Please complete this form and FAX it immediately to:
Tornado Alley Turbo, Inc.
300 Airport Road
Ada, Oklahoma 74820

Phone: (580)332-3510
Fax: (580)332-4577

--MSB No.TAT 98-1 Inspection Results Reporting Form--

Owners Name:__________________________________________________

Address: __________________________________________________

__________________________________________________

City: ________________ State/Province: ____________ Country: __________

Ph: _________________ Fax: ________________

Aircraft Registration Number:_______________ S/N _________________

Current Tach/Hobbs:________ Hours since turbo installed: _________

Hours since "V-band" clamp was first installed?___________________

V-Band Clamp Condition (describe defects and their location in detail):

_________________________________________________________________________________

(If appropriate, please include a sketch of the part to aid in describing its condition.)

Cracks?___________________________________________________

Deformation of stainless band?________________________________


Other information? __________________________________________

Name of Mechanic Performing inspection: ___________________________

PH:__________________

Fax: _________________ Date done:___________

Note: If more information is needed for continued airworthiness
(turbo system maintenance manual, for example) please indicate: YES / NO

What information: ________________________________________________