INSPECTION REPORT
SPACESHIP GROUND INSPECTION
TIA
No.
1728201970
Dated
1027.119 SC
APPLICANT
NAME
SPACESHIP
MODEL
S43 "Spinner"
DATA SHEET NO.
SERIAL NUMBERS
REG. MARKS
BASIS FOR CERT
LSC 12
DATED
AMENDMENTS
MODIFIED BY
NAME
LOCATION
DESCRIPTION OF ALTERATION
ATTACHMENTS
none
INSPECTIONS CONDUCTED BY (Name and identification)
Chrileivie Dolvai, LSC license 34017384
Peppe Gerleckie, LSC license 85700028
PREPARED
DATE
BY (Name and signature)
Chrileivie Dolvai
Peppe Gerleckie
REVIEWED
Chrileivie Dolvai
APPROVED
Lionie Dastia