ROLLER BEARING 6064T15P03 FCAJ9499 Cond 1212.0 4330.0 16365.0 2218.0 Cond 0.0 0.0 0.0 0

DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 7 of 29 PAGE ______1 OF ______2 1. MODEL 2. ENG S/N 3. NOMENCLATURE 4. P/N 5. S/N T700-GE-701D GGTA0697 OUTPUT SHAFT ASSY 3065T21G01 GE-C-001996 6. HISTORICAL COUNTS ON COMPONENT/MODULE 7. HISTORY RECORDER S/N LMDH8489 LINE LCF-1 LCF-2 TIME/TEMP INDEX OPERATING HOURS a. b. c. d. READING AT REMOVAL OF 3 MODULE/RECORDER 0 0 0 0 READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 0 0 0 0 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS 7. HISTORY RECORDER S/N

READING AT REMOVAL OF 3 MODULE/RECORDER READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS DA FORM 2408-16-1-SG, OCT 91 HISTORY RECORDER, COMPONENT, MODULE RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1335 UTC FOUO page 8 of 29 PAGE ______2 OF ______2 8. 9. 10. 11. 12. 13. O/H OR HISTORY COUNTS AT LAST DEPOT REPL REPLACE- NONMENCLATURE PART NUMBER SERIAL NUMBER REPLACE- LCF-1 LCF-2 T/T 1 OP HRS MENT DUE MENT LIFE a. b. c. d. (Hist rcdr hr)

NO 1 BALL BEARING 6064T34P02 FCAJ9081 Cond 0.0 0.0 0.0 0 Cond 0.0 0.0 0.0 0 NO 2 ROLLER BEARING 5121T46P02 FCAK0210 Cond 0.0 0.0 0.0 0 Cond 0.0 0.0 0.0 0

DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 9 of 29 PAGE ______1 OF ______3 1. MODEL 2. ENG S/N 3. NOMENCLATURE 4. P/N 5. S/N T700-GE-701D MRSGF424 MTCHD ROTOR/STATOR ASSY 3048T90G01 GEE761743C 6. HISTORICAL COUNTS ON COMPONENT/MODULE 7. HISTORY RECORDER S/N LMDH8489 LINE LCF-1 LCF-2 TIME/TEMP INDEX OPERATING HOURS a. b. c. d. READING AT REMOVAL OF 3 MODULE/RECORDER 0 0 0 0 READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 - 1 - 1 0 - 2 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS 7. HISTORY RECORDER S/N

READING AT REMOVAL OF 3 MODULE/RECORDER READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS DA FORM 2408-16-1-SG, OCT 91 HISTORY RECORDER, COMPONENT, MODULE RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1335 UTC FOUO page 10 of 29 PAGE ______2 OF ______3 8. 9. 10. 11. 12. 13. O/H OR HISTORY COUNTS AT LAST DEPOT REPL REPLACE- NONMENCLATURE PART NUMBER SERIAL NUMBER REPLACE- LCF-1 LCF-2 T/T 1 OP HRS MENT DUE MENT LIFE a. b. c. d. (Hist rcdr hr)

STAGE 1 TURBINE DISK 6064T06P03 GATHGPEJ 7000.0 0.0 0.0 0.0 0 7002.0 0.0 0.0 0.0 0 STATOR GAS GENERATOR 6068T48G35 GGAGF423 Cond 0.0 0.0 0.0 0 Cond 0.0 0.0 0.0 0 STAGE 2 TURBINE DISK 6064T12P03 GATHGNM3 7000.0 0.0 0.0 0.0 0 7002.0 0.0 0.0 0.0 0 STG 1 FWD COOLING PLATE 6064T08P03 GFF5D1DN 3800.0 0.0 0.0 0.0 0 3802.0 0.0 0.0 0.0 0 STG 1 AFT COOLING PLATE 6064T09P01 GFF5D19K 7000.0 0.0 0.0 0.0 0 7002.0 0.0 0.0 0.0 0 STG 2 FWD COOLING PLATE 4106T80P01 GFF5CTKF 5000.0 0.0 0.0 0.0 0 5002.0 0.0 0.0 0.0 0 STG 2 AFT COOLING PLATE 6064T07P06 GFF5D1RM 4200.0 0.0 0.0 0.0 0 4202.0 0.0 0.0 0.0 0 ROTOR GAS GENERATOR 6068T57G22 GGAGF424 Cond 0.0 0.0 0.0 0 Cond 0.0 0.0 0.0 0

DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 11 of 29 PAGE ______3 OF ______3

14. SIGNIFICANT HISTORICAL DATA

REVERSE OF DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 12 of 29 PAGE ______1 OF ______2 1. MODEL 2. ENG S/N 3. NOMENCLATURE 4. P/N 5. S/N T700-GE-701D GE-L-001384C POWER TURBINE MODULE 6071T26G02 GEE761743C 6. HISTORICAL COUNTS ON COMPONENT/MODULE 7. HISTORY RECORDER S/N LMDH8489 LINE LCF-1 LCF-2 TIME/TEMP INDEX OPERATING HOURS a. b. c. d. READING AT REMOVAL OF 3 MODULE/RECORDER 0 0 0 0 READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 1 5 6 4 6 6 0 2 1 0 3 9 7 2 7 1 9 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS 7. HISTORY RECORDER S/N

READING AT REMOVAL OF 3 MODULE/RECORDER READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS DA FORM 2408-16-1-SG, OCT 91 HISTORY RECORDER, COMPONENT, MODULE RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1335 UTC FOUO page 13 of 29 PAGE ______2 OF ______2 8. 9. 10. 11. 12. 13. O/H OR HISTORY COUNTS AT LAST DEPOT REPL REPLACE- NONMENCLATURE PART NUMBER SERIAL NUMBER REPLACE- LCF-1 LCF-2 T/T 1 OP HRS MENT DUE MENT LIFE a. b. c. d. (Hist rcdr hr)

POWER TURBINE ROTOR 5043T75G33 GGAP2553 Cond 1564.0 6602.0 10397.0 2719.0 Cond 1564.0 6602.0 10397.0 2719.0 STAGE 3 TURBINE DISK 6038T32P02 GATHGJT6 5000.0 1564.0 6602.0 10397.0 2719.0 5002.0 0.0 0.0 0.0 0 STAGE 4 TURBINE DISK 6038T34P06 GATHGRNM 5000.0 1564.0 6602.0 10397.0 2719.0 5002.0 0.0 0.0 0.0 0 POWER TURBINE SHAFT 5125T92G01 GATHHDMN 5000.0 1564.0 6602.0 10397.0 2719.0 5002.0 0.0 0.0 0.0 0 NO 5 ROLLER BEARING 5034T27P01 TMKAAYGJ Cond 1564.0 6602.0 10397.0 2719.0 Cond 153.0 401.0 2381.0 284.0 NO 6 BALL BEARING 5034T04P01 BARA8498 Cond 1564.0 6602.0 10397.0 2719.0 Cond 1281.0 3830.0 2025.0 2382.0

DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 14 of 29 PAGE ______1 OF ______4 1. MODEL 2. ENG S/N 3. NOMENCLATURE 4. P/N 5. S/N T700-GE-701D GEE767424C T700-GE-701D ENGINE ASSY 5130T00G01 8624494 6. HISTORICAL COUNTS ON COMPONENT/MODULE 7. HISTORY RECORDER S/N LMDH3265 LINE LCF-1 LCF-2 TIME/TEMP INDEX OPERATING HOURS a. b. c. d. READING AT REMOVAL OF 3 MODULE/RECORDER 0 0 0 0 READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 2 5 2 7 6 1 6 6 5 6 0 1 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS 7. HISTORY RECORDER S/N

READING AT REMOVAL OF 3 MODULE/RECORDER READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS DA FORM 2408-16-1-SG, OCT 91 HISTORY RECORDER, COMPONENT, MODULE RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1335 UTC FOUO page 15 of 29 PAGE ______2 OF ______4 8. 9. 10. 11. 12. 13. O/H OR HISTORY COUNTS AT LAST DEPOT REPL REPLACE- NONMENCLATURE PART NUMBER SERIAL NUMBER REPLACE- LCF-1 LCF-2 T/T 1 OP HRS MENT DUE MENT LIFE a. b. c. d. (Hist rcdr hr)

COLD SECTION MODULE 6071T25G01 GEC767424 Cond 252.0 761.0 665.0 601.0 Cond 252.0 761.0 665.0 601.0 COMBUSTION LINER 6080T13G08 GGM959NM Cond 601.0 Cond 465.0 MTCHD ROTOR/STATOR ASSY 3048T90G01 MRSGJ273 Cond 252.0 761.0 665.0 601.0 Cond 290.0 1918.0 2758.0 462.0 NOZZLE,TURBINE,AIRCRAFT GAS TURBINE6071T04G29 EN MDK2DFL6 Cond 601.0 Cond 449.0 POWER TURBINE MODULE 6071T26G02 GEL003813C Cond 708.0 2889.0 4593.0 1404.0 Cond 2482.0 8456.0 14358.0 4163.0 ACCESSORY MODULE 6071T27G01 GED955130 Cond 601.0 Cond 929.0 PARTICLE SEPARATOR BLOWER 6034T62P13 SUSJ2345 Cond 601.0 Cond 4081.0 FUEL CONTROL (HMU) 4046T52G37 WYG92221 Cond 2491.0 Cond 4809.0 O/S DRAIN VALVE ASSY 3046T17G02 APM991HP Cond 601.0 Cond 2290.0 CONTROL UNIT,SUPERVISORY,TURBINE4082T99G12 ENGIN EMDU5985 Cond 2491.0 Cond 1176.0 HISTORY RECORDER 4046T26G05 LMDH3265 Cond 252.0 761.0 665.0 601.0 Cond 0.0 0.0 0.0 0

DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 16 of 29 PAGE ______3 OF ______4 8. 9. 10. 11. 12. 13. O/H OR HISTORY COUNTS AT LAST DEPOT REPL REPLACE- NONMENCLATURE PART NUMBER SERIAL NUMBER REPLACE- LCF-1 LCF-2 T/T 1 OP HRS MENT DUE MENT LIFE a. b. c. d. (Hist rcdr hr) 601.0 COOLER, OIL 4046T25G06 UDDK0286 Cond Cond 557.0 ANTI-ICE VALVE 4046T28G14 COMH5699 Cond 943.0 Cond 0

DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 17 of 29 PAGE ______4 OF ______4

14. SIGNIFICANT HISTORICAL DATA

CAGE: 99207 PN: 3065T21G01 NSN: 2840014821870 SN: GGAY9243 Nomen: OUTPUT SHAFT ASSY Date: 2011-08-30 Remark: 18 SEP 09 CCAD OUTPUT SHAFT REPAIRED 16 SEP 09 IAW DMWR 1-2840-248 & CHGS AND RECAPPED DTD 03 DEC 01 A. BURT ACFT DATA TECH Original Location: CO D 185TH AHB SPEICHER IRAQ Entered By: Gray, Gary L SFC UIC: WTQGC0 Location: GA

CAGE: 99207 PN: 5130T00G01 NSN: 2840015031701 SN: GEE767424C Nomen: T700-GE-701D ENGINE ASSY Date: 2011-08-30 Remark: 18 SEP 09 CCAD ENGINE REPAIRED 15 SEP 09 DMWR 1-2840-248 & CHGS AND RECAPPED DTD 03 DEC 01 A. BURT ACFT DATA TECH Original Location: CO D 185TH AHB SPEICHER, IRAQ Entered By: Gray, Gary L SFC UIC: WTQGC0 Location: GA

CAGE: 99207 PN: 5130T00G01 NSN: 2840015031701 SN: GEE767424C Nomen: T700-GE-701D ENGINE ASSY Date: 2013-03-04 Remark: RESET INSPECTION COMPLETED IAW TB 1-2840-248-30-1, T700 SERIES ENGINE RESET PROGRAM. ENGINE INSPECTED, CLEANED, BLENDED MINOR FOD ON COMPRESOR BLADES, AVG TIP CHORD LENGTH=1.594, REPLACED B E & G AXIS SEALS, REPLACED POWER TURBINE MODULE, ENGINE TEST RUN ETF=1.04. COMPLETED AT HISTORY RECORDER READING: LCF1-458, LCF2-2138, INDEX-4108, HOURS-804, ENGINE COUNTS: LCF1-710, LCF2-2899, INDEX-4773, HOURS-1405. Original Location: L-3 AFMA RASM-E HAAF GA 31409 Entered By: S, B UIC: WTQGC0 Location: GA

CAGE: 99207 PN: 6071T25G01 NSN: 2840012844013 SN: GEC767424 Nomen: COLD SECTION MODULE Date: 2011-08-30 Remark: 18 SEP 09 CCAD C/S MOD REPAIRED 16 SEP 09 IAW DMWR 1-2840-248 & CHGS AND RECAPPED DTD 03 DEC 01. FUEL INJECTORS CLEANED AND FLOWED PER DMWR AT C/S TSN 601 ON 16 SEP 09 A. BURT ACFT DATA TECH. Original Location: CO D 185TH AHB SPEICHER, IRAQ Entered By: Gray, Gary L SFC UIC: WTQGC0 Location: GA

REVERSE OF DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 18 of 29 PAGE ______1 OF ______4 1. MODEL 2. ENG S/N 3. NOMENCLATURE 4. P/N 5. S/N T700-GE-701D GEC767424 COLD SECTION MODULE 6071T25G01 GEE767424C 6. HISTORICAL COUNTS ON COMPONENT/MODULE 7. HISTORY RECORDER S/N LMDH3265 LINE LCF-1 LCF-2 TIME/TEMP INDEX OPERATING HOURS a. b. c. d. READING AT REMOVAL OF 3 MODULE/RECORDER 0 0 0 0 READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 2 5 2 7 6 1 6 6 5 6 0 1 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS 7. HISTORY RECORDER S/N

READING AT REMOVAL OF 3 MODULE/RECORDER READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS DA FORM 2408-16-1-SG, OCT 91 HISTORY RECORDER, COMPONENT, MODULE RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1335 UTC FOUO page 19 of 29 PAGE ______2 OF ______4 8. 9. 10. 11. 12. 13. O/H OR HISTORY COUNTS AT LAST DEPOT REPL REPLACE- NONMENCLATURE PART NUMBER SERIAL NUMBER REPLACE- LCF-1 LCF-2 T/T 1 OP HRS MENT DUE MENT LIFE a. b. c. d. (Hist rcdr hr)

POWER TAKEOFF DRIVE 5056T66G02 AGRA2716 Cond 252.0 761.0 665.0 601.0 Cond 1054.0 4246.0 13179.0 2069.0 COMPRESSOR ROTOR ASSY 6064T05G03 GLH59128 Cond 252.0 761.0 665.0 601.0 Cond 252.0 761.0 665.0 601.0 GAS GEN TURBINE SHAFT 6068T44P02 GATHL42W 8000.0 252.0 761.0 665.0 601.0 8000.0 0.0 0.0 0.0 0 INNER BALANCE PISTON SE 5056T91P01 NCE289EK Cond 252.0 761.0 665.0 601.0 Cond 0.0 0.0 0.0 0 COMPRESSOR DISCHARGE SE 6061T53P01 MLEUD252 Cond 252.0 761.0 665.0 601.0 Cond 0.0 0.0 0.0 0 COMPRESSOR REAR SHAFT 6080T48P01 FIAARTET 8500.0 252.0 761.0 665.0 601.0 8293.0 118.0 414.0 284.0 207.0 NO 3 LABYRINTH SEAL 5044T07P01 VAEBD370 Cond 252.0 761.0 665.0 601.0 Cond 0.0 0.0 0.0 0 VORTEX SPOILER 5035T57P02 BIWBN355 Cond 252.0 761.0 665.0 601.0 Cond 2827.0 12142.0 24864.0 5338.0 TIE ROD COMPRESSOR 5043T04P02 GATHHDDF 10000.0 252.0 761.0 665.0 601.0 9998.0 2.0 5.0 97.0 2.0 RING, SPACER COMPRESSOR 4045T08P01 GATET952 10000.0 252.0 761.0 665.0 601.0 7619.0 1530.0 6291.0 5299.0 2381.0 COMPRESSOR IMPELLER 6055T59P03 GLHTLHPH 5000.0 252.0 761.0 665.0 601.0 5000.0 0.0 0.0 0.0 0

DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 20 of 29 PAGE ______3 OF ______4 8. 9. 10. 11. 12. 13. O/H OR HISTORY COUNTS AT LAST DEPOT REPL REPLACE- NONMENCLATURE PART NUMBER SERIAL NUMBER REPLACE- LCF-1 LCF-2 T/T 1 OP HRS MENT DUE MENT LIFE a. b. c. d. (Hist rcdr hr)

OUTPUT SHAFT ASSY 3065T21G01 GGAY9243 Cond 252.0 761.0 665.0 601.0 Cond 419.0 1319.0 1305.0 898.0 STAGE 1 BLISK 6043T56G02 GLHTLWH0 7000.0 252.0 761.0 665.0 601.0 7000.0 0.0 0.0 0.0 0 STAGE 2 BLISK 6032T27P08 GLHTLKET 7000.0 252.0 761.0 665.0 601.0 7000.0 0.0 0.0 0.0 0 STAGE 3 & 4 BLISK 6038T08P04 GLHTM0H3 7000.0 252.0 761.0 665.0 601.0 7000.0 0.0 0.0 0.0 0 STAGE 5 BLISK 6038T09P04 GLHTLH5E 7000.0 252.0 761.0 665.0 601.0 7000.0 0.0 0.0 0.0 0 NO 3 BALL BEARING 6064T35P01 MABR6108 Cond 252.0 761.0 665.0 601.0 Cond 1202.0 4369.0 13905.0 2322.0 NO 4 ROLLER BEARING 6064T15P03 FCAE7575 Cond 252.0 761.0 665.0 601.0 Cond 624.0 1625.0 4098.0 807.0

DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 21 of 29 PAGE ______4 OF ______4

14. SIGNIFICANT HISTORICAL DATA

REVERSE OF DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 22 of 29 PAGE ______1 OF ______3 1. MODEL 2. ENG S/N 3. NOMENCLATURE 4. P/N 5. S/N T700-GE-701D GGAY9243 OUTPUT SHAFT ASSY 3065T21G01 GEC767424 6. HISTORICAL COUNTS ON COMPONENT/MODULE 7. HISTORY RECORDER S/N LMDH3265 LINE LCF-1 LCF-2 TIME/TEMP INDEX OPERATING HOURS a. b. c. d. READING AT REMOVAL OF 3 MODULE/RECORDER 0 0 0 0 READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 4 1 9 1 3 1 9 1 3 0 5 8 9 8 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS 7. HISTORY RECORDER S/N

READING AT REMOVAL OF 3 MODULE/RECORDER READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS DA FORM 2408-16-1-SG, OCT 91 HISTORY RECORDER, COMPONENT, MODULE RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1335 UTC FOUO page 23 of 29 PAGE ______2 OF ______3 8. 9. 10. 11. 12. 13. O/H OR HISTORY COUNTS AT LAST DEPOT REPL REPLACE- NONMENCLATURE PART NUMBER SERIAL NUMBER REPLACE- LCF-1 LCF-2 T/T 1 OP HRS MENT DUE MENT LIFE a. b. c. d. (Hist rcdr hr)

NO 1 BALL BEARING 6064T34P02 FCAK4936 Cond 419.0 1319.0 1305.0 898.0 Cond 129.0 498.0 981.0 194.0 NO 2 ROLLER BEARING 5121T46P02 FCAE2063 Cond 419.0 1319.0 1305.0 898.0 Cond 0.0 0.0 0.0 0

DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 24 of 29 PAGE ______3 OF ______3

14. SIGNIFICANT HISTORICAL DATA

REVERSE OF DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 25 of 29 PAGE ______1 OF ______2 1. MODEL 2. ENG S/N 3. NOMENCLATURE 4. P/N 5. S/N T700-GE-701D MRSGJ273 MTCHD ROTOR/STATOR ASSY 3048T90G01 GEE767424C 6. HISTORICAL COUNTS ON COMPONENT/MODULE 7. HISTORY RECORDER S/N LMDH3265 LINE LCF-1 LCF-2 TIME/TEMP INDEX OPERATING HOURS a. b. c. d. READING AT REMOVAL OF 3 MODULE/RECORDER 0 0 0 0 READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 2 9 0 1 9 1 8 2 7 5 8 4 6 2 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS 7. HISTORY RECORDER S/N

READING AT REMOVAL OF 3 MODULE/RECORDER READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS DA FORM 2408-16-1-SG, OCT 91 HISTORY RECORDER, COMPONENT, MODULE RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1335 UTC FOUO page 26 of 29 PAGE ______2 OF ______2 8. 9. 10. 11. 12. 13. O/H OR HISTORY COUNTS AT LAST DEPOT REPL REPLACE- NONMENCLATURE PART NUMBER SERIAL NUMBER REPLACE- LCF-1 LCF-2 T/T 1 OP HRS MENT DUE MENT LIFE a. b. c. d. (Hist rcdr hr)

STAGE 1 TURBINE DISK 6064T06P03 GATHHH1N 7000.0 290.0 1918.0 2758.0 462.0 6609.0 209.0 1042.0 2410.0 391.0 STATOR GAS GENERATOR 6068T48G35 GGAGJ272 Cond 290.0 1918.0 2758.0 462.0 Cond 290.0 1918.0 2758.0 462.0 STAGE 2 TURBINE DISK 6064T12P03 GATHK1JJ 7000.0 290.0 1918.0 2758.0 462.0 6741.0 131.0 931.0 1388.0 259.0 STG 1 FWD COOLING PLATE 6064T08P03 GFF5DN6N 3800.0 290.0 1918.0 2758.0 462.0 3593.0 118.0 414.0 284.0 207.0 STG 1 AFT COOLING PLATE 6064T09P01 GFFR8DH7 7000.0 290.0 1918.0 2758.0 462.0 5467.0 622.0 2810.0 2589.0 1533.0 STG 2 FWD COOLING PLATE 4106T80P01 GFF5E76D 5000.0 290.0 1918.0 2758.0 462.0 5000.0 0.0 0.0 0.0 0 STG 2 AFT COOLING PLATE 6064T07P06 GFF5D9TD 4200.0 290.0 1918.0 2758.0 462.0 3720.0 336.0 635.0 449.0 480.0 ROTOR GAS GENERATOR 6068T57G22 GGAGJ273 Cond 290.0 1918.0 2758.0 462.0 Cond 290.0 1918.0 2758.0 462.0

DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 27 of 29 PAGE ______1 OF ______2 1. MODEL 2. ENG S/N 3. NOMENCLATURE 4. P/N 5. S/N T700-GE-701D GEL003813C POWER TURBINE MODULE 6071T26G02 GEE767424C 6. HISTORICAL COUNTS ON COMPONENT/MODULE 7. HISTORY RECORDER S/N LMDH3265 LINE LCF-1 LCF-2 TIME/TEMP INDEX OPERATING HOURS a. b. c. d. READING AT REMOVAL OF 3 MODULE/RECORDER 4 5 6 2 1 2 8 3 9 2 8 8 0 3 READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 2 4 8 2 8 4 5 6 1 4 3 5 8 4 1 6 3 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS 7. HISTORY RECORDER S/N

READING AT REMOVAL OF 3 MODULE/RECORDER READING AT INSTALLATION 2- OF MODULE/RECORDER

4= LINE 3 MINUS LINE 2 PREVIOUS COUNTS OF 1+ COMPONENT/MODULE

5= TOTAL COMPONENT COUNTS DA FORM 2408-16-1-SG, OCT 91 HISTORY RECORDER, COMPONENT, MODULE RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1335 UTC FOUO page 28 of 29 PAGE ______2 OF ______2 8. 9. 10. 11. 12. 13. O/H OR HISTORY COUNTS AT LAST DEPOT REPL REPLACE- NONMENCLATURE PART NUMBER SERIAL NUMBER REPLACE- LCF-1 LCF-2 T/T 1 OP HRS MENT DUE MENT LIFE a. b. c. d. (Hist rcdr hr)

POWER TURBINE ROTOR 5043T75G33 GGAP7880 Cond 2476.0 8440.0 13937.0 4158.0 Cond 2476.0 8440.0 13937.0 4158.0 STAGE 3 TURBINE DISK 6038T32P02 GATHW2A2 5000.0 2476.0 8440.0 13937.0 4158.0 5798.0 0.0 0.0 0.0 0 STAGE 4 TURBINE DISK 6038T34P06 GATHW32J 5000.0 2476.0 8440.0 13937.0 4158.0 5798.0 0.0 0.0 0.0 0 POWER TURBINE SHAFT 5125T92G01 GATJ15FL 5000.0 2476.0 8440.0 13937.0 4158.0 5798.0 0.0 0.0 0.0 0 NO 5 ROLLER BEARING 5034T27P01 MABW3739 Cond 2476.0 8440.0 13937.0 4158.0 Cond 1900.0 6296.0 5386.0 4740.0 NO 6 BALL BEARING 5034T28P01 FAFM6904 Cond 2476.0 8440.0 13937.0 4158.0 Cond 1932.0 7287.0 18360.0 3979.0

DA FORM 2408-16-1-SG, OCT 91 *U.S. GOVERNMENT PRINTING OFFICE; 1993 342-027/80399

28 Oct 2020 1335 UTC FOUO page 29 of 29 AUXILIARY POWER UNITAUXILIARY POWER UNIT

SPE041054 116305-302 8624494

3662 4513 831

AUXILIARY POWER UNIT 116305-302 SPE041054 CC CC 831 Cond Cond 15B 2835013692818 Hours AUXILIARY POWER UNIT 116305-302 SPE041054 1 885 4513 6000.0 9628 15B 2835013692818 Starts WHEEL, COMPRESSOR 4502902 SIF7402 CC 719 CC 0 Cond Cond 15B02B 2835014596002 Hours WHEEL, COMPRESSOR 4502902 SIF7402 RC 3628 RC 0 6000.0 9628 Starts 15B02B 2835014596002 WHEEL, TURBINE 4503991 T562 CC 719 CC 0 Cond Cond 15B03 2835013638089 Hours WHEEL, TURBINE 4503991 T562 RC 3628 RC 0 6000.0 9628 15B03 2835013638089 Starts

CAGE: 55820 PN: 116305-302 NSN: 2835013692818 SN: SPE041054 Nomen: AUXILIARY POWER UNIT Date: 2017-02-07 Remark: OVERHAULED AND TESTED IAW DMWR 1-2835-209 REV# ORIG DATE 28-FEB-2012 TSO=1.0 METER READINGS: HOURS=719 EVENTS=3662, FUEL CONTROL WAS OVERHAULED AND TESTED IAW DMWR 55-2835-210 - ROTOR ASSY REPALCED W SN M16950 AND DUE FOR MANDATORY REPPLACEMENT AT 12240 SSN. COMPLETED BY AAR AIRCRAFT COMPONENT SERVICES-NY 516-222-9000 Original Location: AASF2 WHEELING, WV Entered By: Nelson, David E UIC: WV75C0 Location: NJ,WV

-SG

22 Oct 2020 1843 UTC FOUO page 1 of 1 Page ______1 of ______13 1. SERIAL NUMBER 2. MODEL 3. AREA NAME 8624494 UH-60A SECTION I COCKPIT 4. EQUIPMENT CHECKLIST

ITEM NO. 1 NOMENCLATURE RECEIVER RADIO - R-1496A/ARN-89 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 2 NOMENCLATURE DISPLACEMENT GYRO - CN-1314/A (9000C) QTY REQ 2

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 3 NOMENCLATURE GYRO, DIRECTIONAL - CN-998/ASN-43 QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 4 NOMENCLATURE SIGNAL DATA CONVERTER - CV-3338A/ASN-128B QTY REQ 1

CHECK NUMBER 1. 0 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 5 NOMENCLATURE MOUNTING FOR KIT-1A/1C/TSEC - MT-3949A/U QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 6 NOMENCLATURE RECEIVER - R-2139/ARN-123(V) QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 7 NOMENCLATURE MOUNTING - MT-4834/ARN-123(V) QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 8 NOMENCLATURE COMMAND INSTR SYS PROCESSOR - 70600-01038-101 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 9 NOMENCLATURE MOUNTING RACK - 70600-01038-102 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 10 NOMENCLATURE MOUNT FOR TSEC/KY-58 - 5290279-502 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 11 NOMENCLATURE #2 VHF-FM ANTENNA - AS-4171/ARC QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 12 NOMENCLATURE SAS AMPLIFIER - 70901-02908-104 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. DA FORM 2408-17-SG, NOV 1991 AIRCRAFT INVENTORY RECORD APD PE V2.00 EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1334 UTC FOUO page 1 of 19 Page ______2 of ______13 1. SERIAL NUMBER 2. MODEL 3. AREA NAME 8624494 UH-60A SECTION I COCKPIT 4. EQUIPMENT CHECKLIST

ITEM NO. 13 NOMENCLATURE RATE GYRO ASSEMBLY - 70600-01047-041 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 14 NOMENCLATURE RATE GYRO - TRU-2A/A QTY REQ 2

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 15 NOMENCLATURE BATTERY FOR KY-58 - BA-1372/U QTY REQ 2

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 16 NOMENCLATURE AMPILIFIER IMPEDANCE - AM-4859A/ARN-89 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 17 NOMENCLATURE #2 VHF-FM ANTENNA COUPLER - 70600-01010-104 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 18 NOMENCLATURE VHF/AM ANTENNA FILTER - 70600-01012-102 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 19 NOMENCLATURE VHF/FM ANTENNA FILTER - 70600-01011-103 QTY REQ 2

CHECK NUMBER 1. 2 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 20 NOMENCLATURE RECEIVER RADAR - RT-1193/ASN-128 QTY REQ 1

CHECK NUMBER 1. 0 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 21 NOMENCLATURE ANTENNA - AS-3831/APN-209(V) QTY REQ 2

CHECK NUMBER 1. 2 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 22 NOMENCLATURE GLIDE SLOPE ANTENNA - 70600-01043-101 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 23 NOMENCLATURE #2 VHF-FM, VHF-AM SENSE ANTENNA - 70600-01019-104 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 24 NOMENCLATURE FIRST AID KIT - 6545-00-919-6650 QTY REQ 2

CHECK NUMBER 1. 0 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. DA FORM 2408-17-SG, NOV 1991 AIRCRAFT INVENTORY RECORD APD PE V2.00 EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1334 UTC FOUO page 2 of 19 Page ______3 of ______13 1. SERIAL NUMBER 2. MODEL 3. AREA NAME 8624494 UH-60A SECTION I COCKPIT 4. EQUIPMENT CHECKLIST

ITEM NO. 25 NOMENCLATURE FIRE EXTINGUISHER - FR23-4-11848 QTY REQ 1

CHECK NUMBER 1. 0 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 26 NOMENCLATURE BAROMETERIC ALTIMETER - AAU-31/A-1 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 27 NOMENCLATURE BAROMETERIC ALTIMETER - AAU-32/A QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 28 NOMENCLATURE CREW SEAT - D3801-2 QTY REQ 2

CHECK NUMBER 1. 2 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 29 NOMENCLATURE AIRCRAFT CLOCK - ABU-11A QTY REQ 2

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 30 NOMENCLATURE RECEIVER/TRANSMITTER - RT-1477/ARC-201 QTY REQ 2

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 31 NOMENCLATURE UHF-AM RADIO SET - RT-1518/ARC-164(V) QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 32 NOMENCLATURE INTERPHONE CONTROL - C6533/ARC QTY REQ 2

CHECK NUMBER 1. 2 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 33 NOMENCLATURE RECEIVER/TRANSMITTER - RT-1115D/APN-209 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 34 NOMENCLATURE INDICATOR ALTIMETER - ID-1917C/APN-209 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 35 NOMENCLATURE CONTROL RADIO SET - C-7392/ARN-89 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 36 NOMENCLATURE CONTROL - C-10604(V)6/ARC-186 QTY REQ 2

28 Oct 2020 1334 UTC FOUO page 3 of 19 Page ______4 of ______13 1. SERIAL NUMBER 2. MODEL 3. AREA NAME 8624494 UH-60A SECTION I COCKPIT 4. EQUIPMENT CHECKLIST

ITEM NO. 37 NOMENCLATURE CONTROL - C-11466A/ARC-201 QTY REQ 2

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 38 NOMENCLATURE COMPARATOR SIGNAL DATA - CM482/ARC-186(V) QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 39 NOMENCLATURE MOUNT - MT-6501/ARC-186 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 40 NOMENCLATURE MOUNT REVERSIBLE ARC-186/ARC-201 - 4290268-501 QTY REQ 2

CHECK NUMBER 1. 2 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 41 NOMENCLATURE RECEIVER/TRANSMITTER - RT-1296A/APX-100 QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 42 NOMENCLATURE COMPUTER DISPLAY UNIT - CP-1252C/ASN-128B QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 43 NOMENCLATURE CIVIL NAVIGATION CONTROL - C-10048/ARN-123(V) QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 44 NOMENCLATURE COMPASS SET CONTROLLER - C-8021E/ASN-75 QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 45 NOMENCLATURE RADIO RETRANSMISSION PANEL -70550-01008-042 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 46 NOMENCLATURE MAGNETIC COMPASS - MS17983-4 QTY REQ 1

CHECK NUMBER 1. 2 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 47 NOMENCLATURE OUTSIDE AIR TEMP INDICATOR - MS28028-1 QTY REQ 2

CHECK NUMBER 1. 2 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 48 NOMENCLATURE ARMOR WING PANEL - 70500-01152-093 QTY REQ 1

28 Oct 2020 1334 UTC FOUO page 4 of 19 Page ______5 of ______13 1. SERIAL NUMBER 2. MODEL 3. AREA NAME 8624494 UH-60A SECTION I COCKPIT 4. EQUIPMENT CHECKLIST

ITEM NO. 49 NOMENCLATURE ARMOR WING PANEL - 70500-01152-094 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 50 NOMENCLATURE MISC. SWITCH PANEL - 70450-01090-044 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 51 NOMENCLATURE STABILATOR/FLT CONT PANEL - 70902-01070-048 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 53 NOMENCLATURE DETECTION SET RADAR SIGNAL - AN/APR-39(V) QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 55 NOMENCLATURE AN/AVR-2B(V)1 COMPARATOR CM-493B QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 56 NOMENCLATURE AN/AVR-2B(V)1 SENSOR UNIT SU-130B QTY REQ 2

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 57 NOMENCLATURE AN/AVR-2B(V)1 28 VDC POWER FILTER 704A QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 58 NOMENCLATURE SECURE SPEECH UNIT - TSEC/KY-58 QTY REQ 2

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 59 NOMENCLATURE CONTROL INDICATOR (KY-58) - C-8157/ARC QTY REQ 2

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 60 NOMENCLATURE KY-100 AIRTERM - 0N616736-1 QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 61 NOMENCLATURE CONTROL DISPLAY UNIT - C-12436/URC QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. NOMENCLATURE QTY REQ

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. DA FORM 2408-17-SG, NOV 1991 AIRCRAFT INVENTORY RECORD APD PE V2.00 EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1334 UTC FOUO page 5 of 19 5. VERIFICATION

CHECK CHECK NAME OR PID RANK DATE NAME OR PID RANK DATE NUMBER NUMBER a. b. c. d. a. b. c. d. 1 BRIDGES, ROBERT CIV 27 Oct 20

6. LOCATION OR REMARKS

a. ITEM NUMBER b. LOCATION/REMARKS 3 FOGS GYRO INSTALLED

20 REMOVED PER GOVERNMENT DIRECTIVE

25 REMOVED PRIOR TO AIRCRAFT ARRIVAL TO BEST

24 REMOVED PRIOR TO AIRCRAFT ARRIVAL TO BEST

4 REMOVED PER GOVERNMENT DIRECTIVE

2 SINGLE AHRS INSTALLED

REVERSE OF DA FORM 2408-17-SG, NOV 1991 APD PE v2.00

28 Oct 2020 1334 UTC FOUO page 6 of 19 Page ______6 of ______13 1. SERIAL NUMBER 2. MODEL 3. AREA NAME 8624494 UH-60A SECTION II CABIN 4. EQUIPMENT CHECKLIST

ITEM NO. 1 NOMENCLATURE CARGO HOOK, FE-7590-145 70800-02503-111 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 2 NOMENCLATURE MARKER BEACON ANTENNA - 70600-02011-103 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 3 NOMENCLATURE FM HOMING ANTENNA ASSY - 70600-02017-104 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 4 NOMENCLATURE FM HOMING ANTENNA ASSY - 70600-02017-105 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 5 NOMENCLATURE FIRST AID KIT - 6545-00919-6650 QTY REQ 1

CHECK NUMBER 1. 0 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 6 NOMENCLATURE FIRE EXTINGUISHER - FR23-4-11848 QTY REQ 1

CHECK NUMBER 1. 0 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 7 NOMENCLATURE CRASH AXE - 56D6221 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 8 NOMENCLATURE HAND SET - H-250/U QTY REQ 1

CHECK NUMBER 1. 0 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 9 NOMENCLATURE SLAB BATTERY -D8565/11-1 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 10 NOMENCLATURE INTERPHONE CONTROL - C6533/ARC QTY REQ 3

CHECK NUMBER 1. 3 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 11 NOMENCLATURE ADAPTER FUEL DRAIN - 70307-03018-102 QTY REQ 1

CHECK NUMBER 1. 0 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 12 NOMENCLATURE LOCK ASSY BLADE TIEDOWN - 70700-20369-041 QTY REQ 4

CHECK NUMBER 1. 4 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. DA FORM 2408-17-SG, NOV 1991 AIRCRAFT INVENTORY RECORD APD PE V2.00 EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1334 UTC FOUO page 7 of 19 Page ______7 of ______13 1. SERIAL NUMBER 2. MODEL 3. AREA NAME 8624494 UH-60A SECTION II CABIN 4. EQUIPMENT CHECKLIST

ITEM NO. 13 NOMENCLATURE PLUG ASSY INTAKE - HIRSS SUPP - 70700-20515-041/042 QTY REQ 2

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 14 NOMENCLATURE PLUG ASSY EXHAUST - HIRSS - 70700-20515-043 QTY REQ 2

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 15 NOMENCLATURE PLUG ASSY APU EXHAUST - 70700-20509-041 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 16 NOMENCLATURE COVER ASSY OIL COOLER - 70700-20511-041 QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 17 NOMENCLATURE BLADE FOLD SET - 70700-20412-011 QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 18 NOMENCLATURE COVER PITOT TUBE - 70700-20460-041 QTY REQ 2

CHECK NUMBER 1. 2 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 19 NOMENCLATURE TROOP SEATS - 70500-02151-045 QTY REQ 7

CHECK NUMBER 1. 7 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 20 NOMENCLATURE TROOP SEATS - 70500-02151-047 QTY REQ 3

CHECK NUMBER 1. 3 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 21 NOMENCLATURE RESTRAINT SYSTEM - 70500-02153-103 QTY REQ 10

CHECK NUMBER 1. 10 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 22 NOMENCLATURE GUNNER SEAT - 70500-02152-047 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 23 NOMENCLATURE GUNNER SEAT - 70500-02152-048 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 24 NOMENCLATURE RESTRAINT SYSTEM - 70500-02156-102 QTY REQ 2

CHECK NUMBER 1. 2 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. DA FORM 2408-17-SG, NOV 1991 AIRCRAFT INVENTORY RECORD APD PE V2.00 EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1334 UTC FOUO page 8 of 19 Page ______8 of ______13 1. SERIAL NUMBER 2. MODEL 3. AREA NAME 8624494 UH-60A SECTION II CABIN 4. EQUIPMENT CHECKLIST

ITEM NO. 25 NOMENCLATURE COVER ENGINE INLET - 83DSCC-D006 QTY REQ 2

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 26 NOMENCLATURE FITTING ASSEMBLY - L/H - 70751-02023-043 QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 27 NOMENCLATURE FITTING ASSEMBLY - R/H - 70751-02023-044 QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 28 NOMENCLATURE ICS WALK-AROUND CORD - 70602-02016-041 QTY REQ 1

CHECK NUMBER 1. 0 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 29 NOMENCLATURE PORTABLE INSP. FLOOD LIGHT - 15-0366-1 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 30 NOMENCLATURE HYD. PUMP HANDLE - 15400-50126 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 31 NOMENCLATURE FIRING KEY - 70550-03101-101 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 32 NOMENCLATURE EQUIPMENT LOGBOOK - MIL-D-43064 QTY REQ 2

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 33 NOMENCLATURE COMPUTER LOGBOOK QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 34 NOMENCLATURE WEIGHT AND BALANCE HANDBOOK - TM 55-1500-342-23 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 35 NOMENCLATURE TIEDOWN ASSEMBLY TOW - 70700-20433-045 QTY REQ 4

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 43 NOMENCLATURE INTERNAL RESCUE HOIST 42305-5 QTY REQ 1

28 Oct 2020 1334 UTC FOUO page 9 of 19 Page ______9 of ______13 1. SERIAL NUMBER 2. MODEL 3. AREA NAME 8624494 UH-60A SECTION II CABIN 4. EQUIPMENT CHECKLIST

ITEM NO. 52 NOMENCLATURE ELECTRONIC SEQUENCE UNIT - 163290-100-E QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. NOMENCLATURE QTY REQ

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. NOMENCLATURE QTY REQ

28 Oct 2020 1334 UTC FOUO page 10 of 19 5. VERIFICATION

CHECK CHECK NAME OR PID RANK DATE NAME OR PID RANK DATE NUMBER NUMBER a. b. c. d. a. b. c. d. 1 BRIDGES, ROBERT CIV 27 Oct 20

6. LOCATION OR REMARKS

a. ITEM NUMBER b. LOCATION/REMARKS 5 REMOVED PRIOR TO AIRCRAFT ARRIVAL TO BEST

28 REMOVED PRIOR TO AIRCRAFT ARRIVAL TO BEST

8 REMOVED PRIOR TO AIRCRAFT ARRIVAL TO BEST

11 REMOVED PRIOR TO AIRCRAFT ARRIVAL TO BEST

6 REMOVED PRIOR TO AIRCRAFT ARRIVAL TO BEST

32 ONE GREEN LOGBOOK

REVERSE OF DA FORM 2408-17-SG, NOV 1991 APD PE v2.00

28 Oct 2020 1334 UTC FOUO page 11 of 19 Page ______10 of ______13 1. SERIAL NUMBER 2. MODEL 3. AREA NAME 8624494 UH-60A SECTION III TRANSITION SECTION 4. EQUIPMENT CHECKLIST

ITEM NO. 1 NOMENCLATURE ANTENNA LOOP - AS-2108A/ARN-89 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 2 NOMENCLATURE IFF ANTENNA - 70600-02010-103 QTY REQ 2

CHECK NUMBER 1. 2 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 3 NOMENCLATURE UHF/AM ANTENNA - 70600-03002-104 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 4 NOMENCLATURE PUMP FUEL SAMPLER - 82829/4P156-3 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 5 NOMENCLATURE COMPENSATOR MAGNETIC FLUX - CN-405/ASN QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 6 NOMENCLATURE COMPASS TRANSMITTER - T-611/ASN-43 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 7 NOMENCLATURE GPS ANTENNA - 22433-40 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 8 NOMENCLATURE HF AMPLIFIER - AM-7531/URC QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 9 NOMENCLATURE RECEIVER/TRANSMITTER HF - RT-1749/URC QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 10 NOMENCLATURE AN/AVR-2B(V)1 SENSOR UNIT SU-130B QTY REQ 2

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. 54 NOMENCLATURE IR JAMMER COUNTERMEASURES SET - AN/ALQ-144A(V) QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. NOMENCLATURE QTY REQ

28 Oct 2020 1334 UTC FOUO page 12 of 19 5. VERIFICATION

CHECK CHECK NAME OR PID RANK DATE NAME OR PID RANK DATE NUMBER NUMBER a. b. c. d. a. b. c. d. 1 BRIDGES, ROBERT CIV 27 Oct 20

6. LOCATION OR REMARKS

a. ITEM NUMBER b. LOCATION/REMARKS 54 RMVD FOR CMWS

REVERSE OF DA FORM 2408-17-SG, NOV 1991 APD PE v2.00

28 Oct 2020 1334 UTC FOUO page 13 of 19 Page ______11 of ______13 1. SERIAL NUMBER 2. MODEL 3. AREA NAME 8624494 UH-60A SECTION IV TAIL CONE 4. EQUIPMENT CHECKLIST

ITEM NO. 1 NOMENCLATURE VOR/LOC ANTENNA - 70600-05002-101 QTY REQ 2

CHECK NUMBER 1. 2 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 2 NOMENCLATURE IFM AMPLIFIER - AM-7189A/ARC QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 3 NOMENCLATURE MOUNT IFM AMPLIFIER - MT-6592/ARC QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 4 NOMENCLATURE HF ANTENNA - 4700516-30 QTY REQ 1

CHECK NUMBER 1. 1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

ITEM NO. 5 NOMENCLATURE DISPENSER GENERAL PURPOSE AIRCRAFT M130 QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. NOMENCLATURE QTY REQ

28 Oct 2020 1334 UTC FOUO page 14 of 19 5. VERIFICATION

CHECK CHECK NAME OR PID RANK DATE NAME OR PID RANK DATE NUMBER NUMBER a. b. c. d. a. b. c. d. 1 BRIDGES, ROBERT CIV 27 Oct 20

6. LOCATION OR REMARKS

a. ITEM NUMBER b. LOCATION/REMARKS

REVERSE OF DA FORM 2408-17-SG, NOV 1991 APD PE v2.00

28 Oct 2020 1334 UTC FOUO page 15 of 19 Page ______12 of ______13 1. SERIAL NUMBER 2. MODEL 3. AREA NAME 8624494 UH-60A SECTION V TAIL ROTOR PYLON 4. EQUIPMENT CHECKLIST

ITEM NO. 1 NOMENCLATURE TROOP COMMANDER ANTENNA - 70600-06001-104 QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. NOMENCLATURE QTY REQ

28 Oct 2020 1334 UTC FOUO page 16 of 19 5. VERIFICATION

CHECK CHECK NAME OR PID RANK DATE NAME OR PID RANK DATE NUMBER NUMBER a. b. c. d. a. b. c. d. 1 BRIDGES, ROBERT CIV 27 Oct 20

6. LOCATION OR REMARKS

a. ITEM NUMBER b. LOCATION/REMARKS

REVERSE OF DA FORM 2408-17-SG, NOV 1991 APD PE v2.00

28 Oct 2020 1334 UTC FOUO page 17 of 19 Page ______13 of ______13 1. SERIAL NUMBER 2. MODEL 3. AREA NAME 8624494 UH-60A UNIT UNIQUE INVENTORY ITEMS 4. EQUIPMENT CHECKLIST

ITEM NO. 1 NOMENCLATURE BFT PALLET ASSEMBLY - 040537-001 QTY REQ 1

CHECK NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ITEM NO. NOMENCLATURE QTY REQ

28 Oct 2020 1334 UTC FOUO page 18 of 19 5. VERIFICATION

CHECK CHECK NAME OR PID RANK DATE NAME OR PID RANK DATE NUMBER NUMBER a. b. c. d. a. b. c. d. 1 BRIDGES, ROBERT CIV 27 Oct 20

6. LOCATION OR REMARKS

a. ITEM NUMBER b. LOCATION/REMARKS

REVERSE OF DA FORM 2408-17-SG, NOV 1991 APD PE v2.00

28 Oct 2020 1334 UTC FOUO page 19 of 19 Page 1 of 6

1. NOMENCLATURE 2. MODEL 3. SERIAL NUMBER HCPTR UTILITY UH-60A UH-60A 8624494

4. 5. 6. 7. 8. 9. INSP NO ITEM TO BE INSPECTED REFERENCE FREQUENCY NEXT DUE COMPLETED AT

PERFORM M/R SPINDLE LUGS, M/R CUFF, TIP CAPS A020 TM 1-1520-237-PMD 10 H 6543.3 6533.3 INSPECTION

A022 14 DAY FLYABLE STORAGE ENGINE RUN UP TM 1-1520-237-23&P 14 D 27 Oct 2020 13 Oct 2020

REQUIRE DOWNLOAD AND TRANSMIT OF IVHMS FULL A045 H-60-11-AMAM-03 40 H 6545.7 6505.7 RAW DATA FOR OIL COOLER FANS IN TBO EXTENSION ONLY A092 30 DAY SLAB BATTERY INSPECTION (D8565/11-1) TM 11-6140-203-23 P 30 D 05 Nov 2020 06 Oct 2020

A100 LH/RH ENGINE HISTORY RECORDER READINGS DUE DA PAM 738-751 30 D 15 Nov 2020 16 Oct 2020

A103 AIRCRAFT WASH DUE TM 1-1500-344-23 30 D 21 Oct 2020 21 Sep 2020

A110 PMS 40 HOUR INSPECTION TM 1-1520-237-PMS 40 H 6562.4 6523.6

A115 LUBE REQUIRMENTS TM 1-1520-237-23&P 30 D 21 Oct 2020 21 Sep 2020

A115 LUBE REQUIRMENTS TM 1-1520-237-23&P 40 H 6566.8 6526.8

A116 INTERMEDIATE GEARBOX OIL SAMPLE H-60-10-AMAM-11 480 H 6842.5 6362.5

A116 INTERMEDIATE GEARBOX OIL SAMPLE H-60-10-AMAM-11 12 M 16 Oct 2020 16 Oct 2019

A117 TAIL GEARBOX OIL SAMPLE H-60-10-AMAM-11 480 H 6842.5 6362.5

A117 TAIL GEARBOX OIL SAMPLE H-60-10-AMAM-11 12 M 17 Oct 2020 17 Oct 2019

A160 90 DAY CORROSION INSPECTION TM 1-1520-237-23&P 90 D 27 Dec 2020 28 Sep 2020

FREQUENCY LEGEND: H = ACFT HRS D = DAYS M = MONTHS Y = YEARS R = ROUNDS C = CYCLES S = STARTS A = APU OPERATING HOURS P = APU STARTS F = HOT SECTION FACTORS DA FORM 2408-18-SG, OCT 97 EQUIPMENT INSPECTION LIST DA FORM 2408-18, NOV 91, MAY BE USED For use of this form see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1335 UTC FOUO page 1 of 6 Page 2 of 6

1. NOMENCLATURE 2. MODEL 3. SERIAL NUMBER HCPTR UTILITY UH-60A UH-60A 8624494

4. 5. 6. 7. 8. 9. INSP NO ITEM TO BE INSPECTED REFERENCE FREQUENCY NEXT DUE COMPLETED AT

A177 90 DAY REVIEW/UPDATE OF 365-4 ENTRIES AR 95-1 90 D 30 Nov 2020 01 Sep 2020

A210 120 HOUR INSPECTION REQUIREMENTS TM 1-1520-237-23&P 120 H 6565.3 6443.4

A213 ENGINE COMPRESSOR CLEANING TM 1-2840-248-23 120 H 6565.3 6443.4

A214 CLEAN TAIL WHEEL ADAPTER TM 1-1520-237-23&P 120 H 6565.3 6443.4

A222 AMSS SURVIVAL KIT INSPECTION TM 1-1680-377-13 P 360 D 28 Sep 2021 03 Oct 2020

INSPECT BATTERY COMPARTMENT FOR CORROSION A230 MWO 1-1520-237-50-77 120 D 29 Jan 2021 01 Oct 2020 (SLAB)

A295 STABILATOR ACTUATOR ASSY LUBE TM 1-1520-237-23&P 360 H 6568.4 6208.4

A296 INSPECT STABILATOR ATTACH FITTINGS TM 1-1520-237-23P 360 H 6821.2 6463.4

A298 LUBRICATE TAIL WHEEL BEARINGS TM 1-1520-237-23&P 480 H 6837.1 6357.1

A298 LUBRICATE TAIL WHEEL BEARINGS TM 1-1520-237-23&P 12 M 04 Oct 2020 04 Oct 2019

A299 LUBRICATE SWASHPLATE TM 1-1520-237-23&P 480 H 6834.1 6354.1

A299 LUBRICATE SWASHPLATE TM 1-1520-237-23&P 12 M 04 Oct 2020 04 Oct 2019

A320 ENGINE INSPECTION CLEANING TM 1-2840-248-23 480 H 6685.3 6205.3

A399 PMI DUE TM 1-1520-237-PMI 48 M 04 Oct 2022 04 Oct 2018

28 Oct 2020 1335 UTC FOUO page 2 of 6 Page 3 of 6

1. NOMENCLATURE 2. MODEL 3. SERIAL NUMBER HCPTR UTILITY UH-60A UH-60A 8624494

4. 5. 6. 7. 8. 9. INSP NO ITEM TO BE INSPECTED REFERENCE FREQUENCY NEXT DUE COMPLETED AT

A400 PMI-1 TM 1-1520-237-PMI 960 H 6685.3 6205.3

A401 PMI-2 TM 1-1520-237-PMI 960 H 7165.3 6205.3

960 HOUR LUBE REQUIRMENTS (PMI-2, AREA 5 AND A408 TM 1-1520-237-PMI 960 H 6685.3 5725.3 6) 960 HOUR LUBE REQUIRMENTS (PMI-1, AREA 1 THRU A410 TM 1-1520-237-PMI 960 H 7165.3 6205.3 4)

A415 MAIN GEARBOX OIL SAMPLE- PART # 073, 074, 076 H-60-10-AMAM-11 960 H 6762.5 5802.5

A440 CLEAN TAIL WHEEL LOCKPIN TM 1-1520-237-23&P 480 H 6685.3 6205.3

A470 REPLACE NUMBER TWO CROSSFEED VALVE TM 1-1520-237-23&P 1500 H 7302.5 5802.5

A471 REPLACE T/R SHAFT SUPPORT BEARINGS (FWD) TM 1-1520-237-23&P 2880 H 7260.0 4380.0

A472 REPLACE T/R SHAFT SUPPORT BEARINGS (CENTER) TM 1-1520-237-23&P 2880 H 7260.0 4380.0

A473 REPLACE T/R SHAFT SUPPORT BEARINGS (AFT) TM 1-1520-237-23&P 2880 H 7260.0 4380.0

REPLACEMENT OF RIGHT HAND TIE ROD A476 TM 1-1520-237-23&P 5000 H 7752.9 2752.9 ATTACHMENT BOLTS

A477 REPLACEMENT OF STABILATOR ACTUATOR BOLTS TM 1-1520-237-23&P 5000 H 11205.3 6205.3

A480 REPLACE PIVOT BOLT 70400-08159-101,102,103,104 TM 1-1520-237-23&P 10000 H 12879.4 2879.4

REPLACE BELLCRANK BOLT A485 TM 1-1520-237-23&P 10000 H 12397.4 2397.4 70400-08159-105,106,107,108 FREQUENCY LEGEND: H = ACFT HRS D = DAYS M = MONTHS Y = YEARS R = ROUNDS C = CYCLES S = STARTS A = APU OPERATING HOURS P = APU STARTS F = HOT SECTION FACTORS DA FORM 2408-18-SG, OCT 97 EQUIPMENT INSPECTION LIST DA FORM 2408-18, NOV 91, MAY BE USED For use of this form see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1335 UTC FOUO page 3 of 6 Page 4 of 6

1. NOMENCLATURE 2. MODEL 3. SERIAL NUMBER HCPTR UTILITY UH-60A UH-60A 8624494

4. 5. 6. 7. 8. 9. INSP NO ITEM TO BE INSPECTED REFERENCE FREQUENCY NEXT DUE COMPLETED AT

CF3BR FIRE EXTINGUISHER WEIGHT TEST A496 TM 1-1520-237-23&P 6 M 29 Jan 2021 29 Jul 2020 INSPECTION

A501 MAIN ROTOR BLADE SPAR PRESSURE CHECK TM 1-1520-237-23&P 6 M 04 Apr 2021 04 Oct 2020

INSPECT AND TEST GROUND RECEPTACLE IAW TM A502 TM 1-1520-237-23&P 6 M 28 Mar 2021 28 Sep 2020 1-1500-204-23 AIRCRAFT EQUIPMENT INVENTORY (DA FORM A530 DA PAM 738-751 12 M 05 Aug 2021 05 Aug 2020 2408-17)

A532 COMPASS SWING / RMI TM 1-1500-204-23-4 12 M 05 Aug 2021 05 Aug 2020

A533 PITOT STATIC SYSTEM INSPECTION TM 1-1520-237-23&P 12 M 21 Nov 2020 21 Nov 2019

A534 FIRST AID KIT INSPECTION TM 1-1500-204-23-1 12 M 01 May 2021 01 May 2020

A538 FAT/OAT GAUGE INSPECTION/TEST TM 1-1520-237-23&P 12 M 07 Jul 2021 07 Jul 2020

A541 REPLACE DIGITAL CLOCK BATTERY TM 1-1520-237-23&P 12 M 04 Aug 2021 04 Aug 2020

A550 REPLACE IVHMU AA LITHIUM BATTERY AWR1346R25/AWR1823R6 12 M 05 Dec 2020 05 Dec 2019

A553 AIRCRAFT WEIGHING INVENTORY (365-1) AR 95-1 12 M 03 Jun 2021 03 Jun 2020

RETURN SLAB TO AVIM FOR CAPACITY CHECK (EVERY A580 TM 11-6140-203-23 P 24 M 03 Jun 2021 03 Jun 2019 24 MONTH)

A621 AIRCRAFT WEIGHING CLASS 2 AR 95-1 24 M 05 Mar 2021 05 Mar 2019

A625 REPLACEMENT OF SLAB BATTERY (SLAB) TM 11-6140-203-23 P 60 M 17 Jan 2024 17 Jan 2019

28 Oct 2020 1335 UTC FOUO page 4 of 6 Page 5 of 6

1. NOMENCLATURE 2. MODEL 3. SERIAL NUMBER HCPTR UTILITY UH-60A UH-60A 8624494

4. 5. 6. 7. 8. 9. INSP NO ITEM TO BE INSPECTED REFERENCE FREQUENCY NEXT DUE COMPLETED AT

A630 MAIN FIRE BOTTLE #1, CARTRIDGE, DODIC MH92 TB 9-1300-385 CHG 22 114 M 01 May 2026 01 Nov 2016

A633 RESERVE FIRE BOTTLE #1, CARTRIDGE, DODIC MH92 TB 9-1300-385 CHG 22 114 M 09 Apr 2028 09 Oct 2018

A638 RESERVE FIRE BOTTLE #2, CARTRIDGE DODIC MH92 TB 9-1300-385 CHG 22 114 M 09 Apr 2028 09 Oct 2018

A640 MAIN FIRE BOTTLE #2 CARTRIDGE, DODIC MH92 TB 9-1300-385 CHG 22 114 M 01 May 2026 01 Nov 2016

A648 REPLACE T/R SPRING CAPSULE ASSY TM 1-1520-237-23P 180 M 08 Mar 2032 08 Mar 2017

A665 REPLACE FUEL CELL O-RING SEAL PN MS29513-215 H-60-14-AMAM-18 48 M 10 Jul 2024 10 Jul 2020

A670 CABIN TUB INSPECTION TM 1-1520-237-23&P 48 M 17 Jul 2024 17 Jul 2020

A673 FUEL CELL CORROSION INSPECTION TM 1-1520-237-23&P 48 M 10 Jul 2024 10 Jul 2020

A675 FLIGHT CONTROL RODS INSPECTION TM 1-1520-237-23&P 48 M 11 Jul 2024 11 Jul 2020

REPLACE MICROCLIMATE COOLING SYSTEM (IF A700 TM 1-1520-237-23&P 240 M 11 Aug 2025 11 Aug 2005 INSTALLED)

E015 ASN 128D DOPPLER GPS BATTERY REPLACEMENT MWO 1-1520-237-50-92 180 D 06 Jan 2021 10 Jul 2020

APR-39 RADAR/LASER WARNING OPNL CHECK, E040 TM 11-5841-294-12 90 D 20 Nov 2020 22 Aug 2020 5841-01-236-8951

E108 KY-58 PMCS/OPNL CHECK (STANDBY) TM 11-5810-262-23 30 D 08 Nov 2020 09 Oct 2020

E125 KY-58 PMCS/OPNL CHECK TM 11-5810-262-23 90 D 08 Dec 2020 09 Sep 2020

28 Oct 2020 1335 UTC FOUO page 5 of 6 Page 6 of 6

1. NOMENCLATURE 2. MODEL 3. SERIAL NUMBER HCPTR UTILITY UH-60A UH-60A 8624494

4. 5. 6. 7. 8. 9. INSP NO ITEM TO BE INSPECTED REFERENCE FREQUENCY NEXT DUE COMPLETED AT

E135 AN/ARC-201(V) SINCGARS RADIO HUB BATT REPL TM 11-5821-333-12 6 M 17 Jan 2021 17 Jul 2020

E155 KY-58 BATTERY REPLACEMENT TM 11-5810-262-23 180 D 10 Jan 2021 14 Jul 2020

EMERGENCY LOCATOR TRANSMITTER SELF-TEST (AS E220 AWR 1516 R12 30 D 13 Nov 2020 14 Oct 2020 REQUIRED) EMERGENCY LOCATOR TRANSMITTER SELF-TEST (AS E220 AWR 1516 R12 120 H 6653.3 6533.3 REQUIRED) EMERGENCY LOCATOR TRANSMITTER (ELT) E222 GEN-16-AMAM-05 24 M 01 Aug 2022 01 Aug 2020 REGISTRATION UPDATE EMERGENCY LOCATOR TRANSMITTER G-SWITCH E320 AWR 1516 R12 360 D 23 Aug 2021 28 Aug 2020 (EBC-406HM) REPLACEMENT OF ELT BATTERY PN GS-46 E325 AWR 1516 R12 60 M 05 Dec 2023 05 Dec 2018 (EBC-406HM) UNDER WATER ACOUSTIC BEACON BATTERY E330 AWR1346R25/AWR1823R6 6 Y 03 Mar 2021 03 Mar 2015 REPLACEMENT

E331 UNDER WATER ACOUSTIC BEACON TEST AND CLEAN TM 1-1520-237-23P 480 H 7010.8 6530.8

E331 UNDER WATER ACOUSTIC BEACON TEST AND CLEAN TM 1-1520-237-23P 6 M 27 Mar 2021 27 Sep 2020

E357 REPLACE APX-123 TRANSPONDER SAFT BATTERY TM 11-5895-1841-13P 12 M 25 Mar 2021 25 Mar 2020

28 Oct 2020 1335 UTC FOUO page 6 of 6 Page 1 of 1 1. NOMENCLATURE 2. ENGINE MODEL 3. ENGINE SERIAL NUMBER Engine T700-GE-701D GEE761743C 4. 5. 6. 7. 8. 9. 10. TORQUE 11. 12. AIRCRAFT ENGINE FAT PRESS NG% TGT DATE ACT TTV ETF REMARKS SERIAL NUMBER TIME °C ALT 866 +- 4 19 Mar 09 9126326 153 12 1500 100.1 130.0 128.0 1.000 865 POST PHASE FLIGHT. MP LIMITS=+20-20

14 Oct 11 9126326 620 15 2000 100.3 126.0 122.0 1.000 866 POST PHASE / NORMAL TEAC / TGT ACCEPTABLE LIMITS=(21/-19)

15 Jun 12 9126326 759 25 3000 100.5 124.0 124.0 1.000 657 #2 ENG HMU/DEC REPLACEMENT

22 Feb 13 9126326 2395 -1 6000 102.0 123.0 113.0 1.000 876 #2 ENGINE REINSTALL

25 Mar 15 9126326 1169 0 5000 100.4 121.0 116.0 1.040 871 POST OCM

21 Dec 15 9126326 1309 7 4000 100.3 121.0 119.0 1.000 868 REMOVE/REINSTALL #1 ENGINE

16 May 16 9126326 1363 5 3500 101.0 123.0 122.0 1.010 868 VERIFY MAX POWER AND CONTINGENCY TGT FOR REPLACMENT EDECU ON #1 ENGINE

11 Jul 18 9126326 1775 22 2000 101.0 123.0 120.0 1.000 870 RESET HIT BASELINE

05 Apr 19 9126326 1871 10 2500 100.0 126.0 124.0 1.000 866 REMOVED AND REPLACED #1 ENG

DA FORM 2408-19-2-SG, DEC 91 T700 SERIES TURBINE ENGINE ANALYSIS CHECK RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1335 UTC FOUO page 1 of 3 Page 1 of 2 1. NOMENCLATURE 2. ENGINE MODEL 3. ENGINE SERIAL NUMBER Engine T700-GE-701D GEE767424C 4. 5. 6. 7. 8. 9. 10. TORQUE 11. 12. AIRCRAFT ENGINE FAT PRESS NG% TGT DATE ACT TTV ETF REMARKS SERIAL NUMBER TIME °C ALT 866 +- 4 08 Jun 10 8323897 6 16 6000 100.5 110.0 107.0 1.030 870 NEW ENGINE INSTALLED 701D

16 Jun 10 8323897 14 19 6000 100.0 109.0 106.0 1.000 878 VERIFICATION OF IVHMS

04 Aug 10 8323897 16 24 4017 100.0 119.0 113.0 1.030 878 POST PHASE/POST RESET

15 Jul 11 8323897 343 39 2500 102.0 112.0 110.0 1.020 863 POST PMI 2

06 Sep 11 8323897 458 30 4736 101.0 108.0 108.0 1.000 878 EIBF INSTALED #1=1.00X1.02=1.02

04 Feb 12 8323897 655 6 7400 100.1 104.0 104.0 1.000 876 COMPLETED FOR REBASELINE

16 May 12 8323897 688 35 2500 101.7 113.0 115.0 1.000 872 POST PMI. MAX PWR CHECK PERFORMED WITH EIBF INSTALLED BYPASS DOORS OPEN. 113 X 1.02=115.26 09 Apr 13 8323897 803 17 5607 101.0 116.0 108.0 1.070 871 POST RESET MTF

08 Nov 13 8323897 955 11 7743 100.0 105.0 102.0 1.000 864 BASELINE PER MAINTENANCE OFFICER

DA FORM 2408-19-2-SG, DEC 91 T700 SERIES TURBINE ENGINE ANALYSIS CHECK RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1335 UTC FOUO page 2 of 3 Page 2 of 2 1. NOMENCLATURE 2. ENGINE MODEL 3. ENGINE SERIAL NUMBER Engine T700-GE-701D GEE767424C 4. 5. 6. 7. 8. 9. 10. TORQUE 11. 12. AIRCRAFT ENGINE FAT PRESS NG% TGT DATE ACT TTV ETF REMARKS SERIAL NUMBER TIME °C ALT 866 +- 4 21 Sep 16 8323897 2044 20 5000 100.0 110.0 110.0 1.000 867 PMI 2

20 Oct 16 8323897 1469 11 9000 101.0 100.0 96.0 1.040 872 POST PMI 2

26 Jan 17 8323897 1485 7 4600 100.0 118.0 116.0 1.010 869 NEW BASELINE REQUIRED

22 Mar 18 8323897 1609 3 6243 102.0 117.0 112.0 1.040 873 HIT BASELINE DUE TO LOSS OF DATA

16 Nov 18 8323897 2261 12 4440 101.0 119.0 119.0 1.000 864 MAX POWER PERFORMED IN CONJUNCTION WITH HIT BASELINE.

04 Oct 19 8323897 2422 24 4148 100.0 112.0 112.0 1.000 853 in conjunction with new baseline this date

DA FORM 2408-19-2-SG, DEC 91 T700 SERIES TURBINE ENGINE ANALYSIS CHECK RECORD For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1335 UTC FOUO page 3 of 3 PAGE ______1 of ______1. PERIOD ENDING DATE (Julian) 2. ORGANIZATION REQUIREMENT CONTROL SYMBOL CSGLD-1052 0320 BEST 3. UIC 4. LOCATION 5. TELEPHONE NUMBER W6DQUH Huntsville,AL (256)123-3456 6. AIRCRAFT SERIAL NO. 7. AIRCRAFT 8. ENGINE SERIAL NO. 9. POS 10. LCF-1 11. LCF-2 12. T/T 1 13. OP HRS 14. HIST RCDR S/N HOURS

8624494 6534.8 GEE761743C 1 1042 3906 7432 2180 LMDH8489

GEE767424C 2 1038 4215 6135 1924 LMDH3265

DA FORM 2408-19-3-SG, DEC 91 ENGINE COMPONENT OPERATING HOURS RECORD

28 Oct 2020 1501 UTC FOUO page 1 of 1 PAGE ______1 of ______2 1. END ITEM 2. SAMPLE 3. COMPONENT FREQUENCY a. NOMENCLATURE a. NOMENCLATURE AND TYPE HCPTR UTILITY UH-60A 480.0 AUXILIARY POWER UNIT b. MAKE OR TYPE b. SERIAL NUMBER d. ACFT HRS LAST OIL CHANGE UH-60A SPE041054 4297.7 c. SERIAL NUMBER c. TIME SINCE NEW OR OVERHAUL e. ACFT HRS INSTALLED 8624494 112.0 6516.0 4. 5. 6. 7. 8. HOURS RESULTS RECEIVED DATE REASON SAMPLE LAST OIL FOR RESULTS SUBMITTED END ITEM COMPONENT CHANGE SAMPLE DATE PID a. b. c. a. b. 04 Nov 18 4390.5 768.8 92.8 Routine NORMAL 07 Nov 18 Conversion, Ulls

04 Nov 17 4297.7 743.0 124.7 Special NORMAL 08 Nov 17 Conversion, Ulls

DA FORM 2408-20-SG, OCT 97 OIL ANALYSIS LOG DA FORM 2408-20, DEC 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1342 UTC FOUO page 1 of 13 -SG

28 Oct 2020 1342 UTC FOUO page 2 of 13 PAGE ______1 of ______5 1. END ITEM 2. SAMPLE 3. COMPONENT FREQUENCY a. NOMENCLATURE a. NOMENCLATURE AND TYPE HCPTR UTILITY UH-60A 480.0 INTERMEDIATE GEARBOX b. MAKE OR TYPE b. SERIAL NUMBER d. ACFT HRS LAST OIL CHANGE UH-60A A005-00122 6004.0 c. SERIAL NUMBER c. TIME SINCE NEW OR OVERHAUL e. ACFT HRS INSTALLED 8624494 2162.0 2897.0 4. 5. 6. 7. 8. HOURS RESULTS RECEIVED DATE REASON SAMPLE LAST OIL FOR RESULTS SUBMITTED END ITEM COMPONENT CHANGE SAMPLE DATE PID a. b. c. a. b. 02 Nov 18 6216.0 5481.0 204.0 Special Normal 13 Nov 18 Conversion, Ulls

13 Oct 18 6207.0 5472.0 203.0 Routine Abnormal, Water exceeds PPM Limit, Resample23 Oct at the18 Conversion, Ulls

29 Nov 17 6004.0 5269.0 19.0 Special NORMAL 08 Dec 17 BRASWELL, SIDNEY

26 Oct 17 5985.0 5250.0 185.0 Special ABNORMAL 15 Nov 17 Conversion, Ulls

21 Oct 17 5985.0 5250.0 3.0 Routine ENTRY ERROR 15 Nov 17 Conversion, Ulls

17 Oct 17 5978.0 5243.0 176.0 Routine ABNORMAL 24 Oct 17 Conversion, Ulls

03 Nov 16 5802.5 5067.5 169.7 Routine NORMAL 14 Nov 16 HENKLEIN, JOHN

06 Dec 15 5632.8 4897.8 9.2 Special NORMAL 11 Dec 15 DUBOIS, WILLIAM

16 Oct 15 5624.0 4889.0 170.0 Routine ABNORMAL 19 Nov 15 BRASWELL, SIDNEY

10 Oct 14 5453.3 4718.3 194.5 Routine NORMAL 15 Oct 14 DUBOIS, WILLIAM

16 Oct 13 5259.0 4524.0 56.0 Special NO_RESULTS 16 Oct 13 COBB, TALMADGE

16 Oct 13 5258.8 4523.8 55.8 Special NORMAL 29 Oct 13 COBB, TALMADGE

DA FORM 2408-20-SG, OCT 97 OIL ANALYSIS LOG DA FORM 2408-20, DEC 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1342 UTC FOUO page 3 of 13 PAGE ______2 of ______5 1. END ITEM 2. SAMPLE 3. COMPONENT FREQUENCY a. NOMENCLATURE a. NOMENCLATURE AND TYPE HCPTR UTILITY UH-60A 480.0 INTERMEDIATE GEARBOX b. MAKE OR TYPE b. SERIAL NUMBER d. ACFT HRS LAST OIL CHANGE UH-60A A005-00122 6004.0 c. SERIAL NUMBER c. TIME SINCE NEW OR OVERHAUL e. ACFT HRS INSTALLED 8624494 2162.0 2897.0 4. 5. 6. 7. 8. HOURS RESULTS RECEIVED DATE REASON SAMPLE LAST OIL FOR RESULTS SUBMITTED END ITEM COMPONENT CHANGE SAMPLE DATE PID a. b. c. a. b. 08 Jan 13 5176.0 4441.0 433.0 Special ABNORMAL 19 Jan 13 COBB, TALMADGE

29 Nov 12 5167.0 4432.0 424.0 Special ABNORMAL 05 Dec 12 DUBOIS, WILLIAM

16 Aug 12 5095.0 4360.0 352.0 Routine NORMAL 24 Aug 12 HUST, ANTHONY

07 Apr 10 4743.0 4008.0 0.0 Special NORMAL 12 Apr 10 RODRIGUEZ, ARIEL

28 Jan 10 4740.0 4005.0 557.0 Special ABNORMAL 02 Feb 10 GRELL, BRIAN

05 Oct 09 4697.2 0.0 Routine NORMAL 15 Oct 09 DELGADO, ALFREDO

13 Aug 09 4656.0 3921.0 473.0 Routine ABNORMAL 20 Aug 09 DELGADO, ALFREDO

22 Jul 09 4636.0 3901.0 453.0 Special NORMAL 03 Aug 09 DELGADO, ALFREDO

16 Jul 09 4622.0 3887.0 439.0 Routine ABNORMAL 20 Jul 09 DELGADO, ALFREDO

11 Jun 09 4580.0 3845.0 397.0 Routine NORMAL 18 Jun 09 DELGADO, ALFREDO

21 May 09 4540.0 3805.0 357.0 Routine ABNORMAL 29 May 09 DELGADO, ALFREDO

24 Mar 09 4506.0 3771.0 323.0 Routine NORMAL 30 Mar 09 DELGADO, ALFREDO

DA FORM 2408-20-SG, OCT 97 OIL ANALYSIS LOG DA FORM 2408-20, DEC 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1342 UTC FOUO page 4 of 13 PAGE ______3 of ______5 1. END ITEM 2. SAMPLE 3. COMPONENT FREQUENCY a. NOMENCLATURE a. NOMENCLATURE AND TYPE HCPTR UTILITY UH-60A 480.0 INTERMEDIATE GEARBOX b. MAKE OR TYPE b. SERIAL NUMBER d. ACFT HRS LAST OIL CHANGE UH-60A A005-00122 6004.0 c. SERIAL NUMBER c. TIME SINCE NEW OR OVERHAUL e. ACFT HRS INSTALLED 8624494 2162.0 2897.0 4. 5. 6. 7. 8. HOURS RESULTS RECEIVED DATE REASON SAMPLE LAST OIL FOR RESULTS SUBMITTED END ITEM COMPONENT CHANGE SAMPLE DATE PID a. b. c. a. b. 23 Nov 08 4476.0 3741.0 293.0 Special ABNORMAL 26 Nov 08 DELGADO, ALFREDO

03 Oct 08 4467.0 3732.0 284.0 Routine ABNORMAL 07 Oct 08 DELGADO, ALFREDO

14 Jul 08 4427.0 3692.0 244.0 Routine NORMAL 21 Jul 08 RODRIGUEZ, ARIEL

12 May 08 4390.0 3655.0 207.0 Special NORMAL 14 May 08 WARD, DWIGHT

12 Mar 08 4390.0 3655.0 207.0 Special ABNORMAL 14 Mar 08 WARD, DWIGHT

25 Feb 08 4376.0 3641.0 193.0 Routine NORMAL 03 Mar 08 RODRIGUEZ, ARIEL

03 Dec 07 4341.0 3606.0 158.0 Routine NORMAL 06 Dec 07 RODRIGUEZ, ARIEL

21 Aug 07 4304.0 3569.0 121.0 Special NORMAL 23 Aug 07 BATTELL, KEVIN

08 Aug 07 4301.0 3566.0 118.0 Special ABNORMAL 08 Aug 07 GILL, JAMES

05 Aug 07 4300.0 3565.0 117.0 Routine ABNORMAL 06 Aug 07 GILL, JAMES

19 Jul 07 4256.0 3521.0 73.0 Routine NORMAL 21 Jul 07 RODRIGUEZ, ARIEL

21 Jun 07 4222.0 3487.0 4222.0 Routine NORMAL 25 Jun 07 RODRIGUEZ, ARIEL

DA FORM 2408-20-SG, OCT 97 OIL ANALYSIS LOG DA FORM 2408-20, DEC 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1342 UTC FOUO page 5 of 13 PAGE ______4 of ______5 1. END ITEM 2. SAMPLE 3. COMPONENT FREQUENCY a. NOMENCLATURE a. NOMENCLATURE AND TYPE HCPTR UTILITY UH-60A 480.0 INTERMEDIATE GEARBOX b. MAKE OR TYPE b. SERIAL NUMBER d. ACFT HRS LAST OIL CHANGE UH-60A A005-00122 6004.0 c. SERIAL NUMBER c. TIME SINCE NEW OR OVERHAUL e. ACFT HRS INSTALLED 8624494 2162.0 2897.0 4. 5. 6. 7. 8. HOURS RESULTS RECEIVED DATE REASON SAMPLE LAST OIL FOR RESULTS SUBMITTED END ITEM COMPONENT CHANGE SAMPLE DATE PID a. b. c. a. b. 06 Jun 07 4189.0 3454.0 4189.0 Special NORMAL 09 Jun 07 GILL, JAMES

02 Jun 07 4183.0 3448.0 4183.0 Special NORMAL 04 Jun 07 GILL, JAMES

30 May 07 4183.0 3448.0 4183.0 Routine ABNORMAL 02 Jun 07 UNATOA, EDMOND

27 Apr 07 4142.0 3407.0 4142.0 Routine NORMAL 30 Apr 07 RODRIGUEZ, ARIEL

22 Mar 07 4101.0 3366.0 4101.0 Routine NORMAL 24 Mar 07 GILL, JAMES

DA FORM 2408-20-SG, OCT 97 OIL ANALYSIS LOG DA FORM 2408-20, DEC 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1342 UTC FOUO page 6 of 13 -SG

28 Oct 2020 1342 UTC FOUO page 7 of 13 PAGE ______1 of ______2 1. END ITEM 2. SAMPLE 3. COMPONENT FREQUENCY a. NOMENCLATURE a. NOMENCLATURE AND TYPE HCPTR UTILITY UH-60A 960.0 MAIN TRANSMISSION MODULE b. MAKE OR TYPE b. SERIAL NUMBER d. ACFT HRS LAST OIL CHANGE UH-60A A265-01572 5803.0 c. SERIAL NUMBER c. TIME SINCE NEW OR OVERHAUL e. ACFT HRS INSTALLED 8624494 2560.0 4846.0 4. 5. 6. 7. 8. HOURS RESULTS RECEIVED DATE REASON SAMPLE LAST OIL FOR RESULTS SUBMITTED END ITEM COMPONENT CHANGE SAMPLE DATE PID a. b. c. a. b. 13 Oct 18 6207.0 3921.0 404.0 Routine Normal 26 Oct 18 Conversion, Ulls

03 Nov 16 5803.0 3517.0 613.0 Routine NORMAL 14 Nov 16 HENKLEIN, JOHN

29 Nov 12 5190.0 2943.0 402.0 Special NORMAL 05 Dec 12 DUBOIS, WILLIAM

26 Oct 10 5190.0 2904.0 402.0 Special NORMAL 13 Nov 10 RODRIGUEZ, ARIEL

DA FORM 2408-20-SG, OCT 97 OIL ANALYSIS LOG DA FORM 2408-20, DEC 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1342 UTC FOUO page 8 of 13 -SG

28 Oct 2020 1342 UTC FOUO page 9 of 13 PAGE ______1 of ______4 1. END ITEM 2. SAMPLE 3. COMPONENT FREQUENCY a. NOMENCLATURE a. NOMENCLATURE AND TYPE HCPTR UTILITY UH-60A 480.0 TAIL ROTOR GEARBOX ASSY b. MAKE OR TYPE b. SERIAL NUMBER d. ACFT HRS LAST OIL CHANGE UH-60A A006-03088 6004.0 c. SERIAL NUMBER c. TIME SINCE NEW OR OVERHAUL e. ACFT HRS INSTALLED 8624494 0.0 3582.0 4. 5. 6. 7. 8. HOURS RESULTS RECEIVED DATE REASON SAMPLE LAST OIL FOR RESULTS SUBMITTED END ITEM COMPONENT CHANGE SAMPLE DATE PID a. b. c. a. b. 13 Oct 18 6206.9 2625.0 202.9 Routine Normal 26 Oct 18 Conversion, Ulls

29 Nov 17 6004.0 2422.0 208.0 Special NORMAL 08 Dec 17 BRASWELL, SIDNEY

26 Oct 17 5985.0 2403.0 185.0 Special ABNORMAL 15 Nov 17 Conversion, Ulls

17 Oct 17 5978.0 2396.0 176.0 Routine ABNORMAL 24 Oct 17 Conversion, Ulls

03 Nov 16 5802.5 2220.5 178.9 Routine NORMAL 14 Nov 16 HENKLEIN, JOHN

16 Oct 15 5623.6 2041.6 170.3 Routine NORMAL 09 Nov 15 BRASWELL, SIDNEY

10 Oct 14 5453.3 1871.3 194.5 Routine NORMAL 15 Oct 14 DUBOIS, WILLIAM

17 Oct 13 5258.8 1676.8 55.8 Special NORMAL 29 Oct 13 COBB, TALMADGE

28 Jun 13 5204.0 1622.0 1.0 Routine ABNORMAL 02 Jul 13 COBB, TALMADGE

21 May 13 5190.0 1608.0 0.0 Special NORMAL 22 May 13 COBB, TALMADGE

08 Jan 13 5176.0 1594.0 993.0 Special ABNORMAL 11 Jan 13 GRELL, BRIAN

29 Nov 12 5167.0 1585.0 984.0 Special ABNORMAL 05 Dec 12 DUBOIS, WILLIAM

DA FORM 2408-20-SG, OCT 97 OIL ANALYSIS LOG DA FORM 2408-20, DEC 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1342 UTC FOUO page 10 of 13 PAGE ______2 of ______4 1. END ITEM 2. SAMPLE 3. COMPONENT FREQUENCY a. NOMENCLATURE a. NOMENCLATURE AND TYPE HCPTR UTILITY UH-60A 480.0 TAIL ROTOR GEARBOX ASSY b. MAKE OR TYPE b. SERIAL NUMBER d. ACFT HRS LAST OIL CHANGE UH-60A A006-03088 6004.0 c. SERIAL NUMBER c. TIME SINCE NEW OR OVERHAUL e. ACFT HRS INSTALLED 8624494 0.0 3582.0 4. 5. 6. 7. 8. HOURS RESULTS RECEIVED DATE REASON SAMPLE LAST OIL FOR RESULTS SUBMITTED END ITEM COMPONENT CHANGE SAMPLE DATE PID a. b. c. a. b. 16 Aug 12 5095.0 1513.0 912.0 Routine NORMAL 24 Aug 12 HUST, ANTHONY

05 Oct 09 4697.0 1115.0 514.0 Routine NORMAL 15 Oct 09 DELGADO, ALFREDO

24 Aug 09 4676.0 1094.0 493.0 Special NORMAL 27 Aug 09 DELGADO, ALFREDO

13 Aug 09 4656.0 1074.0 473.0 Routine NORMAL 20 Aug 09 DELGADO, ALFREDO

22 Jul 09 4636.0 1054.0 453.0 Special NORMAL 03 Aug 09 DELGADO, ALFREDO

16 Jul 09 4622.0 1040.0 439.0 Routine ABNORMAL 20 Jul 09 DELGADO, ALFREDO

11 Jun 09 4580.0 998.0 397.0 Routine NORMAL 18 Jun 09 DELGADO, ALFREDO

21 May 09 4540.0 958.0 357.0 Routine NORMAL 29 May 09 DELGADO, ALFREDO

24 Mar 09 4506.0 924.0 323.0 Routine NORMAL 30 Mar 09 DELGADO, ALFREDO

23 Nov 08 4476.0 894.0 293.0 Special NORMAL 26 Nov 08 DELGADO, ALFREDO

03 Oct 08 4467.0 885.0 284.0 Routine ABNORMAL 07 Oct 08 DELGADO, ALFREDO

14 Jul 08 4427.0 845.0 244.0 Routine NORMAL 21 Jul 08 RODRIGUEZ, ARIEL

DA FORM 2408-20-SG, OCT 97 OIL ANALYSIS LOG DA FORM 2408-20, DEC 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1342 UTC FOUO page 11 of 13 PAGE ______3 of ______4 1. END ITEM 2. SAMPLE 3. COMPONENT FREQUENCY a. NOMENCLATURE a. NOMENCLATURE AND TYPE HCPTR UTILITY UH-60A 480.0 TAIL ROTOR GEARBOX ASSY b. MAKE OR TYPE b. SERIAL NUMBER d. ACFT HRS LAST OIL CHANGE UH-60A A006-03088 6004.0 c. SERIAL NUMBER c. TIME SINCE NEW OR OVERHAUL e. ACFT HRS INSTALLED 8624494 0.0 3582.0 4. 5. 6. 7. 8. HOURS RESULTS RECEIVED DATE REASON SAMPLE LAST OIL FOR RESULTS SUBMITTED END ITEM COMPONENT CHANGE SAMPLE DATE PID a. b. c. a. b. 12 May 08 4390.0 808.0 207.0 Special NORMAL 14 May 08 WARD, DWIGHT

12 Mar 08 4390.0 808.0 207.0 Special NORMAL 14 Mar 08 WARD, DWIGHT

25 Feb 08 4376.0 794.0 193.0 Routine NORMAL 02 Mar 08 RODRIGUEZ, ARIEL

03 Dec 07 4341.0 759.0 158.0 Routine NORMAL 06 Dec 07 RODRIGUEZ, ARIEL

29 Aug 07 4312.0 730.0 129.0 Special NORMAL 30 Aug 07 SANCHEZ, CHRISTOPHER

05 Aug 07 4300.0 718.0 117.0 Routine NORMAL 06 Aug 07 GILL, JAMES

19 Jul 07 4256.0 674.0 73.0 Routine NORMAL 21 Jul 07 RODRIGUEZ, ARIEL

21 Jun 07 4222.0 640.0 4222.0 Routine NORMAL 25 Jun 07 RODRIGUEZ, ARIEL

02 Jun 07 4183.0 601.0 4183.0 Special NORMAL 04 Jun 07 GILL, JAMES

30 May 07 4183.0 601.0 4183.0 Routine ABNORMAL 02 Jun 07 UNATOA, EDMOND

22 Mar 07 4101.0 519.0 4101.0 Routine NORMAL 24 Mar 07 GILL, JAMES

DA FORM 2408-20-SG, OCT 97 OIL ANALYSIS LOG DA FORM 2408-20, DEC 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

28 Oct 2020 1342 UTC FOUO page 12 of 13 -SG

28 Oct 2020 1342 UTC FOUO page 13 of 13

DA FORM 2408-5-SG, AUG 2004 DA FORM 2408-5 EDITION of OCT 91, IS OBSOLETE Page ____1 of _____1

DA FORM 2408-5-SG, AUG 2004 DA FORM 2408-5 EDITION of OCT 91, IS OBSOLETE Page 1 of _1